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Specialty Billing

Dental Billing Services

Dental Billing & Insurance Claims Management

Get a Free Billing Audit 346-307-9057

Specialty Focus

Dental Billing That Captures What You've Earned

Dental billing straddles two distinct code sets — CDT codes for dental procedures and ICD-10/CPT codes when medical necessity applies. Cross-billing between dental and medical payers for procedures like sleep apnea appliances or TMJ treatment requires precise coordination that most billing teams simply don't have.

Our dental billing specialists are proficient in CDT coding, pre-authorisation for major restorative procedures, and medical-dental cross-billing strategies that significantly increase reimbursement. We handle dental insurance follow-up, patient statements, and coordination of benefits across multi-plan patients.

97%
First-Pass Clean Claim Rate
24h
Average Claim Submission
40%
Average A/R Reduction
What We Handle

Key Billing Areas for Dental Practices

Every billing area below is managed by a specialist trained in your specialty's CPT, ICD-10, and payer requirements.

CDT code accuracy & optimisation
Medical-dental cross billing
Pre-auth for major procedures
Dental insurance follow-up
Patient statement processing
Coordination of benefits management
Sleep apnea & TMJ medical billing
Denial management & appeals
Electronic remittance posting
Monthly performance reporting
Why Partner With Us

Built for Dental Billing Complexity

Specialty-Trained Coders

Our billers are trained in your specialty's CPT codes, ICD-10 diagnoses, and payer-specific rules — not generalists working across 50 specialties.

97%+ Clean Claim Rate

We scrub and submit clean claims the first time, reducing rework, accelerating payment, and improving your net collection rate.

24-Hour Denial Recovery

Every denied claim is reviewed within 24 hours, root cause identified, corrected, and re-submitted before payer appeal deadlines close.

Full HIPAA Compliance

Encrypted data handling, a signed Business Associate Agreement, and annual compliance audits — your patients' information is always protected.

Maximize Your Dental Revenue

Get a free billing audit and find out exactly how much revenue your practice could be recovering. No contracts, no obligation — just results.

HIPAA Compliant  •  No Long-Term Contracts  •  Results in 30 Days

Common Questions

Dental Billing — FAQ

Answers to the questions Dental practices ask us most before partnering with Prime Medical Billing.

Yes. Many oral and maxillofacial surgery procedures — including impacted tooth extractions, jaw fracture repair, TMJ surgery, and biopsies — are billable to medical insurance. We translate dental procedure codes (CDT) to medical CPT/ICD-10 codes and submit to the patient's medical insurer, often recovering significant revenue that practices leave unbilled.
TMJ disorders and sleep apnea devices (oral appliance therapy for OSA) are frequently covered by medical insurance when properly documented. We manage the prior authorization process, submit claims with appropriate CPT and ICD-10 codes, and coordinate with both dental and medical benefit plans to maximize reimbursement.
General anesthesia for medically necessary dental procedures is billable to medical insurance for qualifying patients — children, patients with severe disabilities, and those with medical conditions preventing treatment under local anesthesia. We prepare documentation packages that satisfy medical insurer requirements and submit anesthesia claims with correct time-based coding.
Medical insurers require operative reports, radiographs, photographs, ICD-10 diagnosis codes supporting medical necessity, and often a letter of medical necessity from the treating provider. We guide your team on exactly what to collect at the time of service and compile complete documentation packages that minimize medical insurance denials.