Dental hygienist organising sterilized instruments on a steel tray
How it works

Four steps. Zero friction.

From signup to first paid claim in under 14 days. Here's the engine that makes it happen.

Step 01

Connect

We connect to your PMS in a single guided session — Open Dental, Dentrix, Eaglesoft, and more. No new software for your team.

Step 02

Configure

Toothy learns your fee schedules, payers, providers, and codes. Your dedicated billing team is briefed on your practice's quirks.

Step 03

Run

Verification, claim submission, follow-up, denials, patient billing — all running 24/7. Your office sees a clean dashboard, not a workload.

Step 04

Optimize

Weekly insights show where revenue is leaking and what we've recovered. Your team focuses on patients; we focus on the money.

See it on your data

Bring three months of EOBs and we'll show you exactly what Toothy would have recovered.

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
Flow

The full revenue loop

From the moment a patient is scheduled to the moment cash hits your bank — five steps, mostly invisible to your team.

STEP 01ScheduleSTEP 02VerifySTEP 03CodeSTEP 04SubmitSTEP 05Collect END-TO-END REVENUE FLOW · 0.4S MEDIAN AI LATENCY
Onboarding

Live in 14 days

Two weeks from kick-off to your first AI-verified patient. No big-bang cutover, no downtime for the front desk.

1Day 1 — DiscoveryAudit your A/R, payer mix and current denials.2Day 3 — PMS connectRead-only sync of schedule and ledger validated.3Day 7 — Shadow runAI runs alongside your team, no patient impact.4Day 10 — Go-liveFirst eligibility checks issued under your NPI.5Day 14 — OptimizeDenial playbooks tuned to your payers.

A two-week glide path

We sequence the work so risk stays low and your front desk keeps shipping. Most practices recover their first denied claim before day 21.

  • Dedicated implementation lead
  • Daily stand-ups during week one
  • Read-only PMS access until you say go
  • Rollback plan documented at kickoff
Inside the engine

How the AI actually decides

Not a black box. Every model output is paired with the source rule, the source claim, and the human who can override it.

/ 01 · Inputs

Eligibility + history

Patient demographics, plan ID, prior procedures and the live payer eligibility response feed every prediction.

/ 02 · Models

Code + scrub + route

Three specialised models — CDT coder, claim scrubber and denial classifier — vote on every claim.

/ 03 · Output

Action + audit trail

Submit, hold, or escalate to a human. Each action is logged with the rule and confidence score.