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.

