Running a dental practice in Maine means navigating a tightly regulated, payer-concentrated market shaped by MaineCare’s strict billing protocols, new reimbursement laws like LD 900, and detailed Dental Loss Ratio (DLR) reporting requirements. TransDental’s specialized dental billing services in Maine help practices across Bangor, Portland, Augusta, and Lewiston overcome these challenges by managing every aspect of the revenue cycle, ensuring compliance, faster reimbursements, and more time for patient care.
Maine’s dental billing landscape is one of a kind. Its Medicaid program, MaineCare, enforces precise billing requirements by the American Dental Association (ADA), while private carriers are required to follow strict transparency and payment method regulations. Being the top dental billing company in Maine, TransDental combines local knowledge with national expertise to maximize your collections. In addition to these benefits, we:
Maine’s billing challenges aren’t just operational; they’re legislative. Each claim, payment method, and fee schedule must comply with state-specific laws that change how you can bill and get paid.
MaineCare’s ADA Billing Instructions require strict code use, documentation standards, and prior authorization for certain restorative and specialty procedures. Even minor data entry errors can result in denials and weeks-long payment delays.
LD 900: Fee Control Restrictions Under LD 900, insurers can’t dictate how much you charge for non-covered services. This protects your right to bill patients fairly but requires precise coordination between benefit coverage and patient billing to stay compliant.
Since the 2022 State Plan Amendment (22-0030), adults on MaineCare now have access to comprehensive dental care. This opens up new claim reimbursement opportunities for providers, but also demands updated coding and claims management expertise.
Under Rule 835, all insurers must report their Dental Loss Ratio. For dental offices, that means more audits, tighter payer supervision, and stricter claims inspection. Proper revenue cycle management ensures you stay compliant while getting paid faster.
Maine practices lose tens of thousands annually to rejected claims, incorrect adjustments, and slow follow-ups. TransDental eliminates those hidden leaks. With TransDental’s dental billing solutions in Maine, your office gains a transparent, automated system that tracks every dollar, so your team can focus on patients, not paperwork.
TransDental helps you achieve:
TransDental connects effortlessly with major Maine 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 Maine’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 Maine:
TransDental combines MaineCare expertise, DLR-compliant workflows, and payer-specific mastery to deliver measurable results.
MaineCare & Delta Dental Experts
Certified Coding and Compliance Team
Rapid Credentialing Support
Universal EHR Integration
Transparent Pricing and Dedicated Account Managers
All Specialties Served
Maine dental practices face complex MaineCare (Medicaid) billing rules, frequent CDT updates, and strict documentation requirements under the MaineCare ADA Billing Instructions Guide. In addition, low reimbursement rates and high payer concentration, especially Northeast Delta Dental’s dominance, make accurate coding and fast claim follow-up essential to avoid revenue loss.
Under LD 900, dental insurers cannot control or limit the fee a dentist charges for services not covered by a patient’s policy. This gives providers more flexibility in setting rates, but also requires careful coordination between covered and non-covered services on billing statements to stay compliant with state insurance laws.
In 2022, Maine implemented State Plan Amendment (SPA) 22-0030, expanding MaineCare to include comprehensive dental coverage for adults. This significantly increased eligible procedures but also added new billing codes, prior authorization requirements, and documentation rules that practices must follow.
The Dental Loss Ratio (Rule 835) ensures insurers spend a fair share of premiums on actual dental care rather than administrative costs. For practices, this translates into more payer accountability and occasional audits. Efficient dental billing and RCM (revenue cycle management) help maintain compliance and reduce audit risks while improving payment turnaround.
Outsourcing to a professional dental billing company in Maine like TransDental can reduce denials by up to 35%, accelerate payments, and cut A/R days in half. Our local regulatory knowledge, covering MaineCare, Delta Dental, and commercial carriers, ensures compliance with state rules while boosting your collections by 15-25%.
Prioritize companies with Maine-specific experience, particularly with MaineCare (Maine’s Medicaid program) and major Maine payers like Anthem Blue Cross Blue Shield, Delta Dental of Maine, Northeast Delta Dental, and Harvard Pilgrim Health Care. 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.
TransDental’s Maine billing experts are well-versed with the rules of every payer, from Delta Dental to Anthem, complying with insurance regulations and securing successful claim reimbursements.
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.
