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What we do
Outsourced dental billing services for practices and DSOs.
We are a U.S.-based team of dental billers. We verify insurance,
submit and post claims, work denials, send patient statements, and
clean up aged AR.
We work with individual practices and DSOs running Open Dental,
Dentrix, Eaglesoft, Oryx, Greyfinch, and more. You keep your software
and your team. We run billing inside your existing setup.
Outsourcing
Why outsource your billing?
When billing falls behind, the first instinct is to hire. Hiring can
work, but three things make most practices outsource instead.
Staffing
Hiring a biller adds another W-2 to the practice: payroll, payroll tax, benefits, PTO, and finding coverage when they call out sick. Outsourcing keeps all of that off your plate and gives you a service line item instead of a hire.
Expertise
Payer rules, CDT changes, coordination of benefits, and appeals are a lot to keep up with. Billers who work across many practices have usually seen your denial before and know what gets it paid.
Focus
Billing has no patient in the chair forcing a deadline, so it is the first thing to slide when the schedule is full. When it is someone's only job, it stays current and your front desk stays on patients.
Three numbers tell you how your billing is doing. Below is the
industry standard next to what an average practice runs.
Net collection rate
Industry standard
98%+
Average practice
84–92%
On a $1.5M practice, the gap between 92% and 98% runs into tens of thousands of dollars a year. That's money you already earned but never collected.
Days in AR
Industry standard
Under 30
Average practice
60–90+
Halving your AR days frees up a full month of production in cash. The older a claim gets, the harder it is to collect, and payer timely-filing limits can close the window on resubmission entirely.
First-pass claim acceptance
Industry standard
95%+
Average practice
~85%
Every denial means rework and another payment cycle before the claim is paid. At 85% on a thousand-claim month, that is 150 claims someone has to pull, correct, and resubmit or appeal.
Net collection target of 98% per the American Dental Association. Average-practice figures are commonly cited industry ranges, not
our measurements. They vary by specialty and payer mix.
Send us last quarter's production and collections and we'll
calculate these three numbers for your practice.
Clear is a small, U.S.-based team backed by modern software. Your
account is run by people you can name and reach, the work is tracked
in a system you can check yourself, and every patient record moves
under a signed BAA.
Team
Your account is run by a small, U.S.-based team. Each biller carries only a few practices at a time. You work with the same people month to month and reach them directly by phone or email.
Technology
Every claim is tracked in software you can check yourself: what has been billed, what has been paid, and what is outstanding. The software keeps the records accurate. Your biller handles the work that needs a person.
Trust
Before any patient data moves, we sign a BAA, encrypt records in transit, and limit access to the biller on your account. We only take on practices we can run well. If something is stuck or a payer is dragging, you hear it from us first.
I've spent nearly 10 years working in dentistry, mainly in front office and dental billing roles, and now specialize in revenue cycle management. I'm really passionate about the dental billing side of dentistry and helping offices get paid what they've earned.
“I love the detective work behind dental billing. Digging into why claims deny and getting them paid is my favorite part of what I do.”
We work through aged AR for your practice. That means claims and patient balances that have been sitting unpaid for months, often past 60, 90, or 120 days.
From the discovery call to claims going out, in as little as a few
days.
01
Discovery call
We start with a 30-minute call about your practice, your PMS, your typical payer mix, and what is working or breaking right now in billing.
02
Onboarding
You give us read access to your PMS, and we map out what you need: fee schedules, payer list, report formats. On a PMS we know well, we can have claims going out within a few days. A new PMS or an unusual setup takes longer. You keep your existing software and team.
03
Day-to-day work
Once we are running, we submit claims, post payments, work denials, and send patient statements on the cadence we set during onboarding. Reports go back to your practice in a format your CPA can read.
Primary vs. secondary dental insurance: how COB works.
The full coordination-of-benefits workflow for billers: determining primary, the three coordination outcomes, the workflow that keeps write-offs accurate, and three worked examples with the math.
The most-scrutinized adjunctive code in restorative billing. When D2950 applies, the documentation that prevents "not medically necessary" denials, and how to handle the buildup-bundled-into-crown pattern.
We are building reference material on dual insurance, Medicare crossover, missing tooth clauses, frequency limitations, and the topics a billing manager keeps coming back to.
We are building a working library of CDT codes, one at a time. Each code page covers what it includes, how it is typically billed, and the denials it tends to draw.
A short intake on practice size, software, and what is stuck. We
respond within one business day with whether we are a fit, what
onboarding would look like, and a rough number for a practice your
size.
