Michigan dental billing is more complex than most out-of-state vendors can handle. The Medicaid dental redesign fragmented adult benefits across individual Health Plans with separate dental administrators; where wrong routing means claims that never pay. TransDontics’s 1,100+ specialists manage your complete revenue cycle.
Michigan’s April 2023 Medicaid restructuring moved adult dental benefits under individual Health Plans, each with separate dental administrators. Practices that didn’t adapt their workflows are still generating avoidable denials on every Medicaid adult cycle. Here is what Michigan billing complexity looks like in practice.
Michigan Medicaid Dental Redesign & Health Plan Routing
The Healthy Kids Dental / Adult Medicaid Benefit Split
Delta Dental of Michigan & Maximum Plan Allowance Rules
UAW and Automotive Industry Union Plans in the Detroit Metro
Michigan Dental Records Law: MCL 333.16648 & MCL 333.16644
TransDontics’s 1,100+ in-house dental billing specialists are supported by RPA automation engineered for Michigan’s 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 either fully manual or heavily automated. TransDontics uses both. Our RPA handles high-volume, repetitive tasks like claim scrubbing, eligibility checks, and status tracking while our billing specialists handle anything requiring clinical or contractual judgment.
Every payment is reconciled against your contracted rate, line by line. When Delta Dental of Michigan or any commercial payer pays below the agreed Maximum Plan Allowance, we flag it and appeal within 14 days, catching underpayments that are technically processed but still wrong.
We run Healthy Kids Dental billing through Blue Cross Blue Shield of Michigan's channel and adult Medicaid dental billing through each patient's Medicaid Health Plan dental administrator in parallel, within the same workflow. No claim falls through the gap.
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.
No claim goes 48 hours without follow-up. We pursue every outstanding balance across all payers until it is paid, appealed or written off.
Get in-network faster. We handle all payer paperwork, CAQH maintenance, renewals, and compliance tracking so you start seeing insured patients.
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 Michigan’s Medicaid Health Plan dental administrators, Delta Dental’s Maximum Plan Allowance rules, or UAW trust plan COB processing. Turnover resets that knowledge. Ours doesn’t.
Most billing companies submit claims. They won’t reconcile EOBs against your Delta Dental Maximum Plan Allowance, flag Medicaid Health Plan routing errors, or chase uncollected revenue. 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 Detroit metro practice came to us with a 10%+ denial rate, a third of A/R past 90 days, and Michigan Medicaid claims rejected for routing to MDHHS instead of the correct Health Plan dental administrator with 2–3 hours daily of inconsistent follow-up.
Our specialists know every Michigan payer’s submission rules, fee schedules, and appeal processes. National billing companies stumble on health plan dental administrator routing and miss Delta Dental’s Maximum Plan Allowance nuances across plan tiers. We don’t.
TransDontics handles Michigan claims daily, knowing Delta Dental’s Maximum Plan Allowance differences across plan structures, each Health Plan’s separate dental administrator, and Detroit’s union plan billing requirements.
Every Michigan practice qualifies. If your city isn’t listed, it’s coming. Reach out now and we’ll onboard your practice without delay.
Every state has its own payer rules, Medicaid structure, and billing landmines. TransDontics expertly navigates all of them.
Michigan practices carry HIPAA obligations alongside MCL 333.16648’s patient confidentiality protections and MCL 333.16644’s ten-year record retention requirement. TransDontics is independently HIPAA certified and AICPA SOC 2 Type II compliant.
All patient data is encrypted end-to-end, satisfying HIPAA Security Rule technical safeguards and Michigan's MCL 333.16648 dental patient confidentiality requirements. 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 Michigan 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 proof of our security posture. Your Michigan practice's liability exposure is measurably reduced from day one of our partnership.
Customized billing solutions based on your specialty
In-house billing looks cheaper on paper. It rarely is. Between staffing overhead, turnover, training costs, and the revenue lost to unworked denials, most practices are spending far more and collecting far less. TransDontics’s fee is a percentage of what you actually collect. That is the whole model.
Average Michigan salary
Our Complimentary audit covers denied claims, MCO routing errors, and underpayments, no obligation, no pitch.
No setup fee. No monthly minimum.
Cancel anytime.
Response within 24 hours.
HIPAA-compliant and MCL 333.16648-aligned from day one.
Pay only a percentage of what we collect for you
