Services/Dental Billing & RCM
Dental Billing & RCM
Dental billing & RCM, handled end to end — no more claims sitting in AR.
Outsourced dental billing and revenue cycle management for U.S. practices — claim submission, payment posting, AR follow-up, denial management, and medical billing for dental procedures. A dental billing team that works your revenue daily, not when someone gets to it.
What's included
The full revenue cycle, end to end.
Eight workstreams, one team, daily cadence. The work moves whether or not someone is chasing one piece of it.
Claim submission (same-day)
Every claim leaves the day the service is rendered — not the end of the week.
Payment posting
EOBs reconciled against the ledger daily so AR is always current.
Denial management & appeals
Denials triaged, root-cause coded, and appealed with the documentation that wins.
Medical billing for dental procedures
Surgical extractions, biopsies, sleep appliances — billed to medical when medical pays.
Pre-authorization tracking
Submitted, followed up, status confirmed before the patient sits in the chair.
Coordination of benefits
Primary, secondary, dual coverage — split correctly the first time.
EFT / ERA enrollment
Paper checks and mailed EOBs converted to electronic for every payer that supports it.
The full picture
What dental billing and revenue cycle management actually cover.
Dental billing is often described as "sending claims," but the claim is only one link in a much longer chain. Revenue cycle management is the entire lifecycle of a dollar — from the moment an appointment is booked to the moment the balance reads zero — and a break anywhere in that chain surfaces later as aged AR or a write-off nobody chose to take.
The cycle starts before the visit, with insurance verification confirming eligibility, benefits, frequencies, and coverage. It runs through accurate CDT coding, claim scrubbing, and submission through a clearinghouse such as DentalXChange, Vyne, or Change Healthcare. The payer then adjudicates the claim, an EOB or electronic remittance advice (ERA) comes back, payment posts against the ledger, and any gap between the billed and allowed amounts is reconciled against your contracted fee schedule. Denials are appealed, secondary claims are filed under coordination of benefits (COB), and whatever remains becomes patient responsibility.
We run every one of those steps as a single operation. That is the real difference between a billing service and revenue cycle management: the former processes claims; the latter owns the number. Our complete guide to outsourced dental billing breaks down what a full cycle should include and how to tell a genuine partner from a claims processor.
Our daily workflow
A 4-stage rhythm. Every business day.
The same operational cadence we built inside the origin practice — applied to your claims and AR.
Verify & pre-plan
Benefits verified for tomorrow-plus-one, pre-auths in motion, treatment plans calibrated against actual coverage.
Confirm & flag
Verifications attached, anything requiring documentation or pre-auth flagged for the front desk before the appointment.
File claims, post payments
Every claim filed the day of service. EOBs received in the morning posted by end of day.
Audit & appeal
Yesterday's work audited for completeness. Denials triaged and routed for appeal. Aged buckets pushed forward.
Where revenue leaks
Where dental billing breaks down — and how we prevent it.
Most lost revenue is not stolen — it leaks, quietly, through the same handful of gaps. Claims filed a week late slip past payer timely-filing windows that can run as short as 90 days from the date of service. Composite fillings get silently downgraded to amalgam allowances, and the underpayment goes unnoticed because the EOB was never reconciled against the contracted rate. Crowns, implants, and surgical procedures deny for a missing narrative or radiograph that should have been attached at submission.
Preventing those losses is a discipline, not a rescue mission. Claims go out the same day, scrubbed and coded accurately before they leave. EOBs and ERAs are posted within 48 hours, so your aging reflects real balances instead of phantom AR. Underpayments are flagged against the fee schedule rather than written off by default. And every denial is root-cause coded, so the same reason code does not recur next month — the most common denial reasons collapse into a short, fixable list once you track them. The result is a 98%+ clean claim rate and AR kept under 30 days rather than 90.
The revenue most practices miss
Medical billing for dental procedures.
Some of the most valuable claims a dental practice files are not dental claims at all. Surgical extractions, biopsies, frenectomies, CBCT imaging, treatment following trauma, and sleep-apnea oral appliances are frequently covered by medical insurance — but only when they are billed to the medical payer, with CPT procedure codes, ICD-10 diagnosis codes, and documented medical necessity, rather than CDT codes on a dental claim form.
Most front offices never bill these, because the cross-coding is unfamiliar and the claim forms and payer rules are different. We handle the medical side: identifying which procedures qualify, coding them correctly, attaching the clinical documentation medical payers require, and following the claim through a different adjudication process than dental. For practices doing oral surgery, sleep appliances, or meaningful CBCT volume, medical cross-billing recovers revenue that would otherwise be written off or pushed onto the patient.
AR over 30 days is a solvable problem. Our daily follow-up rhythm keeps aging under 30 days consistently — that discipline has its own page. We'll show you the numbers from our origin practice on the first call.
What you keep
You outsource the work, not the visibility.
Outsourcing your billing should never mean losing sight of your own revenue. You keep full access to your practice management software — we work inside it, not around it — so every claim, payment, and note lives in your system, not a black box. A dedicated channel manager is your single point of contact, and a monthly aging report shows exactly where your AR stands across the 30-, 60-, and 90-day buckets.
Because we are paid a flat monthly fee rather than a percentage of collections, our incentive matches yours: work every claim, appeal every winnable denial, and keep the cycle clean — not cherry-pick the easy money. Production is what you did; collections is what you kept, and the gap between the two is exactly where we go to work.
Software we work in
We bill inside the software your team already uses.
We log directly into your practice management system — Open Dental, Dentrix, Eaglesoft, Curve, Denticon, and more — using your access. Claims, posting, and notes stay in your environment. No migration, no parallel system, and nothing new for your team to learn.
Benefits land in the same screens your team already uses. No second system to check. See all the software we support.
Questions
Common questions about this service.
What does outsourced dental billing include?
A full revenue cycle: insurance verification, same-day claim submission, payment posting, denial management and appeals, AR follow-up, and medical billing for dental procedures — handled by a dedicated team working inside your practice management software.
How is ZenHub different from a typical dental billing company?
Most billing companies only touch claims. We run the revenue cycle on a daily 4-stage workflow with audit discipline, and a channel manager owns the result. It was built inside a live dental practice, not a call center.
Do you work inside our existing dental software?
Yes — we log into your PMS (Open Dental, Dentrix, Eaglesoft, Curve, and more) using your access. No migration, no new system, nothing to install.
What clean claim rate do you maintain?
A 98%+ clean claim rate — claims accepted on first pass — because verification and coding are audited before submission, so far fewer denials to chase.
How is dental billing priced?
A flat monthly plan — no per-claim charge and no percentage of collections: your rate is scoped to your claim volume at onboarding and stays flat month to month. See the pricing page for the full breakdown.
Flat monthly pricing — no per-claim charge, no percentage of collections.
See how pricing worksShow us your claims
We'll audit your last month of claims. Free.
Send a sample. We'll show you what went out late, what denied and why, and what should have been billed to medical.
Replies within one business day · during your practice hours