Texas’ Multi-DMO STAR & CHIP Dental Structure
Texas Health Steps Dental Certification & Billing Complexity
DSO Expansion and the Texas Multi-Location Billing Challenge
HIPAA and Texas’ Health Privacy Requirements
Billing companies are typically either fully manual (slow and error-prone at volume) or heavily automated (missing judgment calls). TransDontics uses both. Our RPA handles high-volume, repetitive tasks, while our billing specialists handle anything requiring 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 Texas or any commercial payer 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 than that.
Before every STAR or CHIP dental claim goes out, we confirm the patient’s current DMO enrollment, format the claim for that specific plan’s portal, and include all documentation that particular DMO requires. When a child’s DMO assignment changes mid-treatment, which happens regularly in Texas’ STAR 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.
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Three steps. No disruption. No risk.
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 |
State-contracted DMO for Texas Medicaid and CHIP dental members requiring provider credentialing separate from HHSC TMHP enrollment. Benefits administered for children and covered adults. We handle both credentialing tracks simultaneously.
State-contracted DMO with its own covered-service criteria, periodicity limits, and prior authorization requirements distinct from MCNA’s. Claims without DMO-specific documentation are automatically denied.
Every Texas practice qualifies. If your city isn’t listed, it’s coming. Reach out now and we’ll onboard your practice without delay.
Every state has its own payer rules, Medicaid structure, and billing landmines. TransDontics expertly navigates all of them.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Texas’ Chapter 181 electronic health information protections. 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 Texas 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 Texas practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Texas salary
Our Complimentary audit covers denied claims, MCO routing errors, and underpayments, no obligation, no pitch.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours.
HIPAA and 22 MRSA § 1711-C-compliant from day one.
Pay only a percentage of what we collect for you
