TransDental provides specialized billing and coding expertise tailored for orthodontic practices nationwide, optimizing your revenue cycle while you focus on creating beautiful smiles.
At TransDental, we understand that orthodontic billing requires a fundamentally different approach. From comprehensive treatment plans spanning 18 to 36 months to coordination of benefits between multiple insurance carriers, managing family accounts with multiple patients, and navigating the complexities of lifetime orthodontic maximums; every aspect demands specialized expertise that general dental billers simply don’t possess.
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 orthodontic 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.
Orthodontic treatment is often subject to strict limitations and caps in dental insurance plans and in some cases it is outright excluded. Before treatment, we conduct orthodontic benefits verification covering age restrictions, lifetime maximums, and medical necessity requirements.
Insurance carriers often require pre authorization prior to approving orthodontic benefits. We handle the entire pre authorization process by submitting thorough treatment plans with the requisite documentation including diagnostics and narratives justifying medical necessity.
Our team of expert coders utilizes accurate CDT codes for comprehensive treatment, limited treatment, interceptive orthodontics and retention ensuring clean claim submission and minimizing denials. All orthodontic services are accurately coded, documented and billed.
Orthodontic patients commonly pay through payment plans spanning a period of 12 to 36 months. TransDental effectively manages payment schedules by processing monthly payments, sending timely reminders and relentlessly pursuing delinquent accounts.
For patients with orthodontic insurance coverage, we submit initial claims upon banding or appliance delivery and manage billing according to the carrier’s requirements. We fully adhere to the insurance carrier’s requirements thereby expediting payments towards your practice.
Denials are common with orthodontic claims with reasons ranging from documentation deficiencies to benefit exhaustion, age limitations and even medical necessity. Our team investigates every claim, compiles required documentation, and files strong appeals.
Orthodontic treatments span over long timelines which mostly translates to substantial accounts receivable balances. We ensure aggressive AR follow up protocols by contacting insurance carriers for regular claim status updates and reach out to patients in case of overdue payments.
TransDental partners with your practice to provide comprehensive monthly reports detailing production, collections, AR aging and detailed payment plan performance. These reports help your practice forecast revenue, and make informed decisions for growth and sustainability.
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.
Including benefits, training, turnover, and lost productivity, an orthodontic 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 orthodontic 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.
An increase in paperwork, coordination, and follow-ups strain your front office, serving to reduce efficiency and patient focus.
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.
Orthodontic practices are fundamentally different from general dental practices. Our team of orthodontic billing specialists are fully experienced and equipped to address all of these challenges. Some of these challenges are:
Time spent dealing with billing issues is time taken away from patient care. Free yourself from administrative burdens with TransDental’s specialized orthodontic billing services and focus your attention on creating beautiful, confident smiles in your community. We ensure maximum reimbursements, fewer denials, and faster payments while giving you complete peace of mind. From multi-phase treatment billing to insurance pre authorizations and payment plan management, our team understands the unique complexities of orthodontic claims.
Our medical billing services adhere strictly to CMS Laws and HIPAA guidelines
Orthodontic Specific Expertise
Improved Cash Flow and Predictable Revenue
Higher Collection Rates
Reduced Administrative Burden
Seamless Software Integration
HIPAA Compliant Security
Dedicated Account Management and Support
Robotic Process Automation
TransDental offers end-to-end orthodontic revenue cycle management including insurance verification and benefit analysis, pre-treatment authorization, accurate CDT coding for all appliances and procedures, patient payment plan management with automated processing, insurance claim submission and progress billing, denied claim resolution and appeals, accounts receivable management, and comprehensive financial reporting with practice analytics.
Solo practices experiencing staff burnout and collection challenges, growing practices needing scalable solutions without additional staff investment, multi-location groups requiring centralized billing with location-specific reporting, and new practices seeking strong cash flow from day one all benefit significantly. Outsourcing eliminates administrative burden, provides enterprise-level capabilities, and frees staff to focus on patient care and practice growth.
Yes, TransDental integrates seamlessly with all practice management systems including Dolphin Management, OrthoTrac, and other major platforms. The team handles all technical setup to ensure smooth data flow 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 orthodontic 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.
We reduced defaults from 28% to 8%, gained predictable monthly collections, achieved a 94% ortho pre-auth approval rate, and recovered $67,000 thanks to TransDental.
TransDental boosted our collections by 23%, cut A/R days from 87 to 34, and freed up 15+ hours a week so I can focus on growth. Their ortho billing expertise is unmatched.
TransDental set up our billing, managed insurance and payment plans, and helped us achieve a 96% first-year collection rate; they feel like part of our team.
