Dental Specialties We Support
General Dentistry
Orthodontics
Endodontics
Oral Surgery
Pediatric Dentistry
Periodontics
Prosthodontics
Dental Billing Services
AI-Powered, Human-Led Dental Revenue Cycle Management
We not only see issues; we solve them and sustain their permanent state. We at Sirius Solutions Global provide your business cleaner claims, fewer rejections, quicker reimbursements, and predictable cash flow by combining dental-specialty billing experience with smart automation. Our crew connects swiftly, and whether you operate a single-chair dental practice or a multi-location specialty clinic (orthodontics, oral surgery, implants, pediatrics, endo, or perio), it becomes the billing engine your practice needs.
Best AI dental billing solutions provider across the United States
5+
Years of Experience
30%
AR Reduction
40+
States Served
97%
Client Retention
50+
Happy Clients
Full dental billing services
1. Insurance verification & benefits checks (before the chair)
We verify patient benefits up front so you can quote accurate out-of-pocket estimates and avoid surprise denials. That includes coverage for major services (crowns, implants, ortho), frequency limitations, waiting periods, and coordination of benefits.
2. Predeterminations & pre-authorizations
Many dental carriers require predetermination for complex restorative work and orthodontics. We prepare predetermination packages, submit them, and follow up until the determination is returned -so your patients know expected coverage before treatment begins.
3. CDT & ADA coding, charge entry, and clinical mapping
Our certified dental coders enter charges using correct CDT/ADA codes, tooth numbers, surfaces/modifiers, and link diagnosis to procedure where applicable. We ensure your superbill maps correctly to your PMS/EHR and clearinghouse formats.
4. Clean claim submission & clearinghouse management
We electronically scrub claims, resolve payer edits, and submit through trusted clearinghouses. Pre-submission scrubbing reduces first-pass denials and rejections.
5. Payment posting & EOB reconciliation
Daily posting of insurance payments and patient payments with precise EOB posting, denial reason capture, and account balancing so AR records are always accurate.
6. Denial management & appeals
We analyze denial root causes (manual errors, coverage rules, frequency limits, bundling), prepare appeal packets, and escalate to payer reps when needed. We track appeals and report on outcomes.
7. Patient statements & collections
Friendly, compliant billing communications: statements, reminders, payment plans, and secure payment options (cards, ACH). We prioritize patient experience while recovering balances.
8. Accounts receivable (AR) follow-up & aging reduction
Systematic AR workflows: prioritize highest-impact work, follow up per payer SLAs, and reduce days in AR so your cash is predictable.
9. Specialty workflows (orthodontics, oral surgery, implants, DSO support)
We tailor workflows for specialty needs multi-stage implant cases, orthodontic case tracking, surgical pre-auth packages, multiple payer coordination, and DSO centralized billing operations.
10. Reporting & KPI dashboards
Custom dashboards show:
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Net collection rate
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Days in AR
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First-pass acceptance rate
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Denial rate by payer and CPT/CDT
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Outstanding predeterminations & appeals status
Our processes step-by-step
Phase 1 — Discovery & baseline audit
We review a sample of your recent claims, AR, and billing workflows to identify quick wins: missed modifiers, unbilled visits, high-volume deniers, and predetermination gaps.
Deliverable: baseline scorecard showing immediate remediation opportunities and estimated recovery.
Phase 2 — Onboarding & integration
We connect securely to your PMS/EHR and clearinghouse, set up payers, map charge codes, and train a dedicated account team on your practice’s workflows.
Timeline: typically 7–21 days depending on system access and backlog.
Phase 3 — Clean-up & backlog resolution
We clear high-value denials, resubmit corrected claims, and bring AR under control before steady state operations begin.
Phase 4 — Daily operations
We run eligibility checks, code & submit claims, post payments, work AR by priority, and prepare appeals — with weekly touchpoints and monthly performance reviews.
Phase 5 — Continuous improvement
Ongoing tuning: update code bundles, enhance scrub rules, and run targeted denial prevention sprints. Quarterly audits ensure gains are sustained.
Deliverables you’ll receive
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Executive audit report & prioritized fix list.
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Daily/weekly claim submission summaries.
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Monthly KPI dashboard & reconciliation packet.
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Appeal and predetermination documentation packs.
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Patient statements and collection logs.
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Dedicated account manager with weekly check-ins.
Why dentists choose us
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Dental-specific expertise: experienced billers familiar with CDT/ADA coding, predeterminations, and payer quirks.
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AI-powered accuracy: automated claim scrubbing, smart CDT/ICD suggestions, and denial-risk prediction.
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End-to-end RCM: eligibility checks → charge entry → claim submission → AR follow-up → appeals.
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Clean, transparent reporting: dashboards that show cashflow, days in AR, denial causes, and action items.
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Patient-friendly collections: clear statements, payment plans, and respectful outreach that protects reputation.
How our Sirius AI helps
We use AI to remove repetitive work and surface the high-impact items so experienced billers can focus on judgement calls:
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Claim scrub automation: catches common errors (missing tooth number, wrong CDT modifier, patient DOB mismatches) before submission.
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Smart code suggestions: suggests CDT pairings and flags risky code combinations for human review.
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Predictive denial scoring: flags claims with high denial probability so we remediate pre-submission.
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OCR & document ingestion: turns paper records, lab slips, and scanned pretreatment plans into structured inputs.
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Revenue leak detection: finds missed visits, unbilled procedures, and orphaned clinical entries.
AI speeds accuracy; certified dental coders and revenue specialists decide final submission and appeals strategy.
Outcomes and Dental Documentation
Measurable outcomes & KPIs (what success looks like)
After implementing best practices you should expect:
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Increased first-pass acceptance and fewer rejections.
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Faster payment cycles and lower days in AR.
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Reduced denial volume from common root causes.
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Improved net collection rate and predictable cashflow.
We set baseline metrics in your audit so improvements are measurable and transparent.
Dental documentation & coding tips (practical, for providers)
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Always document tooth number, surface, and applicable modifiers.
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Note medical necessity when procedures cross into medical coverage (trauma, surgical extractions, hospital procedures).
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Capture pre-treatment narratives and informed consent — helpful for predeterminations and appeals.
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Close the loop: ensure completed treatment entries match billed codes.
We Promise to Work On Every Software
Compliance & Achievements
Ready to stop chasing payments and start focusing on patients
If billing is taking time away from patient care, let’s fix it. Contact us for a complimentary baseline audit and a clear action plan. Tell us one thing that frustrates your team most about billing, and we’ll include quick wins for that in our audit.