Your dental practice bills half of what it earns.
Most dental practices submit claims to dental insurance and stop. They never touch the medical insurance their patients already carry. We fix that. Our dental billing services cover both payer systems so you collect every dollar you are owed.
The billing problems costing your practice money right now
In-house dental billing produces inconsistent results. Staff submit claims, get denials, and move on. No one follows up. No one audits. Revenue ages in your AR and disappears.
The second problem is less visible. Most dental practices never bill medical insurance for procedures that qualify under their patients’ medical benefits. Oral surgery, sleep apnea appliances, periodontal treatment tied to diabetes, trauma cases. These procedures generate medical insurance revenue. Your practice leaves it uncollected every month.
We built our dental billing service to solve both problems. We manage your complete claims workflow across dental and medical payers. We find the revenue your current process misses.
- High denial rates with no structured follow-up Denials sit unworked. Insurance companies count on your inaction to avoid paying claims.
- Medical insurance never billed for dental procedures Procedures like oral surgery and sleep apnea appliances qualify under medical benefits. Most practices never submit.
- Coordination of benefits errors Wrong sequencing of primary and secondary claims produces payment delays and take-backs.
- CDT codes outdated or incorrect The ADA updates CDT codes every year. One wrong code triggers an automatic denial.
- Prior auth delays holding treatment Missing documentation on predetermination requests postpones procedures and slows cash flow.
- Medicaid billing errors by state Medicaid dental rules differ in Texas, California, New York, and Florida. One billing team cannot know all four without specialty training.
- AR over 90 days growing with no resolution Once a claim passes 90 days without follow-up, collection probability drops sharply.
A complete dental billing service across both payer systems
We manage your full revenue cycle from eligibility verification through payment posting. Our team handles dental insurance and medical insurance billing under one service agreement.
Patient Eligibility Verification
We verify dental and medical insurance benefits before every appointment. Your front desk stops chasing eligibility issues after treatment is complete.
CDT and CPT Coding
Our certified coders apply the correct CDT codes for dental claims and CPT codes when billing medical insurance for eligible procedures. No guesswork. No outdated codes.
Clean Claim Submission
We scrub every claim before it leaves the clearinghouse. We attach required narratives, radiographs, and documentation to prevent first-pass denials.
Dental and Medical Crossover Billing
We identify procedures that qualify under your patients’ medical insurance and submit to both payers correctly. This is the revenue most dental practices never collect.
Denial Management and Appeals
We work every denial with payer-specific appeal strategies. We track denial codes by payer and fix upstream errors that cause repeat rejections.
Prior Authorization
We submit predetermination requests with complete documentation for implants, bone grafts, orthodontics, and oral surgery. We track auth status and alert you before treatment.
Payment Posting and Reconciliation
We post all payments, apply adjustments correctly, and identify underpayments before you write them off. Every ERA and EOB is reconciled against your fee schedule.
Accounts Receivable Follow-Up
We contact payers on every unpaid claim at 30, 60, and 90 days. We escalate when needed. Your AR aging shrinks on a consistent schedule.
Credentialing and Enrollment
We credential your providers with dental PPO networks and medical payers. If you want to bill medical insurance for dental procedures, we get you enrolled first.
Other billing services bill dental insurance. We bill the whole picture.
The standard dental billing service submits your ADA claim form to Delta Dental and MetLife. That is one revenue stream. Your patients also carry medical insurance through Blue Cross, Aetna, UnitedHealthcare, or Cigna. Dozens of dental procedures qualify under those medical plans.
We submit to both payer systems using the correct form, the correct code set, and the correct documentation for each. The ADA dental claim form for dental payers. The CMS-1500 with CPT codes and ICD-10 diagnoses for medical payers. Same procedure. Two legitimate payment sources.
This is not a workaround. This is correct billing. Most dental practices never do it because their billing team only knows one side of the payer system. Ours knows both.
Oral Surgery Case
A patient needs a complicated extraction with documented infection. The dental plan pays as primary. The patient’s Blue Cross medical plan covers a portion as secondary under hospital/surgical benefits. A dental-only billing service submits once. We submit twice and collect from both.
Periodontics and Diabetes
A diabetic patient receives full-mouth periodontal treatment. Clinical documentation supports medical necessity. We code the dental claim with CDT codes and the medical claim with ICD-10 codes for diabetes with oral complications. Both claims pay. The patient’s out-of-pocket is reduced.
Dental Sleep Medicine
A dentist prescribes an oral appliance for sleep apnea. The claim belongs under the patient’s medical plan, not dental. We credential the provider with the relevant medical payers, submit using HCPCS codes, and recover revenue that was previously written off or never submitted.
Dental billing services for every practice type
We serve general dentistry practices, specialty groups, DSOs, and solo providers across all 50 US states.
General Dentistry
PPO billing, patient collections, and full AR management
Oral Surgery
Dental and medical crossover billing for surgical procedures
Periodontics
Systemic disease crossover billing and Medicaid periodontal claims
Dental Sleep Medicine
Medical insurance billing and credentialing for OAT providers
Pediatric Dentistry
Medicaid dental billing and CHIP claims in all participating states
Orthodontics
Predetermination workflows and installment billing management
Implants and Prosthodontics
Prior auth for implants, grafts, and reconstructive procedures
DSOs and Group Practices
Centralized billing for multi-location groups with standardized reporting
From enrollment to collections in five steps
Practice Onboarding
We audit your current billing setup, fee schedules, and AR. We identify gaps before we begin.
Eligibility and Benefits
We verify dental and medical benefits for your scheduled patients. Your team starts the day with clean insurance information.
Coding and Submission
We code charges using current CDT, CPT, and ICD-10 codes. We submit clean claims to all applicable payers.
Follow-Up and Denials
We follow up on all unpaid claims at 30, 60, and 90 days. We appeal denials with supporting documentation.
Reporting and Analysis
You receive weekly and monthly reports on collection rates, denial trends, AR aging, and payer performance.
What your practice looks like after 90 days
Denial Rate Reduction
A 4-provider general dentistry group in Texas reduced their denial rate from 22 percent to 7 percent within 6 months of transferring billing to our team.
Faster Payment
An oral surgery practice in Florida went from 52 days in AR to 31 days within 90 days of onboarding. Cash flow improved without changing payer mix.
Medical Revenue Recovered
A dental sleep medicine practice in Ohio collected over $87,000 in medical insurance revenue in their first year after we enrolled them with medical payers and began billing OAT claims correctly.
We work inside your existing systems
We integrate with every major dental practice management platform. You do not change your software. We work inside it.
What dental practices ask before they start
Find out what your practice is leaving on the table
Request a free billing audit. We review your current denial rate, AR aging, and billing workflow. We identify exactly where revenue is leaking and how to recover it.