Dental Claims Cleanup

What Dental Claims Cleanup does

Dental Claims Cleanup LLC is a US-based, founder-owned dental revenue cycle management (RCM) services company headquartered in Cicero, New York, with a second office in Syracuse. Founded by Dr. Dorothy Kassab, DDS, it delivers outsourced dental billing, medical billing for dental procedures, credentialing, benefits verification, fee negotiation, and training services to independent dental practices and small DSOs across the United States. Service is delivered remotely via HIPAA-compliant access into the client's practice management system, which removes geographic constraints and supports a national reach from a small upstate New York footprint.

The company's core service is a tiered dental billing offering ($2,000-$5,300/month per client) covering electronic claims, claims management, EOB/EFT entry, and patient balances. Underlying technology is a stack of third-party integrations rather than proprietary software: ClaimX (ExtraDent) for electronic claims, NEA for attachments, and portals such as Availity and United Healthcare Optum for benefits verification. The principal differentiator in the technology layer is a trademarked "Receivables Recovery Prediction Analytics" methodology with 8 years of use, paired with bi-weekly progress meetings and a live dashboard reporting layer. The firm also runs two training academies — the Dental Billing Academy and the Medical Billing Academy — which double as a top-of-funnel marketing channel and a talent pipeline.

The business model is a mix of subscription recurring revenue (monthly billing, benefits verification, supervision services) and project-based one-time fees (practice analysis, fee negotiations, out-of-network transitions, academy tuition). Pricing is largely flat-fee rather than percentage-of-collections, with tiered pricing prorated based on monthly claim volume. Go-to-market is sales-led, with phone-based consultations, online booking via Smartsheet forms, and a multi-channel digital advertising presence. The customer base is broadly distributed across independent dental practices; named reference practices are all small to mid-market offices, and the contracts are month-to-month with 30-day cancellation. A related entity, Results Dental Collection Services, LLC, also owned by the founder, handles downstream debt collection for delinquent balances. The company has no disclosed external funding, operates as a private LLC, and is wholly dependent on its founder-CEO for strategic direction.

Name

Dental Claims Cleanup

Legal name

Dental Claims Cleanup LLC

Website

https://dentalclaimscleanup.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

1–10 employees

Short description

Dental Claims Cleanup is a US-based dental billing and revenue cycle management services company that remotely delivers outsourced claims processing, medical billing, credentialing, and benefits verification to independent dental practices nationwide.

Ownership category

akta.pro rank

Product category

Dental Billing Services

NAICS

Collection Agencies (561440)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Dental & Vision Claims & Utilization Management (FSAIAHAM)

akta.pro secondary industries

Membership/Subscription & Direct-Pay General Dentistry Practices (HLABAAAI), Preventive Recall & Maintenance Programs (Hygiene Recall Systems) (HLABAHAN)

Keywords

• Dental billing services
• Medical billing
• Revenue cycle management
• Insurance claims management
• Dental credentialing

Headquarters

HQ city

East Syracuse

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Dental Billing Services: Monthly recurring service fees for comprehensive dental billing management including e-claims, claims management, EOB entry, patient balances management. Tiered pricing based on volume with prorated fees.
2. Practice Analysis Services: One-time analysis fees for evaluating current billing systems, accounts receivable reports, and team performance.
3. Medical Billing Services: Medical billing for dental procedures including case submission ($15/claim), software licensing ($375/month), and full-service outsourcing ($2,250/month per provider).
4. Training Academy: Dental Billing Academy offering 4-week ($4,000) or 8-week ($4,000) courses; individual modules; management training programs ($3,000-$4,500).
5. Business Optimization Services: Benefits verification ($1,450+/month), fee negotiations ($3,000), credentialing ($500 + $150/plan annually), and out-of-network transitions ($2,500).

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Dental Claims Cleanup provides remote, HIPAA-compliant dental and medical billing services to dental practices nationwide. Core deliverables include electronic claims submission, claims management and follow-up, EOB/EFT entry and accounting, and patient balance management, delivered at flat monthly subscription tiers (Tier 1–3 from $2,000 to $5,300/month) and via add-on modules such as practice analysis, credentialing, benefits verification, fee negotiation, and out-of-network transition.

Product overview

Dental Claims Cleanup offers a comprehensive suite of dental and medical billing services delivered as both bundled service tiers and individual add-on modules. The core offering is dental billing services (electronic claims, claims management, EOB entry, patient balances management), available as three bundled tiers ranging from $2,000 to $5,300/month. Add-on modules include Dental Medical Billing, Practice Analysis, Credentialing, Out of Network Transition, Electronic Claims (ClaimX), Benefits Verification, UCR Fee Analysis, and Dental Billing Supervision. The company operates two training sub-brands: the Dental Billing Academy (4-8 week courses) and Medical Billing Academy, serving both as standalone offerings and as a talent pipeline for remote billing contracts. Services are delivered remotely via HIPAA-compliant access to client practice management systems.

Differentiator

Problem solved

Functional benefit

Products and services

• Dental Billing Services Recurring outsourced dental billing delivered remotely via HIPAA-compliant access, encompassing electronic claims submission, claims management, EOB/EFT entry and accounting, and patient balance management; offered as three bundled tiers ($2,000/$3,900/$5,300 per month) with live dashboard reporting and bi-weekly progress meetings.
• Dental Medical Billing Medical billing service for dental practices performing medically necessary procedures (trauma, surgery, TMD, oral pathology), handling medical eligibility verification and cross-coded ADA/CPT and ICD-10 claim submission; includes per-claim, software-license, and full-outsourcing components.
• Practice Analysis One-time diagnostic service investigating accounts receivable (review of overdue patient balances and unresolved insurance claims) and evaluating the practice's current billing systems, team performance, and data-entry and claim-submission processes; required first step before subscription onboarding for some plans.
• Credentialing Service Provider credentialing and re-credentialing service enrolling dentists with insurance plans, including initial registration and per-plan annual fees; supports retroactive re-credentialing for providers needing backdated enrollment.
• Out of Network Transition Service Fixed-fee project to transition a dental practice out of insurance networks, including consultation, strategy, forms and software edits, billing modifications, patient letters, and team training.
• Electronic Claims Service (ClaimX) Electronic insurance claim submission and management powered by ExtraDent's ClaimX platform, interfacing with the practice management system to submit claims, check status, send eligibility requests, and process ERA; priced per claim with optional add-ons.
• Benefits Verification Service Tiered recurring insurance benefits verification service (Basic through high-volume plans) including eligibility verification for hygiene patients, full benefits breakdowns for new patients, and same-day add-on verifications with 60-minute response window.
• UCR Fee Analysis & Fee Negotiations Per-provider analysis of dental fees versus regional UCR benchmarks followed by negotiation with insurance carriers and updates to the practice's dental software fee schedule.
• Dental Billing Academy Training program teaching the 10 Fundamental Steps of the Dental Billing Process, offered as 4-week full-time or 8-week part-time cohorts, individual modules for office team retraining, and management training for dental office managers and DSO CEOs.
• Medical Billing Academy Medical billing training and enablement division offering a virtual 8-hour training course, a DIY software subscription, and a full outsourced medical billing service billed per provider per month.
• Dental Billing Supervision Service Ongoing supervision engagement for in-house dental billing teams, including bi-weekly reporting, a 2-day paradigm-shift training session, and continuous accountability coaching, priced per supervised employee.
• Project Based Services Custom project-based engagements addressing specific dental billing challenges such as insurance fee schedule setup, bulk data entry, resolution of specific insurance struggles, incorrect write-off corrections, and provider billing corrections.

Quantifiable outcome

• Target unresolved insurance claims: less than $3,000-$5,000 for practices producing $80,000/month
• +2 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• ExtraDent (ClaimX)coreTechnology or IntegrationExtraDent provides ClaimX electronic claims management system that interfaces with dental practice management software. ClaimX enables claim submission, status checking, eligibility verification, and ERA processing. DCC serves as intermediary and support for dental practices using ClaimX, offering greater savings than direct enrollment.
• Results! Dental Collection ServicescoreStrategic or Co-development PartnerRelated company owned by Dr. Dorothy Kassab providing debt collection services for delinquent patient accounts. DCC refers clients for collection agency processing and oversees collection or small claims court proceedings. Shared branding and operations.
• GoogleminorGTM or Marketing PartnerDigital advertising and analytics partner. Uses Google services to collect analytics data and place targeted advertisements.
• Meta (Facebook/Instagram)minorGTM or Marketing PartnerDigital advertising partner for placing targeted ads across Meta's platforms including Facebook and Instagram.
• LinkedInminorGTM or Marketing PartnerDigital advertising partner for placing ads and advertising job openings to potential employees.
• Microsoft AdvertisingminorGTM or Marketing PartnerDigital advertising partner for placing targeted advertisements through Microsoft advertising network.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Henry Schein One (Dentrix): Largest installed-base dental practice management software suite (Dentrix) increasingly bundling claims management and AR tools; competes with DCC by enabling in-house automation inside practices that today outsource to DCC.
• Medusind: End-to-end medical and dental RCM outsourcing with revenue cycle, credentialing and analytics for healthcare providers; overlaps with DCC on dental-side claims management and medical-billing-for-dental workflows but at much larger scale.

Direct peers

• eAssist Dental Solutions: One of the largest U.S. dental billing outsource BPOs, offering claims submission, insurance verification, patient billing, and credentialing to dental practices—directly comparable in service mix and SMB/dental-practice ICP to Dental Claims Cleanup.
• CrownPoint Group: Outsourced dental and medical billing services including credentialing, eligibility verification, and AR follow-up for dental practices and DSOs—directly comparable across the bundled-tier and add-on service portfolio.
• Dental Revenue Group: Dental-specific billing and collections agency serving U.S. dental practices with claims follow-up, patient balance recovery and insurance negotiation; competes for the same mid-market dental practice customer as DCC.
• Pristine Dental Billing: Boutique dental billing services firm offering claims submission, appeals, and patient balance follow-up to U.S. dental practices; comparable in size and service scope to Dental Claims Cleanup.

Emerging players

• Dental Intelligence: Dental practice analytics and RCM platform providing claims monitoring, reactivation, and production analytics to dental practices—overlaps with DCC's receivables-recovery and reactivation offerings from a software angle.
• Solutionreach: Dental patient communication, recall, and reactivation platform—adjacent to DCC's Hygiene Reactivation Program and claims/benefits workflows that drive recall-driven production.
• Curve Dental / Curve SuperHero: Cloud-based dental practice management and patient engagement platform adding embedded billing and RCM tools; represents the software-side competitive threat to DCC's outsourced-services model.

Others

• Open Dental Software: Open-source dental practice management software used by many practices DCC serves; relevant as a feeder/integrator for DCC's remote-access billing workflows and as a structural alternative to outsourced billing.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/DentalClaimsCleanupLLC
• LinkedInlinkedin.com/company/dental-claims-cleanup

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Dental Claims Cleanup