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Dental Billing Experts

Dental Billing Services

  • Insurance Verification & Auth
  • CDT Coding & Claim Narratives
  • Claim Attachments & Submission
  • Denial Management & Appeals
  • ERA Posting & Reconciliation
  • AR Follow-Up & Collections
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Certified. Compliant. Trusted

HiTech Compliant HIPAA Compliant AICPA SOC 2
Dental revenue dashboard and six steps of the dental billing process

Our Core Strengths

$300M+ Paid
Claims
20+ Dental
Specialties
1000+ Providers
Served
CDT PPO Billing
Expertise
AI-Powered Dental
Billing
99% First-Pass
Claim Rate
Fast Payer Follow-Up
Dental Billing Services in the USA

What Are Dental Billing Services?

Dental billing services handle dental revenue cycle management, from benefit checks and CDT coding to claims, ERA posting, and denial management, turning every procedure you perform into collected revenue.

Eligibility & Benefit Breakdowns

We confirm coverage, frequencies, waiting periods, and remaining maximums before the patient sits down.

CDT Coding & Claim Submission

Every procedure is coded using current CDT codes, with tooth and surface details and narratives where needed.

Attachments & Predeterminations

X-rays, perio charts, and predeterminations are handled up front so claims don't bounce back.

ERA Posting & Denial Management

ERAs are posted line by line, and denials are sorted by CARC code, then corrected or appealed.

Dental Billing Outsourcing

Why Do Practices Outsource Dental Billing Services?

Most practices outsource because claims deserve full-time attention, and outsourced dental billing solutions provide specialized payer expertise, daily follow-up, and cleaner workflows that your front desk can't sustain on its own.

Specialty-Level Expertise

Teams that know CDT & CPT coding and denial patterns across all dental specialties, not just general dentistry.

Fewer Denials, Faster Payments

Stronger claim controls reduce preventable denials, speed reimbursement, and keep unpaid claims moving.

Timely Filing Protection

Every claim is tracked against payer filing limits, so nothing is submitted late.

Clear Revenue Reporting

Monthly reports show which payers underpay, where claims stall, and how collections are trending.

Professional dental billing turns claim chaos into a revenue cycle you can actually measure.

Talk to a Dental Billing Specialist
Full-Service Dental Billing

Our Dental Billing Services

Dental insurance billing services built for your practice, from the first eligibility check to the last dollar collected.

Eligibility Verification

Outsourcing dental insurance verification to us means every patient's coverage is checked before the appointment, with frequencies, waiting periods, downgrades, and remaining maximums broken down and predeterminations filed for major work.

  • Eligibility and benefit breakdowns
  • Frequency and waiting period checks
  • Predeterminations for major treatment
  • COB and secondary coverage confirmed
Talk to a Billing Expert
3,200Eligibility Checks CompletedLast 90 days
184Coverage Errors CaughtLast 90 days
12 MinAvg. Verification TimePer patient
420Predeterminations FiledLast 90 days

Our Verification Process

Patient Intake
Coverage Check
Benefit Breakdown
Confirm to Front Desk

Let’s Stop Dental Revenue Leaks Before They Reach Your Aging A/R

Revenue leakage starts long before a balance ages. Here’s where revenue leaks exist and how our dental billing solutions prevent them before they stall your AR;

  • Eligibility Mismatches

    We compare the benefit snapshot taken at scheduling with the coverage active on the service date, catching changed maximums, frequencies, COB, or plan status before billing.

  • Coding Revenue Gaps

    We trace completed treatment from the clinical chart into CDT codes, tooth and surface data, and charges to find procedures that were performed but never billed correctly.

  • Attachment Breakdowns

    We check each claim for the exact clinical evidence the payer expects, so missing X-rays, perio charts, or narratives do not turn payable treatment into pending claims.

  • Denials Without Resolution

    We separate correctable denials from true non-payable balances, then assign the next action by payer response, filing window, and documentation needed to recover the claim.

  • Hidden Underpayments

    We rebuild the expected payment from the contracted allowance, patient share, and EOB detail to catch short payments that otherwise disappear inside routine adjustments.

Find My Revenue Leaks
Illustration of a dental claim with revenue leaks from eligibility gaps, missed charges, missing attachments, denials, underpayments, and stale fee schedules
MedsDental dental billing dashboard showing submitted claims, payer responses, posted payments, and accounts receivable follow-up
Why MedsDental

Why Practices Trust MedsDental with Their Dental Billing

A slightly lower collection rate each month usually means small errors nobody is catching. Unlike many dental billing outsourcing companies, we find them, and here's what sets us apart.

  • Dental-Focused Billing

    CDT coding, PPO rules, and dental denial patterns are our daily work.

  • AAPC-Certified Coders

    Certified coders catch payer rules before claims go out.

  • Proactive Denial Recovery

    We fix the root cause so the same denial stops repeating.

  • Medical-Dental Cross-Coding

    Medical plans billed for sleep apnea, TMJ, and oral surgery.

  • Works Inside Your PMS

    Billing done directly in Dentrix, Eaglesoft, Open Dental, and more.

  • HIPAA-Compliant Workflows

    Patient and payer data protected at every billing step.

Need a Dental Billing Audit?

Our specialists review your coding, claims, denials, and AR, then show you exactly where revenue is slipping and how outsourcing would change it.

Call Us: (516) 271-2958 Email Us: info@medsdental.com
Dental billing audit illustration with a magnifying glass, claim checklist, revenue chart, and shield

One Procedure, Two Possible Claim Paths

Custom oral appliance for obstructive sleep apnea

Dental Claim

ADA claim form
CDT D9947
Dental benefits

Medical Claim

CMS-1500
HCPCS E0486
ICD-10-CM G47.33

Medical Necessity File

  • Sleep study on file
  • Physician diagnosis confirmed
  • Letter of medical necessity
  • Prior authorization pending
3 of 4 ready

How We Bill Medical for Dental Care

01

Diagnosis
Review

02

Code
Crosswalk

03

Medical
Necessity File

04

Prior
Authorization

05

CMS-1500
Submission

Medical-Dental Cross-Coding Expertise

Dental Cross-Coding Expertise That Gets Medical Claims Right

Some dental procedures belong on a medical claim, not a dental one, and getting them paid takes more than a different form. Our medical billing for dentists maps CDT procedures to CPT and HCPCS codes, pairs them with ICD-10-CM diagnoses, builds the medical-necessity file, and submits the claim on the CMS-1500 (837P).

Sleep Apnea Oral Appliances

Billed to medical with a physician's OSA diagnosis and sleep study.

Oral Surgery and Biopsies

CPT-coded procedures supported by clinical notes and pathology reports.

Medically Necessary Exams

Dental clearance exams before transplants, radiation, or heart valve surgery.

TMJ Disorder Treatment

Splints and procedures billed where covered and medically necessary.

Dental Trauma and Injury

Auto, workers' comp, or medical coverage billed first, dental as secondary.

Implants and Bone Grafts

Reconstructive cases backed by a medical diagnosis and operative report.

Medical billing and coding services for dentists that get medically necessary care to the right plan, coded and documented correctly.

Get Paid Correctly
Dental Coding Expertise

Expertise for Every CDT Category With ICD-10-CM Diagnosis Alignment

Our billing and coding specialists support every category of dental care with accurate CDT coding, documentation review, and diagnosis code matching.

Diagnostic

CDT Range: D0100–D0999
  • Description: Exams, x-rays, diagnostics
  • ICD-10: M26.212, M26.213, M26.31
  • ICD-10 Description: Dental exams, dental disorder screening

Preventive

CDT Range: D1000–D1999
  • Description: Prophy, fluoride, sealants
  • ICD-10: K05.10, K03.6, K02.3
  • ICD-10 Description: Gingivitis, tooth deposits, arrested caries

Restorative

CDT Range: D2000-D2999
  • Description: Fillings, crowns, buildups
  • ICD-10: K02.52, K02.62, K03.81
  • ICD-10 Description: Caries into dentin, cracked tooth

Endodontics

CDT Range: D3000–D3999
  • Description: Root canals, pulpotomies
  • ICD-10: K04.02, K04.1, K04.5
  • ICD-10 Description: Pulpitis, pulp necrosis, apical periodontitis

Periodontics

CDT Range: D4000–D4999
  • Description: Scaling, surgery, grafts
  • ICD-10: K05.312, K05.322, K06.012
  • ICD-10 Description: Periodontitis, gingival recession

Removable Prostheses

CDT Range: D5000-D5899
  • Description: Full and partial dentures
  • ICD-10: K08.109, K08.409
  • ICD-10 Description: Complete or partial tooth loss

Maxillofacial Prostheses

CDT Range: D5900–D5999
  • Description: Obturators, speech aids
  • ICD-10: Q35.9, Z90.09
  • ICD-10 Description: Cleft palate, acquired head/neck absence

Implant Services

CDT Range: D6000–D6199
  • Description: Implants, abutments, crowns
  • ICD-10: K00.0, K08.419
  • ICD-10 Description: Anodontia, tooth loss due to trauma

Fixed Prosthodontics

CDT Range: D6200–D6999
  • Description: Bridges, pontics, retainers
  • ICD-10: K08.429, K08.439
  • ICD-10 Description: Partial tooth loss from gum disease, caries

Oral Surgery

CDT Range: D7000–D7999
  • Description: Extractions and impactions
  • ICD-10: K01.1, K04.7, S02.5XXA
  • ICD-10 Description: Impacted teeth, abscess, traumatic tooth fracture

Orthodontics

CDT Range: D8000–D8999
  • Description: Braces and aligners
  • ICD-10: M26.212, M26.213, M26.31
  • ICD-10 Description: Malocclusion classes II and III, crowding

Adjunctive Services

CDT Range: D9000–D9999
  • Description: Guards and palliative care
  • ICD-10: M26.609, G47.63, K03.0
  • ICD-10 Description: TMJ disorder, sleep bruxism, tooth attrition
Accurate coding. Fewer denials. Protected reimbursement.
Dental Insurance Billing

USA Dental Insurance Payer Expertise

Dental claims follow different rules than medical claims, and every carrier applies them in its own way. As a dental billing company, we work across commercial, managed care, Medicaid, Medicare Advantage, federal, and medical plans, tailoring each claim to the payer's frequency limits, attachment rules, predeterminations, filing deadlines, and appeal paths.

  • Payer-specific benefit and frequency rules
  • In-network and out-of-network claim rules
  • Downcoding and alternative-benefit review
Payer
Expertise

Commercial Dental Plans

Delta Dental · MetLife · Cigna · Guardian · Ameritas

Dental HMO & Managed Care

DeltaCare USA · Cigna Dental Care · Humana DHMO

Medicare Advantage Dental

Humana · UnitedHealthcare · Aetna

Federal & Military Dental

TRICARE Dental · FEDVIP · United Concordia

Medical Plans (Cross-Coded)

BCBS · Cigna · UHC

Medicaid & CHIP Dental

DentaQuest · MCNA · Liberty Dental

Dental and Medical Plans
Primary and Secondary Billing
ERA / EOB Reconciliation
Timely Filing Tracking
Who We Serve

Dental Billing for Every Practice Size

From solo offices to multi-location groups and DSOs, we shape our billing support
around your payer mix, team, and daily workflow.

Solo Dental
Practices

Independent
Group Practices

Multi-Location
Dental Groups

Dental Service
Organizations (DSOs)

Multi-Specialty Dental
Practices

Specialty Dental
Practices

Community Dental
Clinics

Growing & Newly
Acquired Practices

Our Specialties

Dental Billing Expertise Across Every Dental Specialty

From routine cleanings to crowns, extractions, and emergency visits, we code and bill each dental specialty the way its payer expects.

Preventive & Diagnostic

Restorative Dentistry

Endodontic
Care

Periodontal
Care

Implants &
Prosthodontics

Oral
Surgery

Pediatric Dentistry

Emergency & Same-Day

View More Specialties

Dental Billing Services Across the United States

Our billing team supports dental practices across the U.S., adapting workflows to each state’s payer rules and requirements. From practices that outsource dental billing in Tennessee to those using dental billing services in Illinois, every account receives consistent claim follow-up, denial action, and A/R oversight.

View More States
Map showing dental billing coverage across the United States
In-House vs. Outsourced Dental Billing

In-House Billing or MedsDental? See the Difference

A biller's salary is only the start. Here's what in-house billing really costs your practice, and what our automated dental billing tools and dedicated team do instead.

What In-House Billing Costs You

Salary & Payroll Taxes

A full-time biller's wages plus employer taxes, every month.

Benefits & Time Off

Health coverage and PTO, with billing paused while your biller is out.

Training & Turnover

Recruiting, onboarding, and retraining every time a biller leaves.

Manual Checks & Missed Errors

Eligibility checked by hand, and unscrubbed claims turn errors into denials.

Unworked Denials

Denials wait for free time, then age past appeal windows.

Compliance on Your Plate

HIPAA training and access controls managed by the practice alone.

What MedsDental Does Instead

A Full Billing Team

Specialists for coding, posting, denials, and AR, every business day.

No Coverage Gaps

Claims keep moving through vacations, sick days, and staff changes.

No Hiring or Retraining

One onboarding, with no recruiting when your staff changes.

AI-Automated Checks

Automated eligibility checks and scrubbing catch errors before submission.

Daily Denial Follow-Up

Denials worked every day, before appeal windows close.

BAA-Backed Compliance

HIPAA-compliant workflows under a signed Business Associate Agreement.

What’s In-House Billing
Really Costing You?

Compare your biller's salary, benefits, software, and missed collections
against a dedicated dental billing team, and see the difference in minutes.

Calculate My Savings
Billing Integrations

Billing That Fits the Software You Already Use

Switching platforms costs you weeks you don't have, so we don't ask you to. Our dental billing management solutions work inside your existing PMS and clearinghouse, handling verification, claims, posting, and denials with minimal change to your front desk's daily routine.

Certifications & Compliance

Certified, Compliant, and Audit-Ready

We protect patient data and support accurate coding through recognized standards and a signed Business Associate Agreement from day one.

HIPAA

Health Insurance Portability and Accountability Act

ASRM

American Society for Reproductive Medicine

ISO 27001

Information Security Management System Standard

SOC 2

AICPA System and Organization Controls

AAPC

Credentialed Professional Coders

NILA

National Independent Laboratory Association

Dr. Bennett Koss, DDS

Owner Dentist
Claybourne Dental Group, Denver, CO

“We kept seeing the same coding denials, and our AR just kept growing. MedsDental reviewed every claim before it went out, traced our denials back to the source, and worked our aging balances every week. Within 90 days, we'd recovered revenue we had written off as lost.”
Case Study

Clean Claim Rate Raised to 98%

Claybourne Dental Group was losing revenue to preventable claim errors. Claims went out with inconsistent CDT coding and documentation checks, coding-related denials kept repeating, and unpaid balances didn't always get timely payer follow-up. Its clean claim rate sat at 79%, and insurance AR averaged 61 days.

MedsDental built a pre-submission review that checked CDT codes, patient and insurance data, documentation, and payer edits before every claim went out. Procedure codes were matched to clinical notes, and denials were grouped by coding, documentation, eligibility, predetermination, and filing issues. Aged claims were worked by payer and aging bucket, and payments were checked against expected reimbursement before closing.

MedsDental Testimonials

Trusted by Dental Practices That Expect More From Their Billing

Hear from the dentists and practice teams who handed us their billing, and what changed once claims, denials, and AR stopped slipping.

Dr. Tomas Labadie, DMD

Practice Owner, InnoSmile Dental

“Before MedsDental, I didn't always know where our unpaid claims stood or why certain balances were still open. Their team gave us much better visibility into the billing process and kept follow-up moving without our front office having to chase everything.”

5 out of 5 stars

Dr. Shaylee Keebler, DDS

Clinical Director, Lumina Dental Care

“Managing billing across multiple locations made it difficult to keep everything consistent. MedsDental brought the process together, so we had one team monitoring claims, payments, denials, and AR across the practices.”

5 out of 5 stars

Dr. Eino Cremin, DMD

Practice Owner, Smile Sanctuary

“Our billing has a lot of moving pieces, especially with different insurance plans and coverage situations. MedsDental helped us stay organized with eligibility, claims, and follow-up, and our team has much less billing work to manage during the day.”

5 out of 5 stars
Contact Us

Let's Talk About Your Dental Billing

From eligibility checks to final payment, our dental billing team handles every step of your revenue cycle. Share a few details, and a specialist will reach out to walk through your claims, payers, and goals.

Insurance verification and benefit breakdowns

Coding, attachments, and claim submission

Denial appeals and AR recovery

Payment posting and monthly reporting

Common Questions

Frequently Asked Questions (FAQs)

Straight answers to what dental practices ask before outsourcing their billing.

Outsourced dental billing means a specialist team handles your claims, posting, denials, and AR instead of in-house staff. Pricing varies across dental billing service companies, but most charge a percentage of collections, often in the single digits, or a flat monthly fee based on claim volume.

Dental billing services increase revenue by catching errors before claims go out, working denials before appeal windows close, and following up on aged AR daily. Ongoing dental billing process improvement finds underpayments and stale fee schedules, so more of your production turns into collected revenue.

Dental payers commonly require X-rays for crowns and implants, perio charts for scaling and root planing, and narratives for major or unusual procedures. When an attachment is missing, the payer pends or denies the claim for records, delaying payment and risking the timely filing limit if resubmitted.

The plan covering the patient as the subscriber pays first, and the secondary plan considers the balance under its COB rules. For children on both parents' plans, the parent whose birthday falls earlier in the year is usually primary. We attach the primary EOB to secondary claims.

Bill medical insurance when treatment is medically necessary, such as sleep apnea oral appliances, TMJ disorder treatment, biopsies, or accident-related trauma. Medical billing for dental offices typically requires CPT or HCPCS and ICD-10-CM codes, a CMS-1500 claim, and medical necessity documentation.

Frequency limitations cap how often a plan pays for a service, such as two cleanings per year or one crown per tooth every five years. Waiting periods delay some coverage for new members. Claims that ignore either are typically denied, and the cost may shift to the patient.

Dental billing services work directly with your existing PMS, whether server-based (e.g., Dentrix, Eaglesoft, Open Dental) or cloud-based (e.g., Curve Dental). Dental billing automation handles eligibility checks, claim scrubbing, and ERA posting there, so your schedules, ledgers, and reports stay in one familiar system.

MedsDental is built for dental practices, with AAPC-certified (CPC) coders trained in CDT, daily denial follow-up, and medical-dental cross-coding that not every remote dental billing company provides. We work inside your PMS under a signed BAA and report monthly on collections, denials, and AR.

Cleaner claims. Stronger collections. That's the MedsDental promise.