Verify
Eligibility & benefits confirmed before the appointmentSubmit
Scrubbed CDT claims with attachments, filed cleanFollow Up
Aging worked on a fixed cycle until resolvedAppeal
Denials corrected and re-filed with narrative supportPost & Report
Payments reconciled, ledger closed, reported monthlyWho We Serve
Built for Every Kind of Dental Practice
From a single chair to a multi-location DSO, and every specialty in between.
Why Outsource
Billing shouldn't compete with patient care
We don’t just submit claims, we manage your entire dental revenue cycle until every dollar is collected. Most billing services stop at submission. BilRex stays on every claim through payment.
More chair time, less hold time
Your front desk stops fighting payer portals, and gets back to scheduling, checking in, and taking care of patients.Lower overhead
No hiring, training, or turnover of in-house billing staff, just a dedicated team that already knows dental coding.Fewer denials, first pass
Claims are scrubbed against payer-specific edit rules before submission, not fixed after the fact.A ledger you can trust
Monthly reporting on collections, AR aging, and denial trends, built to be read at a glance, not decoded.What We Handle
The full dental billing cycle, managed end to end
From the first eligibility check to the final posted payment, it’s one team, one accountable process.
01- Eligibility & Benefits Verification
Plan type, annual maximums, deductibles remaining, frequency limitations, and downgrade or alternate benefit clauses, confirmed 2 to 3 business days before the appointment, so check-in can quote accurate patient costs.02- CDT Coding & Clean Claim Submission
Every claim is scrubbed against payer-specific edits, with correct CDT codes (D0100 to D9999), tooth, surface, and quadrant detail, narratives, and required x-rays or perio charting, before it's filed on the ADA claim form.03- Pre-Authorization & Predetermination
Crowns, implants, ortho cases, and major restorative work submitted for predetermination and tracked to approval, so patients know their cost before treatment begins.04- Payment Posting & Reconciliation
EOBs and ERAs are posted against the correct procedure lines, with adjustments and write-offs applied per your fee schedules, so the ledger matches what was actually collected.05- Denial Management & Appeals
Root-cause review of every downgrade, bundle, or documentation denial, corrected and re-filed with the supporting narrative and radiographic evidence payers respond to.06- Insurance AR Follow-Up
No claim sits untouched. Aging is worked on a fixed follow-up cycle until every dollar owed is paid or formally closed, and tracked against each state's timely-filing deadline.07- Medical Cross-Coding (CPT)
Oral surgery, implants, bone grafting, TMJ treatment, biopsies, and sleep apnea appliances billed to medical insurance under CPT and ICD-10 when medical necessity is documented, recovering reimbursement that dental-only billing leaves behind.08- Patient Billing & Statements
Clear statements issued after insurance pays its share, with support for patient billing questions that protects the patient relationship.09- Credentialing & Payer Enrollment
Initial credentialing, re-credentialing, and CAQH maintenance with Delta Dental, Cigna, MetLife, Guardian, and Medicaid dental plans, so you stay in-network at contracted rates.10- Custom Reporting & Analytics
Monthly reports on collections, AR aging, denial trends, and production versus collections, built to show exactly how your practice is performing.Coding Accuracy
CDT & CPT Codes We Bill
Dental billing runs on CDT, a separate code set from medical CPT, updated by the ADA every January. Wrong or outdated codes are one of the top reasons claims get denied, and we stay current on both.
| CODE RANGE | CATEGORY | COVERS |
|---|---|---|
| D0100–D0999 | Diagnostic | Oral evaluations, dental x-rays, diagnostic imaging |
| D1000–D1999 | Preventive | Prophylaxis, fluoride treatments, sealants |
| D2000–D2999 | Restorative | Fillings, crowns, onlays, veneers |
| D3000–D3999 | Endodontics | Root canal therapy, pulp therapy, apicoectomy |
| D4000–D4999 | Periodontics | Scaling, root planing, periodontal surgery |
| D5000–D5899 | Prosthodontics | Dentures, implant-supported overdentures |
| D7000–D7999 | Oral Surgery | Extractions, impacted tooth removal |
| D8000–D8999 | Orthodontics | Banding, treatment, and retention visits |
| CPT / ICD-10 | Medical Cross-Coding | Oral surgery, implants, TMJ, and sleep apnea billed to medical carriers when medically necessary |
Coverage
Built for every dental specialty
Different specialties, different coding and payer rules. Our team works inside each one.
| SPECIALTY | CDT RANGE | WHAT WE HANDLE |
|---|---|---|
| General & Family Dentistry | D0100–D2999 | Diagnostic, preventive, and restorative claims at volume |
| Oral & Maxillofacial Surgery | D7000–D7999 | Medical-dental cross-coding, hospital claims, anesthesia billing |
| Orthodontics | D8000–D8999 | Banding, monthly billing cycles, lifetime maximum tracking |
| Endodontics | D3000–D3999 | Referral coordination, root canal documentation and coding |
| Periodontics | D4000–D4999 | SRP frequency tracking, implant and grafting claims |
| Pediatric Dentistry | D0100–D1999 | Medicaid/CHIP billing, sedation coding, guardian billing |
Software Expertise
Practice Management Software We Work With
No system switch required, our billing team plugs directly into the PMS your practice already runs.
Onboarding without disrupting your practice
No software switch, no downtime, your billing team plugs into the system you already run.
Free Practice Audit
We review your current AR, denial rate, and workflow at no cost.Onboarding & Setup
We integrate with Dentrix, Eaglesoft, Open Dental, or your existing PMS.Go Live
Your dedicated billing team handles claims, follow-ups, and payment posting from day one.Ongoing Reporting
Monthly performance reviews with a direct line to your accountPayer Network
We Bill and Follow Up With Every Major Dental Insurer
From PPO to Medicaid, our team knows each payer’s rules, portals, and appeal process.
Why BilRex
A billing team that acts like part of your practice
Not a call center rotation, but a dedicated team that knows your fee schedules, your payers, and your patients.
Get The Answers You Need
Frequently Asked Questions
Find answers to frequently asked questions about our services, processes, billing solutions, and client support.
Pricing depends on your practice’s monthly collections and the scope of services you need, either a flat monthly fee or a percentage of collections. We’ll give you an exact, no-obligation quote after your free practice audit.
Most practices are fully onboarded and live within 1–2 weeks. We handle system access, workflow mapping, and staff introductions without disrupting your day-to-day operations.
Yes. We bill and follow up on PPO, HMO, indemnity, and Medicaid/CHIP dental plans, and understand the different frequency limits and documentation rules each requires.
Yes. We work directly inside Dentrix, Eaglesoft, Open Dental, Curve Dental, Denticon, CareStack, Practice-Web, Oryx, and most other dental practice management systems, with no migration needed.
You’ll get a full performance report every month covering collections, AR aging, and denial trends, plus a direct line to your dedicated account manager any time you have a question.
Ready to Improve Your Dental Practice Revenue?
Schedule a free billing audit with BilRex, and discover how our dental billing specialists can reduce denials, improve collections, and maximize your revenue.
Schedule a Free Billing Audit
