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TransDental provides comprehensive periodontics billing services designed specifically for periodontists nationwide ensuring maximum reimbursements for your practice while you focus on preserving and restoring your patients’ periodontal health.
Periodontics billing demands advanced coding for soft-tissue, bone grafting, and implant procedures, with coordination between restorative dentists and specialists. TransDental’s periodontics billing specialists understand advanced procedure coding, frequency limitation management, documentation requirements for surgical and non-surgical therapies, and current payer policies to maximize reimbursement and prevent revenue loss for periodontal practices.
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
We verify periodontal insurance benefits upfront, reviewing frequency limits, surgical coverage, deductibles, annual maximums, and waiting periods. Our proactive approach improves case acceptance and ensures accurate patient expectations.
Periodontal surgery often requires pre-authorization. TransDental handles the entire process, submitting periodontal charting, radiographs, and detailed medical-necessity narratives. Our thorough documentation boosts approval rates.
Periodontal care demands precise CDT coding for non-surgical, surgical, regenerative, and maintenance procedures. Our certified coders correctly code SRP, maintenance, gingivectomy, regeneration, bone grafts, and implants.
Insurance carriers require detailed periodontal charting to prove medical necessity. We ensure proper documentation, probing depths, bleeding, mobility, and furcation and provide any additional clinical details requested to support treatment.
The most scrutinized area is differentiating periodontal maintenance from prophylaxis. We ensure documentation clearly references previous active periodontal therapy and current periodontal status requiring specialized care.
Insurers typically limit scaling and root planing to once per quadrant within set timeframes. We track these limits, submit claims promptly, and appeal when additional treatment is medically necessary, helping justify retreatment when required.
Periodontal claims are electronically submitted within 24 to 48 hours of receiving clinical documentation. This reduces the time between treatment and payment. We maintain follow up on pending claims contacting insurance to expedite processing.
The denial rates for periodontal claims are higher than dentistry claims due to increased scrutiny of medical necessity. We investigate every rejection, gather clinical documentation where needed and prepare compelling appeals.
For patients requiring extensive treatment without insurance coverage, we establish payment plans and manage collections professionally. This approach balances collection practices while maintaining positive patient relationships.
Our team at TransDental provides detailed monthly reports showing production and collections by procedure category, insurance reimbursement rates by carrier, accounts receivable aging, and treatment acceptance rates.
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 Periodontics 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 periodontics 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.
Periodontal practices face complexities that set them apart from dental practices. Our team of periodontal billing specialists are fully experienced and equipped to address all of these challenges. Some of these challenges are:
Time spent dealing with billing complexities is time taken away from patient care and clinical excellence. Free yourself from administrative burdens with TransDental’s specialized periodontal billing services and focus your attention on delivering exceptional periodontal health outcomes for your patients. From navigating frequency limitations to comprehensive periodontal charting documentation and regenerative procedure coding, our team understands the unique complexities of periodontal claims.
Our medical billing services adhere strictly to CMS Laws and HIPAA guidelines
TransDental’s periodontic billing services free you from administrative burdens, allowing you to focus on providing exceptional dental care to your community.
Periodontal Specific Billing Expertise
Higher Reimbursement Rates
Reduced Claim Denials
Expedited Approvals
Improved Cashflow
Seamless Integration With Periodontal Software
HIPAA Compliant Data Security
Dedicated Account Management
Periodontal billing requires specialized expertise in precise procedure code selection and comprehensive documentation that general dental billing doesn’t encounter. The complexity lies in distinguishing between similar procedures (periodontal maintenance versus prophylaxis, localized versus generalized scaling), navigating strict frequency limitations imposed by insurance carriers, documenting periodontal charting to justify medical necessity, and managing pre-authorizations for surgical procedures like osseous surgery, guided tissue regeneration, and bone grafting.
TransDental tracks frequency limitations for each patient across multiple insurance carriers, monitoring timeframes for scaling and root planing, periodontal maintenance, comprehensive evaluations, and surgical procedures. Our specialists understand payer-specific policies, submit supporting documentation when procedures fall outside standard frequencies, and appeal denials with comprehensive clinical justification including periodontal charting, radiographs, and treatment narratives to maximize reimbursement while maintaining compliance.
TransDental offers comprehensive periodontal billing including insurance verification and benefits coordination, accurate CDT code selection for non-surgical and surgical procedures, periodontal charting documentation and medical necessity support, frequency limitation tracking and management, pre-authorization handling for surgical treatments, regenerative procedure and implant-related billing, aggressive accounts receivable follow-up, denied claim appeals with clinical documentation, and detailed financial reporting with practice analytics for both in-office procedures and hospital-based surgeries.
Yes, TransDental manages complete billing for guided tissue regeneration, bone grafting materials, growth factors, and membrane placements associated with periodontal surgical procedures. Our team understands material code requirements, proper documentation of graft sources (autogenous, allograft, xenograft, alloplastic), medical necessity justification for regenerative techniques, and ensures these procedures are coded and documented appropriately to maximize reimbursement from insurance carriers.
TransDental facilitates seamless billing coordination between referring general dentists and periodontal specialists by tracking referral sources, managing split treatment plans, coordinating insurance benefits when multiple providers are involved, and ensuring proper documentation of the treatment relationship. We handle communication with referring offices regarding insurance coverage, maintain clear financial responsibility protocols, and provide transparent reporting that supports strong referral relationships.
Yes, TransDental integrates seamlessly with all practice management systems including Dentrix, Eaglesoft, Open Dental, Denticon, 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 on coding questions, frequency limitation issues, and claim status inquiries.
For every dental claim you’re processing in-house, you’re probably leaving money on the table. When you outsource periodontist 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.
TransDental rescued our denied periodontal claims, increased collections 31% and gave us full visibility into every case. Our practice runs smoother, and our team stays focused on care instead of paperwork.
TransDental handles complex perio and medical cross-coding flawlessly, identifies coding gaps before they cost us revenue, and provides the support of a full billing department without the payroll burden.
Working with TransDental is an amazing experience. They took over our high-volume periodontal billing, cut A/R days from 52 to 29, reduced claim rejections to under 2%, and are responsive around the clock.