Get Paid What You’re Owed for Every OMS Procedure
From simple extractions to complex reconstructive surgery, Specialty Dental Billing Solutions’
AI-enhanced billing ensures proper coding for dental and medical insurance.
OMS Billing Challenges That Are Costing You Thousands. Plus How We Fix Them.
If you’re experiencing any of these issues, you’re leaving money on the table every single month.
Every oral surgery case requires a decision: bill medical, bill dental, or both. Get it wrong and you’re waiting months for reimbursement or eating the denial. Our AI analyzes each procedure and patient insurance to route claims correctly the first time.
Every OMS Procedure. Every Insurance Type. Done Right Every Time.
Dentoalveolar Surgery
- Extractions (simple & complex)
- Impacted teeth removal
- Exposure of impacted teeth
Trauma & Reconstruction
- Facial trauma repair
- Jaw fracture treatment
- Soft tissue repairs
- Emergency procedures
Pathology
- Biopsy procedures
- Lesion removal
- Cyst enucleation
- Pathology consultations
Infections
- Incision and drainage
- Abscess treatment
- Infection management
Orthognathic Surgery
- Jaw repositioning
- Genioplasty
- Distraction osteogenesis
- Surgical orthodontic coordination
Implant Surgery
- Single & multiple implant placement
- Bone grafting
- Sinus lifts
- Ridge augmentation
TMJ Treatment
- Arthroscopy
- Arthroplasty
- Joint replacement
- TMJ diagnostic procedures
Head & Neck Oncology
- Tumor resection
- Reconstructive procedures
- Coordination with oncology teams
Why OMS Billing Is Different
Oral surgery regularly bills both dental and medical insurance for the same procedures. This creates unique complexity that requires:
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Dual Insurance Expertise
Understanding when to bill medical vs dental insurance—and how to coordinate benefits properly
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Complex Medical Coding
Proficiency in ICD-10, CPT codes, and specialty-specific modifiers that generic billers miss
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Payer-Specific Rules
Navigating different requirements for Medicare, Medicaid, commercial payers, and workers’ comp
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Surgical Documentation
Knowing exactly what documentation payers require for complex procedures and reconstructions
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Appeal Expertise
Fighting denials with clinical rationale and specialty-specific justifications
Our team has coded for thousands of OMS procedures across every insurance type. We know which payers prefer medical billing, which modifiers maximize reimbursement, and how to appeal denials successfully.
FAQs
Everything you need to know about specialty dental billing — answered.
What makes OMS billing different from general dental billing?
Oral and maxillofacial surgery is the only dental specialty that routinely bills both dental and medical insurance for the same procedures. That means your billing requires fluency in ICD-10, CDT and CPT coding, payer-specific rules across Medicare, Medicaid, commercial insurers, and workers’ comp — plus the ability to coordinate benefits correctly. Generic dental billers almost always leave money on the table.
Which procedures does Specialty Dental Billing Solutions handle?
We handle the full spectrum of OMS procedures, including dentoalveolar surgery (simple and complex extractions, impacted teeth, exposure of impacted teeth), trauma and reconstruction (facial trauma repair, jaw fractures, soft tissue repairs), orthognathic surgery, implant surgery, TMJ treatment, pathology, infection management, and head and neck oncology. If your practice performs it, we bill it.
How do you decide whether to bill medical or dental insurance for a procedure?
Our AI-powered system analyzes each procedure alongside the patient’s specific insurance coverage to determine the optimal billing strategy. We know which payers prefer medical billing, when dental is the right primary, and how to coordinate benefits properly — removing the guesswork that causes delays and underpayments.
What happens when a claim gets denied?
We fight it. Our team appeals denials using clinical rationale and specialty-specific justifications that generic billers can’t provide. Our denial overturn rate is 67%, meaning the majority of denied claims we appeal get paid.
Our practice already has a billing team. Why would we need Specialty Dental Billing Solutions?
Most in-house billing teams and general RCM companies aren’t trained in the dual-insurance complexity of OMS. The result is miscoded claims, missed medical billing opportunities, and denials that go unchallenged. Specialty Dental Billing Solutions is built exclusively around OMS, so our team already knows which modifiers maximize reimbursement for your specific procedures and payers.
How quickly can we get started?
The fastest way to find out is to book a demo or request a free revenue analysis. We’ll assess your current billing performance and show you exactly where revenue is being lost — with no obligation.
