Products and Information Every Dental Biller Should Know About
Published by the American Dental Coders Association
Introduction: Tools That Empower Dental Billing Success
A knowledgeable and well-equipped dental biller isn’t just efficient—they’re invaluable. Whether you’re just starting your career or you’ve been in the field for years, having the right products, resources, and training can mean the difference between chaotic workflows and streamlined, revenue-boosting performance. This article outlines the essential tools, products, and information sources that every dental biller should know in 2025.
1. CDT Coding Manual – Your Daily Reference
The Current Dental Terminology (CDT) manual is the cornerstone of dental coding. Updated annually by the ADA, it includes:
- All active CDT codes with official descriptors
- New, revised, and deleted codes for the year
- Clarifications and coding guidance
✅ Pro Tip: Always use the latest edition to avoid claim denials.
2. ADA Claim Form (2024 Version)
Every dental biller should have a working knowledge of the ADA Dental Claim Form (2024). It’s the industry standard for submitting dental claims and includes:
- Required fields for CDT and ICD-10 codes
- Updated NPI and payer ID requirements
- Support for electronic and paper submissions
Download the current form from the American Dental Association or use it integrated within your billing software.
3. Dental Billing Software (Cloud-Based is Key)
Modern billing professionals need cloud-based software that allows remote access, automated workflows, and real-time updates. Look for software that includes:
- CDT and ICD-10 code libraries
- Real-time insurance eligibility verification
- Auto-generated treatment estimates and pre-authorizations
- Reporting tools for aging claims, AR, and payment tracking
Popular dental billing software: Dentrix, Eaglesoft, Open Dental, Curve Dental
4. Cross-Coding Resources (ICD-10 + CPT Guides)
If your office provides sleep apnea appliances, TMJ treatment, or surgical procedures, you’ll likely be billing medical insurance too. This requires:
- CPT coding knowledge
- ICD-10 cross-reference manuals
- SOAP documentation templates
- Claim denial and appeal guidance
🧠 Tip: Cross-coding specialists often earn more and face less competition.
5. HIPAA-Compliant Communication Tools
Patient privacy isn’t optional. Your billing processes must comply with HIPAA—especially when working remotely. Essential communication tools include:
- Encrypted email platforms (like Paubox or ProtonMail)
- HIPAA-compliant practice management systems
- Secure file sharing via cloud storage
6. Online Insurance Portals and Verification Tools
Dental insurance verification is one of the most time-consuming aspects of the job. Automate it with tools like:
- DentalXChange
- Vyne Dental
- Trovia
- Real-time benefit check features within your EHR
Always verify: Waiting periods, Frequencies, Missing tooth clauses, Annual maximums, Downgrades (posterior composites, crowns)
7. Continuing Education and Certification Programs
Investing in your skills pays off. Certification proves your knowledge, boosts your salary potential, and positions you for remote or freelance roles.
Start with:
Already experienced? Take the:
8. Memberships and Knowledge Hubs
Staying connected to current trends, industry changes, and professional support is a must. Join organizations that provide:
- Access to coding updates
- Peer networking
- Expert guidance and Q&A forums
- Exclusive training resources
We recommend ADCA Membership, which includes access to “Ask-The-Coder”—a free knowledge base where you can ask dental coding and billing questions anytime.
9. Templates and Tracking Sheets
Efficiency = automation + organization. Save time with ready-made tools like:
- Insurance verification checklists
- Coordination of benefits (COB) workflows
- Appeals and denial tracking logs
- Daily production and collection reporting templates
Build your toolkit—or get them as part of ADCA training programs.
Conclusion: Be More Than Just a Biller—Be a Billing Expert
Dental billing is more than entering numbers—it’s understanding rules, leveraging tools, and staying informed. When you’re equipped with the right resources, certified with the right credentials, and supported by the right organization, you become an essential part of your practice’s success.
🎯 Ready to upgrade your career? Explore training and resources from the American Dental Coders Association today.
