Dental Medical Billing Q & A

1. Is billing for dental services more complex than billing for medical services?
Yes, dental billing is generally considered more complex than medical billing. This is because dental and medical billing require different forms of claim submission, each demanding specific information and procedural coding. Incorrect submissions can lead to improper reimbursement and negatively impact collections, highlighting the importance of expertise in dental billing and coding.

2. How can I effectively learn dental billing?
The most effective way to master dental billing and dental credentialing is by seeking training from proven experts in the field. This involves consulting with experienced dental office managers, insurance coordinators, dental billers, or even dental hygienists, who can offer accurate and practical insights based on their firsthand experiences.

3. Are dental coding practices similar to medical coding?
No, dental billing and coding, including dentist procedure codes, are quite different from medical coding. Dental billing utilizes Current Dental Terminology (CDT), updated and published by the American Dental Association, to ensure successful reimbursement. In contrast, medical billing relies on three main coding systems: CPT, HCPCS, and ICD-10.

4. What are the essential accounting reports for managing a dental office?
The key accounting reports necessary for running a successful dental practice include:

  • Dental Production Report, which tracks production levels.
  • Write-off Report and Net Production, which provide insights into adjustments and actual earnings.
  • Collections Report and Collection Percentage, which help monitor the efficiency of collections.
  • Accounts Receivable Reports, crucial for dental billing and dental accounting, are split into Patient A/R and Insurance A/R for tracking owed amounts.
  • Daily Deposit Report (Reconciliation), which is crucial for daily financial reconciliations.