Pennsylvania dental practices are stuck between the Commonwealth’s complex insurance regulations and Medical Assistance (MA) billing requirements. TransDental resolves that with its customized dental billing services in Pennsylvania designed for solo practices, group clinics, and DSOs navigating Acts 68, 186, and Medicaid’s strict payment conditions. We make compliance easier, speed up reimbursements, and eliminate the strain of insurance billing, so your team can focus on patient care, not paperwork.
From Harrisburg to Philadelphia and Pittsburgh, dental offices trust TransDental to deliver revenue cycle management excellence that drives consistent, predictable growth. Our mastery of dental billing Pennsylvania regulations helps practices grow with 98% clean claim rate and 99% client retention. Moreover, we:
Pennsylvania’s dental billing management landscape is administratively very complex. From Medical Assistance restrictions to multi-payer chaos, here’s what holds many practices back:
Pennsylvania’s Medical Assistance program (Title 55 Pa. Code §1149.52) enforces complex prior authorization rules for dentures, crowns, and orthodontics. Adults face strict limits: one exam every 180 days, and dentures once in a lifetime without a Benefit Limit Exception. Low reimbursement rates drive 40% of dentists away from Medicaid entirely, leaving millions of patients underserved.
Between Delta Dental, Aetna, MetLife, UnitedHealthcare, and IBX, each payer has set up different fee schedules and submission formats. Practices lose 15–25 hours weekly managing claim rejections, missing attachments, or payer-specific edits that delay payments.
Insurance credentialing in Pennsylvania can take months. During that time, new providers are forced to see patients out-of-network, losing about 30-40% in reimbursements. TransDental’s automated credentialing workflows eliminate this revenue gap.
While Acts 68 and 186 protect providers from delayed payments and fee restrictions, payers still bundle services or set administrative hurdles. Without supervision from industry experts, practices lose up to 15% in collectible revenue due to improperly bundled claims and non-covered service errors.
Inaccurate claims and subsequent claim denials can result in losses of thousands of dollars for Pennsylvania dental practices. TransDental’s state-specific dental billing solutions Pennsylvania models eliminate these billing loopholes with precise coding, payer compliance, and relentless follow-up.
Our RCM billing services ensure:
TransDental connects effortlessly with major Pennsylvania 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 Pennsylvania’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 Pennsylvania:
TransDental delivers expertise in dental billing and coding PA, backed by results proven in numbers:
Mastery of Acts 68, 186 & HB 1664 billing protections
Certified dental coders and MA billing experts
Automated credentialing & verification workflows
Integration with all major EHRs
Transparent pricing, no hidden fees
Dedicated account manager support
Pennsylvania’s dental billing environment is shaped by strict insurance laws like Act 68 (Prompt Payment) and Act 186 (Non-Covered Services). These laws protect dentists from delayed payments and unfair fee restrictions, but navigating compliance, payer rules, and Medicaid billing requirements (Title 55 Pa. Code §1149.52) can be challenging without expert support.
Our dental billing services in Pennsylvania include full compliance with DHS regulations for Medical Assistance (MA). We manage prior authorizations, benefit limit exceptions, and claim submissions to ensure clean claims and faster reimbursement, even under Pennsylvania’s restrictions on adult benefit limits.
Our dental billing company in Pennsylvania works with all major payers, including Delta Dental, Aetna, UnitedHealthcare, MetLife, Cigna, Humana, and Independence Blue Cross (IBX). We manage multi-payer requirements, coordinate benefits, and ensure your claims comply with each insurer’s rules to minimize denials.
TransDental provides dental credentialing and RCM billing services to enable provider enrollment with commercial payers and Medicaid. We handle applications, re-credentialing, and follow-ups so your new providers can see in-network patients months sooner.
Outsourcing to TransDental typically reduces denials by 35%, cuts A/R days in half, and increases net collections by 12-18%. Our dental billing management Pennsylvania team ensures clean claims, rapid payment posting, and transparent reporting, helping your practice recover revenue lost to billing errors or payer delays.
Our dental billing and coding platform integrates easily with Eaglesoft, Dentrix, Open Dental, and other major systems used in Pennsylvania. This ensures real-time eligibility checks, automatic payment posting, and complete visibility over your revenue cycle, without disrupting your workflow.
From Scranton to Erie, TransDental empowers practices with dental billing services in PA that make compliance smooth, recover revenue fast, and protect your practice. Partner with us and reclaim every dollar you’ve earned.
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.
