Partner Service
Dental Billing and RCM
A different code set, annual maximums, and plans that answer to none of medicine's rules.
Why it’s different
Dental runs on CDT codes, not CPT, and on benefit structures medical billing has no equivalent for: annual maximums, waiting periods, frequency limitations and missing tooth clauses.
Pre-authorization is routine rather than exceptional. And some procedures cross to medical coverage — knowing which ones is worth real money.
Common challenges
Where the money goes missing.
- CDT Selection
- Code choice and frequency limitations that differ by plan, not just by payer.
- Annual Maximums
- Exhausted mid-treatment plan, leaving the balance with a surprised patient.
- Pre-Authorization
- Required far more often than in medical, and routinely missed.
- Medical Crossover
- Procedures eligible under medical coverage billed only to dental.
- PPO Fee Schedules
- Contracted rates against UCR, and the write-off nobody modelled.
How we help
Delivered with our dental billing partners: eligibility and benefit checks that surface the annual maximum before treatment planning, pre-authorizations filed as standard, and medical crossover identified where it applies.
We do not provide coders. Your clinical team assigns the codes. We verify and validate them.
Key codes
- CDT D0100–D0999
- CDT D2000–D2999
- CDT D4000–D4999
- CDT D7000–D7999
Indicative, not exhaustive. Code sets and payer policies change.
Get a Dental Billing Quote
Send us a sample of your denials. We'll tell you what's actually driving them in your specialty.