We submit your claims, chase down unpaid balances, post payments, and handle denials. A full outsourced dental billing solution for practices that want their billing handled without hiring more staff. Based in South Florida, working with dental billing clients across the US.
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"PracticeAlpha completely transformed how our practice handles billing. Within 90 days our collection rate jumped from 83% to 97%, and our front desk finally has time to focus on patients."
Everything that happens between treatment and payment. Most dental billing solutions only cover claims submission. Ours covers the full cycle.
Claims go out the same day with correct CDT codes, attachments, narratives, and payer-specific formatting. We scrub everything before submission so claims go out clean the first time. That means checking for missing information, verifying that the code matches the documentation, and formatting attachments the way each specific payer requires them. A clean claim is one that doesn't come back.
Every unpaid claim gets worked on a set schedule. 30 days, 60 days, 90+ days. We call payers, check portals, and escalate until the claim is resolved. Nothing sits in your aging report untouched. Most practices we work with have claims in their 90+ bucket that nobody has looked at in months. That's where real money is sitting, and it's the first place we start.
EOBs and ERAs posted within 24 hours. We reconcile every payment against the original claim so underpayments, wrong patient credits, and write-off errors get caught the same day. Delayed posting means delayed follow-up on underpayments. The faster payments are posted, the faster we can identify problems and act on them.
When a claim gets denied we figure out why, fix it, and resubmit or appeal. We also track denial patterns by code, payer, and provider so the same problems stop repeating. If a specific procedure keeps getting denied by a specific payer, we change the approach before the next claim goes out instead of making the same mistake over and over.
Patient statements, balance follow-up, and payment plan tracking. Keeps your patient AR from growing while your team focuses on the people sitting in the chair. Patient balances are the part of AR most offices ignore because chasing patients feels uncomfortable. We handle it so your team doesn't have to.
Collection rate, days in AR, denial rate by payer, aging breakdown. You see exactly how your billing is performing every month. No guessing. We walk you through the numbers so you know what's working, what's not, and what we're doing about it. Full visibility into every claim, every dollar.
How much of your AR is sitting in claims nobody has touched in months? Most practices are surprised when they find out.
See what you're missingGetting started takes 1-2 weeks. No disruption to your cash flow during the switch.
Free AR analysis. We pull your aging report and walk through it together. You'll see exactly where claims are stuck, which payers owe you, and how much revenue is sitting untouched. Takes about 30 minutes.
Works with any practice management system. Dentrix, Eaglesoft, Open Dental, Curve, Denticon. No migration, no switching. We log in and start learning your accounts, payers, and workflows.
A dedicated team gets assigned to your practice. Not a rotating call center. The same people working your accounts every day. They learn your office, your payer mix, your specific patterns.
Claims submitted daily, follow-ups on schedule, payments posted within 24 hours, denials worked immediately. Monthly reports show collection rate, days in AR, denial rate, and aging breakdown.
We work with practices at different stages. The common thread is billing has become a problem and they need it handled. Unlike general dental insurance billing companies, we focus specifically on the operational side of dental revenue.
Solo and small practices that don't have the volume to justify a full-time biller, or the one they have is drowning. When you outsource dental billing you get a whole team for less than one salary.
Group practices with 2-5 locations dealing with inconsistent follow-up across offices. We standardize dental billing across locations so nothing falls through at any site.
DSOs that need centralized reporting and standardized billing across all locations. Our founder scaled a multi-location dental organization before starting this company.
Practices in transition. Your biller quit. You're switching software. You acquired a new office. We step in fast so billing doesn't stop while you figure out the next move.
Most practices are fully switched over within 1-2 weeks. Your billing doesn't stop during the transition.
Submitting claims, posting payments, following up with payers, working denials, running reports, handling patient balances. One biller doing all of that falls behind. Things slip. Revenue gets lost quietly. The problem isn't the person. It's the scope. A single biller at a busy practice might be responsible for 300-500+ claims per month across a dozen payers, each with their own rules, portals, and timelines. When they're posting payments in the morning and answering patient billing calls in the afternoon, follow-up on aging claims doesn't happen. That's how 90-day AR grows without anyone noticing.
Your biller leaves and it takes months to find and train someone. During that gap, claims pile up and accounts receivable ages out. The typical ramp-up time for a new dental biller is 3-6 months before they're fully productive. That's 3-6 months of slower collections, missed follow-ups, and growing aging. With a dedicated billing team, your revenue cycle doesn't depend on one employee showing up. If someone on our team is out, another biller who knows your accounts picks up the work that day.
Denied claims that never get appealed. Underpayments that never get caught. Payers are betting your office won't follow up. We do. Every claim, every time, until it's resolved or the payer gives a final answer. Most offices appeal less than 10% of their denied claims. The rest get written off. That's money that was earned, documented, and submitted correctly but never collected because nobody had time to fight for it.
Checking patients in, answering phones, scheduling, collecting copays. Asking them to also chase insurance companies means nothing gets full attention. Split focus costs you on both sides. Patients notice when the front desk is distracted. And insurance companies don't care that your staff is busy. They'll sit on a claim for 45 days regardless. Your front desk should be focused on the people walking through the door, not sitting on hold with Delta Dental.
Most practice owners can't tell you their real collection rate, their denial rate by payer, or how much money is sitting in their 90+ day AR right now. That's not a criticism. It's a billing team problem. When billing is running in the background with no structured reporting, problems stay invisible until cash flow tightens. A dental billing company that reports monthly gives you numbers you can actually act on.
"Top notch billing company and intricately took over and streamlined all my billing services which in turn alleviated so much stress off of my team and me as a business owner."
"PracticeAlpha has been a valuable partner for our office. As a startup practice, they helped us get back on track with our insurance claims and provided the support we needed."
Want to see what your practice is leaving on the table?
Schedule a free AR analysis
Ori Bekerman, Founder
Built and scaled a multi-location dental organization before starting PracticeAlpha. Not a billing company that studied dentistry. A dental operator who lived the billing mess across multiple offices, multiple payer mixes, and multiple front desk teams all trying to handle billing on top of everything else.
That background shapes how we work. We understand practice P&Ls, front desk workflows, and what a growing 90+ day AR balance actually means for the business. Our approach starts with your numbers, not a sales pitch.
Both approaches work. The question is which one works better for where your practice is right now.
A full-time dental biller costs $45,000-$65,000 per year in salary before you add payroll taxes, benefits, paid time off, training, and software licenses. Outsourcing your billing typically runs as a percentage of collections, which scales with your production. For most practices, the outsourced cost is lower than the fully loaded cost of an employee. And if collections drop for a month, your cost drops with it instead of staying fixed.
An in-house biller is one person. They get sick, take vacation, have family emergencies, and eventually leave. When any of that happens, billing stops until they're back or until you find a replacement. An outsourced team has built-in redundancy. If one person is out, another biller who's familiar with your accounts covers the work. No gaps.
In-house billers learn one practice. They know your payer mix and your workflows, but they may not know the latest CDT code changes, payer-specific appeal processes, or denial trends across the industry. An outsourced dental billing company works with dozens of practices simultaneously. The patterns they see across all those accounts make them better at identifying and fixing problems in yours.
With an in-house biller, you're managing their performance, training them on updates, and auditing their work yourself. Or more realistically, nobody's auditing it because nobody has time. Outsourced billing comes with structured reporting. You see the numbers every month. If collection rate drops or AR grows, it's visible immediately and there's a team accountable for fixing it.
If you have a highly experienced biller who consistently keeps your collection rate above 95%, days in AR under 30, and denial rate below 5%, keeping billing in-house can work. And you're confident they'll stay for years. That person is rare. Most practices don't have them. And when they leave, you're back to square one.
There are dozens of dental billing outsourcing companies out there. Not all of them are the same. Here's what separates the ones that actually improve your collections from the ones that just move the work off your desk.
Medical billing and dental billing are different. CDT codes, dental-specific payer rules, pre-authorization requirements for crowns and implants, coordination of benefits for dual coverage. A billing company that also handles medical billing is splitting their focus. Look for a team that works exclusively with dental practices.
If a dental billing company can't tell you your collection rate, days in AR, and denial rate by payer on a monthly basis, they're not tracking the right things. Reporting isn't optional. It's how you know whether outsourcing is actually working.
A billing company that locks you into a 12-month contract is telling you they don't trust their own performance to keep you around. Month-to-month is the standard for companies that deliver. If they need a contract to retain clients, that's worth questioning.
Some dental billing companies route your claims through a general pool of billers who don't know your practice. That fails for the stuff that matters. Like knowing that a specific payer always requires a specific attachment format for a specific procedure. A dedicated team assigned to your practice learns your accounts and gets better over time.
If a billing company requires you to switch to their preferred practice management software, walk away. Your PMS is your operational backbone. A good billing partner works inside whatever system you already run.
Pricing depends on practice size, monthly claim volume, and which services you need. Most outsourced dental billing companies charge a percentage of collections, typically between 5-9%. The actual number depends on your volume and scope. We'll give you a straight answer after looking at your numbers during the free AR analysis.
An in-house biller is one person handling everything. When they quit, go on vacation, or get behind, your billing stops. Outsourced billing gives you a dedicated team with built-in redundancy. You also don't pay payroll taxes, benefits, training costs, or deal with turnover. And you get monthly reporting that most in-house setups don't produce.
Any of them. Dentrix, Eaglesoft, Open Dental, Curve, Denticon, and everything else on the market. We're software agnostic. You don't need to switch anything. We log into your existing system and work inside it the same way your in-house team would.
Most practices are fully transitioned within 1-2 weeks. We handle the onboarding and learn your accounts, payers, and workflows during that time. Your billing doesn't stop during the switch. We work alongside your current process until we're fully up to speed, then take over completely.
No. You get full visibility into everything we do. Monthly reporting covers collection rate, days in AR, denial rate by payer, and aging breakdown. You have direct communication with your billing team. You can check in anytime. You're handing off the work, not the oversight.
No. We work inside whatever PMS you currently run. There's no migration, no new software to learn, and no disruption to how your office operates. We access your system remotely and handle billing the same way someone sitting in your office would.
Monthly reports showing your adjusted net collection rate, days in AR, denial rate broken down by payer, aging AR breakdown by bucket (30/60/90+ days), and claim volume. We walk you through the numbers so you understand what's happening with your revenue cycle and what actions we're taking.
Every denied claim gets reviewed the day the denial comes in. We identify the reason, fix it (missing info, coding error, documentation gap, payer-specific requirement), and resubmit or file a formal appeal. We also track denial patterns. If the same type of claim keeps getting denied by the same payer, we change the approach on future claims to prevent it from happening again.
Free AR analysis. We pull your numbers, show you where claims are stuck, and tell you what's recoverable. 30 minutes. No commitment.