Dental Practice Billing Excellence
Dental billing combines insurance complexity with high patient responsibility. Success requires expertise in CDT coding, frequency limitations, and the unique challenges of dental benefit plans.
Common Dental Billing Obstacles
CDT Code Selection Errors
Dental procedure codes require precise selection between similar treatments. Billing D2750 (crown) versus D2740 (onlay) or misusing narrative descriptions instead of specific CDT codes leads to downcoding and payment delays from dental insurance carriers.
Frequency Limitation Violations
Dental insurance plans impose strict frequency limits on preventive and restorative services. Billing prophylaxis before the allowed interval, duplicate periodontal maintenance, or overlapping treatment periods triggers automatic denials and audit flags.
Predetermination vs. Preauthorization Confusion
Many dental procedures require predetermination of benefits rather than preauthorization. Mixing these processes, inadequate documentation for major treatments, or missing required radiographs and treatment plans results in unexpected denials and patient financial responsibility.
Medical vs. Dental Coverage Issues
Oral surgery, sleep appliances, and trauma treatment may qualify for medical insurance coverage. Billing routine extractions to medical plans or missing medical necessity documentation for TMJ treatment leads to incorrect denials and lost revenue opportunities.
Our Dental Billing Expertise
- We maintain comprehensive knowledge of CDT coding updates and dental insurance carrier policies, ensuring accurate procedure selection and appropriate narrative documentation for complex dental treatments.
- Our dental billing specialists track frequency limitations across multiple insurance plans, preventing denials and optimizing treatment timing to maximize patient benefits and practice revenue.
- We implement systematic predetermination workflows for major dental work, ensuring proper documentation and carrier approval before treatment to prevent patient financial surprises and collection issues.
- Our team understands the intersection of medical and dental coverage, identifying opportunities for medical billing of qualified oral procedures while maintaining appropriate documentation standards.
Dental Practice Revenue Results
Optimize Your Dental Practice Revenue
Let our dental billing specialists handle your complex insurance claims and patient collections while you focus on providing excellent dental care.