Billing for oral & maxillofacial surgery is not general billing with a different code set. Dual coding across CDT and CPT, where the same procedure has a dental code and a medical code with different coverage.
Medical plans cover what is medically necessary while dental plans cover the rest, and cross-over billing between them is the whole job.
At a glance
What drives the coding
Dual coding across CDT and CPT, where the same procedure has a dental code and a medical code with different coverage.
What drives the payer behavior
Medical plans cover what is medically necessary while dental plans cover the rest, and cross-over billing between them is the whole job.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where oral & maxillofacial surgery claims actually fail
- Procedure billed to dental when medical covers it
- Medical necessity narrative not attached
- Anesthesia billed without supporting documentation
How we work it
We code from what your record documents and query you when it does not support a code, which in oral & maxillofacial surgery is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current oral & maxillofacial surgery denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Oral & Maxillofacial Surgery — Frequently Asked Questions
Do you have coders who know oral & maxillofacial surgery?
+
Yes. All coding is performed by certified coders, and specialty assignment is deliberate — dual coding across CDT and CPT, where the same procedure has a dental code and a medical code with different coverage.
Do you guarantee we will collect more?
+
No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
Ready for books you can actually trust?
Book a free consultation and we will tell you what your revenue cycle needs and what it costs.
- Done-for-you
- Solo or group
- Nationwide
Book Online
Share your details and preferred availability.