Prime Doc Billing provides dental billing services in the US. We handle the entire revenue cycle process for dental practices. Our dental billing services include dental credentialing, insurance verification, CDT coding, claim submission, follow-up, denial management, and billing audits.
Outsourcing dental billing services to Prime Doc Billing ensures end-to-end dental revenue cycle management so your dentists can focus solely on patient care.
Prime Doc Billing provides the following dental billing services
Prime Doc Billing manages dental credentialing and re-credentialing with the insurers. We ensure the dentists are accurately enrolled with the Preferred Provider Organization (PPO). PPO enrollment ensures the dental claims get maximum reimbursement without credentialing-related delays.
Our RCM team verifies dental insurance eligibility before the doctor’s appointments. Dental insurance verification includes basic, major, and preventive coverage along with frequency limits and co-insurance. Prior dental insurance verification helps dental offices avoid billing issues and claim denials.
Prime Doc Billing’s dental coding specialists accurately assign Current Dental Terminology (CDT) codes and related diagnosis codes. The CDT codes are based on dental clinical notes, X rays and treatment plans. Accuracy in dental coding ensures maximum reimbursement and compliance to the payer-specific policies.
Our dental billing specialists use accurate Current Dental Terminology (CDT) codes, surfaces, attachments and tooth numbers to submit clean dental claims. We proactively follow up with the dental insurers to track claim status and resolve payment delays beforehand.
Our billing analysts manage dental denial management related to missing narratives, frequency limits, coordination of benefits, and non-covered services. We follow up on the appeal process to recover lost revenue while preventing repeated denials.
Prime Doc Billing manages dental insurance payments by posting accurate Explanation of Benefits (EOBs), tracking unpaid claims, and following up on the outstanding patient balance. Our main goal is to improve the dental provider’s cash flow without disrupting patient trust.
Our dental RCM services cover the entire financial cycle of a dental practice. We handle RCM services from insurance verification to patient collections and reporting. Our RCM specialists ensure a consistent and predictable revenue for the dental practices.
Prime Doc Billing’s dental billing virtual assistants perform various tasks including claim tracking, eligibility checks, payment posting and denial follow-ups. Our VAs also cater patient’s billing questions which helps reduce the front-desk workload.
Our RCM team integrates dental billing processes with major EHR systems like Open Dental, Eaglesoft, Curve, and more. We ensure accurate workflow with EHR integration of dental practice management systems.
We perform regular dental billing audits to identify Current Dental Terminology (CDT) coding errors, compliance gaps, and underpayments. Our dental billing team helps dental practices recover lost revenue and improve billing accuracy.
Our cost-effective dental billing for dental offices helps minimize claim errors and reduce denials by accelerating payments. We handle step-by-step dental billing processes including CDT coding, claim submission, insurance follow-ups and payment posting.
Prime Doc Billing verifies dental insurance benefits upfront to submit clean claims. We ensure accuracy in tooth numbers, surfaces, narratives, and attachments to prevent costly rework. Our proactive denial management ensures the dentists get maximum reimbursements for basic, major, and preventable procedures.
Our cost-effective dental billing solutions allow the dentists to spend less time on billing and administrative work. We maintain full compliance with dental insurance guidelines so you can focus solely on patient care.
Prime Doc Billing specializes in dental billing services with in-depth knowledge of CDT coding and dental insurance policies. Our dental billing team ensures clean claim submissions and accurate reimbursements, eliminating the need for in-house billing staff. We provide affordable dental billing services to improve the practice’s cash flow.
Our denial management strategies include identifying the root cause of denials to submit error-free dental claims. We focus on minimizing denials and shortening the payment cycles to help you get paid faster.
The cost of dental billing services ranges from 4-10% of the total revenue. The dental billing services cost depends on the practice size, monthly claim volume and the required range of services.
Our dental billing process is a structured, end-to-end workflow of accurate claim submission and faster reimbursements for dental practices. We begin by verifying dental insurance eligibility and coverage limits before treatment. After the services are rendered, our dental billing specialist reviews clinical documentation and assigns accurate CDT codes.
We actively track each claim and promptly address any denial through appeals. After receiving the payments, we post insurance payments and patient balances accurately and follow-up on the remaining balances for complete dental revenue recovery.
Outsource dental billing to Prime Doc Billing to maximize insurance reimbursements while eliminating billing errors and inefficiencies. Our dedicated dental billing experts manage the entire billing cycle from insurance verification to payment posting. We seamlessly integrate into your EHR workflow and dental practice management systems with compliance and transparency.
Frequently Asked Questions
Dental billing is the process of submitting dentist-related claims to dental insurance companies. It involves verifying dental insurance benefits, applying correct CDT codes, and following up on unpaid claims.
We can integrate with all the major dental billing softwares including Dentrix, Curve Dental, Carestream Dental, and Denticon.
Dental billing guidelines are the rules set by dental insurance companies that define how the procedures must be billed. The dental billing guidelines ensure that the claims are processed correctly.
Dental Coordination of Benefits determines how the payment is shared when a patient has more than one dental plan. The primary dental plan usually covers the major part whereas the secondary plan covers the remaining eligible costs.
Yes, a patient can have two dental plans; primary and secondary insurance plans. The combined payment cannot exceed the total cost of the dental treatment.
Dental out-of-network reimbursement refers to the payment when a dentist is not contracted with the patient’s current insurance plan. Out-of-network reimbursements often result in higher patient responsibility.
Some of the most common dental billing codes are:
Unethical dental billing practices refers to the billing for services not rendered by the patients, upcoding procedures, misrepresenting treatment dates, and submitting false documentation.
To avoid unethical dental billing practices, the dental billers need to use accurate CDT codes, maintain proper clinical documentation and conduct regular billing audits. Expert dental billing professionals like Prime Doc Billing helps the dental practices avoid unethical dental billing practices.
| Dental Billing | Medical Billing | |
|---|---|---|
| Purpose | Dental billing refers to the billing of oral and dental procedures. | Medical billing refers to the billing of medical insurance for general healthcare services. |
| Coding System | Dental billing uses CDT (Current Dental Terminology) codes. | Medical billing uses CPT, ICD-10, HCPCS codes. |
| Software | Dentrix, Eaglesoft, Curve, Open Dental | Epic, Kareo, Cerner, Athena |
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(347) 650-2656
(347) 650-2656
info@primedocbilling.com
