10 Best Dental Billing Companies in Tennessee (Picks for 2027)

10 Best Dental Billing Companies in Tennessee (Picks for 2027)
Transcure tops our 2027 list of dental billing companies in Tennessee. Other options to consider include Clear Dental Billing, Medikigai, and MedSouth Management.

Summary: “Transcure stands out among dental billing companies in Tennessee for its end-to-end billing support, denial follow-up, A/R management, and experienced billing team. Clear Dental Billing offers claims and accounts receivable support, while Medikigai provides broader revenue cycle management services. Cordova Medical Solutions and MedSouth Management are also worth considering for outsourced billing support.”

Tennessee has 3,434 professionally active dentists for about 7.3 million residents, and TennCare dental coverage reaches adults and children. Practices that bill TennCare now deal with a new dental benefits manager.

Renaissance replaced DentaQuest on November 1, 2025, and now manages all TennCare dental benefits. Each member has an assigned dentist, and the plan runs its own portal, credentialing, and prior-authorization process.

Prior authorization is now required for code D7210 starting October 1, 2026, and endodontic codes D3310, D3320, and D3330 go through pre-payment review. Standard authorization reviews take 7 calendar days, so missed requests delay care.

On top of that, CDT 2027 arrives January 1, so your team faces new rules on several fronts. That is why choosing the right dental billing company in Tennessee matters, because the wrong choice can mean denied claims, delayed payments, and rework for you.

Is Your Practice Ready for Renaissance Rules and CDT 2027?

Transcure Logo

Here are the 10 best dental billing service providers in Tennessee, ranked by what sets each one apart.

Company Rating Best For
Transcure logo Transcure
Rating:
★★★★★ ★★★★★
5.0
Best For: End-to-end dental RCM, AAPC-certified coders, Renaissance prior authorization tracking, denial appeals, no setup or onboarding fee
Clear Dental Billing logo Clear Dental Billing
Rating:
★★★★★ ★★★★★
4.8
Best For: No onboarding fee, month-to-month terms, fixed-fee AR cleanup
Medikigai logo Medikigai
Rating:
★★★★★ ★★★★★
4.8
Best For: Real-time claim tracking, eligibility verification to prevent denials
Zealous Complete Medical Billing logo Zealous Complete Medical Billing
Rating:
★★★★★ ★★★★★
4.5
Best For: Next-business-day claims and payment posting, custom RCM reports
Next Level OMS Billing logo Next Level OMS Billing
Rating:
★★★★★ ★★★★★
4.7
Best For: Oral-surgery-only billing, personalized insurance billing, credentialing and CAQH
Virtual Dental Specialists logo Virtual Dental Specialists
Rating:
★★★★★ ★★★★★
4.5
Best For: Full revenue cycle from verification to reimbursement, insurance follow-up
Cordova Medical Claims Solutions logo Cordova Medical Claims Solutions
Rating:
★★★★★ ★★★★★
4.2
Best For: Dental claims for individual and small group practices, CodeMAXX certified coding
Dental Billing Smarter logo Dental Billing Smarter
Rating:
★★★★★ ★★★★★
4.1
Best For: Dental-only billing for virtual offices, bundled monthly plans, insurance verification
Marquee Dental Partners logo Marquee Dental Partners
Rating:
★★★★★ ★★★★★
4.4
Best For: Dental support organization with 70+ partner practices, dental billing with expert oversight
Royalty Dental Billing Solution Inc. logo Royalty Dental Billing Solution Inc.
Rating:
★★★★★ ★★★★★
4.2
Best For: Pay-on-results fees, dental coding, insurance verification, AR claim tracing

Rating: 5.0

Transcure has billed for healthcare practices since 2002 and now pairs 1,000+ AAPC-certified coders and billers with seven AI agents to run dental billing in Tennessee. Our clients report revenue growth of up to 20% within months. We use ELIXA, our eligibility agent, to check coverage before visits to prevent denials.

Also, we track Renaissance prior authorizations with PRIA, our AI prior authorization agent, so D7210 requests stay on schedule. Our billers file clean claims electronically inside Tennessee’s 21-day payment window.

Is Your Dental Practice Leaving TennCare and Insurance Revenue Uncollected?

Transcure Logo

Before January 1, Transcure’s coders load the CDT 2027 changes so claims go out with current codes. Transcure’s A/R team works unpaid claims and old balances to hold A/R at 24 days. We also offer complimentary credentialing so new providers can start billing with payers right away.

CategoryDetails
Key Highlights
  • CDT, ICD-10, and CPT cross-coding for implants and oral surgery claims
  • Radiograph attachment management and orthodontic payment plan billing
  • 1,100+ certified billers and coders
  • Complimentary billing audit built on 21 KPIs
  • 99% customer retention and 98% first-pass claim rate
Major Services
  • Dental billing and coding
  • Insurance eligibility verification
  • Prior authorization
  • Claim submission
  • Denial management and appeals
  • Revenue cycle reporting
  • A/R recovery
  • MIPS consulting
ExperienceOver 24 Years

Rating: 4.8

Clear Dental Billing verifies insurance, files claims, and works denials for dental practices and DSOs. Before each visit, its verification service writes the full coverage breakdown into the practice management system so the front desk knows what to collect.

Beyond claims, the company sends patient statements under the practice’s name and cleans up claims past 90 and 120 days for a fixed project fee. Rates stay public, with insurance billing at 2.50% to 3.50% of collections and no onboarding fee or long-term contract.

CategoryDetails
Key Highlights
  • Insurance verification priced per patient from $1 to $8
  • Weekly collection and AR aging reports
  • Works inside Open Dental, Dentrix, Eaglesoft, Oryx, and Greyfinch
Major ServicesInsurance verification, insurance billing, patient billing, AR cleanup, denial management, payment posting
Experience2026 – Newly founded

Rating: 4.8

Medikigai provides eligibility and benefits verification to prevent claim denials and give patients clear cost estimates. The company also offers claim submission and adjudication with real-time tracking to speed reimbursement. This dental billing company also handles cash posting to allocate each payment accurately.

Out of Nashville, it maintains fee schedules for each payer so reimbursement matches contracts. It also provides AR follow-up on unpaid and denied claims to cut AR days and write-offs. Practices also get reporting and analytics that show owners where revenue leaks.

CategoryDetails
Key Highlights
  • Insurer negotiation experience from its medical billing practice
  • Anonymous compliance hotline with a named compliance officer
  • Orthodontics and oral surgery billing alongside general dentistry
Major ServicesEligibility and benefits verification, claim submission and adjudication, cash posting, fee schedule maintenance, AR follow-up, denial management, reporting and analytics
Experience6 Years

Rating: 4.5

Zealous Complete Dental Billing is a TN-based dental billing company with 20+ years of combined experience as dental office managers, hygienists, and assistants. The company submits clean claims by the next business day to speed payment. It also posts insurance payments within 24 business hours to keep ledgers current.

This dental billing company offers denial management services to appeal denied claims up to three times to recover revenue. For new associates, the company also provides credentialing assistance to join insurance networks.

CategoryDetails
Key Highlights
  • Month-to-month agreement with 30 days’ notice
  • Published pricing, including a $1,475 flat rate under $40,000 in monthly collections
  • Insurance verification priced at $9 complete and $4 basic
Major ServicesClean claim submission, payment posting, denial appeals, aging report cleanup, fee schedule updates and negotiation, credentialing assistance, insurance verification
Experience3 Years

Rating: 4.7

Built by two oral surgery billing professionals, Next Level OMS Billing serves only oral surgery practices from Maryville, Tennessee. This oral surgery billing company handles payment posting and EOB reconciliation to keep ledgers accurate.

Its denial management includes appeals for incorrectly denied services to recover payments insurers first refused. It also provides A/R follow-up to shrink outstanding insurance balances. On enrollment, the company offers complimentary credentialing and CAQH management from start to finish so providers can start billing.

CategoryDetails
Key Highlights
  • Works inside DSN, WinOMS, and OMS Vision
  • Co-founder holds the CPC credential and the AAOMS Coding Certificate
  • No hidden fees, startup costs, or long-term contracts
Major ServicesDaily claim submission, payment posting, EOB reconciliation, denial appeals, A/R follow-up, credentialing and CAQH, consulting
Experience11 Years

Rating: 4.5

Virtual Dental Specialists runs the full dental revenue cycle remotely from Nashville, with HR and systems support. The Nashville team handles insurance verification and claims processing to reduce denials. This team also runs insurance follow-up to cut delayed reimbursements.

Their revenue and billing management covers the full financial workflow to improve cash flow. It handles credentialing and compliance to keep your team compliant. For system gaps, the staff also build workflow automations to remove friction from billing and claims.

CategoryDetails
Key Highlights
  • Secure client portal for tracking work in progress
  • Smart automations built into practice workflows
  • Staffing support with smart matching technology
  • HR and payroll coordination alongside billing
Major ServicesRevenue and billing management, insurance verification, claims processing, insurance follow-up, credentialing and compliance, workflow automations, staffing and HR support, social media management
ExperienceN/A

Rating: 4.2

Cordova Medical Claims Solutions in Tennessee limits its client base to give each practice undivided attention. Its billers also process primary, secondary, and tertiary dental claims to protect cash flow. Cordova offers CodeMAXX service, which puts certified coders on encounter notes to prevent claim denials.

They handle physician credentialing from a single application, with weekly progress updates until it closes. Creative collection solutions at Cordova also let past-due accounts pay your practice directly. By month-end, it delivers financial analysis and code review so owners see where revenue stands.

CategoryDetails
Key Highlights
  • Dental and medical practices both served, from individual to small group
  • Workers’ compensation, rehab, and DME claims processed with attachments
  • Free CPT and billing cost analysis offered
Major ServicesDental and medical claims processing, payment posting, claim follow-up, patient statements, CodeMAXX coding, physician credentialing, financial analysis and reporting
Experience4 Years

Rating: 4.1

Dental Billing Smarter moves dental offices to a virtual billing team from Brentwood, Tennessee. Their monthly plans bundle claim submission, payment posting, and denial appeals with no setup fees. They offer insurance verification as a $625 monthly add-on to reduce claim denials.

Virtual staff on their team collect outstanding claims so accounts unpaid for months get paid. The firm also handles credentialing, re-credentialing, and fee negotiation to increase production. To get started, they schedule a remote setup, so offices go virtual without a contract.

CategoryDetails
Key Highlights
  • Three monthly plans priced by insurance collections, from $1,550 to $4,250
  • Premium credentialing for new practices, taking 4 to 6 months from start to finish
  • Quick assessment questionnaire to shape a transition plan for each office
Major ServicesElectronic claim submission, payment posting, denial appeals, outstanding claims collection, dental credentialing and re-credentialing, EFT and ERA setup
Experience6 Years

Rating: 4.4

Marquee Dental Partners, a TN dental support organization since 2015, partners with 70+ practices across five states. Their dental billing service optimizes the revenue cycle through efficient systems and expert oversight. This DSO manages compliance to avoid costly regulatory mistakes.

Marquee’s finance experts help stabilize and scale a practice through dental financing. They streamline daily operations with top-tier tools and expert support so teams can focus on care. For supplies and equipment, the company also taps its buying power to cut costs.

CategoryDetails
Key Highlights
  • Long-term equity available to partner dentists
  • Dentist Advisory Board guides clinical leadership
  • Named a “DSO to Watch” by Becker’s in 2021
Major ServicesDental billing, compliance, dental financing, operations excellence, dental marketing, talent acquisition, training, human resources, construction management
Experience11 Years

Rating: 4.2

Royalty Dental Billing Solution Inc. manages dental billing and charges nothing until practices get paid. Their experts verify dental insurance to reduce claim denials and rejections. This company also covers claim submission and payment posting to speed reimbursement.

Its team traces unpaid claims through accounts receivable follow-up so practices get full reimbursement. They use skilled coders to apply dental codes, catching and billing missed services. Throughout, the team stays current on industry regulations and coding changes to keep claims compliant.

CategoryDetails
Key Highlights
  • No upfront costs at the start of the partnership
  • Services customized to each practice’s needs
  • Dental revenue cycle management listed as a core specialty
Major ServicesDental insurance verification, dental coding, claim submission, payment posting, accounts receivable claim tracing, dental revenue cycle management
Experience3 Years

How Did Our Editors Choose the Best Dental Billing Companies In Tennessee?

Our editors started with Tennessee presence, confirming each company’s headquarters or the Tennessee practices it serves. They then reviewed websites, LinkedIn pages, business listings, and any client reviews. Companies without a verifiable Tennessee link did not make the list.

Next, our editors compared what each company bills, from dental insurance verification and claim submission to payment posting, denial appeals, and A/R follow-up. They noted dental coding, specialty billing, software support, published pricing, and TennCare dental experience under Renaissance.

Based on our criteria, the right dental billing provider files clean claims electronically, since Tennessee’s prompt-pay law gives insurers just 21 days to pay them. Our editors also favored quick filing, since a claim submitted after 90 days from service is not clean under Tenn. Code Ann. § 56-7-109.

Which Factors to Consider Before Choosing a Dental Billing Company for Your TN Practice?

A billing company that performs well in other states can still struggle with Tennessee’s payer rules, deadlines, and TennCare dental setup. Here are the four local details to check with any company on this list before you sign.

Renaissance, Dental Homes, and Prior Authorization

Renaissance manages all TennCare dental benefits, assigns each member a dentist, and requires prior authorization for D7210 and pre-payment review for D3310, D3320, and D3330. Standard reviews take 7 calendar days, so a biller who tracks each request keeps your schedule moving.

Separate TennCare Plans for Children and Adults

TennCare covers children and adults under separate dental plans, with adults 21 and older covered since January 1, 2023. Choose a biller who checks each plan’s handbook rules before submitting claims.

Tennessee’s 21-Day Payment Clock

Tennessee’s prompt-pay law, Tenn. Code Ann. § 56-7-109, sets a 21-day clock for clean electronic claims and adds 1% monthly interest when insurers miss it. A biller that files electronically and tracks day 21 turns that rule into collected revenue.

Published Fees for Offices Under $40,000 a Month

Clear, Zealous, and Dental Billing Smarter publish flat monthly fees of $1,400, $1,475, and $1,550 for offices collecting under $40,000 a month. Above that threshold, the fees change, so compare quotes against your own monthly collections.

FAQs

Which Is the Best Dental Billing Company in the U.S.?

Transcure ranks first among dental billing companies in the U.S. for end-to-end billing, denial follow-up, and A/R management. Other options include Dynamic Dental Solutions, Prospa, and Wisdom Billing for nationwide dental billing.

How Did Renaissance Change TennCare Dental Billing?

Renaissance replaced DentaQuest as the TennCare dental manager on November 1, 2025. It assigns each member a dentist, requires prior authorization for D7210, and sends D3310, D3320, and D3330 through pre-payment review. Standard authorization reviews take 7 calendar days.

How Much Does Dental Billing Cost in Tennessee?

Fees on this list run from flat monthly plans to a percentage of collections. Clear, Zealous, and Dental Billing Smarter start at $1,400, $1,475, and $1,550 for offices under $40,000. Percentage fees run from 2.5% to 6%. At Transcure, we charge a flat 5% rate and provide certified coders and billers with an AI-powered RCM.

Do Dental Billing Companies in Tennessee Handle Credentialing?

Some do, and costs vary. Transcure includes credentialing at no charge, Zealous charges $250 per insurance per provider, and Clear does not offer it.

How Will CDT 2027 Affect Dental Billing in Tennessee?

CDT 2027 takes effect January 1, 2027, with 67 code changes, 28 of them new. Ask any biller how it loads the updates, since new codes include healing caps, fixed splint repair, and orofacial pain injections.

How Long Does It Take to Switch to a New Dental Billing Company?

Transcure begins billing for most practices within 5 to 7 business days. Clear lists onboarding as a few days after a 30-minute discovery call, and Dental Billing Smarter finishes with a remote setup on one office computer.

Picture of Osama Amir
Osama Amir
Expert Healthcare Writer with Specialization in Medical Billing

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