Killer 01
Medical cross-coding not filed
Medically necessary dental procedures often qualify for medical reimbursement but are never filed.
Dental billing that captures
what medical insurance owes you.
Most dental practices leave legitimate reimbursement unbilled when procedures are only sent through dental plans.
Aetnapaneled
BCBSpaneled
UnitedHealthcarepaneled
Cignapaneled
Humanapaneled
Kaiser Permanentepaneled
Tricarepaneled
Anthempaneled
Centenepaneled
Molinapaneled
Medicarepaneled
ElevancepaneledAetnapaneledBCBSpaneledUnitedHealthcarepaneledCignapaneledHumanapaneledKaiser PermanentepaneledTricarepaneledAnthempaneledCentenepaneledMolinapaneledMedicarepaneledElevancepaneledQuiet killers
Where dental revenue leaks. Three patterns we audit on every onboarding and fix first.
Killer 02
Aging patient AR
High patient responsibility requires disciplined follow-up or balances age out.
Killer 03
Network leakage
In-network and out-of-network mismatches create preventable underpayments.
How we work
Dental operations, built right.
A specialty pod that lives inside your workflow, not a call-center model. These are the controls we run on every claim from day one.
Dental pod · operating playbookActive
01
CDT and CPT dual-coding
✓02
Pre-determination workflows
✓03
Frequency-limit tracking by payer
✓04
Orthodontic billing sequence management
✓Reviewed quarterly · last update May 2026v2.6
Codes & modifiers
The dental code family.
What we actively scrub on every claim. Coders in this pod work these codes daily with payer edits and documentation patterns mapped into weekly QA.
CPT/HCPCS reviewed quarterly · payer LCD/NCD subscriptions · CCI updates · claim-level audit logs.
CDT D-codes
21125
Augmentation, mandibular body
21127
41899
Unlisted, dentoalveolar
95810
Polysomnography
Credentialing
Panels we already work for dental. Enrollment, revalidation, and CAQH upkeep included.
✓Delta Dental
✓MetLife
✓Cigna Dental
✓Aetna Dental
✓UHC Dental
✓Medical credentialing for crossover billing
FAQ
Frequently asked.
Practical questions we get during diligence. Ask anything we missed.
Can you bill both dental and medical plans?+
Yes, where medical necessity and payer policy support crossover billing.
Do you handle orthodontic billing?+
Yes, including banding and monthly treatment billing logic.
Do you support Open Dental, Dentrix, and Eaglesoft?+
Yes.
30-day review
A quick conversation, not a long form.
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
HIPAA-safe by default
We don't ask for PHI. Practice-level data only.
~ 90 seconds
Press Enter to continue. No long intake form.
Based on what you've told us...
We route your request to the billing pod that can move fastest.