Dental Billing Services Trusted by Practices Nationwide

Missed codes and claim denials cost dental practices thousands each month. Is your practice experiencing revenue loss, too?

With our expert dental billing services, you stay CDT 2025-compliant, avoid costly denials, and collect payments faster—every single time.

Measure, Improve, and Maintain Your Cash Flow

Our dental RCM services go beyond claim submission. We manage every stage of the revenue cycle with the same KPIs used by top DSOs and industry benchmarks:

Collection Ratio
93 %+
Reduction in AR
30 %
First Pass Clean Claims Rate
95 %+
Revenue Increase
Up to 20 %
Denial Rate
0 %
Turnaround Time
7- 6 Days

Who We Serve

Our billing team serves dental professionals of all sizes and specialties throughout the United States.

General Dentists

Streamlined claim submission and faster reimbursements.

Dental Service Organizations (DSOs)

Centralized billing, multi-location A/R monitoring, and custom reporting.

Community & Public Health Clinics

Medicaid, CHIP, and Medicare Advantage dental billing expertise.

Teledentistry Providers

Compliance for D9995/D9996 coding and virtual care reimbursement.

Are your claims getting stuck because of EDI compliance issues?

Effective denial management starts with prioritization. Organizations need a structured system to determine which denials to address first, how work should be assigned, and how to maximize recovery efforts.

Validates claims for X12 compliance to prevent errors
Validates claims for X12 compliance to prevent errors
Validates claims for X12 compliance to prevent errors
Validates claims for X12 compliance to prevent errors

When you work with one of the best dental billing companies in the USA, you gain an EDI process that is fast, precise, and fully compliant, protecting both your revenue and your reputation.

Certified Dental Coding Expertise for Every Specialty

Our certified dental coders, trained in ADA CDT and ICD-10-CM standards, understand the rules of each specialty to ensure clean claims and timely payments.

General Dentistry

Apply ADA 2025 CDT codes, run HIPAA-compliant EDI eligibility checks, and secure pre-authorizations to prevent denials from major payers like Delta Dental.

Pediatric Dentistry

Track state-specific Medicaid rules, confirm sedation coverage, and use real-time eligibility rechecks to prevent coverage gap denials.

Orthodontics

Manage pre-treatment authorizations and benefit timelines to meet 2025 frequency limits and avoid documentation-related claim rejections.

Oral & Maxillofacial Surgery

We route medically necessary cases to the correct payer using accurate ICD-10-CM to CPT/CDT mapping for CMS compliance and faster reimbursements.

FQHC & Community Dental Clinics

Manage Medicaid-heavy billing with encounter-based claims, HRSA reporting, and denial resolution to reduce AR by up to 35%.

Did you know one miscoded CDT entry can trigger a claim denial?

For example, a client’s periodontal service was coded D4341 instead of D4346, and the payer flagged the claim. We corrected the code, resubmitted within 24 hours, and the claim was accepted and paid.

Our Dental Revenue Cycle Management Workflow

We combine human expertise with AI automation to manage every stage of the revenue cycle:

Patient Eligibility & Verification

Treatment Plan Review & Cost Estimates

Accurate CDT & CPT Coding

Claim Submission

Payment Posting & Adjustments

Denial Management

A/R Monitoring & Cleanup

Patient Billing & Collections

Custom & Ad Hoc Reporting

Prevent Revenue Loss from Cosmetic Claim Denials

Missing documentation can label medically necessary procedures as cosmetic. We ensure every claim includes:

We Bridge the Gap Between Dental Practices and Insurance Payers

Our dental insurance billing solutions combine accurate coding with detailed payer rule checks to keep claims error-free. Each insurance claim is reviewed to protect reimbursements and strengthen provider–payer relationships.

Annual Maximum
The yearly cap a dental plan will pay per patient. We track this for every patient, so you don’t provide treatment without knowing what the plan will cover.
The maximum a plan will pay for a covered service. In PPO/HMO networks, this is the contracted rate. Out-of-network? It’s usually the Usual, Customary & Reasonable (UCR) amount. We ensure your claims match the payer’s allowance so you’re paid the maximum without violating network agreements.
The fixed amount the patient must pay before benefits kick in. We verify it before every claim to avoid surprise out-of-pocket costs for your patients.
Whether it’s a flat $10 fee for a filling under an HMO or 20% coinsurance on a PPO plan, we calculate patient portions accurately before submission.
Some out-of-network dentists can bill patients the difference between their fee and the plan’s allowance. In-network? You generally cannot. We apply these rules correctly so you stay compliant and avoid patient disputes.
From annual maximums to orthodontic lifetime caps, we track every benefit limit. If a plan has carry-over provisions, we use them strategically to maximize reimbursement.
Two plans? No problem. We know when to bill the primary first and how to file secondary claims without exceeding allowable amounts. We also follow state and federal COB mandates — including Medicaid’s payer-of-last-resort rules.
We secure and document AOBs so insurers pay you directly — not your patient.
We review every EOB to confirm correct payment, spot underpayments, and flag denials for appeal.
We verify benefits even after job changes or policy updates to avoid treating ineligible patients.

When Was the Last Time You Checked Your Credentialing Status?

Our dental credentialing service manages CAQH updates, Medicare/Medicaid enrollments, and PPO re-credentialing to keep your claims flowing without interruption.

Extensive Payer Network for Faster Claim Processing

Dastify Solutions maintains live, tested connections with every major dental and dental–medical payer in your state — including (but not limited to):

We understand that coverage details and network participation can vary significantly between plans. Our system includes a comprehensive, searchable payer list that can be filtered by claim type, including dental claims. Users can quickly locate payers by name or ID. If a payer is not already connected, a request can be submitted for new payer setup. This ensures no patient’s treatment is delayed due to missing connectivity.

Missing revenue from unbilled CDT codes, outdated PPO fee schedules, or forgotten secondary claims?

Get our free dental billing health check to find every leak and boost your collections.

Discover Why 150+ Practices Nationwide Rely on Faster Claim for Dental Billing

Revenue Growth

Clients experience up to 35% higher revenue through accurate coding, faster claim submissions, and proactive denial management.

Trusted Compliance

We follow strict HIPAA, SOC 2, ISO 9001, and HITRUST standards to keep your patient data safe and claims fully compliant.

Lower Operational Costs

Outsourcing dental billing services to Dastify Solutions can reduce your overhead by up to 50%, eliminating staffing and software expenses.

Scalable Services

Whether you run a small, medium, or large practice, our solutions adapt to your needs while maintaining accuracy and efficiency.

24×7 Expert Support

Our team of certified billing professionals is available around the clock to handle claims, answer questions, and resolve issues quickly.

Love Your Current Dental EHR? We Work With It!

We connect with 50+ dental EHR systems, PACS, and integrated RIS. This keeps billing, scheduling, and reporting running smoothly without disrupting your workflow.

Our Satisfied Clients

Discover how physician groups thrive with us.

Frequently Asked Questions

How is your dental billing pricing structured?
We offer transparent, no-hidden-fee pricing for dental insurance billing solutions. Plans are customized based on claim volume, specialty, and service scope, so you only pay for what your practice needs.
Unlike many dental billing companies that stop at claim submission, our dental billing services include CDT 2025 readiness, AI-powered claim tracking, and payer-specific compliance checks. This approach lowers claim denials, speeds up reimbursements, and ensures workflows fit your practice’s needs.
Our dental billing team is trained on all CDT 2025 code updates, including new descriptors, removed codes, and revised guidelines. Every claim is reviewed for correct coding, accurate modifiers, and payer compliance to protect your practice from rejections.
Yes. We manage the full dental revenue cycle, from insurance claim submission to follow-up, as well as patient billing. Patients get easy-to-read bills, safe text-to-pay links, and interest-free plans that improve collections.
Using outdated or incorrect CDT codes can trigger downcoding, partial payment, or full denial from PPO plans. CDT 2025 compliance ensures you are billing under the correct fee schedule and avoiding unnecessary write-offs.
Secondary claims capture revenue from patients with multiple coverages. If left unfiled, practices miss a significant portion of reimbursements. Automated secondary claim workflows ensure nothing is left unpaid.
Procedures like surgical extractions and implant placements often require radiographs, periodontal charting, or narrative notes for approval. Missing these can delay payment by weeks.
Each payer has unique filing windows—some as short as 90 days. Tracking these deadlines and submitting claims promptly is essential to prevent permanent revenue loss.

Outsource the Best Dental Billing Solutions in the USA

Nationwide reach, payer-specific expertise, and AI-assisted automation make Dastify Solutions the trusted choice for: