Top-Rated Dental Billing Services in New Jersey for Local Compliance

Our dental billing company in New Jersey helps your practice:

Manage Delta Dental of NJ and Horizon BCBSNJ plan requirements
Handle prior auth of costly dental procedures, including dental implants
Create claims compliant with N.J.A.C. 10:56 HCPCS coding
Resolve medical-dental crossover billing for oral surgery cases in NJ
Support all dental procedures, from preventive cleanings to surgical extractions

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What Dental Billing Challenges Do New Jersey Practices Commonly Face?

Dental practices in NJ face billing challenges, as follows:

Frequent Pre-Authorization Demands: High-value dental procedures, such as crowns and orthodontics, often require strict pre-treatment review under NJ’s new pre-authorization law.

High Claim Denial Rates for NJ Medicaid: New Jersey FamilyCare/Medicaid dental claims are denied more often due to strict documentation requirements and incorrect CDT coding.

Compliance with NJ Prompt Pay Rules: Insurers must pay clean claims within 30 to 40 days by law, but many NJ dental practices struggle to track deadlines and respond to info requests.

Frequent Fee Schedule Reductions: NJ practices regularly face downcoding and reduced payments on CDT codes, requiring constant monitoring of payer-specific fee schedules.

How Transcure Improves NJ Dental Practices Financially with Its Dental Billing Services?

Transcure offers advanced dental billing and coding services in New Jersey for faster payments and fewer denials. We deliver the following NJ-focused dental billing services:

AI-Driven Eligibility Verification

We verify NJ dental benefits in real time, checking coverage, frequencies, waiting periods, and Medicaid eligibility, with the help of the ELIXA AI agent.

Automated Pre-Auth Management

With our PRIA AI agent, we handle prior authorizations for crowns, implants, and oral surgery, which are common triggers under NJ’s pre-authorization law.

AI-Enhanced Dental Coding

Our medical coders, in collaboration with CODIN, read dental chart notes, X-rays, and treatment plans to auto-assign accurate CDT, ICD-10, and CPT crosscodes.

Dental Insurance Contract for New Jersey

We analyze commercial payer contracts, including Horizon, MetLife, Aetna, and Delta Dental NJ, to identify undervalued reimbursements.

Real-Time Denial Detection

DEXA identifies denial trends across NJ plans, such as frequency limits or COB errors, to create appeal letters and update claim statuses in real time.

New Jersey-Specific Coding

We track NJ payer policies for limitations on procedures, such as D1110, D2392, D2740, D4341, and D crowns, to prevent costly rejections.

Our Success in Numbers

Value of claims processed

$ 1 M+

Accounts Receivable Days

Turn Around Time (TAT)

1 Hours

Customer Retention

1 %

Number of Claims Processed

1 M

First Pass Clean Claims Rate

1 %

Revenue Improvement

5%- 5 %

Reduction in A/R

1 %

In Which New Jersey Cities Does Transcure Provide Dental Billing Services?

Newark

Jersey City

Paterson

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Elizabeth

Lakewood Township

Edison Township

Woodbridge Township

Toms River Township

Hamilton Township

How Much Can Practices Save by Partnering with Transcure’s Dental Billing Services in NJ?

According to ZipRecruiter, the average Dental Billing Specialist salary in New Jersey is approximately $20.52 per hour, which translates to roughly $42,000 to $45,000 per year in base salary. By outsourcing your dental billing to Transcure at a 5% of revenue collected pricing model, your practice can eliminate fixed salaries and administrative overhead.

For example, a New Jersey dental practice generating $500,000 in annual collections would pay approximately $25,000 to Transcure. Compared to an in-house dental billing specialist earning around $45000 annually, outsourcing can save your practice $20000 per year on salary alone.

Which Counties Will Benefit from Transcure’s Dental Billing Services in New Jersey?

Bergen County

Essex County

Middlesex County

Hudson County

Monmouth County

Ocean County

Union County

Passaic County

Camden County

What Dental Procedures Does Transcure Handle with Their NY Billing Services?

Transcure provides specialized dental billing support for costly procedures with strict New York payer policies. Our New York dental billing experts handle every procedure, including but not limited to:

Implant Dentistry Billing

Transcure handles complete implant billing workflows in New Jersey, including implant placement and implant-supported crowns. Our dental billing team attaches CBCT images and periodontal documentation required by NJ payers for medical necessity.

Orthodontics Billing

We manage orthodontic billing services in New Jersey for ortho cases, interceptive treatment, and monthly payment cycles. Our NJ dental billing specialists support medical-necessity documentation for functional appliances and craniofacial growth issues.

Periodontal Treatments Billing

Our dental billing services bill periodontal scaling (D4341, D4342), full-mouth debridement, and periodontal maintenance. We reduce denials caused by missing documentation or unsupported periodontal diagnoses.

Oral Surgery Billing

Transcure provides detailed billing support for surgical extractions, impacted tooth removal, frenectomies, and alveoloplasty. Our NJ team manages medical-dental crossover billing for oral surgery and ensures anesthesia documentation meets payer guidelines.

Prosthodontics Billing

With the help of our NJ dental billing specialists, Transcure completes dentures, relines, and denture repairs. To maximize collections, we attach impressions, treatment plans, and follow-up notes required by NJ Medicaid and commercial payers.

Cosmetic Dentistry Billing

While many cosmetic services face coverage restrictions, Transcure ensures accurate billing for procedures that qualify under functional or restorative guidelines in New Jersey, including veneers with structural necessity and cosmetic crowns with decay.

Why Should You Outsource Dental Billing Services in New Jersey to Transcure?

With so many billing companies in New Jersey, Transcure gives your dental practice clear advantages:

Dedicated NJ Dental Billing Manager
You’re assigned a billing manager experienced in NJ Medicaid (N.J.A.C. 10:56) and dental documentation standards required for approval.

Expert CDT, ICD-10, and CPT Crosscoding
Transcure’s certified dental coders handle restorative, oral surgery, and implant coding, including CPT crosscoding for medically necessary dental procedures.

Payer-Specific Dental Billing Expertise
We work with all major New Jersey dental insurers and understand their unique limitations, frequency edits, and reimbursement patterns.

NJ Medicaid and NJ FamilyCare Compliance
Our team ensures documentation, radiographs, treatment plans, and frequency limits meet state requirements for better collections.

Are You Ready to Strengthen Your New Jersey Dental Practice’s Revenue?

Most dental billing companies only understand CDT codes, leaving you unprepared when dental procedures require medical billing or CPT-based documentation. That’s where Transcure stands apart. Our New Jersey dental billing services combine expert CDT billing with full CPT coding support for oral surgery, implants, bone grafting, and trauma-related dental treatments.

This medical-grade accuracy protects your practice from denials and unlocks reimbursements dental-only billing teams routinely miss. Partner with Transcure and experience higher collections and a billing team built for modern dental care.

What Dental EHR Systems Are Supported by Transcure?

We work confidently across leading dental EHRs to optimize documentation flow.

How Dental Practices Benefit from Our New Jersey Dental Billing Services?

Explore the success stories of our partnered practices to see how our New Jersey dental billing services help dentists improve revenue.

Jackie Judd

Practice Manager
Wilson Creek Internal Medicine

As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.

Amber Vaughan

Office Manager
Idaho Kidney & Hypertension Institute

We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.

Ashlee Rose

Practice Manager
Harding Memorial Healthcare

We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.

Do you charge any hidden or extra fees?
Are there options for discounts or flexible payment plans?
Does your team specifically specialize in dental medical billing?
Is your billing operation fully HIPAA compliant?