If your practice is losing revenue to denials, downcoding, or Medicaid MCO errors; it’s due to the fact that Georgia dental billing carries real complexity that most out-of-state billing vendors never fully grasp. TransDental’s 1,100+ certified dental billing specialists manage your complete revenue cycle, so you can stay focused on your patients and your practice.
Georgia’s dental market is growing fast and the billing complexity is growing with it. Practices from Atlanta to Savannah are navigating a multi-CMO Medicaid structure, narrower adult benefits than most providers expect, and recordkeeping obligations that directly affect billing defensibility. Here is what that looks like in practice.
PeachCare for Kids® and Adult Benefit Complexity
PeachCare for Kids® and Adult Benefit Complexity
PeachCare for Kids® and Adult Benefit Complexity
PeachCare for Kids® and Adult Benefit Complexity
TransDental is not a generalist billing company. Our model combines an 1100+ person in-house team with RPA automation; purpose-built for dental billing specifically to catch what manual-only processes routinely miss. Every workflow is designed around the complexity of real payer environments, not adapted from a generic template. That’s the difference between a billing partner and a billing solution.
Billing companies are typically either fully manual (slow, error-prone at volume) or heavily automated (missing judgment calls). TransDental uses a combination of both.Our RPA handles high-volume, repetitive tasks like claim scrubbing, eligibility checks, etc. while our billing specialists handle anything requiring clinical or contractual judgment.
Every payment is reconciled against your contracted rate, line by line, across every payer. When Delta Dental of Georgia or any commercial payer pays below the agreed fee on certain plan types, we flag it and file the appeal within 14 days. Most practices only catch outright denials because that's where the process stops. We go further.
Before every Georgia Medicaid claim goes out, we confirm the patient's current MCO enrollment, format the claim for that specific plan's portal, and include what that MCO requires. When a patient switches plans mid-treatment which happens frequently in Georgia's Medicaid population, we catch it before it becomes a rejection.
Claims processed within 48 hours of receipt. No setup fee, no monthly minimum, no long-term contract, and no hidden costs buried in the fine print. Our fee is a nominal percentage of what we successfully collect from payers on your behalf. We only earn when you get paid which means our incentives are aligned with yours from day one.
TransDental is not a clearinghouse or a claim-submission portal. We are your complete outsourced dental revenue cycle management department handling every step from eligibility verification to final payment posted to your ledger.
All billing companies are not built the same. Before you decide, see exactly what you’re getting by partnering with TransDental.
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Three steps. No disruption. No risk.
We don’t publish named case studies because most clients prefer to keep billing performance private. What we can share is what the numbers look like across practices with comparable payer profiles.
Based on aggregated results across dental practices in comparable payer environments.
| Metric | Before TransDental | After TransDental |
|---|---|---|
| Average Denial Rate | 8–12% | Under 2.3% |
| First-Pass Clean Claim Rate | 70–80% | 96–98% |
| A/R Over 90 Days | 30–40% of Total AR | Reduced by 30%+ |
| Average A/R Resolution | 45+ Days | 18–25 Days |
| Claim Turnaround | 3–5 Days | 48 Hours |
| Revenue Growth (120 days) | Baseline | 5–12% Increase |
Our dental billing specialists are fully versed in the submission rules, fee schedules, timely filing deadlines, and appeal processes for every significant payer active in Georgia. National billing companies frequently stumble on Georgia’s multi-CMO Medicaid structure and miss the nuances between what Humana covers versus what CareSource or UnitedHealthcare authorizes for the same procedure. We don’t.
The sole incumbent CMO to retain its Georgia Families® contract through the 2024 DCH procurement. CareSource delivers dental benefits across Georgia Medicaid, PeachCare for Kids®, and Georgia Pathways with age-stratified prior authorization requirements.
Whatever dental insurance you accept, we’ve got you covered. Transdental’s billing experts navigate every major dental insurance network with 15+ years of payor expertise.
We don’t have a Georgia office. What we have is a team that handles Georgia claims daily and knows that Delta Dental reimburses differently on certain plan structures, that WellCare Georgia uses a different claim format than Amerigroup, and that Anthem BCBS pre-authorization requirements vary by employer plan type.
Whether you practice in Fulton County or Wilkes County, TransDental knows your payers, your plans, and exactly how to get your claims paid.
Every state has its own payer rules, Medicaid structure, and billing landmines. TransDental expertly navigates all of them.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Georgia’s O.C.G.A. § 31-33 electronic health information protections. Every data transmission meets the highest applicable standard; not just the minimum.
Only credentialed TransDental personnel can access your practice data, eliminating the internal access vulnerabilities that turn in-house billing into a compliance liability most Georgia practice owners don’t realize they are carrying until it is too late.
Our AICPA SOC 2 Type II certification is independently audited and renewed annually. Everything is documented, third-party verified proof of our security posture. Your Georgia practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
In-house billing looks cheaper on paper. It rarely is. Between staffing overhead, turnover, training costs, and the revenue lost to unworked denials, most practices are spending far more than they realize and collecting far less than they should. TransDental’s fee is a percentage of what you actually collect. That’s the whole model.
Average Georgia Salary
Join 500+ dental practices; from solo general dentists to multi-location DSOs, that trust TransDontics, the dental billing company built for growth. Start with our complimentary audit. Our billing specialists will review your claims and show you exactly what’s recoverable.
Dedicated specialist assigned to your practice + weekly performance reports
Complimentary 90-day claims audit
Uncover your top 3 revenue leaks
Custom strategy for your specialty and PMS software
Live in 24 hours with no contracts & no upfront fees
Pay only a percentage of what we collect for you
