AI-Powered RCM Built for Dental Service Organizations
From dental-to-medical cross-coding and fee-schedule management to multi-location claims and denial recovery — SCALE delivers revenue cycle intelligence purpose-built for DSOs and multi-site dental groups.
Dental-to-Medical Cross-Coding
CDT-to-CPT crossover for medically necessary procedures
Fee Schedule & UCR Management
Payer fee schedules and UCR rates across every location
Multi-Location Claims
Centralized billing across distributed practices
Eligibility & Benefit Verification
Real-time dental + medical benefit and COB checks
Real-Time RCM Analytics
Live dashboards via SCALE's analytics platform
DSO billing is uniquely complex. We know it cold.
High-complexity care comes with high-complexity billing — and most generalist RCM vendors aren’t equipped to handle it. SCALE is.
Dental-Medical Crossover Complexity
Medically necessary dental procedures require CDT-to-CPT translation that most billers handle inconsistently — leaving reimbursable claims on the table.
Multi-Location Fee-Schedule Sprawl
DSOs juggle countless payer fee schedules and UCR rates across sites, creating reconciliation gaps and silent leakage.
Eligibility-Driven Denials
Frequency limits, waiting periods, and coordination-of-benefits rules drive a high share of front-end dental denials.
How SCALE solves it
DSO Eligibility & Benefit Verification
Real-time dental and medical benefit checks with frequency and COB validation before the patient is seen.
Dental Coding & Charge Capture
Automated review flags crossover opportunities, downcoding, and documentation gaps across CDT and CPT.
Dental Claim Denial Management
Payer-specific appeals for frequency, COB, and medical-necessity denials across all locations.
Dental-to-Medical Cross-Coding
We capture reimbursable medical claims for surgical extractions, sleep, trauma, and pathology.
End-to-end RCM for every DSO encounter
Automation handles volume and velocity. Our experts handle exceptions, edge cases, and strategic optimization — creating a closed-loop system that continuously improves performance over time.
Discovery & Audit
We analyze 90 days of claims data to identify coding gaps, denial patterns, and authorization bottlenecks specific to your practice.
EHR Integration
Seamless connection to your EHR and practice-management system — no new software for your team to learn or manage.
Go-Live & Handoff
SCALE's dedicated team takes over day-to-day RCM operations with transparent reporting from day one.
Continuous Optimization
Monthly performance reviews, payer-policy monitoring, and AI-driven recommendations keep revenue growing over time.
Representative results across SCALE clients
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in cost-to-collect through AI automation and workflow optimization
Reduction in A/R aging beyond 90 days through proactive denial management
Reduction in overall denial rates powered by DenialShield predictive scoring
Works inside the EHRs your team already uses
Let’s build your Dental Service Organizations RCM roadmap together
Book a free 30-minute strategy call with a SCALE DSO specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.