Engineering and operations team reviewing dental analytics
About

Built by people who
love dentists.

Toothy is a product of Enventil Private Limited — a team of revenue cycle veterans and AI engineers obsessed with healthcare operations.

Product team collaborating around sketches and a laptop

Our mission

Independent dental practices lose 6–12% of net revenue to broken billing workflows. We're here to give that back.

By pairing AI with experienced dental billers, we deliver enterprise-grade revenue cycle management at a price every practice can afford.

Precision dental hand-instruments arranged on dark velvet

Why Enventil

Enventil Private Limited is headquartered in Nashik, Maharashtra. We blend deep RCM domain knowledge with modern engineering — so the work that used to take a back office of ten now takes a single intelligent platform.

Leadership

A note from our CEO

Meet the founder behind Toothy and Enventil Private Limited.

Nilkanth Gadakh, CEO of Enventil Private Limited
Nilkanth GadakhFounder & CEO
FounderRCM strategyAI & Engineering

Nilkanth Gadakh

Nilkanth founded Enventil Private Limited with a single belief — independent dental practices deserve the same revenue infrastructure that large DSOs and hospital groups quietly enjoy. After more than a decade leading revenue cycle teams across the US healthcare market, he assembled the dental billers, AI engineers and product designers who became Toothy.

"A dentist should never have to choose between treating patients and chasing claims. Toothy exists so they never have to."

Under his leadership, Toothy serves dental practices across the United States from Enventil's headquarters in Nashik, India — combining domain expertise, modern AI and old-fashioned operational discipline.

— Nilkanth Gadakh, Founder & CEO, Enventil Private Limited

Learn / Patient education

The biology behind every claim.

Great revenue cycle work starts with great clinical understanding. Here are three diagrams our team uses when training billers on dental coding.

Anatomy of a human tooth — biological diagram
Slide 01 / Anatomy

Anatomy of a human tooth

From enamel to root apex, every tooth is a layered biological structure. Understanding which tissues a procedure touches is the difference between a clean claim and a denial.

  • Enamel and dentin protect the inner pulp tissue
  • The pulp houses nerves, arteries, veins and lymphatics
  • Cementum and the periodontal ligament anchor the root in alveolar bone
  • CDT codes follow the affected layer — restorative, endodontic or periodontal
Progression of gum disease — biological diagram
Slide 02 / Periodontology

The four stages of gum disease

Healthy gingiva, gingivitis, periodontitis and advanced periodontitis each have specific clinical findings — and each maps to a different set of perio codes and frequency limits.

  • Stage 1 — healthy: prophylaxis (D1110) covered every 6 months
  • Stage 2 — gingivitis: scaling in the presence of inflammation (D4346)
  • Stage 3 — periodontitis: scaling and root planing (D4341 / D4342)
  • Stage 4 — advanced: periodontal maintenance (D4910), often surgical
Dental implant cross-section — biological diagram
Slide 03 / Implantology

Dental implants and osseointegration

An implant is three components billed separately — surgical placement, abutment and crown — over a months-long osseointegration timeline. Sequencing matters for both clinical success and reimbursement.

  • Surgical placement of the titanium fixture (D6010)
  • Custom abutment fabrication and seating (D6057)
  • Implant-supported crown (D6058 / D6065)
  • Pre-authorization and X-ray documentation drive payer approval
Journey

From one clinic to a network

Toothy was built inside a real dental group before it was ever a product. Every release still starts with a real billing question.

12022 — The painFounders watched a 12-chair group lose $400k/yr to denials.22023 — First modelInternal AI verifier cut denials in half within 90 days.32024 — BetaSix partner practices, $9M in claims processed.42025 — LaunchPublic release, 240+ practices live, ~$0.5B annual claims.52026 — TodayA team of 60 across India and the US, growing.

Three years, one obsession

We are not a generic AI lab pivoting into healthcare. Toothy was born inside a clinic that needed it to survive — and that DNA still shapes every decision.

  • Built inside a real DSO, not a Silicon Valley basement
  • Founders own the on-call rotation, every week
  • Roadmap voted on by client office managers
  • Profitable since month 14
Values

How we work

Four operating principles that shape every hire, every release, every customer call.

Outcomes over output

We measure ourselves in dollars recovered for clients, never lines of code shipped.

Boring on purpose

Healthcare money should be predictable. We avoid clever — we ship reliable.

Humans on the line

An AI never makes the last call on a denied claim. A specialist does, every time.

Open by default

Every dashboard, every audit log, every fee — visible to the practice in real time.

Where we work

A global team for an American problem

Headquartered in Nashik, with specialists across timezones — so claims keep moving even while your office sleeps.

NASHIK HQMUMBAILONDONBANGALORETOKYODUBAISINGAPORESYDNEYCAPE TOWNMANILA

Follow-the-sun coverage

When your front desk closes for the night, an appeals desk opens. Claims filed by 5pm CT in Dallas are scrubbed by 9am IST in Nashik and posted back before your team logs in.

  • Headquartered in Nashik, Maharashtra
  • Operations hubs across India, US and EU
  • 24/5 live coverage, 24/7 on-call
  • Native English + Spanish appeal calls