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How Does Dental Billing Work? (Hint: It’s Complicated—But It Doesn’t Have to Be)

January 09, 2025
Written by: Jordon Comstock

How does dental billing work: a phrase that sends shivers down the spines of office managers and doctors alike. Why? Because the whole thing is a tangled web of codes, claims, and insurance denials that make you feel like you’re trying to file your taxes blindfolded. If you’ve ever thought, “There’s got to be a better way,”—good news: there is. And its name is BoomCloud™.

BoomCloud™ isn’t just another tool; it’s a game-changing software that helps your practice ditch insurance drama by launching and growing a patient membership plan. Membership plans are not just a solution—they’re the solution.


The Basics of Dental Billing (a.k.a. The Struggle is Real)

If you’re new to the world of dental billing, buckle up. Here’s the short version:

  1. You treat patients. (Yay!)
  2. You submit claims. (Meh.)
  3. Insurance plays hard to get. (Sigh.)
  4. You chase down payments like you’re on an episode of Cops.

Sound familiar? The dental billing process is an epic battle of humans versus bureaucracy. You’ve got CDT codes to master, claims to file, EOBs to interpret, and—oh yeah—patients to actually care for. The whole system feels rigged to make your life harder than it needs to be.


Why Insurance Is a Frenemy at Best

Here’s the truth about dental insurance: it’s not on your side. Insurance companies exist to make money—their money, not yours. They cap coverage, delay payments, and dictate treatment decisions like they’re the dental gods of Olympus.

But what if you could bypass this mess entirely? Enter the membership plan, a direct-payment alternative that eliminates middlemen, boosts revenue, and makes patients actually happy.


What Is a Patient Membership Plan, Anyway?

Imagine Netflix for your dental practice. Patients pay a flat monthly or yearly fee, and in return, they get access to preventive care and discounts on additional treatments. No insurance, no headaches.

With BoomCloud™, setting up a membership plan is ridiculously simple. In fact, it’s so easy you might find yourself wondering why you didn’t do it sooner.


How to Start a Membership Plan with BoomCloud™

Step 1: Sign up for BoomCloud™. Trust me, this isn’t one of those “call your IT guy and cancel your weekend” setups. BoomCloud™ is user-friendly and designed with real humans (like you) in mind.

Step 2: Customize your plan. Decide what your membership includes—think cleanings, X-rays, and discounts on crowns or implants. BoomCloud™ even gives you pricing insights based on your demographics.

Step 3: Market the heck out of it. Use email campaigns, in-office signage, and social media to spread the word. Bonus: BoomCloud™ comes with built-in marketing tools to make this part a breeze.

Step 4: Enjoy recurring revenue. Unlike insurance reimbursements that feel like pulling teeth (pun intended), membership fees are predictable and hit your bank account regularly.


Why Membership Plans Crush Insurance (Every Time)

  1. Better Case Acceptance: Patients with a membership plan are more likely to say yes to treatment. No waiting periods, no deductible drama—just better care, faster.
  2. Stronger Patient Loyalty: Membership plans create an emotional connection. Patients feel like VIPs, and you get lifelong fans.
  3. Recurring Revenue: Predictable income stream? Yes, please. Membership fees smooth out cash flow and keep your practice thriving, even during slow seasons.

Case Study: From Chaos to Cash Flow with BoomCloud™

Meet Dr. Sarah, owner of a small practice in Boise, Idaho. Like most dentists, Sarah was drowning in insurance paperwork and struggling with late reimbursements. Patients were frustrated, her team was burned out, and revenue was stuck in a holding pattern.

Then she discovered BoomCloud™.

The Results:

  • Membership Plan Enrollment: Over 200 patients joined within the first six months.
  • Increased Revenue: Her practice saw a 20% boost in recurring income.
  • Improved Case Acceptance: Patients on her plan were twice as likely to approve recommended treatments.
  • Happier Team: With less billing chaos, her staff could focus on patient care—not paperwork.

Dr. Sarah’s verdict? “BoomCloud™ saved my practice. Insurance felt like a ball and chain; now we’re free.”


Why You Need to Act Now

Every day you wait to implement a membership plan, you’re leaving money—and patient satisfaction—on the table. BoomCloud™ is your all-in-one solution to escape the insurance hamster wheel and build a sustainable, thriving practice.

Here’s the kicker: your competitors are already jumping on the membership bandwagon. Don’t get left behind.

Top Tip: The best practices that scale to thousands of active membership patients, have great reviews, have a working marketing function & have 1500 active patients per doctor.


Ready to Revolutionize Your Practice?

BoomCloud™ isn’t just software; it’s a movement. Join thousands of other practices that are saying goodbye to billing nightmares and hello to freedom.

Schedule Your Free Demo Today and see how easy it is to launch your membership plan.


FAQs: How Does Dental Billing Work?

How does dental billing work?
Dental billing involves submitting claims to insurance companies for reimbursement. It’s a complex process requiring accuracy, follow-ups, and a lot of patience.

What is a patient membership plan?
A membership plan is a subscription-based model where patients pay a flat fee for preventive care and discounts on other services—no insurance required.

Why is BoomCloud™ better than other software?
BoomCloud™ is intuitive, customizable, and specifically designed for dental practices. It simplifies membership management and offers powerful marketing tools.

Can I use BoomCloud™ with insurance?
Yes, but the goal is to reduce your dependency on insurance over time. BoomCloud™ helps you transition to a more sustainable revenue model.

Is a membership plan right for my practice?
If you’re tired of insurance headaches and want more predictable income, a membership plan is absolutely worth it.

How quickly can I set up a membership plan with BoomCloud™?
Most practices can launch their plan in just a few days. BoomCloud™ provides all the tools and support you need to succeed.


Final Note: How Does Dental Billing Work?

Dental billing doesn’t have to be a soul-sucking experience. With BoomCloud™, you can take control of your practice, improve patient care, and finally enjoy the predictability of recurring revenue.

Don’t wait for insurance companies to change the game—rewrite the rules yourself.

My Top Podcasts

Download "The Million Dollar Dental Membership Plan" E-book!

Learn tactics and strategies from practices that have built a million dollars in recurring revenue from their membership subscriptions alone! Creating a patient membership plan is the smartest strategy to implment in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & improve your case acceptence by 3X with members. Download the book Now!

Membership Plans For Optometrists

vision-membership-plan-ebook Learn tactics and strategies from practices that have built a million dollars in recurring revenue from their membership subscriptions alone! Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & improve your case acceptence by 3X with members. Download the book Now!

What is BoomCloud™?

BoomCloud is a software platform that allows you to create, manage & grow your own membership program. Build unlimited plans, track recurring revenue, active members metrics. Integrate your online membership enrollment with your website & start growing recurring revenue. Schedule a demo!

Fire The PPOs With These Proven Strategies!

Discover how to break free from the grip of PPOs and transform your practice into a thriving, profitable business. Imagine better cash flow, higher profits, and stronger patient relationships. It’s not a dream – it’s a reality waiting for you.

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Watch a BoomCloud™ Demo

Power your patient membership program, Create recurring revenue, improve patient loyalty & maximize patient spend. 

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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Recurring Revenue Growth Calculator

Discover the revenue potential of your practice’s membership plans. This calculator helps you project growth by analyzing key factors like patient volume, plan pricing, and service utilization. See how implementing a custom plan can boost your bottom line.

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 PPO Loss Calculator – How Much are YOU Losing?

Calculate the hidden costs of relying on traditional PPO plans. Our PPO Loss Calculator reveals the revenue you could be missing out on and helps you strategize for greater profitability with a membership-based model.

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