Is your practice working hard but still seeing less in the bank? For most dental practices in the US, it is not patient volume, but it is the insurance claim lifecycle. Your cash flow goes dead when the number of denials gets too high, and Accounts Receivable (AR) is over 60 days.
We know that you did not attend dental school to become a full-time debt collector. This is the reason behind our unique dental billing & collection services that are meant to take the burden of the back office off your hands.
Dental billing services manage the entire lifecycle of your claims. It begins from the time the patient
makes an appointment to the last point of posting payment.
By outsourcing dental billing services, you transform a complex administrative burden into a
streamlined engine for growth.
A dedicated dental billing company like Capline acts as an extension of your office. We don’t just
"send claims" we manage the clinical-to-financial bridge. Our team handles:
To achieve a 40% reduction in denials, a "general" approach isn't enough. We have refined a meticulous, six-step process that ensures your practice operates at peak financial efficiency.
Choosing between dental billing companies is a major decision. Here is why Capline stands out as
the premier dental billing company for high-growth practices:
While our core focus is claim management, we offer a holistic suite of
dental billing solutions:
Most practices see a "stabilization" period in the first 30 days of dental billing outsourcing. During this time, we are clearing the backlog of old claims. By months two and three, you will notice a significant "lift" in your cash flow as our clean-claim submissions begin to pay out consistently. Typically, a 40% reduction in denials is achieved by the 90-day mark once our standardized coding protocols are fully integrated into your workflow.
| Feature | In-House Billing | Generic Billing Firms | Capline |
|---|---|---|---|
| Focus | Multi-tasking (phones/check-in) | General Medical | 100% Dedicated Dental |
| Denial Rate | 15% - 20% | 10% - 12% | < 5% |
| Consistency | Fluctuates with sick days | High turnover | Consistent 24/7 Coverage |
| Reporting | Often non-existent | Basic PDFs | Custom Deep-Dive Analytics |
Our team at Capline Dental Services works round-the-clock to provide clients with the updated detailed reports of the Billing & Collection process on a weekly and monthly basis. We also specialize in generating on-demand reports to keep them updated on their practice revenue at all times.
| As on Month End | Received | Billed | Found Clean | Fixed and Submitted by Capline | First Pass Ratio | Pending |
|---|---|---|---|---|---|---|
| Jan-25 | $180,061 | $175,944 | $175,944 | $0 | 100% | $4,117 |
| Historical | ||||||
| Dec-24 | $91,598 | $90,345 | $89,092 | $1,253 | 99% | 0 |
| Nov-24 | $73,273 | $73,273 | $73,273 | $0 | 100% | 0 |
| Oct-24 | $54,000 | $54,000 | $54,000 | $0 | 100% | 0 |
| As on Month End | Received | Billed | Found Clean | Fixed and Submitted by Capline | First Pass Ratio | Pending |
|---|---|---|---|---|---|---|
| Jan-25 | 193 | 190 | 190 | 0 | 100% | 3 |
| Historical | ||||||
| Dec-24 | 117 | 116 | 115 | 1 | 99% | 0 |
| Nov-24 | 122 | 122 | 122 | 0 | 100% | 0 |
| Oct-24 | 111 | 111 | 111 | 0 | 100% | 0 |
| As on Month End | Est Production | Collection | Adjustment | Outstanding A/R | ||
|---|---|---|---|---|---|---|
| Jan-25 | $19,709 | $15,190 | $287 | $32,044 | ||
| Historical | ||||||
| Dec-24 | $14,658 | $13,598 | $350 | $34,789 | ||
| Nov-24 | $18,759 | $12,697 | $680 | $31,332 | ||
| Oct-24 | $16,987 | $8,583 | $632 | $39,136 | ||
| Sep-24 | $11,218 | $10,211 | $1,007 | $38,741 | ||
| Aug-24 | $21,000 | $17,636 | $349 | $38,050 | ||
| Month | Total Est Amount | Payment Received from Insurance | Billed to Patient | Adjustment | In Process (AR) | Total | ||||
|---|---|---|---|---|---|---|---|---|---|---|
| $ value | %age | $ Value | %age | $ Value | %age | $ Value | %age | |||
| Jan-25 | $47,983 | $23,557 | 49% | $413 | 1% | $35 | 0% | $23,978 | 50% | 100% |
| Dec-24 | $58,134 | $45,549 | 78% | $518 | 1% | $115 | 0% | $11,952 | 21% | 100% |
| Nov-24 | $63,749 | $57,386 | 90% | $1,469 | 2% | $986 | 2% | $3,908 | 6% | 100% |
| Oct-24 | $73,043 | $65,883 | 90% | $1,259 | 2% | $700 | 1% | $5,201 | 7% | 100% |
| Sep-24 | $66,056 | $59,780 | 90% | $1,558 | 2% | $367 | 1% | $4,351 | 7% | 100% |
| Aug-24 | $54,747 | $48,546 | 89% | $1,173 | 2% | $3,229 | 6% | $1,799 | 3% | 100% |
| As on Date | 0-29 Days | 30-59 Days | 60-89 Days | 90+ Days | Total | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Amount | Count | Amount | Count | Amount | Count | Amount | Count | Amount | Count | |
| Jan 31, 25 | $26,779 | 117 | $9,404 | 36 | $5,673 | 31 | $9,236 | 40 | $51,092 | 224 |
| Historical | ||||||||||
| Dec 31, 24 | $13,832 | 56 | $8,097 | 42 | $6,513 | 24 | $12,682 | 74 | $41,124 | 196 |
| Nov 30, 24 | $17,110 | 95 | $11,424 | 52 | $3,946 | 25 | $11,598 | 80 | $44,078 | 252 |
| Oct 31, 24 | $17,987 | 80 | $8,898 | 51 | $1,987 | 17 | $8,088 | 65 | $36,960 | 213 |
| Sep 30, 24 | $15,963 | 92 | $5,534 | 30 | $1,214 | 11 | $9,462 | 64 | $32,173 | 197 |
| Aug 31, 24 | $19,879 | 82 | $4,757 | 32 | $2,012 | 11 | $21,987 | 130 | $48,635 | 255 |
| Jul 31, 24 | $2,169 | 19 | $5,133 | 21 | $4,587 | 13 | $28,150 | 152 | $40,039 | 205 |
Many dental practices lose 5–12% of monthly collections due to billing errors, denials, and credentialing delays.
