Advertise on podcast: The Dental Billing Podcast

Got questions? Send Ericka a Text! Profit doesn’t come from working harder or cramming more patients into the schedule. Real profit comes from running your billing department like a business within a business—and using it to lift EBITDA, create predictable cash flow, and make smarter decisions across the practice. We walk through a clear definition of EBITDA and why serious owners, lenders, and buyers use it to judge operational health. Then we connect the dots between daily billing work and big-picture results: coding accuracy as revenue capture, denial management as a cost-to-collect reducer, and AR velocity as the engine of cash strength. You’ll hear why sloppy billing erodes margins from both sides—less revenue in, higher expenses out—and how a systems-first approach flips that script with cleaner claims, faster payments, and fewer reworks. From there, we get tactical. We outline the metrics that matter—first-pass claim rate, average days in AR, denial rate by payer, write-off trends, appeal success—and how to use them to forecast collections, control overhead, and plan staffing without panic. We dig into the definition of an unreasonable denial and share a practical escalation and appeal playbook that speeds recovery while protecting productivity. Finally, we make the case for a living billing manual: documented workflows for claim submission, clearinghouse and payer receipt verification, EFT reconciliation, and standardized follow-up so the whole team moves in sync. If you’re ready to replace checklists with outcomes and turn billing into a true profit engine, this conversation lays out the path. Subscribe, share with a fellow office leader, and leave a quick review to help more practices build healthy, sustainable profitability. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! A weekend meetup in Phoenix turned into a deep dive on the “harmless” shortcuts that quietly drain dental practices and invite compliance trouble. We compare notes from a brutal 2025 billing case, unpack the defensiveness that often surfaces when a third party steps in, and show how audit trails reveal everything from embezzlement red flags to training gaps and inefficiencies you’ll never see on a P&L. We get practical fast. You’ll hear why copay waivers and frequency misses aren’t favors, they’re liabilities; how a real chart prep process (CPP) prevents four- and five-figure monthly losses; and why templates should be fillable, not filled, to protect patient specificity and accuracy. We talk clinical notes as legal defense, route slips that actually bridge back-to-front, and the non-negotiable role of periodontal charting. If AI is reading your claims, missing perio data is a hard stop. We also tackle credentialing vs contracting, rendering provider rules, and the spreadsheet every office manager needs to track participation status and re-credentialing dates. On the clinical side, we break down case acceptance without pressure: narrate findings, ask better questions, and move patients appropriately from prophy to SRP or 4346 when gingivitis is the true diagnosis. And yes, we address the controversy head-on—billing 4346 is about medical necessity and compliance, not what pays 100 percent. Bill what you do, document why you did it, and let systems carry the weight. If you want fewer denials, stronger compliance, and calmer nights, this conversation gives you the scripts, checklists, and mindset to get there. Subscribe, share with a colleague who needs the nudge, and leave a review telling us your biggest compliance headache—we might tackle it next. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! We show how chart prep sets expectations and end of day confirms reality, so money stops leaking and compliance issues get fixed the same day. A practical checklist, time blocking, and coaching turn chaos into a repeatable close that protects revenue and trust. • redefining end of day as daily accountability  • chart prep for expectations, end of day for verification  • composite case of a busy office with open charts and rolled balances  • building a lean checklist that closes every visit  • spotting patterns: missed copays, incomplete notes, idle claims  • coaching conversations that improve collections and documentation  • blackout time to finish reconciliation without interruptions  • route slips or digital equivalents for clear expectations  • daily compliance as a habit, not an annual event  • financial stability through same‑day close and follow‑up You can go grab the chart prep and the end‑of‑day checklist, and there’s a little guide in there on how to implement it in the show notes if you want to implement this right away  If this series has been helpful for you friends, I’d really appreciate it if you would leave us a review  Make sure you’re subscribed so you don’t miss part three  And if this episode made you think of your doctor or your office manager, share it with them Get the Chart Prep + End of Day Checklist and Guide for Only $19 Here: https://ericka-aguilar-dental-billing-expert.kit.com/products/chart-prep-checklis Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! We pull back the curtain on a “busy” practice that bled revenue because trust replaced systems. A full audit, legal counsel, and a frank lunch reveal how missing chart prep, no route slips, and zero checks led to fraud risk and wild collections swings. • redefining chart preparation as the operational backbone • why custom route slips create visibility and accountability • how one-person control hides errors and tempts fraud • what a full revenue cycle audit uncovers beyond claims • Medicaid compliance risks when notes don’t match billing • legal strategy when a key staffer becomes a liability • shifting in-house focus to chart prep and eligibility • capturing every dollar with family account audits • pros handle billing; team owns preparation and handoffs • building guardrails with audits, reports and daily reviews Grab the chart prep and end-of-day framework in the show notes Please leave a review, subscribe for parts two and three, and share this with your doctor or a fellow office manager Grab the Chart Prep & End of Day Checklist and Guide here: https://ericka-aguilar-dental-billing-expert.kit.com/products/chart-prep-checklis Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! If your perio percentage hovers around 15% while half your hygiene notes mention bleeding, you don’t have a production problem—you have a calibration problem. We sit down with Ed, a clinician-turned-hygiene coach with a billing background, to unpack how teams move from prophy habit to complete health care without losing trust or momentum. The through-line is simple: document what you see, code what you do, and speak with one voice so patients understand why it matters. We start with measurement. Ed breaks down perio performance percentage and why healthy practices often land between 30 and 40 percent depending on demographics. From there, we map practical calibration: agreeing on diagnostic thresholds, choosing plain language that patients can repeat back, and separating clinical conversations from benefits talk. You’ll hear how co-diagnosis works when the dentist frames whole-body health and the hygienist details the treatment sequence, intervals, and home protocols. Technology becomes a teaching tool rather than a crutch. CBCT helps illustrate bone changes, intraoral photos make bleeding undeniable, and saliva testing like OralDNA turns bacteria into a color-coded story patients can follow. We also explore Perio Protect and how reducing inflammatory load lets the body “recharge,” improving healing and even sleep. The hardest part—converting long-time prophy patients—gets easier with “show, do, tell” scripts, honest framing about updated standards of care, and seed planting that respects patient pace while protecting outcomes. If you’re ready to raise perio performance with integrity, this conversation gives you the metrics, scripts, and workflows to get there. Subscribe, share with your hygiene lead, and leave a review telling us which change you’ll implement first. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Stop letting a benefits table decide your standard of care. We sit down with dental billing expert Ed to tear down the fear, myths, and mixed messages that keep teams from coding honestly, educating clearly, and treating confidently. From fluoride and adult sealants to SDF that literally shows patients a visible change, we talk through how to make prevention tangible and persuasive without hiding behind “what insurance allows.” We get real about code 4346: when a gingivitis cleaning is performed, document it, submit it, and stop defaulting to prophy because it feels safer. You’ll hear why underutilization hurts reimbursement, how to manage downgrades and co-pays with straight talk, and why transparency plus consistency builds trust faster than “people-pleasing” benefit games. Ed shares the operational fixes that work: clinicians educate and treat; the front handles money and benefits. With set protocols for LBR, LAPT, and perio maintenance, case acceptance climbs—even in tough markets. Then we shift into leadership and metrics. Treat your column like a business and aim for 3.5x your daily pay to sustain raises, instruments, and training. Design intentional schedules that blend perio maintenance, SRP, re-evals, and preventive services. Train smarter: integrate lasers and SDF to control disease and show results. We highlight common myths from seminars and social media that sabotage coding and scheduling, and we replace them with clear steps, aligned scripts, and practical KPIs, including 4346 utilization, perio maintenance rates, and photo documentation. If you want ethical documentation, stronger production, and healthier patients without awkward fee chats, this conversation will become your playbook. Subscribe, share this with your team, and leave a quick review telling us the one change you’ll implement this week. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! A candid look at why AR rises even when production is strong and how access, clarity, and team alignment restore cash flow. We share the biggest blockers we see inside practices—password chaos, clearinghouse issues, unread billing emails—and the simple systems that fix them. • password and portal access as revenue gatekeeper • EFT lockouts creating delays and aged AR • Dentrix–Vine fallout and claim tracing discipline • daily email reviews and statement ownership • patient AR rising from unclear benefits and silence • stronger benefit scripts to prevent “surprise” balances • third-party alignment as team extension, not threat • kickoff meetings for roles, tools, and expectations • billers as end-of-cycle auditors spotting root causes • repeatable rhythms for faster posting and fewer denials If any of this resonated with you friends, feel free to leave a review, feel free to leave a comment, share this episode with someone who you feel would relate. And if you're interested in a billing consultation and seeing how fortune billing solutions can help you, go to the show notes. There's a link down below, and you can set up a time to meet with me. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! What if your dental practice's schedule management system worked like your most brilliant team member instead of just another piece of software? That's the game-changing perspective Lori Streeter brings to this episode as she unpacks how modern technology can transform dental scheduling from a headache into a powerful production driver. From her beginnings as a 20-year-old dental employee to her current role as VP of US Expansion at Max Assist, Lori shares insights gained through decades of experience across multiple facets of dentistry. She illustrates the dramatic evolution from pegboard appointment books and manual recall cards to today's sophisticated AI-powered scheduling systems, highlighting how many practices still operate with inefficient processes that leave significant revenue opportunities untapped. The conversation reveals a startling reality: while practices obsess over attracting new patients, they often overlook the approximately $500,000 in diagnosed but unscheduled treatment sitting in their existing patient records. With the right tools, this treatment can be efficiently scheduled, dramatically increasing production without requiring additional marketing efforts. Even practices that appear fully booked can benefit from optimized scheduling that ensures the most appropriate procedures fill each available time slot. What distinguishes Max Assist from traditional patient communication software is its comprehensive approach to schedule management. Rather than simply sending appointment reminders, it integrates directly with practice management systems to provide actionable intelligence, identifies opportunities for filling appointments, tracks team performance for accountability, and functions as a virtual team member rather than just another tool. As Lori eloquently states, "Your tech should be part of your team." Ready to transform your approach to schedule management? Listen now to discover how modern technology can help your practice maximize productivity while strengthening patient connections. Your schedule might be full—but is it optimized? Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Have you ever wondered what dentists truly value in their front office teams? This spontaneous episode reveals the surprising answer, and it hasn't changed in over a decade. When a scheduled interview fails to materialize, I take the opportunity to share key insights from my journey developing a six-month dental administration school back in 2011. Frustrated by the lack of formal training programs for front office personnel and tired of dealing with qualified candidates who brought attitude problems or rigid ideas about practice management, I set out to create a solution that would shorten the learning curve and reduce turnover. My research journey involved surveying more than 300 dental practices nationwide, asking dentists a deceptively simple question: "If your front office could be expert at one thing, what would it be?" The results were startlingly consistent—billing expertise and skillful handling of new patient calls dominated their responses. What's fascinating is that when I recently conducted a similar survey with 100 practices, the results remained virtually unchanged after all these years. Nine out of ten dental practice executives still prioritize billing knowledge, paired with strong communication skills for patient interaction. Drawing from my unique experience as a dental industry professional since 1995—including roles as a consultant, practice partner, and acting owner for multiple locations—I've gained uncommon insights into what makes dental practices successful. Now I'm reaching out to you: what training would best serve your practice needs? Share your thoughts, and let me help you build the front office team your practice deserves. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Credentialing versus contracting - these terms are often used interchangeably in dental offices, but as Ericka Aguilar explains in this essential episode, they represent entirely different processes with significant implications for your practice's compliance and financial health. Credentialing is the verification process where insurance companies confirm a provider's qualifications, while contracting is the business agreement that follows, officially making a provider "in-network." Understanding this distinction is just the beginning of navigating the complex landscape of dental insurance billing. The episode delivers a stark warning about one of the most dangerous practices happening in dental offices today: billing under another provider's NPI when that provider didn't perform the treatment. This typically occurs when practices are waiting for a new associate to complete the credentialing process. What many don't realize is that this practice constitutes insurance fraud, violating state and federal regulations. With insurance companies now employing AI and aggressive auditing techniques, the risks of massive recoupments, civil penalties, and even criminal charges have never been higher. Erica also demystifies Locum Tenens arrangements, which provide a legitimate pathway for practices to maintain continuity of care when a provider is temporarily unavailable due to specific circumstances like maternity leave, disability, or death. However, these arrangements come with strict limitations that must be carefully followed to avoid compliance issues. Through real-world examples and practical advice, this episode equips dental professionals with the knowledge to protect their practices while maintaining ethical standards. Whether you're a practice owner, office manager, or dental biller, the insights shared will help you navigate the credentialing process correctly, understand when Locum Tenens is appropriate, and implement documentation practices that keep your practice on the right side of compliance. Visit dentalbillingdoneright.com to learn more about setting up proper credentialing SOPs and claim auditing for your practice. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! What happens when you try to end something, only to discover it's just beginning? After announcing what I thought would be the final episode of the Dental Billing Podcast, something extraordinary happened—hundreds of messages flooded in from listeners who weren't ready to say goodbye. From tearful voicemails to heartfelt emails, the message was clear: this podcast had become more than just a billing resource. It had become a lifeline. These messages revealed something powerful about our community. Ashley from Dallas shared that after 17 years in dental billing, this was the first time she felt truly seen. Teresa from Arizona mentioned her therapist made an exception to allow her to listen to this work-related podcast because "it supports your mental health." Nina from Chicago explained how the podcast helped her recover from burnout when "billing was breaking me." What started as technical guidance had evolved into something deeply personal and necessary. Moving forward, the Dental Billing Podcast will continue with an expanded vision. We'll maintain our commitment to sharp, accurate billing information—fighting back unreasonable denials, clarifying coding confusion, and exposing insurance company tactics. But we're also embracing what our community clearly needs: conversations about mental health, burnout prevention, and practical tools for thriving in a chaotic industry. We'll bring in licensed therapists, wellness coaches, and trauma-informed practitioners alongside powerhouse billers and respected consultants to address both the technical and emotional aspects of dental administration. This evolution reflects a simple truth: you're not just a biller or office manager—you're a human being trying to make a difference in a broken system. Whether you're looking for denial management strategies, nervous system regulation techniques, or simply the comfort of knowing you're not alone, this podcast remains a safe space for your questions, your growth, and your hope. Email me your topics, leave a review to help others find us, and know that we're in this together—not ending, but expanding. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Pivotal moments often arrive unexpectedly. After years of helping dental practices decode insurance denials and maximize reimbursements, I've made a significant discovery that's reshaping our journey together. What began as technical discussions about coding and claims consistently opened doors to far deeper conversations about practice culture, team alignment, and leadership challenges. The highest-performing billing departments I've encountered share one critical element that transcends technical knowledge—they operate within practices where leadership is strong, vision is shared, and team members pull in the same direction. When I stepped into offices to address billing issues, I frequently uncovered symptoms of deeper organizational challenges: fear-based decision-making, reactive management, artificial harmony, and teams trapped in survival mode. These cultural issues were directly impacting financial performance. That's why this finale of the Dental Billing Podcast marks not an ending but an evolution. While billing expertise remains my foundation and passion, our new "Practice and Purpose" podcast will embrace the whole picture of practice success. We'll explore leadership development, navigating difficult conversations, building high-performing teams, and aligning your practice with your deeper purpose—all while continuing to sprinkle in the billing wisdom you've come to expect. To my loyal listeners who've shared stories of successfully challenging insurance companies, securing deserved raises, and transforming billing departments: thank you for making this platform sacred. This shift honors the truth of what you've been teaching me all along—that our conversations were always about more than just billing. They were about becoming the leader your practice needs and creating a culture where your team and your purpose can thrive. Join me next week as we begin this expanded journey together, right here in your podcast feed. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Dental insurance companies often deny necessary treatment claims not because they should, but because they can—and we explore how to fight back effectively through appeals and regulatory complaints. • 59% of denied claims are upheld simply because no appeal is ever filed • Unreasonable denials occur when patients have benefits but claims are still denied • State insurance commissioners can investigate denials and prompt payment violations • Understanding the difference between fully-insured and self-funded (ERISA) plans • For self-funded plans, complaints must go to the Department of Labor (866-444-3272) • Gather evidence including denials, submission reports, and clinical notes • Position your complaint as patient advocacy rather than financial recovery • Insurance companies cannot dictate treatment or force doctors to work for free Remember: You're not just a biller—you are the patient advocate and the system of checks and balances they didn't see coming. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! The entrepreneurial journey can be isolating even when surrounded by loved ones who don't fully understand what we're building. Success looks different for entrepreneurs than those in traditional jobs, and the lack of understanding can create a divide between our business reality and personal relationships. • We often downplay our professional wins because they don't translate well to those outside our industry • Traditional security (401k, benefits) looks different for entrepreneurs but is equally valid • True entrepreneurial success is about freedom and peace, not just financial metrics • Building a community of like-minded people is essential to combat the isolation • Office managers experience similar isolation carrying the emotional weight of practices • Finding your "biz bestie" or mastermind group provides crucial support and understanding • It's okay to build your business slowly and intentionally • Even when you question yourself or face setbacks, you're still moving forward If this episode spoke to you, please share it with someone who needs to hear they matter. Let your office manager, business friends, or team know they are appreciated and seen. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf

Got questions? Send Ericka a Text! Are you leaving money on the table while your patients remain undertreated? After analyzing over 300 dental practices across the country, I discovered a shocking truth: the average dental practice with a full-time hygienist treats only 17% of the periodontal disease they diagnose. That means 83% of diagnosed disease goes completely untreated—a staggering gap between diagnosis and care. This episode dives deep into the "hidden opportunity" within your hygiene department by exploring D4346: scaling in the presence of generalized moderate to severe gingival inflammation. This often-misunderstood code bridges the critical gap between a standard prophy (D1110) and scaling and root planing (D4341/D4342). For patients showing clear signs of gingivitis without bone loss—bleeding on probing, inflamed tissue, pseudopockets, and plaque that doesn't respond to routine cleaning—continuing to perform prophies isn't prevention; it's undertreatment. I walk you through a comprehensive, step-by-step process for properly implementing D4346 in your practice, from accurate diagnosis and bulletproof documentation to effective patient education and ethical billing. We cover common challenges including insurance downgrades, particularly when carriers like Delta may pay less for D4346 than for a prophy, and how to handle these situations without compromising ethics or revenue. The key message: this code is based on diagnosis, not difficulty or time spent, and represents therapeutic care designed to heal tissue, not maintain it. Whether you're a dental biller, office manager, hygienist, or dentist, this episode provides practical guidance for transforming your approach to gingivitis treatment. The benefits extend beyond proper coding—you'll deliver better care, improve patient outcomes, and optimize practice revenue. Pull a few charts this week and see how many of your "prophy patients" actually qualify for D4346. The results might surprise you. Register for the March 1st LIVE event in Riverside, CA: www.dentalbillingdoneright.com Click on "The New Rules of Dental Billing" Schedule a demo with MaxAssist to unlock scheduleing potential here: https://maxassist.com/book-a-demo-fortune-billing/ Would you like to set-up a billing consultation with Ericka? She would love the opportunity to discuss your billing questions and see how Fortune Billing Solutions may help you. Email Ericka: [email protected] Email Jen: [email protected] Grab the Hygiene Billing and Coding Playbook Here: https://stan.store/hygieneunlocked Email Ed: [email protected] Schedule a call with Ericka: https://calendly.com/ericka-dentalbillingdoneright/30min Perio performance formula: (D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D4346+D4355+D4910+D1110) Delta Dental Locum Tenens Form: https://www1.deltadentalins.com/content/dam/ddins/en/pdf/dentists/locum-tenens-form.pdf