Verification, coding, claims, denials, patient pay — all unified, all powered by AI plus a dedicated dental billing team.
The moment an appointment hits your schedule, Toothy contacts the payer, pulls eligibility, and confirms benefits — automatically.
Every claim is AI-scrubbed against current payer rules, then reviewed by a billing specialist before submission. The result: dramatically lower denials.
When a claim does get denied, our team appeals it within 48 hours — fully documented, fully tracked, no work for your office.
See A/R aging, payer mix, denial reasons, and recovery in one clean view — updated every hour.
Auto-text and email balances with secure payment links. Most patients pay within 48 hours.
The front desk sees benefits, deductibles and copays before the patient sits down.
Enterprise-level security baked into every layer — so you can sleep easy.
End-to-end encryption, signed BAAs, full audit trails on every action.
Type II audit underway. Continuous monitoring of access and infrastructure.
Granular permissions per user, per location, per data type. Zero shared logins.
Encrypted backups across multiple regions with one-click restore.
30-minute demo, your data, your payers. We'll show you the exact recovery you're missing.
Great revenue cycle work starts with great clinical understanding. Here are three diagrams our team uses when training billers on dental coding.
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.
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.
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.
Tell us about your practice. We'll show you exactly where Toothy recovers revenue.
A layered system: the AI engine handles deterministic, high-volume work — humans take every appeal, edge case and conversation.
Toothy sits between your PMS and the payer network. Every appointment trips a workflow that flows top-to-bottom: pull eligibility, code the visit, scrub the claim, route exceptions to a human, and post the payment back to your ledger.
We meet your stack where it is — no rip-and-replace, no double entry.
Bi-directional sync of schedule, ledger and notes. Writes-back claim status the moment it changes.
Real-time eligibility through Change Healthcare, Vyne, DentalXChange and direct payer APIs.
Daily ERA reconciliation pushed straight to QuickBooks Online or your back-office ERP.
Five overlapping layers protect every byte of PHI, from the network edge down to the row level.
PHI never touches a developer laptop. Every request is authenticated, every action is logged, and every backup is encrypted with keys we rotate quarterly.