Dental Billing Services in California with Local Expertise
- Manage California-specific rules, including AB 716 balance billing
- Support dental procedures, from cleanings to surgical extractions
- Skilled in processing CDT codes, including D4346 and D8090
- Adopt 12-month timely filing protocols per CA Labor Code
- Use California-mandated ADA forms per Title 8 §9792.5 to reduce claim denials
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
Comprehensive Dental Billing Services in California
California dental providers can streamline their practice operations with our end-to-end dental medical billing solutions. Some of our fruitful services include the following, which will 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 California Practices?
Strict State Compliance Laws: California’s billing is regulated by laws like AB 72 and AB 716, which restrict balance billing. Such laws require patient consent for out-of-network charges.
Timely Filing Rules: Claims must be submitted within 12 months under Labor Code §4603.2. Failing to meet this deadline means losing reimbursement and even the legal right.
Privacy and Consent Regulations: Dentists must comply with the California CMIA and new AB 133 rules, which regulate patient data. Its violations can result in fines and HIPAA scrutiny.
Coding and Modifier Challenges: Dental billing depends on the precise use of CDT codes and modifiers. Errors with codes like D4346 or D8090 can lead to denials or underpayments.
How Transcure Simplifies California Dental Billing Services?
Transcure has an expert team of over 1100 billers and coders that stays ahead of California’s strict balance‑billing limits and timely filing deadlines. Our team handles Medi‑Cal and other major private‑payer requirements and ensures full compliance with state‑mandated ADA claim form standards. We continuously monitor changes to California dental billing regulations to make sure every claim reflects the latest legal requirements.
Transcure’s team of certified dental coders also adapts rapidly to annual CDT code updates without interrupting your practice flow. With advanced and data‑driven denial management, our team reduces denials while accelerating payments from different payers in California.
Cities Served by Transcure Dental Medical Billing Services in California
Los Angeles, California
San Diego, California
San Jose, California
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San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
Dental Denial Management Services to Recover Lost Revenue in California
California dental practices routinely face claim denials, often from CDT coding discrepancies or balance‑billing refusals driven by AB 72 and AB 716. These denials can tie up tens of thousands of dollars in unpaid claims and erode your practice’s cash flow. Our specialized dental billing services in California tackle every appeal, submitting corrected CDT codes and navigating Medi‑Cal appeals processes.
We use predictive analytics to pinpoint denial trends and automate resubmissions within California’s filing windows. With our proactive approach, we helped California dentists reduce denials by over 70% and recover revenue trapped in appeals.
County Served by Transcure Dental Medical Billing Services in California
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
Dental Billing Services with Nationwide Reach and Local Precision
In addition to offering specialized dental billing services in California, Transcure supports dental practices across the United States. Our team is trained for the dental CDT coding and payer reimbursement challenges that dental providers face nationwide.
Comprehensive Dental Billing Services in California
Expertise Across Different EHR Platforms
Our dental billing services providers master 40+ dental software and EHR systems, ensuring accurate data migration and optimized practice workflows.
Familiarity with California Top Payers
We work closely with major California insurers like Anthem Blue Cross, Medi-Cal, Health Net, and more, so your claims get processed faster.
Timely Pre-Authorizations for Dental Procedures
With our pre-authorizations services, our dental billing experts verify coverage from California payers so you always get paid and avoid money in A/R.
Actionable Reporting and Revenue Insights
Transcure’s team analyzes trends and suggests improvements in coding and workflows with clear reports on collections to maximize your revenue.
Procedure-Specific California 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 California, 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 California Dental Billing Services?
With countless dental billing companies out there, what sets Transcure apart is our deep expertise in California’s laws. Here’s what you gain with us:
- Dedicated California Account Manager
You’ll work directly with a billing expert who knows CA laws inside out, from balance‑billing limits to timely‑filing deadlines under the Labor Code.
- Scalable Solutions and Flexible Pricing
No matter if you’re a solo practitioner or a multi‑location group, our dental billing services in California packages grow with you, keeping costs predictable.
- Fast Credentialing and Enrollment Services
Our California dental billing services facilitate your Medi‑Cal and private‑payer credentialing processes with dedicated specialists to reduce turnaround time.
- Regulatory Compliance Assurance
We conduct regular internal audits to prepare you for state reviews to help you comply with CMIA, ADA claim form, and other such regulations.
Our Expertise in CDT Codes & California Dental Coding
With years of experience in dental billing services in California, 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 California 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 California Dental Billing Aligned with 2025 Updates and Payer Rules
California dental practices must stay current on billing updates to protect revenue and remain compliant. Here are some updates dental billing services in California need to follow:
- As of July 1, all Medi‑Cal dental claims must be submitted electronically. So, paper ADA forms will no longer be accepted.
- Insurers must now guarantee urgent dental appointments within 48 hours, non‑urgent care within 18 business days, and preventive visits within 20 business days.
- New rules require written cost estimates and detailed privacy disclosures before treatment. For this, our dental medical billing services providers maintain audit‑ready documentation to keep you protected.
We are adept at using these Dental EHRs
The California dental billing experts at Transcure are well-versed with the features and workflows of your EHR system.
California Practices Save Over $38,500 by Outsourcing Dental Billing Services to Transcure
According to ZipRecruiter, the average salary of an in‑house dental biller in California is $43,569 per year. Regardless of revenue, you’d pay this fixed cost, even in slower months. With Transcure’s dental billing services in California, you pay just 5% of the revenue we collect for your practice.
For example, a practice generating $100,000 in annual dental revenue pays only $5,000 to Transcure, versus $43,569 in in‑house staffing costs. That’s a savings of $38,569 annually, freeing up cash for growth or additional staff.
Require a Dental Billing Services Provider with California-specific Knowledge
Frequently Asked Questions (FAQs)
What experience does Transcure have as the best dental billing company?
Transcure has been in the dentistry billing industry for decades and knows how to handle complicated treatments like implants, root canals, and braces. Our accurate dental billing and coding services, tight adherence to industry standards, and quick claim handling help improve the cash flow of your office.
How do you handle Medi‑Cal dental claims?
We ensure every Medi‑Cal claim is filed electronically as per the July 1 mandate. Our dental billing services providers also monitor checkwrite holds and process mandatory refunds when Medi‑Cal ultimately pays, so you remain compliant and avoid audit penalties.
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.
Are your dental medical billing services HIPAA-compliant?
We comply with all HIPAA regulations, using secure systems for storing and transmitting data. Our dental medical billing team is trained on best practices for handling sensitive information, and we implement SSL encryption and other security measures to protect patient data at every step of the process. All in all, patient confidentiality and data security are top priorities for us.
How do I get started with Transcure’s California dental billing services?
Simply hit any of the CTA buttons on our website and then fill out the practice information form. We’ll assess your current processes, present a demo, and send you a contract to have you up and running, often within two weeks.
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