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Healthcare practice guide

Billing, Books, and Payroll for Dental Practices and DSOs

Production versus collection, plan maximums, and the write-offs nobody tracked.

Dental practices track production obsessively and collections loosely. The gap between the two is where the money goes: contractual adjustments taken without checking the fee schedule, benefit maximums exhausted mid-treatment, and patient balances that age past the point anyone will pay them.

Your practice

Set once — every healthcare tool below pre-fills from it and it stays with you for this visit.

Collection ratio target
98%+

Collections against adjusted production

Days in A/R target
Under 30

Dental settles faster than medical

Over-90 A/R
Under 12%

Share of total A/R aged past 90 days

Where the money leaks

Fee schedule drift

Adjustments posted to the old contracted rate after a plan renegotiated. We reconcile allowed amounts to the current schedule.

Benefit maximums

Treatment planned past the annual maximum becomes a patient balance nobody warned the patient about.

Unposted patient balances

Statements that stop after one cycle turn collectible balances into bad debt.

How we run it

  1. 1

    Breakdown of benefits

    Verified per patient before treatment planning, including remaining maximum and frequency limits.

  2. 2

    Claim submission with attachments

    Radiographs and narratives attached up front so the claim is not held for records.

  3. 3

    Adjustment audit

    Every contractual write-off checked against the current fee schedule.

  4. 4

    Patient balance cycle

    A real statement cadence with a defined escalation point, not a single reminder.

  5. 5

    Production-to-collection reconciliation

    Monthly report showing what was produced, adjusted, collected, and still outstanding.

Payers we bill every month

  • Delta Dental
  • MetLife
  • Cigna Dental
  • Guardian
  • State Medicaid dental programs
  • Discount plan contracts

Questions we get

Other settings we serve

Written analysis reviewed by a senior revenue cycle lead. No PHI required to start.

Encrypted in transit and at rest. We sign a BAA before any PHI is shared. No spam, ever.

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