TransDental’s prosthodontic billing and coding services ensure that your practice collects the maximum reimbursement for every bridge, denture, and implant restoration that you deliver.
Prosthodontic billing requires expertise in complex restorative procedure coding due to the unique nature of full-mouth rehabilitation, implant prosthetics, and removable appliances that involve extensive treatment planning. TransDental’s prosthodontic billing specialists understand advanced restorative coding, coordination between surgical and restorative phases of implant treatment and pre-authorization management for extensive treatment plans.
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 prosthodontic 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.
Implant prosthetic billing is complex across phases and providers. TransDental manages abutment and restoration coding and surgeon/restorative coordination; maximizing reimbursement and keeping documentation audit-ready.
Complex bridge and crown cases need precision. We code conventional, Maryland, resin-retained, implant-supported, cantilever, and mixed natural-tooth/implant bridges accurately to maximize reimbursement within insurance limits.
Removable prosthodontics have strict frequency and replacement limits. We handle coding for immediate/conventional dentures, partials (including flexible), relines, rebases, and repair vs. replacement to avoid denials and optimize revenue.
Overdenture cases span surgery, prosthetics, and lab work. We handle locator abutment and attachment billing, overdenture fabrication, conversions, and replacements, with full documentation so no step is missed from surgery to final delivery.
Full-mouth rehab brings high revenue and complex billing. We manage phased insurance planning, temporary and final restoration coding, and full medical-necessity documentation; helping prosthodontists collect over $50M.
Prosthodontic CDT coding is highly detailed, and small mistakes trigger denials. TransDental maintains 99.5% accuracy by staying current on CDT updates, material and design codes, and documentation rules, virtually eliminating coding errors.
Prosthodontic cases typically need pre-auth. We submit treatment plans with CDT codes, fees, imaging, and clinical narratives, follow up with carriers, and appeal denials. This secures coverage before you invest time and materials.
We confirm prosthodontic benefits upfront to prevent payment issues. We check annual maximums, benefits remaining, frequency limits, coverage percentages, and alternative benefit clauses so you can present accurate financials at case acceptance.
Prosthodontic cases carry significant lab costs that must be tracked and billed correctly. TransDental monitors lab invoices by procedure, codes lab-fabricated components accurately, and reconciles billing to ensure all lab costs are collected.
Many practices miss billing long-span temporaries and provisionals. We secure reimbursement for implant temporaries, full-mouth provisionals, interim partials, and extended-wear temps recapturing revenue others leave behind.
Adjustments and remakes impact revenue. We track warranty visits, bill remakes when permitted, documents to avoid unnecessary costs, and clarify patient responsibility—preventing revenue loss and preserving patient trust.
Prosthodontic claims require fast submission and persistent follow-up. TransDental files electronic claims within 24 hours, attaches required images and narratives, tracks pending claims, pursues payment and escalates delays.
Prosthodontic claims are denied more often. We analyze denials, correct coding and documentation, prepare strong clinical appeals, request peer-to-peer reviews, and pursue every appeal level; overturning thousands of denials.
Revenue visibility fuels prosthodontic profitability. We track production by procedure, reimbursement by carrier, case and collection timelines, A/R aging, and true profitability after time and materials to identify efficiency and revenue opportunities.
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 prosthodontic practices believe handling billing in-house saves money. However, the true costs often remain hidden:
Including benefits, training, turnover, and lost productivity, an Prosthodontist 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 prosthodontic 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.
Prosthodontic practices face distinct complexities that set them apart from general dental practices. Our team of prosthodontic 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 restoring function, aesthetics, and confidence through advanced prosthetic treatment. Free yourself from administrative burdens with TransDental’s specialized prosthodontic billing services and focus your attention on delivering exceptional restorative outcomes for your patients. From managing multi-phase treatment billing to coordinating implant and prosthetic claims and handling complex full-mouth rehabilitation cases, our team understands the unique complexities of prosthodontic claims.
Our medical billing services adhere strictly to CMS Laws and HIPAA guidelines
TransDental’s prosthodontic billing services free you from administrative burdens, allowing you to focus on providing exceptional dental care to your community.
Deep Prosthodontic Billing Expertise
Collections That Match Your Case Quality
Risk-Free Percentage-Based Pricing
Complete HIPAA Compliance
Robotic Process Automation (RPA)
HIPAA-Compliant Security and Confidentiality
Dedicated Support Team Available 24/7
Prosthodontic billing requires specialized expertise in complex restorative procedure coding and multi-phase treatment documentation that general dental billing doesn’t encounter. The complexity lies in coordinating billing between surgical implant placement and prosthetic restoration phases, distinguishing between interim and definitive prosthetics, managing high-value full-mouth rehabilitation claims, documenting medical necessity for advanced restorative treatment, navigating frequency limitations for denture replacements and adjustments, coding implant components separately from prosthetic restorations, and handling lab fees and material costs that significantly impact total claim values.
TransDental coordinates billing across all treatment phases from initial implant surgery through final prosthetic delivery. Our specialists understand timing requirements for billing surgical placement versus abutment connection and crown delivery, proper sequencing to maximize insurance benefits across plan years, coordination between oral surgeons or periodontists performing implant placement and prosthodontists delivering final restorations, documentation linking phases of treatment, and strategic claim submission that optimizes reimbursement while maintaining compliance with payer policies and annual maximum limitations.
TransDental offers comprehensive prosthodontic billing including insurance verification and benefits analysis for complex restorative cases, accurate CDT code selection for fixed and removable prosthetics, implant component and prosthetic restoration billing, pre-authorization management for full-mouth rehabilitation and extensive treatment plans, interim and provisional prosthetic documentation, lab fee and material cost coordination, frequency limitation tracking for denture services, aggressive accounts receivable follow-up for high-value claims, denied claim appeals with comprehensive clinical justification and treatment documentation, and detailed financial reporting with practice analytics.
TransDental manages complete billing for all implant prosthetic configurations including single-tooth implant crowns, implant-supported bridges, implant-retained overdentures, and fixed hybrid prosthetics. Our team understands proper coding for implant abutments, custom abutments, screw-retained versus cement-retained restorations, attachment systems for overdentures, framework fabrication, and prosthetic components. We coordinate billing between surgical and restorative phases, manage separate claims for components versus prosthetics, and ensure proper documentation supporting the complexity and necessity of implant treatment.
TransDental tracks frequency limitations for denture replacements, relines, adjustments, and major restorative services across different insurance carriers. We monitor when patients become eligible for denture replacements (typically five to seven years), document extraordinary circumstances justifying early replacement (significant weight loss, bone resorption, fractured appliances), submit appeals with clinical justification including photographs and treatment narratives, coordinate interim services like relines within frequency allowances, and strategically time treatment to maximize insurance benefits and minimize patient out-of-pocket costs.
TransDental integrates seamlessly with leading dental practice management systems including Dentrix, Eaglesoft, Open Dental, Curve Dental, and other major platforms commonly used in prosthodontic and specialty practices. 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 complex coding questions, multi-phase treatment billing coordination, implant prosthetic claims, and high-value case management.
For every dental claim you’re processing in-house, you’re probably leaving money on the table. When you outsource prosthodontic 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 recovered denied prostho claims, increased collections 28%, and handled all pre-auths for full-arch and implant-supported restorations. Huge relief for our team.
They manage complex prosthodontic and medical cross-coding; implants, bone grafts, and full-mouth reconstructions, catching issues early and eliminating in-house billing costs.
TransDental cut our A/R days from 48 to 27, kept denials under 2%, and secured approvals for medically necessary prosthetic cases. Excellent partner for specialty billing.
