Avulsed tooth after a fall
- Dental pays
- Partial crown coverage, and the annual max absorbs the rest.
- Medical pays
- Exam, imaging, splinting and surgery are billable to the accident.
Revenue Recovery by Enamel
Medical billing for dentistry, built into the chair.
Trauma, TMJ, sleep apnea, CBCT, biopsies, and medically necessary surgery are medical claims, not dental ones. Enamel captures the medical necessity while you work, codes it, and builds the CMS-1500. Flat monthly fee. No percentage of your collections.
Coverage pathways
What's billable to medical
CBCT for pathology or impacted teeth
- Dental pays
- Usually denied outright.
- Medical pays
- Reimbursable when medical necessity is documented.
TMJ workup and appliance
- Dental pays
- Excluded on most plans.
- Medical pays
- A covered diagnosis pathway with a defined benefit.
Medically necessary extractions pre-radiation or transplant
- Dental pays
- Eats the patient's annual maximum.
- Medical pays
- Clears at medical rates as part of the treatment plan.
How it works
From chair to claim
Step 1
Catch it
Accident and medical-necessity capture built into intake, so the qualifying detail is recorded before the patient sits down.
Step 2
Code it
The chairside scribe flags billable events in real time and maps external-cause ICD-10 while you dictate.
Chairside scribe and perio data feed the medical-necessity narrative.
Step 3
File it
A completed CMS-1500 is generated with the narrative and evidence packet attached, ready to submit.
Operating model
Why not a billing service
Workflow
Medical billing services
Enamel
Compensation
Medical billing servicesPercentage of collections
EnamelFlat fee
Claim creation
Medical billing servicesClaims built from your chart after the fact
EnamelNecessity captured at intake and chairside
Documentation
Medical billing servicesYou chase the documentation
EnamelEvidence packet attached at filing
See the workflow on a real case.
From chart evidence to a reviewed CMS-1500.