Starter
Up to $30K/mo collected
3.95%of collections
- Insurance verification
- CDT coding
- Claim submission
- Payment posting
- Denial management
- AR follow-up
- Patient billing
- Dedicated account manager
Pricing
Dental billing pricing that
scales with your practice
Four plans, priced on what we actually collect for you, so your dental billing cost moves with your collections. Nothing is charged on unpaid or denied claims, and every service listed below sits inside the rate.
Billing plans
Four plans, set by your collection volume
Every plan includes the same complete dental billing services. Larger volumes pay a lower percentage, so your rate drops as you grow.
Growth
$30K to $75K/mo collected
3.45%of collections
- Insurance verification
- CDT coding
- Claim submission
- Payment posting
- Denial management
- AR follow-up
- Patient billing
- Dedicated account manager
Scale
$75K to $150K/mo collected
2.95%of collections
- Insurance verification
- CDT coding
- Claim submission
- Payment posting
- Denial management
- AR follow-up
- Patient billing
- Dedicated account manager
DSO / Enterprise
$150K+/mo collected
Custom
- Insurance verification
- CDT coding
- Claim submission
- Payment posting
- Denial management
- AR follow-up
- Patient billing
- Dedicated account manager
Billing inclusions
Inside every plan, including
Starter
Every billing plan includes
Insurance verification and benefit breakdowns
Prior authorizations and predeterminations
CDT coding against your clinical notes
Claim submission and scrubbing
Payment posting, EOB and ERA reconciliation
Denial management and appeals
AR follow-up on aging claims
Monthly reporting
A dedicated account manager
What billing never costs you
No hidden fees on any plan. The percentage covers the full revenue cycle, and nothing else gets added to your invoice.
No setup fee
Nothing to pay before we start.
No onboarding fee
Moving your claims over costs nothing.
No per-claim charges
One percentage covers every claim.
No monthly minimum
A slow month costs you less.
No long-term contract
Month to month, with notice.
Nothing on unpaid or denied claims
You pay only on what gets collected.
No plan gets a lighter version of any of it. A Starter client gets the same denial appeals and the same AR work as a Group client.
Credentialing plans
Dental credentialing pricing
Credentialing is priced per project rather than per month, because it ends when your provider is approved.
Single payer
One commercial plan
$150per payer
For adding one payer to a practice that's already running.
- CAQH setup and attestation
- Application filing
- Payer follow-up to approval
- Effective date confirmed in writing
Government payer
Medicaid, Medicare, or PECOS
$250per payer
Longer applications, state portals, and more places to get stuck.
- CAQH setup and attestation
- Application filing
- Payer follow-up to approval
- Effective date confirmed in writing
Full panel
8 payers, up to 3 government
$1,099flat
For a new provider or a startup practice getting fully in-network.
- CAQH setup and attestation
- Application filing
- Payer follow-up to approval
- Effective date confirmed in writing
Multi-provider
10+ payers or more than one provider
Custom
Per-application pricing stops making sense at scale. We'll quote the whole project.
- CAQH setup and attestation
- Application filing
- Payer follow-up to approval
- Effective date confirmed in writing
Billing client rate
Billing clients pay less on every credentialing plan
$95 per commercial payer and $175 per government payer
When the same team runs billing and credentialing, a new provider's claims start going out on their effective date, with nothing to hand over between companies.
Credentialing inclusions
Inside every credentialing plan
Every credentialing plan includes
CAQH profile setup and attestation, now DataSpring
NPI Type 1 and Type 2 registration
TIN and PECOS enrollment
Document collection and primary source verification
Application filing
Payer follow-up through approval
Effective date confirmed in writing
What credentialing never costs you
You pay per payer or per project, and nothing else lands on the invoice.
No setup fee
Nothing to pay before we file.
No charge for resubmissions
A returned application gets refiled at no cost.
No fee when we refile our own error
Our mistake is ours to fix.
No retainer between projects
You pay per project, nothing in between.
Re-credentialing gets tracked and quoted at $95 per payer when it comes due, and we tell you the date well before it arrives.
FAQ
Dental billing and credentialing pricing questions
1
Our dental billing pricing is a percentage of what we collect: 3.95% for practices collecting up to $30K a month, 3.45% from $30K to $75K, and 2.95% from $75K to $150K. Practices above $150K a month, and most DSOs, get a custom rate in writing before anything is signed.
2
No. The percentage only applies to what actually gets collected. If a payer denies a claim or never pays it, you owe nothing on that claim, which means a slow month costs you less rather than the same.
3
No. There's no setup fee, no onboarding fee, no per-claim charge, and no monthly minimum. The percentage is the only line on the invoice, whichever plan you're on.
4
No. Billing runs month to month with notice. If you decide to leave, we finish the claims already in progress rather than dropping them mid-cycle, and your data goes with you.
5
Every plan, including Starter, covers insurance verification, prior authorizations, CDT coding, claim submission, payment posting, denial management, AR follow-up, patient billing, monthly reporting, and a dedicated account manager. No plan gets a lighter version of the work.
6
Yes, and it goes down. Each plan covers a band of monthly collections, and a practice that moves into a higher band moves to a lower percentage. Larger volumes pay less for the same work.
7
Credentialing is priced per project. A single commercial payer is $150, a government payer such as Medicaid, Medicare, or PECOS is $250, and a full panel of 8 payers, up to 3 of them government, is $1,099. Multi-provider projects get one quote for the whole job.
8
Yes. Practices on a billing plan pay $95 per commercial payer and $175 per government payer. Credentialing and billing then sit with the same team, so a new provider's claims can start going out on their effective date.
9
The $1,099 full panel covers 8 payers, up to 3 of them government. It includes CAQH profile setup and attestation, NPI and PECOS work where it's needed, application filing, payer follow-up through approval, and the effective date confirmed in writing.
10
No. Resubmissions are included, and if a payer returns an application because of our error, we refile it at no cost. You only pay the project price you were quoted.
11
We track re-credentialing dates for you and quote them at $95 per payer when they come due. You'll hear about the date well before it arrives, so a lapse doesn't interrupt payments.
12
No. There's no retainer and no monthly fee for credentialing. You pay for each project when you need it, and nothing is billed in between.
Have a pricing question?
Ask about billing rates, credentialing fees, or anything you don't see here.
Get your rate
Get your rate in writing before you sign
Tell us your average monthly collections and we'll send the exact rate for your volume, with every service it covers listed out. There's no setup fee and no contract, and nothing is charged on claims that don't get paid.
- Rates from 2.95% of collections
- No setup or onboarding fees
- Nothing charged on unpaid claims
- No long-term contract
In a hurry? Call (916) 546-9339
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