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Endodontic Billing companies in new york

Top 8 Endodontic Billing Companies in New York 2026

New York runs its Medicaid dental program through a single electronic gateway, eMedNY, and as of the 2025 policy update, that’s no longer optional for most claims. Layer that on top of a commercial payer field crowded with Delta Dental of New York, Cigna, Aetna, Empire BlueCross BlueShield, and MetLife, each with its own rules for root canal retreatment and apicoectomy coverage, and a New York City endodontic practice is dealing with more moving parts than the CDT code set alone would suggest. This ranking evaluates eight companies against that specific landscape.

TransDontics takes the top spot for building eMedNY’s electronic filing requirements directly into its New York claims process. Medical Billers and Coders earns the second position because its own New York name, endodontics, is explicitly among the procedures its team codes and bills, not as an afterthought inside a general dental services list.

Every denied root canal claim costs more than just revenue—it delays cash flow and adds more work for your front office. Endodontic billing is more demanding than general dental billing because retreatment, apicoectomies, and multi-visit procedures often require detailed documentation and payer-specific coding.

In New York, those challenges are compounded by eMedNY filing requirements and a mix of commercial and Medicaid plans that don’t all follow the same rules. Choosing a billing partner with the right experience can make a measurable difference in collections.

This list compares eight companies based on their endodontic expertise, New York billing knowledge, transparency, and overall revenue cycle capabilities to help you find the right fit.

Endodontic Billing and Coding NY: Major Challenges

Three things about how New York regulates and pays for dental care create friction that a general national approach won’t catch.

1. Medicaid Claims Have to Go Through eMedNY

New York’s 2025 Medicaid Dental Policy and Procedure Manual requires dental claims to be filed electronically through the state’s eMedNY system, with a specific paper form, eMedNY-000201, reserved for the narrow cases where electronic filing isn’t possible.

2. Retreatment and Initial Treatment Codes Get Mixed Up

A root canal retreatment isn’t billed the same way as an initial root canal, and payers want to see that the claim reflects which one actually happened, with the treatment history to back it up. Claims that default to the initial-treatment code out of habit, or that don’t document why a retreatment was necessary, tend to come back for clarification.

3. Utilization Review Now Requires Direct Record Access

Under New York’s newer utilization review rules, providers need to grant insurers secure electronic access to patient records to support the review process, which comes up often on complex or multi-visit endodontic cases where a payer wants to see the full clinical picture before approving payment, not just the claim form.

Here are the ranked endodontic billing companies in New York:

  1. TransDontics
  2. Medical Billers and Coders
  3. eAssist Dental Solutions
  4. SB Dental Solution
  5. Complete Solutions Revenue
  6. Sirius Solutions Global
  7. GenMediTech
  8. PracticeForces
https://medrbs.com/

5.0

1. TransDontics

Overview

TransDontics leads this list because its New York workflow treats eMedNY’s electronic filing mandate and the state’s crowded commercial-and-Medicaid payer mix as a built-in part of the process, rather than something the practice has to flag separately. For endodontic claims specifically, where retreatment documentation and payer-specific frequency limits matter more than they do for routine restorative work, that level of state fluency shows up directly in outcomes.

Services Scope

Their endodontic billing services in NY include root canal, retreatment, and apicoectomy claim preparation; eMedNY-compliant Medicaid filing and payer-specific frequency and documentation tracking across New York’s commercial and Medicaid plans; utilization review record-access support; and denial management.

Operational Characteristics

TransDontics reports a 98% first-pass clean claim rate, a 2.2% denial rate, and a 21-day average in A/R, with a 48-hour denial response guarantee. Its handling of New York’s electronic Medicaid filing requirement is more specific than what most competitors publish.

Ideal For

Practices with meaningful Medicaid and multi-payer commercial volume that want an endodontic billing company in New York that is already built around the state’s filing rules.
Metric Details
Endodontic Billing Experience
  • Root canal, retreatment, and apicoectomy coding with New York eMedNY and payer-specific tracking
Clean Claim Rate
  • 98%
Days in A/R
  • 21 days
Denial Rate
  • 2.2%
PMS Integration
  • Dentrix, Eaglesoft, Open Dental, Curve, and all other major PMS platforms
Pricing Model
  • Percentage of recovery; no setup fees, no long-term contracts
Coverage
  • All 50 states, with dedicated New York billing expertise

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Medical Billers and Coders

4.5

2. Medical Billers and Coders (MBC)

Location: Wilmington, DE

Overview

MBC maintains a dedicated billing page for New York State specifically and names endodontics directly among the procedures its dental billing team codes and bills, alongside prosthodontics, orthodontics, and implant services. That’s a more specific, written commitment to endodontic work than a generic “we handle all dental specialties” claim, and the company backs it with local service coverage across New York City, Buffalo, Rochester, Yonkers, and Syracuse.

Services Scope

CDT coding for endodontic and other dental specialties, cross-coding endodontic procedures that qualify for medical benefit plans, charge entry, electronic claims submission, payment posting, and denial management.

Operational Characteristics

MBC states its New York billing specialists typically improve collections by around 20% through code auditing and payer fee schedule analysis. It does not publish an endodontic-specific clean claim or denial rate separate from its general billing figures.

Suitable For

New York endodontic practices that want a vendor naming endodontics explicitly on its own New York-specific materials, with genuine multi-city coverage across the state.
Metric Details
Endodontic Billing Experience
  • Endodontics named explicitly on dedicated New York billing pages
Clean Claim Rate
  • Not independently published
Days in A/R
  • Not disclosed
Denial Rate
  • Not disclosed
PMS Integration
  • Not specifically listed
Pricing Model
  • Customized billing services plans
Coverage
  • Nationwide (remote)
eAssist Dental Solution

4.3

3. eAssist Dental Solutions

Location: American Fork, UT

Overview

eAssist operates as a full dental revenue cycle management services provider across the country, including New York, with a large network of specialty-trained billers supporting general and specialty dental practices. It’s a well-established national name with genuine New York coverage, though endodontic-specific case studies or New York-specific payer guidance aren’t broken out separately in its public materials, so a Manhattan endodontic practice should confirm retreatment and surgical coding depth directly.

Services Scope

Insurance verification, endodontic and general dental claim submission, patient billing and collections, dental accounting and reconciliation, and clean claim submission across its distributed biller network.

Operational Characteristics

eAssist reports that clients typically see collection improvements within 60 days of onboarding, and the company markets itself as eliminating billing-related workload for practices nationwide, including New York. As a distributed network, endodontic-specific expertise depends on which biller a practice is assigned.

Suitable For

New York endodontic practices that want a large, established national platform with confirmed New York coverage, willing to confirm endodontic-specific depth with their assigned biller.
Metric Details
Endodontic Billing Experience
  • Full RCM service confirmed for New York; endodontic-specific depth varies by assigned biller
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not disclosed
PMS Integration
  • Broad PMS compatibility across its biller network
Pricing Model
  • Collections-based pricing varies by biller
Coverage
  • Nationwide (remote)
SB Dental Solutions

4.2

4. SB Dental Solution

Location: Arlington Heights, IL

Overview

SB Dental Solution focuses on billing for endodontic and orthodontic practices, making it a stronger fit than a general medical billing company. Its services cover root canal and retreatment claims, insurance appeals, electronic claim attachments, credentialing, and accounts receivable follow-up. While the website doesn’t mention New York-specific billing or eMedNY experience, it clearly demonstrates dedicated expertise in endodontic billing.

Services Scope

Endodontic billing, insurance verification, claim submission, electronic attachments, credentialing, denial appeals, payment posting, fee schedule negotiation, and accounts receivable management.

Operational Characteristics

The company works with major dental practice management systems, including Dentrix, Eaglesoft, and Dentimax, and offers month-to-month service agreements. It does not publicly disclose clean claim rates, denial rates, or average A/R days.

Suitable For

New York endodontic practices looking for a billing company with confirmed endodontic expertise while verifying New York payer experience during the selection process.
Metric Details
Endodontic Billing Experience
  • Dedicated endodontic billing services, including root canal and retreatment claims
Clean Claim Rate
  • Not disclosed for dental claims specifically
Days in A/R
  • Not disclosed
Denial Rate
  • Not disclosed
PMS Integration
  • Dentrix, Eaglesoft, Dentimax, and a few other major systems
Pricing Model
  • Month-to-month agreement
Coverage
  • Nationwide (remote)
Complete Solutions Revenue

4.0

5. Complete Solutions Revenue

Location: Montclair, NJ

Overview

Complete Solutions Revenue positions itself as a boutique general medical billing company that adapts to a practice’s existing systems. Its public materials don’t mention dental billing, endodontics, or New York specifically, which makes it the least documented fit on this list for a New York endodontic practice, though it may still be a competent general medical biller for other purposes.

Services Scope

Medical billing follow-up, comprehensive revenue cycle management, and billing services adaptable to a practice’s existing EMR and workflow preferences.

Operational Characteristics

The company emphasizes flexibility around a practice’s existing systems and describes itself as working like a boutique rather than a high-volume operation. No endodontic, dental, or New York-specific detail is published.

Suitable For

Practices open to a general medical billing vendor with no confirmed dental or endodontic specialization, willing to vet that fit thoroughly before signing on.
Metric Details
Endodontic Billing Experience
  • Not confirmed; company materials do not mention dental or endodontic billing specifically
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not disclosed
PMS Integration
  • Works within client's existing EMR system
Pricing Model
  • Not publicly disclosed
Coverage
  • Nationwide (remote)
Sirius Solutions Global

3.9

6. Sirius Solutions Global

Location: Dallas, TX

Overview

Sirius Solutions Global markets itself as an AI-powered medical billing and RCM provider serving physicians, clinics, and hospitals nationwide, with a strong emphasis on denial appeals and revenue recovery. Endodontics, along with other dental specialties, is mentioned on their dental page. However, it is a medical billing company, so confirming its dedication to endodontic claims should be directly verified.

Services Scope

Medical billing, dental coding services, credentialing, denial management with systematic appeals, pre-visit eligibility verification, and virtual assistant services for administrative support.

Operational Characteristics

Sirius Solutions Global states its clients recover an average of 15% more revenue within the first 90 days of onboarding, a figure reported across its general medical client base rather than isolated to dental or endodontic claims. Performance metrics are not published on its website.

Suitable For

Practices open to a general, AI-driven medical billing vendor with strong denial appeals messaging, willing to confirm dental and New York-specific experience directly.
Metric Details
Endodontic Billing Experience
  • Provides endodontic billing services
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Clients report a 15% average revenue recovery within 90 days (company-wide figure)
PMS Integration
  • Not specifically listed
Pricing Model
  • Not publicly disclosed
Coverage
  • Nationwide (remote)

3.8

7. GenMediTech

Location: Westwood, NJ

Overview

GenMediTech provides nationwide dental billing services with support for a wide range of procedures, including endodontic treatments such as root canal therapy and retreatment. The company stands out for combining dental and medical billing under one revenue cycle platform, which can be valuable for practices handling medically necessary procedures. However, endodontics is presented as one of many specialties rather than a dedicated area of focus, so the website offers limited insight into its experience with complex endodontic billing or New York-specific payer requirements.

Services Scope

Dental billing, endodontic billing, medical-dental cross-coding, insurance verification, prior authorizations, claim submission, denial management, credentialing, accounts receivable follow-up, and EHR integration.

Operational Characteristics

GenMediTech reports an over 90% first-pass clean claim rate, 24–48-hour claim turnaround, and support for 40+ dental EHR platforms. While those numbers reflect a strong overall billing operation, the company does not publish specialty-specific outcomes for endodontic practices or New York-based clients.

Suitable For

Suitable for New York endodontic practices looking for a nationwide billing company that offers broad dental expertise and modern revenue cycle technology.
Metric Details
Endodontic Billing Experience
  • Endodontic procedures, including root canal therapy and retreatment, are listed among the specialized services.
Clean Claim Rate
  • Over 90% first-pass clean claim rate
Days in A/R
  • Not disclosed
Denial Rate
  • Not disclosed
PMS Integration
  • Supports 40+ dental EHR platforms; specific list not published
Pricing Model
  • Not publicly disclosed
Coverage
  • Nationwide (remote)
Practice Forces

3.7

8. PracticeForces

Location: Clearwater, FL

Overview

PracticeForces provides billing and revenue cycle management for both general and specialty dental practices, with endodontics specifically listed among the specialties it serves. Its services cover the full billing process, from insurance verification to accounts receivable follow-up. The website clearly confirms support for endodontic practices, although it shares few details about specialty-specific workflows or results, making it harder to compare with New York endodontic billing companies that focus solely on endodontic billing.

Services Scope

Endodontic billing, dental coding, insurance verification, credentialing, claim submission, denial management, payment posting, accounts receivable follow-up, and revenue cycle management.

Operational Characteristics

PracticeForces manages the entire billing cycle instead of offering only claim submission. While its specialty coverage is clearly outlined, the company does not publish figures for clean claim rates, denial rates, or average A/R days, so practices need to request performance data directly.

Suitable For

New York endodontic practices looking for a full-service dental billing company with confirmed endodontic experience.
Metric Details
Endodontic Billing Experience
  • Endodontics is listed among the supported dental specialties.
Clean Claim Rate
  • Not disclosed
Days in A/R
  • Not specified
Denial Rate
  • Not mentioned
PMS Integration
  • Not listed
Pricing Model
  • Not transparent
Coverage
  • Nationwide (remote)

Matching a New York Endodontic Practice to the Right Partner

The clearest signal here is whether a vendor has anything specific tied to New York or to endodontics, versus a general national pitch that hasn’t been tested against either.
Practice Profile Recommended Approach Why It Works
Practice with significant New York Medicaid volume
  • Vendor with documented eMedNY electronic filing experience
  • Prevents claims submitted in a format the state's Medicaid system won't accept
Practice with frequent retreatment and surgical endodontic cases
  • Billing partner experienced in documenting retreatment history and medical necessity for utilization review
  • Reduces denials tied to claims that default to initial-treatment coding or lack supporting documentation
Multi-payer practice managing several commercial and Medicaid plans at once
  • Vendor tracking plan-specific frequency and documentation rules rather than one generic New York approach
  • Avoids denials that come from applying the same rules across payers that don't actually share them

How These Rankings Were Built

Each company was evaluated against the following weighted criteria:

  • Endodontic Billing Depth (35%): Whether endodontics is named explicitly and confirmed experience with root canal, retreatment, and apicoectomy coding.
  • New York Compliance Fluency (20%): Demonstrated familiarity with eMedNY electronic filing requirements and New York’s utilization review and payer landscape.
  • Revenue Cycle Services (20%): Eligibility verification, payer-specific frequency tracking, denial management, and AR follow-up.
  • Operational Transparency (10%): Willingness to publish real performance figures instead of generic marketing language and honesty about what a company actually offers.
  • Technology and Integration (10%): Compatibility with common dental PMS platforms
  • Track Record (5%): Years in business, client reviews, and specific rather than vague testimonials.

What This List Actually Shows

Endodontic billing in New York leaves little room for guesswork. Between eMedNY requirements, payer-specific documentation rules, and the added scrutiny that often comes with retreatments and surgical procedures, the right billing partner can have a direct impact on your practice’s cash flow. Not all top dental billing companies on this list offer the same level of endodontic expertise or New York-specific experience, so it’s worth looking beyond marketing claims and asking for real examples of how they handle cases similar to yours.

Among the eight billing vendors, TransDontics stands out for tying their New York experience to something specific: eMedNY filing and named endodontic services rather than a general national pitch. eAssist brings real scale and confirmed New York coverage.

The best choice is the one that matches your practice’s patient mix, payer landscape, and long-term growth goals, not simply the biggest name in the industry.

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*Disclaimer: Ratings reflect our editorial team’s independent research and may vary based on your practice’s specific needs.

Suneel Abbas

Suneel Abbas

Dental Practice Management & Billing Specialist

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