Facebook Instagram Linkedin Youtube
TransDontics - Logo
Inquire Now
TransDontics - Logo
Inquire Now
Oral Surgery Billing companies in new york

Top 9 Oral Surgery Billing Companies in New York 2026

New York runs one of the most technically demanding oral surgery billing environments in the country. The state’s Medicaid dental program operates on two separate tracks: fee-for-service claims are submitted through eMedNY, while Medicaid Managed Care members route dental claims to their plan’s dental administrator, typically DentaQuest or Liberty Dental Plan in New York City.

Among the nine oral surgery billing companies in New York evaluated here, TransDontics ranks first for its documented New York Medicaid compliance depth, 98% clean claim rate, and CPT-CDT cross-coding precision across the full OMS procedural scope that New York’s layered payer environment demands.

New York oral surgeons deal with a billing environment that treats most shortcuts as expensive mistakes. Billing anesthesia to a Medicaid patient without verifying the surgeon’s NYSED anesthesia certification status isn’t a documentation oversight; rather, it is an automatic denial with no recovery path until the credential is confirmed and the claim is resubmitted correctly.

What makes oral surgery billing in New York genuinely complicated isn’t any single rule. It’s the combination of eMedNY versus managed care routing; NYSED certification requirements; the 2024 implant expansion’s new documentation requirements; and a commercial payer market that is dominated by Empire BCBS, Delta Dental of New York, MetLife, Aetna, and United Healthcare, where alternate benefit clauses on orthognathic and grafting cases mean the billed procedure and the paid procedure are regularly different things.

The companies listed below were evaluated on whether they understand all of these layers, not just one or two of them.

Oral Surgery Billing and Coding NY: Challenges

The eMedNY Versus Managed Care Routing Split Generates More Billing Errors Than Any Other NY-Specific Rule

New York Medicaid operates two simultaneous claim tracks, and an oral surgeon’s billing team must know which one applies for every single patient before the first claim is submitted. Fee-for-service Medicaid recipients have their dental claims submitted through eMedNY, the state’s central claims portal. Medicaid Managed Care members, who account for the majority of New York Medicaid enrollees, route dental claims through their assigned managed care plan’s dental administrator instead.

In New York City, that typically means Liberty Dental Plan or DentaQuest, depending on which MMC plan the patient was assigned. Submitting an eMedNY claim for an MMC member produces a rejection, not a denial, with no adjudication record and no appeal pathway on the eMedNY side.

  • Practices with a high volume of NYC Medicaid patients must track plan assignments by member because a patient switching MMC plans mid-year changes the dental administrator and claim routing simultaneously.
  • Prior authorization requests also route differently depending on the track; eMedNY FFS prior approvals go through the state portal, while MMC prior authorizations must be submitted to the plan’s dental unit, each with its own documentation format.
  • Out-of-network billing under New York Medicaid managed care is structurally limited for non-emergency services, making continuous in-network credentialing status with each relevant dental administrator a non-optional billing requirement.
 

Here are the top 9 oral surgery billing companies in New York:

  1. TransDontics
  2. Dental Claims Cleanup
  3. MedsDental
  4. BillCoPlus Dental Billing
  5. I-Med Dental Solutions
  6. Lumos RCM
  7. Medix Revenue Group
  8. eAssist Dental Solutions
  9. Med Tek Services
https://medrbs.com/

5.0

1. TransDontics

Overview

TransDontics takes the top spot for oral surgery billing services in New York because their oral and maxillofacial surgery billing documentation specifically addresses the dual-track New York Medicaid architecture, NYSED anesthesia credentialing verification, the 2024 implant expansion documentation requirements, and the commercial payer landscape, including Empire BCBS, Delta Dental of New York, MetLife, Aetna, and United Healthcare. Their 1,100-plus AAPC-certified billing specialists use AI-powered RCM automation to submit clean claims across both eMedNY FFS and New York MMC dental administrator portals rather than treating them as interchangeable, making it one of the few fine providers of oral surgery billing services in New York.

Services Scope

Full CPT, CDT, and ICD-10 cross-coding for trauma, pathology, orthognathic, and implant cases; anesthesia billing with NYSED certification verification and correct D9222 and D9223 increment coding; eMedNY FFS and MMC dental unit claim routing; Evaluation of Dental Implant Patient form preparation for Medicaid prior authorization; denial appeals with surgical clinical narratives; workers’ compensation routing for NY trauma cases; and 48-hour payment posting.

Operational Characteristics

TransDontics does not position itself as the top vendor, but a 98% clean claim rate, 2.2% denial rate, 21-day average A/R, and 99% client retention are proof of their operational excellence. Active New York coverage spans New York City, Long Island, Westchester, Albany, Buffalo, and Rochester.

Ideal For

Solo and multi-location OMS practices in New York that manage mixed eMedNY FFS, Medicaid Managed Care, commercial PPO, and workers’ compensation billing with substantial anesthesia, implant, and trauma claim volume.
Metric Details
OMS Billing Experience
  • 12+ years; NY eMedNY and MMC dual-track routing; NYSED anesthesia depth documented
Clean Claim Rate
  • 98%
Days in A/R
  • 21 days average
Denial Rate
  • 2.2%
PMS Integration
  • OMSVision, WinOMS, Dentrix, Eaglesoft, Open Dental, Curve, and 40+ others
Pricing Model
  • Percentage of recovery; no upfront cost
Coverage
  • All 50 states

Protect Your New York OMS Revenue With Specialized Billing Expertise

Partner with NY OMS Billing Experts
Dental Claims Cleanup

4.5

2. Dental Claims Cleanup

Location: Cicero, NY

Overview

DCC is a dental billing company. Founded in 2008 by Dr. Dorothy Kassab, a practicing DDS, Dental Claims Cleanup is both dentist-owned and New York-headquartered—two characteristics that matter when your billing environment has state-specific quirks like eMedNY portal requirements and NYSED anesthesia certification rules. Their medical billing page explicitly lists oral surgery procedures, including trauma-related extractions, biopsies, implant placement, and pathology excisions, as medically billable categories they handle, with a dedicated medical billing service line separate from their dental billing track.

Services Scope

Dental and medical billing including oral surgery cross-coding, eMedNY claim submission, prior authorization, denial management, A/R recovery, practice analytics with bi-weekly reporting, fee negotiation, and dental credentialing.

Operational Characteristics

Published pricing for medical billing at $2,250 per month per provider with a base of 50 claims is an unusual level of transparency in this market. New York Medicaid MMC routing knowledge should be confirmed directly for practices with high managed care patient volume.

Suitable For

New York OMS practices that value a dentist-owned, state-headquartered billing partner with published pricing and a medical billing service line covering oral surgery procedures.
Metric Details
OMS Billing Experience
  • Oral surgery and trauma medical billing explicitly listed
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not specified
PMS Integration
  • Digital-only practices; ePACES enrollment supported
Pricing Model
  • Published flat fee plus per-claim; $2,250/month per provider for medical billing
Coverage
  • Nationwide (remote)
MedsDental

4.3

3. MedsDental

Location: Uniondale, NY

Overview

MedsDental was founded in New York in 2015 by certified professional coders and specifically lists oral surgery as a core specialty, not an afterthought. Their published content covers OMS-specific CDT codes, including D7140, D7210, and D7250, as well as D7950 for major ridge augmentation, demonstrating surgical coding familiarity at a procedural level. They also address medical billing for dental procedures, including biopsies, trauma, TMJ, and sleep apnea. The New York base means their team should understand eMedNY workflows, though state-specific Medicaid managed care experience should be confirmed.

Services Scope

Dental billing services, including bone graft and ridge augmentation codes, eMedNY claim handling, credentialing with PPO, HMO, and Medicaid, denial management, insurance verification, and patient billing support.

Operational Characteristics

Clients report up to a 30% revenue increase; a 48-hour credentialing submission turnaround is documented. They do not publish the necessary performance metric, making it difficult for practices to have an idea before choosing them.

Suitable For

New York OMS practices wanting a New York-based billing and coding company with published OMS procedural expertise and medical cross-coding capability.
Metric Details
OMS Billing Experience
  • Oral surgery is a listed specialty; OMS CDT codes published
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not specified
PMS Integration
  • Eaglesoft, Dentrix, OpenDental, and 10+ others
Pricing Model
  • Customized
Coverage
  • Nationwide (remote)

4.4

4. BillCoPlus Dental Billing

Location: Brooklyn, NY

Overview

BillCoPlus maintains a dedicated OMS Specialty Service page that is genuinely granular. Surgical coding, anesthesia claim coding and submission, hospital billing for facility services, implant and reconstruction coding, bone grafting, oral pathology, and orthodontic surgery are each listed as explicit service categories, not combined under a single umbrella. That level of procedural specificity is a credible signal that their team built this service to handle actual OMS claim complexity rather than marketing a general dental billing capability as surgical.

Services Scope

OMS Specialty Service: surgical procedure coding, prior authorization, anesthesia billing, hospital facility claims, complex implant and reconstruction coding, oral pathology billing, orthodontic surgery claims, denial management with OMS-specific appeal strategies, and standard dental revenue cycle management alongside.

Operational Characteristics

Published OMS service scope is among the most detailed on this list. Pricing is available on their website. New York-specific eMedNY experience and NYSED anesthesia verification should be confirmed before routing Medicaid volume.

Suitable For

Practices looking for a New York oral surgery billing vendor with confirmed, procedure-level surgical billing scope including anesthesia, pathology, and hospital facility claims.
Metric Details
OMS Billing Experience
  • OMS Specialty Service
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not specified
PMS Integration
  • Major dental and medical PMS systems
Pricing Model
  • Published on website
Coverage
  • Nationwide (remote)
I-Med Dental Solutions

4.1

5. I-Med Dental Solutions

Location: Oakbrook Terrace, IL

Overview

I-Med Dental Solutions publishes a dedicated OMS billing page covering CPT and CDT dual coding for implants, trauma, biopsies, and oral pathology excisions. They self-report a 97% claim approval rate and up to over 90% first-pass rate, with pricing from 2.95% of monthly collections, which is among the lower cost thresholds in this field. Their credentialing service explicitly names oral surgeons alongside orthodontists and endodontists. New York-specific eMedNY and MMC dental routing experience isn’t documented publicly.

Services Scope

OMS billing and coding covering CPT, CDT, and ICD-10; implant and trauma cross-coding; credentialing with Medicare, Medicaid, Aetna, Cigna, BCBS, Delta, and United; denial management; A/R recovery; dental auditing; and virtual assistant support.

Operational Characteristics

The 2.95% entry price and self-reported approval rate are notable, though independent verification of these figures isn’t publicly available. The OMS page exists and is procedurally specific, which is more than most general billing firms can say.

Suitable For

Cost-conscious New York OMS practices willing to verify the approval rate claims through direct reference checks before committing to claim volume.
Metric Details
OMS Billing Experience
  • Dedicated OMS billing page; implant, trauma, and pathology cross-coding confirmed
Clean Claim Rate
  • Above 90% (self-reported, but not against OMS codes)
Days in A/R
  • Not disclosed
Denial Rate
  • Around 3% (self-reported)
PMS Integration
  • Not specifically listed
Pricing Model
  • From 2.95% of monthly collections
Coverage
  • Nationwide (remote)
Lumos RCM

4.0

6. Lumos RCM

Location: Franklin, TN

Overview

Lumos RCM was designed by oral surgeons for oral surgery practices, and that origin shows in what they prioritize: benefit verification for both medical and dental plans on the same patient, same-day verification capability, and a strict 48-hour claims submission turnaround from date of service. A client testimonial from a multi-location, high-volume same-day procedure practice confirms their platform holds up under real surgical volume. For New York OMS practices, the question to ask directly is their experience with eMedNY FFS versus MMC dental routing.

Services Scope

OMS-exclusive end-to-end RCM covering medical and dental benefits verification, patient estimates, prior authorizations, claim submission within 48 hours of service, denial management, aged A/R recovery, and dedicated account executive support.

Operational Characteristics

The 48-hour turnaround commitment is client-confirmed, and the surgical practice volume described in their testimonials is consistent with a serious OMS billing operation. New York-specific Medicaid routing and NYSED anesthesia credentialing experience requires a direct conversation.

Suitable For

High-volume New York OMS practices and multi-location groups where same-day verification and 48-hour submission timelines directly affect cash flow.
Metric Details
OMS Billing Experience
  • OMS-exclusive RCM; designed by oral surgeons; multi-location surgical client confirmed
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not mentioned on their website
Denial Rate
  • Not specified
PMS Integration
  • PMS-agnostic; major OMS and dental systems
Pricing Model
  • Customized
Coverage
  • Nationwide (remote)
Medix Revenue Group

3.9

7. Medix Revenue Group

Location: Sheridan, WY

Overview

Medix Revenue Group covers dental billing including oral surgery and trauma cross-coding, with explicit acknowledgment on their site that some dental procedures qualify for medical billing — particularly trauma cases. Their stated denial rate target is under 6%, and they self-report over 90% claim acceptance. The firm handles both dental and medical billing, which is operationally useful for New York OMS practices whose trauma and pathology cases require CPT-coded medical claims. Wyoming headquarters means their New York-specific eMedNY and NYSED knowledge needs direct verification.

Services Scope

Dental and medical billing including oral surgery cross-coding for trauma cases, CDT coding across all dental specialties, claim submission, denial management targeting under a 6% denial rate, A/R follow-up, prior authorization, and real-time reporting.

Operational Characteristics

Multi-specialty scope across dental and medical billing is a genuine advantage for OMS practices needing both code sets managed by one partner. The self-reported 99% acceptance figure lacks independent confirmation and should be tested through references before routing New York Medicaid volume.

Suitable For

New York OMS practices with a mix of commercial PPO and trauma medical claims that want dental and medical billing handled under one contract.
Metric Details
OMS Billing Experience
  • Oral surgery and trauma cross-coding
Clean Claim Rate
  • Not disclosed against OMS codes
Days in A/R
  • Not disclosed
Denial Rate
  • Under 6% (self-stated target)
PMS Integration
  • Kareo, AdvancedMD, NextGen, OfficeAlly, and others
Pricing Model
  • Customized
Coverage
  • All 50 states (remote)
eAssist Dental Solution

3.8

8. eAssist Dental Solutions

Location: American Fork, UT

Overview

eAssist has a dedicated OMS Specialty Service and a separately purchasable Advanced Medical Billing service for procedures like trauma, orthognathic surgery, and sleep apnea — the two can be combined, which is directly relevant for New York OMS practices whose caseload spans both dental and medical claim types. Their billing specialists are required to have at least one year of oral surgery billing experience for OMS accounts, and WinOMS and OMSVision experience are specified requirements in their internal job postings. Tiered pricing is published, month-to-month contracts offer real flexibility.

Services Scope

OMS Specialty Service covering dental claim submission, anesthesia coding, EOB posting, denied claim appeals, and select medical billing for qualifying OMS procedures; Advanced Medical Billing is an add-on for trauma, orthognathic, and sleep apnea claims billed at 7% of the allowed/adjudicated amount.

Operational Characteristics

Two published service tiers, transparent pricing, and a 1,600-plus specialist network are operational advantages. OMS is a specialty vertical within a very large general dental billing platform, which creates scale but means New York-specific Medicaid routing knowledge varies by assigned team.

Suitable For

New York OMS practices collecting above $40,000 monthly that want published pricing, no long-term contracts, and a specialist team with documented WinOMS and OMSVision experience.
Metric Details
OMS Billing Experience
  • Dedicated OMS Specialty Service
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Targets minimizing 90-plus-day insurance A/R
Denial Rate
  • Not specified
PMS Integration
  • WinOMS, OMSVision, Dentrix, Eaglesoft, Open Dental, Denticon, and others
Pricing Model
  • 3.75% to 5.25% of collections (dental); 7% of allowed amount (advanced medical)
Coverage
  • Nationwide (remote)
Med Tek Services

3.8

9. Med Tek Services

Location: Coral Springs, FL

Overview

Med Tek Services maintains a dedicated oral and maxillofacial surgery billing services page, which immediately distinguishes them from general dental billing firms that treat OMS as a checkbox. Their site covers CPT and ICD-10 cross-coding, prior authorization, and denial management framed specifically around oral surgery, rather than around dentistry broadly with surgery mentioned in passing. New York eMedNY experience and NYSED anesthesia verification depth are not detailed publicly.

Services Scope

Oral and maxillofacial surgery medical billing, dental coding services and CPT, ICD-10 cross-coding, prior authorization management, claim submission and follow-up, denial management, and revenue cycle reporting for OMS practices nationally.

Operational Characteristics

The dedicated OMS service page is substantive and procedurally relevant. Practices should verify New York payer-specific experience and their oral surgery billing services in NY directly before routing Medicaid or workers’ compensation volume, as those require state-level workflow knowledge that isn’t described on the site.

Suitable For

OMS practices wanting New York oral surgery billing companies whose entire OMS service line was built around surgical billing rather than adapted from a general dental offering.
Metric Details
OMS Billing Experience
  • Dedicated OMS billing service page; CPT and CDT cross-coding scope confirmed
Clean Claim Rate
  • Not publicly disclosed
Days in A/R
  • Not disclosed
Denial Rate
  • Not specified
PMS Integration
  • Not listed publicly
Pricing Model
  • Customized
Coverage
  • Nationwide (remote)

Which New York OMS Billing Approach Fits Your Practice?

Use this as a starting point before calling references:
Practice Profile Recommended Approach Why It Works
High-volume NYC OMS practice with eMedNY FFS and MMC dental routing complexity
  • NY-fluent cross-coding partner with dual-track Medicaid expertise
  • Prevents eMedNY versus MMC misrouting and keeps prior auth documentation current
Solo upstate NY OMS practice with mixed commercial and workers' comp billing
  • Billing and coding company with medical-dental cross-coding and workers' comp routing
  • Manages the three-payer routing sequence that trauma cases require in New York
Multi-location group needing OMS billing scale and 48-hour turnaround
  • OMS-exclusive RCM platform designed for surgical volume
  • Handles high claim throughput without sacrificing procedural accuracy
An OMS practice that also treats sleep apnea and needs one billing solution
  • Medical billing software platform covering both OMS and OSA
  • A single platform avoids coordination gaps between two separate billing workflows

Research and Ranking Methodology

  • OMS-specific CPT and CDT cross-coding scope and verified procedural depth (35%)
  • New York payer knowledge: eMedNY FFS versus MMC routing, NYSED anesthesia certification requirements, 2024 implant expansion documentation, and commercial carrier familiarity (30%)
  • PMS integration, turnaround benchmarks, and operational transparency (15%)
  • Pricing transparency and contract flexibility (10%)
  • Published, verifiable OMS-specific service scope or confirmed client evidence (10%)

Finding Your Oral Surgery Billing Partner in New York

New York’s dental billing environment does not offer much tolerance for misrouted claims or documentation gaps. The eMedNY versus MMC split catches practices off guard when they change their billing team and nobody checks which track a patient’s Medicaid enrollment uses. The NYSED anesthesia certification requirement is invisible to billing companies that have never worked in New York, and an anesthesia claim routed without that verification is a denial waiting to happen. The 2024 implant expansion is an opportunity that most OMS practices are not fully capturing yet, because capturing it correctly requires the Evaluation of the Dental Implant Patient form every time, not just on the first implant case.

Choose a few top dental billing companies and run a real New York claims scenario with two or three oral surgery billing companies before committing. Ask how they handle a Medicaid MMC patient whose claim needs to route through DentaQuest rather than eMedNY. Ask what they do differently for an anesthesia claim on a NYSED-certified versus a non-certified provider. Ask what documentation they prepare for implant prior authorization. The dental billing and coding companies that answer those questions without hesitation are the ones running a New York-ready operation. The ones that don’t are the ones you’ll spend months correcting.

Take the billing work off your team and keep your New York OMS claims moving with outsourcing support.

Get New York OMS Billing Support

Disclaimer: Ratings reflect independent editorial research based on publicly available information and may vary based on your practice’s payer mix, claim volume, and software environment.

Suneel Abbas

Suneel Abbas

Dental Practice Management & Billing Specialist

Grow your practice with our custom billing solutions.

We improve finances by settling claims fast and maximizing collections

Get Demo

Since you’re already here,
see where your practice may be

Losing Revenue!

Claim Complimentary Audit

Related Articles

Automate Repetitive Billing Tasks!

Enhance accuracy, speed & efficiency in dental billing with RPA.

Learn How RPA Works

Share with your community!

Schedule Free Demo

Your Trusted
Dental Billing Partner

Get In Touch