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TransDental’s comprehensive outsourced oral surgery billing services are designed specifically for oral surgeons nationwide ensuring maximum reimbursements while you focus on delivering exceptional surgical care.
Oral surgery billing demands expertise in both dental and medical coding, since many procedures qualify for medical coverage. This requires accurate ICD-10 diagnosis codes, CPT procedure codes, CDT codes, and coordination of benefits between medical and dental plans. TransDental’s specialists understand surgical coding, medical-necessity documentation, dual-insurance coordination, and current payer policies to maximize reimbursement.
Our Track Record Speaks for Itself:
40% Reduction in Account Receivables Over 90 Days
Same-Day Patient Account Resolution and Follow-Up
200K+ Successfully Processed Dental Claims Monthly
50+ Dental Insurance Payers in Our Network Database
HIPAA-Compliant Secure Data Management and Reporting
Our full service oral surgery billing services manage every aspect of your revenue cycle, from patient registration to final payment posting. We don’t just process claims; we optimize your entire billing operation to maximize reimbursements and accelerate cash flow.
Some oral surgery procedures fall under medical insurance, especially for pathology, trauma, or airway issues. TransDental verifies both medical and dental coverage and determines primary coverage and coordination of benefits.
Precise coding drives oral surgery reimbursement. We are experts at using CDT, ICD-10, and CPT codes for extractions, implants, grafts, TMJ care, pathology removal, trauma repair, orthognathic surgery, and sleep apnea devices.
Insurance carriers require compelling medical-necessity documentation. Our team prepares detailed narratives incorporating clinical findings, diagnostic imaging, and evidence-based justification for surgical treatment.
Oral surgery often requires pre-authorization. Our team at TransDental handles the entire process, submitting radiographs, images, clinical notes and documentation, as well as full treatment plans. Our proactive approach reduces delays and denials.
TransDental submits surgical claims promptly using electronic filing for faster processing. For medically billed procedures, we submit in the proper medical format and follow up consistently to speed approvals and resolve delays.
Oral surgery involves separate anesthesia and facility fees. TransDental handles billing for IV sedation, general anesthesia, and facility charges correctly and manages requirements for in-office and hospital procedures.
Oral surgery claims face unique denial challenges including medical necessity disputes, coordination of benefits issues, and coding discrepancies. Our denial team reviews each rejection, gathers required clinical files, and submits strong appeals.
Oral surgeons may maintain out of network status with certain insurance carriers to preserve fee autonomy. We manage out of network billing by submitting claims on behalf of patients. We handle out of network billing so payments stay smooth.
Oral surgery procedures often generate significant accounts receivable requiring diligent management. TransDental maintains aggressive AR follow up for both insurance and patient balances serving to improve your practice's cash flow.
It is critical to thoroughly understand your practice's financial performance in order to make strategic decisions. We deliver monthly reports detailing production by procedure, reimbursement rates, A/R aging, and collection.
TransDental offers revenue cycle management services designed for every dental specialty. We help you uncover hidden revenue opportunities, improve billing accuracy, and enhance your practice’s financial performance.
Many oral surgery practices believe handling billing in-house saves money. However, the true costs often remain hidden:
Including benefits, training, turnover, and lost productivity, an oral surgery biller costs $45,000–$60,000 annually.
Billing software, clearinghouses, EDI connections, and regular updates require significant ongoing investment.
Coding changes, insurance policy updates, and regulatory requirements demand continuous staff education.
Every hour your team spends on billing is time not spent on patient care, practice growth, or revenue-generating activities.
Coding errors, missed charges, incomplete documentation, and lack of follow-up can cost practices 20-30% of potential revenue.
The average dental practice has a denial rate of 15-20%. Each denied claim requires 30-60 minutes to research, correct, and resubmit.
HIPAA violations, audit exposure, and documentation errors can lead to costly fines and delayed payments. Constant oversight is essential to stay compliant.
Increased paperwork, coordination and follow-ups, strain your front office, increase your costs, reducing efficiency and patient focus.
We believe in transparent pricing and delivering exceptional value. Our oral surgery billing and coding services are priced as a percentage of collections, which means:
When you outsource RCM Services To TransDental, we function as an extension of your dental practice , supporting your staff and ensuring that your revenue stream keeps increasing and flowing seamlessly.
Oral surgery billing is uniquely complex. Our specialists handle dual medical-dental claims with proven systems that maximize reimbursement and protect cash flow. Some of these challenges are:
Time spent dealing with billing complexities is time taken away from patient care and surgical excellence. Free yourself from administrative burdens with TransDental’s specialized oral surgery billing services and focus your attention on delivering life-changing surgical outcomes for your patients. We ensure maximum reimbursements from both medical and dental insurance, fewer denials, and faster payments while giving you complete peace of mind. From dual insurance coordination to medical necessity documentation and anesthesia billing, our team understands the unique complexities of oral and maxillofacial surgery claims.
Our medical billing services adhere strictly to CMS Laws and HIPAA guidelines
TransDental’s oral surgery billing services free you from administrative burdens, allowing you to focus on providing exceptional dental care to your community.
Specialized Oral Surgery Expertise
Maximized Medical Insurance Reimbursements
Reduced Claim Denials
Improved Cash Flow and Revenue Predictability
Seamless Practice Management Integration
HIPAA-Compliant Security and Confidentiality
Dedicated Support Team Available 24/7
Oral surgery billing requires dual expertise in both medical and dental coding systems, using CDT codes for dental insurance and CPT/ICD-10 codes for medical insurance claims. Procedures often qualify for medical insurance coverage, requiring coordination of benefits between dental and medical carriers, medical necessity documentation, and separate billing for anesthesia services and facility fees; complexities that general dental billing doesn’t encounter.
TransDental determines which insurance to bill first based on procedure type and coverage, coordinates benefits between dental and medical carriers, and submits claims using appropriate coding (CDT for dental, CPT/ICD-10 for medical). Our specialists understand payer-specific policies, medical necessity requirements, and dual insurance coordination to maximize reimbursement from both sources while preventing claim denials.
TransDental offers comprehensive oral surgery billing including insurance verification and benefits coordination, accurate dual coding with CDT and CPT/ICD-10, medical necessity documentation, anesthesia and facility fee billing for IV sedation and general anesthesia, out-of-network claim management, aggressive accounts receivable follow-up, denied claim appeals, and detailed financial reporting with practice analytics for both in-office and hospital-based procedures.
Yes, TransDental handles complete billing for IV sedation, general anesthesia, and facility charges associated with oral surgery procedures. Our team manages anesthesia documentation requirements, time-based billing, medical necessity justification for sedation services, and ensures these separate revenue components are reimbursed appropriately for both in-office and hospital-based procedures.
TransDental manages out-of-network billing by submitting claims on behalf of patients, maximizing out-of-network reimbursements, and handling balance billing procedures with clear patient communication. We help oral surgeons preserve fee autonomy while ensuring transparency about out-of-network benefits, and provide clear cost estimates and flexible payment options for self-pay patients with collections services when necessary.
Yes, TransDental integrates seamlessly with all practice management systems including Dentrix, Eaglesoft, Open Dental, and other major platforms. The team handles all technical setup to ensure smooth data flow for both dental and medical billing without disrupting daily operations. All systems maintain HIPAA-compliant security with encrypted protocols, and each practice receives a dedicated account manager with 24/7 access for immediate support.
For every dental claim you’re processing in-house, you’re probably leaving money on the table. When you outsource oral surgery billing services to TransDental, you get to eliminate administrative burdens, maximize reimbursements across all procedure types and provide financial stability to your practice. Our team of specialists are ready to become your partners in practice success.
Real Results. Real Practices. Real Success.
They turned our denied oral surgery claims around, boosted collections 34% in eight months, and freed our team to focus on patients; truly a game-changer.
TransDental manages complex dental and medical billing, catches issues before submission, and provides full-department support without the overhead.
They manage our high-volume surgical billing, cut days to payment from 47 to 28, reduced denials under 3%, and support us 24/7; the best decision for our financial health.