TransDental’s specialized cosmetic dentistry billing and coding services ensure you collect every dollar you’ve earned while you focus on creating beautiful smiles.
Cosmetic dentistry billing is complex due to elective coding, limited insurance coverage, and patient payment expectations. TransDental handles aesthetic procedure coding, dual cosmetic-restorative coverage evaluation, patient financing coordination, and documentation to justify restorative necessity, ensuring compliant collection and maximizing legitimate reimbursement.
Our Track Record Speaks for Itself:
40% Reduction in Account Receivables Over 90 Days
Same-Day Patient Account Resolution and Follow-Up
200K+ Successfully Processed Dental Claims Monthly
50+ Dental Insurance Payers in Our Network Database
HIPAA-Compliant Secure Data Management and Reporting
Our full service cosmetic dental billing services manage every aspect of your revenue cycle, from patient registration to final payment posting. We don’t just process claims; we optimize your entire billing operation to maximize reimbursements and accelerate cash flow.
Cosmetic veneers and crowns often fall into a coverage gray area. We document medical necessity, code accurately, and distinguish cosmetic from restorative cases to maximize reimbursement and meet patient expectations.
Billing for dental implants needs to be precise across all phases of treatment. Our team handles surgical placement coding, coding for bone grafting and sinus lift procedures as well as coordination between oral surgeons and restorative dentists.
Purely cosmetic procedures need to be properly documented and adhere to established billing protocols. Our team manages all cosmetic procedures and responds to customer queries with responses that enhance your practice’s reputation.
Cosmetic claims face strict scrutiny, and coding mistakes can lead to audits and significant losses. TransDental’s team of specialists stays current on CDT codes and insurance policy updates, achieving 99%+ accuracy to prevent denials.
TransDental diligently verifies cosmetic dental insurance coverage prior to treatment. Our verification protocols prevent potential payment disputes and improve case acceptance by providing accurate financial information upfront.
Cosmetic procedures often require pre-authorization from insurance carriers. TransDental handles the full process, preparing clinical justification with radiographs and diagnostic images and following up with insurers for timely decisions.
Our team of cosmetic dental billing and coding experts diligently handles electronic claims submission within 24 hours of treatment, paper claims for insurers without electronic options and attachment of all requisite documentation.
Even properly coded cosmetic claims are often denied as insurers look to limit payment. TransDental identifies denial patterns, fixes coding or documentation issues, and submits strong, clinically supported appeals to recover your revenue.
Clarity in your cosmetic dentistry revenue cycle supports better decisions. We provide comprehensive reports on case acceptance, reimbursement averages, approval times, and patient payment rates to increase profitability.
TransDental offers revenue cycle management services designed for every dental specialty. We help you uncover hidden revenue opportunities, improve billing accuracy, and enhance your practice’s financial performance.
Many cosmetic dental practices believe handling billing in-house saves money. However, the true costs often remain hidden:
Including benefits, training, turnover, and lost productivity, an Cosmetic Dental biller costs $45,000–$60,000 annually.
Billing software, clearinghouses, EDI connections, and regular updates require significant ongoing investment.
Coding changes, insurance policy updates, and regulatory requirements demand continuous staff education.
Every hour your team spends on billing is time not spent on patient care, practice growth, or revenue-generating activities.
Coding errors, missed charges, incomplete documentation, and lack of follow-up can cost practices 20-30% of potential revenue.
The average dental practice has a denial rate of 15-20%. Each denied claim requires 30-60 minutes to research, correct, and resubmit.
HIPAA violations, audit exposure, and documentation errors can lead to costly fines and delayed payments. Constant oversight is essential to stay compliant.
Increased paperwork, coordination and follow-ups, strain your front office, increase your costs, reducing efficiency and patient focus.
We believe in transparent pricing and delivering exceptional value. Our general dentist billing and coding services are priced as a percentage of collections, which means:
When you outsource RCM Services To TransDental, we function as an extension of your dental practice , supporting your staff and ensuring that your revenue stream keeps increasing and flowing seamlessly.
Cosmetic dental practices face distinct complexities that set them apart from general dental practices. Our team of cosmetic dental billing specialists are fully experienced and equipped to address all of these challenges. Some of these challenges are:
Time spent dealing with billing complexities is time taken away from patient care and creating beautiful, life-changing smiles. Free yourself from administrative burdens with TransDental’s specialized cosmetic dental billing services and focus your attention on delivering exceptional aesthetic outcomes for your patients. From determining insurance coverage for aesthetic procedures to documenting medical necessity and coordinating patient payment plans, our team understands the unique complexities of cosmetic dental claims.
Our medical billing services adhere strictly to CMS Laws and HIPAA guidelines
TransDental’s cosmetic dental billing services free you from administrative burdens, allowing you to focus on providing exceptional dental care to your community.
Insurance claim preparation and submission
CDT and medical cross-coding for hybrid procedures
Pre-authorization and eligibility verification
Payment posting and EOB reconciliation
Patient invoicing, financing, and collection support
HIPAA-compliant reporting and analytics
Dedicated Support Team Available 24/7
Cosmetic dental billing requires specialized expertise in distinguishing aesthetic intent from restorative necessity and documentation that general dental billing doesn’t encounter. The complexity lies in determining insurance coverage for procedures with dual cosmetic and functional benefits, documenting medical necessity to justify restorative claims for aesthetic procedures, coordinating insurance-covered portions with patient-pay components, managing patient payment plans for elective treatments, coding smile makeovers involving multiple procedures, and navigating payer policies that typically exclude purely aesthetic treatments like teeth whitening, bonding for cosmetic enhancement, and elective veneers.
TransDental evaluates each procedure based on clinical documentation, treatment necessity, and payer-specific policies to determine legitimate insurance coverage versus patient responsibility. Our specialists understand which aesthetic procedures qualify for insurance when restorative necessity exists (such as veneers for fractured teeth or crowns for structural integrity), proper documentation requirements to justify medical necessity, coordination of benefits when treatment includes both covered restorative and non-covered cosmetic components, and transparent patient communication about coverage determinations to prevent surprise bills and maintain trust.
TransDental offers comprehensive cosmetic dental billing including insurance verification and benefits analysis for aesthetic procedures, accurate CDT code selection distinguishing cosmetic from restorative intent, medical necessity documentation for insurance-eligible aesthetic treatments, patient payment plan coordination and financing options, treatment plan breakdowns separating insurance-covered and patient-pay portions, pre-authorization handling when required for high-value restorative work, aggressive accounts receivable follow-up for both insurance and patient balances, denied claim appeals with comprehensive clinical justification, and detailed financial reporting with practice analytics.
Yes, TransDental manages patient payment coordination for elective cosmetic procedures including clear treatment estimates separating insurance coverage from patient responsibility, payment plan administration for high-value smile makeovers and full-mouth reconstructions, coordination with third-party financing companies like CareCredit and LendingClub, professional patient billing communications maintaining positive relationships, and collections services when necessary. Our team ensures transparent financial arrangements before treatment begins, reducing payment disputes and improving patient satisfaction with the cosmetic treatment experience.
TransDental works with cosmetic practices to establish proper documentation supporting restorative necessity for procedures with aesthetic benefits. We ensure clinical records include functional impairments, structural damage, or medical conditions justifying treatment, proper photography documenting pre-treatment conditions, detailed treatment narratives explaining restorative intent beyond cosmetic improvement, radiographic evidence supporting structural claims, and comprehensive documentation that withstands payer scrutiny. This approach maximizes legitimate insurance reimbursement while maintaining ethical billing practices and compliance with coverage policies.
Yes, TransDental integrates seamlessly with leading dental practice management systems including Dentrix, Eaglesoft, Open Dental, Curve Dental, and other major platforms commonly used in cosmetic practices. The team handles all technical setup to ensure smooth data flow without disrupting daily operations. All systems maintain HIPAA-compliant security with encrypted protocols, and each practice receives a dedicated account manager with 24/7 access for immediate support on coverage determination questions, documentation requirements, patient payment coordination, and claim status inquiries.
For every dental claim you’re processing in-house, you’re probably leaving money on the table. When you outsource cosmetic dentistry billing services to TransDental, you get to eliminate administrative burdens, maximize reimbursements across all procedure types and provide financial stability to your practice. Our team of specialists are ready to become your partners in practice success.
Real Results. Real Practices. Real Success.
TransDental recovered cosmetic claim denials, increased collections 27%, and handled all documentation for veneer and implant cases. We reclaimed hours every week.
They manage cosmetic and medical cross-coding for implants, grafts, and smile-rehab cases preventing billing errors and saving us the cost of an internal team.
TransDental shortened our A/R cycle from 44 to 24 days, reduced rejections to under 2%, and improved approvals for medically necessary cosmetic procedures. Reliable and fast.
