Dental &

Medical Billing

Compliance-Driven. Documentation-Backed. Ethically Optimized.


Elite Dental Systems provides full-service dental billing and dental-related medical billing, grounded in regulatory compliance, payer rules, and legally defensible documentation.

We don’t just “send claims.”
We build billing systems that stand up to audits, appeals, and payer pushback — while ethically maximizing reimbursement.

Dental and medical billing are fundamentally different ecosystems. Our expertise bridges that gap with intention, precision, and accountability.

What We Support

Dental Billing

  • PPO, HMO, Medicaid, and ERISA plan billing

  • CDT accuracy and payer-specific processing rules

  • Frequency, limitation, and exclusion enforcement

  • Narrative and attachment requirements

  • Clean claim submission and rejection prevention

  • Appeals, reconsiderations, and underpayment recovery

Dental-Related Medical Billing

  • Medical necessity-based billing for dental procedures

  • ICD-10 diagnosis alignment

  • CPT integration where appropriate

  • Documentation standards that meet medical payer expectations

  • Strategic claim sequencing (primary vs secondary)

  • Imaging, diagnostics, and exam reimbursement when supported

How This Aligns to the E.L.I.T.E.™ Process

E — Eligibility & Plan Intelligence
Benefits are verified and documented correctly before services are rendered — reducing downstream denials and patient disputes.

L — Legally Defensible Documentation
Clinical records align with procedures billed, diagnoses used, and payer requirements — not assumptions or shortcuts.

I — Intelligent Coding & Claim Strategy
Codes, narratives, and attachments are selected with intention to support reimbursement without crossing compliance lines.

T — Timely Submission & Tracking
Claims are submitted clean and monitored against prompt-pay requirements.

E — Ethical Reconciliation & Reporting
Payments are posted accurately, underpayments identified, and trends tracked.

Why Practices Choose Elite Dental Systems

  • Reduced denials and rework

  • Higher first-pass payment rates (Payment as soon as 7 days!)

  • Ethical optimization — not risky tactics

  • Clear accountability and reporting

  • Confidence during audits and appeals

Billing should protect your license, your revenue, and your reputation.
That’s the standard we work by.

Dental & Medical Billing Support Pricing

Tier 1 — Core Dental Billing Support

Starting at $1,500 / month (below $40k/mo)

Designed for practices needing structured, compliant dental billing support.

Includes:

  • Dental claim submission (PPO / Medicaid / HMO)

  • Rejection monitoring & correction

  • Payment posting & basic reconciliation

  • 1st patient statement generation

  • Daily/Weekly/Monthly reporting

  • Payer rule enforcement (frequencies, limitations)

  • Cheat sheets, workflows & spreadsheets included

  • Code optimization techniques to increase production (complementary)

Best for:

  • Single-location practices

  • Predictable procedure mix

  • Stable documentation workflows

Tier 2 — Dental + Medical Billing Integration

Starting at $2,500 / month

For practices billing medically necessary dental procedures.

Includes everything in Tier 1, plus:

  • Dental-related medical billing

  • ICD-10 diagnosis alignment

  • CPT integration when applicable

  • Narrative & attachment strategy

  • Claim sequencing (medical vs dental)

  • Appeals & reconsiderations

  • Medical Billing integration implementation workflows

Best for:

  • Surgical, periodontal, or medically complex cases

  • Practices expanding medical billing ethically

  • Offices tired of “medical always denies” myths

Tier 3 — Full Billing Oversight

Custom Quote Required

Comprehensive billing management across dental and/or medical.

Includes:

  • Full claim lifecycle management

  • Advanced appeals & underpayment recovery

  • Prompt-pay enforcement

  • Payer trend analysis

  • Compliance-focused documentation feedback

  • Code optimization techniques to increase production (complementary)

Best for:

  • High-volume practices

  • Multi-provider offices

  • Practices recovering from denials or audits

Growth-Based Pricing Adjustment

When monthly insurance collections exceed $40,000, pricing transitions to:
3.5% of monthly collections. Coding optimization is included in each package at no extra charge. Final pricing is confirmed after an initial assessment.