Tidewater LLC

Tidewater LLC was paid $192K by Medicaid between Jan 2018 and Apr 2019, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.

33Billing provider infoTIDEWATER LLC
LEXINGTON PARK, MD 20653

33aNPI1518470251assigned 11/15/2017

33bProvider typeDentist

28Total paid$192K

24GClaims4,978

24DCodes billed14

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Dentist providers in Maryland

Rank by total paid#124 of 415

Median peer was paid$47K

This provider vs. median4.1×

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

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

Year	Claims	Paid
2018	4,896	$187K
2019	82	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	20%	320	169	$38K
D1206	Topical application of fluoride varnish	19%	1,506	1,499	$37K
D1120	Dental cleaning, childProphylaxis - child	19%	883	879	$37K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	1,189	1,184	$34K
D1110	Prophylaxis - adult	6.9%	230	230	$13K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.2%	133	86	$12K
D1351	Sealant - per tooth	4.5%	270	57	$9K
D0274	Bitewings - four radiographic images	2.1%	192	192	$4K
D0330	Panoramic radiographic image	1.2%	56	56	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.1%	40	40	$2K
D0272	Bitewings - two radiographic images	<1%	103	103	$2K
D0140	Limited oral evaluation - problem focused	<1%	14	14	$604.80

2 more codes

D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	30	$540.00
D0220	Intraoral - periapical first radiographic image	<1%	12	$108.00

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)

Same official

Other billing entities under COOPER, DAVID

Full network →

Provider	Location	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
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No Limit Life LLC	Pennsauken, NJ	$366K
Tidewater LLC	Solomons, MD	$82K
Tidewater LLC	Prince Frederick, MD	$74K
Tidewater LLC	Dunkirk, MD	$21K
Tidewater LLC	Lanham, MD	$21K
Mobile Medical Services P.C.	New Hyde Park, NY	$3K
Chester County Pediatrics PC	Avondale, PA	$2K

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