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General Dentistry · Case Study

59% more collections in one month — without a single new patient.

A general dentistry practice with a steady patient schedule had a quiet problem: the revenue it was earning wasn't making it to the bank. Here's what we found, what we did, and what changed.

  • General dentistry (DDS)
  • ~12 patients per day
  • Established patient base
  • Audit: Sept–Nov | Intervention: Dec
Revenue at risk identified
$218K+
Collections increase in month one
59%
Additional production required
$0
Time from intervention to results
1 month

The challenge

A productive practice with a revenue capture gap

When HEMBILLING audited this general dentistry practice's billing operations across September through November, the findings were clear: production wasn't the issue. The practice was running a full schedule with approximately 12 patients per day — and collections were not keeping pace.

Procedures were being rendered and never submitted to insurance. Denied claims sat unworked with no appeals filed. Insurance follow-up was inconsistent, and A/R had aged well past 90 days with no remediation in progress.

The revenue existed. The billing execution to capture it did not.

This is a pattern we see across dental practices. We wrote about why it happens and what to look for in your own billing process →

A/R exposure identified at audit

A/R > 90 days$73,726.12
Insurance estimates pending$37,054.55
Patient balances outstanding$107,606.19
Total at risk$218,386+

Pre-intervention monthly collections averaged $66,858 across September–November — well below what the practice's production warranted.

Our approach

Four interventions, executed immediately

In December, our team assumed full responsibility for billing operations and executed corrective actions from day one — no ramp-up period, no delayed results.

Unbilled procedure submission

Identified and submitted claims for procedures that had been rendered but never billed to insurance — recovering revenue that had simply been left on the table.

Denial correction & resubmission

Corrected missing or inaccurate information on improperly denied claims and resubmitted them with the documentation needed to drive payment.

Appeals on recoverable denials

Initiated formal appeals on denials that had been left unworked — converting claims that appeared lost into recoverable revenue.

Insurance follow-up discipline

Built structured, recurring follow-up workflows so no claim ages out or goes unresolved — stopping the same revenue leakage from recurring.

The results

Month one. Measurable difference.

December collections reflected the immediate impact of disciplined billing execution — with no change in patient volume or staffing.

Collections comparison before and after HEMBILLING intervention
MetricBefore (Sept–Nov avg)After (December)
Monthly insurance collections$32,507 avg, before intervention
$61,921
Total monthly collections$66,858 avg, before intervention
$106,344
A/R aging > 90 days$73,726, before intervention
Remediation ongoing
New patients required, before intervention
None

Executive insight

“Most dental practices do not have a production issue. They have a revenue capture and follow-up execution gap. Revenue is frequently earned — but not fully realized — due to breakdowns in billing discipline and A/R management.”

HEMBILLING — Revenue Cycle Analysis

General Dentistry Engagement · 2024–2025

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