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Dental Billing Services
Dental Billing Services
Revix MD provides outsourced dental billing services for U.S. practices, from insurance verification and claim preparation to denial follow-up and aging accounts receivable. We support general dentists, specialty practices and DSOs with defined workflows and reporting that shows what is unpaid and what needs attention.
Our Approach
A Strategic Revenue Cycle Partner for U.S. Dental Practices
Dental billing connects patient coverage, clinical documentation, claim submission and payment follow-up. A missing attachment, an unresolved coordination of benefits issue or an overlooked payer request can leave a claim waiting for action.
Revix MD helps your practice organize these tasks into a consistent workflow. Before work begins, we agree on responsibilities, system access, reporting and the accounts included in the engagement.
Your team supplies clinical records and approves clinical decisions. Our revenue cycle management support focuses on accurately reporting documented services and following payer requirements.
Dental Claim Review
Reviewing documented procedures, claim details and payer requirements before submission.
Provider Network Verification
Checking provider network participation and coverage details relevant to each claim.
Nationwide DSO Support
Disciplined, measurable dental RCM strategies for solo practices through multi-location organizations.
Front-End Revenue Protection
Dental Insurance Verification Before Submission
Our eligibility verification services help your team check coverage details and identify questions before a claim is submitted:
Verification records what the plan reports at the time of the check. It does not guarantee payment. Final benefits depend on the plan, the documented service and claim adjudication.
Claim Submission
Dental Claim Preparation and Submission
We review patient and provider details, documented CDT codes, required narratives and attachments before submission. Claim acceptance and claim payment are separate stages:
277CA Monitoring
Track available clearinghouse acknowledgments and payer responses. Acceptance confirms receipt at that stage, not payment approval.
Attachment Optimization
Check required narratives, radiographs, periodontal charting and other supporting records against payer requirements.
Payer Compliance Checks
Payer-specific compliance checks
Pre-Submission Claim Review
Review missing information and claim errors before submission, then route exceptions for correction.
Site-of-Service Validation
Confirm the treatment location and applicable claim requirements for the documented service.
Quality Review
Pre-submission quality review
A/R Management
Dental A/R Follow-Up and Denial Resolution
Unpaid accounts need a documented next action. Revix MD reviews insurance aging reports, follows up with payers and records why a balance remains open.
Our denial management services address denial reasons, corrected claims and supported appeals. For older balances, accounts receivable recovery support reviews claim history, deadlines and remaining recovery options. Not every old balance remains collectible.
Oral Surgery Expertise
Advanced Oral Surgery Billing and Medical-Dental Cross-Coding
Some dental and oral surgery services may qualify under a medical plan when the policy and clinical documentation support coverage. Revix MD helps review the billing pathway and payer requirements within the agreed scope. There is no universal one-to-one conversion from CDT codes to medical claim codes, and medical reimbursement is not guaranteed.
Our expertise includes:
Maxillary & Mandibular Prosthesis Billing
Review prosthesis-related claims against the clinical record, current code descriptors and the applicable payer policy.
Photobiomodulation Therapy
Review documented treatment, applicable time increments and payer coverage before preparing a photobiomodulation claim.
Sleep Apnea Cross-Coding
Review sleep apnea appliance claims against plan requirements and the supporting clinical documentation.
Surgical Case Documentation
Identify the records and medical necessity documentation required for the specific surgical claim.
Current CDT Coding Review
Use the CDT code set applicable to the date of service. A new code does not establish insurance coverage. Review the documented procedure, current licensed coding guidance and payer policy before submission.
Prior Authorization
Dental Prior Authorization and Predetermination
Prior authorization and predetermination requirements vary by plan and procedure. Confirm whether a request is required before treatment and keep a record of the payer response.
Check the Applicable Plan Requirements
Check the patient plan, proposed treatment and required supporting records. Medical and dental benefit requirements may differ.
Record the submission date, reference number, payer response and any requests for further information.
An authorization or predetermination is not a guarantee of payment. Coverage, eligibility and documentation must still satisfy the plan requirements when the claim is adjudicated.
Integration
Support in Your Dental Billing Software
Revix MD supports billing workflows in Dentrix, Eaglesoft and Open Dental. During onboarding, we confirm your software version, access requirements and clearinghouse workflow.
Document access permissions, patient information handling and responsibilities before work begins. Review the applicable business associate agreement and security procedures during onboarding.
Dentrix
Eaglesoft
Open Dental
Confirm Your Practice Workflow
Confirm the functions available in your system and how claims, attachments and payer responses will be tracked. Specific integrations should be verified for your practice.
ReportingMeasurable Performance.
Measurable Performance.Transparent Reporting.
Healthcare revenue cycle management should be accountable. Revix MD provides structured KPI tracking and transparent reporting so practice owners and administrators can clearly evaluate performance metrics.
We continuously monitor:
Agree on each metric definition, reporting period and baseline. Claim acceptance, payment rates and collectible balances are different measures and should be reviewed separately.
Why Revix MD
Why U.S. Practices Choose Revix MD
Revix MD supports dental practices with an agreed scope of billing work and dedicated account communication. Your practice retains oversight of clinical records, financial policies and management approvals.
We deliver scalable solutions for solo practices and multi-location organizations alike, providing dedicated account management and consistent communication throughout the engagement.
Regulatory Compliance
Reviewing claim requirements for the applicable plan and documented service.
Defined Billing Workflows
Defined claim preparation and follow-up responsibilities within your existing workflow.
Denial Trend Review
Reviewing recurring denial reasons and identifying issues that need action.
Payer Follow-Up
Tracking payer responses and outstanding information requests through the agreed process.
Get StartedSchedule Your free Consultation
Optimize Your Revenue Cycle Today
Bring your billing concerns, software details and an overview of unpaid insurance accounts to the assessment. We will review the requested scope, responsibilities and next steps for a proposed engagement.
Frequently Asked Questions
What do dental billing services include?
Dental billing services can include insurance verification, claim preparation, submission tracking, payer follow-up, denial resolution and aging accounts receivable review. Revix MD supports solo practices, specialty groups and DSOs. The written agreement defines which tasks are included, reporting expectations and your practice responsibilities.
How much does outsourced dental billing cost?
Dental billing fees depend on the work included, claim volume, practice size and the condition of existing accounts. Request a written proposal covering the fee basis, any minimums, onboarding costs and historical A/R work. This page does not establish a dental-specific rate.
Will we lose control of our billing?
Your practice retains oversight of financial policies and access permissions. Agree on who submits claims, approves adjustments, handles patient questions and reviews reports before onboarding. Software access and responsibilities are confirmed for your practice.
Do you provide dental credentialing services?
Provider credentialing and network participation checks can be discussed during the assessment. Confirm which payer applications, renewals and follow-up tasks are included in your agreement. Enrollment does not guarantee participation or payment.
How quickly can results improve?
The timeline depends on the starting backlog, documentation, payer processing and work assigned. Establish baseline measures and review progress at agreed intervals. A fixed improvement date or collection percentage cannot be promised for every practice.
Does dental billing use CPT or CDT codes?
Dental claims generally report procedures using CDT codes. Medical claims use the applicable medical procedure and diagnosis coding requirements. Some dental services may qualify under a medical plan, but there is no universal one-to-one conversion or automatic medical coverage.
Do you handle denied and previously aging claims?
Yes. Revix MD reviews aging insurance accounts and follows up on claims within the agreed scope. Recovery depends on claim history, coverage, documentation and filing or appeal deadlines. Not every old balance remains recoverable.
How do you ensure compliance with payer regulations?
Claims should reflect documented services, current coding guidance and the applicable payer policy. Coverage and documentation requirements vary by plan. Insurance verification, authorization and claim acceptance do not guarantee payment.
