Pricing

Billing Packages Built Around Your Case Volume.

Three levels of support for dental sleep medicine practices — from pre-authorization only to the full medical revenue cycle. Every engagement is quoted after a short call, so you pay for the scope you actually need.

Specialty focus

3

Precision at every handoff.

Packages

Choose How Much of the Billing We Own

Authorize

Pre-Auth Essentials

Practices that bill their own claims but keep losing cases at authorization.

Custom quote

Priced on case volume and payer mix.

  • Medical benefit and eligibility verification
  • Medical-necessity documentation review
  • Sleep study, AHI and physician order check
  • Payer-specific authorization submission
  • Proactive tracking through decision
Get a Quote

Submit

Most Requested

Claims Management

Practices delivering oral appliances regularly that want claims off their front desk.

Custom quote

Priced on case volume and payer mix.

  • Everything in Pre-Auth Essentials
  • E0486 and K1027 claim submission
  • ICD-10, CPT and HCPCS coding review
  • Commercial and Medicare DME billing
  • Denial review against a 48-hour target
  • Payer-specific appeals
Get a Quote

Collect

Full Revenue Cycle

Practices that want the entire medical billing side owned, measured and reported.

Custom quote

Priced on case volume and payer mix.

  • Everything in Claims Management
  • Aging A/R worked on a fixed cadence
  • Multi-level and peer-to-peer appeals
  • Patient balance and collections support
  • Denial pattern tracking by payer
  • Regular reporting on billed, paid and outstanding
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Not sure which package fits?

Book a call and we'll scope it around your case volume and payer mix.

Book a Call
How Pricing Works

What Drives the Cost of Dental Sleep Medicine Billing

Medical billing for oral appliance therapy is not a flat commodity service. What you pay depends on how much work each case carries and how much of the revenue cycle sits with us.

Case volume

A practice delivering a handful of appliances a month needs a different arrangement than one running sleep cases daily. Volume is the first thing we look at when quoting.

Payer mix

Medicare DME billing carries documentation and jurisdiction requirements that commercial claims do not. A Medicare-heavy practice takes more work per case, and the quote reflects that.

Scope of service

Pre-authorization only is a narrower engagement than full revenue cycle management with A/R follow-up, appeals and collections. You choose the line.

Starting condition

If there is a backlog of aging claims or unappealed denials to clean up, we scope that separately from ongoing work so it does not distort your monthly cost.

Request a Quote

Tell Us Your Case Volume. We'll Send a Number.

Pricing depends on how many oral appliance cases you deliver, your payer mix, and how much of the revenue cycle you want us to own. Share the basics and we'll put together a quote — or book a call and we'll walk through it together.

By submitting, you agree to be contacted about Claims Paid Pro services.

Prefer to Talk It Through First?

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