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Dental revenue protection

Revenue doesn'tbreak in A/R.It breaks upstream.

RepashGlobal helps independent dental practices, DSOs and dental groups protect revenue from the start — at scheduling, eligibility, documentation and coding — instead of discovering problems after claims age on the report.

Upstream control panel

Live
  • Eligibility verifiedPre-visit
  • Fee schedule matchFlagged
  • Documentation completePre-claim
  • Provider credentialedFlagged
A/R aging (what most people watch)lagging
0306090120+

Caught at

Day 0, not Day 90

Trusted by dental teams, operators and founders

Corley Family DentalMontclair Family DentalMy Dental SOP360 Media + Marketing
SchedulingEligibilityFee schedulesTreatment planningDocumentationCodingCredentialingClaim submissionPayment postingSchedulingEligibilityFee schedulesTreatment planningDocumentationCodingCredentialingClaim submissionPayment posting

A/R is a lagging indicator

By the time it's on the aging report, the cause is weeks old.

Apparently "check the aging report again" was not the breakthrough. Most practices manage revenue by looking backwards. We help you protect it going forward.

Reactive · the usual way

Chase what already happened.

  • Wait for denials and aging to surface
  • Blame billing — again
  • Fix each claim individually
  • Same problems return next month

Proactive · Revenue Protection Architecture™

Protect revenue where it starts.

  • Find where the breakdown actually begins
  • Put controls at the front of the process
  • Give every step a clear owner
  • See risk before it becomes A/R

The revenue timeline

It breaks here. You find out there.

Every number on an aging report started as a decision made weeks earlier. Select a step to see where revenue breaks — and when it finally surfaces.

A/R aging reportThe lagging indicator. 30 · 60 · 90 · 120+

Where it breaks · Day 0

Scheduling & intake

Insurance is captured incorrectly or not at all when the appointment is booked. Subscriber details, plan changes, secondary coverage — missed at the front door.

Where it shows up · A/R report

31–60 days

Weeks later: a denial for terminated coverage or wrong subscriber, and a patient balance nobody expected.

Aging buckets are illustrative. Every practice's timing differs — which is exactly why the assessment exists.

Who we work with

One chair or fifty locations. Same upstream.

Request a Quote
Modern dental operatory

Independent practices

Your practice is making money. You're just not keeping all of it.

For owner-doctors who sense something isn't adding up — repeated denials, unexplained adjustments, different answers depending on who you ask.

DSOs

Standardize the controls, not just the reports.

For organizations that need consistent front-end processes across locations, clear ownership, and visibility before revenue problems roll up into the aging report.

Dental groups

Same problem, five locations, five explanations.

For growing groups where each office does it a little differently — and leadership is left reconciling the results.

36

years in dentistry.

More than one side of the desk.

Not sure which one you are? You don't need to be.

Tell us what's happening
Flagship service

Fractional Chief Revenue Officer

Ongoing engagement · For dental groups & DSOs

Embedded executive oversight for dental groups and DSOs. Revenue strategy, accountability, risk monitoring, and cross-functional operational leadership.

$322,524 → $164,000

Accounts receivable reduced in roughly three months in a prior engagement. Historical example, not a guarantee of future results.

What it includes

  • Executive-level revenue strategy and ongoing oversight
  • Revenue cycle performance monitoring and KPI development
  • Identification of upstream revenue leakage and financial exposure
  • Cross-functional workflow and operational risk evaluation
  • Staff and third-party billing vendor accountability
See the full scope
Michelle Repash, founder of RepashGlobal
Professional question-asker

Founder · Michelle Repash

I ask questions. Sometimes people wish I wouldn't.

After 36 years in dentistry, one question kept coming back: why do we keep fixing the same revenue problems without finding where they started? Revenue Protection Architecture™ wasn't built in theory. It was built in practice.

01Chairside02Front Desk03Insurance04Billing05A/R06Credentialing07Operations08Practice Management09Consulting10Business Ownership

Revenue Protection Architecture™

Why Revenue Breaks Upstream and How to Fix It — available now.

Get the book

The Revenue Architecture Brief

Latest thinking.

Read the blog
What is Revenue Protection Architecture?

May 26, 2026 · 6 minutes

What is Revenue Protection Architecture?

Revenue problems rarely begin where they become visible. Revenue Protection Architecture™ follows the clues upstream to six financial control points shaping what eventually lands in A/R. Because sometimes billing isn’t the problem. It’s just where the evidence showed up.

Read article
The Claim Was Compromised Before It Was Submitted

May 14, 2026 · 5 minutes

The Claim Was Compromised Before It Was Submitted

Billing may be where a claim is submitted, but the information it carries was built earlier. Incomplete verification, missing clinical documentation, or inaccurate patient information can compromise a claim before submission. Here’s how to trace the problem to its source.

Read article
Revenue Does Not Break at Billing

May 13, 2026 · 3 minutes

Revenue Does Not Break at Billing

A denied claim may look like a billing problem, but the first break often happened earlier. Here’s how to trace an unexpected balance back through patient information, verification, documentation, and submission—and fix the process that produced it.

Read article

Resource Library

Tools for a stronger practice.

View all resources
Dental Hiring & Outsourcing Interview Guide

Hiring & Leadership · PDF

Dental Hiring & Outsourcing Interview Guide

Build a stronger dental team with practical interview questions, candidate scorecards, and outsourcing evaluation checklists. Identify the right people, improve accountability, and create workflows that protect your patients, your team, and your earned revenue.

Revenue Leakage Investigation Toolkit | RepashGlobal

Assessments & Checklists · PDF/EXCEL

Revenue Leakage Investigation Toolkit | RepashGlobal

A two-part digital investigation toolkit for dental practice owners and revenue leaders. Includes an editable Excel system and PDF field guide to investigate revenue discrepancies, calculate potential exposure, identify root causes, and track corrective actions.

Dental Revenue Readiness Check

Assessments & Checklists · PDF

Dental Revenue Readiness Check

Designed for dental practice owners and leaders, this free 10-minute assessment uses 12 questions across six pillars to identify potential revenue vulnerabilities, uncover upstream process weaknesses, and determine where to focus improvement efforts first.

A newsletter by Michelle Repash

The Waiting Room

The conversations dentistry has when the patients can't hear us.

Read Issue No. 01

The Waiting Room · Newsletter

Pull up a chair.

The conversations dentistry has when the patients can't hear us. Witty, honest notes on front-desk life, dental operations and the systems that actually help — once a month. No spam, unsubscribe anytime.

Apparently, people have opinions

Fortunately, some of them put it in writing.

Owners, practice managers, billing partners and DSO leaders — in their own words, unedited.

Michelle uncovered overlooked revenue opportunities, improved our understanding of revenue processes, and identified issues that may otherwise have gone unnoticed.
Dr. LyngDr. LyngDental Practice Owner
A direct approach, an ability to identify overlooked opportunities, and practical solutions that create immediate impact.
Dr. Mark StevensonPractice Owner, Sarasota FL
Michelle sees what others miss — overlooked revenue and documentation issues — and provides a clear path forward.
Dr. Jessica MartinPractice Owner
Michelle and her team improved our efficiency, cleaned up open claims, and helped the practice stay current.
Natalie CorleyNatalie CorleyCorley Family Dental
Deep dental revenue experience and a practical approach that helps practices become more efficient and stay current.
Donna NuceraDonna NuceraPractice Manager, Montclair Family Dental
Integrity, clarity, deep revenue-cycle experience — and the ability to translate complex processes into practical, actionable guidance.
Juanita BivensJuanita BivensMedical Billing Company Owner
Dental revenue experience, clarity and professionalism, bringing practical solutions to complex problems for dental practices.
Devon DardenDevon DardenWealth Strategist
Expertise, communication, and a collaborative approach in working together to support dental clients.
Laura G. JohnstonLaura G. JohnstonMy Dental SOP
Curiosity, integrity, and a willingness to keep asking questions until the real issue is understood.
Chris SnyderChris SnyderFounder, 360 Media + Marketing
Knowledgeable, supportive, and able to help dental practices stay on the right track.
Allison SwisherAllison SwisherPractice Team Member

Give me one problem and one hour.

No sales pitch. No carefully disguised discovery call. We'll talk, I'll ask questions, and we'll pull on the threads until we find what's actually going on. Or, if you already know what you need, request a quote.