Dental Medical Billing Services
Many dental procedures are actually covered by medical insurance, but only if they're cross-coded correctly. We handle dental billing and medical-dental cross-coding so your office collects what it's owed.
Get a Free Dental Billing AuditWe handle dental billing end to end, including the medical cross-coding that most dental offices leave on the table. When a procedure is medically necessary (oral surgery, trauma, TMJ, sleep apnea), it can be billed to the patient's medical plan with the right CPT, ICD-10, and documentation, not just CDT.
Dental billing we handle
- Medical-dental cross-coding. CDT-to-CPT translation for medically necessary procedures.
- Oral & maxillofacial surgery. Extractions, biopsies, and surgical procedures billed to medical.
- TMJ & sleep apnea appliances. Oral appliance therapy with correct medical coding and auth.
- Trauma & pathology. Accident-related and diagnostic procedures.
- Dental implants. Implants billed to medical when trauma- or pathology-related, with documentation.
- Frenectomy. Tongue-tie and lip-tie procedures billed to medical where covered.
- Sedation & anesthesia. IV sedation and anesthesia billed with the surgical procedure.
- Eligibility & prior authorization. Medical benefits verified before treatment.
- Standard dental claims. CDT coding and dental-plan submission handled too.
Why dental practices lose revenue
The usual losses: medically necessary procedures billed only to dental (or written off), missing medical prior authorization, wrong CPT/ICD-10 linkage on cross-coded claims, and no appeal when medical denies. Cross-coding expertise turns these into paid claims.
What you get with PRMS
Medical cross-coding
We translate dental procedures to medical CPT/ICD-10 to unlock medical reimbursement.
Auth & documentation
Medical benefits and authorizations handled before treatment.
Both worlds
Dental (CDT) and medical claims managed under one team.
Dental billing FAQs
Can dental procedures be billed to medical insurance?
Yes, when they are medically necessary. Oral surgery, biopsies, trauma, TMJ treatment, and sleep apnea appliances are commonly reimbursable by medical plans when cross-coded correctly with CPT and ICD-10.
What is medical-dental cross-coding?
It is translating a dental (CDT) procedure into the medical codes (CPT/ICD-10) a medical payer requires, with supporting documentation, so a medically necessary dental procedure can be billed to medical insurance.
Do you also handle standard dental claims?
Yes. We manage routine CDT dental claims and dental-plan submission alongside medical cross-coding, so your office has one team for both.
How quickly will we see results?
Most dental offices see recovered revenue from cross-coding and cleaner submissions within the first one to two billing cycles.
Related services & specialties
Explore our full billing, coding & denial management services and provider credentialing, or see other specialties we bill including 25+ more.