Everything you need to know about medical billing for your Dental Practice

Introduction

Medical billing for dental practices is an essential part of running a successful practice. It involves billing medical insurance for dental services that are medically necessary. However, many dental practices struggle with medical billing and may miss out on revenue opportunities. In this blog, we will discuss everything you need to know about medical billing for your dental practice.

1. What is medical billing for dental practices?

Medical billing for dental practices is the process of submitting claims to medical insurance companies for dental procedures that are medically necessary. This includes procedures such as oral surgery, sleep apnea treatment, and treatment for TMJ disorders.

2. What are the benefits of medical billing for dental practices?

Medical billing for dental practices can help increase revenue by allowing dental practices to bill medical insurance for medically necessary procedures. This can also help patients by reducing their out-of-pocket expenses and making treatment more affordable.

3. How does medical billing for dental practices work?

The process of medical billing for dental practices involves several steps. First, the patient’s medical insurance is verified to ensure coverage for the procedure. Next, a claim is submitted to the medical insurance company with the appropriate codes and documentation. The claim is then reviewed by the insurance company, and payment is made to the dental practice.

4. What are the common medical billing codes for dental practices?

There are several medical billing codes that dental practices should be familiar with, including:
  • D6010: Surgical extraction of erupted tooth
  • D6110: Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth
  • D6115: Removal of residual tooth roots (cutting procedure)
  • D7283: Placement of device for snoring and/or obstructive sleep apnea
  • D7870: Occlusal orthotic device
  • D7881: Application of occlusive device for mandibular dysfunction

5. What documentation is required for medical billing for dental practices?

Documentation requirements for medical billing for dental practices include:
  • A detailed description of the procedure
  • The diagnosis code for the medical condition being treated
  • The medical necessity of the procedure
  • Any supporting documentation, such as X-rays or medical records

6. What are the common medical insurance companies that dental practices can bill?

Dental practices can bill medical insurance companies such as Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, and Medicare.

7. What are some common mistakes to avoid when billing medical insurance for dental procedures?

Common mistakes to avoid when billing medical insurance for dental procedures include:
  • Failing to verify the patient’s medical insurance coverage before the procedure
  • Failing to document the medical necessity of the procedure
  • Submitting incomplete or inaccurate claims
  • Failing to follow up on claims that have been denied or rejected

The Conclusion

Understanding medical billing is crucial for the success of your dental practice. By familiarizing yourself with the process and taking advantage of the benefits it can offer, you can streamline your practice and improve your bottom line. From verifying insurance eligibility to submitting claims and appealing denials, there are many aspects of medical billing that require attention and expertise. If you feel overwhelmed or unsure about how to proceed, reach out to Alygence Solutions billing professionals. We have the experience and knowledge necessary to navigate the complexities of the system and ensure that you are reimbursed for the services you provide. By partnering with a trusted medical billing company, you can focus on what you do best – providing exceptional dental care to your patients – while leaving the administrative tasks to the experts. At the end of the day, investing in medical billing services can benefit your dental practice in countless ways. So why wait? Contact Alygence Solutions today to learn more about how we can help you maximize your revenue and streamline your operations. Email us at info@alygence.com or call us directly at +1 732 532 3137 to get started.