Dental Sleep Medicine Billing

Medical Billing Built for Dental Sleep Medicine.
Made to Get You Paid.

ClaimsPaidPro.com handles pre-authorization, claims, appeals, and follow-up for dental sleep medicine — commercial and Medicare — so your revenue stops depending on luck.

CommercialMedicareDental Sleep Medicine

Revenue Cycle

Claims Command Center

Live

Clean Claim Rate Target

0%

Days in A/R Goal

< 0

Denials Fought

0%

Claim Activity

Active follow-up

Commercial & Medicare Dental Sleep Medicine Billing

Pre-Authorization • Claims • Appeals • Follow-Up

CommercialMedicareDental SleepPre-AuthorizationClaimsAppealsFollow-UpCommercialMedicareDental SleepPre-AuthorizationClaimsAppealsFollow-Up
Who We Are

Claims Made Simple. Payments Paid Faster..
Revenue Recovery Made Serious.

ClaimsPaidPro.com is claims made simple and payments paid faster — an elite, specialized billing partner built exclusively for dental sleep medicine practices. Practices are owed money the insurance industry is trying not to pay. That's the gap we close.

Commercial medical insurance

Medicare

Oral appliance therapy

Pre-authorization, claims, appeals, and follow-up

VerifySubmitTrackResolveGetPaid

The revenue recovery partner sleep dentists call when they're done leaving money on the table.

The Cost of Waiting

Every Day You Self-Bill,
You're Losing.

Dental sleep medicine billing is not general dental billing. It demands medical insurance expertise, pre-authorization, DME-style coding, E0486 and K1027 knowledge, medical necessity documentation, and persistent appeals.

Money Left on the Table

Denied or underpaid claims that are never appealed.

Missed Deadlines

Timely-filing deadlines quietly expire.

Pre-Auth Gambling

Appliances delivered before authorization clears.

The Clock Never Stops

Every week a claim sits unworked, it moves closer to write-off.

We are not a nice-to-have. We are the difference between what your practice billed and what your practice actually banked.

What We Do

The Four Pillars
of Getting You Paid

We don't file claims. We collect money. Every stage is handled by people who understand dental sleep medicine.

Pre-Authorization

We fight for approval before treatment, not forgiveness after.

View what's included

Medical necessity documentation

Sleep study data and AHI

Physician letters

Prior treatment history

Payer and benefit verification

Proactive tracking

Claim Submission

Clean claims the first time — no do-overs, no delays.

View what's included

ICD-10, CPT, and HCPCS

E0486 and K1027

Payer-specific formatting

Claim tracking

Appeals

A denial is the start of the conversation, not the end of it.

View what's included

Denial review

48-hour review target

Payer-specific medical necessity language

Multi-level appeals

Peer-to-peer review

Payer pattern tracking

Follow-Up & Collections

Persistent, professional pressure until the payer pays.

View what's included

Aging claims

Fixed follow-up cadence

Payer calls

Portal escalations

Transparent reporting

Want these claims off your plate?

Book a call and we'll map pre-auth, claims, appeals and follow-up for your practice.

Book a Call
Who We Bill

Every Major Payer.
Every Time.

Commercial Insurance

United HealthcareCignaAetnaBlue Cross Blue ShieldHumanaRegional commercial carriers

Medicare

Full DME billing compliance

Jurisdiction-specific documentation

Medicare appeals

If a payer covers oral appliance therapy, we know how to bill it, defend it, and collect it.

Why Claims Paid Pro

Not a General Billing Company.
A Dental Sleep Specialist.

Select a focus area to see how Claims Paid Pro turns a complicated payer process into accountable revenue recovery.

We focus on medical billing for dental sleep medicine — not every specialty under the sun.

Claim Operations

Recovery Workflow

Actively managed

Clean Claim Target

98%

A/R Goal

< 30 Days

Denials Fought

100%

Operating Standards

Standards Built Around Getting You Paid

0%

First-Pass Clean Claim Rate Target

< 0

Days in A/R Goal

0%

Appeals Filed — Every Denial Fought

Case Study

How One Sleep Dentist Increased Collections

A single-location dental sleep medicine practice billing roughly 25 oral appliance cases a month, handled in-house. Here is the shape of the engagement — what the review found, what changed, and what moved.

Before

Self-billed, unappealed, unfollowed

Oral appliance claims were submitted in-house between patients. Denials were written off, authorizations were requested late, and nobody owned follow-up once a claim aged past 60 days.

What we changed

Pre-auth first, every denial fought

We rebuilt the pre-authorization workflow, corrected coding and documentation on E0486 and Medicare DME submissions, reopened appealable denials, and put a visible follow-up cadence on every outstanding claim.

After

Cleaner claims, faster collections

Claims go out complete the first time, denials are appealed instead of absorbed, and the practice can see exactly where every dollar sits in the cycle.

Twelve-month view

Collections recovered

$0K

Before
After

Days in A/R

0 days

Before
After

Appeal win rate

0%

Before
After

Illustrative example. The figures above show the format we report results in and are not yet tied to a named client engagement. Send us the practice details, the before-and-after numbers and written permission, and we will publish the verified result here in their place.

See what your practice could collect.

A short call is all it takes to review your denials and aging A/R.

Book a Call
How Engagement Works

Our Process

A structured transition from revenue diagnosis to ongoing performance optimization.

01

Diagnose

Complimentary billing review of current A/R, denial rate, and pre-authorization workflow — no cost, no commitment.

02

Onboard

Custom onboarding onto your practice management and clearinghouse systems, payer credentialing review, and staff handoff protocol.

03

Activate

Live pre-authorization and claims management begins — typically within 5–10 business days of signed agreement.

04

Report

Weekly or bi-weekly reporting on submissions, denials, appeals, and collections.

05

Optimize

Quarterly performance review against clean claim rate, days in A/R, and total collections.

“Every week you wait, a timely-filing deadline gets closer to killing a claim you already earned.”
“Uncollected claims don't age like wine. They age like write-offs.”
Book a Call

How Much Revenue
Are You Leaving Behind?

Find out what your current A/R, denial rate, and pre-authorization workflow could be costing your practice.

Revenue Recovery
Current A/R reviewed01
Denial workflow assessed02
Pre-authorization gaps identified03
FAQ

Questions?
Let's Make Billing Easier.

Still deciding? Talk with our team and we will walk through your current billing performance.

We specialize exclusively in medical billing for dental sleep medicine practices, including oral appliance therapy.

Yes. We handle commercial medical insurance claims, including payer verification, pre-authorization, submission, appeals, and follow-up.

Yes. We support Medicare billing with DME compliance, jurisdiction-specific documentation, and Medicare appeals.

We review medical necessity documentation, sleep study data, AHI, physician letters, prior conservative treatment history, benefits, and payer requirements, then track authorization proactively.

We review denials against a 48-hour target, build payer-specific appeals, pursue multiple appeal levels when appropriate, and track denial patterns.

Yes. Our dental sleep medicine billing workflows include E0486 and K1027 alongside the supporting ICD-10, CPT, and HCPCS requirements.

Book a call and we will walk through your current A/R, denial rate, and pre-authorization workflow — no cost, no commitment.

Live pre-authorization and claims management typically begins within 5–10 business days of a signed agreement.

Reporting is provided weekly or bi-weekly across submissions, denials, appeals, and collections.

Claims Made Simple. Payments Paid Faster.. Getting Paid Made Serious.

Your practice delivered the care. Let Claims Paid Pro handle the fight to collect what you earned.