--- title: "Invoicing & billing for dental practices" description: "Invoicing & billing for dental practices: outsourced invoicing and billing: invoice creation, recurring and progress billing, credit notes and e-invoicing." url: https://ledgerbpo.com/industries/dental-practices/invoicing-and-billing/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Invoicing & billing for dental practices Invoicing for dental practices means dental claims with the right CDT codes and attachments, patient statements for the balance after insurance, and treatment-plan financial arrangements that are documented before the work starts. Our HIPAA-trained billing agents submit claims from Dentrix, Open Dental or Eaglesoft through your clearinghouse with X-rays, perio charting and narratives attached where the plan requires them, track acknowledgments, and correct rejections the same day. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for dental practices Patient statements go out on a fixed cycle once the EOB has set the patient portion, with a portal link. Prepaid cases and membership renewals are invoiced from the signed arrangement. Every batch is posted to the ledger when issued. ## What are outsourced invoicing services? Outsourced invoicing services mean a remote billing team prepares, checks and sends your customer invoices instead of your office staff doing it between other tasks. The team works inside your accounting or billing software, follows your rate cards and contract terms, and issues credit notes and corrections. You keep control of pricing, approvals and the customer relationship. ## What we handle for dental practices - Submit dental claims daily with X-rays, perio charts and narratives attached as required - Track clearinghouse acknowledgments and correct rejected claims the same day - Issue patient statements on a fixed cycle after the EOB sets the patient portion - Invoice prepaid cases and membership renewals from the signed financial arrangement - Post every claim batch and statement run to the ledger when issued ## The KPI that matters here Claims submitted within two business days of the visit with attachments on first submission, and rejections corrected within one. ## Dental compliance notes ### HIPAA Dental claims, EOBs and patient ledgers are protected health information. We sign a BAA, staff are HIPAA-trained, access to your practice-management system is role-limited with MFA, and the accounting file carries batch totals and claim numbers rather than patient names. ### PPO and payer contracts Each PPO agreement sets the fee schedule, what can be billed to the patient, coordination-of-benefits rules and how overpayments are returned. We record adjustments according to the contract and keep the fee schedules current so underpayments can be identified and refunds are handled the way the contract requires. ### Patient credits and unclaimed property Prepaid treatment that is not completed and insurance payments that arrive after the patient paid create credit balances. We age them monthly and prepare refunds for your approval, because unrefunded credits may become reportable unclaimed property under state law after a dormancy period. ### Card data and patient financing Our agents never take or store card numbers; patients pay through your terminal, portal or financing partner. Financing payouts from CareCredit, Sunbit or similar programs are reconciled net of the merchant discount, and promotional-plan terms are recorded so the cost of financing is visible. ## Dental software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Gusto](https://ledgerbpo.com/software/gusto/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - [Square](https://ledgerbpo.com/software/square/) - Dentrix - Open Dental - Eaglesoft - Dentrix Ascend - [All 50 platforms](https://ledgerbpo.com/software/) ## More for dental practices Other services for dental - [Bookkeeping](https://ledgerbpo.com/industries/dental-practices/bookkeeping/) - [Accounts receivable](https://ledgerbpo.com/industries/dental-practices/accounts-receivable/) - [Accounts payable](https://ledgerbpo.com/industries/dental-practices/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/dental-practices/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/dental-practices/month-end-close/) - [Financial reporting](https://ledgerbpo.com/industries/dental-practices/financial-reporting/) - [All dental services](https://ledgerbpo.com/industries/dental-practices/) Invoicing and billing in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/invoicing-and-billing/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/invoicing-and-billing/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/invoicing-and-billing/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/invoicing-and-billing/) - [The full invoicing and billing page](https://ledgerbpo.com/services/invoicing-and-billing/) ## Frequently asked questions ### Why do dental claims get denied so often for attachments? Many plans require radiographs, periodontal charting or a narrative for crowns, scaling and root planing, implants and some extractions. A claim without them is denied or pended, and the practice waits weeks to learn why. We keep a table of attachment requirements by plan and procedure and include them on first submission, which avoids the resubmission cycle. ### When should patient statements go out? After the plan's EOB has set the patient's share, so the statement shows the actual balance rather than an estimate. Statements run monthly or biweekly from the practice-management system with a payment link, and balances that age are followed with a courteous reminder under your practice's name through our DunningDesk cadence. Estimated portions are collected at the chair, not by statement. ### Do you handle predeterminations and treatment-plan arrangements? We submit predeterminations for large cases where the plan offers them and log the response so the treatment coordinator can present an accurate patient portion. Financial arrangements the patient signs, including financing or in-house payment plans, are recorded so the invoices, prepaid balances and deferred revenue all follow the agreement rather than memory. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/dental-practices/invoicing-and-billing/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt