Industries / Dental Clinics
Dental Clinics
CDT codes, annual maximums, predeterminations — dental billing's own strange physics, handled.
Where the revenue leaks.
Frequency & maximum surprises
The cleaning was covered — the third one this year wasn't. Patients and revenue both get burned.
Predetermination limbo
Major work waits on payer paperwork while chairs sit booked and unpaid.
Dental-medical crossover
Surgical and TMJ cases that belong on medical claims get written off as dental denials.
How GetMax runs it.
Verification that reads the fine print
Coverage checked with frequency limits, waiting periods, and remaining maximums — before the appointment.
Predeterminations, chased
Predeterm requests submitted complete and statused until answered — not left in payer limbo.
Crossover billing done right
Cases that qualify for medical benefits billed as medical — recovered instead of written off.
Questions, answered.
Do you work with dental payers and CDT codes?+
Yes — dental RCM runs on CDT coding and dental-payer rules natively, including frequency and maximum logic during verification.
Can you bill medical insurance for dental procedures?+
Where cases qualify (oral surgery, trauma, TMJ, sleep appliances), yes — crossover claims are built to medical requirements instead of dying as dental denials.