Prospa Billing
Prospa Billing is a US-based dental billing outsourcing firm serving general, specialty, and DSO dental practices. It manages the full revenue cycle—from insurance verification through denial appeals—via remote US specialists integrated with Dentrix, Eaglesoft, and Open Dental, on flat-fee or percentage-of-collections pricing.
- Company typePrivate
- Founded2020
- HeadquartersSpringfield, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Prospa Billing does
Prospa Billing is a US-based dental billing outsourcing company that provides end-to-end revenue cycle management services to dental practices across the United States. Headquartered in Springfield, Massachusetts, with a secondary presence in Charlotte, North Carolina, the company serves general dentistry practices, specialty practices (oral surgery, orthodontics, endodontics, periodontics, pediatric dentistry), and dental service organizations (DSOs), employing 101-250 people. Its service portfolio covers the full revenue cycle—insurance eligibility verification, claims submission, payment posting, denial management and appeals, patient billing and statements, and medical-dental cross-coding—delivered remotely by US-based billing specialists. Case-study evidence shows measurable client outcomes, including reduction of AR days from 69 to 41, denial rates from 18% to 6.5%, and net collection rate improvements from 89% to 97% at a three-doctor Ohio practice. The company also offers a 90-day pilot program with contractual KPIs (AR days under 45, denial rate below 8%).
Prospa Billing firmographics
Firmographics- Name
- Prospa Billing
- Legal name
- Prospa Billing
- Website
- https://prospabilling.com
- Company type
- Private
- Founded year
- 2020
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Prospa Billing is a US-based dental billing outsourcing firm serving general, specialty, and DSO dental practices. It manages the full revenue cycle—from insurance verification through denial appeals—via remote US specialists integrated with Dentrix, Eaglesoft, and Open Dental, on flat-fee or percentage-of-collections pricing.
- Ownership category
- akta.pro rank
Where Prospa Billing is headquartered
LocationHeadquarters
- HQ city
- Springfield
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Prospa Billing business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Dental Billing Outsourcing Services: Prospa Billing charges dental practices for outsourced revenue cycle management services including claims submission, denial management, payment posting, and insurance verification. Revenue is generated through percentage-based fees on collections or flat monthly retainer fees depending on practice size.
- Percentage of Collections: Medium and larger practices pay 3.0-3.5% of collections, with smaller practices (under $35,000/month in insurance payments) paying flat monthly fees around $1,250. This aligns with industry benchmarks of 4-10% of collections.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Small Practice Tier - Flat Monthly Fee |
| Transaction based/ take rate | Monthly | Medium and Large Practice Tier - Percentage of Collections |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels4 records
Prospa Billing product offering
Product offeringCore offering
Prospa Billing is a US-based dental billing outsourcing company that provides end-to-end revenue cycle management services for dental practices. The company manages insurance verification, claim submissions, payment posting, denial management, and patient billing through a team of US-based dental billing specialists who integrate remotely with clients' existing practice management software (Dentrix, Eaglesoft, Open Dental).
Product overview
Prospa Billing is a dental billing outsourcing company offering a unified platform of revenue cycle management services for dental practices. The core offering consists of Dental Insurance Billing, Oral Surgery Billing, Dental Insurance Verification, and Patient Billing & Statements, supported by sub-products including Claims Submission, Payment Posting, Denial Management & Appeals, and Medical-Dental Cross-Coding. The company integrates with practice management systems like Dentrix, Eaglesoft, and Open Dental to provide seamless workflow automation. Services are delivered remotely by US-based dental billing specialists who manage the complete billing cycle from insurance verification through payment posting.
Differentiator
Problem solved
Functional benefit
Products and services
- Dental Insurance Billing Comprehensive dental insurance billing service that manages the entire revenue cycle including claim submissions, follow-ups, insurance verification, and payment posting for dental practices of all sizes and specialties.
- Oral Surgery Billing Specialized billing service for oral surgery practices managing intricate billing requirements, including surgical documentation, medical necessity claims, and complex procedure coding using dental and medical codes.
- Dental Insurance Verification Insurance eligibility and benefits verification service that confirms patient coverage, deductibles, coinsurance rates, and frequency limitations 48 hours before appointments to prevent billing errors and claim denials.
- Patient Billing & Statements Patient billing service providing detailed, understandable statements with clear cost estimates and payment options to enhance patient satisfaction and improve collection rates.
- Revenue Cycle Management (RCM) End-to-end revenue cycle management service covering the entire financial process from patient scheduling through final payment collection, including insurance verification, medical/dental coding, claim submission, and denial management.
Quantifiable outcome
- AR days reduced from 69+ to 41
- +5 more outcomes
Companies that use Prospa Billing
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles2 records
Prospa Billing technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability2 records
Prospa Billing partnerships and signals
Strategic signalScale indicators4 records
Recent moves6 records
Expansion highlights4 records
Prospa Billing competitors and assessment
Company assessmentDirect peers
- eAssist Dental Solutions: Largest US dental billing outsourcing company, providing outsourced insurance billing, claims, and AR management to dental practices. Directly comparable to Prospa Billing in service offering, customer base (SMB/mid-market dental practices), and pricing model.
- Dental Claim Support: US-based dental billing and insurance claims management company serving general and specialty dental practices. Direct competitor with similar outsourced RCM service model and customer profile.
- P3 Dental Billing (Practice Perfection): Dental billing outsourcing firm offering claims submission, AR follow-up, and insurance verification to US dental practices. Direct peer with similar pricing structure and SMB/mid-market focus.
- Medusind: Healthcare RCM outsourcing company with a dedicated dental billing vertical serving practices and DSOs. Comparable outsourced RCM service model, though broader in scope across dental and medical specialties.
- BilledRight: Dental billing company providing outsourced insurance claim processing and AR management to dental practices. Direct competitor with similar SMB/mid-market customer focus and %-of-collections pricing.
- Zircare (ZS Dental Billing): Specialized dental billing outsourcing company serving general and specialty dental practices with claims, AR, and verification services. Direct peer in dental RCM outsourcing with similar vertical specialization.
- Dental Revenue Group: US dental RCM and billing services provider focused on increasing collections and reducing AR for dental practices. Directly comparable service offering, customer type, and pricing approach.
Broad incumbents
- Henry Schein One (Dentrix): Owner of Dentrix, the leading US dental practice management software, which Prospa Billing integrates with. A broad incumbent with extensive dental software footprint and growing RCM-adjacent capabilities that could compete with or partner alongside outsourced billing services.
- Patterson Dental (Eaglesoft): Major US dental supply and software company whose Eaglesoft PMS is integrated by Prospa Billing. Broad incumbent in dental practice technology with potential to expand into RCM/billing services for its installed base.
- Waystar: Large healthcare RCM and claims management platform serving hospitals, health systems, and increasingly ambulatory/dental providers. Broad incumbent with technology-led RCM offering that overlaps with claims submission and payment posting functions Prospa Billing provides.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
Prospa Billing social profiles
Digital presenceProspa Billing compliance and trust
Trust signalCompliance1 record
Prospa Billing financial estimates
Financial estimateRevenue estimate
Valuation estimate
Prospa Billing leadership team
Management profileNumber of profiles
Prospa Billing funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Prospa Billing M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Prospa Billing
What does Prospa Billing do?
Prospa Billing is a US-based dental billing outsourcing company that provides end-to-end revenue cycle management services for dental practices. The company manages insurance verification, claim submissions, payment posting, denial management, and patient billing through a team of US-based dental billing specialists who integrate remotely with clients' existing practice management software (Dentrix, Eaglesoft, Open Dental).
Is Prospa Billing a public or private company?
Prospa Billing is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Prospa Billing founded?
Prospa Billing was founded in 2020. It employs 101 to 250 people.
Where is Prospa Billing based?
Prospa Billing is headquartered in Springfield, United States, in the North America region.
How does Prospa Billing make money?
Two revenue lines are on record. Dental Billing Outsourcing Services are the primary driver. The others are percentage of Collections.
Who are Prospa Billing's main competitors?
Direct peers on record are eAssist Dental Solutions, Dental Claim Support, P3 Dental Billing (Practice Perfection), Medusind, BilledRight, Zircare (ZS Dental Billing) and Dental Revenue Group. Broad incumbents are Henry Schein One (Dentrix), Patterson Dental (Eaglesoft) and Waystar.
Does Prospa Billing have an API?
No public API is recorded for Prospa Billing.