Dental practices in West Virginia face a challenging billing environment shaped by strict Medicaid rules, low payer participation, and complex Assignment of Benefits rules. TransDental makes it easier. We provide specialized dental billing services in West Virginia, helping solo providers, group practices, and DSOs navigate state-specific regulations, manage insurance complexities, and boost collections, without the headaches.
Trusted by providers across every specialty, TransDental delivers end-to-end revenue cycle management designed for West Virginia’s unique oral health landscape. Our billers resolve the complexities of the dental billing West Virginia framework, so your team doesn’t have to. With a 98% clean claim rate and 99% client retention, our clients enjoy faster payments, fewer denials, and higher revenue stability.
West Virginia’s dental practices navigate one of the most complex reimbursement systems in the country. Here’s what’s draining time and revenue:
Under WV Code §9-5-12a, adult dental benefits are capped at $2,000 every two years, requiring precise benefit tracking, accurate pre-authorizations, and tight billing control. Missed monitoring can trigger non-reimbursable claims and patient disputes.
Only 28.5% of dental offices accept Medicaid, and new patient wait times average 70+ days. Limited access increases billing backlogs, delayed payments, and complex coordination across referral systems.
Dentists must handle multiple commercial carriers like Delta Dental, Humana, Cigna, and Aetna, each with distinct documentation rules. Inconsistent EOBs and portal submissions waste hours weekly, straining your staff and slowing collections.
West Virginia providers face slow credentialing with Medicaid MCOs (Aetna Better Health, Wellpoint), often delaying reimbursement for months. These delays can reduce first-year revenue by up to 40% without expert management.
West Virginia dental practices lose tens of thousands annually to denials, underpayments, and poor tracking of benefit caps. Our dental billing company in West Virginia eliminates these billing gaps through automation, state-specific compliance, and consistent payer pursuit.
Our RCM billing services ensure:
TransDental connects effortlessly with major West Virginia 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 West Virginia’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 West Virginia:
TransDental empowers dental billing services in WV by leveraging expertise in West Virginia state laws and multiple payer policies, ensuring your claims are reimbursed fast.
Expertise in WV Medicaid (Mountain Health Trust) and LIBERTY Dental Plan policies
Certified coding accuracy and compliance with WV Code §§33-25-22, 33-6-39, and 9-5-12a
Real-time benefit tracking for capped Medicaid dental benefits
Rapid credentialing and payer enrollment support
Seamless EHR integration
Transparent pricing and a dedicated account manager
Proven results trusted by dental practices statewide
West Virginia’s Medicaid program limits adult dental benefits to $2,000 every two years and enforces strict Assignment of Benefits laws, making compliance and tracking essential for accurate reimbursements.
TransDental’s billing experts handle every stage of Medicaid claims, from pre-authorizations to cap tracking, ensuring compliance with WV Code §9-5-12a and faster payments from LIBERTY Dental Plan and MCOs.
We handle complete credentialing and recredentialing for payers such as Aetna Better Health of WV, WellPoint, and Delta Dental, reducing delays so providers can see in-network patients sooner.
TransDental integrates seamlessly with major EHR platforms such as Dentrix, Open Dental, and Eaglesoft to automate claim submissions, eligibility checks, and payment posting.
Common causes include benefit cap exceedances, CDT code mismatches, and missing documentation required by Medicaid or commercial carriers. Our dental billing solutions West Virginia model, helps minimize these errors for clean claims.
Outsourcing to TransDental saves 15–25 staff hours weekly, cuts denials by 35%, and improves cash flow with end-to-end revenue cycle management tailored to West Virginia’s regulations.
Stop struggling with complex billing systems. Partner with TransDental, the leading dental billing company in West Virginia, to recover claims fast and boost your profits.
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.
