What outsourced dental billing costs

Most dental billing companies quote a percentage of collections. That percentage is not what you pay, because it only applies above a threshold. Below it, a flat monthly minimum takes over, and for a smaller practice that flat fee is usually the most expensive way to buy billing.

The three pricing models

Percentage of collections. The default for full-service billing, between 2.5% and 3.5%, stepping down as collections grow. eAssist, Dental Claim Support and Wisdom all price this way, within a few dollars of each other.
A flat monthly minimum. Those same companies charge about $1,400 a month until you reach roughly $40,000 in monthly insurance collections. Below that line you pay a fixed fee whatever your volume.
Per claim. Posting software prices on claim count rather than dollars collected: Fincura publishes $250 a month plus $2 per claim posted. This model gets relatively cheaper as your fees rise.

What you actually pay

Monthly cost of outsourced dental billing by collection level, from published rates, September 2026
Monthly insurance collections	eAssist, Dental Claim Support and Wisdom	Teero	What that means
$30,000 a month	$1,397 to $1,400 flat, about 4.7% effective	$800, the monthly minimum	Below the threshold everyone charges a minimum. Teero's is $800, roughly half the $1,400 the three big outsourcers charge
$75,000 a month	$2,625 at 3.5%	$1,500	The market's standard band, and where the three are identical
$150,000 a month	$3,750 to $5,000, so 2.5% to 3.3% effective	$3,000	Rates step down. eAssist tiers its bands rather than applying one rate to the whole amount

Calculated from each company's own published rates in September 2026. Teero figures are the starting rate of 2% of payments posted, before volume discounts.

The flat fee is the expensive tier

A practice collecting $30,000 a month from insurance pays about $1,400 to any of the three, which works out at roughly 4.7% of collections. That is well above the 2.5% to 3.5% the same companies advertise, and the gap only closes once you cross the $40,000 threshold. If you are a single practice below that line, the headline percentage is not the number to plan against.

The costs that sit outside the headline rate

Setup. Dental Claim Support publishes a $399 one-time setup covering equipment and IT. Fincura charges a $1,000 implementation fee.
Clearinghouse. eAssist publishes $79 to $89 a month depending on tier, on top of the billing fee.
Patient statements. eAssist publishes $0.90 per statement, which scales with how many patients carry a balance.
Insurance verification. Usually priced separately. Wisdom publishes $99 a month plus $8.95 per full breakdown and $2.95 per eligibility check.
Patient billing. Also usually separate. Wisdom publishes $1,097 to $1,797 a month by net production, or 0.5% above $500,000.

In house or outsourced

Outsourcing replaces a salaried role, or a meaningful share of one. At $75,000 a month in collections the published rate is $2,625, which is in the range of a full-time biller once you count payroll taxes and benefits, and it arrives without hiring, holiday cover or a single point of failure. Below the $40,000 threshold the maths is less clear: $1,400 a month buys less of a person, and a front desk with genuine spare capacity can be cheaper. What usually settles it is not cost but whether anyone currently owns denials and appeals.

How Teero prices it

Teero starts at 2% of payments posted, with volume discounts and an $800 monthly minimum. The onboarding fee varies by practice, and there is no contract. Most offices are live within two weeks of signing up.

The boundary is deliberate. Claim submission stays with your office because it works best in the office, close to the patient and the chart. Everything before the patient arrives and after the claim goes out is ours: verification, posting of every EOB, ERA, check and virtual card payment, and insurance A/R and denials. If you want one vendor to take the entire billing function including submission, a full-service company is the better fit.

Some offices use us just for verification, some just for posting and aging, and many for both. Start where it hurts.

Common questions

How much does outsourced dental billing cost?

Between 2.5% and 3.5% of insurance collections at most full-service companies, with a flat minimum of about $1,400 a month until you reach roughly $40,000 in monthly collections. Below that threshold the minimum works out at about 4.7% effective. Posting software is priced differently: Fincura publishes $250 a month plus $2 per claim. Teero starts at 2% of payments posted with an $800 monthly minimum.

Why is my quote higher than the advertised percentage?

Usually because you are below the collections threshold and paying the monthly minimum instead, or because setup, clearinghouse, statements, verification or patient billing are priced separately. Ask for the all-in monthly figure at your current collections rather than the headline rate.

Is percentage of collections or a flat fee better?

A percentage tracks your volume, so a slow month costs less. A flat fee is predictable but costs the same whatever happens, which is why it is the expensive option for smaller practices. Per-claim pricing sits in between and gets relatively cheaper as your fees rise.

Does Teero submit claims?

No, by design. Submission works best in the office, close to the patient and the chart, so your team keeps it. Everything before the patient arrives and after the claim goes out is ours. If handing off submission is the reason you are outsourcing, a full-service biller is the better fit.

Is Teero legit?

Yes. You may already know us from staffing: Teero is the largest W-2 employer of dental hygienists in the U.S., and more than 5,000 offices partner with us across our staffing and insurance services.

For a company-by-company view, see the best dental billing companies compared, or read how Teero payment posting works.

How much does outsourced dental billing cost?: Between 2.5% and 3.5% of insurance collections at most full-service companies, with a flat minimum of about $1,400 a month until you reach roughly $40,000 in monthly collections. Below that threshold the minimum works out at about 4.7% effective. Posting software is priced differently: Fincura publishes $250 a month plus $2 per claim. Teero starts at 2% of payments posted with an $800 monthly minimum.

Why is my quote higher than the advertised percentage?: Usually because you are below the collections threshold and paying the monthly minimum instead, or because setup, clearinghouse, statements, verification or patient billing are priced separately. Ask for the all-in monthly figure at your current collections rather than the headline rate.

Is percentage of collections or a flat fee better?: A percentage tracks your volume, so a slow month costs less. A flat fee is predictable but costs the same whatever happens, which is why it is the expensive option for smaller practices. Per-claim pricing sits in between and gets relatively cheaper as your fees rise.

Does Teero submit claims?: No, by design. Submission works best in the office, close to the patient and the chart, so your team keeps it. Everything before the patient arrives and after the claim goes out is ours. If handing off submission is the reason you are outsourcing, a full-service biller is the better fit.

Is Teero legit?: Yes. You may already know us from staffing: Teero is the largest W-2 employer of dental hygienists in the U.S., and more than 5,000 offices partner with us across our staffing and insurance services.