Dental Billing Services in Texas for Compliance with Local Laws

Texas Medicaid (via TMHP) generally requires claims to be filed electronically within 6 to 12 months of the service date, depending on the program. Most private insurers also enforce deadlines (commonly 90 days to one year). Transcure’s team tracks all Texas payer deadlines closely to ensure timely submission and avoid denials.

Texas SB 1264 (effective Sept 2021) bars out-of-network providers from balance-billing patients for most emergency or surprise dental services. Patients are only responsible for the in-network cost-share in those cases. Our Texas dental billing experts account for SB 1264 by using proper coding and communication with insurers.

We charge a simple percentage of collections, typically around 5%. There are no hidden fees or fixed salaries, as our costs scale with your revenue. This aligns our incentives with yours, so we only get paid when you do.

Yes, outsourcing can significantly reduce overhead compared to in-house staffing. For example, a Dallas-area dental billing specialist might earn around $65,000 per year. At 5% of collections, Transcure’s fee on $100,000 revenue is only $5,000, leaving a savings of about $60,000 annually in this scenario.

Simply click any CTA button on our site or fill out our brief practice information form. We’ll review your current billing setup, discuss your needs, and then onboard your practice with no downtime. Our dental billing team handles the transition and setup so you can focus on patient care while we streamline your billing.