What support exists for coordination of benefits between medical and dental plans?

We verify both medical and dental eligibility at intake, determine which plan is primary based on the procedure type and plan coordination rules, and manage sequential billing including crossover claims where the secondary payer requires the primary payer's explanation of benefits before processing.

How does the platform handle prior authorization for orthognathic (jaw) surgery?

Our authorization module compiles the complete documentation package required by medical payers, including cephalometric radiographic analysis, documented functional impairments (such as TMJ dysfunction, sleep apnea, or malocclusion-related issues), photographs, and orthodontic treatment coordination records, then tracks the authorization through approval.

How is anesthesia billed for OMS procedures performed in-office versus in a hospital setting?

We support time-based anesthesia billing (CPT 00170, 00190, 00192, and related codes) for in-office deep sedation/general anesthesia administered by the oral surgeon or an anesthesia provider, correctly calculating anesthesia time units and base units, and we apply different billing logic for hospital-based cases where facility anesthesia services are billed separately.

Does the system support billing for impacted tooth extractions under medical insurance?

Yes. When impacted tooth extractions involve documented pathology such as infection, cyst formation, or nerve impingement, our system supports CPT coding (e.g., 41899, D7220-D7241 dental crosswalks) with the appropriate ICD-10 diagnosis codes required for medical necessity review.

How does the platform handle dental implant and bone grafting billing?

We track CDT codes for routine implant placement billed to dental plans, while bone grafting related to trauma reconstruction or tumor resection that meets medical necessity criteria is billed under CPT to medical payers, with our system flagging which billing pathway applies based on the documented indication.

What support exists for facial trauma and fracture reduction billing?

Facial fracture reduction procedures (CPT 21343-21498 range) are billed under medical insurance with correct fracture site, open versus closed reduction, and approach documentation, and our system coordinates these claims with any concurrent dental procedures needed for occlusal restoration.

How does the system manage pathology specimen billing for OMS biopsies?

Biopsy specimens sent for pathology are tracked from the surgical encounter through lab reporting, with our system generating the appropriate CPT pathology codes (88300-88309 range) and ensuring the pathology claim is coordinated with the surgical procedure claim under the correct payer.

Oral & Maxillofacial Surgery PM & RCM Software

Practice Management and RCM Billing Built for Oral & Maxillofacial Surgery

Coordinate dual medical/dental billing, CDT vs. CPT code selection, and anesthesia for OMS procedures. See why oral & maxillofacial surgery practices choose Unlimited Systems for practice management and RCM software.

Why Oral & Maxillofacial Surgery billing is different

Oral and maxillofacial surgery practices uniquely bill across both medical and dental insurance systems, requiring precise determination of whether a procedure should be coded under CDT or CPT and coordinated between the two coverage types. Jaw surgery, impacted tooth extractions, and trauma reconstruction frequently require prior authorization from medical payers while routine extractions remain dental-only, demanding dual-track billing expertise that generic dental or medical software cannot provide.

A single OMS practice may submit a CDT claim to a dental plan for a routine extraction the same week it submits a CPT claim to a medical plan for orthognathic jaw surgery, anesthesia services, and pathology, often for the same patient with overlapping coverage. Determining which payer is primary, whether a procedure is medically or dentally necessary, and how anesthesia time should be billed alongside the surgical procedure requires coordination logic that most practice management systems simply do not support.

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Oral & Maxillofacial Surgery workspace preview coming soon

HOME SPECIALTIESOral & Maxillofacial Surgery RCM Software

Trusted Payer & EHR Integration Partners

Designed Around How Your Oral & Maxillofacial Surgery Practice ACTUALLY Works

Our connected workflows are built to make you and your work easier to do and increase your revenue.

Visit-ready

Keep authorization and coverage aligned before the appointment is booked.

Claim-ready

Validate oral & maxillofacial surgery codes, modifiers, and documentation before submission.

Practice-ready

Give teams one view of denials, margin, and A/R priorities.

Real Oral & Maxillofacial Surgery Practices, Real Results

See how oral & maxillofacial surgery groups across the country use Unlimited Systems to lift collections, cut denials, and reclaim staff time.

Featured Practice

Oral & Maxillofacial Surgery Partners of the Midwest

Columbus, OH14-provider group practice

“Unlimited Systems gave our oral & maxillofacial surgery billing team the specialty-specific automation we could never get from a generic platform. First-pass claim acceptance climbed fast.”

- Director of Revenue Cycle

23%

Fewer denials

11 days

Faster A/R

Calculate Your RCM Revenue Leakage

Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.

Model your current claim volume

Adjust both inputs to match your practice.

Monthly specialty claims1,500

200 claims15,000 claims

Average claim value$250

$80 value$3,500 value

Estimated annual revenue recovered

$315,000

Calculated using a 7.0% reduction in write-offs from rejection recovery, pre-authorization verification, and drug-waste capture.

Monthly invoiced volume: $375,000
Standard industry loss: $31,875

Unlimited Systems Guarantee: Fully integrated bi-directional EHR triggers maintain first-pass bill submission scores above 98.6% across regional payer rules on day one.

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See your recovery estimate

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See Your Results Immediately5/55/54.8/5

One platform for every oral & maxillofacial surgery workflow

Eight connected capabilities, grouped around the way your practice works.

Front office

Keep registration and appointment calendars in sync.

Patient intake Scheduling

Before the visit

Verify coverage and catch charge risk early.

Financial clearance Charge validation

Revenue cycle

Post payments, route denials, and prioritize A/R.

Payment and denials A/R management

Practice intelligence

See margin, performance, and value-based results.

Analytics Value-based care

The Oral & Maxillofacial Surgery suite

Every part of the oral & maxillofacial surgery revenue cycle, in one system

Each module is configured for the codes, modifiers, and payer rules oral & maxillofacial surgery teams work with, not adapted from generic billing software.

The cost of generic billing

You went into oral & maxillofacial surgery to treat patients, not to chase claims

These are the places oral & maxillofacial surgery practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.

Review your workflow

Common oral & maxillofacial surgery revenue leaks

Claims submitted to the wrong payer type (medical vs. dental) for procedures that could be billed under either CDT or CPT depending on medical necessity.
Denied or delayed jaw surgery (orthognathic) claims due to incomplete prior authorization documentation from medical payers.
Anesthesia billing errors when time-based anesthesia codes are not correctly coordinated with the surgical procedure codes.
Coordination of benefits failures when both medical and dental plans are billed for overlapping services without proper primary/secondary sequencing.

Challenges we solve for oral & maxillofacial surgery

The work that generic platforms leave to your staff is the work oral & maxillofacial surgery margin actually turns on.

CDT vs. CPT Code Selection

Decision engine evaluates medical necessity criteria and procedure type to automatically route claims to medical or dental payers with the correct code set.

Dual-Coverage Coordination

Unified coordination of benefits engine sequences medical and dental claims correctly and manages crossover billing automatically.

Jaw Surgery Authorization

Authorization assembly automatically compiles cephalometric analysis, functional impairment documentation, and orthodontic coordination records.

Legacy software vs. Unlimited Systems

See why oral & maxillofacial surgery practices move off general-purpose billing platforms.

CRITERIA

LEGACY SYSTEM COMPROMISE

UNLIMITED SYSTEMS VALUE

CDT vs. CPT Code Selection

✕Billers manually guess which code set to use, leading to claims rejected by the wrong payer type.

✓Decision engine evaluates medical necessity criteria and procedure type to automatically route claims to medical or dental payers with the correct code set.

Dual-Coverage Coordination

✕Medical and dental claims for the same patient are submitted independently without coordination, causing duplicate payment denials.

✓Unified coordination of benefits engine sequences medical and dental claims correctly and manages crossover billing automatically.

Jaw Surgery Authorization

✕Orthognathic surgery authorizations are submitted with incomplete cephalometric and functional documentation, causing delays.

✓Authorization assembly automatically compiles cephalometric analysis, functional impairment documentation, and orthodontic coordination records.

Still evaluating

Not Ready to Switch Yet? That's Exactly When to Start the Conversation.

You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.

Get a Demo Benchmark Your Current Workflow

You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.

Less billing work between the visit and payment

Specialty rules and connected data keep your team focused on the exceptions that need judgment.

Verify before the visit

Coverage and authorization stay tied to the order.

Validate specialty charges

Code, unit, and modifier checks happen before filing.

Work the right accounts

Denials and A/R are ranked by value and filing risk.

Care team in scrubs walking through a clinic corridor

35%less manual workflow time

One platform

The rest of the platform your oral & maxillofacial surgery practice runs on

The same connected system handles the operational work that sits either side of billing.

Patient Intake

Digital intake, eligibility, and demographic capture before the visit.

Explore Patient Intake

Patient Scheduling

Smart calendars and resource scheduling across providers and locations.

Explore Patient Scheduling

Financial Clearance

Automated eligibility checks and prior authorization management.

Explore Financial Clearance

Charge Validation

Pre-claim scrubbing for coding, modifiers, and compliance accuracy.

Explore Charge Validation

Built for oral & maxillofacial surgery

Follow one oral & maxillofacial surgery patient from intake to payment

Eight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.

Walk the workflow with us

Frequently asked questions

Our decision engine evaluates each procedure against documented medical necessity criteria - such as impacted tooth pathology, facial trauma, infection, or functional impairment - and routes the claim to the medical payer using CPT/ICD-10 codes when medical criteria are met, or to the dental payer using CDT codes when the procedure is routine dental care.

New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.

We Love Hearing From Our Users

Practices like yours, on what changed after moving to Unlimited Financials.

EXPLORE PRODUCTS GET A DEMO

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“

I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.

Sam Wheeler

CFO, SCOA

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The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.

Ernelita Dacumos

Billing Manager, SHOM

“

Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.

Melissa Shook

Medical Biller, SHOM

“

I would recommend Unlimited Financials to other specialty practices.

Michelle Leandri

CEO, NEPA

“

We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.

Gina

Administrator, FOUR

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We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.

Renee Bernacchi

Accounts Receivable Coordinator, COAS

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