Reliable and Accurate Dental Billing Services by U.S. Experts
Our dental billing experts are assisting U.S. dental practices maximize collections and reduce billing errors with experienced professionals and seamless insurance handling. MedStates Pro dental billing team is well-versed with dental insurance billing services, dental insurance policy complexities and latest regulations including CDT & ICD-10-CM coding guidelines. Our dental billing services team control claim denials to ensure 97% first pass claim acceptance rate, resulting in 40% increased payments and 100% reimbursement of claims. MedStates is an experienced HIPAA compliant dental billing company that keeps you updated with continuous reporting to make informed decisions and guarantees 45% monthly savings
Free of Cost Practice Audit
100% Collection of Claims
97% First Pass Rate
Daily Payment Posting
Rapid A/R Follow-up
40% Increased Payments
Save 45% Monthly
HIPAA Compliant
MEDSTATES DENTAL BILLING SERVICES
At MedStates, our dental billing experts understand that managing the financial aspect of your dental practice can be overwhelming. MedStates provides 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.
MedStates offer customized dental billing solutions for your dental practice. Be it routine dental treatments billing or oral surgery billing services, our dental billing 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.
MedStates standout as Nation’s trusted medical billing company 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
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 both medical billing services for dentists and pure dental billing services, making us a one-stop dental medical billing company.
Key Differences Between Medical and Dental Billing
| 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 Specialized Oral Billing Services
MedStates offer complimentary initial practice analysis to understand practice financial health, identify inefficiencies and provide a plan for improvement
Contact Now!MedStates 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 proactive AR approach and follow-up strategy results in maintaining healthy cashflow. Continuous monitoring and aggressive follow-up helps get paid faster
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, MedStates verify the insurance benefits of patients prior to dental treatment to avoid claim denials
Read More..MedStates study the denial patterns to identify the cause. Further, takes prompt action, design an appeal strategy to reduce errors and maintain efficient cashflow
How do MedStates 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 Practice Revenue Cycle Process
Understanding dental insurance policies can be tricky at times. MedStates dental insurance billing services manage the entire billing process from dentist credentialing services to dental providers’ enrollment followed up with dental coding services, dental claims submission and tracking them to get paid for the dental services rendered to dental patients. MedStates, your dental billing company, specializes in dental insurance billing while maintaining reputation and sustainable relationship with industry stakeholders to get your claims approved on time and reimbursed accurately.
Your trusted Partner in Oral Medical Billing and Dental Billing Service
With years of experience in the healthcare RCM, MedStates has become one of the most trusted dental billing companies in the U.S. Whether you run a small clinic or a multi-specialty practice, our dental billing services in the U.S. ensure faster collections and fewer denials. We offer 100% HIPAA-Compliant Processes, expertise in CDT coding and insurance guidelines, real-time performance reports with full transparency, and customized solutions for both general and specialty dentistry.
We understand that managing the billing process for dental practice can be difficult at times due to complexities involved in dental insurance policies. When you choose MedStates Dental Practice Billing Services, we do not consider it an outsourced administrative task, it is considered as a partnership with your organization to make it a success and create a win-win situation for both of us.
We conduct thorough practice analysis and offer customized solutions according to your practice needs. From managing complete dental billing to offering dental billing consultations, we help you manage operations in an efficient way to achieve excellence.
A key to successful dental practice management is getting paid what you are owed, that too timely and accurately. Our dental billing and coding services team guarantees submission of claim with accurate coding using the standardized U.S. State specific dental codes in accordance with payer guidelines and and oral surgery billing codes (with accurate use of modifiers where necessary), for routine dental procedure or oral surgery, which is why MedStates first pass claim acceptance rate stands at 97%.
MedStates dental billing softwares are designed to streamline your complete billing process from claim generation to claim submission in addition to automated follow up on your claims to be reimbursed timely and accurately. Our expert dental billing consultants provide immediate assistance and offer customized solutions to reduce errors, and improve practice cash flow.
While other dental billing services companies may offer similar claims support, but few match our:
- Expert staff training and certification
- Transparent reporting dashboards
- Dedicated client success teams
As a recognized name in the industry, MedStates delivers ROI-focused results. Ready to start and optimizing results? Call Now!
Dental Specialties We Serve
Our solutions are designed for scalability, whether you’re a solo provider or part of a DSO (Dental Support Organization). We work with 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:
Healthy Tooth Treatment Billing Services
Pulpitis Treatment Billing Services
Plaque Removal Billing Services
Periodontitis Treatment Billing Services
Chipped Tooth Treatment Billing Services
Dental Flux Billing Services
Gingivitis Billing Services
Deep Caries Dental Treatment Billing Services
Calculus Removal Treatment Dental Billing Services
Enamel Erosion Treatment Billing Services
Hyperesthesia Treatment Billing Services
Enamel Hypoplasia Treatment Billing Services
Common Codes and Billing Elements in Dental Billing
Common CDT Codes Used in Dental Billing
| Code | Description |
|---|---|
| CDT D0120 | Periodic oral evaluation |
| CDT D1110 | Prophylaxis – adult (cleaning) |
| CDT D2740 | Crown – porcelain/ceramic |
| CDT D7210 | Surgical removal of erupted tooth |
| CDT D4341 | Periodontal scaling and root planing – 4+ teeth |
Common 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) |
Note: CPT codes are used when dental procedures are billed to medical insurance under medical necessity.
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
| POS Code | Description |
|---|---|
| POS 11 | Office (most common for general dental services) |
| POS 22 | On-campus outpatient hospital (used for procedures performed in hospital settings) |
| POS 62 | Comprehensive outpatient rehabilitation facility |
| POS 81 | Independent laboratory (used when outsourcing lab/imaging work) |
ICD-10 Diagnosis Codes in Dental Billing
Diagnosis codes support the procedure codes by explaining the patient’s condition. They’re used in both dental-medical crossover claims and, in some cases, with dental insurers.
| ICD-10 Code | Description |
|---|---|
| K02.9 | Dental caries, unspecified |
| K08.101 | Complete loss of teeth, class I, upper jaw |
| M26.69 | Other dentofacial functional abnormalities |
| K05.10 | Chronic gingivitis, plaque-induced |
| 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 |
|---|---|
| E0486 | Oral appliance for obstructive sleep apnea |
| D9995 | Teledentistry – synchronous; real-time encounter |
| 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.
