Arkansas returned Medicaid dental to fee-for-service November 1, 2024, with claims routing through Gainwell and Acentra Health administering prior authorizations. Practices that didn’t adapt are still paying through undiagnosed denials. TransDontics manages your complete revenue cycle.
Arkansas’s November 2024 Medicaid FFS transition introduced the Gainwell MMIS portal, Acentra’s Atrezzo prior authorization platform, and a new DHS fee schedule most practices weren’t prepared for. Commercially, Arkansas BCBS dominates alongside Delta Dental, Cigna, and Aetna.
The November 2024 FFS Transition
Arkansas Medicaid’s Adult $500 Annual Benefit Cap
Arkansas Blue Cross’s BlueAdvantage Split
Rural Arkansas and the Access-to-Medicaid Provider Shortage
TransDontics’s 1,100+ in-house dental billing specialists are supported by RCM automation engineered for Arkansas’ dental billing environment. Every process is designed around the actual payer rules, fee schedules, and documentation standards your claims will face.
Billing companies are typically fully manual or heavily automated. TransDontics uses both. RCM automation handles Arkansas Medicaid eligibility checks, claim scrubbing, Acentra PA status tracking, and payment posting, while our billing specialists handle anything requiring clinical judgment.
Every payment is reconciled against your contracted rate, line by line. When Arkansas Blue Cross or any commercial payer pays below the agreed fee, we flag it and appeal within 14 days. Most practices only catch outright denials because that is where the process stops. We go further.
Before every Arkansas Medicaid FFS claim, we confirm eligibility, verify Acentra Health prior authorization requirements, attach required documentation, and track each patient's $500 adult benefit cap; submitting all applicable PAs before service per the 2025 requirement.
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.
Expert CDT coding, clean claim submission, and aggressive denial management by specialty-certified billers. 98% first-pass clean claim rate.
Get in-network faster. We handle all payer paperwork, CAQH maintenance, renewals, and compliance tracking so you start seeing insured patients.
Robotic process automation eliminates manual repetitive tasks. Eligibility checks, reminders, and daily reports run without human intervention, 24/7.
Full revenue cycle coverage from patient registration to final payment. We manage all claims, close every gap, and maximize your collections.
Strategic oversight of your practice’s operational and financial performance. We track collections, payer mix, and productivity metrics
Complete front office billing support covering patient billing inquiries, insurance comms, prior auth, and appointment-linked verification.
HIPAA-compliant dental transcription delivered fast and accurately. Clinical notes, procedure documentation, and patient records are transcribed.
We review your last 12 months, find your top 3 revenue leaks, and show you exactly what we fix. Practices often discover recoverable revenue.
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An in-house biller knows your practice, not Arkansas Medicaid’s MMIS portal, BlueAdvantage plan differences, or November 2024 FFS transition code modifications. Turnover resets that knowledge. Ours doesn’t.
Most billing companies submit claims. They won’t track your patients’ $500 Medicaid cap, flag Acentra prior authorization gaps, or chase revenue a clean submission leaves uncollected. TransDontics does all of it.
Most billing companies are a service. TransDontics is a system: RPA catching what humans miss at volume, experienced billers catching what automation cannot judge. The result is a first-pass acceptance rate of 98%.
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 |
A Little Rock practice came to us in early 2025 with an 11% denial rate, 38% of A/R past 90 days, and Medicaid FFS claims rejected because prior authorizations were still routing through MCNA’s old workflow instead of Acentra’s Atrezzo portal.
Our specialists know every Arkansas payer’s rules and appeal processes. National billing companies still routing PAs through managed care portals and missing DHS’s recalibrated FFS procedure codes are costing practices money daily.
Little Rock Air Force Base generates significant TRICARE volume alongside GEHA, FEDVIP, and United Concordia federal employee dental coverage — each billed compliantly through purpose-built workflows for every federal program.
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.
TransDontics handles Arkansas claims daily, knowing Gainwell’s Thursday payment cycle, Atrezzo as the only valid PA pathway, and D9248’s hard December 31, 2025 end-date replaced by D9244, D9245, D9246, and D9247 effective January 1, 2026.
Every Arkansas practice qualifies. If your city isn’t listed, it’s coming. Reach out now and we’ll onboard your practice without delay.
Whether you practice in Pulaski County or rural Lonoke County, TransDontics knows your payers, your plans, and exactly how to get your claims paid.
Every state has its own payer rules, Medicaid structure, and billing landmines. TransDontics expertly navigates all of them.
Arkansas practices carry HIPAA, the Arkansas Dental Practice Act, and Acentra’s prior authorization documentation standards. TransDontics is independently HIPAA certified and SOC 2 Type II compliant.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards. 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 Arkansas practice owners do not 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 Arkansas practice’s liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
Average Arkansas salary
Benefits + Payroll Taxes
Software + Training
Turnover Cost
Average Denial Rate
First-Pass Clean Claims Rate
Setup Fee
Contract
~$42,000/yr
~$12,600/yr
~$5,000/yr
~$65,000/replacement
8–12%
70–80%
—
—
Included
None
Included
None
Under 2.3%
98%
$0
Cancel Anytime
*Salary benchmarks based on Arkansas BLS/ZipRecruiter data. Results vary by practice size and payer mix.
Our Complimentary audit covers denied claims, Acentra PA routing errors, and underpayments, no obligation, no pitch.
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.
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.
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.
Oral Surgeon · Dallas, TX
Arkansas Medicaid caps adult dental coverage at $500 per state fiscal year (July 1–June 30) with no rollover. Claims submitted after the cap is reached are denied. TransDontics tracks benefit utilization for every adult Medicaid patient and flags approaching thresholds so treatment planning and patient communication happen before the cap is exhausted.
All active Arkansas payers including Arkansas Medicaid FFS through Gainwell MMIS, Arkansas BCBS, BlueAdvantage, Delta Dental, Cigna, Aetna, UnitedHealthcare, Humana, MetLife, Guardian, Ameritas, Principal, United Concordia, GEHA, FEDVIP, and TRICARE.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours.
HIPAA-compliant from day one.
Pay only a percentage of what we collect for you
