For periodontal & oral surgery practices

Know what insurance covers before the chair.

Veritooth turns a periodontal treatment plan into a clear answer for your front desk: what is covered, what needs prior authorization, which documents to gather, and the patient’s likely out-of-pocket - in seconds, not phone calls.

Real-time Stedi 270/271HIPAA-ready architecturePer-clinic data isolation
app.veritooth.com/workspace
Coverage summary
MetLife Dental PPO - active
Eligible
D4341Scaling & root planing
Covered 80%
D4260Osseous surgery
Needs prior auth
D6010Implant placement
Check medical
$50
Deductible left
$968
Annual max left
$240-310
Est. patient
Prior-auth narrative & document checklist ready

Built on the rails dental practices already trust - Stedi clearinghouse, ADA CDT coding, and X12 270/271 eligibility

Periodontist reviewing a panoramic X-ray with a patient
D4260Needs prior auth
Osseous surgery
Narrative + perio charting + radiographs flagged automatically.
The gap we close

Stop chasing payers. Start treating.

“Active or inactive” was never the hard part. The hard part is whether this exact surgery, for this exact plan, will be paid - and what you need to submit to get there. Veritooth answers that.

  • Procedure-level verdicts, not just eligibility
  • Prior-auth narratives drafted for the payer
  • Medical-vs-dental routing for surgical codes
  • Defensible patient estimates in plain language
What it does

From treatment plan to coverage answer

Everything your treatment coordinator needs to quote a periodontal case accurately - in one screen.

Clinician examining CBCT dental imaging

Built for surgical cases

Implants, grafts, osseous surgery, CBCT - the codes where coverage is murky and the documentation matters most. Veritooth reads the plan rules and tells you exactly what each payer wants.

Real-time eligibility

Live 270/271 checks through Stedi's payer network - active coverage, deductibles, and annual maximums, normalized into plain language.

Procedure-level verdicts

Every CDT code gets a verdict - likely covered, needs prior auth, or check medical - with a confidence score so staff know what to trust.

Prior-auth packets

Auto-drafted medical-necessity narratives, document checklists, and the exact attachments each payer expects for surgery.

Patient estimates

A defensible out-of-pocket range your coordinator can share with confidence - with a clear not-a-guarantee disclaimer.

Insurance-card scan

Snap the card; AI reads the member ID, payer, and group so the front desk skips the typing.

Medical vs. dental routing

Flags procedures that should bill to medical (implants, biopsies, CBCT) so claims go to the right payer the first time.

How it works

Three steps, no phone tree

Replace portal logins and hold music with a single, repeatable workflow.

1

Enter the case

Patient, payer, provider, and the planned CDT codes - or scan the insurance card to prefill.

2

Run the check

Veritooth pulls live eligibility, applies the plan's rules, and drafts the language - in seconds.

3

Act with confidence

Share the patient estimate, submit the prior-auth packet, and route medical claims correctly.

Modern periodontal operatory

Made for the specialty chair

Periodontists and oral surgeons deal with the toughest coverage questions in dentistry. Veritooth is purpose-built for those cases - not a generic eligibility checker.

Security & compliance

Designed for healthcare from day one

A tool you can put in front of patients - and defend in an audit.

Built for PHI

Authentication on every request, encrypted in transit, secrets in a managed vault. No PHI in AI prompts.

Per-clinic isolation

Each clinic is its own tenant. Staff only ever see their own patients - enforced server-side.

Role-based access & audit

Admin and member roles, an access log of every verification and export, and BAAs for production.

Veritooth provides estimates to support your team and is not a guarantee of payment. Run real patient data only after your BAAs are in place.

Stop guessing at periodontal coverage

Give your front desk a faster, more accurate way to verify benefits and quote patients.