Full-service dental billing — CDT coding review, insurance verification, claim submission, AR follow-up, and patient collections — for single-location dental practices and multi-site DSOs. Performance-based fees, HIPAA-compliant, works with all dental software.
Dental billing is the process of submitting and following up on dental insurance claims to collect payment for dental services. It uses CDT (Current Dental Terminology) codes — not CPT codes — and requires specific knowledge of dental plan benefits, annual maximums, waiting periods, missing tooth exclusions, and narrative documentation requirements. Dental practices that outsource billing to specialists typically see a 15–25% increase in collections within 90 days from improved claim accuracy and active AR follow-up.
Benefit verification before every patient appointment. Annual maximum tracking, waiting period checks, dual-coverage coordination. No more "we didn't know the plan had a maximum" surprises.
CDT code accuracy review for every procedure. Bundling rule compliance. Correct tooth numbers and surfaces. Proper narrative documentation for crowns, implants, extractions, and periodontal procedures.
Electronic claim submission with full attachments — X-rays, perio charts, narratives — to all dental payers within 24 hours of procedure. Rejection follow-up same day.
Systematic follow-up on every unpaid claim. Age-based escalation. Appeal filing within payer deadlines. Monthly AR report by payer and aging bucket.
Patient statements after insurance payment. Payment plan setup. Professional, HIPAA-compliant patient communications that preserve the patient relationship while collecting the balance.
Multi-location reporting with location-level KPIs. Centralized billing operations with practice-specific payer mix analysis. Scales from 2 locations to 200+.
| Factor | Medical Billing | Dental Billing |
|---|---|---|
| Code Set | CPT / ICD-10 | CDT (ADA codes) |
| Plan Limits | Deductible + OOP max | Annual maximum ($1,000–$2,000 typical) |
| Waiting Periods | Rare | Common (6–12 months for major work) |
| Frequency Limits | Rare | Per-surface, per-tooth, per-year limits |
| Documentation | Clinical notes | X-rays, perio charts, narratives required |
Look for billers who know CDT inside out — bundling rules, narrative requirements, frequency limitations, and payer-specific documentation rules that catch what generalist billers miss.
A BAA should be signed before anyone touches a single patient record — plus HIPAA-trained staff, encrypted access to your dental software, and a full audit trail on all billing activities.
Typical dental billing pricing runs 4–8% of collections. Percentage pricing means the partner earns more when you collect more — no flat fees on uncollected claims.
From single-location practices to 50+ site DSOs, high-performing billing operations scale with centralized management and location-level reporting.
We'll review your CDT coding accuracy, denial patterns, and AR aging to show you exactly what your dental practice is leaving on the table.