Dental Billing Services in the USA
Our dental billing services help practices across the United States improve reimbursements, reduce denials, and simplify both dental and dental-medical billing workflows. As a trusted dental billing company, we assist general dentists, oral surgeons, orthodontists, periodontists, endodontists, and multi-specialty practices with accurate claim submission, insurance verification, payment posting, accounts receivable follow-up, and denial management. Our billing team understands CDT coding, payer-specific guidelines, cross-coding requirements, and the documentation needed for medically necessary dental procedures and oral surgery claims. Instead of relying on fully automated workflows, our specialists manually review claims for accuracy and compliance before submission to help practices reduce billing errors and improve reimbursement consistency. Whether you need ongoing billing support or assistance with complex dental insurance claims, we provide experienced, human-driven solutions focused on strengthening revenue cycle performance and long-term practice growth.
Managing the financial operations of a dental practice can become challenging when staff must balance patient care with insurance follow-ups, documentation requirements, aging receivables, and payer communication. Our team helps reduce that administrative pressure by supporting practices with accurate claim handling, consistent follow-up, and structured revenue cycle management processes.
We work with general dentistry, specialty dentistry, and oral surgery practices that require support with insurance submissions, coordination of benefits, payment posting, appeals, and complex procedure documentation. Our specialists understand how payer expectations, claim attachments, and coding accuracy can directly affect reimbursement timelines and approval rates, especially for medically necessary procedures and oral surgery cases.
MedStates combines experienced billing professionals, certified coders, and hands-on account management to help practices maintain compliance with evolving insurance requirements while improving financial performance. Every account receives human oversight rather than depending entirely on automated workflows, helping practices reduce preventable errors, strengthen collections, and maintain a more stable cash flow.
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 coders assign standardized codes & modifiers for dental treatments, diagnosis and procedures to ensure accurate reimbursement
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 detailsSubmission of claim form alongwith supporting documents is done after due verification to maintain 97% first pass claim acceptance rate
Read Claim Submission detailsWe 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 SEODue 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 and devise 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. We manage everything for your practice!
Dental Practice ManagementDental 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.
Why Choose Our Dental Billing Services?
Your trusted Partner in Oral Billing Services
With 9+ 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 support for practices of all sizes. Whether you operate a small clinic or a multi-specialty group, our dental billing services are designed to reduce denials, accelerate reimbursements, and simplify day-to-day practice operations. Practices searching for experienced dental billing experts or dependable dental billing solutions rely on our team for accurate claim management and consistent revenue cycle support.
We maintain HIPAA-compliant workflows, deep knowledge of CDT coding, payer requirements, and transparent reporting to help practices stay informed about financial performance. Our team also supports medical billing for dentists and oral surgery practices that require cross-coding, medical necessity documentation, and coordination between dental and medical insurance carriers.
Managing insurance reimbursements for a modern dental practice continues to become more complex due to changing payer policies, documentation standards, and claim submission requirements. When practices partner with MedStates, we approach billing as a long-term operational partnership focused on improving financial stability, reimbursement consistency, and workflow efficiency.
Every engagement begins with a detailed assessment of your existing billing process so we can build solutions around your practice’s operational and financial needs. From routine insurance processing to complex dental-medical claims, our team supports the full revenue cycle with accuracy, accountability, and hands-on oversight.
Accurate coding plays a critical role in reducing delays and improving reimbursement outcomes. Our billing specialists understand standardized dental coding guidelines, oral surgery billing requirements, modifiers, and payer-specific documentation expectations. This commitment to billing accuracy contributes to our strong first-pass claim acceptance performance and helps practices reduce preventable denials.
Our support includes claim creation, submission, insurance follow-up, denial management, payment posting, and accounts receivable management, helping practices maintain healthier cash flow and more efficient billing operations. Unlike many dental billing outsourcing companies that rely heavily on automation, our process includes direct human oversight from experienced billing professionals and certified coders.
While many providers offer basic claims processing, MedStates focuses on transparency, communication, reporting accuracy, and dedicated account support to help practices maintain long-term financial performance. We also offer flexible pricing models designed around the level of support your practice requires.
Ready to work with a trusted dental billing company in the USA? Contact us today to optimize your reimbursements and elevate your practice’s financial performance
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
HIPPA Compliant
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.
Frequently Asked Questions
What do dental billing services include?
Dental billing support typically includes insurance verification, claim submission, payment posting, denial management, accounts receivable follow-up, appeals, and reporting.
Why do practices hire a dental billing company?
Many practices work with a dental billing company to reduce administrative workload, improve claim accuracy, maintain consistent insurance follow-up, and strengthen overall revenue cycle performance without expanding in-house staffing.
Can dental procedures be billed to medical insurance?
Certain medically necessary procedures may qualify for medical insurance billing depending on diagnosis, documentation, and payer requirements. Examples can include oral surgery, trauma-related treatment, sleep apnea appliances, and some periodontal or TMJ-related procedures.
Do you provide support for denied or aging claims?
Yes. Our team follows up on denied, delayed, and unpaid claims by reviewing payer responses, correcting billing issues when necessary, submitting appeals, and tracking outstanding balances to help improve reimbursement recovery.
Why do dental practices outsource revenue cycle management?
Many practices outsource revenue cycle operations to reduce staffing challenges, improve operational efficiency, maintain billing consistency, and gain access to experienced professionals familiar with changing insurance requirements.
What software do you support for dental billing?
We work with major dental platforms like Dentrix, Open Dental, Eaglesoft, and more.
Do you support multi-location dental groups and DSOs?
Yes. Our dental billing services scale to support solo practices, large clinics, and DSOs.
How does human oversight improve billing accuracy?
Human review helps identify coding inconsistencies, documentation gaps, and payer-specific issues that automated systems may overlook. This can help reduce preventable errors and improve claim quality before submission.
Why should we choose your company for dental billing?
We offer expert dental and medical billing, real-time reporting, HIPAA compliance, and proven results in boosting collections.
