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The Dental Billing Podcast

by Ericka Aguilar

Dental billing is not data entry. It's the difference between a practice that collects what it earned and one that writes it off and calls it the cost of doing business. The Dental Billing Podcast is hosted by Ericka Aguilar and Jen Lyman, RDH. Ericka has been a dental biller since 1998 and has taught billing in 31 states and Mexico. Jen came out of the operatory and now runs Lyman Revenue Solutions, handling both dental and medical billing. One of us knows exactly what the carrier is going to do with your claim. The other one knows what actually happened in that chair. You get both. Every week we break down denials, appeals, coding, and the carrier behavior nobody warns you about, in plain language, with real sources. We teach the law before the codes, because a code doesn't win an appeal. Knowing what that carrier is legally required to do wins the appeal. If you've ever been told you're "just the biller," this show is for you. Downloads in 114 countries and counting. Bring your coffee and your worst denial.

Latest episodes

Showing 20 · updated from the feed

Billing Meets Bookkeeping: Why Your Numbers Never Match

You posted a $100 payment. The bank shows $97. That missing 3% is merchant fees and it is technically income, and if your bookkeeper only records the net deposit, it neve

Oct 7
21 min

Stop Treating Patient Credits Like Free Money

Credit balances look harmless on a ledger, but they represent money we owe to patients or payers and they can turn into a major risk if we ignore them. We break down how

Sep 30
28 min

When AI Denies Your Claim with Dr. Amberena Fairlee

Most dentists know the insurance system is broken. Far fewer know what it actually takes to change it. Dr. Amberena Fairlee does, because she has been in the room in Sale

Sep 15
25 min

REPLAY: Avoiding Prison with Defensive Documentation with Dr. Roy Shelburne

A dentist, practice owner, and self-described “billing and documentation geek” sits down with us and tells a story most of dentistry never expects to hear: Dr. Roy Shelbu

Sep 2
46 min

Protocol Vs Standard Of Care In Dental X Rays with Jen Lyman, RDH

Someone on the internet said it’s “no longer protocol” to take x-rays at recall, and that one word is where the real danger starts. Radiographs are not a habit we do on a

Aug 25
33 min

Ericka Aguilar Gets Interviewed (Finally)

A lot of dental billing advice online is loud, confident, and wrong and the cost shows up months later as denials, write-offs, and clawbacks. So we flipped the mic and le

Aug 23
26 min

Credentialing Do's and Don'ts with Jen Lyman - RDH

The fastest way to break a dental billing system is to assume the hard part starts after treatment. We sit down with Jen Lyman, now officially my co-host, and get honest

Aug 17
38 min

How Membership Plans Help Dentists Drop PPOs

Insurance paperwork is eating the front office alive, reimbursements keep tightening, and expenses keep climbing, yet many practices still feel stuck on the PPO treadmill

Aug 15
39 min

27,837 Denials. Zero Appeals, make this make sense!

Delta Dental’s logo is everywhere in dentistry, but the numbers most practices never see are sitting in plain sight in a federal CMS dataset. We walk through the CMS Tran

Aug 11
36 min

What If We Called the Denial What it Really is: A Business Model Designed to Delay Payment

Less than 1% of denials get appealed in the real world, yet regulators have found appeal reversal rates that should stop every dental office in its tracks. We pull apart

Aug 4
34 min

Adjustment Slop: The Money Leak Nobody's Looking At

A huge amount of dental practice revenue doesn’t disappear because patients refuse to pay or because insurance “just won’t cover it.” It disappears because someone clicks

Jul 22
22 min

Built to Get Paid Series - Part 6 - Denial Management & Escalation that Works

Less than 1% of denied dental claims ever get appealed and insurance companies are counting on you to be in the other 99%. I walk you through the denial management mindse

Jul 14
43 min

Dental Billers Appreciation Day

Dental billing can look smooth from the outside, but that “smooth” is usually one person doing a mountain of detailed, high-stakes work behind the scenes. We’re sharing a

Jul 13
5 min

Built to Get Paid Series - Part 5 of 6 - The 3 Metrics That Never Lie

Your insurance AR report is trying to tell you the truth, but most of us only glance at the total and walk away with more anxiety than clarity. I’m Erica Aguilar, and I’m

Jul 7
29 min

Built to Get Paid Series - Bonus Episode -Documenting the Journey So You Don't Make the Same Mistakes

I want to share something with you this week that I don't usually talk about. For years, Jen and I carried an idea we couldn't shake. We knew dental billing be

Jun 30
21 min

Built to Get Paid Series - Part 4 of 6 -The Dental Billing Command Center

Twenty browser tabs. Constant timeouts. Portals that never match your workflow. If you’ve ever felt like dental billing is less about skill and more about surviving fragm

Jun 25
39 min

Built to Get Paid Series - Bonus Episode - Why Production Doesn't Always Become Collections -

A claim can be created in seconds, but a defensible claim takes verification and that difference can make or break your reimbursement. We start with a tough question: if

Jun 16
21 min

Built to Get Paid Series - The Workflow Engine (Part 3 of 6)

You can have hardworking people and still have a billing department that feels like a black box. Claims get submitted, denials appear, balances age, and everyone assumes

Jun 9
22 min

Built to Get Paid Series - The Roles Map (Part Two)

Send us Fan Mail Support the show Registration Link for Diagnosis Codes on a Dental Claim Form Webinar: https://dentiqhub-diagnosis-codes.vercel.app/ Get your Dental

May 19
49 min

Built to Get Paid Series - The Foundation (Part One)

Your billing should not feel like a surprise every month. When collections swing up and down, it’s rarely because “insurance is just hard” it’s usually because the founda

Apr 28
31 min

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