Expert Medical Billing. One Specialty.
We bill medical insurance for OMFS practices — trauma call, orthognathic, sleep apnea appliances, and cleft lip & palate repair — from first claim to final payment. And when a payer underpays an eligible out-of-network claim, we take it to federal IDR with our arbitration law-firm partner.
- Month-to-month, no lock-in
- OMFS-only coding team
A typical week on your claims
Illustration of claim statuses, not real patient data.
Figures are AllStar Billing client averages. 98% = share of claims submitted to medical insurance that are paid. Individual results vary by payer mix, case volume, and documentation; past results don't guarantee future results.
Built around the cases
general billers get wrong
Trauma Call
Hospital on-call facial trauma, from ER consults to ORIF — billed to medical with the right modifiers and place-of-service. See average payments by code →
Orthognathic Surgery
Pre-authorizations, medical necessity packets, and correct medical (not dental) coding for jaw surgery. See average payments by code →
Sleep Apnea Appliances
Custom oral appliances for obstructive sleep apnea, billed to medical with the sleep study, physician order, and delivery records payers require. See average payments by code →
Cleft Lip & Palate Repair
Lip repair, palate repair, and alveolar bone grafting billed correctly at every stage of a child's treatment. See average payments by code →
Denial Recovery
Structured appeal protocols that win back revenue other billers write off.
IDR Arbitration
No Surprises Act disputes handled end-to-end with our specialized arbitration law firm.
Specialist vs. generalist
| Many billing companies | AllStar Billing | |
|---|---|---|
| Specialty focus | Dental billing companies with an oral surgery add-on | Oral & maxillofacial surgery only |
| Contract | Longer-term agreements | Month-to-month, no lock-in |
| Denied claims | Limited appeal follow-through | Daily follow-up and structured appeals |
| Out-of-network underpayments | Rarely addressed | Screened for No Surprises Act IDR with a law-firm partner |
Four steps from surgery to payment
Initial claim review
We audit clinical notes and procedure codes before submission so medical necessity is documented up front.
Strategic submission
Claims go out electronically through channels set up for OMFS, cutting front-end rejections.
Aggressive follow-up
Daily status checks. Delays get chased; denials get appealed.
Reimbursement analysis
We verify every payment against what you're owed and report on your revenue trends.
How much are you leaving on the table?
See what claim denials cost your practice each year with our free calculator.
Straight answers
Still deciding? Call 951-595-1282 and talk to a billing specialist, not a salesperson.
Do I have to sign a long-term contract?
No. Agreements are month-to-month with no long-term lock-in. We keep clients by getting results.
Which specialties do you handle?
Oral and maxillofacial surgery only: trauma, orthognathic surgery, sleep apnea oral appliances, and cleft lip & palate repair, plus related procedures billed to medical insurance.
How far does your support go?
From the initial claim submission all the way to final reimbursement — including appeals, and IDR arbitration for eligible out-of-network claims.
Can you take over claims that are already denied or aging?
Yes. Once you're a client, we review your aging report and work every claim that's still recoverable.
Comprehensive medical billing for OMFS
Coding, claim submission, payment follow-up, and appeals — run by a team that only bills oral and maxillofacial surgery. Pick a service to see exactly what's included.
From chart to check
Initial claim review
A pre-submission audit of clinical documentation and procedure codes, confirming medical necessity requirements are met.
Strategic submission
Electronic submission through OMFS-optimized channels to minimize front-end rejections.
Aggressive follow-up
Daily claim status monitoring, escalation of delays, and full management of appeals for denied claims.
Reimbursement analysis
Payment accuracy verification and performance reporting on your revenue trends.
Struggling with denials?
Talk with an OMFS billing specialist about where your claims are getting stuck.
We handle the IDR process so you don't have to.
The federal Independent Dispute Resolution process is complex, deadline-driven, and hard to run alongside a busy surgical practice. We work with a law firm that specializes in IDR to pursue eligible out-of-network claims for you.
End-to-end, in the background
- Identifying claims that may qualify for federal IDR
- Coordinating eligible cases with our IDR arbitration law firm
- Gathering and organizing claim information and documentation
- Managing the IDR submission process
- Monitoring deadlines and requirements
- Coordinating communications throughout the process
- Working with our legal partner through arbitration
- Keeping you informed while we handle the work
What may qualify
Emergency services
Including ER facial trauma care by out-of-network surgeons.
OON at in-network facilities
Certain out-of-network services performed at an in-network hospital or ASC.
Post-stabilization
Certain services after the patient is stabilized.
Other NSA services
Other services that meet federal No Surprises Act requirements.
Eligibility varies by claim and circumstance. Our team can help determine whether a claim should be reviewed. Outcomes of arbitration are not guaranteed.
Deadlines are short. Missing one ends the dispute.
Tap each stage to see what happens. (General overview — the exact rules for your claim may differ.)
Underpaid on out-of-network claims?
Contact AllStar Billing to learn how we can help identify and manage eligible IDR cases.
Run the numbers yourself
Four quick tools for OMFS practice owners and office managers. No sign-up needed. Nothing you enter here is saved or sent.
How much are denials costing you?
AllStar Billing collects on an average of 98% of claims submitted to medical insurance.
Estimate only. Lost revenue = claims × denial rate × share never paid × average payment. The 98% is AllStar Billing's client average; results depend on payer mix, documentation, and case volume and are not guaranteed.
Get my real numbers →Could this claim qualify for IDR?
What could an underpaid claim be worth in IDR?
When an eligible out-of-network claim goes to federal arbitration, winning awards typically land at 60–80% of billed charges. Enter a claim to see the potential difference.
Estimate only. Assumes an award of 60–80% of billed charges, before IDR administrative and arbitrator fees. Each dispute is decided individually by a certified IDR entity; awards are not guaranteed and some disputes are decided in the payer's favor. Not legal advice.
What do common OMFS procedure codes actually pay?
The codes oral and maxillofacial surgeons bill most often — trauma, infections, consultations, oral surgery, orthognathic and TMJ surgery, cleft lip & palate repair, sleep apnea appliances, and imaging — with the average payment AllStar Billing has collected for each. Pick a category, then a code to compare it with similar procedures.
OMFS billing, explained
Practical guides for oral surgeons and their billing teams on getting paid by medical insurance.
Need help getting these claims paid?
Talk with an OMFS billing specialist about your medical insurance claims.
Ready to maximize your OMFS reimbursements?
Tell us about your practice. We'll talk through where your claims are getting stuck and how we can help.
Common questions
Is there a contract?
Month-to-month. No long-term lock-in.
What do you specialize in?
Trauma, orthognathic surgery, sleep apnea oral appliances, and cleft lip & palate repair.
How involved are you?
We support you from initial claim submission through final reimbursement.