Dental Billing Services in Florida with CDT and CPT Crosscoding Expertise
Our dental billing company in Florida helps your practice:
- Manage payer-specific requirements for major plans, such as Florida Blue
- Handle pre-auth for costly procedures, including periodontal surgeries
- Prepare documentation & CDT coding compliant with state audit standards
- Support preventive & surgical dental procedures with audit-ready claims
- Monitor account balances to meet Florida’s 30-day overpayment refund requirements
What Common Dental Billing Problems Do Practices Face in Florida?
Practices in Florida face dental billing challenges, as follows:
- Strict Balance-Billing Restrictions: Florida’s surprise-billing and HMO balance-billing laws prevent dentists from charging beyond allowed amounts, causing revenue loss.
- Compliance With New Refund Requirements: The 30-day overpayment refund rule in Florida (effective 2026) requires proactive account audits to avoid penalties and lost revenue.
- High Patient Responsibility and Collection Difficulties: Limited dental coverage and high out-of-pocket costs in Florida lead to frequent patient billing disputes and payment delays.
- Frequent Claim Rejections for Coding Errors: CDT inaccuracies, insufficient clinical notes, and missing radiographs commonly trigger denials and payer audits across major Florida plans.
How Do Transcure’s Dental Billing Services in Florida Financially Improve Practices?
Transcure provides advanced dental billing and coding services in Florida to reduce denials. We deliver the following Florida-focused dental billing services
Automated Eligibility Verification
We verify Florida Blue, Humana, Cigna, and Medicaid benefits in real time, with the help of the advanced AI agent called ELIXA.
AI-Enhanced CDT and ICD-10 Coding
CODIN reviews chart notes, radiographs, and perio measurements to assign accurate CDT and ICD-10 codes aligned with Florida payer audit standards.
Florida Insurance Contract Analysis
We review payer contracts from Florida Blue, Aetna, MetLife, and Guardian to identify underpayments and downcoding affecting your fee schedule.
30-Day Overpayment Refund Tracking
Our dental billing experts in Florida maintain proactive overpayment audits to help practices comply with Florida’s upcoming 30-day refund mandate.
Real-Time Denial Pattern Detection
With DEXA, we identify and solve Florida-specific denial trends, including missing radiographs, lack of medical necessity, and surprise-billing restrictions.
Claim Scrubbing for High-Risk Procedures
Transcure review Florida-sensitive CDT codes, such as D1110, D2392, implants, and surgical extractions, to meet payer documentation and frequency rules.
Our Success in Numbers
In Which Florida Cities Does Transcure Deliver Expert Dental Billing Services?
Jacksonville, Florida
Miami, Florida
Tampa, Florida
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Orlando, Florida
St. Petersburg, Florida
Port St. Lucie, Florida
Cape Coral, Florida
Hialeah, Florida
Tallahassee, Florida
Fort Lauderdale, Florida
How Much Can Practices Save by Partnering with Our Dental Billing Services in Florida?
According to ZipRecruiter, the average dental billing professional in Florida earns around $31,420 per year, with higher salaries in some areas. For a practice generating $500,000 in annual collections, you would typically need two full-time in-house billers, costing roughly $63,000 annually in salaries alone, not including benefits or training.
By outsourcing to Transcure at a 5% of revenue collected model, your annual cost would be approximately $25,000. This translates into estimated savings of $38,000 per year, with faster reimbursements and full compliance with Florida’s dental billing laws.
Which Florida Counties Can Benefit Most from Transcure’s Dental Billing Services?
Miami-Dade County
Broward County
Palm Beach County
Orange County
Hillsborough County
Pinellas County
What Dental Procedures Does Transcure Handle with Their Florida Billing Services?
Transcure provides dental billing support for high-value procedures with strict Florida payer policies. Our Florida dental billing experts handle every procedure, including but not limited to
Implant Dentistry Billing
Our dental billing services in Florida manage the full implant workflow, including implant placement and implant-supported crowns. Our team attaches CBCT scans and periodontal documentation to satisfy Florida payer medical-necessity requirements.
Orthodontics Billing
We handle orthodontic billing for Florida practices, including ortho cases, interceptive treatment, and monthly payment cycles. Our documentation experts support functional appliances and craniofacial growth for compliance with payer rules.
Periodontal Treatments Billing
We cover scaling (D4341, D4342), full-mouth debridement, and periodontal maintenance. Moreover, we minimize denials by providing complete documentation and supporting Florida Medicaid and commercial plan requirements.
Oral Surgery Billing
Transcure manages surgical extractions, impacted teeth removal, frenectomies, and alveoloplasty. We even handle medical-dental crossover billing and make sure that anesthesia documentation meets Florida payer guidelines.
Prosthodontics Billing
With the help of expert dental billers in Florida, we process dentures, relines, and denture repairs with detailed documentation. Impressions, treatment plans, and follow-up notes are attached to maximize collections.
Cosmetic Dentistry Billing
Transcure’s Florida dental billing services accurately bill cosmetic procedures that qualify under functional or restorative guidelines. This includes veneers with structural necessity and crowns with decay to prevent coverage denials.
Why Should You Outsource Dental Billing Services in Florida to Transcure?
With multiple dental billing companies in Florida available, you should choose Transcure to get these clear advantages:
Balance-Billing Compliance
We prevent revenue loss by making sure that claims and statements follow Florida’s balance-billing and No Surprises Act regulations.
Dedicated Florida Dental Billing Manager
You’re assigned a billing manager experienced in Florida Medicaid and state-specific documentation standards for faster approvals.
Transparent Financial Reporting
We provide detailed reports on collections, denials, and payer performance, giving your practice full visibility to optimize financial decisions.
Denial Prevention and Appeals Support
Transcure monitors Florida-specific denial trends, prepares appeals, and follows up on underpaid or rejected claims to maximize revenue.
How Can Transcure’s CPT Cross-Coding Expertise Improve Your Florida Dental Practice Revenue?
Many dental billing teams focus solely on CDT codes, leaving practices vulnerable when procedures require medical billing or CPT-based documentation. Transcure billing services in Florida go beyond standard CDT billing by providing expert CPT coding support for oral surgery, implants, and trauma-related dental treatments.
With our combined approach, your practice can reduce denials and recover reimbursements that dental-only billing teams often miss. Partner with Transcure to maximize collections with the help of a billing team designed for Florida’s complex dental payer requirements.
What Dental EHR Systems Are Supported by Transcure?
We work confidently across leading dental EHRs to optimize documentation flow.
How Practices Benefit from Our Florida Dental Billing Services?
Discover the success of our partnered Florida practices and see how Transcure’s dental billing services help dentists increase 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.
Frequently Asked Questions (FAQs)
Which Florida insurance plans does Transcure handle?
We work with major commercial insurers like Florida Blue, Humana, Cigna, Aetna, Guardian, and Florida Medicaid. Our dental billers understand each payer’s rules, frequency edits, and documentation requirements.
How much does Transcure charge for dental billing services in Florida?
Transcure usually charges around 5% of revenue collected. So, Florida practices can save tens of thousands annually in staff salaries, benefits, software, and administrative overhead.
What is cross‑coding and why is it important for dental billing?
Cross‑coding helps dental billers make sure that procedures requiring medical documentation (like trauma‑related extractions or oral surgery) are properly billed to medical carriers using CPT codes to avoid denials.
Will outsourcing dental billing services in Florida improve patient satisfaction?
Yes, by minimizing unexpected bills, clarifying insurance benefits, and reducing billing errors, practices often see better patient communication and trust.