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Dental A/R Recovery Services That Turn Aged Claims Into Revenue.

TransDontics recovers dental A/R across every aging bucket using dedicated specialists, payer-specific follow-up, and appeal strategies built from real claim data. If a payer owes you money, we pursue it through every contractual avenue until it’s exhausted.
  • Live in 24 Hours
  • Serving Nationwide
  • 1,100+ Certified Billers
  • Pay Only When We Collect
AICPA SOC 2
HIPAA COMPLIANT
ISO 27001
Where Revenue Disappears

3 Reasons Dental A/R Keeps Aging Until It Becomes a Write-Off Nobody Planned

The difference between a healthy practice and one hemorrhaging revenue is almost never production volume; it is A/R management. The average practice carries 18–24% of monthly production over the past 60 days. On $600,000 in annual billing, that is $108,000–$144,000 sitting uncollected. Without a dedicated recovery process, a growing portion becomes a write-off on a report nobody questioned.

Denied Claims With No Dedicated Follow-Up Owner.

A/R Aging Past 90 Days With No Escalation Protocol.

Fragmented Billing With No Single Accountability Owner.

Dental Revenue cycle
Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 .7M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8 - 9 %
Avg. Denial Reduction
0 %
How It Works

The 5-Stage TransDontics A/R Recovery Process

One team owns every aging bucket. Every balance is tracked to resolution. Nothing gets quietly closed without exhausting every recovery option because there are no handoffs between the team that identifies the problem and the team responsible for fixing it.

Payer-Specific Outreach and Claim Status Verification

Every claim gets direct specialist outreach, not batch correspondence. We contact each payer, verify claim status, identify the reason for non-payment, and document every interaction with a timestamp and resolution path.

Formal Appeals With Clinical Evidence

Formal appeals filed with procedure notes, periodontal charts, X-rays, medical necessity documentation, and appeal letters referencing specific contract language. Every contractual appeal right exhausted before a denial is accepted as final.

A/R Audit and Aging Bucket Analysis

Full forensic audit of every open balance, denial reason, and payer; identifying recoverable claims, underpayments, and collection risk. Written report within 48 hours. Most practices find $30,000–$80,000 they had stopped expecting.

Denial Root Cause Correction and Resubmission

We fix the actual problem. Administrative denials get corrected demographics. Clinical denials get supporting documentation. COB denials get correct sequencing. Coding errors get CDT-certified review. Every corrected claim is built to pass on resubmission.

Underpayment Recovery and Final A/R Reconciliation

Every underpayment identified, calculated against contracted rates, and disputed formally. Recovery cycle closes with a complete reconciliation report showing every account worked, payment recovered, and write-off decision documented.

One Team. Full Ownership.

Why Dedicated A/R Recovery Outperforms In-House Follow-Up Every Single Month

In-House A/R Follow-Up — The Accountability Gap

  • Denial follow-up assigned to whoever has time
  • One generic resubmission process for all denials
  • 90-day balances written off when appeal windows pass
  • Underpayments accepted without contract challenges
  • A/R reporting reviewed too late to act
  • Recovery freezes when billing staff turn over
  • Dedicated specialist owns every aging bucket from day one
  • Payer-specific appeal strategies from 500+ practice data
  • Every claim tracked daily; escalation before appeal windows close
  • Every underpayment challenged against contracted fee schedule
  • Weekly A/R aging reports every Monday
  • Recovery continues regardless of your staff changes
Complete A/R Recovery Coverage

Every Category of Unresolved Dental A/R We Pursue on Your Behalf

Not all aged A/R looks the same, and blanket recovery attempts on mixed aging buckets without category-specific strategy produce inconsistent results. TransDontics classifies every account by denial type, aging status, payer behavior, and recovery probability before a single outreach call is made. Here is every category we work:

Insurance Claims Denied on Administrative Grounds

Demographic errors, missing subscriber IDs, COB sequencing errors, and plan code mismatches. All correctable. We fix the root cause and resubmit with corrected documentation the same week.

Claims Denied for Missing or Insufficient Clinical Documentation

Missing narratives, inadequate radiographic evidence, incomplete charting, and absent pre-authorization numbers. We pull correct documentation, attach it to the corrected claim, and resubmit with medical necessity explanation where required.

Claims Denied on Timely Filing Grounds

Timely filing denials aren’t always final. Most payers have exception processes for system errors or eligibility discrepancies. We identify qualifying denials, prepare the documentation package, and file exception requests within the contractual window. Production, collections, chair utilization, and new patient allocation tracked weekly against specialty benchmarks, drift identified with enough lead time to address before it becomes a performance conversation.

Downcoded Claims and Alternate Benefit Adjustments

When a payer downcodes D2750 to D2740 or substitutes amalgam for composite, you’re owed the difference. We identify every downcode, calculate the variance, and file a formal dispute with supporting fee schedule language.

Underpayments Against Contracted Fee Schedules

Payers make fee schedule errors and don’t volunteer corrections. Every payment below your contracted rate is recoverable. We audit ERA data against current fee schedules for every payer and pursue the balance through formal dispute.

Aged A/R Past 90 and 120 Days

Most billing teams have stopped pursuing these. We haven’t. Secondary appeal pathways, state insurance commissioner filings, and direct payer escalation are all in play. A 90-day balance isn’t a write-off until we say it is.

Coordination of Benefits Denials

Acceptance rate tracked by provider, case value, and procedure category, revealing which providers, plan sizes, and procedure types are leaving the most production on the table.

Medicaid and State Program Claims

Medicaid billing rules change frequently and vary by state. TransDontics maintains current knowledge across all 50 states, works every major state portal, and applies state-specific appeal procedures private payer recovery processes don’t address.
Specialized Dental Billing

Dental A/R Recovery Built for the Way Your Specialty Actually Bills

A general-purpose A/R recovery team makes general-purpose errors. A denied D6065 implant crown and a denied D8080 orthodontic claim require entirely different recovery strategies. TransDontics has built specialty-specific denial logic and recovery workflows for every dental specialty we serve.

General Dentists

Orthodontists

Oral Surgeons

Periodontists

Pediatric Dentists

Cosmetic Dentists

Prosthodontists

Sedation Dentists

Endodontists

Dentures & Implant

Complete CDT Coverage

CDT-Level A/R Recovery Tracking Across Every Code Range

We track production and collections by CDT code range; showing which procedure categories outperform, underperform, or are coded in ways that leave reimbursement on the table. When a category’s collection rate lags production, there’s a billing, coding, or contract explanation.

Diagnostic Services: D0100 – D0999

Restorative Services: D2000 – D2999

Periodontics: D4000 – D4999

Maxillofacial Prosthodontics: D5900-D5999

Prostho (Fixed): D6200 – D6999

Orthodontics: D8000 – D8999

Preventive Services: D1000 – D1999

Endodontics: D3000 – D3999

Prostho (Removable): D5000 – D5899

Implant Services: D6000-D6199

Oral & Maxillofacial Surgery: D7000 – D7999

Adjunctive General Services: D9000 – D9999

AI-Driven Audit Precision

The RPA Advantage: Automation That Powers Practice-Wide Performance Visibility

Our RPA pulls production, scheduling, collections, and payer data from your PMS continuously; eliminating manual extraction and delivering reports before trends become problems. Automation handles the data. Our specialists handle the analysis.
Days in AR 45 to 14 days
Net Collection

Are you ready to combine AI speed with the persistence of human expertise? Start with a complimentary 12-month billing audit; no strings attached.

Get Demo Now!
Nationwide Coverage. Local Expertise.

Trusted by Dental Practices Across All 50 States

Payer appeal procedures and Medicaid rules vary by state. A Delta Dental of California denial follows different pathways than a Delta Dental of Pennsylvania denial. TransDontics A/R specialists are trained on state-specific payer behavior across every market in the country. Your geography doesn’t change what you’re owed or how hard we pursue it.
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Full-Suite RCM Services

Every Dental Billing Service Your Practice Needs

Every billing function your practice depends on, owned by a single dedicated team, tracked from first submission to final payment.
Eligibility Verification

Eligibility Verification

Real-time insurance verification before every appointment, eliminating surprise denials and protecting your cash flow from day one.
Dental billing & Coding

Dental Billing and CDT Coding

Expert CDT coding, clean claim submission, and aggressive denial management by specialty-certified billers. 98% first-pass rate, compared to the industry average of 82%.

Ar-management

A/R Management

No claim goes 48 hours without follow-up. We pursue every outstanding balance across all payers until it is paid, appealed to exhaustion, or written off with documented reason.
Dental RPA Automation

Dental RPA Automation

Robotic process automation eliminates manual repetitive tasks. Eligibility checks, reminders, and daily reports run without human intervention, 24/7.
Dental RCM

Complete Dental RCM

Full revenue cycle coverage from patient registration to final payment. We manage every financial touchpoint, close every gap, and maximize what your practice collects on every claim submitted.
Practice Management

Practice Management

Strategic oversight of your practice’s operational and financial performance. We track collections, payer mix, and productivity metrics so you make smarter decisions and grow revenue with confidence.
Front Office Management

Front Office Management

Complete front office billing support covering patient billing inquiries, insurance communications, prior authorizations, and appointment-linked verification so your staff focuses on patients, not paperwork.
Transcription Services

Transcription Services

HIPAA-compliant dental transcription delivered fast and accurately. Clinical notes, procedure documentation, and patient records are transcribed by trained professionals, keeping your records clean and claim-ready.
Dental Billing Audit

Dental Billing Audit

We review your last 12-month, 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.
In-House vs. Outsourcing

The Real Cost of Managing Dental A/R With an In-House Team

In-house A/R management is not just slower than a dedicated recovery team; it is structurally more expensive. The comparison below covers what practices actually spend and actually collect when they rely on in-house follow-up versus TransDontics dedicated A/R recovery.

Expenses

Cost Structure

Net Collection Rate

90-Day A/R Reduction

Denial Follow-Up Rate

Underpayment Recovery

Aged A/R Recovery

Payer-Specific Expertise

Reporting Frequency

In-House A/R Management

$55K–$75K+ per FTE + benefits + training

82% industry average

Continues growing without escalation

~70% nationally — 30% never resubmitted

Accepted without challenge

Written off after 90–120 days

One generalist working all payers

Monthly — often incomplete

Performance-based

98% of billed revenue collected

30%+ within first billing quarter

100% — every denial worked to resolution

Audited and disputed every cycle

60–80% of 90-day+ balances recovered

500+ practices — payer behavior mapped

Weekly — account-level detail

You Pay Nothing Until We Collect For You.

No setup fees, no retainers, no contracts. TransDontics earns only on successfully recovered A/R; our financial interest and yours are exactly aligned. The average practice recovers $35,000–$55,000 within the first 90 days from balances they had already written off.
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Full-Spectrum Payor Coverage

TransDental Provides Coverage Across All Dental Payors

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.

Frequently Ask Questions

What is dental accounts receivable (A/R) recovery?

Dental A/R recovery pursues outstanding insurance balances not paid within the expected timeframe; denied claims, underpayments, and aging balances past 60 or 90 days, through corrected resubmission, formal appeals, payer escalation, and underpayment disputes until every contractual collection option is exhausted.
Most practices find $30,000–$80,000 in recoverable revenue when a forensic A/R audit covers the last 90 days of claims. Practices with aging balances past 90 days and no dedicated follow-up owner typically find the higher end. Our free audit delivers a practice-specific number before any commitment.
Yes. TransDontics recovers aged A/R other billing companies have written off including balances past 90 and 120 days, through secondary appeals, formal dispute processes, state insurance commissioner escalation, and timely filing exceptions. A 90-day balance is never final until every contractual avenue is exhausted.
Most practices see measurable recovery within 30 days. Administrative denials resolve within two to three weeks. Formal clinical appeals take four to eight weeks by payer. Deeply aged accounts are worked from day one. Weekly recovery reports show exactly what’s collected, in progress, and projected for resolution.

Most denial types carry appeal rights; administrative errors, clinical necessity denials, downcodes, alternate benefit substitutions, timely filing exceptions, and underpayments against contracted fee schedules. Denials without appeal pathways are rare and documented with full rationale in your weekly recovery report.

Yes. TransDontics is HIPAA-certified, ISO 27001 certified, and SOC 2 Type II compliant. Every practice receives a signed BAA before data access begins. All activity is encrypted, fully audit-logged, and governed by compliance infrastructure exceeding standard HIPAA Business Associate requirements.
Performance-based fee on recovered revenue only; no setup costs, no minimums, no contracts. You pay nothing until we collect. The fee percentage is agreed upon before engagement with full transparency. Most practices recover our fee many times over within the first 90 days.

We work natively inside Dentrix, Eaglesoft, Open Dental, Curve Dental, Dentrix Ascend, DentiMax, Carestream, iDentalSoft, Oryx, tab32, and 18+ additional platforms. No data migration, no credential sharing, no workflow disruption; we access only the billing and A/R data required to complete the recovery engagement.

Complimentary. No Obligation. Results in 48 Hours.

Results Dental Professionals Actually Talk About

Specific, verified outcomes, not generic praise. Every metric sourced from client data.

In the first 60 days, TransDontics recovered $18,400 in claims our team had written off as uncollectable. They caught 47 denied claims we had given up on. The Dentrix integration was seamless as they were billing the same day.

Dr. Amanda Lewis, DDS

General Dentist · Austin, TX

I was spending 3 hours a day chasing orthodontic claims. TransDontics took over and our denial rate dropped from 22% to under 4% in three months. The multi-visit treatment plan billing alone recovered $31K we had been losing annually.

Dr. Rachel Kim, DMD

Orthodontist · Los Angeles, CA

We run 3 oral surgery locations on Eaglesoft. The OMS anesthesia cross-coding was a mess; TransDontics cleaned it up in week one. Collections are up 11% across all three locations.

Dr. Marcus Peters, DMD MD

Oral Surgeon · Dallas, TX

Ready to Recover the Dental Revenue Your Practice Has Already Earned?

Join 500+ dental practices that trust TransDontics; the dental A/R recovery team that pursues every aged balance, every denied claim, and every underpayment until every contractual avenue is exhausted. Start with a free 90-day A/R audit and see exactly what is recoverable in your practice before you make any commitment.

12-month forensic claims and A/R aging review

Written denial breakdown with recovery pathways

Recoverable revenue estimate from actual claims data

Underpayments identified against contracted fee schedules

Custom recovery strategy for your specialty and payer mix

Dedicated specialist assigned from day one

Weekly account-level recovery reports from week one

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