Louisiana’s dental practices face complex payer rules, Medicaid documentation standards, and strict billing regulations that make reimbursement challenging. TransDental delivers the expertise, technology, and precision your practice needs to thrive in this environment. Our dental billing services in Louisiana empower providers from Lafayette to New Orleans to earn more and faster while complying with 22:1157.1, R.S. 22:1156, and R.S. 22:1154.
TransDental takes the complexity out of dental billing Louisiana providers face every day. With a 98% clean claim rate, 99% client retention, and decades of combined experience, we help your team focus on patient care while we master Louisiana’s billing compliance and payer requirements. Here is how we help you maximize your collections smoothly:
Louisiana’s billing scene involves varying payer policies, strict state laws, and Medicaid protocols. Mastering all of that can drain time and profitability. Here’s what’s holding many practices back:
Louisiana Medicaid (LDH) requires providers to bill all third-party insurance first and maintain EPSDT records for six years. A single documentation error can result in claim denials. Both MCNA Dental and DentaQuest have unique authorization and submission rules that often confuse even seasoned teams.
Louisiana’s statutes R.S. 22:1157.1, 22:1156, and 22:1154 enforce strict standards for payment transparency, downcoding limits, and patient freedom of choice. Without compliance expertise, practices risk claim disputes and payer audits.
From Blue Cross Blue Shield of Louisiana (BCBSLA) to Humana, Aetna, and Medicaid MCOs, every payer has its own coding rules. The lack of a unified framework for Louisiana dental practices means hours wasted reworking rejected claims.
Crown restorations, dentures, and oral surgery often require prior authorization under Medicaid MCOs. Delays cost providers weeks of unpaid claims and frustrated patients.
Louisiana dental practices lose tens of thousands annually to billing errors, denied claims, and underpayments. TransDental eliminates those hidden losses. Our Louisiana-based dental billing management team ensures your claims meet every state, payer, and CDT requirement, turning compliance into profitability.
TransDental helps you achieve:
TransDental connects effortlessly with major Louisiana 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 Louisiana’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 Louisiana:
Louisiana dental billing isn’t just about submitting claims. It’s about understanding the laws, payers, and documentation standards that define successful claims reimbursement.
Expertise in Louisiana Medicaid, MCNA, DentaQuest, and BCBSLA
Full compliance with R.S. 22:1154–1157.1 and LDH record retention laws
Certified coding professionals trained in Louisiana-specific billing protocols
Rapid credentialing turnaround
Transparent pricing & dedicated account management
Proven record of 18% average revenue growth
Transparent, No-Hidden-Cost Pricing
Dedicated Kansas Account Manager
Louisiana dental practices must comply with R.S. 22:1157.1, which prohibits insurers from requiring payment only through virtual or credit card methods; R.S. 22:1156, which mandates transparency in “usual and customary” (UCR) fee calculations; and R.S. 22:1154, which protects patients’ freedom to choose their dentist. Compliance with these rules helps prevent underpayment and ensures billing accuracy across Medicaid and commercial plans.
Louisiana Medicaid, administered by the Louisiana Department of Health (LDH), is the payer of last resort, meaning all third-party coverage must be billed first. Providers must maintain detailed records for at least six years (or longer for EPSDT services) and follow claim protocols outlined in the MCNA or DentaQuest provider manuals, depending on the managed care organization (MCO).
Louisiana’s primary dental payers include MCNA Dental and DentaQuest for Medicaid members, while commercial coverage is largely provided by Blue Cross and Blue Shield of Louisiana (BCBSLA), Humana, and Aetna. Each carrier has its own billing and prior authorization requirements, making payer-specific expertise essential for timely reimbursement.
Providers often struggle with denials due to missing prior authorizations, incorrect CDT coding, and delays from coordination-of-benefits issues. Medicaid’s complex documentation rules and commercial payer discrepancies in UCR fee structures add further difficulty. Partnering with a billing specialist like TransDental helps reduce errors, shorten payment cycles, and maintain compliance.
TransDental’s Louisiana dental billing experts manage end-to-end claims, from verification and coding to appeals and compliance audits, while ensuring alignment with LDH and insurance regulations. Our team’s familiarity with local payer systems and Louisiana-specific laws enables faster collections, reduced administrative workload, and consistent cash flow.
Prioritize companies with Louisiana-specific experience, particularly with Medicaid (Louisiana Dental Program/LDP) and major Louisiana payers like Blue Cross Blue Shield of Louisiana, Humana, and Delta Dental. Verify they employ certified dental coders, maintain HIPAA compliance, integrate with your practice management software, and provide transparent reporting. Ask about their first-pass claim rate, average days in A/R, and client retention rate; these metrics reveal true performance.
By staying compliant with Louisiana’s dental billing rules and trends and submitting claims accurately, TransDental helps your practice earn more and generate profits for growth.
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.
