Dental
Tidewater LLC
Tidewater LLC was paid $21K by Medicaid between Mar 2019 and Mar 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 46% of everything it billed.
33Billing provider infoTIDEWATER LLC
LANHAM, MD 20706
LANHAM, MD 20706
33aNPI1609366756assigned 05/15/2018
33bProvider typeDentist
28Total paid$21K
24GClaims689
24DCodes billed6
24AFirst – last monthMar 2019 – Mar 2024
Compared with peers
Next to other Dentist providers in Maryland
Rank by total paid#262 of 415
Median peer was paid$47K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 121 | $4K | |
| 2020 | 90 | $2K | |
| 2021 | 49 | $1K | |
| 2022 | 148 | $4K | |
| 2023 | 269 | $9K | |
| 2024incomplete | 12 | $586.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 46% | 212 | 206 | $10K |
| D1206 | Topical application of fluoride varnish | 41% | 360 | 346 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 25 | 25 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.5% | 27 | 25 | $730.68 |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 52 | 51 | $531.90 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 13 | 13 | $85.28 |
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
| 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 |
| 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 | Dunkirk, 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.