Improving care for patients exposed to intimate partner violence: An interprofessional simulation case study.
Peer-reviewed article in Currents in pharmacy teaching & learning (dental research)
Resource · Directory
The organizations that shape dental billing
Government agencies, professional associations, foundations and standards bodies — with what each one means for billing and coding. Our daily insights are researched from these sources.
- 35+ organizations
- Grouped by role
- Linked to the original source
Photo: Yan Krukau / PexelsGovernment & regulators
Centers for Medicare & Medicaid Services (CMS)Medicare, Medicaid and CHIP policy; Medicare dental rules; prior authorization and interoperability updatesU.S. Department of Health & Human Services (HHS)National health policy, HIPAA oversight and federal health programsHHS Office for Civil Rights — HIPAAPrivacy, Security and Breach Notification Rule guidance for covered entities and business associatesFederal RegisterOfficial proposed rules, final rules, notices and comment deadlinesMedicaid.gov — Dental careMedicaid and CHIP dental benefit information; state coverage still variesNIDCR — National Institute of Dental and Craniofacial ResearchOral health research, reports and patient-facing educationCDC — Oral HealthPublic health data, prevention programs and population oral health resourcesCDC NCHS — ICD-10-CMOfficial diagnosis code files and annual updates; verify codes before medical claim submissionHRSA — Oral healthHealth center oral health initiatives, workforce programs and access-to-care resources
Professional associations
American Dental Association (ADA)CDT code set, ADA claim form, clinical policy and practice management resources; CDT updates take effect each January 1ADA Health Policy InstituteDental economics, workforce, benefits and access-to-care researchAcademy of General Dentistry (AGD)General dentistry education, advocacy and practice resourcesAmerican Association of Oral and Maxillofacial Surgeons (AAOMS)Oral surgery, anesthesia, coding and medical billing educationAmerican Academy of Pediatric Dentistry (AAPD)Pediatric dentistry policies, clinical guidance and coding resourcesAmerican Academy of Periodontology (AAP)Periodontal classification, patient care and specialty resourcesAmerican Association of Endodontists (AAE)Endodontic clinical and practice resourcesAmerican Association of Orthodontists (AAO)Orthodontic practice, patient education and advocacy resourcesAmerican College of Prosthodontists (ACP)Prosthodontic care, education and specialty resourcesAmerican Academy of Dental Sleep Medicine (AADSM)Oral appliance therapy, dental sleep medicine education and medical billing considerationsAmerican Dental Hygienists’ Association (ADHA)Dental hygiene practice, workforce, supervision and advocacy resourcesAmerican Association of Dental Office Management (AADOM)Dental office management education, networking and front-office leadershipAAPCMedical coding, billing and compliance education relevant to dental-to-medical claimsHealthcare Financial Management Association (HFMA)Revenue cycle management, finance and payer operations resourcesAmerican Association of Public Health Dentistry (AAPHD)Public health dentistry policy, education and researchAssociation of State and Territorial Dental Directors (ASTDD)State oral health programs, best practices and public health toolsNational Network for Oral Health Access (NNOHA)Health center dental programs, safety-net dentistry and care integration
Foundations & integration
CareQuest Institute for Oral HealthOral health policy, access, value-based care and medical–dental integration researchSmiles for LifeOral health curriculum for medical clinicians and interprofessional teamsSanta Fe GroupOral health policy, collaboration and systems-change resources
Standards & industry
X12Electronic transaction standards used in eligibility, claims, claim status and remittance workflowsDataSpring / CAQH resourcesProvider data, operating-rule resources and administrative simplification toolsHL7 International — FHIRInteroperability standards that support health data exchangeNational Uniform Claim Committee (NUCC)CMS-1500 claim form guidance, provider taxonomy codes and medical claim data standards
How to use this directory
Turn reliable sources into cleaner claims
Bookmark the primary source before you update a billing workflow. Payer portals and manuals still control claim submission rules, but these organizations help your team verify the foundation.
Check codes at the source
Use the current CDT manual for dental procedure codes, CDC NCHS files for ICD-10-CM diagnosis codes and the payer’s policy for documentation rules. Do not rely on old cheat sheets.
Separate dental and medical requirements
Dental claims, medical claims and DME claims follow different rules. For example, Medicare oral appliance billing uses HCPCS E0486 for a custom mandibular advancement device, requires a physician diagnosis of obstructive sleep apnea such as ICD-10-CM G47.33 when applicable, must meet LCD L33611 criteria and requires DMEPOS enrollment.
Document before submitting
Keep medical necessity, clinical notes, radiographs, referrals, prior authorization responses and payer communications together. Strong documentation reduces avoidable denials and supports appeals.
Billing team checklist
What to review every month
Use this quick list in team meetings or revenue-cycle huddles.
- CDT changes: confirm that your practice management system reflects the current code set after January 1 updates.
- Eligibility and benefits: verify frequency limits, waiting periods, coordination of benefits and payer-specific documentation rules before treatment.
- Medical billing: verify CPT, HCPCS and ICD-10-CM codes against current manuals and payer policies before sending dental-to-medical claims.
- Medicare dental exceptions: when a dental service is inextricably linked to a covered medical service, confirm the diagnosis code, documentation and appropriate modifier such as KX when criteria are met or GY when the item or service is statutorily excluded.
- HIPAA operations: review access controls, business associate agreements and breach-response procedures with any vendor handling protected health information.
- Denial trends: track denials by payer, provider, procedure and root cause so training and appeals are based on data, not guesswork.
Live
Latest from these sources
Automatically refreshed. Always confirm important billing decisions against the official source and the patient’s payer policy.
Preradiation full mouth extractions in head and neck cancer: case-control study.
Peer-reviewed article in Oral surgery, oral medicine, oral pathology and oral radiology (dental research)
Substance Use and Oral Health: Four Questions Dental Professionals Are Asking
Fixing the Fracture: Policy Recommendations for Interprofessional Education, Oral Health Integration, and Collaborative Care
SprintRay introduces intra-oral scanner and compact chairside 3D-printing system
WEITERSTADT, Germany: SprintRay, a dental technology company, recently introduced its expanded digital dentistry platform at 3DNext 2026 in Miami Beach in Florida in the US. Its key elements include the Foundation wireless intra-oral scanner…
From chairside to cyberspace: AI can grow your practice and your risk too—Part 6
Artificial intelligence (AI) and augmented intelligence are rapidly becoming part of dentistry, and applications span imaging, documentation, treatment planning, patient communication and administration. While these technologies offer enormous potential to improve dental care and…
Trump Administration Announces $32 Million to Recruit Rural Doctors, Train Healthcare Workers and Expand Emergency Mental Healthcare Across Mississippi
Trump Administration Announces $32 Million to Recruit Rural Doctors, Train Healthcare Workers and Expand Emergency Mental Healthcare Across MississippiThis federal investment will help rural communities recruit healthcare professionals and establish three psychiatric emergency units…
Leading Employers Back Expansion of Electronic Prior Authorization to Self-Funded Health Plans
Leading Employers Back Expansion of Electronic Prior Authorization to Self-Funded Health PlansNew employer support increases momentum to modernize prior authorization, reduce administrative burden across employer-sponsored coverage
Headlines link to the original publisher. Inclusion does not imply endorsement.
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