DSOs & Dental Groups · MARGIN

Dental Revenue Cycle Performance.

A lower cost to collect and faster cash: eligibility and benefits confirmed before the patient sits down, clean claims out the door, and denials and posting worked from prioritized queues in the support center.

The problem this solves

  • Verification done by phone and payer portal, office by office, with breakdowns patients only see at checkout
  • Claims sent without the attachments or narratives a payer requires, then reworked after denial
  • AR aging and write-offs visible by office only at month end, too late to act

What we measure

  • Net collection rate
  • First-pass claim acceptance rate
  • Days in AR and aged AR share
  • Verification cost per appointment

Every program starts by baselining these numbers in your systems. Results are reported against your baseline, not against industry averages.

The playbook

01

Verification at scale

Eligibility and benefit breakdowns gathered ahead of the schedule through clearinghouse and payer connections, exceptions routed to a central team, and patient estimates ready before the visit.

02

Claim readiness and denial queues

Pre-submission checks for attachments, narratives and payer rules, and denials grouped by cause and payer so fixes happen upstream. Coding judgment stays with the dentist and your coding team.

03

Posting and follow-up

ERA and EOB posting, payer follow-up and patient balance outreach sequenced by value, with every action logged for audit.

The market context, in published numbers

16%

of US dentists were affiliated with a dental support organization (DSO) in 2024

ADA Health Policy Institute, Dental Practice Research (2024)

59.3%

of DSO-affiliated dentists cited staffing as one of their top 3 practice challenges for 2026, ahead of insurance (55.6%) and maintaining a full schedule (35.2%)

ADA Health Policy Institute, The State of the U.S. Dental Economy, 4th Quarter 2025 Update (revised February 3, 2026), slide: Top 3 Challenges for 2026: Non-DSO vs. DSO Dentists (2026)

88.3%

of dentists who recently recruited practice staff rated recruiting dental hygienists "very" or "extremely" challenging in Q4 2025 (94.9% in Q4 2023, 90.1% in Q4 2024)

ADA Health Policy Institute, The State of the U.S. Dental Economy, 4th Quarter 2025 Update (revised February 3, 2026), slide: Dental Hygienists Hardest to Recruit (2026)

1 in 3

US dentists across all practice types, not only DSO-affiliated, reported they were not busy enough and could have treated more patients in Q4 2025

ADA Health Policy Institute, The State of the U.S. Dental Economy, 4th Quarter 2025 Update (revised February 3, 2026), slide: One-Third of Dentists Not Busy Enough (2026)

$2.1B

spent by the US dental industry on eligibility and benefit verification in 2023, up 15%; the CAQH Index put the savings from moving portal and manual checks to automated electronic checks at $580 million

2024 CAQH Index (2023 data), as reported by ADA News, "Benefit verification drives increased administrative spending in dental offices" (March 24, 2025) (2025)

Figures are third-party market benchmarks from the cited sources, not Ometz Partners client results. We share them so you can size the problem before we ever talk.

Capabilities

What the Operations Performance program covers.

Process measurement and redesign

Process mapping, work sampling and system logs to find where time, cost and errors accumulate, followed by a redesigned flow with clear ownership.

Order-to-cash and procure-to-pay

Emailed and PDF purchase orders read into the ERP, invoice matching, deduction and chargeback research, and collections prioritized by risk and value.

Revenue cycle operations

Eligibility, authorization preparation, claim edits and denial work queues for care providers, with root causes fed back to scheduling and intake.

S&OP and planning

A monthly sales and operations planning cycle with demand signals, capacity, inventory and service levels in one view, so plans hold between meetings.

Quality and regulatory documentation

Drafting and assembly of deviations, CAPA records, certificates of analysis, safety data sheets and specifications for review. Your Quality Unit reviews, approves and signs every GMP record.

Financial-services operations

Account opening and transfer paperwork, advisor onboarding files, fee billing and reconciliation, tax and audit engagement preparation, and alert-review preparation, with every decision left to your operations, principal and compliance staff.

Close, reconciliation and reporting

Month-end close tasks, reconciliations and management reports assembled automatically and checked against your controls.

Also in the DSOs & Dental Groups program

Next step

Size this opportunity in your own numbers.

The Performance Diagnostic runs for two to four weeks at a fixed fee and ends with a baseline, three priced improvement plays and a 90-day plan. The findings are yours whether or not we continue.