Dental billing built around the care you provide.
From preventive visits to complex specialty treatment, dental claims have their own codes, plan limits, and documentation needs. We help your team check benefits, prepare claims, and work payer responses while keeping patient estimates clear.
A dedicated point of contact
Billing support shaped around your specialty’s payer and coding requirements.
Where dental revenue slips.
Frequency and plan limits
Preventive frequency rules, waiting periods, and annual maximums vary by dental plan.
Supporting records
Payers may request radiographs, periodontal charting, or treatment narratives to review a claim.
Dental versus medical coverage
Some oral procedures may require a medical claim, depending on the diagnosis, service, and patient's benefits.
Benefit verification
Review eligibility, frequency, waiting periods, and available benefits before treatment estimates are prepared.
Predetermination support
Submit proposed treatment and requested records when a plan offers a predetermination; it is not a payment guarantee.
CDT claim review
Check procedure codes and tooth, surface, or quadrant details against the clinical record.
Medical claim coordination
Where applicable, review medical benefits and documentation before routing oral procedures to the appropriate payer.
Claim attachments
Gather the radiographs, charting, and narratives requested for the specific procedure and payer.
Payment follow-up
Review explanations of benefits, work denied claims, and reconcile patient balances.
Find your dental billing specialty.
General Dentist
Preventive, restorative, and everyday dental claims with plan-limit checks.
Pediatric Dentist
Child-focused preventive and treatment claims with age and benefit rules in mind.
Orthodontist
Case-based orthodontic billing, lifetime benefits, and installment tracking.
Periodontist
Periodontal therapy and maintenance claims backed by the clinical record.
Endodontist
Root canal, retreatment, and endodontic surgery claims with tooth-specific detail.
Oral and Maxillofacial Surgeon
Surgical claims, authorization checks, and dental–medical coverage coordination.
Prosthodontist
Complex restorative, prosthetic, and implant-related claim support.
What our dental billing service includes
Dental billing works differently from medical billing, and we build our process around those differences. Every account gets a dedicated point of contact, with certified CPC and CCS coders reviewing claims.
CDT coding and claim preparation
We code procedures using the ADA’s Current Dental Terminology (CDT) and check each claim against the clinical record before it goes out. That includes tooth numbers, surfaces, quadrants and arches, plus the right code for the work performed, such as a periodic versus comprehensive evaluation, or scaling and root planing versus periodontal maintenance. Clean, complete claims are the fastest way to get paid.
Medical-dental cross-coding
Some oral procedures are covered by the patient’s medical plan rather than their dental plan, often in oral surgery, trauma, sleep apnea appliances and certain diagnostic services. When that applies, we translate the dental record into CPT and ICD-10 codes, document medical necessity and submit on the CMS-1500 medical claim form instead of the ADA dental claim form. If the medical plan pays first, we then coordinate the dental claim as secondary.
PPO, DMO/DHMO and Medicaid plans
Each plan type has its own rules. PPO plans come with fee schedules, frequency limits, waiting periods and annual maximums. DMO and DHMO plans depend on capitation, assigned-provider rules and copay schedules. State Medicaid and CHIP dental programs have their own coverage lists, age rules and prior authorization requirements. We verify benefits for each plan before treatment and bill each one according to its own rules.
Pre-authorizations and predeterminations
When a plan requires prior authorization, or offers a predetermination for major work like crowns, implants, periodontal surgery or orthodontics, we submit the proposed treatment with supporting records and track it until a response comes back. A predetermination is not a payment guarantee, so we still check the final explanation of benefits against it.
Narratives and attachments
Payers often ask for radiographs, periodontal charting, intraoral photos or a written narrative before they will pay. We gather what each payer asks for that procedure, write clear narratives from the clinical notes and send attachments electronically with the claim. That cuts down on “additional information requested” delays.
Common dental denial reasons, and how we prevent them
Frequency limits exceeded. Cleanings, exams, X-rays and fluoride often have per-year or per-period limits. Prevention: we check service history and plan limits during benefit verification, so patients know their costs before treatment.
Missing or insufficient documentation. A claim for a crown, buildup or scaling and root planing may be denied without X-rays, charting or a narrative. Prevention: we send the payer’s required attachments with the first submission.
Waiting periods and annual maximums. New coverage may exclude major services for a period of time, and maximums can run out partway through treatment. Prevention: we flag these during verification so treatment can be timed or estimated properly.
Coding and tooth detail errors. A wrong tooth number, a missing surface or an outdated code can get a claim rejected. Prevention: we review CDT codes and tooth, surface and quadrant details against the chart before submission.
Wrong payer or coordination of benefits issues. Patients with dual dental coverage, or with procedures that belong on a medical claim, are often billed to the wrong payer first. Prevention: we confirm primary and secondary coverage and route medical-eligible procedures to the right plan.
When a denial does happen, our denial management team finds the root cause, corrects the claim and files an appeal where it’s warranted.
How onboarding works
- 1
Free billing audit.
We start by reviewing your current claims, denials and aging A/R to see where revenue is slipping. Request a free billing audit.
- 2
Custom quote.
Pricing is based on your specialty, claim volume and scope. There’s no one-size-fits-all rate. Request pricing.
- 3
Setup and access.
We connect to your practice management software and clearinghouse, gather your fee schedules and plan contracts, and confirm your workflows with your dedicated point of contact.
- 4
Credentialing check.
If a provider isn’t enrolled with a plan you accept, our credentialing team handles enrollment.
- 5
Go-live and backlog cleanup.
We take over daily claims and payment posting, and our A/R recovery team works older unpaid claims.
- 6
Monthly reporting.
You get regular reports on collections, denials and A/R, so you always know where things stand.
Who we serve
We work with dental practices across the United States, from solo general dentists to multi-provider and multi-specialty groups. That includes general, pediatric, orthodontic, periodontic, endodontic, oral and maxillofacial surgery and prosthodontic practices. Practices that need full support can choose end-to-end revenue cycle management. Others start with medical billing for cross-coded procedures, or with a one-time billing audit.
Wondering what outsourcing would cost? Read our guide: How Much Do Dental Billing Services Cost in 2026?
See where your dental practice is losing revenue
Our free billing audit reviews your claims, denials and A/R, and shows you exactly where money is being left on the table, with no obligation.
Frequently asked questions
Yes. 24Front supports dental practices across the United States, including general, pediatric, orthodontic, periodontic, endodontic, oral and maxillofacial surgery, and prosthodontic practices. We help teams check benefits, prepare claims and work payer responses while keeping patient estimates clear, with a dedicated point of contact.
Before treatment estimates are prepared, we review eligibility, frequency rules, waiting periods, annual maximums and available benefits. Dental plans vary widely on these limits, so verifying them up front helps prevent surprise denials and gives patients clearer estimates. We review this for each plan individually.
Where applicable, yes. Some oral procedures may require a medical claim depending on the diagnosis, service and patient benefits. We review medical benefits and documentation before routing those procedures to the appropriate payer, which is especially common for oral and maxillofacial surgery.
Yes. We gather the radiographs, periodontal charting and narratives payers request for a specific procedure, and we submit predeterminations when a plan offers them. A predetermination is not a payment guarantee, so we also review explanations of benefits and work any denied claims.
We check CDT procedure codes and tooth, surface or quadrant details against the clinical record before claims go out. That review helps catch mismatches that commonly trigger dental denials, and payment follow-up covers EOB review, denied claims and patient balance reconciliation.