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The Evolutions Group

Oral surgery billing and collections, rebuilt.

We rebuilt our revenue cycle from the ground up. AI and automation now handle the repetitive work across the cycle, on whichever practice management software you already use, and oral surgery billing specialists stay on every claim that needs judgment. If you knew TEG billing before, this is a different system.

Works with your software

Our AI is software agnostic. There's nothing new for your team to learn and no data migration: we work inside the practice management system you already run.

  • WinOMS
  • Carestream Sensei
  • OMS Vision
  • Open Dental
  • DSN OMS
  • DSN OMS Cloud
  • And more

Results oral surgeons can see

99%

Of collectible dollars collected for our revenue cycle partners*

$200 million+

Estimated collections for our oral surgery partners since 2019

*Collectible dollars = production minus contractual write-offs. Based on TEG revenue cycle partners, visits December 2025 to April 2026, measured 180 days after each visit.

Built for how oral surgery actually bills

Oral surgery sits between dental and medical billing. Anesthesia, surgical modifiers, medical cross-coding for pathology and trauma, and dental-to-medical crossover trip up general billing companies. Our team works only in this space, so the edge cases are our everyday work.

Medical billing for oral surgery

Many oral surgery procedures can be billed to medical insurance when they are medically necessary and properly documented, including pathology and trauma care. We identify which procedures qualify, cross-code them from CDT to CPT and ICD-10, and submit them to the right payer: dental, medical or both.

General dental billing teams rarely handle medical claims. For our team they are everyday work.

Anesthesia billing

Anesthesia is billed separately from the surgery, with its own codes, time and documentation rules that differ by payer. We bill IV sedation and general anesthesia correctly to dental or medical insurance, so the anesthesia you provide gets paid.

Old insurance balances, recovered

  • Oldest and largest firstAging insurance AR is worked down starting with the balances most at risk.
  • Corrected and appealedEach claim is corrected and resubmitted, or appealed with the documentation the payer requires.
  • Root causes fixedDenials are categorized by root cause, so the same denial does not keep coming back.

Switching to TEG

Whether your billing is in-house today or with another billing company, switching does not change your practice software or your data: we work inside the system you already use. Onboarding takes 30 to 60 days on average.

We start by examining your open claims, aging AR and denial patterns, so the plan begins with real numbers. Your team stays focused on patients, and you see collections, AR aging and denial trends in clear reports.

Everything from the first call to the final payment

  • Insurance verificationEligibility and full benefit breakdowns confirmed before the patient sits in the chair.
  • Treatment plan estimatesAccurate patient estimates that support case acceptance.
  • Claim submission, dental and medicalCorrect CDT and CPT coding, medical cross-coding and anesthesia billing, routed to the right payer.
  • Claim follow-upEvery open claim checked continuously, so nothing sits unworked.
  • Denial management and appealsDenials categorized by root cause, corrected, resubmitted and appealed with the documentation payers require.
  • Payment postingInsurance and patient payments posted quickly and accurately in your software.
  • Aging AR recoveryOld insurance balances worked down, oldest and largest first.
  • ReportingCollections, AR aging and denial trends in one clear view.

Patient balances, worked for you

Patient balances get the same attention as insurance. Our team works every open balance, handles refunds and credit balances, and keeps you current on what's outstanding.

  • Balance follow-upOpen patient balances reviewed and worked, oldest and largest first.
  • Refunds and credit balancesOverpayments identified and resolved correctly, so nothing sits on the books.
  • Balance reportingSee what's outstanding, what's been paid and what needs attention.

We earn more only when you collect more

Our revenue cycle fee is a percentage of what we collect for you. Our incentives point the same direction as yours.

Available to our partner practices now

The new revenue cycle is part of every TEG partnership. If you worked with us before and want to see what changed, schedule a call and we'll walk you through it.

Common questions

What is revenue cycle management for an oral surgery practice?

Revenue cycle management covers everything from verifying a patient's insurance before treatment to collecting the final payment: benefit verification, coding, claim submission, follow-up, denials, appeals, payment posting and patient balances.

Why is oral surgery billing harder than general dental billing?

Oral surgery regularly crosses between dental and medical insurance. Anesthesia, surgical modifiers, pathology, trauma and medically necessary procedures often require medical coding and documentation that general dental billing teams rarely handle.

Can oral surgery procedures be billed to medical insurance?

Many can, when they are medically necessary and properly documented. We identify which procedures qualify, cross-code them correctly and submit them to the right payer.

What's different about the new TEG revenue cycle?

We rebuilt it around AI and automation. Repetitive steps such as eligibility checks, claim follow-up and payment posting run automatically, and our oral surgery billing specialists focus on coding, appeals and the claims that need judgment.

Will we have to change our practice management software?

No. Our system works with the major oral surgery practice management systems, including WinOMS, Carestream Sensei, OMS Vision, Open Dental, DSN OMS and DSN OMS Cloud.

How do you handle denied claims?

Every denial is categorized by its root cause, corrected and resubmitted or appealed with the documentation the payer requires. We also look for patterns so the same denial doesn't keep happening.

How do patient balances get collected?

Our team works every open patient balance, oldest and largest first, resolves refunds and credit balances, and keeps you current on what is outstanding.

How is revenue cycle management priced?

As a percentage of collections, so we earn more only when you collect more. The rest of the TEG partnership is a flat monthly fee.

Is our patient data secure?

Yes. We sign a Business Associate Agreement with every partner practice, and patient data is handled on HIPAA-compliant systems with access limited to the people who need it.

Do you offer outsourced oral surgery billing and collections?

Yes. Our team handles oral surgery billing and collections from insurance verification to the final patient payment, inside the practice software you already use. See everything you can outsource to TEG.

What collection rate do you achieve for oral surgery practices?

Across our revenue cycle partners, we collected 99% of collectible dollars (production minus contractual write-offs) for visits from December 2025 to April 2026, measured 180 days after each visit. Our oral surgery partners also have an estimated $200 million+ in collections since 2019.

Can you take over from our in-house billing team or current billing company?

Yes. Onboarding takes 30 to 60 days on average, and the switch does not change your practice software or your data: we work inside the system you already use. We start by examining your open claims, aging AR and denial patterns, so the plan begins with real numbers.

Do you handle credentialing and payer contracts?

Yes. We credential your surgeons with insurance payers, manage your payer contracts and fee schedules, flag claims paid below the contracted rate, and negotiate fee schedules with payers. See credentialing and contract analysis.

Do you bill anesthesia for oral surgery?

Yes. We bill IV sedation and general anesthesia to dental or medical insurance with the codes, time and documentation each payer requires.

Do you work old unpaid insurance claims?

Yes. Aging insurance balances are worked down oldest and largest first, corrected, resubmitted or appealed with the documentation the payer requires.

Schedule a call to see how our MSO can help you.

A free, confidential conversation about your practice and your goals. No obligation, no equity conversation.

Schedule a call