Expert Dental Billing That Maximizes Every Claim You Submit
From routine preventive visits to complex oral surgery, MediCloud’s certified dental billing team handles the full revenue cycle — so your practice collects more and worries less.
98%
Average Collection Rate
<24hr
Claims Submission Turnaround
15-20%
Average Collection Rate
The MediCloud Dental Billing Services
At the core of our Dentistry Billing Services is a deep understanding of the diverse and specialized procedures performed in dental practices.
We provide tailored billing solutions that streamline the revenue cycle, reduce administrative burdens, and improve financial outcomes for dental clinics and providers.
As dental care advances with innovations like digital imaging, laser treatments, and cosmetic dentistry, our expert billing and coding services are equipped to manage these complexities—allowing dental teams to prioritize patient care without compromising revenue efficiency.
End-to-End Dental Billing — Fully Managed
Our team takes on every step of your revenue cycle, from patient eligibility checks before the appointment to final payment posting and reporting.
Eligibility & Benefits Verification
We verify dental and medical insurance benefits before every appointment, flagging coordination of benefits (COB) issues and maximums so there are no billing surprises.
Accurate CDT Coding & Claim Submission
Our billers apply the correct CDT codes (D0100–D9999), attach any necessary supporting documentation, and submit clean claims to dental and medical payers accurately and efficiently every day.
Medical Cross-Coding for Dental
When dental procedures qualify for medical coverage — implants, extractions, sleep apnea, TMJ — we apply the right ICD-10, CPT, and HCPCS codes to recover reimbursements most miss.
Payment Posting & Reconciliation
ERA/EOB posting, EFT reconciliation, and virtual credit card (VCC) processing are handled accurately every day, keeping your books clean and your ledger balanced.
Denial Management & Appeals
Every denial receives a root-cause review. Our team corrects, rebills, and appeals rejected claims within payer deadlines — recovering revenue that in-house teams often write off.
A/R Follow-Up & Aging Report Management
We work your aging buckets systematically — 30, 60, and 90+ day balances — making calls, submitting proof of timely filing, and escalating payer issues before they become write-offs.
Dentistry Billing Services
Driving Claim Accuracy and Compliance for Enhanced Revenue Outcomes
Dentistry billing covers a wide range of services, including preventive care (such as cleanings and exams), restorative treatments (like fillings and crowns), cosmetic procedures (such as veneers), and surgical services (including extractions and implants). Our team has a deep understanding of CDT codes, dental insurance plans, and patient benefits, ensuring claims are filed accurately and reimbursements are received on time. We help streamline your practice’s revenue cycle so you can focus on delivering excellent clinical care.
Our certified dental billing team brings years of experience and up-to-date knowledge of CDT code updates, insurance guidelines, and payer-specific requirements. We help elevate your practice to the highest standards, reducing denials and delays while ensuring consistent cash flow. With strong industry leadership, our mission is to make your billing systems more efficient and revenue-friendly.
We offer end-to-end dentistry billing services, including eligibility verification, benefit coordination, precise coding, claims submission, payment posting, denial management, and detailed monthly financial reporting. This comprehensive coverage reduces your administrative workload and brings transparency to the billing cycle. Each service is tailored to meet the unique needs of your dental practice.
Beyond routine billing, we provide fee schedule reviews, coding audits, and insurance contract analysis to help identify underpayments and revenue leaks. We improve your billing efficiency, reduce compliance risks, and streamline workflows to align with payer policies. Our advanced solutions help you maintain a financially healthy and compliant practice.
Our goal-oriented approach delivers measurable outcomes for dental practices, including improved cash flow, reduced claim rejection rates, faster insurance payments, and an overall 15–20% increase in collections. By reducing the administrative burden on your team, we help you enhance the patient experience and focus more on clinical care. With your success as our top priority, we aim to ensure sustainable, long-term revenue growth.
Specialized Oral Surgery Billing That Captures Both Medical & Dental
Oral surgery practices operate at the intersection of dentistry and medicine — which means your billing must too. Most standard billing teams miss the medical insurance side entirely, leaving tens of thousands in recoverable revenue on the table each year.
MediCloud’s OMS billing team submits both dental and medical claims simultaneously, applies accurate surgical CPT codes alongside CDT codes, manages Medicare compliance, and coordinates between primary and secondary payers to maximize every reimbursement. We also handle eligibility verification, pre-authorizations, claim follow-up, denial management, and payment posting, giving your practice complete visibility across both sides of the revenue cycle.
Oral Surgery Billing Includes
- Medical claim submission with CPT & ICD-10 coding
- Dental claim submission with CDT codes (D7000–D7999 series)
- Medicare Part B compliance for covered oral surgery services
- Proper coordination of benefits between dental and medical payers
- Anesthesia billing (D9930, D9932 & CPT 00170 / 00190)
- Pre-authorization and prior approval management
- Payment posting: EFT, ERA, and virtual credit cards
- Ongoing follow-up on outstanding surgical claims
60% → 90%
Collection rate improvement seen by oral surgery practices after switching to professional OMS billing.
Billing Across Every Category of Dental Procedure
Our team stays current with annual ADA CDT code updates and payer-specific billing rules across all dental procedure categories.
Diagnostic & Preventive
Exams, X-rays (periapical, panoramic, CBCT), prophylaxis, fluoride, sealants, space maintainers, oral cancer screening.
Restorative
Composite & amalgam fillings, crowns (PFM, all-ceramic, gold), inlays, onlays, veneers, buildups, and core placements.
Endodontics
Root canal therapy (anterior, bicuspid, molar), pulpotomy, apicoectomy, retreatment, and internal bleaching of non-vital teeth.
Periodontics
Scaling & root planing, gingivectomy, osseous surgery, crown lengthening, guided bone regeneration, and periodontal maintenance.
Prosthodontics & Implants
Complete/partial dentures, implant placement (D6010), implant-supported crowns/bridges, abutments, and implant maintenance.
Oral Surgery, Ortho & Adjunctive
Extractions, impacted teeth, biopsies, osteotomy, orthodontic brackets/wires, TMJ treatment, anesthesia, and sleep appliances.
Unlock Medical Insurance Reimbursements Most Dental Practices Never Claim
Many dental procedures — particularly those involving diagnosis, surgery, anesthesia, or systemic conditions — are reimbursable under a patient’s medical plan. Without a specialized billing team, these claims go unfiled and the revenue disappears permanently.
Identify Billable Medical Diagnoses
We review procedure notes to identify qualifying medical diagnoses (e.g., K08.x, M26.x, G47.33) that allow dental claims to be billed to medical payers.
Proper Form & Code Selection
Medical claims require a CMS-1500 form, ICD-10 diagnosis codes, CPT procedure codes, and NPI numbers — entirely different from the ADA form used for dental claims.
Coordination of Benefits (COB)
We determine primary vs. secondary payer order, apply the dental benefit first where appropriate, then submit to medical for the balance — maximizing total reimbursement.
What Makes Our Dental Billing Different
Beyond clean claims — we build the billing infrastructure your practice needs to grow without adding administrative overhead.
Dental + Medical Billing Under One Roof
Most billing companies specialize in one or the other. We handle both, which means oral surgery practices, periodontists, and general dentists billing medical for implants or TMJ don't need two separate vendors.
System-Agnostic Integration
We work seamlessly with Dentrix, Eaglesoft, Open Dental, Carestream, Curve Dental, and other major PMS platforms. No system change required on your end.
Dedicated Account Manager & Weekly Check-ins
You get a named account manager who knows your practice, not a call center. Weekly progress meetings and a monthly financial dashboard keep you informed at every step.
Fee Schedule Analysis & Insurance Contract Review
We review your current payer fee schedules, identify underpayments, and advise on contract renegotiations — a service that typically pays for itself in recovered revenue within the first quarter.
Compliance-First Approach
HIPAA-compliant workflows, regular coding audits, and updated knowledge of CDT revisions and payer-specific documentation requirements protect your practice from audit risk.
Flexible, Transparent Pricing
Our waterfall pricing structure scales with your collections — so our interests are aligned with yours. No flat monthly fees that grow unrelated to your revenue performance.