AI for insurance verification & billing at dental clinics
We’re Toothy.ai. We’re building AI agents for dental practices that handle everything related to patient insurance. The average dental clinic spends over 160 hours a month on insurance tasks like verifying patient policies, billing, and claims processing. Our AI agents automate this entire workflow—including making insurance calls with voice AI—saving clinics time, reducing costs, and ensuring faster reimbursements.
Toothy.ai is building HIPAA-compliant AI agents that automate all the back office functions in a dental practice. Our first two agents automate the entire revenue cycle, so dental practices can sit back and watch the insurance payments roll in 😎
Our AI handles everything from insurance verification, claim creation, claim submission, denial correction, claim resubmission, and payment posting.
We're already seeing early customers cutting their back office teams by 50-75% within weeks of implementing Toothy.
Dental practices waste 800 million hours and $13.2 billion per year on time-consuming and repetitive back-office tasks. On top of that, dental practices are facing an unprecedented labor shortage and 90% of them find it extremely or very challenging to fill vacant positions.
The largest, most time-consuming, and error-prone part of a dental practice’s back office is revenue cycle management (RCM)—the process of getting paid. 80% of dental practices face financial concerns due to RCM challenges. Tasks like insurance verification, claim submission, and payment posting are labor-intensive and prone to errors. Frequent policy changes make it difficult to verify coverage, leading to billing discrepancies and delayed payments.
✅ The solution
Toothy’s AI agents automate the entire RCM process, saving practices 160+ hours per month and increasing revenue by 5-10%. Our AI agents handle everything from insurance verification to payment posting, eliminating the largest source of administrative burden.
How do our agents work?
☎️ Verify Insurance – Calls payers and check online portals to confirm coverage.
📝 Input data - Fills out and uploads a comprehensive breakdown form with 50+ codes into your practice management system.
📬 Create and submit claims - Accesses imaging software, clinical remarks, and plan details to create & submit comprehensive claims.
🛠️ Correct denials - Understands denial reasons, updates the claim, and resubmits to payers. Can even draft appeal letters.
💰 Payment posting - Collects, scans, and deposits insurance checks into your bank account.
Toothy becomes your full-time RCM team, reducing staff workload and ensuring faster, higher reimbursements.
🙏 Our Ask
Toothy is already working with dozens of forward-thinking dental practices who never want to deal with insurance again. If that sounds like you, we'd love to talk: