Do dental billers handle medically-linked dental claims (Medicare)?

Yes — but only if the billing provider has explicit CMS/Medicare experience and documented processes. Since 2025 CMS requires use of the KX modifier for dental services tied to medical care and submission of an ICD-10 diagnosis code on dental (837D) claims effective July 1, 2025. Confirm that your partner supports KX modifier usage, ICD-10 mapping on 837D claims, and has clear denial workflows for medically-linked claims.

Is outsourcing dental billing worth it?

For most practices, outsourcing yields higher collections and frees clinical staff to focus on patient care. Key benefits include specialized CDT/CPT coding expertise, improved first-pass acceptance, systematic denial management, and access to RCM automation. Evaluate ROI by reviewing a vendor's first-pass acceptance rate, average A/R days, and denial reversal metrics.

How should I evaluate dental billing pricing?

Most dental billing firms charge a percentage of collections (commonly 4%–10%) or flat fees depending on services. Verify whether coding review, credentialing, patient statements, and appeals are included. Ask for a side-by-side estimate showing gross collections vs net collections, and any startup, escrow, or termination fees.

What KPIs should I request from a dental billing partner?

Request first-pass claim acceptance rate, average days in A/R, denial rate and denial reversal rate, net collection percentage, and average claim resolution SLA. Also confirm reporting cadence and sample KPI dashboard views.

Top Dental Billing Partners for 2025: A Comprehensive Guide

Sirius solutions global
Oct 23
4 min read

Updated: 4 days ago

Dental assistant in blue scrubs points to a tablet screen while a male patient in a dental chair looks on, both focused on the image.

Running a modern dental practice means balancing patient care with the complex, ever-changing world of insurance, coding, and revenue cycle management (RCM). To make decisions easier, I researched the market and compiled a trusted, practitioner-focused list of the top dental billing partners for 2025, with Sirius Solutions Global at the top. Below, you’ll find a transparent methodology, short profiles, what each company does best, who they’re ideal for, and quick pointers about CMS changes you need to know.

How We Selected These Companies (Methodology)

We evaluated providers based on several criteria:

Proven dental RCM experience and specialty coding strength (CDT, CPT, ICD-10).
Technology and automation (claim scrubbing, AI-assisted RCM).
First-pass claim acceptance and denial management approach.
Transparency of fees and contract flexibility (percentage vs flat fees).
Customer feedback, industry reputation, and compliance (HIPAA + CMS guidance).

Sources included industry roundups, company pages, and CMS policy updates.

Quick Note for Practices: Important CMS Updates (2025)

CMS clarified billing requirements for dental services linked to medical care. Key points include:

The use of the KX modifier to indicate dental services that are inextricably linked to a Medicare-covered medical service is required starting July 1, 2025. CMS encouraged earlier use beginning January 1, 2025.
Practices must submit an ICD-10 diagnosis code on dental (837D) claims starting July 1, 2025. These operational changes affect how dental claims tied to medical conditions are documented and submitted. Make sure your billing partner supports this.

Top 10 Dental Billing Companies (2025)

1. Sirius Solutions Global

Sirius Solutions Global excels in end-to-end RCM, AI-assisted claim scrubbing, CDT coding accuracy, and denial prevention workflows. They offer no start-up fee and flexible arrangements designed for dental offices. Their experience handling medical-dental intersections is critical after the CMS changes. This makes Sirius a great fit for practices that need accuracy and a compliance-first approach.

Ideal for: Practices of all sizes that want a hybrid of offshore efficiency and US-facing quality checks; clinics handling medically linked dental claims.

What to ask Sirius: Inquire about their first-pass claim acceptance rate, denial turnaround SLA, and how they implement the KX modifier and ICD-10 mapping for dental claims.

2. Eassist Dental Solutions

Eassist features large US-based teams and AI/automation tools for fast claim submission. Many practices choose them for their scale and US-based customer support.

Ideal for: Medium-to-large practices or DSOs that value a big in-house team.

3. Dental Claim Support (DCS)

DCS offers strong automation and AR workflows. They are members of dental billing communities (AADM/AADOM partnerships) and are a good fit for DSOs and busy offices.

Ideal for: Practices focused on claims accuracy and progressive RCM tech.

4. Transcure

Transcure provides AI-assisted RCM and public lists of performance metrics (e.g., first-pass acceptance, A/R days). They publish industry lists and have an expanding dental focus.

Ideal for: Practices wanting aggressive automation and quick A/R turns.

5. EZ Dental Billing

EZ Dental Billing focuses on small to medium practices with HIPAA-compliant systems and claims of solid revenue uplift. Many offices appreciate their straightforward fee structures.

Ideal for: Solo practices and smaller groups.

6. Dynamic Dental Solutions

Dynamic Dental Solutions specializes in dental-only claims, boasting high first-pass approval rates and strong denial overturn statistics. They are well-suited for procedure-heavy practices.

Ideal for: Specialty practices (oral surgery, implantology).

7. MedibillMD / Medibill (Dental Offerings)

Medibill offers cross-over medical/dental billing expertise, which is useful for practices that bill both medical and dental lines. This is especially important for medically-related dental claims.

Ideal for: Practices that also provide medical services or frequently submit medically linked dental claims.

8. Dental Claims Cleanup / Dental Claims Cleanup Services

This company focuses on remediation and AR cleanup projects, making them perfect for practices with aging receivables that need a short-term recovery partner.

Ideal for: Practices with legacy billing issues.

9. Medusind (Dental Services Arm)

Medusind is a large RCM provider with cross-specialty expertise, scalable enterprise solutions, and process maturity. They are often chosen by larger group practices and DSOs.

Ideal for: Large multi-site groups and DSOs.

10. Dental Revenue Group / Other Niche Specialists

These niche dental RCM shops focus on specific specialties or regions. They can provide high value for select needs, such as pediatric dentistry billing or orthodontic RCM.

Ideal for: Practices with specialized workflows that need tailored billing rules.

Pricing Expectations (Quick Guide)

Most dental billing companies charge a percentage of collections, typically ranging from 4% to 10%. This depends on services and volume, including verification, credentialing, and patient statement management. Always confirm whether clinical coding review or denial appeals are included.

How to Pick the Right Partner (Practical Checklist)

Ask for dental specialty experience (CDT/CPT/Crosswalks to ICD-10).
Request KPIs: first-pass acceptance, average A/R days, denial reversal rate.
Confirm CMS/Medicare experience, especially for medically linked dental claims (KX modifier, ICD-10 on 837D).
Check data security (HIPAA, encryption, BAAs).
Look for a trial or short-term pilot and clear termination/fee terms.

Final Thoughts (And a Practical Next Step)

Choosing a billing partner is about more than just price; it’s about trust, specialty knowledge, and process maturity. If you want a partner that blends AI-assisted automation with clinical coding discipline and strong denial workflows, consider Sirius Solutions Global for a pilot engagement. We’ll share a clear KPI dashboard, compliance documentation, and a tailored onboarding plan to protect revenue from day one.

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