Running a dental practice in Kentucky means being stuck in managing Medicaid managed care rules, fee schedules, and prior authorization requirements that can turn even simple claims into major administrative headaches. TransDental delivers specialized dental billing services in Kentucky, built for your state’s unique regulatory and payer environment, from Lexington and Louisville to Bowling Green and Pikeville.
Our Kentucky-focused dental billing company manages every part of your revenue cycle with precision and compliance, so your team can focus on patient care while we handle the paperwork. Moreover, with a 98% clean claim rate and 99% client retention, our partners across the Bluegrass State enjoy faster payments, fewer denials, and stronger revenue cycles.
From solo dental practices to DSOs, TransDental’s dental billing management in Kentucky delivers the consistency, compliance, and visibility your practice needs to thrive.
Kentucky’s dental billing scene can be tough to navigate. Dentists deal with complicated Medicaid rules, several MCOs, and uneven reimbursement rates, making precise billing more important than ever.
Kentucky Medicaid (under 907 KAR 1:126) requires verification of patient eligibility through the KYHealth-Net system before treatment, and strict adherence to timely filing limits (12 months). Claims are edited under the NCCI and McKesson Claim Check systems, and every MCO, including Anthem, Humana, Aetna, WellCare, Passport by Molina, has its own claim submission and appeal process.
Per 907 KAR 1:026, Section 15, procedures like crowns, sealants, and dentures require prior authorization. FFS approvals go through CareWise, while each MCO manages its own PA system. Missing a PA can lead to a full denial, and providers can’t bill patients if it’s due to their own failure to obtain authorization.
Kentucky’s Medicaid FFS reimbursement sits below 50% of average charges—43.3% for children and 41.4% for adults—leading many practices to struggle with profitability and provider retention.
Credentialing through MCOs like Humana Healthy Horizons or Anthem/DentaQuest can delay in-network status by months. During this time, providers must see patients as out-of-network, reducing reimbursement by 30–40%.
Kentucky dental practices lose tens of thousands annually to denials, underpayments, and administrative inefficiencies. But our Kentucky-specific expertise turns your billing process into profitable revenue.
And we’re not just a dental billing company in Kentucky. We’re your full revenue cycle management (RCM) partner, ensuring compliance with KRS 313 and 907 KAR regulations while maximizing every dollar you earn.
TransDental helps you achieve:
TransDental connects effortlessly with major Kentucky 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 Kentucky‘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.
TransDental partners with dental practices of all sizes and specialties across Kentucky:
Being a trusted dental billing company in Kentucky, TransDental combines local expertise, proven results, and high-end RPA solutions to transform your revenue cycle.
Kentucky Medicaid & MCO Expertise
Certified Dental Billing and Coding Professionals
Rapid Credentialing & PA Management
Universal EHR Integration
Transparent Pricing & Dedicated Account Managers
98% Clean Claim Rate
Transparent, No-Hidden-Cost Pricing
Dedicated Kansas Account Manager
Kentucky’s Medicaid dental billing rules are outlined in 907 KAR 1:126. All providers must verify patient eligibility through KYHealth-Net or the Automated Voice Response System before treatment. Claims must follow CDT coding standards and be submitted within 12 months of the date of service (or six months from the Medicare pay date). Failure to meet these timelines or coding standards often leads to denials.
For Fee-For-Service (FFS) patients, prior authorizations are handled by CareWise. For Managed Care Organization (MCO) members, each MCO, such as Anthem (DentaQuest), Humana, Aetna, WellCare, and Passport by Molina, has its own PA submission process. Services like crowns, root canals, dentures, and orthodontics typically require pre-approval under 907 KAR 1:026, Section 15.
TransDental works directly within each MCO’s claim portal (DentaQuest for Anthem, Availity for Humana, etc.) to submit, track, and appeal claims. Our specialists follow each plan’s unique reimbursement rules and maintain updated contact with MCO representatives to ensure fast resolutions.
In recent years, Kentucky expanded adult Medicaid dental benefits to include restorative care such as fillings, crowns, dentures, and certain surgical procedures. These services are still subject to medical necessity and prior authorization rules outlined by CHFS.
Based on 2024 data, Kentucky Medicaid reimburses approximately 43.3% of average dentist charges for children and 41.4% for adults. This rate is among the lowest in the region, making efficient billing and claim accuracy critical to maintaining practice profitability.
Our Kentucky-focused revenue cycle management (RCM) billing services optimize every step of your billing process. We reduce denials by 35%, post payments within 48 hours, and recover outstanding A/R in an average of 21 days. Practices typically see a 15–25% increase in overall revenue after partnering with TransDental.
TransDental’s RPA solutions help manage your entire dental billing and RCM with speed and precision, ensuring maximum claims recovery for your Kentucky dental practice.
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.
