Transform Your Dental Practice Revenue with Comprehensive Billing Solutions
Eliminate claim errors, accelerate payments, and maximize reimbursements across all dental specialties through professional clean claims management and AI-powered automation.
Achieve 95-98% first-pass acceptance rates with 14-21 day payment timelines
Four essential components ensure first-pass acceptance
Patient name, DOB, and insurance information match exactly with carrier records. Even minor discrepancies cause instant rejections.
CDT codes accurately reflect treatment provided with proper tooth numbers and surfaces. Coding errors cause 15-20% of denials.
All required supporting documents, radiographs, and narratives included. Missing documentation causes 10-20% of denials.
Claim submitted in correct 837D format through appropriate channels. Format errors caught at clearinghouse level.
Ten core services that validate every aspect of claim submission
Precise validation of names, dates of birth, policy numbers, and insurance information against carrier databases.
Accurate procedure coding matching treatment provided with proper bundling considerations and tooth-specific details.
Verification that all required supporting documents, radiographs, and narratives are included before submission.
Correct identification of treated teeth using universal numbering system preventing common location errors.
Proper 837D electronic format with correct submission method ensuring clearinghouse acceptance.
Correct sequencing of primary and secondary insurance claims for coordination of benefits (COB).
CleanClaim AI: Eight validation layers catching 95%+ of errors before submission
Validates patient information against carrier databases in real-time ensuring exact matches.
Verifies CDT codes for accuracy, age-appropriateness, and bundling compliance.
Checks clinical consistency of treatment descriptions and procedure sequences.
Applies 1,100+ insurance company rules verifying compliance with payer requirements.
Confirms all required attachments, narratives, and supporting evidence are present.
Ensures proper 837D structure and electronic submission formatting.
Validates coordination of benefits sequencing for multiple insurance carriers.
Verifies required pre-authorizations obtained before treatment begins.
Catching errors before they cost you money
"Professional claims scrubbing represents the difference between reactive firefighting and proactive revenue protection. By catching errors before submission, practices eliminate the costly cycle of rejections, corrections, and resubmissions."
Yet 75-85% of dental practices perform no formal scrubbing, instead submitting claims directly from practice management systems with errors intact. This results in $300,000-$1,500,000+ annual revenue loss.
Patient demographics and insurance information verified against databases
CDT codes validated for accuracy, completeness, and appropriateness
Treatment descriptions verified for clinical consistency
All required information and documentation confirmed present
Claim properly formatted for electronic submission
Compliance with 1,100+ insurance company rules verified
10-15% of rejections caused by patient information issues
15-20% of denials from incorrect procedure coding
10-20% of denials from incomplete supporting evidence
Analyzes patterns from thousands of claims to predict and prevent errors before submission.
Instant validation and correction suggestions within seconds of claim creation.
System learns from claim outcomes, improving accuracy over time while adapting to changing payer requirements.
Eight-layer verification covering all claim elements ensures 99%+ cleanliness compared to 60-70% manual accuracy.
Prevent denials before treatment begins
Confirm insurance is active and patient is eligible for benefits before scheduling treatment.
Determine how much benefit remains available for current calendar year to optimize treatment timing.
Identify individual and family deductibles, amounts met, and remaining patient responsibility.
Verify coverage levels for preventive, basic, major, and specialty procedures.
Check service frequency limits to prevent automatic denials from exceeding coverage.
Identify procedures requiring pre-authorization to prevent treatment denials.
1,100+ automated edit checks catching 80-90% of submission errors
Correct 837D structure, required fields, data types, and field lengths verified automatically.
NPI numbers, demographics, insurance IDs, and diagnosis codes validated against databases.
Age-appropriate procedures, gender-specific treatments, and tooth number logic checked.
Bundling requirements, frequency limits, and carrier-specific edits applied systematically.
Six specialty disciplines requiring unique expertise
Specialty procedures represent 30-50% of high-value practice revenue, yet 85-95% of practices lose $400,000-$1,800,000+ annually through inadequate specialty billing and coding.
Root canal complexity levels, retreatment coding, pulpal debridement, and post/core procedures require precise documentation and coding for maximum reimbursement.
Scaling/root planing documentation, periodontal surgery, bone grafts, and medical necessity justification face intense insurance scrutiny requiring expert handling.
Material-specific crown coding, bridge components, denture complexity, and implant restoration billing demand comprehensive knowledge of coverage variations.
Extraction complexity levels, bone graft procedures, implant placement, and surgical documentation require specialized coding expertise.
Age limitations, lifetime maximums, phase treatment coding, and coverage exclusions make orthodontic billing uniquely challenging.
Age-specific preventive codes, fluoride restrictions, sealant limitations, and dependent coverage rules require careful navigation.
Annual Benefit: $100,000-$400,000
Annual Benefit: $150,000-$500,000
Annual Benefit: $600,000-$1,500,000
Complete revenue cycle management packages
AI-powered scrubbing and validation achieving 95%+ accuracy with machine learning optimization.
Real-time claim adjudication with instant payment for verified claims eliminating processing delays.
Blockchain verification, predictive denial prevention, and fully autonomous coding systems.
Join hundreds of dental practices nationwide experiencing extraordinary ROI through professional billing services. The difference between struggling and thriving often comes down to one decision: partnering with experts who transform billing from burden to competitive advantage.
