DentalCharlotte, NC

Smile Dental Group: 40% Improvement in Collections

How a multi-location dental practice transformed their revenue cycle by optimizing insurance coordination and patient payment processes.

Practice Overview

Practice Type: Multi-location general dentistry
Providers: 12 dentists, 4 hygienists
Locations: 4 offices across Charlotte metro
Monthly Procedures: 3,200+ dental procedures

The Challenge

Smile Dental Group was struggling with dental billing complexities across multiple locations:

  • Poor insurance coordination: Only 76% insurance collection rate due to coverage confusion
  • Patient payment issues: 68% patient collection rate was well below industry standards
  • Predetermination delays: Major treatment cases were delayed by insurance approvals
  • CDT coding inconsistencies: Different locations used varying billing approaches

Baseline Performance

84.6%
First-Pass Acceptance Rate
8.7%
Denial Rate
41 days
Days in AR
82.1%
Net Collections %

Our Solution

Week 1-2: Multi-Location Assessment

We analyzed billing patterns across all 4 locations and identified significant variations in insurance verification procedures and patient payment collection methods.

Week 3-4: Standardization Implementation

Implemented consistent CDT coding protocols, standardized insurance verification procedures, and established unified patient financial counseling processes across all locations.

Week 5-8: Payment Optimization

Enhanced predetermination workflows for major cases, implemented payment plan options, and established systematic follow-up procedures for outstanding patient balances.

Week 9-12: Performance Monitoring

Created location-specific reporting dashboards and implemented quality assurance processes to maintain consistency across all practice locations.

Results After 90 Days

94.3%
First-Pass Acceptance Rate
3.8%
Denial Rate
26 days
Days in AR
92.7%
Net Collections %

Key Achievements:

  • $95,000 additional monthly revenue from improved collections
  • 91.2% insurance collection rate (up from 76.4%)
  • 89.7% patient collection rate (up from 68.3%)
  • 56% reduction in claim denials
  • 37% faster payment cycles across all locations

Location Performance Improvements

Insurance Collections

PPO plans:93.4% collection rate
Medicaid:87.8% collection rate
Cash patients:96.1% collection rate

Patient Payments

Same-day collections:78.9% of balances
Payment plans:94.2% compliance rate
Past due accounts:65% reduction
"The transformation has been incredible. Each location now operates with the same high standards, and our patients appreciate the clear communication about their financial responsibility. The improved cash flow has allowed us to invest in new equipment and expand our services."
— Dr. James Thompson, Owner, Smile Dental Group

Ready to Optimize Your Dental Practice Collections?

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