Get Dental Billing Services by CDT & CPT Experts & Increase Your Revenue by 30%

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Started On

90 %

Trusted by

1000 +Providers

AR Reduction

30 %

Revenue Increase

30 %

Serving Specialties

50 +

Why Professional Dental Billing Services Are Mandatory?

NextGen Billing Solution, many of these losses can be eliminated. Most setbacks stem from preventable issues such as inaccurate coding, outdated payer rules, missed pre-authorizations, or slow claim follow-ups. Even one denied code—whether for an implant, crown, or extraction—can quietly disrupt your revenue cycle for weeks.

Book a Free Audit & Learn Where Your Practice Stands!

How Our Dental Billing Services Make Billing Easy?

Are CDT codes, eligibility checks, and 90-day A/R cycles taking time away from patient care? A NextGen Billing Solution removes that burden with comprehensive dental billing support tailored to modern practice needs. Certified dental billing specialists, trained under ADA standards, apply precise CDT, ICD-10, and CPT coding, while AI-powered claim scrubbing ensures cleaner submissions from the start.

Pre-authorizations are secured before treatment begins, preventing unexpected coverage issues. If denials arise, a rapid-action team works to resolve them within hours. From ERA posting to consistent A/R follow-ups, this NextGen Billing Solution accelerates collections and minimizes administrative delays—so your practice stays focused on patient outcomes, not overdue claims.

Avoid CDT and CPT Conversion Mistakes & Protect Revenue with a NextGen Billing Solution

Comprehensive Dental Billing Services by One of the Top 10 Dental Billing Companies NextGen Billing Solution

NextGen Billing Solution offers complete dental billing support for practices of all sizes. Our dental revenue cycle management services streamline workflows, reduce errors, and speed up reimbursements.

Dental Credentialing & Re-Credentialing

NextGen Billing Solution ensures dental plan enrollment and ongoing revalidation tracking.

Patient Registration & Demographic Entry

NextGen Billing Solution ensures accurate intake and clean claim setup for faster, error-free dental insurance billing.

Insurance Eligibility & Benefit Verification

Real-time checks of dental insurance verification, coverage limits, waiting periods, & frequency clauses before treatment starts.

Pre-Authorization / Predetermination Management

Submission of clinical notes, radiographs, and narratives to secure approvals for high-cost procedures.

Procedure Dental Coding (CDT codes) CPTs & ICD-10

Precise translation of clinical services and diagnoses to meet payer requirements and medical-necessity rules.

AI-Powered Charge Entry & Claim Scrubbing

Automated edits and payer-specific rule checks to achieve first-pass acceptance rates above 98.5%.

Electronic Claim Submission (Dental & Medical Crossovers)

Seamless transmission through clearinghouses, including cross-coding for oral-surgery claims to medical insurers.

Payment Posting & Reconciliation

ERA/EOB posting, contractual adjustment mapping, and daily deposit balancing to spot variances quickly.

Denial Management & Rapid Appeals

Root-cause analysis, corrective resubmissions, and formal appeals executed within timely-filing windows.

Accounts Receivable Follow-Up

Systematic outreach on 30-, 60-, and 90-day aging buckets to reduce outstanding balances.

Patient Billing & Financial Communication

HIPAA-compliant statements, balance explanations, and payment-plan coordination to improve patient billing & collections.

Custom Weekly & Monthly Reporting & Analytics Dashboards

Real-time KPIs: production, collections, net collection rate, and denial trends, all delivered without extra software hassle.

Are You Worried About Compliance & Patient Data Security?

When outsourcing dental billing services, providers often worry about compliance and safeguarding patient data. NextGen Billing Solution integrates compliance and data protection into every workflow, ensuring your practice remains secure while you focus on delivering quality patient care.Our dental revenue cycle platform is engineered to meet the highest standards:

Complete Dental Billing Services by Expert Revenue Cycle
Professionals

NextGen Billing Solution manages your dental billing from insurance approvals to payment collection, helping your practice get paid faster while you focus on patient care.

Dental-Medical Insurance Crossover Management

Expert coordination between dental and medical insurance for oral surgery, periodontal, and TMJ treatments.

Multi-Phase Treatment Revenue Coordination

Seamless billing across orthodontic, implant, and prosthodontic treatment sequences with proper phase timing.

Cosmetic vs Necessity Documentation

Strategic coding and documentation to maximize insurance coverage for aesthetic procedures with medical necessity.

Preventive Care Frequency Optimization

Advanced tracking of insurance limitations and waiting periods to maximize preventive treatment reimbursements.

Pediatric Dental Medicaid Expertise

Specialized billing for EPSDT programs, school-based services, and age-specific preventive protocols.

Oral Surgery Medical Billing Coordination

Complex medical insurance billing for extractions, grafts, and surgical procedures with hospital coordination.

Orthodontic Payment Plan Management

Long-term treatment billing with insurance benefit optimization and family payment coordination strategies.

Periodontal Maintenance Sequencing

Expert management of active treatment to maintenance transitions with proper interval coding and documentation.

Implant Staging & Revenue Attribution

Comprehensive billing across implant placement, restoration, and maintenance phases with proper revenue recognition.

Sedation & Anesthesia Medical Crossovers

Specialized billing for conscious sedation and general anesthesia with medical insurance coordination and documentation.

Laboratory & Prosthetic Integration

Coordinated billing for crown and bridge work with laboratory fees and delivery timing optimization.

Emergency vs Routine Revenue Optimization

Strategic coding and timing for urgent dental care to maximize insurance benefits and patient satisfaction.

We Are Certified by:

Why Choose NextGen Billing Solution for Dental Billing Services in the USA?

We Have Dental Billing and Coding Experts for All Dental
Procedures & ICD-10 Codes

Dental procedures carry intricate coding rules, so we staff only seasoned specialists who excel in dental billing and coding, such as:

Diagnostic

CDT Range: D0100–D0999

Description: Exams, x-rays, diagnostics

ICD-10 Codes: Z01.20, K00–K14

ICD-10 Description: Dental exams, Tooth development disorders

Preventive

CDT Range: D1000–D1999

Description: Cleanings, fluoride, sealants

ICD-10 Codes: Z00.00, K05.0

ICD-10 Description: Routine exam · Gingivitis

Restorative
CDT Range: D2000–D2999

Description: Fillings, crowns, veneers

ICD-10 Codes: K02.3, K08.1

ICD-10 Description: Caries · Tooth loss

Endodontics
CDT Range: D3000–D3999

Description: Root canals, pulpotomy

ICD-10 Codes: K04.0–K04.9

ICD-10 Description: Pulpitis · Periapical abscess

Periodontics
CDT Range: D4000–D4999

Description: SRP, perio surgery, maintenance

ICD-10 Codes: K05.3, K05.6

ICD-10 Description: Chronic periodontitis · Other perio disease

Prosthodontics (Remo.)
CDT Range: D5000–D5899

Description: Dentures, relines

ICD-10 Codes: K08.1–K08.5

ICD-10 Description: Edentulism · Tooth loss (trauma/causes)

Maxillofacial Prosth.

CDT Range: D5900–D5999

Description: Facial/jaw prostheses

ICD-10 Codes: Q67.4, K02.0

ICD-10 Description: Jaw deformities · Facial anomalies

Implant Services
CDT Range: D6000–D6199

Description: Implant placement & upkeep

ICD-10 Codes: Z96.5, K08.1

ICD-10 Description: Implants present · Partial edentulism

Prosthodontics (Fixed)
CDT Range: D6200–D6999

Description: Bridges, fixed crowns

ICD-10 Codes: K08.40, K08.402

ICD-10 Description: Partial edentulism (upper/lower)

Oral & Maxillofacial Surg.
CDT Range: D7000–D7999

Description: Extractions, grafts, TMJ

ICD-10 Codes: S02.x, K10.x

ICD-10 Description: Jaw fractures · Cysts/tumors

Orthodontics
CDT Range: D8000–D8999

Description: Braces, aligners, retainers

ICD-10 Codes: K07.1–K07.4, M26.3

ICD-10 Description: Malocclusion · Jaw anomalies

Adjunctive General Svcs.
CDT Range: D9000–D9999

Description: Anesthesia, consults, ER

ICD-10 Codes: Z51.81, R68.2, T81.4

ICD-10 Description: Pre/Post-op care · Complications

Maximus AI-Driven Dental Medical Billing Software for Faster Collections & Fewer Denials

NextGen Billing Solution streamlines every step of dental revenue cycle management through a secure, AI-powered platform. This cloud-based system validates CDT and CPT codes in real-time, flags missing information, and submits accurate claims to all major payers within minutes. With built-in eligibility checks, front-desk teams are alerted to coverage gaps before treatment begins, while intelligent rules increase first-pass claim acceptance rates above 90%. Nightly A/R dashboards display unbilled, current, and aged balances, enabling proactive revenue management. Hosted on HIPAA-certified servers, it also delivers automated weekly KPI reports for easy performance tracking. Overall, NextGen Billing Solution provides a complete dental billing workflow to simplify operations and maximize collections.

What Our Clients Say About Working With Us

Don’t Want to Shift Your EHR? No Problem!

Our platform seamlessly integrates with over 50+ dental EHR systems, and our certified billing and coding team is
proficient in every one of them.

Who We Serve

Large Dental Practices

Dental Clinics

Dental Surgeons

Small Dental Practices

Pharmaceuticals

Missing Revenue? Book a Complimentary Audit Today!

Dental providers spend roughly 50 hours each week delivering patient care, leaving little time to manage the complexities of their revenue cycle. That’s where NextGen Billing Solution comes in. Hidden issues like expired provider credentials, outdated fee schedules, and overlooked secondary claims can silently drain revenue before any denial letters appear. Missed filing deadlines, unbilled sedation modifiers, and PPO write-offs based on old reimbursement tables can cost thousands each month. Our complimentary dental billing audit tracks every dollar from chairside charting to final patient payment, identifying gaps in eligibility files, narrative attachments, and inactive A/R worklists to maximize collections.

We Serve Providers Nationwide with Our Expert Dental Billing Services

State-by-state billing regulations and strict, timely-filing limits are where generic medical billing vendors most often stumble. We solve that risk by assigning billers and coders who are fully trained in your state’s specific rules, shielding your practice from preventable denials, fines, and compliance penalties. We serve all 50 states:

Which of these challenges is your dental practice facing?

Frequently Asked Questions

What is the dental billing process?/What is dental medical billing?

Dental billing begins with verifying a patient’s insurance benefits and capturing accurate clinical details in the electronic dental record. Your team (or an outsourced dental billing company) assigns the correct CDT and, if needed, CPT or ICD-10 codes, then submits a claim electronically to the payer. The claim is adjudicated, any denials are appealed, and approved payments are posted. Finally, remaining patient balances are billed and collected, and month-end reports track production, collections, and accounts receivable aging.

Outsourcing shifts labor-intensive tasks, coding, claim submission, follow-up, denial management, and patient statements, to specialists who handle them all day, every day. Practices gain higher first-pass approval rates, faster cash flow, and lower overhead because they no longer need to hire, train, or retain in-house billing staff. Outsourcing also keeps you compliant with ever-changing payer rules and frees clinical staff to focus on patient care instead of paperwork.

Most dental billing companies charge either a percentage of monthly collections or a flat fee per claim. Percentages typically range from 4% to 10% of monies collected, depending on claim volume, specialty complexity, and the scope of services (e.g., insurance verification, patient billing, detailed A/R work). Per-claim pricing can run from $4 to $8 for straightforward submissions and higher for claims that require extensive follow-up. Always confirm whether costs include denial appeals, comprehensive reporting, and credentialing support.

We deliver a turnkey solution: insurance verification, CDT/CPT/ICD-10 coding, electronic claim submission, real-time claim scrubbing, denial analysis and appeal, A/R follow-up, patient statements, payment-plan management, monthly KPI reporting, credentialing, and seamless integration with 40+ EHR/PM systems. One contract covers the entire revenue cycle.

A huge team of AAPC-certified specialists focuses exclusively on dentistry. They master the full CDT code set, plus CDT-to-CPT cross-walks for oral surgery, and stay current with ADA, payer, and state updates through mandatory quarterly training.

Yes. We are enrolled with all major commercial PPO/HMO networks, regional Medicaid plans, Medicare Advantage, and specialty carriers. Dedicated payer liaisons maintain up-to-date rules and fee schedules, ensuring clean claims regardless of the insurer mix in your practice.

A NextGen Billing Solution is built on HITRUST- and SOC 2-certified, HIPAA-compliant infrastructure featuring 256-bit encryption, multi-factor authentication, role-based access controls, and continuous intrusion monitoring. The team undergoes annual training in HIPAA, PCI-DSS, and phishing-resilience standards to ensure strong data protection. Every transaction is fully audited, giving healthcare practices complete confidence in their security and complian.

We produce branded e-statements and paper bills, offer an online payment portal, manage courtesy reminder calls, and set up interest-free payment plans when needed. Our early-out program recovers balances while preserving patient satisfaction and keeping delinquent accounts below 5%.

We use a straightforward, percentage-of-collections model: you pay a small, agreed-upon percentage of the revenue we actually collect on your behalf. That single fee covers claims submission, eligibility checks, denial appeals, patient statements, and monthly reporting, no setup charges, portal fees, or surprise add-ons.

Stop Losing Your Dental Revenue to Billing Mistakes

Get faster payments, fewer denials, and higher collections with our expert dental billing team handling your revenue cycle.

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