Medical specialties
Primary and family care
Surgical and procedural
Dental, DME and labs
Revenue cycle · one rate
Front end · before the visit
Patients, insight and growth
Clinical documentation
Revenue operations
Voice automation
Dental billing services · Dental RCM · CDT · Medical cross-coding
PhysiAssist runs dental billing and revenue cycle management: benefits verified before each visit, CDT coding with the right attachments, claims, denials and AR. Because we are a medical billing company too, we cross-code procedures that qualify for medical plans, such as sleep apnea appliances, TMJ and oral surgery.
Dental or medical claim?
Try itBill to
Codes
Claim form
Coverage varies by plan; medical necessity must be documented
The basics
Dental billing services manage a dental practice's revenue cycle: insurance verification, CDT coding, claims with x-rays and narratives, payment posting, denials and AR follow-up, and patient billing. Medical billing for dental procedures, or cross-coding, bills medically necessary dental care to medical plans with CPT, HCPCS and ICD-10 codes.
Maximums, frequencies, waiting periods and downgrades confirmed before the chair.
Every claim sent with the x-rays, perio charts and narratives it needs.
Sleep apnea, TMJ, oral surgery and trauma billed to medical plans.
Frequency, downgrade and missing-information denials appealed and fixed.
What we check
| Codes | What they cover | What we check |
|---|---|---|
| D0120 · D0150 · D0210 | Periodic and comprehensive evaluations, full-mouth x-rays | Frequency limits and benefit history |
| D1110 · D4341 · D4342 · D4910 | Adult cleaning, scaling and root planing, perio maintenance | Perio charting and the right code for the condition |
| D2740 · D2950 | Ceramic crown, core buildup | X-rays, narrative and replacement history |
| D7140 · D7210 | Simple and surgical extractions | Medical plan first when tied to trauma or disease |
| D6010 · D6058 | Implant placement, implant-supported crown | Pre-authorization, missing tooth clause, medical option |
| E0486 | Custom oral appliance for obstructive sleep apnea | Sleep study, physician order, medical claim |
| CPT · ICD-10 | Medical codes for cross-coded dental procedures | Diagnosis supports medical necessity on the CMS-1500 |
Free dental billing audit
Send us a recent month of claims. A certified coder checks every one, including procedures that could have gone to a medical plan, and sends a written report you keep, whether or not you work with us.
Claims reviewed
540With an issue
46Dollar impact
$12,600What the report covers
General, specialty and multi-location
Most dental billing companies stop at the dental claim. We bill both sides, so a sleep apnea appliance, TMJ case or oral surgery goes to the plan that should pay it.
The systems we work in every day
We log in to your system; nothing about it changes for your team.
Claims, rejections and remittances worked through your clearinghouse.
Submissions, status checks and renewals in each payer's own portal.
Pricing
One rate of 2.8% to 5% of net collections, quoted in writing before you sign. Where you land depends on monthly collections, specialty mix, the scope of services, and your AR backlog and payer mix.
The rate covers medical coding, claim submission, payment posting, denials and AR follow-up. Front desk services, prior authorization, the reporting dashboard, patient statements, credentialing and digital marketing are quoted separately.
See full pricing and estimate your rate →Insurance verification and benefits breakdowns, CDT coding, claim submission with attachments and narratives, pre-authorizations, payment posting, denials and appeals, AR follow-up, patient billing, and medical billing for dental procedures that qualify.
Dental revenue cycle management is the full cycle from verifying a patient's benefits before the appointment, through coding and claims, to collecting from the insurer and the patient. It covers both dental plans and medical plans when a procedure is medically necessary.
Yes, when they treat a medical condition or follow trauma. Sleep apnea appliances, TMJ treatment, oral biopsies and some extractions and implants can be billed to medical plans with CPT, HCPCS and ICD-10 codes on a CMS-1500 claim.
CDT codes are the American Dental Association's procedure codes for dental claims, such as D0120 for a periodic oral evaluation, D1110 for an adult cleaning and D6010 for an implant. Medical claims use CPT and HCPCS codes instead.
Before each appointment we confirm active coverage, plan maximums used and remaining, deductibles, frequency limits, waiting periods, downgrades and missing tooth clauses, so the treatment plan and estimate are accurate.
Yes. We enroll dentists with dental PPOs and, for practices billing medical plans, with medical payers and Medicare where needed.
PhysiAssist charges 2.8% to 5% of net collections for coding, claims, payment posting, denials and AR, quoted in writing before you sign.
We review recent dental claims and send a written report: CDT coding, attachments and narratives, frequency and downgrade denials, procedures that could have been billed to medical plans, aging AR, and the dollar value of each finding.
A free dental billing audit by a certified coder, with a written report you keep.