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Dental Insurance Billing Services
Smart Dental Billing is a US-based outsourced dental billing company that handles the full insurance billing cycle – claim submission, denial management, payment posting, and AR follow-up – directly inside your practice management software.
Practices we manage collect above 100% of net production.
105%+
Collections rate
28+
Carriers managed
$0
Setup fees
The real problem
The billing problem most dental practices live with
The average dental practice collects only 92% of what it produces, according to ADA research – meaning 8% of every dollar earned walks out the door uncollected.
On a practice producing $1 million a year, that’s $80,000 in lost revenue. Not because the dentistry was wrong – because claims went out late, attachments were missing, nobody followed up when the insurer stalled, and denied claims got written off because the front desk was already handling three other things.
The problem is almost never the clinical work. It’s the billing workflow. When claims don’t go out the same day, when denials sit in a queue, when your aging report grows faster than anyone has time to work it – collections fall behind production.
The full service
What’s included in our insurance billing service
Smart Dental Billing’s insurance billing service includes claim submission (electronic and paper), claim tracking and payer follow-up, denial management and appeals, insurance payment posting, AR follow-up on claims aged 30+ days, insurance aging report review, and monthly collections reporting. Denial management and appeals are included in the standard fee – there are no per-claim charges or add-on costs.
Claim submission
Electronic and paper claims – we cover postage. Every claim reviewed for correct CDT codes, attachments, narratives, and payer-specific requirements. Claims go out daily.
Claim tracking and follow-up
Every submitted claim tracked from submission through payment. We follow up with payers on anything that hasn’t paid within the expected window.
Denial management and appeals
Every denied claim investigated, corrected, and resubmitted or appealed. We don’t write off denials. Included, not billed separately.
Insurance payment posting
Checks, ACH/EFTs, and credit card payments posted to patient accounts in your PMS. Payments matched to claims, adjustments applied correctly.
AR follow-up on 30+ day claims
Outstanding claims aged past 30 days actively worked. We contact payers, resubmit where needed, push every claim toward resolution. Your aging report shrinks instead of growing.
Aging report review
Regular review of your full insurance aging to identify patterns – which payers are slow, which claim types get denied most, where money is stuck.
Monthly collections reporting
Collections totals, claim counts, denial rates, and AR trends reported monthly. You see what came in, what’s outstanding, and what we’re working on.
No setup fees. No per-claim fees. No extra charges for appeals or denial management. Everything above is included.
Getting started
How outsourced insurance billing works
Getting started takes three steps, and most practices are up and running within days.
1
We get access to your PMS
You give us remote access to your practice management software – Dentrix, Eaglesoft, OpenDental, Dolphin, or whatever you use. We work directly inside it. No data migration, no new platform.
2
We take over the billing cycle
Starting from day one, we begin submitting claims, posting payments, working denials, and following up on outstanding AR. Your team handles patients. We handle payers.
3
You see the results
Claims go out daily instead of weekly. Denials get worked instead of ignored. Aged AR starts shrinking. Most practices see the difference in cash flow within the first 30 days.
Real results
What happens when practices switch to professional billing
Real results from practices we work with, anonymized for privacy.
New client
General practice, 2 providers, Illinois
105.56%
Collections rate by month 4
First three months focused on cleaning up the AR backlog. By month four, collections exceeded monthly production – recovering old money while keeping current claims clean. Insurance payments from 28+ carriers processed in a single month.
3-year client
Solo general practice
+$288K
Additional annual revenue
Before: 87-99% collections. Year one with us: 103%. Three years in: $288,000 more per year. Production grew 23% because the dentist could focus on growth knowing collections would follow.
5-year client
General practice, Utah
133%
Collections growth over 5 years
Practice doubled. Production: $552K to $1.14M. Collections: $517K to $1.2M. Year four hit 111.4% collections rate. When billing stops being a bottleneck, the practice can scale.
Who we work with
Who our insurance billing service works for
Smart Dental Billing works with solo dentists, specialty practices (ortho, perio, oral surgery), multi-location groups, and DSOs across the US.
Solo dentists relying on a front desk person with five other jobs. Specialty practices where denials are more common. Multi-location groups needing consistent billing across every office. Practices where the biller just quit. Practices that already have a biller but need backup on AR, denials, or overflow.
We’re not replacing your team. We’re covering the part that takes the most time and loses the most money when it’s done inconsistently.
Why practices choose us
How this works differently from other billing companies
Smart Dental Billing works inside your existing practice management software, includes denial management at no extra cost, requires no contracts, and is staffed entirely by a US-based team.
We work inside your PMS
Not our own portal. We log into your Dentrix, Eaglesoft, OpenDental, or Dolphin and work as if we’re sitting in your office.
Denial management is included
Most billing companies charge extra for appeals or skip them entirely. Every denial gets worked as part of our standard service.
No contracts
Month-to-month. 30 days notice to cancel. No setup fee. We earn your business every month.
US-based team
Not offshore, not a call center. Your biller knows your practice, your payers, your patterns.
You keep full access and control
Your PMS, your data, your reports. We’re doing the work, not gatekeeping the information. You can check anything at any time.
No new systems to learn
We Work Inside Your Existing Software
We log directly into your practice management software and work as part of your team. No data migration, no separate portal, no learning curve for your staff.
Dentrix
Eaglesoft
OpenDental
Dolphin
And others – we work with whatever PMS your practice runs
Pricing
Simple, transparent pricing
Insurance billing
2%
of insurance collections – $1,500/mo minimum
Claim submission, tracking, denial management, appeals, payment posting, AR follow-up, aging report review, monthly reporting. Everything included – no per-claim fees, no add-on charges.
AR cleanup (add-on)
$500
one-time fee
We go through your existing unpaid claims, fix errors, resubmit, and follow up. Practices typically recover $10,000-$100,000 from cleanup alone.
No setup fees. No contracts. Month-to-month, 30 days notice to cancel.
Compare to an in-house biller at $55,000-$75,000+/year fully loaded.
FAQ
Common questions about dental insurance billing
What’s included in dental insurance billing services?
Smart Dental Billing’s insurance billing service includes claim submission (electronic and paper), claim tracking and payer follow-up, denial management and appeals, insurance payment posting, AR follow-up on claims aged 30+ days, insurance aging report review, and monthly collections reporting. Everything is included in the service fee with no per-claim charges or add-on costs.
What practice management software does Smart Dental Billing work with?
Smart Dental Billing works directly inside the practice’s existing PMS – Dentrix, Eaglesoft, OpenDental, Dolphin, and others. There is no separate system or data migration required.
What happens to denied dental insurance claims?
Every denied claim is investigated, corrected, and resubmitted or appealed. Denial management is included in the standard service at no additional charge.
How fast will a dental practice see results from outsourced billing?
Claims begin going out from day one. Insurance payments follow the normal payer cycle of 14-30 days. Most practices notice increased collections activity within the first 2-4 weeks.
Does outsourced billing replace in-house dental staff?
No. Smart Dental Billing works alongside existing staff. Practices can outsource the full billing cycle or bring in help for specific areas like AR cleanup, denial management, or overflow.
Does Smart Dental Billing require a contract?
No. The service is month-to-month with no setup fee. Practices can cancel with 30 days notice.
How much does outsourced dental billing cost?
Smart Dental Billing charges 2% of insurance collections with a $1,500 per month minimum. There are no setup fees, no per-claim charges, and denial management is included. By comparison, a full-time in-house billing coordinator costs $55,000-$75,000+ per year fully loaded.
What if there’s a backlog of old unpaid claims?
Smart Dental Billing offers a one-time AR cleanup for $500. The team reviews existing unpaid claims, corrects errors, resubmits, and follows up. Practices typically recover $10,000-$100,000 from cleanup.
How does a dental practice get started?
Practices start with a free consultation where Smart Dental Billing reviews their current billing situation and explains what the service would cover. Onboarding typically takes days, not weeks.
Next step
Let’s look at your billing
Book a free consultation. We’ll review your current billing situation, show you where money is being left on the table, and explain exactly what changes when we take over. No pitch deck, no pressure.
Or call (630) 449-2889 / email info@smartdentalbilling.com