Dental billing begins with verifying a patient’s insurance benefits and capturing accurate clinical details in the electronic dental record. Your team (or an outsourced dental billing company) assigns the correct CDT and, if needed, CPT or ICD-10 codes, then submits a claim electronically to the payer. The claim is adjudicated, any denials are appealed, and approved payments are posted. Finally, remaining patient balances are billed and collected, and month-end reports track production, collections, and accounts receivable aging.

Outsourcing shifts labor-intensive tasks, coding, claim submission, follow-up, denial management, and patient statements, to specialists who handle them all day, every day. Practices gain higher first-pass approval rates, faster cash flow, and lower overhead because they no longer need to hire, train, or retain in-house billing staff. Outsourcing also keeps you compliant with ever-changing payer rules and frees clinical staff to focus on patient care instead of paperwork.

Most dental billing companies charge either a percentage of monthly collections or a flat fee per claim. Percentages typically range from 4% to 10% of monies collected, depending on claim volume, specialty complexity, and the scope of services (e.g., insurance verification, patient billing, detailed A/R work). Per-claim pricing can run from $4 to $8 for straightforward submissions and higher for claims that require extensive follow-up. Always confirm whether costs include denial appeals, comprehensive reporting, and credentialing support.

We deliver a turnkey solution: insurance verification, CDT/CPT/ICD-10 coding, electronic claim submission, real-time claim scrubbing, denial analysis and appeal, A/R follow-up, patient statements, payment-plan management, monthly KPI reporting, credentialing, and seamless integration with 40+ EHR/PM systems. One contract covers the entire revenue cycle.

A huge team of AAPC-certified specialists focuses exclusively on dentistry. They master the full CDT code set, plus CDT-to-CPT cross-walks for oral surgery, and stay current with ADA, payer, and state updates through mandatory quarterly training.

Yes. We are enrolled with all major commercial PPO/HMO networks, regional Medicaid plans, Medicare Advantage, and specialty carriers. Dedicated payer liaisons maintain up-to-date rules and fee schedules, ensuring clean claims regardless of the insurer mix in your practice.

Medcare MSO operates on HITRUST- and SOC 2-certified, HIPAA-compliant infrastructure with 256-bit encryption, MFA, role-based access, and continuous intrusion monitoring. Staff complete annual HIPAA, PCI-DSS, and phishing-resilience training, and every transaction is fully audited.

We produce branded e-statements and paper bills, offer an online payment portal, manage courtesy reminder calls, and set up interest-free payment plans when needed. Our early-out program recovers balances while preserving patient satisfaction and keeping delinquent accounts below 5%.

We use a straightforward, percentage-of-collections model: you pay a small, agreed-upon percentage of the revenue we actually collect on your behalf. That single fee covers claims submission, eligibility checks, denial appeals, patient statements, and monthly reporting, no setup charges, portal fees, or surprise add-ons.