Dental billing that gets your claims paid, on dental and medical plans.
Dental offices juggle dental plans, medical plans, frequency limits, pre-authorizations and attachments, all while keeping the chair schedule moving.
MediFier verifies benefits, submits complete claims with the right attachments and cross-codes to medical insurance when treatment qualifies.
- General Dentistry
- Oral Surgery
- Periodontics
- Endodontics
- Orthodontics
- Pediatric Dentistry
Dentistry
Dental and medical insurance don't speak the same language.
Dental claims use CDT codes and depend on frequency limits, annual maximums and waiting periods. Some treatments, such as oral surgery, trauma and sleep apnea appliances, may also be billable to the patient's medical plan using CPT and ICD-10 codes.
Getting that right means more covered treatment for patients and fewer write-offs for your practice.
- Frequency limits and annual maximums
- Missing X-rays and narratives
- Medical cross-coding opportunities
- Coordination of benefits
How MediFier supports dental practices
Benefit breakdowns
Coverage, frequencies, maximums and waiting periods verified before the appointment.
Complete claims
X-rays, perio charts and narratives attached so claims aren't pended for information.
Medical cross-coding
Qualifying oral surgery, trauma and sleep apnea treatment billed to medical plans.
Pre-authorizations
Pre-treatment estimates and authorizations for major restorative and surgical work.
Coordination of benefits
Primary and secondary dental and medical plans billed in the correct order.
Patient balances
Clear patient statements and follow-up on outstanding balances.
Codes, rules and payers we work with every day
Our billers and coders are trained in dentistry documentation and payer requirements, so claims go out right the first time.
See How We WorkDentistry questions, answered
Can you bill dental procedures to medical insurance?
When treatment is medically necessary, such as certain oral surgery, trauma care or oral appliances for sleep apnea, we cross-code it to CPT and ICD-10 and bill the patient's medical plan.
Do you verify dental benefits before appointments?
Yes. We check eligibility, frequencies, remaining maximums and waiting periods so your team can present accurate treatment estimates.
How do you prevent claims from being pended?
We attach the X-rays, periodontal charts and narratives each payer needs, so claims don't stall waiting for information.
Do you handle secondary insurance?
Yes. We coordinate benefits and bill primary and secondary dental and medical plans in the correct order.
The services dentistry practices rely on most
Medical Billing
Clean claims, relentless follow-up and transparent reporting that turn your charges into cash faster.
Learn MoreEnrollment & Credentialing
Get in-network faster with end-to-end payer enrollment, CAQH management and re-credentialing.
Learn MoreMedical Transcription
Specialty-accurate, EHR-ready documentation from your dictations with dependable turnaround.
Learn More