Trusted Dental Billing Company in the U.S.
Our dental billing services assist practices nationwide simplify reimbursements, reduce denials, and manage both dental billing and dental-medical billing with accuracy. As a leading dental billing company, MedStates provides end-to-end billing solutions tailored to general dentistry, specialty dentistry, and oral surgery. Our dental billing experts understand payer rules, CDT coding, cross-coding, and documentation requirements that influence approvals. Whether you need routine dental billing support, medical billing for dentists, or advanced billing for oral surgery, we deliver one of the most trusted and leading dental billing services in the USA.
Free of Cost Practice Audit
100% Collection
97% First Pass Rate
Daily Payment Posting
Rapid A/R Follow-up
40% Increased Payments
Save 45% Monthly
HIPAA Compliant
Our professional dental billing team understands that managing the financial aspect of your dental practice can be overwhelming for you. That’s where we jump in, we provide dental billing services to take off the billing administrative burden from your shoulder and make dental insurance billing process easier and faster with improved efficiency.
We offer customized dental billing solutions for your dental practice. Be it routine dental treatments billing or dental billing support for oral surgery, our team is equipped with advanced technology and comply with state specific oral surgery payer billing guidelines to ensure that the claims are submitted properly and reimbursement is made accurately. Our expert dental billing services team guarantees that you will be paid for the services rendered.
Our company stands out as trusted medical billing company in the USA with a team of skilled dental billing specialists to manage the billing process. Our certified coders and billers are well-versed with dental coding services and oral health insurance billing services, ensures that your practice remains compliant with latest dental insurance billing guidelines.
Difference between Medical Billing for Dentists and Dental Billing Services
While both involve billing services for dental providers, they are not the same. Dental billing involves submitting claims to dental insurance using CDT codes for routine dental procedures like cleanings, fillings, and crowns. On the other hand, medical billing for dentists applies when a dental procedure qualifies as medically necessary—such as jaw surgeries or biopsies—and is submitted to medical insurance using CPT codes. Understanding the distinction is crucial to optimizing reimbursement and avoiding claim denials.
Many dentists now offer procedures billable under medical insurance. Medical billing for dentists requires different coding and documentation rules than traditional dental billing. We specialize in medical billing for dentists and dental billing services, making us a one-stop and best dental medical billing company in the USA with nationwide billing support.
| Criteria | Medical Billing (for Dentists) | Dental Billing |
|---|---|---|
| Code Sets Used | CPT codes (Current Procedural Terminology) | CDT codes (Current Dental Terminology) |
| Example Code | CPT 41899 – Unlisted procedure, dentoalveolar structures | CDT D7140 – Extraction, erupted tooth |
| Prior Authorization | Often required for medically necessary procedures | Rarely required, depends on dental plan |
| Documentation | Comprehensive medical necessity notes and supporting documentation | Focus on procedure performed and dental charting |
| Payers | Processed through medical insurance providers | Processed through dental insurance carriers |
| Billing Complexity | Higher due to justification of medical necessity | Moderate, more standardized across plans |
Our Oral Medical Billing Services
We offer complimentary initial practice analysis to understand practice financial health, identify inefficiencies and provide a plan for improvement
Contact Now!Our certified dental coders assign standardized codes & appropriate use of modifiers for dental treatments, diagnosis and procedures to ensure accurate reimbursement of claims
Read more about Coding ServicesOur dental collection agency specialize in AR and follow up leading to dental insurance receivables with healthy success rates and maintaining cashflow
Accounts Receivable ManagementDentist credentialing plays an integral part in dental billing services to ensure accurate reimbursement for dental services rendered to patients
Click to read more detailsOur innovative service to help you stay updated with financial health of your dental practice. We maintain your books with even minute details to make informed decisions
Offering Booking Keeping ServiceSubmission of claim form alongwith supporting documents is done after due verification to maintain 97% first pass claim acceptance rate
Read Claim Submission detailsDue to complex nature of dental insurance policies, we verify the insurance benefits of patients prior to dental treatment to avoid claim denials
Read More..Our team take control of denial patterns to identify the root cause. Further, takes prompt action, design an appeal strategy to reduce errors and maintain efficient cashflow
How do We address DenialReduced administrative burden, enhanced patient satisfaction, and focus on your core activity i.e. providing dental care solutions.
Dental Practice ManagementWe help you grow your BRAND. With our SEO & Marketing strategies, you will stay ahead of your competitors when patients search for a dental practice for treatments
Learn more about SEODental Billing RCM Process
Understanding dental insurance policies can be tricky at times. Our top services for dental insurance billing manage the entire billing process from dentist credentialing to providers’ enrollment followed up with dental coding services, dental claims submission and AR to get paid accurately and on time.
Your trusted Partner in Oral Billing Services
With years of experience in healthcare RCM, MedStates has grown into one of the most trusted dental billing companies in the USA, delivering reliable, results-driven solutions for practices of all sizes. Whether you operate a small clinic or a multi-specialty group, our dental billing services in the U.S. are designed to reduce denials, accelerate reimbursements, and simplify day-to-day practice operations. As a leading choice for providers searching for top dental billing solutions, best dental billing companies, or dental billing experts, we bring unmatched industry expertise to your practice.
We offer fully HIPAA-compliant processes, deep knowledge of CDT coding, dental coding services, and payer rules, as well as real-time performance dashboards to maintain complete transparency. In addition, our team is highly experienced in medical billing for dentists, medical billing for oral surgeons, medical billing for dental procedures, and medical billing for dental offices, making us a strong partner for practices performing general dentistry, specialty dentistry, or oral surgery.
Managing billing for a modern dental practice is becoming increasingly complex due to varying payer rules and the challenges of understanding dental insurance billing. When you partner with MedStates, we don’t treat it like an outsourced administrative job—we consider it a long-term collaboration built around your financial success.
Every engagement begins with a detailed practice assessment so we can deliver tailored solutions that fit your specific needs. From full dental medical billing services to specialized dental billing consultations, our team supports your end-to-end revenue cycle with precision and efficiency.
Accurate coding is central to successful dental revenue cycle management. Our dental billing and coding services team ensures correct use of standardized U.S. and state-specific dental codes, oral surgery billing guidelines, and appropriate modifiers. This commitment to accuracy is a key reason our first-pass claim acceptance rate remains at 97%, placing us among the leading dental billing services providers.
Our complete billing program covers everything—from claim creation to claim submission and automated claim follow-up—making us the preferred choice for practices looking for dental billing companies, dental insurance billing companies, or a dependable dental insurance billing company to improve cash flow. Our expert dental billing consultants provide immediate support, reduce errors, and help streamline your entire billing workflow.
While many dental billing services companies offer basic claims processing, few can match our certified team, transparent reporting, and dedicated client success managers. As a recognized leader delivering ROI-focused results, we also offer performance-based pricing—so you only pay for what you actually receive.
Ready to work with one of the most popular dental billing solutions in the industry? Contact us today to optimize your reimbursements and elevate your practice’s financial performance
Dental Treatments We Bill For
Our solutions are designed for scalability, whether you need dental billing support for solo practitioner or you are a part of DSO (Dental Support Organization). We provide billing services to General Dentistry Practices, Orthodontists, Endodontists, Periodontists and Oral Surgeons. Our certified medical coders specialize in dental coding and dental billing of dental problems including but not limited to:
Maxillofacial Medical Billing Services
Pulpitis Treatment Billing
Plaque Removal Billing
Periodontitis Treatment Billing
Chipped Tooth Treatment Billing
Dental Flux Billing Services
Gingivitis Billing Services
Deep Caries Dental Treatment Billing
Calculus Removal Treatment Billing
Enamel Erosion Treatment Billing
Hyperesthesia Treatment Billing
Enamel Hypoplasia Treatment Billing
dental codes for insurance billing
CDT Codes Used in Dental Billing
| Code | Description |
|---|---|
| CDT D0120 | Periodic oral evaluation |
| CDT D1110 | Prophylaxis – adult (cleaning) |
| CDT D2740 | Dental Code for Crown – porcelain/ceramic |
| CDT D7210 | Surgical removal of erupted tooth |
| CDT D4341 | Periodontal scaling and root planing – 4+ teeth |
CPT Codes (When Billing Dental Procedures to Medical Insurance)
| Code | Description |
|---|---|
| CPT 41899 | Unlisted procedure, dentoalveolar structures |
| CPT 21085 | Impression and custom preparation of craniofacial prosthesis |
| CPT 21248 | Reconstruction of mandible or maxilla |
| CPT 00170 | Anesthesia for intraoral procedures |
| CPT 70486 | CT scan for maxillofacial area (often used in oral surgery) |
Common Modifiers in Dental/Medical Billing
| Modifier | Use Case |
|---|---|
| Modifier 25 | Significant, separately identifiable E/M service by the same provider on the same day as another procedure |
| Modifier 59 | Distinct procedural service not normally reported together |
| Modifier D | Dental-specific modifiers (may vary by carrier or payer) |
| Modifier GA | Waiver of liability statement on file |
| Modifier XU | Unusual non-overlapping service (used instead of Modifier 59 in some cases) |
Common POS (Place of Service) Codes in Dental Billing Services
Dental billing commonly uses only a few Place of Service (POS) codes—primarily POS 11 is the most common for routine exams, cleanings, fillings, crowns, and general in-office dental procedures. POS 22 applies when dental or oral surgery procedures are performed in a hospital outpatient setting—often used for medically complex patients, IV sedation cases, or hospital-based extractions. POS 62 (Comprehensive Outpatient Rehabilitation Facility) is occasionally relevant for dental patients receiving rehab-related oral or maxillofacial services. POS 81 (Independent Laboratory) is used when dental practices outsource diagnostic work such as pathology, biopsies, or lab-based testing.
For complete descriptions and guidelines, see our detailed POS reference
ICD-10 Diagnosis Codes in Dental Billing
| ICD-10 Code | Description |
|---|---|
| ICD K02.9 | Dental caries, unspecified |
| ICD K08.101 | Complete loss of teeth, class I, upper jaw |
| ICD M26.69 | Other dentofacial functional abnormalities |
| ICD K05.10 | Chronic gingivitis, plaque-induced |
| ICD G47.33 | Obstructive sleep apnea (used when billing for oral appliances) |
HCPCS Codes in Dental Billing
These Level II codes cover dental appliances and services not listed in CPT. Useful when billing medically necessary appliances or treatments.
| HCPCS Code | Description |
|---|---|
| HCPCS E0486 | Oral appliance for obstructive sleep apnea |
| HCPCS D9995 | Teledentistry – synchronous; real-time encounter |
| HCPCS D9996 | Teledentistry – asynchronous; information stored and forwarded |
Note: D9995 and D9996 are technically CDT codes but may be recognized under HCPCS by some payers.
NDC Codes (Optional)
Used in surgical or sedation-based procedures to document the specific drug administered.
| NDC Example | Drug | Use Case |
|---|---|---|
| 0409 – 2588 – 10 | Midazolam | Conscious sedation |
| 00409 – 2342 – 30 | Lidocaine | Local anesthesia |
These are not commonly required in standard dental claims but may be needed for complex or hospital-based services.
