Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Tidewater LLC

Tidewater LLC was paid $21K by Medicaid between Dec 2019 and Feb 2024, across 9 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 24% of everything it billed.

33Billing provider infoTIDEWATER LLC
DUNKIRK, MD 20754
33aNPI1437643384assigned 06/14/2018
28Total paid$21K
24GClaims564
24DCodes billed9
24AFirst – last monthDec 2019 – Feb 2024
Compared with peers

Next to other General Practice Dentistry providers in Maryland

Rank by total paid#363 of 598
Median peer was paid$42K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201916$398.72
2020112$3K
202164$1K
2022118$3K
2023198$11K
2024incomplete56$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1206 Topical application of fluoride varnish 24% 201 200 $5K
D2930 Prefabricated stainless steel crown - primary tooth 23% 27 13 $5K
D1120 Dental cleaning, childProphylaxis - child 20% 94 93 $4K
D0150 Comprehensive oral evaluation - new or established patient 12% 47 47 $3K
D0210 Intraoral - complete series of radiographic images 7.5% 28 28 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 5.7% 42 42 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 5.6% 60 54 $1K
D0220 Intraoral - periapical first radiographic image 2.3% 53 52 $480.75
D0230 Intraoral - periapical each additional radiographic image <1% 12 12 $72.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOOPER, DAVID (OWNER)
Parent organizationTIDEWATER, LLC
Same official

Other billing entities under COOPER, DAVID

Full network →
ProviderLocationPaid
Prohealth Care Associates LLPLake Success, NY$69.52M
C H L EMS INCVisalia, CA$10.59M
Chester County PediatricsDownington, PA$4.85M
Stoddard County Ambulance DistrictDexter, MO$4.67M
Tidewater LLCLexington Park, MD$735K
DRS. Cooper & Banninger, LLC.Salina, KS$587K
No Limit Life LLCPennsauken, NJ$366K
Tidewater LLCLexington Park, MD$192K
Tidewater LLCSolomons, MD$82K
Tidewater LLCPrince Frederick, MD$74K
Tidewater LLCLanham, MD$21K
Mobile Medical Services P.C.New Hyde Park, NY$3K
Chester County Pediatrics PCAvondale, PA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.