Every Claim matters.
Every Dollar counts.

Denied claims shouldn’t automatically become write-offs.
Stop Writing Off Revenue. Start Collecting It.

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Expertise with Major Pennsylvania Medicaid and Commercial Dental Payers

Case Studies

Real Results: From Denied to Deposited

Where others saw write-offs, we saw payer processing errors. Our team investigated policy and worked closely with Pennsylvania Medicaid MCOs to pay what was owed.

United Healthcare - D1310, D1330 Denials

Resolved - Statewide Claim Reprocessing Completed

UHC Community Plan incorrectly denied D1310 and D1330 for adult Medicaid patients (21+). PA Dental Revenue Partners identified the policy mismatch, engaged the payer in February 2026, and presented supporting evidence-leading to statewide reprocessing of denied claims across Pennsylvania in March 2026.

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Keystone First - D2991 Denials

In Progress - Payer Acknowledged Issue, System Correction Underway

Keystone First is denying claims for Application of Hydroxyapatite (D2991) when there is a history of Sealants (D1351), despite no such restriction in Pennsylvania Medicaid guidelines. The issue has been acknowledged by the payer and is being addressed with their benefit administrator, DentaQuest.

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Revenue Cycle Management Built for Dental Practices

If Insurance Owes You Money, We Go Get It.

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A Revenue Cycle Partner Focused on Getting Claims Paid

We specialize in complex dental insurance billing, with deep expertise in Pennsylvania Medicaid policies. Every denial is validated against payer rules and treatment history, and our team aggressively follows up on unpaid claims to ensure resolution.