Dental-medical integration for practices

The medical care of the mouth is now a payer. Most practices haven't noticed.

Since 2023, Medicare pays for medically necessary dental and oral surgery connected to serious medical treatment. There's now a modifier built specifically for these claims. YesOnUs gives your practice the standard, the documentation packet, and the reimbursement rails to treat the mouth as part of the body — and get paid for it correctly.

What changed

A quiet rule change turned oral surgery into covered medical care.

For decades, dentistry sat outside medicine. When an infection in the mouth threatened a transplant, a heart valve, or chemotherapy, the patient paid cash or the treatment stalled. In 2023 a federal rule reclassified dental care that is inextricably linked to a covered medical service as part of that treatment — payable by Medicare Part B. In July 2025, CMS added a modifier (KX) built specifically for these claims.

What this means for your practice: your Medicare-age patients on dialysis, in cancer treatment, headed for a transplant or a heart valve are paying you 100% cash for work Medicare would now cover. Most practices don't capture it, because nobody told them the rule exists — and because doing it wrong invites a headache. Doing it right is a new payer and a reason patients say yes to treatment they were about to decline.
Two ways to get paid

Same clinical work. Two directions the money can flow.

Both run on the same rule (42 CFR §411.15(i)(3)) and the same coordination discipline. Which one fits depends on whether your practice enrolls in Medicare.

Lane 1 · Patient reimbursement

Your patients get money back

You don't enroll, don't file, don't change your billing. The patient pays you as they do today, then recovers a portion from Medicare on their own claim — with an advocate handling it end to end.

  • No credentialing, no Medicare enrollment
  • You hand patients information; they call an advocate
  • Your practice receives nothing and pays nothing — clean by design
  • Patients who know money can come back accept treatment more often
Lane 2 · Practice billing under your NPI

Your practice bills Medicare directly

The practice enrolls and bills covered medical-mouth work under its own NPI — 80% of the approved amount from Medicare, coinsurance from the patient. Best fit for oral surgery, implant, and perio practices seeing 65+ patients in the named scenarios.

  • Credentialing + PECOS enrollment handled for you
  • KX / ICD-10 claim templates for the covered scenarios
  • Coordination-documentation workflow (the MD↔dentist link)
  • Claims prepared and submitted under your direction and sign-off

The two lanes are never bundled or conditioned on each other. Which lane fits your practice is the first thing the chart-count answers.

What you get on enrollment

The integration packet — valuable the day it arrives, whether you ever bill or not.

01

The Standard

The covered scenarios, the real citations, and the documentation format — so your charts hold up. The definitive reference on medically necessary dental care, written to be used, not sold.

02

The Packet

Scenario checklists, MD↔dentist coordination-letter templates, KX/ICD coding sheets, referral forms. Everything a practice needs to document the link correctly, standalone.

03

The Listing

Enrolled practices are listed in the verified registry patients and coordinators are routed to. Earned, never sold; routing is never paid for in either direction.

How to start

Begin with a free chart-count. No commitment, no PHI.

Free chart-count teardown

Send 90 days of surgical case types — no patient identifiers. We show you how many sat inside a covered scenario and what the two lanes could have meant for them. Expertise on the table, zero commitment.

The honest recommendation

We tell you which lane fits — or that you shouldn't enroll at all. For some practices that's the right answer, and we say so. The screen is part of the service.

Enrollment + the packet

If it fits: credentialing (if billing under your NPI), the documentation workflow, staff training, and the patient materials — so the next qualifying case is handled correctly from day one.

Ongoing support

Claims prepared and submitted under your direction; denials worked; your practice decides everything billed, always. You run the practice; we run the paperwork behind your signature.

Said before you ask

The honest costs.

What enrolling in Medicare actually commits you to

  • Credentialing takes months — this is a build, not a switch you flip.
  • An enrolled provider files all covered claims — you can't cherry-pick which to submit — and takes on limiting charges, revalidation, and audit exposure.
  • Medicare-approved amounts are lower than your cash fee schedule. This lane wins on the volume of cases that currently walk out the door at cash prices — not on rate.
  • For some practices, the right answer is "don't enroll." We'll tell you when it's true. That's why step one is a chart-count, not a contract.

Every claim in this program is scenario-cited, coordination-documented, and signed off by you — built audit-first, because the rule is new and reviewers are still learning it too.

Get started

Start your dental-medical integration.

Tell us about your practice. We'll set up your free chart-count and walk you through which lane fits — usually within two business days.

No patient information on this form, ever. By submitting you're asking us to contact you about dental-medical integration — nothing more. We never pay for referrals or condition anything on patient volume. YesOnUs is a private service, not affiliated with Medicare or CMS.

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Provider enrollment · dental-medical integration