Dental reimbursement / TERM EXPLAINED
Billed Charge
The amount a practice submits on a claim before contractual adjustments, adjudication or patient cost sharing.
A dental practice example
An office bills $1,100 for a procedure whose participating allowance is $760.
Why it matters for reimbursement
High charges do not by themselves demonstrate high realizable reimbursement.
What to verify
Compare allowed amounts and collections rather than treating billed charges as negotiated revenue.
FROM DEFINITION TO DECISION
Turn reimbursement questions into evidence.
PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.