Open Dental Billing Services To Maximize Collections With Zero Claim Leakage

TransDontics delivers end-to-end dental RCM natively inside your Open Dental environment. No data exports, no disconnected portals, no hand-offs. From pre-appointment eligibility through final payment reconciliation, one dedicated team owns your complete revenue cycle.

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1,100+ Certified Billers

Serving Nationwide

Pay Only When We Collect

ISO 27001
HIPAA COMPLIANT
AICPA SOC 2
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Open Dental Controls the Workflow. We Execute the Revenue.

Open Dental gives your practice unmatched flexibility; customizable workflows, open-source transparency, and a claims infrastructure you can configure exactly the way you want. What it cannot do is staff that infrastructure. TransDontics provides the certified billing specialists who work directly inside your Open Dental environment, executing on the revenue cycle your system is fully capable of managing so flexibility translates into actual collected revenue, not just potential.

We work natively inside Open Dental's workflows

Open Dental's customizability is your advantage and your exposure

Switch to TransDontics. Recover $30,000–$80,000 in year one.

The Numbers Open Dental Practices Care About

We do not ask you to take our word for it. Here is what 200+ dental practices across all 50 states consistently see when TransDontics takes over their Eaglesoft 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 %

Open Dental Gets the Claim Out. We Make Sure It Gets Paid!

Over 40,000 dental providers depend on Open Dental for scheduling, charting, insurance plans, and claim submission. Actively maintained, deeply customizable, and free; the platform itself is not the problem. The problem is the gap between what Open Dental submits and what your practice actually collects. The moment a claim clears the clearinghouse bridge, revenue stops being a software problem and becomes a specialist problem. Most Open Dental practices are bleeding money at exactly that crossing point.

The Open Dental Revenue Leak Has Three Sources

Eligibility That Reads Coverage but Misses the Fine Print

Open Dental’s eligibility pulls real-time responses but doesn’t surface frequency limitations, missing pre-authorization flags, or maximum accumulation logic that causes payers to bundle correctly coded claims.

What It Costs You

A practice producing $1.2M annually loses $28,000–$48,000 per year to eligibility-related denials preventable with a full carrier portal benefits breakdown before every appointment.

A Claim Aging List That Nobody Has Bandwidth to Work

Open Dental’s Outstanding Insurance Claims report shows exactly what’s aging. It cannot dedicate a specialist to work denials while your front desk manages calls, co-pays, and recall simultaneously.

What It Costs You

For a practice with a 15% denial rate on $1.2M production, 30% of unworked denials represents $54,000 in annual revenue lost; not because payers refused, but because follow-up never happened.

CDT Code Selection That Depends on Whoever Is Available That Morning

Open Dental provides the complete CDT library. Selecting the right code accounting for payer-specific bundling rules and adjudication patterns requires a specialist, not a generalist managing competing priorities.

What It Costs You

The gap between the industry’s 75% clean claim rate and TransDontics’ 98% benchmark represents $60,000–$80,000 in collectible annual revenue that imprecise CDT coding silently forfeits inside every Open Dental practice.

What Full-Cycle Open Dental RCM Actually Looks Like.

Most billing companies work around Open Dental; requesting exports, clearinghouse credentials, or parallel tracking systems your staff reconciles manually. TransDontics operates directly inside your Open Dental instance, in the same claim queues, ledgers, and aging reports your team uses daily. No duplicate data. No reconciliation fallback.

Expert CDT Coding & Pre-Submission Review

Every claim is coded by a certified specialist and reviewed for accuracy, documentation, attachments, and fee schedule alignment before it exits Open Dental's submission queue.

Same-Day Payment Posting to Your OpenDental Ledger

ERAs and EOBs post to your Open Dental ledger same-day, reconciled against contracted rates; underpayments flagged and appealed before the filing window closes.

Real-Time Eligibility & Full Benefits Breakdown

We go beyond the 271 response; pulling frequency history, pre-authorization requirements, and dual-coverage details from carrier portals before every scheduled appointment.

Aggressive Denial Management & 48-Hour Appeals

Every denial entering Open Dental's Outstanding Claims report is investigated, corrected, and refiled within 48 hours; worked through every contractual appeal right until fully exhausted.

Systematic Aged A/R Recovery & Monthly Performance Reporting

Every A/R bucket worked to recovery or confirmed write-off, with monthly production, collections, denial, and aging reports pulled directly from your Open Dental data.

We Know Open Dental. Every Module. Every Workflow

TransDontics specialists are trained across Open Dental’s complete feature set ; not just the claims submission window. We operate inside the scheduling, clinical, insurance, and reporting modules your practice already relies on, which means our team slots into your existing workflows from day one without requiring your staff to change a single process.

Expenses

Real-time eligibility via 270/271 clearinghouse

Insurance Plan & benefit table management

Appointment Book & recall scheduling

Broken appointment tracking & recall lists

Patient portal & coverage verification workflow

Expenses

Electronic claims via X12 837D & clearinghouses

ERA auto-import & electronic attachment workflows

Dual & triple insurance coordination & sequencing

Secondary claim generation & split billing

Fee schedule setup, validation & adjustment

Expenses

Outstanding Insurance Claims Report (aging buckets)

Aging Report & collections
tracking

MoneyFinder revenue opportunity tracking

Ledger corrections & period-end reconciliation

Audit trail & claim history documentation

Open Dental RCM Services Tailored to Your. Specialty’s Billing Rules

Payers don’t treat dental specialties equally. Oral surgeons face medical cross-billing complexity, orthodontic practices bill in phases, and periodontists navigate carrier-specific maintenance frequency rules. TransDontics specialists are trained on the specialty-specific coding standards and payer adjudication patterns that match how your practice actually produces revenue.

What Running Open Dental Billing In-House Is Actually Costing You

These are the real numbers; what in-house billing costs in salary, benefits, and lost collections against what TransDontics delivers on a performance-based fee that only applies when we collect. Open Dental’s zero licensing cost makes it easy to underestimate what billing is quietly consuming.

Expenses

Annual Cost

Net Collection Rate

First-Pass Clean Claims

Denial Follow-Up

A/R Recovery

CDT Coding Expertise

Open Dental Module Coverage

Onboarding Speed

In-House Biller

$55K–$75K+ per FTE + benefits + CE

~80% industry average

~82% industry average

30% never resubmitted

Written off after 90–120 days

1 generalist per location

Limited by staff bandwidth

4–12 weeks to hire and train

TransDontics - Logo White

Nominal % of collections only

96% average

98%

100% within 48 hours

Every bucket worked to exhaustion

1,100+ certified specialists

Complete — all workflows & reports

Live inside Open Dental in 24 hours

*Industry averages sourced from publicly available compensation and claims performance benchmarks. Individual results may vary.

Total Payor Mastery Across Every Network

Whatever dental insurance your practice accepts, we ensure you get paid. TransDontics’ billing experts navigate the complexities of every major dental insurance network to maximize your revenue.

Trusted by Dental Practices Across All 50 States

From solo practices in rural Montana to multi-location DSOs in New York City, TransDontics delivers the same 98% clean claim rate and 48-hour follow-up guarantee coast to coast. We know your state’s Medicaid rules, regional payer behavior, and local coding nuances. Your geography is never a limitation.

Everything Open Dental Practices Ask Before They Switch

Does TransDontics work directly inside Open Dental, or does my team need to use a separate system?

Directly inside Open Dental. Our specialists are credentialed into your existing Open Dental database and operate within your current workflows; the same insurance plan tables, claim queues, ledger views, and Outstanding Insurance Claims reports your team already navigates. There is no data export process, no separate billing portal to log into, and no reconciliation work your staff has to perform on the back end. Every action our team takes is visible inside your Open Dental system in real time, with no black-box intermediary sitting between our work and your data.
Most Open Dental practices are fully onboarded and operationally live within 24 hours of completing the initial access setup. We manage the database credential configuration, clearinghouse bridge review, insurance plan audit, and fee schedule verification during onboarding; so your first day of TransDontics-managed billing starts without requiring any downtime from your existing schedule and without pulling your staff away from patient care.
Not at all. TransDontics works inside Open Dental regardless of which clearinghouse your practice has connected including DentalXChange, Tesia Dental, Availity, Change Healthcare, and other commonly used bridges. We operate within the clearinghouse workflow your practice has already configured, including your existing ERA auto-import setup and electronic attachment routing. We work with your infrastructure. We do not ask you to rebuild it to accommodate us.
Nothing happens to it. Your Open Dental database stays exactly where it is; on your server or your hosted environment under your full administrative control. We access it as credentialed users, the same way a member of your own team would. There is no migration to an external system, no data transfer to a TransDontics platform, and no change to who owns the data. If you ever decide to end the engagement, your complete Open Dental history remains fully intact with zero dependency on anything we built.
Yes. Open Dental’s database architecture supports multi-location configurations through both central server setups and cloud-hosted environments, and our team is experienced in managing claims, denial follow-up, payment posting, and A/R recovery across multiple locations within that structure. We provide location-specific reporting so you have performance visibility at the individual site level and as a consolidated group without requiring a separate engagement for each location.
Yes, and recovering aged A/R is typically one of the first items we address after gaining access. TransDontics specializes in working claims that have aged past 90, 120, and even 180 days; accounts that previous billing staff classified as uncollectable, deferred indefinitely, or simply ran out of time to pursue. We go through your Open Dental Outstanding Insurance Claims report aging bucket by aging bucket, investigate each claim individually, and pursue every recovery avenue that remains open before confirming any balance as a genuine contractual write-off.
Yes, fully. TransDontics is HIPAA certified, ISO 27001 certified, and SOC 2 Type II compliant. We execute a Business Associate Agreement with every practice prior to accessing any patient information inside Open Dental. All access to your database is governed by enterprise-grade security protocols, encrypted credential management specific to your environment, and audit-trail logging that meets and exceeds the technical safeguards required under HIPAA. Whether your Open Dental installation is server-based or hosted through a cloud provider, our access methods comply with the applicable security requirements for that environment.
Our audit goes directly into your Open Dental data and reviews the last 90 days of claim activity, outstanding claims by aging bucket, denial codes and denial rate trends, CDT coding accuracy on your highest-volume procedure categories, eligibility verification gaps in your pre-appointment workflow, and ERA payment posting accuracy against your contracted fee schedules. We identify your top three specific revenue leaks, put a recoverable dollar figure on each one, and show you precisely what a TransDontics-managed revenue cycle would address in your practice. Most Open Dental practices identify between $30,000 and $80,000 in recoverable annual revenue before they commit to anything.

You Pay Nothing Until We Collect For You.

No setup fees. No monthly retainers. No long-term contracts you cannot exit. TransDontics earns a small percentage exclusively on successfully collected claims, which means our financial incentive is aligned with yours. The average Open Dental practice saves $35,000–$55,000 annually after transitioning from in-house billing management to TransDontics full-cycle RCM.
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Ready to Stop Leaving Money Inside Your Open Dental System?

Join 200+ dental practices that trust TransDontics to manage their complete Open Dental revenue cycle. Start with a complimentary audit and see exactly what is recoverable from your last 90 days of claims activity before you agree to a single thing.

Free 90-day Open Dental claims review

Your top 3 revenue leaks identified and quantified

Denial rate and clean claim rate benchmarking

Aged A/R recovery estimate by bucket

Custom RCM strategy for your specialty and PMS

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