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Provider Services

Dental billing, insurance follow-up and patient AR

CDT coding, attachments, pre-determinations and persistent insurance follow-up — so your practice stops writing off claims it earned.

How MedValue helps

Dental claims are lost to missing attachments, unclear frequency limits and unworked aging. We handle the whole insurance side so your front desk can focus on patients.

  • CDT code review and ADA claim submission with required narratives, X-rays and perio charting
  • Pre-determinations and pre-treatment estimates for major and specialty procedures
  • Insurance verification with plan maximums, frequency limits and waiting periods documented
  • Medical cross-coding for procedures payable under medical plans, such as surgical extractions and sleep appliances
  • Payment posting, write-off review against contracted PPO fee schedules
  • Aged insurance AR recovery and clear patient balance statements and calls

The challenges we hear

These are the bottlenecks that quietly cost revenue. Our team removes them with a documented workflow, clear ownership and weekly reporting.

  • Claims are denied for missing X-rays, narratives or perio charts
  • Frequency limits and annual maximums are discovered after treatment
  • PPO write-offs are posted without checking the contracted fee
  • Insurance aging past 60 days is never systematically worked
  • Patients are surprised by balances the practice then discounts

Attachments done right the first time

Most dental denials are documentation failures, not coverage failures. We assemble narratives, radiographs and periodontal charting with the claim, so it adjudicates instead of bouncing.

Verification that prevents surprises

Before treatment we confirm eligibility, remaining maximum, frequency history and waiting periods, so the practice can present an accurate estimate and collect the patient portion up front.

No-cost revenue check

See exactly what your practice is leaving on the table

Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.

  • A claim-level look at what is being denied and why
  • Aged AR you can still recover, quantified in dollars
  • Coding and fee schedule gaps costing you per visit
  • A plain-English action plan you can keep either way

Prefer to talk first? Call 630-430-1040

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Questions first? Read the billing FAQ or build a custom quote.

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