Dental Billing Services

Dental Billing Services and Insurance Claims Management

Dental billing services that get your claims paid the first time. We verify benefits, submit clean claims with the right CDT codes and attachments, work every denial and follow up on aging insurance A/R, so your practice collects what it earns without tying up the front desk.

Medical billing and claims paperwork on an office desk

The Problem

Dental Insurance Billing Is Where Revenue Quietly Leaks

Dental claims fail for small, fixable reasons: a missing X-ray or narrative, a frequency limit nobody checked, an outdated CDT code, or a claim that simply never got followed up.

When the front desk is also checking in patients and answering phones, dental insurance billing slips, and the A/R report keeps growing.

01

Missing attachments and narratives.

Crowns, SRP and implants are routinely denied without the right X-rays, perio charting or narratives.

02

Benefits not verified.

Frequency limits, waiting periods and maximums discovered after treatment become write-offs.

03

Claims never followed up.

Unpaid claims older than 60 days are often forgotten until they are too old to collect.

04

Front desk overload.

Billing competes with patients and phones, and billing usually loses.

What We Do

What Our Dental Billing Services Include

01

Insurance Verification

Eligibility, frequencies, waiting periods and remaining maximums checked before the visit.

02

CDT Coding Review

Procedures coded to current CDT codes with the right tooth, surface and quadrant data.

03

Clean Claim Submission

Claims sent electronically with X-rays, perio charts and narratives attached.

04

Denial Management

Every denial investigated, corrected and appealed.

05

Insurance A/R Follow-Up

Outstanding claims chased with carriers on a set schedule.

06

Payment Posting

EOBs and ERAs posted accurately, with write-offs reviewed.

07

Medical Cross-Coding

Eligible procedures such as sleep appliances and some oral surgery billed to medical insurance.

08

Dental Billing Reports

Collections, aging, denial rate and days in A/R every month.

The Process

How We Take Over Your Dental Billing

01

Free Claims Audit

We review your insurance aging and recent denials.

02

Setup

Access to your practice software (Dentrix, Eaglesoft, Open Dental and others) and clearinghouse.

03

Clean-Up

We work your aged insurance claims first.

04

Daily Billing

Claims submitted daily with attachments.

05

Follow-Up

Unpaid claims chased every week.

06

Monthly Report

Collections and A/R trends reviewed with you.

FAQ

Dental Billing Questions

The patient’s benefits are verified, treatment is coded with CDT codes, and a claim is sent to the dental carrier with any required X-rays, charts or narratives. The carrier processes it and sends an EOB with payment; the practice posts the payment and bills the patient for their portion. Denied claims are corrected and resubmitted or appealed.

The most common reasons are missing attachments or narratives, frequency limitations, waiting periods, patient not eligible on the date of service, incorrect CDT codes, missing tooth or surface information, and timely filing. Most are preventable with verification and claim review.

Yes, for medically necessary procedures such as oral surgery after trauma, biopsies, sleep apnea appliances and some TMJ treatment. This requires CPT and ICD-10 codes and medical documentation, which our team handles.

Outsourced dental billing usually costs 4% to 8% of insurance collections, or a flat monthly fee for smaller practices. We quote after reviewing your claim volume.

We work inside the major practice management systems, including Dentrix, Eaglesoft, Open Dental and cloud platforms.

It takes CDT and insurance knowledge, practice software experience, a clearinghouse, HIPAA-compliant processes and contracts with practices. Most practices are better served outsourcing to an established team than building their own.

To learn how to start a dental billing company you need CDT and insurance expertise, practice software skills, a clearinghouse, HIPAA processes and practice clients. Most practices prefer an established dental billing partner.

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How Much Is Sitting in Your Insurance A/R?

Send us your insurance aging report and we will show you what is collectable and why claims are being denied.