Clinic
Koppuravuri DDS PLLC
Koppuravuri DDS PLLC was paid $132K by Medicaid between Apr 2024 and Dec 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoKOPPURAVURI DDS PLLC
CHARLOTTE, NC 28278
CHARLOTTE, NC 28278
33aNPI1578325924assigned 01/30/2024
33bProvider typeDental Clinic/Center
28Total paid$132K
24GClaims3,370
24DCodes billed14
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in North Carolina
Rank by total paid#63 of 105
Median peer was paid$224K
This provider vs. median0.6×
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.
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 | |
|---|---|---|---|
| 2024incomplete | 3,370 | $132K |
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 | 29% | 369 | 163 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 346 | 330 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 9.0% | 96 | 58 | $12K |
| D1110 | Prophylaxis - adult | 8.2% | 286 | 282 | $11K |
| D0330 | Panoramic radiographic image | 7.3% | 235 | 224 | $10K |
| D0274 | Bitewings - four radiographic images | 6.4% | 286 | 279 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.4% | 692 | 363 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 93 | 47 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 443 | 417 | $7K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 168 | 158 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.0% | 39 | 24 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.2% | 124 | 118 | $3K |
2 more codes
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 officialKOPPURAVURI, VENKATASUMAN (DENTIST)