Dental billing has a split personality. Routine dental work bills to dental insurance on a claim form most medical billers never touch, but oral surgery — trauma, pathology, TMJ, orthognathic procedures, implants — often belongs on a medical claim. Knowing which payer to bill, and when to bill both, is the difference between getting paid and writing off entire surgical cases. Fast Billing Solutions provides dental/oral surgery billing services in Long Island, NY for oral surgery practices, periodontists, endodontists, and dental groups across Nassau and Suffolk counties from our office at 68 South Service Road in Melville, NY.
Medical vs. dental claims, implant billing, and surgical authorizations are the details that make or break dental revenue. We handle the details. Let’s talk about your practice.
Dental Billing That Knows When to Bill Medical Insurance
The most valuable skill in dental billing is routing: trauma repairs, biopsies, sleep apnea appliances, TMJ treatment, and medically necessary extractions frequently qualify for medical coverage — often at much higher reimbursement than dental plans pay. Our billing team evaluates each surgical case for medical necessity, bills the correct payer on the correct claim form, and pursues both when a case legitimately involves both. Routine restorative and hygiene work is billed to dental plans with clean CDT coding and eligibility verified up front.
Common Dental and Oral Surgery Billing Problems We Solve
- Wrong payer billed — surgical cases routed to medical insurance when criteria are met, dental when they’re not.
- Implant billing confusion — implant cases billed with the right codes to the right payer, including staged procedures.
- Missing prior authorizations — surgical procedures authorized before the case, not denied after.
- Anesthesia billing gaps — IV sedation and general anesthesia billed for oral surgery cases when covered.
- Coordination of benefits messes — primary and secondary payers sorted so claims stop bouncing between them.
Full Revenue Cycle Management for Dental and Oral Surgery Practices
Our revenue cycle management for dental and oral surgery covers general dentistry through full-scope surgical practices:
- Dental and medical insurance eligibility verification
- Prior authorizations for surgical procedures
- Dental and medical coding and charge entry
- Claim scrubbing and clean submission (both claim types)
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up on unpaid and aging claims
- Patient statements and payment plans
- Provider credentialing with dental and medical plans
- Monthly reporting in plain English
We Bill the Full Range of Dental and Oral Surgery Services
General dentistry, periodontics, endodontics, oral and maxillofacial surgery (extractions, implants, bone grafting, orthognathic surgery), TMJ treatment, sleep apnea appliances, trauma repair, pathology and biopsies, and IV sedation and anesthesia. If your practice spans both routine dental and surgical work, we keep both billing streams organized.
Serving Dental Practices Across Long Island
From 68 South Service Road, Melville, NY 11747, we support dental and oral surgery practices throughout Nassau County and Suffolk County. Local, reachable, and familiar with the dental and medical payers your patients carry. Explore our medical billing services across Long Island.
Why Long Island Dental Practices Choose Fast Billing Solutions
- Dual-payer expertise — dental and medical claims handled by one team that knows both.
- Surgical case routing — procedures evaluated for medical coverage before they’re written off.
- Authorizations before surgery — fewer denials, fewer surprises for patients.
- One dedicated contact — a real person who knows your practice and your payers.
- Transparent monthly reporting — billed, paid, denied, and collected, dental and medical separated.
Frequently Asked Questions
When can oral surgery be billed to medical insurance?
Trauma, pathology, medically necessary extractions, TMJ treatment, sleep apnea appliances, and certain implant cases often meet medical necessity criteria. We review each case against payer policies and bill medical when the criteria are met.
Can you bill both dental and medical for the same case?
Sometimes. When a case legitimately involves both — for example, medical covers the surgery while dental covers related restorative work — we coordinate the claims so each payer sees the correct portion.
Do you handle implant billing?
Yes. We bill implant cases including staged procedures — surgical placement, healing, and restoration phases — to the correct payer with the correct codes for each phase.
What does dental billing cost?
Typically a percentage of collections, based on your case mix and whether you bill dental, medical, or both. Get an instant quote for pricing specific to your practice.
How quickly can you take over?
Most dental practices transition within a few weeks. We learn your procedures, your payer contracts, and your front-desk workflow, then start clean billing while working down any backlog.
Ready for Dental Billing That Bills the Right Payer?
Dental, medical, surgical — every case routed correctly and followed up. Talk to a dental billing team on Long Island.
