Florida dental practices face unique billing challenges that demand specialized expertise. TransDental delivers revenue cycle management solutions designed specifically for dental practices throughout Florida; from solo practitioners in Miami to multi location practices across the Panhandle and Central Florida.
TransDental masters Florida’s billing chaos so you don’t have to. With a 98% clean claim rate and 99% client retention, practices that switch never look back.
Trusted by solo providers and multi location DSOs across all dental specialties in Florida.
Florida’s dental billing landscape presents obstacles that drain your time, frustrate your staff, and leave money on the table. Here’s what’s costing you:
Florida Medicaid dental is managed through multiple MCOs, each with its own authorization, fee, and documentation rules. Handling Sunshine Health, UnitedHealthcare Community Plan, WellCare, and others leads to denials from small errors and lengthy appeals, causing many practices to write off tens of thousands each year.
Your practice handles Florida Medicaid managed care, Medicare Advantage, Delta Dental of Florida, and major PPOs like Guardian, MetLife, Cigna, Aetna, UnitedHealthcare, Florida Blue, Humana, plus regional plans, all with different fees, coverage rules, and submission requirements. This complexity adds 15–25 hours of admin work weekly.
The American Dental Association updates Current Dental Terminology codes annually. Miss these changes and your claims get denied automatically. Training staff on new codes disrupts your practice and temporarily tanks your collection rate.
Florida's seasonal population swings create billing complexity. Patients with out-of-state insurance, winter residents with dual coverage, and tourists needing emergency care all require special handling. Coordination of benefits becomes exponentially more complicated.
Florida dental practices lose between $75,000 and $150,000 annually to billing inefficiencies. Denied claims that never get appealed. Aging accounts receivable that slip through the cracks. Underpayments from insurance companies that go unnoticed. Coding errors that trigger automatic rejections. TransDental eliminates these hidden profit drains. Our Florida-specific expertise, MCO-focused knowledge, and relentless attention to detail transform your revenue cycle from a constant headache into a reliable revenue generator.
The HFMA estimates that outsourcing billing can save dental practices $60,000-$120,000 annually by reducing claim denials, accelerating payments, and eliminating the overhead costs of in-house billing staff. Our clients typically see these results:
TransDental connects effortlessly with major Florida practice systems. Our cloud RCM syncs in real time, removes duplicate entries, submits claims, and posts payments with no workflow disruption.
Stop wrestling with billing problems and start collecting what you’ve earned. TransDental masters Florida’s regulations, payer requirements, and coding nuances that make or break your revenue cycle.
Most practices lose 15-20% of collectible revenue to billing errors they never see. Our free audit catches the money you're leaving on the table; denied claims, underpayments, coding mistakes. No commitment, no catch. Just a clear picture of what's costing you and how to fix it.
Patient shows up, gets treatment, then, surprise, their insurance lapsed last month. We verify every patient's coverage before they walk through your door. Real-time checks, accurate benefits, zero surprises. Focus on dentistry, not damage control.
Credentialing delays cost you patients and revenue every day. We handle applications, follow-ups, re-credentialing; so you can start seeing in-network patients months sooner. We deliver seamless enrollment for you.
Your front desk shouldn't be your billing department. We handle claims submission, payment posting, denial management, and patient statements. Higher collection rates, faster payments, zero billing headaches. That's the deal.
From eligibility checks to final payment, we own your entire revenue cycle. Every claim tracked, every denial fought, every dollar collected. Complete visibility into your practice finances without doing any of the work. More money in, less time wasted.
Your team is drowning in repetitive tasks that steal hours from patient care. Our RPA automates insurance verifications, claim checks, payment posting, and appointment reminders. It works 24/7 free from human errors.
You don’t just outsource Revenue Cycle Management to TransDental, you gain a partner who accelerates your cash flow. We handle verification, claims, and collections with precision, so you get paid faster and earn sooner.
TransDental partners with dental practices of all sizes and specialties across Florida:
TransDental delivers Florida focused expertise, proven results, and seamless technology that transforms your revenue cycle.
Florida Medicaid MCO Mastery
Certified Coding Excellence
Rapid Credentialing Support
Universal EHR Integration
All Specialties Served
98% Clean Claims
Transparent Pricings
Dedicated Account Manager
TransDental specializes in Florida dental practices, giving us unmatched expertise in Florida Medicaid managed care, MCO requirements, Medicare Advantage dental plans, and state-specific payer regulations. Our 98% first-pass clean claim rate and 96% client retention rate reflect our commitment to excellence.
Florida’s statute of limitations for dental billing is generally five years from the date of service for written contracts and four years for oral agreements. However, insurance companies have much shorter filing deadlines—typically 90-180 days. Florida Medicaid MCOs generally require submission within 60-90 days of service depending on the plan. Missing these deadlines forfeits your right to payment, which is why timely claim submission is critical.
Yes, most Florida Medicaid managed care plans require prior authorization for procedures above certain dollar thresholds or for specific procedure categories. Authorization requirements vary by MCO—Sunshine Health may require pre-auth for procedures over $200, while WellCare may have different thresholds. Generally, this includes orthodontics, surgical extractions, extensive restorative work, crowns, bridges, and dentures. The authorization process typically takes 7-45 days depending on the MCO and complexity. TransDental manages this process across all Florida MCOs to ensure approvals are secured before treatment begins.
Florida Medicaid dental operates through managed care organizations (MCOs) in most counties. Instead of billing the state directly, you bill the MCO that manages the patient’s benefits; Sunshine Health, United Healthcare Community Plan, WellCare, Simply Healthcare, or Staywell. Each MCO has its own fee schedule, authorization requirements, and claims submission portals. TransDental maintains expertise across all Florida MCOs to ensure maximum reimbursement regardless of which plan your patients have.
Yes, unpaid patient balances can be sent to collections. Florida follows the Fair Debt Collection Practices Act and has additional state regulations governing collection practices. TransDental handles patient billing with professionalism and HIPAA compliance, maximizing collections while maintaining positive patient relationships and legal compliance.
Prioritize companies with Florida-specific experience, particularly with Medicaid managed care organizations, Medicare Advantage dental plans, and major Florida payers like Florida Blue. Verify they employ certified dental coders, maintain HIPAA compliance, integrate with your practice management software, and provide transparent reporting. Ask about their experience with Florida’s MCO system, first-pass claim rate, average days in A/R, denial management success rate, and client retention rate—these metrics reveal true performance. Florida’s unique payer landscape requires specialized expertise that generalist billing companies simply don’t have.
If your Florida dental practice is ready to maximize reimbursements, eliminate billing headaches, and recover the revenue you’ve been leaving on the table, TransDental is ready to help.
Real Results. Real Practices. Real Success. Read What Our Clients Have to Say.
Switching to TransDental was the best decision for my practice. Claims are processed faster, collections have improved, and the team feels like an extension of my staff.
I used to spend hours chasing insurance payments, but now I can focus on my patients while TransDental handles everything. Their attention to detail is unmatched.
From day one, TransDental took time to understand how our practice works. The transition was smooth, and within the first month, our revenue increased. Highly recommend them!
TransDental has reduced our claim denials and improved cash flow significantly. I appreciate their transparency and the way they keep us updated every step of the way.
It’s rare to find a dental billing company that truly cares about your success. TransDental’s professionalism and quick response times make them a valuable partner for any practice.
