Dental Billing Services in New York for Improved Compliance
- Manage NY-specific rules, including balance-billing protections.
- Support all dental procedures, including surgical extractions.
- Adhere to 90-day timely filing guidelines per NY Medicaid.
- Skilled in processing all CDT codes, including D4346 and D8090.
- Use New York-specific claim forms, like eMedNY-000201 ADA for Medicaid.
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Up to 98% First Pass
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Comprehensive Dental Billing Services in New York
New York dental providers can streamline their practice operations with our end-to-end dental medical billing solutions. Some of our offerings include the following services, which help your practice recover maximum claims:
- Patient Information Intake
- Insurance Eligibility Verification
- Dental Benefits Confirmation
- Clinical Notes Review
- CDT Code Validation
- Procedure Modifier Application
- Electronic Claim Submission
- Rejection and Clearinghouse Resolution
- A/R Follow-up and Recovery
- Patient Billing and Statement Generation
- Denied Claim Appeals
- Payment Posting and Reconciliation
- Accurate Charge Entry
What Are Some Dental Billing Challenges Faced by New York Practices?
Strict State Compliance Laws: NY’s regulations, complementing the federal No Surprises Act, prohibit balance billing for emergency and surprise OON services.
Timely Filing Rules: Most NY payers, including Medicaid, require claims within about 90 days of service. Missing these deadlines means denial or forfeiting reimbursement.
Payer Mix and Coordination of Benefits: New York dentists work with many insurers, such as Medicaid, Medicare Advantage, and private plans. Each payer, including Delta Dental, Medicaid, and DentaQuest, has unique requirements, so accurate COB coding.
Coding and Modifier Challenges: Dentistry relies on precise CDT coding and correct modifiers. Any mistake or outdated code can trigger denials.
How Transcure Simplifies New York Dental Billing Services?
Transcure has an expert team that stays ahead of New York’s billing requirements and payer rules. We handle NY Medicaid, such as eMedNY and DentaQuest, and all major commercial insurers like Delta Dental NY, ensuring your claims comply with both state and federal laws. Our team uses the proper New York claim forms and documentation, and we continuously monitor changes to NY dental billing policies.
Plus, we strive to create audit-ready documentation that cuts dental claim denials in New York by up to 30%. This proactive approach helps New York dentists recover lost revenue and reduce administrative hassle. Meanwhile, our dental billing services providers take over patient statements and appeals so you can focus on patient care.
Cities Served by Transcure Dental Medical Billing Services in New York
New York City
Buffalo
Rochester
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Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
Dental Credentialing Services to Get Paid Sooner in New York
New York dental practices often face lengthy insurer credentialing timelines, frequently 90 to 120 days, before they can begin billing. The upfront costs for credentialing with Medicare, Medicaid (eMedNY), and major commercial payers like Delta Dental NY can range between $7000 and $8000, creating a financial barrier for many dental providers.
However, Transcure’s dental billing services in New York eliminate these hurdles. Our dedicated credentialing specialists manage the entire process for on-time submissions. We track every step with New York Medicaid and all leading commercial dental insurers, so your practice can begin generating revenue faster.
Counties Served by Transcure Dental Medical Billing Services in New York
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Dental Billing Services with Nationwide Reach and Local Precision
In addition to our specialized New York focus, Transcure supports dental practices across the United States. Our team is trained for the dental CDT coding and payer reimbursement challenges that providers face nationwide, so we combine nationwide best practices with local New York precision.
Comprehensive Dental Billing Services in New York
Expertise Across Dental Software
Our billing providers master over 40 dental software and EHR systems, ensuring accurate data migration and optimized workflows.
Timely Pre-Authorizations
We verify coverage and obtain pre-authorizations for procedures from all New York payers to make sure you always get paid and avoid accounts receivable delays.
HIPAA and NY Data Compliance
Transcure’s systems follow strict HIPAA and NY SHIELD Act guidelines to protect sensitive dental billing records while maintaining compliance with reporting standards.
Actionable Reporting and Insights
Our team analyzes billing and collection trends and provides clear reports on performance. This data helps you improve coding and practice workflows to maximize revenue.
Procedure-Specific New York Dental Medical Billing Services
Procedures in dental care are complex and thus require expert coding in order to reimburse correct payments for you. That’s why we only employ experts who are best at dental billing and coding in New York, including:
Implant Dentistry
Orthodontics
Periodontal Treatments
Endodontics (Root Canals)
Oral Surgery
Prosthodontics
Cosmetic Dentistry
TMJ Treatments
Sedation Dentistry
Pediatric Dentistry
Full Mouth Reconstruction
Sinus Lifts
Bone Grafting
Laser Dentistry
Invisalign or Clear Aligners
Oral Cancer Screening and Biopsy
Gum Grafting
Temporary Restorations
Frenectomy
Zirconia and Ceramic Crowns
Tooth-Colored Fillings
Retreating Root Canals
Fillings
Dental Cleanings
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
What Are the Benefits of Picking Transcure for New York Dental Billing Services?
With countless dental billing companies out there, Transcure stands out through deep New York expertise. Here’s what you gain with us:
- Dedicated New York Account Manager
You’ll work with a billing expert who knows NY laws inside out, from No Surprises/anti-balance-billing rules to timely-filing deadlines.
- Cost-Effective Solutions
Outsourcing your dental billing cuts overhead by over 40% compared to in-house staffing. You eliminate around $48K salary of a full-time NY biller and related overhead.
- Fast Credentialing and Enrollment
Our New York billing team assists with Medicaid/Medicare and private payer credentialing and enrollment, reducing turnaround time and improving collections.
- Regulatory Compliance Assurance
We conduct regular internal audits and stay current with ADA claim forms, NY Privacy (SHIELD) rules, and other regulations, so you’re always ready for reviews or audits.
Our Expertise in CDT Codes & New York Dental Coding
With years of experience in dental billing services in New York, we specialize in the accurate handling of complex dental CDT codes and ICD 10 codes. Our expertise ensures precise coding and accurate reimbursements for a wide range of dental and orthodontics treatments. Our New York dental medical billing and coding expertise spans across:
Diagnostic
- D0100-D0999 (D0)
Preventive
- D1000-D1999 (D1)
Restorative
- D2000-D2999 (D2)
Endodontics
- D3000-D3999 (D3)
Periodontics
- D4000-D4999 (D4)
Prosthodontics, removable
- D5000-D5899 (D5)
Maxillofacial Prosthodontics
- D5900-D5999 (D59)
Implant Services
- D6000-D6199 (D6)
Prosthodontics, fixed
- D6200-D6999 (D62)
Oral & Maxillofacial Surgery
- D7000-D7999 (D7)
Orthodontics
- D8000-D8999 (D8)
Adjunctive General Services
- D9000-D9999 (D9)
Keep Your New York Dental Billing Aligned with 2025 Updates and Payer Rules
New York dental practices must stay updated on billing changes to protect revenue and remain compliant. For example, the 2025 NY Medicaid Dental Policy and Procedure Manual became effective January 1, introducing updated CDT codes and fee schedules. As of 2025, all NY Medicaid dental claims must be filed electronically through eMedNY.
Additionally, keep an eye on annual ADA CDT code updates and any insurer policy changes to avoid denials. According to Senate Bill S5456/A7981, providers need to grant insurers secure electronic access to patient records, speeding up utilization reviews.
We are adept at using these Dental EHRs
The New York dental billing experts at Transcure are well-versed with the features and workflows of your EHR system.
NY Practices Save Over $43,000 by Outsourcing Dental Billing Services to Transcure
According to ZipRecruiter, the average salary of an in-house dental billing expert in New York is $48,299 per year. Regardless of revenue fluctuations, you’d still pay this fixed cost to a salaried biller, which puts small or seasonal practices at a financial disadvantage.
However, Transcure’s dental billing services in New York charge just 5% of the revenue we collect. For example, a practice generating $100,000 in annual dental revenue pays only $5000 to Transcure, instead of $48,299 in staffing costs, delivering a savings of $43,299 every year.
Require a Dental Billing Services Provider with New York-specific Knowledge
Frequently Asked Questions (FAQs)
What is the timely filing deadline for dental claims in New York?
Most New York payers require claims within about 90 days of the service date. New York Medicaid (eMedNY) generally enforces a 90-day filing limit, so practices must submit claims promptly or use approved delay codes if needed.
Does New York have a surprise medical billing law for dental?
Yes, New York has strong patient protections for surprise bills. The state forbids out-of-network dentists from balance-billing patients for emergency or surprise OON services. Providers must also give notices about these protections, complementing the federal No Surprises Act.
How does your pricing for dental billing services in California work?
We charge a simple, transparent 5% of collections, aligning our incentives with yours. There are no hidden fees or fixed salaries, so your costs scale with revenue.
What insurance plans do New York dentists commonly deal with?
New York dentists work with many plans. Major dental insurers include Delta Dental of NY, Cigna, Aetna, Empire BlueCross BlueShield, and MetLife. For Medicaid patients, insurers like DentaQuest, Fidelis, Healthfirst, and MVP are common. Each payer has unique billing and coverage rules.
Can outsourcing dental billing save my New York practice money?
Yes, practices that outsource billing often see significant cost savings. Industry analysis shows that billing outsourcing can reduce overhead by around 40% compared to in-house staff. This saves on salaries (the average NY dental biller earns about $48,299/year) and related expenses, improving your bottom line.
Are there special forms for New York dental claims?
For NY Medicaid, yes, as paper dental claims must use the eMedNY-000201 (ADA claim) Form A. All other NY electronic claims follow standard ADA forms. Commercial insurers also accept the ADA dental claim form, but may require specific fields.
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