top of page

Medical Billing Submission

Welcome to our Medical Billing Submission page.  This page is for use by our dental practices enrolled in Medical Billing Support.  

Filling out this form is easy.  Simply enter your patient details and upload the needed forms.  The rest is our specialty.  Submission of this form does not guarantee payment or approval from a medical insurance company. 

This form takes less than 1 minute to submit.

bottom of page