Apex Reimbursement Specialists

Apex Reimbursement Specialists Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Apex Reimbursement Specialists, Financial service, 2835 Smith Avenue, Ste 201, Baltimore, MD.

Apex Reimbursement Specialists is a PPO Portfolio Management firm handling negotiation, credentialing, UCR Fee Analysis, and Coding services to dental groups and practices.

09/14/2026

Indiana and Oregon just told dental insurers a computer can't downcode your claim without a human review and a written explanation. Indiana cut its recoupment window from two years to 180 days.

One Apex client had a claim downcoded 14 months later with zero explanation, something now illegal in Indiana.

Our free guide covers 7 ways practices are recovering revenue like this: https://apexreimbursement.com/7-tips/

A fee just to get paid: that's what Delta Dental of California is now charging dentists for paper-check reimbursements. ...
09/14/2026

A fee just to get paid: that's what Delta Dental of California is now charging dentists for paper-check reimbursements. The ADA has pushed back.

One Apex client found $3,200 a year in fees just like this before a review caught it.

If a payer charged you to access your own bank account, would you call that normal?

09/14/2026

Delta Dental of California wants to charge dentists a fee just to receive their own reimbursement money by paper check. The ADA has publicly pushed back on it.

One Apex client was losing about $3,200 a year to fees like this across three PPO panels before anyone caught it.

A fee to get paid. A cost with no service behind it. Money that was already yours.

Would you pay a fee to a client just to collect what they owe you?

09/11/2026

Becker's Healthcare's Future of Dentistry Roundtable brings DSO and independent-practice leadership together in Chicago next week, with insurance reimbursement still ranked dentists' top concern heading into next year.

The panels will talk clinical innovation and growth strategy. The hallway conversation is usually about something narrower: what you actually got paid per procedure this year.

How much of "the future of dentistry" conversation actually touches what you get paid?

Free guide: https://apexreimbursement.com/7-tips/

Two numbers that should move together and don't: dental plan costs, projected up 4.39 percent this year, and a lot of PP...
09/11/2026

Two numbers that should move together and don't: dental plan costs, projected up 4.39 percent this year, and a lot of PPO fee schedules, which haven't budged even 2 percent.

That gap is exactly what our UCR fee analysis is built to find and close.

When's the last time you actually checked the two numbers side by side?

09/11/2026

Dental-only plan costs are projected to rise roughly 4.39 percent this year, according to HUB International's 2026 trend study. Meanwhile plenty of practices' negotiated PPO rates haven't moved even 2 percent, let alone kept pace with overhead that's climbed 20 to 30 percent.

If the plans covering your patients are getting more expensive every year, why isn't what they pay you?

09/10/2026

The ADSO filed suit against Colorado's dental board over its DSO restrictions, a case that's still working through the courts and nothing's been decided. In the same season, North Carolina dropped its DSO preapproval requirement entirely, effective this July.

Two states moving in opposite directions on the same question, in the same month.

If you were evaluating a DSO partnership right now, would you know whether your state is making that easier or harder this year?

Free guide: https://apexreimbursement.com/7-tips/

09/10/2026

$50,000 a year. That's the new federal loan cap for dental students starting this July, against average dental student borrowing of $95,455 a year.

That gap doesn't close itself. It gets filled by private lenders, or by a DSO offering employment instead of ownership.

If you're building toward eventually selling or bringing on an associate, does this change how that conversation goes?

09/10/2026

A testimonial from Dr. Sean Hair...

A new federal cap limits professional students, including dental students, to $50,000 a year in federal loans starting t...
09/10/2026

A new federal cap limits professional students, including dental students, to $50,000 a year in federal loans starting this July, with Grad PLUS loans eliminated for new borrowers. Average dental student borrowing runs $95,455 a year.

If new dentists can't legally borrow enough to cover school, more of them end up employed by a DSO or leaning on private lenders instead of buying into a practice independently.

If new dentists can't afford to buy in independently, who do you think ends up owning the next generation of practices?

Address

2835 Smith Avenue, Ste 201
Baltimore, MD
21209

Telephone

(410) 710-6005

Website

Alerts

Be the first to know and let us send you an email when Apex Reimbursement Specialists posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Business

Send a message to Apex Reimbursement Specialists:

Shortcuts

Share

Category