CDT 2027 and ICD-10-CM: clean up your claim crosswalk
Use the mismatch between ICD-10-CM and CDT effective dates to fix diagnosis pointers, payer rules and medical-dental claim workflows before January denials appear.
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CDT & ICD-10-CM Coding
CDT & ICD-10-CM Coding
CDT 2026 changes: the billing checklist every dental office needs
Thirty-one new codes, fourteen revisions and six deletions took effect January 1, 2026. Here is what changed and how to update your workflow so…
Dental-to-Medical Billing
Medicare dental claims: KX vs. GY modifiers explained
Medicare pays for some dental care that is inextricably linked to covered medical treatment. Getting paid depends on the right modifier, a diagnosis code…
Dental-to-Medical Billing
Oral appliance therapy billing: an E0486 checklist for dental practices
Sleep apnea appliances are usually a medical benefit. Here is what Medicare and most medical plans expect before they pay for a custom oral…
AR, Collections & Denials
Dental insurance verification: 12 things to confirm before every visit
An “active coverage” response is not a benefits breakdown. These twelve checks prevent most front-end denials and surprise patient balances.
AR, Collections & Denials
Days in AR and collection rate: how to calculate them without fooling yourself
Two practices can report very different “days in AR” from the same numbers. Here are the formulas, worked examples and the traps to avoid.
AR, Collections & Denials
Reading dental denials: a practical guide to CARC, RARC and group codes
Every denied or reduced claim line carries standard codes that tell you who owes what and why. Learn to read them and fix denials…
Practice Growth & Payer Strategy
Dental credentialing timeline: how to get a new associate in network faster
Associates who treat patients before their effective date create out-of-network claims. Here is a realistic credentialing timeline and how to avoid stalls.
Compliance & Regulation
CMS-0057-F and prior authorization: what dental offices billing medical plans should know
Faster prior-authorization decisions from impacted medical payers began in 2026. Here is what it means for oral surgery, sleep apnea and other dental-to-medical claims.
Technology & AI
Teledentistry billing in 2026: D9995, D9996 and state rules
Virtual dental care is billable when the codes, documentation and state rules line up. Here is how to bill it correctly.
Compliance & Regulation
Good faith estimates for dental self-pay patients: what offices must do
The No Surprises Act requires providers — including dental offices — to give uninsured and self-pay patients a good faith estimate for scheduled care.
Practice Growth & Payer Strategy
Medicaid Adult Dental Benefits: Recheck Payers Before 2027
Adult Medicaid dental coverage is changing unevenly, making now the time to refresh payer matrices, eligibility checks, annual caps and denial prevention.
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Essential guides for dental billing teams
Reference pages our readers use most — always up to date.
CDT Guidelines & Q&A
Plain-English CDT coding questions and answers for every category of service, updated for CDT 2026 including the D1352 and D9248…
Dental To Medical
Bill medical insurance for dental procedures: CPT/HCPCS and ICD-10-CM cross-coding for oral surgery, trauma, TMD, sleep apnea and Medicare dental.
Dental Billing Terms
Dental billing terms explained: EOB, ERA, CARC, COB, alternate benefits, Medicare KX/GY modifiers, prior authorization and more.
Revenue Calculator
Free dental billing calculator: estimate cash tied up in AR, the value of a higher collection rate and the real…
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