Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TIDEWATER LLC

NPI: 1437643384 · DUNKIRK, MD 20754 · General Practice Dentistry · NPI assigned 06/14/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more

$21K
Total Medicaid Paid
564
Total Claims
541
Beneficiaries
9
Codes Billed
2019-12
First Month
2024-02
Last Month

Provider Details

Authorized OfficialCOOPER, DAVID (OWNER)
Parent OrganizationTIDEWATER, LLC
NPI Enumeration Date06/14/2018

Related Entities

Other providers sharing the same authorized official: COOPER, DAVID

ProviderCityStateTotal Paid
PROHEALTH CARE ASSOCIATES LLP LAKE SUCCESS NY $69.52M
C H L EMS INC VISALIA CA $10.59M
CHESTER COUNTY PEDIATRICS DOWNINGTON PA $4.85M
STODDARD COUNTY AMBULANCE DISTRICT DEXTER MO $4.67M
TIDEWATER LLC LEXINGTON PARK MD $735K
DRS. COOPER & BANNINGER, LLC. SALINA KS $587K
NO LIMIT LIFE LLC PENNSAUKEN NJ $366K
TIDEWATER LLC LEXINGTON PARK MD $192K
TIDEWATER LLC SOLOMONS MD $82K
TIDEWATER LLC PRINCE FREDERICK MD $74K
TIDEWATER LLC LANHAM MD $21K
MOBILE MEDICAL SERVICES P.C. NEW HYDE PARK NY $3K
CHESTER COUNTY PEDIATRICS PC AVONDALE PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $398.72
2020 112 $3K
2021 64 $1K
2022 118 $3K
2023 198 $11K
2024 56 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 201 200 $5K
D2930 Prefabricated stainless steel crown - primary tooth 27 13 $5K
D1120 Prophylaxis - child 94 93 $4K
D0150 Comprehensive oral evaluation - new or established patient 47 47 $3K
D0210 Intraoral - complete series of radiographic images 28 28 $2K
D0120 Periodic oral evaluation - established patient 42 42 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 60 54 $1K
D0220 Intraoral - periapical first radiographic image 53 52 $480.75
D0230 Intraoral - periapical each additional radiographic image 12 12 $72.00