Claims nobody followed up on
A claim that goes quiet is a claim nobody is working. Payers don't chase you, and a file sitting untouched for 90 days is often past appeal by the time someone notices.
Dental billing
Dental billing services, done
the way payers actually want them filed
Every payer has its own rules for attachments, narratives, and codes, and a claim that misses one gets rejected rather than questioned. We file to each payer's requirements the first time, which is why 98% of our claims go out clean and 98.7% of what's owed gets collected.
We take the whole cycle: eligibility and insurance verification, CDT coding, claim submission, payment posting, denial appeals, and AR follow-up. Your front desk stops sitting on hold with payers and gets its hours back for patients.
98.7%Net collection rate
98%Clean claim rate
21 daysAverage days in AR
24 hoursClaim submission
Free billing review
See what your billing is missing
Send us your average monthly collections and a billing specialist reviews where revenue is stuck and what we'd fix first.
HIPAA compliant. BAA signed before any data moves.
The problem
Most lost revenue isn't stolen,
it's abandoned
Practices rarely lose money to one big failure. It leaks in small amounts, in places nobody is watching, and by the time it shows up in a monthly report the filing deadline has usually passed.
Underpayments accepted as full payment
Payers pay below contracted rates more often than practices realize. If nobody checks the EOB against the fee schedule, the underpayment gets posted as complete and the difference is gone.
Denials written off instead of appealed
Appealing takes documentation and time, so denials get written off as the cost of doing business. Most of them are winnable, and writing them off teaches the payer nothing changes.
Claims that age past the filing limit
Every payer has a timely filing window, and once it closes the money is unrecoverable regardless of who was right. This is the only loss on this list that can never be undone.
None of this requires a bad biller. It requires a busy one, which describes almost every front desk in the country.
Which of these is costing you the most? Send your aging report and we'll show you.
What's included
Everything inside your dental billing services
One rate covers comprehensive dental insurance billing, the day-to-day core of dental revenue cycle management. Nothing on this list gets billed separately, and nothing gets skipped because it wasn't in the scope.
Insurance verification
Coverage, benefits, frequencies, and waiting periods confirmed before the visit, not discovered after the claim comes back denied.
CDT coding
Every procedure coded to CDT standards and matched to the clinical notes. Our dental billing and coding services catch the mismatches that trigger a denial before the claim leaves.
Claim submission
Claims filed within 24 hours, scrubbed against each payer's rules first. Our dental claims processing clears payer edits before they turn into rejections.
Payment posting
Every EOB and ERA posted and reconciled against what was billed. Underpayments get flagged the same week, not accepted as full payment.
Denial management
Denials get appealed with documentation attached, and the root cause gets fixed so the same denial stops repeating.
AR follow-up
Aging claims worked weekly, oldest and largest first. Our dental accounts receivable solutions bring your days in AR down before anything approaches a filing limit.
Patient billing
Statements sent on schedule with clear balances, so patient AR doesn't quietly build behind your insurance AR.
Dental medical billing
Procedures like oral surgery, sleep appliances, and TMD get billed to medical insurance instead, coded with CPT on the CMS-1500 with the pre-authorization payers require.
Every one of these runs to the same standard whether you hand us one of them or all eight.
Together they cover the whole dental insurance billing process, one team from the eligibility check to the final payment posted.
The process
From your first call to a billing operation you stop thinking about
Getting started with our dental billing services takes four steps, most of them on our side. Switching billing companies is the part practices dread, and most practices are live within days, not weeks.
Free billing review
Send us your aging report and recent collections. We come back with where revenue is stuck, what's recoverable, and what we'd fix first. No cost, no commitment, and you keep the analysis either way.
Onboarding
We connect to your practice management software, sign a BAA, and set the permissions you control. Nothing migrates, nothing changes on your end, and your account manager is assigned before the first claim goes out.
We take the cycle
Verification, coding, submission, posting, denials, and AR all move as one workflow. Claims already in progress when you switch get worked alongside the new ones, so nothing falls in the gap between vendors.
You see everything
A reporting dashboard with your collection rate, days in AR, and every claim's status. Ask where anything stands and you get an answer the same day.
Payers control how fast they pay. We control how clean the claim is, how quickly it goes out, and how hard the follow-up runs, which is where the 98.7% comes from.
Step one is free, and you keep the analysis either way.
Your account
How our dental billing company runs
your claims, week in and week out
Billing isn't a project that finishes. It's a rhythm, and most practices lose money when that rhythm breaks quietly. Here's what runs on your account every week.
Daily claim submission and payment posting
Claims go out within 24 hours of coding, filed to each payer's rules. Payments post as they arrive, and underpayments get flagged the same day they land rather than at month end.
01
01
Weekly AR follow-up and denial appeals
Your full aging report gets worked every week, oldest and largest balances first. Denials get appealed with documentation attached rather than queued for later, and our dental accounts receivable solutions keep claims moving before they approach a filing limit.
02
02
Monthly revenue cycle reporting
You get your net collection rate, days in AR, denial patterns by payer, and anything we've spotted in your fee schedules. Your account manager walks you through it if you want the call.
03
03
A dedicated account manager, always
One person who knows your payer mix and your practice. Direct line, no ticket system, no explaining your situation to whoever picks up.
04
04
Want to see what your first month would look like?
When to switch
Signs your dental billing needs
outsourcing
Most practices don't switch dental billing services because of one disaster. They switched because a few numbers drifted and nobody had time to pull them back. These are the ones worth watching.
Tick any that sound familiar.
Your AR over 90 days is climbing
Anything above 3% of total AR means claims are aging past the point where they get paid easily. Above 10% and you're carrying money that's close to unrecoverable.
Denials are running over 5%
A denial rate above 5% usually points to something systematic rather than bad luck, and it compounds. Every denial that isn't appealed teaches the payer that nothing changes.
Your biller just resigned
Billing knowledge walks out with the person. Practices that lose a biller often lose two months of momentum before the replacement is up to speed, and claims age the whole time.
You're opening a second location
Two sites means two sets of payer relationships, two aging reports, and twice the follow-up. Most front desks that manage one location well struggle with two.
Your team is on hold with payers
If someone at the front desk spends hours a week chasing claims, that's time not spent on patients, and it's usually the first thing to get dropped when the schedule fills.
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Any one of these is worth a conversation. Two or more usually means the money is already leaking.
In-house vs outsourced
Outsourced dental billing services versus
hiring in-house
Most practices compare a billing company's rate against a biller's salary and stop there. The salary is the smallest part of what an in-house biller actually costs.
What an in-house biller costs
Salary is roughly $39,000 a year for a dental insurance coordinator, before payroll taxes and benefits. Add practice management software seats, clearinghouse fees, training when they start, and continuing education as CDT codes change annually.
What happens when they leave
Turnover is where the real cost sits. Recruiting takes weeks, training takes longer, and claims age the entire time. Most practices lose two months of momentum on a billing handover, and aged claims don't recover on their own.
Bottom line
You pay the same in a slow month.
What you're actually buying instead
- A team rather than a person, so vacations and sick days don't stop your claims.
- Coverage across every payer instead of the handful one biller learned.
- A rate tied to collections, so a slow month costs you less rather than the same.
- A dedicated account manager who knows your payer mix, on a direct line with no ticket system.
- Weekly AR follow-up and denial appeals, so claims keep moving when someone is out.
- Net collection rate
- 98.7%
- Clean claim rate
- 98%
- Claims filed
- 24 hrs
Bottom line
A slow month costs you less.
Outsourcing isn't always the right answer. A practice with a strong biller, low AR, and a denial rate under 3% is usually better off keeping what works.
Want this run on your actual numbers?
Software
Works inside your practice management software
You don't switch software or migrate a thing. Our dental billing services run inside the system you already use, and our billers work your claims right where your data lives.
Access stays secure and HIPAA compliant. We connect through an encrypted connection, sign a BAA before we touch a single record, and work under permissions you set and can pull back anytime.
Running something not listed? Tell us which system you use and we'll confirm we work in it.
Practice types
Dental billing services for solo
practices, groups, and DSOs
Practices across the USA work with us, from solo offices to multi-location DSOs in all 50 states. The work is the same at every size. What changes is how much of it there is and how many places it has to stay consistent across.
Solo and small practices
One denied claim hits harder when there's less cushion behind it. You get the same weekly AR review and denial appeals as a multi-location group, without hiring anyone or carrying the overhead.
Group practices
Consistent coding, submission, and posting across every provider, so a strong month at one site isn't dragged down by aging claims at another. One standard, applied the same way everywhere.
DSOs and multi-location groups
Centralized billing across sites with reporting that rolls up the group or drills into a single location. Our remote dental billing services scale without adding front desk headcount at any of them.
Pricing
Dental billing pricing tied
to what we collect
You pay a percentage of what we actually collect for you, never a flat monthly fee and never anything on claims that don't pay. A slower month costs you less, automatically. Every plan is on our pricing page.
Priced by your collection volume
Four plans, set by what your practice collects monthly. Larger volumes pay a lower percentage, so your rate drops as you grow rather than staying fixed at what you signed up on.
Everything included at every plan
- Verification
- Coding
- Submission
- Posting
- Denial appeals
- AR follow-up
- Patient billing
- Your account manager
No plan is a lighter version of another, and nothing on the service list carries a separate charge. Billing clients also get dental credentialing at $95 per commercial payer.
Every plan
What's never on the bill
- Setup fee
- $0
- Onboarding fee
- $0
- Per-claim charges
- $0
- Long-term contract
- None
- Charged on unpaid or denied claims
- $0
Want your exact rate? Send your monthly collections. You'll see your plan and rate in writing before anything gets signed.
Security
Your billing records, handled under
HIPAA and a signed BAA
Billing means handing over claims, patient and insurance details, payment records, and account balances.
Every one of those is worth stealing, so iDental Billing puts strict limits on how we store and handle them.
Encrypted connection
Access runs through an encrypted connection straight into your PM software. You don't switch systems or migrate any data.
US-based team
Your claims and patient records are handled by our own team in Sacramento, California, with one named owner on your account.
HIPAA compliant
Every process that touches claims or patient data runs under HIPAA safeguards, and our team trains on it annually.
BAA signed first
We sign a Business Associate Agreement before we access a single record. In writing, and never assumed as part of a service agreement.
Access you control
Role-based permissions you set and can revoke at any time. You decide who on our team sees what, and access ends when the relationship does.
Access is role-based and revocable. You decide who on our team sees what, and you can pull that access at any time.
FAQ
Questions about dental billing services, answered straight
1
iDental Billing charges a percentage of what we collect, priced by your monthly collection volume across four plans. Nothing is charged on unpaid or denied claims. There's no setup fee and no long-term contract, and your rate goes in writing before you sign. See the pricing page for the plans.
2
Yes, and it goes down. Larger collection volumes sit in lower percentage bands, so a practice that grows into the next plan pays a lower rate rather than staying fixed at whatever it signed up on.
3
We work them alongside the new ones. Claims in flight during a vendor change are where most practices lose money, so nothing sits in the gap between your old biller and us.
4
Often, yes. A solo or two-provider practice usually can't justify a full-time biller, but has the same denial and AR problems a larger practice has with less staff to absorb them. Because the rate is tied to collections, a smaller practice pays proportionally less for outsourced dental billing services.
5
Only against what's actually collected that month. Nothing is charged on claims still pending, on anything denied and unpaid, or on write-offs.
6
A percentage moves with your collections, so a slower month costs less automatically. A flat monthly fee stays the same regardless of how much comes in, which means you pay full price in your worst month.
7
Yes. Dentrix, Open Dental, Eaglesoft, Curve, and most other dental platforms. You don't switch software or migrate data, and access runs through an encrypted connection under permissions you control.
8
One named account manager who knows your payer mix and your practice, reachable directly rather than through a ticket queue. They review your aging weekly and flag problems as they appear.
9
Working every unpaid claim on a schedule, oldest and largest balances first, so nothing ages past a filing deadline unnoticed. Denials get appealed with documentation rather than resubmitted and hoped through.
10
Yes. Statements go out on schedule with clear balances, so patient AR doesn't build quietly behind your insurance AR.
11
Some can. Oral surgery, sleep appliances, and TMD treatment often qualify for medical coverage, coded with CPT on a CMS-1500 with pre-authorization. Our dental medical billing services handle those claims alongside your dental ones.
12
A written rate before signing, a clear answer on what happens to claims mid-transition, a named person on the account rather than a shared inbox, and published numbers you can check against your own reports.
Have a billing question?
Our dental billing experts are here to help.
Let's find the right solution for your practice.
Free billing review
Send your aging report and see what's recoverable
A billing specialist reviews your claims, aging, and collections, then tells you where revenue is stuck and what we'd fix first. No cost, and you keep the analysis whether you hire us or not.
- 98.7% net collection rate
- 98% clean claim rate
- Claims filed within 24 hours
- No long-term contract
In a hurry? Call (916) 546-9339
Get your free billing review
No cost, no commitment.