Prosthodontists - StafGo Health

Dental Billing And Collection Services Focused On Prosthodontists

In prosthodontics facilities, dentists specialize in restoring and replacing teeth using non-living materials to rehabilitate orofacial structures. This includes repairing damaged teeth, replacing missing teeth with implants, crowns, bridges, or dentures, and improving bite alignment. At StafGo Health, we provide specialized dental billing services and collection services made specifically for prosthodontic practices. Our team of experts understands the complexity of billing for full-mouth rehabilitations, lab-related charges, and multi-visit treatments that span over weeks or months. We aim to help your practice with timely claim submissions, minimize denials, and improve your revenue cycle performance.

Expertise In Prosthodontic CDT Coding With Stafgo Health

Prosthodontic billing consists of several complex procedures that require accurate and precise coding. Our certified coders are experienced in working with the common CDT codes used by prosthodontists, including D2740 (crown—porcelain/ceramic substrate), D2750–D2752 (crown—porcelain fused to metal), D2950 (core buildup, including any pins), D5110 and D5120 (complete dentures—maxillary and mandibular), D5213–D5214 (partial dentures), and D5863 (overdenture—complete), D6065–D6078 (implant-supported crowns, bridges, and dentures). Correct use of these codes is essential for maximizing reimbursement, and therefore, our team handles it very well for you.

Why Outsource Dental Billing And RCM To Stafgo Health For Your Prosthodontic Practice?

Prosthodontic practices handle the complex nature of high-value and multi-step procedures that require accurate coding, concise billing, and up-to-the-mark documentation. At StafGo Health, our experienced team understands the complexities involved in billing for crowns, bridges, dentures, implant-supported restorations, and many other related procedures. Our team is well-trained in the unique CDT codes, pre-authorization works, and payer rules that influence reimbursement for prosthodontic treatments.

Common RCM Challenges Faced by Prosthodontic Practices

High-Value, Multi-Step Treatment Billing - In prosthodontic procedures, few treatments often span multiple visits and involve significant lab costs. Without proper phased billing and tracking, submission of incorrect and premature claims can lead to payment delays.
Complex CDT Coding and Documentation - All the procedures in prosthodontic practices require exact coding and supporting documents. Wrong coding and incomplete documents result in denials.
Insurance Limitations and Coverage Confusion - Many insurance companies impose strict limitations on coverage and exclusions on prosthodontic services. Failure in the verification of benefits can leave the patients with unexpected out-of-pocket expenses or result in claim rejections.
Pre-Authorization and Predetermination Delays - Several procedures in prosthodontic treatment require pre-authorization. Delays in submitting proper documents can halt treatment schedules and payment cycles.
Inconsistent Patient Communication and Collections - Due to the expensive nature of prosthodontic treatments, patients usually rely on financing or phased payment plans. In the absence of proper communication and structured payment tracking, practices face the risk of poor collections and patient dissatisfaction.

Solving Your Prosthodontic Practice’s Challenges with StafGo Health

Precision in CDT Coding and Documentation - Our team of experts makes sure that they use accurate, complex CDT codes like D2740, D5110, D6078, and many more. Our team provides guidance to your office staff in collecting and submitting the required clinical documentation to support claims, reducing denials and delays.
Proactive Pre-Authorizations and Verifications - Our experienced team takes care of all pre-authorization and benefit verification processes for your prosthodontic treatments. They make sure that your staff receive confirmation before treatment begins—avoiding revenue loss and patient billing confusion.
Customized Billing for Multi-Visit Procedures - Our team customizes the billing workflows for phased treatments like full-mouth reconstructions or implant-supported dentures by making sure there is correct timing of claim submissions and consistent cash flow.
Expert Denial Management and Appeals - Our team is experienced in handling denial management and appeals. We aggressively follow up on unpaid or denied claims, identify root causes, and manage appeals efficiently, which can help you recover lost revenue and improve claim success rates.
Streamlined Patient Communication and Collections - Our team can support your front desk with correct cost estimates, payment plan tracking, and clear financial communication. This can help you to build trust with patients, reduce your outstanding balances, and also increase point-of-service collections.