Unblocking PPO credentialing for a new associate dentist
A composite case study showing how a general dental practice reduced write-offs, protected cash flow, and built a cleaner credentialing process for a new…
Case studies
Real problems. Practical fixes.
How dental practices recover aged AR, stop repeat denials, get providers credentialed and bill the medical plan when it should pay. New case studies are added every day.
- Before-and-after metrics
- The exact steps taken
- Lessons any practice can apply
Photo: Yan Krukau / PexelsAllAR, Collections & DenialsCDT & ICD-10-CM CodingCompliance & RegulationDental-to-Medical BillingPractice Growth & Payer StrategyTechnology & AI
Illustrative scenario
Illustrative scenario
How a 3-provider practice cut 90+ day insurance AR by two-thirds
A focused clean-up and a fixed follow-up cadence turned stalled claims into cash in one quarter.
Illustrative scenario
Getting a new associate in network before the schedule filled
Starting credentialing at signing — not at start date — avoided months of out-of-network claims.
Illustrative scenario
Cutting frequency denials in a pediatric Medicaid practice
Procedure-level verification and age/frequency scrub rules stopped preventable denials on fluoride, sealants and SDF.
Illustrative scenario
An oral surgery group starts billing medical plans correctly
Medical benefit checks, CPT/ICD-10-CM coding and documented necessity turned denied “dental” claims into medical payments.
Illustrative scenario
How a three-provider practice reduced aging insurance AR
An illustrative composite shows how disciplined AR cleanup, denial work, and daily billing controls can stabilize cash flow after a key billing employee leaves.
How to read our case studies
Real cases and clearly labeled scenarios
Client case studies use real, anonymized before-and-after numbers approved for publication. Illustrative scenarios are composites built from common patterns and are labeled on every page — they show the method, not a promised result.
Every case lists the starting problem, the exact steps, the metrics we tracked and the lessons any practice can apply.
- Metrics defined with numerator, denominator and time window
- Days in AR labeled collection-based or production-based
- No patient-identifiable information
- Results depend on payer mix, volume and starting point
Services behind the results
What we do for practices like these
AR Management
Dental AR management: every open claim worked on a cadence, aged AR clean-up, underpayment recovery and appeal deadlines tracked monthly.
Denial Management
Dental claim denial management: CARC/RARC analysis, corrected claims, documented appeals and root-cause fixes so the same denial stops returning.
Credentialing
Dental credentialing services: NPI, CAQH, PPO, Medicaid and Medicare enrollment, follow-up to effective date and re-credentialing reminders.
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.
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