SMMC Prepaid Dental Health Plan routing, Medicaid managed care rules, and Florida’s payer maze don’t forgive out-of-state guesswork; your denied claims do. TransDontics 1,100+ certified dental billing specialists own your entire revenue cycle, from eligibility to payment posting, so you focus on patients and we focus on getting you paid.
Florida’s SMMC 3.0 Dental Plan Transition
Florida’s Retiree and Medicare Advantage Dental Complexity
DSO Expansion and the Florida Multi-Location Billing Challenge
HIPAA and Florida’s Health Information Protections
Billing companies are typically either fully manual or heavily automated. TransDontics uses both. Our RPA handles high-volume, repetitive tasks, while our billing specialists handle what requires clinical or contractual judgment. The combination is what keeps our first-pass rate consistently at 98%.
Every payment is reconciled against your contracted rate, line by line, across every payer. When Delta Dental of Florida or any commercial carrier pays below the agreed fee on a specific plan type, we flag it and file the appeal within 14 days. Most practices only catch outright denials. We go further.
Before every Florida Medicaid dental claim goes out, we confirm the patient’s current SMMC dental plan enrollment (DentaQuest or Liberty Dental), format the claim for that specific plan’s portal, and include the documentation that plan requires. When a patient’s plan assignment changes, 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.
We review your last 12 months, find your top 3 revenue leaks, and show you exactly what we would fix. Most practices discover $30K to $80K in recoverable revenue, no strings attached.
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Most billing companies are a service. TransDontics is a system. RPA catches what humans miss at volume. Experienced billers catch what automation can’t judge. The result is a first-pass acceptance rate that consistently holds between 98%.
We connect directly to Dentrix, Eaglesoft, or your existing PMS. No migration, no new systems, no disruption.
Three steps. No disruption. No risk.
We review your claims, A/R, and denial patterns at zero cost. Most practices find 5–10% in hidden revenue leakage.
We connect directly to Dentrix, Eaglesoft, or your existing PMS. No migration, no new systems, no disruption.
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 TransDontics | After TransDontics |
|---|---|---|
| Average Denial Rate | 8–12% | Under 2.3% |
| First-Pass Clean Claim Rate | 70–80% | 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 |
A general dentistry practice came to us with a ~10% denial rate, 35% of A/R past 90 days, and Medicaid claims being submitted to the wrong MCO. Their front desk was spending 2–3 hours daily on billing follow-up with inconsistent results.
Commercial and Medicare Advantage dental riders each require separate workflows. We maintain current protocols across all three Aetna product lines.
Every Florida practice qualifies. If your city isn’t listed, it’s coming. Reach out now and we’ll onboard your practice without delay.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Florida’s patient records privacy requirements under § 456.057. Every data transmission meets the highest applicable standard, not just the minimum.
Only credentialed TransDontics personnel can access your practice data, eliminating the internal access vulnerabilities that turn in-house billing into a compliance liability most Florida 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 and third-party verified. Your Florida practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Florida salary
*Salary benchmarks based on Florida BLS/ZipRecruiter data. Results vary by practice size and payer mix.
Our complementary audit covers denied claims, MCO routing errors, and underpayments, no obligation, no pitch.
RPA handles eligibility checks, claim scrubbing, status tracking, and payment posting automatically. Billing specialists handle appeals, EOB reconciliation, pre-auth follow-up, and payer escalations. Neither layer alone achieves what both together deliver: a consistent 98% first-pass acceptance rate.
All active Florida payers: Delta Dental, Florida Blue, Cigna, Aetna, UnitedHealthcare, Humana, TRICARE, MetLife, Guardian, and both current SMMC Prepaid Dental Health Plans — DentaQuest and Liberty Dental Plan.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours
HIPAA-compliant from day one.
Pay only a percentage of what we collect for you
