Maryland dental practices require a billing partner who understands the Maryland Healthy Smiles Dental Program, evolving payment reforms from the Maryland Insurance Administration, and compliance standards set by the Board of Dental Examiners. TransDental’s dental billing services in Maryland combine deep local regulatory expertise with national revenue cycle management excellence to make billing smooth, speed up reimbursements, and ensure multi-payer coordination for practices from Baltimore to Silver Spring.
TransDental turns Maryland’s complex billing landscape into a predictable cash flow. With a 98% clean claim rate and 99% client retention, our clients see consistent collections, fewer denials, and faster payments. Trusted by solo providers, group practices, and DSOs across Maryland, TransDental is the top dental billing company in Maryland for practices ready to reclaim lost revenue.
Here’s what we deliver:
Dental practices across Maryland are tasked with offering quality care to patients while also meeting regulatory compliance for smooth claims submissions.
With the Maryland Healthy Smiles Dental Program expanding to include adults in 2023, practices face an influx of new patients and new billing rules. Maryland’s Medicaid now covers crowns, endodontics, and preventive care for adults, but the administrative demands are high. Errors in coding or missing prior authorizations can trigger automatic denials, delaying payments for weeks.
Maryland’s 2025 legislative reforms require insurers to disclose all transaction fees tied to electronic claim payments and mandate human oversight for AI-based claim denials. Practices relying on outdated billing workflows risk underpayments and compliance violations without realizing it.
Maryland’s ePREP credentialing system is designed for efficiency, but often causes onboarding delays when documentation or provider data is incomplete. For new associates, these delays mean weeks of out-of-network claims and 30-40% lower reimbursement rates.
Dentists must manage claims across multiple insurers like CareFirst, Delta Dental, Dominion, Cigna, Aetna, Humana, MetLife, and others, each with unique fee schedules, UCR methodologies, and benefit calculations. Without a centralized dental billing management in Maryland, staff lose 15–25 hours weekly just fixing denials and posting payments.
Dental practices in Maryland lose hundreds and thousands of dollars annually to claim denials, payment delays, and lack of follow-up. TransDental eliminates those hidden leaks. With TransDental’s dental billing solutions in Maryland, your office gains an automated system that tracks every dollar, freeing up your team to focus on patients instead of paperwork.
Maryland dental practices working with us see:
TransDental connects effortlessly with major Maryland 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 Maryland’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 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 Maryland:
TransDental is more than just another dental billing company. We’re your compliance-driven, Maryland-focused RCM partner.
Maryland Healthy Smiles Program Mastery
Certified Dental Billing and Coding MD Experts
Rapid Credentialing via ePREP System
Universal EHR Integration
HIPAA-Compliant RCM Billing Services
All Specialties Served (General, Ortho, Oral Surgery, Endo, Pedo, Perio)
Transparent Pricing & Dedicated Account Manager
Maryland has a unique mix of Medicaid and private payer regulations. The Maryland Healthy Smiles Dental Program (MHSDP), administered by DentaQuest, has its own set of CDT coverage rules, prior authorization requirements, and reimbursement structures. Additionally, Maryland law now requires human review for AI-based claim denials and mandates transparency around electronic payment fees. These policies make compliance and billing accuracy crucial for dental practices.
TransDental specializes in Maryland Healthy Smiles billing, from verifying member eligibility to handling EPSDT, adult dental, and orthodontic claims. Our team ensures proper CDT coding, tracks prior authorization status, and appeals denials efficiently. We also help recover Medicaid payments within 48 hours of posting, eliminating the typical lag in Maryland’s state payment processing.
Maryland requires all dental providers enrolling in Medicaid or updating their licenses to use the ePREP credentialing system. TransDental manages this entire process, including document preparation, revalidations, and ongoing follow-ups, so your new dentists can begin billing in-network faster and avoid lost revenue during credentialing delays.
We work with all major payers in Maryland, including CareFirst BlueCross BlueShield, Delta Dental, Dominion National, Aetna, Humana, UnitedHealthcare, MetLife, and Cigna, along with Maryland Healthy Smiles for Medicaid members. Our system supports electronic claims and remittance through these carriers to ensure fast, compliant submissions and payment posting.
Outsourcing to a professional dental billing company in Maryland, like TransDental cuts administrative costs and boosts collections. Our Maryland clients typically see:
Outsourcing also ensures compliance with Maryland’s new insurance transparency and payment rules, protecting your practice from costly payer disputes.
Prioritize companies with Maryland-specific experience, particularly with Maryland Medicaid (Medical Assistance Program/Healthy Smiles) and major Maryland payers like CareFirst BlueCross BlueShield, UnitedHealthcare, Aetna, Cigna, 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.
TransDental’s billing experts have in-depth knowledge of Maryland’s various payer policies, ensuring clean claim submission, complying with rules, and securing quick recovery with maximum collections.
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.
