Premier Dental Billing Services in North Carolina (NC)

North Carolina dental practices deal with many billing challenges from Medicaid’s PHP rules and different payer requirements to strict prior authorizations and slow credentialing. TransDental provides North Carolina-focused dental billing and revenue cycle management for all types of practices, whether you’re a solo dentist, a group practice, or a multi-location DSO.

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North Carolina

Comprehensive Dental Billing & RCM Services in North Carolina (NC)

TransDental makes dental billing easier for North Carolina practices. With a 98% clean claim rate and a 99% client retention rate, we help you reduce billing problems, get paid faster, and keep your collections steady.

  • Manage NC Medicaid (NC Medicaid Direct + PHP plans) & 50+ commercial payers
  • Cut claim denials by 35% with precise CDT & ICD-10 coding
  • Fast-track credentialing with NC Medicaid & major insurers
  • Post payments within 24–48 hours
  • Collect old A/R in 21 days on average

Trusted by general dentists, pediatric dentists, oral surgeons, periodontists, and other specialties across North Carolina.

Dental Billing Challenges Faced by North Carolina Dental Practices

North Carolina’s dental billing comes with several challenges that can hurt your revenue. Here are the most common problems practices face:

NC Medicaid PHP Complexity

North Carolina uses Prepaid Health Plans (PHPs) for Medicaid, such as AmeriHealth Caritas, Healthy Blue, WellCare, UnitedHealthcare Community Plan, and Carolina Complete Health. Each plan has its own rules for authorizations, claim submissions, and provider portals, which makes dental billing confusing and takes extra time for practices.

Multiple Payer Requirements

Most dental offices in North Carolina work with NC Medicaid, Delta Dental NC, Blue Cross NC, Aetna, MetLife, Cigna, UnitedHealthcare, and other insurers. Each one has different deadlines and paperwork rules, which can easily lead to mistakes if not handled carefully.

Credentialing & Recredentialing Delays

Dentists in North Carolina must get credentialed separately with each Medicaid PHP and every commercial insurance plan. These approvals usually take 6–10 weeks, which slows down in-network payments and delays full reimbursements for the practice.

Frequent CDT Updates & State Policy Changes

North Carolina Medicaid changes its coverage rules often, and the ADA updates CDT codes every year. If your team uses an outdated code or misses a required note, the claim can get denied or paid at a lower rate.

Partner With TransDental & Stop Losing Revenue in North Carolina

Many dental practices in North Carolina lose thousands each year because of missing authorizations, mistakes with PHP billing, outdated codes, and slow follow-ups. TransDental helps stop these losses with certified dental coders, North Carolina–specific billing expertise, and advanced revenue cycle tools that keep your payments steady and accurate.

According to the Healthcare Financial Management Association (HFMA), outsourcing billing can save practices $60,000–$120,000 per year by lowering denial rates and speeding up A/R.

North Carolina practices working with us see:

  • 40% Reduction in A/R Over 90 Days
  • Denial rate under 3%
  • 12–18% rise in net collections
  • 15–25% increase in total revenue
  • Same-Day Patient Account Resolution & Follow-Up
Processed Claim Value
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Avg. A/R Collection Time
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Payment Posting
0 -48Hrs
Client Retention Rate
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Annual Claims
0 .7M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
0 %
Avg. Denial Reduction
0 %

Seamless Integration with North Carolina’s Leading Dental EHRs

TransDental connects effortlessly with major North Carolina practice systems. Our cloud RCM syncs in real time, removes duplicate entries, submits claims, and posts payments with no workflow disruption.

TransDental’s Premier Dental Billing Solutions in North Carolina

Stop wrestling with billing problems and start collecting what you’ve earned. TransDental masters North Carolina’s regulations, payer requirements, and coding nuances that make or break your revenue cycle.

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Dental Billing Audit in North Carolina

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.

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Dental Eligibility Verification in North Carolina

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.

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Dental Credentialing Services in North Carolina

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.

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Dental Billing Services in North Carolina

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.

Dental RCM Services in North Carolina

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.

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Dental Robotic Process Automation in North Carolina

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.

Partner with TransDental to Maximize Claim Settlements and Relieve Your Staff

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’s Premier Dental Billing Solutions in North Carolina

TransDental partners with dental practices of all sizes and specialties across North Carolina:

Why Choose TransDental?

TransDental delivers North Carolina-focused expertise, proven results, and seamless technology that transforms your revenue cycle.

NC Medicaid & PHP Expertise

Certified Dental Coders

Fast Credentialing Support

Smooth EHR Integration

All Specialties Supported

98% Clean Claim Rate

Transparent Pricing

Dedicated NC Account Manager

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Frequently Asked Questions About North Carolina Dental Billing

Which payers do you handle in North Carolina?

We manage dental billing in North Carolina for all major payers, including NC Medicaid (Direct + PHPs such as AmeriHealth Caritas, Healthy Blue, UHC, WellCare, and Carolina Complete Health). We also handle commercial plans like Delta Dental NC, Blue Cross NC, Aetna, Cigna, MetLife, Guardian, and more. Our dental billing solutions in North Carolina are designed to work smoothly across 50+ payers.

Credentialing for dental providers in NC usually takes 6–10 weeks, depending on the payer. PHP credentialing often takes longer without consistent follow-up. As a dental billing company in North Carolina, we manage the entire credentialing process to speed up approvals and reduce delays.

 

Yes. NC Medicaid requires prior authorization for many restorative, periodontal, orthodontic, and surgical procedures. Our eligibility verification team in NC ensures all required prior authorizations are completed correctly so your claims don’t get denied.

Absolutely. Our dental billing NC team integrates with all major dental software systems used across the state. Whether you use OpenDental, Eaglesoft, Dentrix, or cloud-based platforms, our dental billing management North Carolina services connect seamlessly with your workflow.

Yes. As one of the trusted dental medical billing companies in North Carolina, we follow all HIPAA compliance and encryption standards to keep your patient data fully protected. Security is a core part of our revenue cycle management process.

TransDental combines certified coders, North Carolina–specific expertise, and advanced RCM billing services to deliver faster collections, fewer denials, and cleaner claims. With our dental billing services in NC, you get accurate coding, stronger follow-ups, and complete transparency helping your practice grow without billing stress.

Ready to Improve Your North Carolina Collections? Let’s Talk.

If your North Carolina dental practice wants smoother billing, fewer denials, and faster payments, TransDental is ready to help.

Schedule your free revenue cycle analysis today.

Trusted by Dental Practices in North Carolina

Real Results. Real Practices. Real Success. Read What Our Clients Have to Say.

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