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The Dental Billing PodcastAuthor: Ericka Aguilar
Welcome to The Dental Billing Podcast, where dental billing, insurance reimbursement, leadership, compliance, and revenue cycle management are discussed without the fluff or gatekeeping.Hosted by Ericka Aguilar, founder of Fortune Billing Solutions, this podcast was created for dentists, office managers, dental billers, and front office teams who want practical strategies to improve collections, reduce insurance headaches, and build stronger systems inside their practices.Ericka began her career in dentistry in 1995 and moved into dental billing in 1998. Since then, she has managed large group practices, built a successful national dental billing company, and helped hundreds of dental offices increase insurance reimbursement and improve billing performance. She has taught dental coding and billing workshops in 31 states, educated thousands of dental professionals, and developed one of the first Dental Administration Programs registered with the Private Postsecondary Board of Education.Each episode delivers real-world guidance on dental billing, insurance claims, coding, denial management, compliance, leadership, artificial intelligence, and practice growth. You'll hear candid conversations, industry insights, and proven strategies that can be implemented immediately.Whether you're new to dental billing or a seasoned professional, The Dental Billing Podcast will help you navigate the ever-changing world of dental insurance, protect patient benefits, and create a healthier, more profitable practice.Because great billing isn't just about getting claims paid. It's about protecting revenue, supporting patients, and helping dental practices thrive. Language: en Genres: Business, Careers, Entrepreneurship Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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27,837 Denials. Zero Appeals, make this make sense!
Tuesday, 11 August, 2026
Got questions? Send Ericka a Text!Delta Dental’s logo is everywhere in dentistry, but the numbers most practices never see are sitting in plain sight in a federal CMS dataset. We walk through the CMS Transparency in Coverage Public Use File and focus on the rarely opened tab for individual marketplace standalone dental plans. Because carriers self report claims received, denials, resubmissions, and formal appeals, the file becomes an uncomfortable mirror for both payers and the dental billing systems we run inside our offices. Here’s what stops us: Delta Dental companies across 20 states report a 22.5% in network denial rate, higher than the broader dental market in the same file, and out of network denial rates climb even further. But the real gut punch is what CMS added for 2024: resubmitted claims. When only a small fraction of denied claims come back through the door, it suggests a huge pool of abandoned revenue sitting on aging reports, quietly turning into write offs and patient balances without a deliberate decision. We also get precise about formal appeals: what counts, why plan documents matter, how deadlines create leverage, and why regulators only have visibility when we generate a paper trail. Then we turn it into action with a practical denial management process, simple tracking fields your team can start this week, and a challenge for practice owners to stop accepting “I need to appeal those” as the end of the conversation. Subscribe, share this with your billing team, and leave a review with one change you are making after you pull your last 90 days of Delta denials. Interested in a Demo of Dentiq - The Billing Command Center? Get on the interest list here:https://4063-dentiq.systeme.io/waitlistGet your Dental Billing Toolkit Here:https://www.dentalbillingdoneright.com/the-dental-billing-toolkitDownload "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=headerSchedule a billing chat with Ericka:https://calendly.com/ericka-dentalbillingdoneright/30minEmail Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.com
