Specialties/Dental
Dental
medical billing
Two code sets, two claim forms, and a constant medical-versus-dental question.
Where it leaks
Why this specialty
loses money.
Dental practices bill CDT to dental plans and CPT to medical plans, and the same procedure can belong to either depending on why it was done. Claims routed to the wrong payer are not denied so much as ignored, and they age quietly until the filing window closes.
What makes it different
- CDT and CPT, on different forms and different payers
- Medical necessity that moves a procedure to the medical plan
- Annual maximums and waiting periods checked before treatment
- Pre-determination as a routine step, not an exception
How it is covered
The same eight disciplines,
tuned to this specialty.
Dental billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.
Revenue assessment
How is dental
billing performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.