Dental patient laughing genuinely after a successful treatment
Results

Revenue, recovered.

Real numbers from real practices. The kind of lift you can show your CFO.

+24%
Avg net collections lift
−68%
Claim denial rate drop
3.4x
Faster days-to-pay
22hrs
Staff time saved / week

"We were leaving roughly $18k a month on the table in unworked denials. Toothy paid for itself in the first three weeks."

Portrait of Dr. Sofia Alvarez
Dr. Sofia AlvarezFounder, Alvarez Smile Studio

"Front desk used to spend half the morning on phone calls with insurance. Now they're just talking to patients. Game changer."

Portrait of Dr. Marcus Reed
Dr. Marcus ReedManaging Partner, Reed & Co. Dentistry
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
Outcomes

Before vs after Toothy

Real medians from practices that have been live for at least 90 days.

INDUSTRY BASELINE 38% WITH TOOTHY 2% MEASURED ACROSS 240+ PRACTICES · TRAILING 90 DAYS

Denial rate, before and after

The largest single move is on first-pass denials. Verification + scrubbing eliminates the bulk of payer-side rejections — and the appeals team picks up what slips through.

  • Median first-pass approval: 96%+
  • A/R over 90 days: down 41%
  • Patient pay velocity: 2.3x faster
  • Net collections lift: +18% in quarter one
By specialty

Wins across every chair

Not every practice has the same revenue leaks. Here is where the dollars usually appear by specialty.

GP
/ General

General dentistry

Recovers an average of $84k / yr per location through cleaner verification and faster patient pay.

Ortho
/ Ortho

Orthodontics

Stops mid-treatment lapsed-eligibility surprises that account for ~9% of orthodontic write-offs.

Perio
/ Perio

Perio & implants

Pre-auth automation lifts implant case acceptance by an average of 14 percentage points.

ROI

Math you can show your CFO

A back-of-envelope you can replicate today — drop your real numbers in.

// MONTHLY UPLIFT
collections × 0.06 = recovered_revenue
recovered_revenue − toothy_fee = net_gain

// SAMPLE — $400k practice
$400,000 × 0.06 = $24,000
$24,000 − $4,800 =
9,200 / mo

A predictable, conservative model

Toothy is a percentage of cleaned-up collections — so payback starts in month one. The numbers above use the conservative 6% lift we underwrite for new clients.

  • 90-day money-back guarantee
  • No setup fees, no annual lock-in
  • Pricing scales with collections, not seats
  • Quarterly business review with your team