What You Need To Know About Implementing Medical Billing for Dentistry

Medical billing for dentistry is an investment with a big payoff. There is a learning curve but it’s worth it.

Medical billing is not one of those things that you can decide “we are implementing this tomorrow” and expect to be successful right out of the gate. That would be nice, but it takes some learning, practice, and patience to integrate medical billing into your practice. 

It takes an investment in team training, education, and the right tools for the job. Add a dash of patience and perseverance and you will start to reap the rewards of an added revenue source and your patients will appreciate you helping them to maximize their coverage. 

There are common stumbling blocks that we see happen with practices when starting out with medical billing for dentistry. Here are three reasons that your medical claims will not be accepted:

1. Exclusions

There are medical policies that give absolutely no exception for us to bill procedures, they are called exclusions to the policy. No matter how much we want to help our patients, we cannot rewrite their insurance policies. The truth is if dental procedures in all aspects are excluded nothing can change that. The only exception would be through a self-funded group (like firefighters and police officers unions), which means the insurance only facilitates a standard and that the union has the final say. If this applies, your patient would need to contact his union representative to initiate.

2. Emergent 

If you have an emergency treatment that must be provided for the patient’s safety and care, medical will pay. This will be ONLY for the emergency service, not any follow-up or additional treatment because of the accident. Here is an example scenario:

A patient arrives at your office after being hit in the mouth. You stabilize tooth #9 and extract tooth #8 wanting to come back and place an implant. They will pay for stabilizing #9 and for treatment done on #8, however, the additional follow-up treatment (the implant) is not done on an emergency basis and will not be covered. Most insurance policies do have a provision for injury, but again, it is not a slam dunk and MUST be coded correctly when you do the medical billing.

3. Medicare Billing

If you are a dental sleep medicine office and you have not completed an application to be a Durable Medical Equipment (DME) provider for Medicare your claim will not be processed. There are two sides to Medicare billing:


If you want to accept and provide services (usually payable for injury, cancer treatment, bone-grafting) for Medicare Part B patients, you must remember that you are NOT allowed to balance bill the patient.


Is the Durable Medical Equipment (DME) for sleep appliances. There are regulations in which you must agree to solely bill for a specific Medicare-approved appliance, complete the DME application, and pay the fee. Becoming a DME Medicare provider DOES NOT allow you to bill for anything else unless you apply to become a Part B provider.

Devdent is here to help your practice be successful in medical billing for dentistry. We offer on-site team training, software that is built for dentistry, and solutions that provide your practice with the level of support that is right for your office.

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Imagn Medical Billing Service

Due to the complex nature of medical insurance billing, most dental offices are not equipped with the knowledge to properly credential national payers, submit successful claims, or handle aging and appeals. Imagn Medical Billing Service performs the proper credentialing and billing for you, which results in fewer denials and time well saved as you rely on expert help.

One-Time Credential Fee

$795/per dentist

The key to more successful payments

Our experts complete the process so you can start billing medical insurance. Each dentist billing medical insurance needs to be credentialed.

Pay Per Case

Verification of Benefit

$35 per vob

We get your patient’s insurance information so you can set proper expectations with the patient regarding the specific coverage available and any out of pocket fees. This is the most critical step in all of medical billing.

Per Authorization

$40 per auth

All procedures require pre-authorization in order for your practice to get paid. Gaining appropriate authorization can be challenging, let our experts get the job done for you.

Claim Submission

8% of successful claim

You don’t have time to sit on hold. Let us sit on hold and handle the claim submission work for you  We also handle the aging and appeals so you can focus on your practice.

Choose Your Software

Imagn Software is your one stop solution with both medical billing and dental sleep medicine capabilities with world-class support

What most dentist don’t know is that medical billing can increase your case acceptance rate and ensure your patients get the care they need.

Imagn Software

$195 /month

No contract and your satisfaction guaranteed.

Our goal is to give you the best experience. But if you are not satisfied then we will give you a full refund for your software access fee within 30 days of purchase.

Add Imagn Sleep Software

$100 /month

Our software provides everything you need

to give your patient’s the sleep care they deserve.

Patients can no longer afford to have dentists ignore the responsibility of providing care for sleep disorders. Two out of every three Americans report poor sleep; the ability to breathe well is the most important factor in determining a person’s sleep quality. 

Imagn Software Set-up Fee

$399 one-time fee

No contract and your satisfaction guaranteed.

Our goal is to give you the best experience. But if you are not satisfied then we will give you a full refund for your software access fee within 30 days of purchase.

Choose Your Monthly Devdent Support Program

In order for you to succeed, we offer a unique range of customer support solutions including coaching, online resources, implementation programming, and so much more. We keep an eye on the ever changing industry trends so you can focus on your practice

Medical Billing Support

$200 /month

The program to get and keep your staff trained.

Dental Sleep Medicine Support

$200 /month

The program to implement Dental Sleep Medicine into your practice.


$345 /month

Get both of the Medical Billing and Dental Sleep Medicine Support programs at a discount.

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