Medical Billing Services in USA

99%

Dental

Dental and oral surgery billing solutions using CDT and CPT codes.

Specialty highlight

99%

Built around payer rules, documentation requirements, and coding nuances.

Dental Coding Accuracy

99%

Medical Claim Success Rate

85%

Overview

Billing in Dental

A practical view of what makes this specialty unique.

Dental billing operates on a different code set (CDT codes) than medical billing (CPT codes), but many dental procedures, especially oral surgery, can be billed to medical insurance. Our dental billing service bridges this gap. We specialize in accurate coding for all dental services using CDT codes for standard dental claims, and we expertly navigate the complexities of billing medically necessary dental procedures (e.g., extractions, implants, TMJ surgery) to medical insurance using the appropriate CPT codes, maximizing your revenue from both dental and medical payers.

Accurate CDT coding for diagnostic, preventive, restorative, and surgical dentistry.

Standardized into our workflow to reduce rework and protect revenue.

Expertise in medical billing for dental procedures, including use of CPT codes (e.g., 41899 for dental exam).

Standardized into our workflow to reduce rework and protect revenue.

Management of oral surgery coding for simple and surgical extractions.

Standardized into our workflow to reduce rework and protect revenue.

Coding for dental implants and related bone grafting procedures.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges

Navigating the dual-code system (CDT for dental claims, CPT for medical claims).
Determining when a dental procedure can be billed to medical insurance.
Accurately coding for oral surgery procedures (extractions, implants, bone grafts).
Managing the complexities of dental anesthesia and sedation billing.
Ensuring proper documentation to support medical necessity for medical claims.

Our solutions

Certified dental coders with expertise in both CDT and relevant CPT coding.
Precise coding for all dental services using CDT codes (D0100-D9999).
Expertise in identifying and billing medically necessary dental procedures to medical insurance.
Meticulous coding for oral surgery, including extractions (D7140, D7210), implants (D6010), and bone grafts (D4263, D4265).
Proactive verification of dental and medical benefits for planned procedures.
Detailed support for coding dental anesthesia (D9215, D9223) and sedation services.

Features