# Dental Billing Services | Medical-Dental Cross-Coding | PRMS

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Dental Billing

# 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 Audit](https://prmsbs.com/contact)

We 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.

**The dental office leak.** Procedures like biopsies, TMJ treatment, sleep appliances, and surgical extractions are often reimbursable by medical insurance, but dental staff aren't trained to cross-code them. That's recoverable revenue we capture.

## 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](https://prmsbs.com/services) and [provider credentialing](https://prmsbs.com/medical-credentialing/), or see other specialties we bill including [25+ more](https://prmsbs.com/specialties/).