of Medicare Advantage plans now cover routine dental
NIGHTLEAK
Medicare Intelligence · Free Review
CMS Mandatory Filing · 42 U.S.C. §1395u(b)(3)(B)
The Medicare decision
every dental practice has to make.
33 million Americans are on Medicare Advantage.
98% of those plans now include routine dental benefits.
Your patients have active coverage — and your practice needs to know where it stands.
Enroll. Opt out. Or stay exposed.
98%
of MA plans cover routine dental
33M+
Americans on Medicare Advantage
$2,000
per-incident CMS penalty if enrolled & not filing
Free · 10 minutes · No pitch until you've seen your options
Your status check
Where does your practice stand on Medicare?
Pick the one that's true today. We'll tell you exactly what it means — and what to do.
We are enrolled in Medicare (participating or non-participating)
We formally opted out — affidavit filed with our MAC
We haven't done either — we just don't bill Medicare
Enrolled — you have revenue sitting in your patient base right now
Your patients have active Medicare Advantage dental benefits. Most enrolled practices aren't capturing them.
The missed revenue is real — cleanings, restorative, sleep appliances — all billable under MA plans your patients are already paying into.
There's also a compliance side: the CMS Mandatory Filing Law requires you to submit claims for covered services. Collecting cash without filing is a violation — up to $2,000 per incident.
A 10-minute review tells you exactly what's slipping through and how to close it.
10 minutes · No obligation · We show you the numbers first
Opted out — you're protected, but the math may have changed
A properly filed affidavit covers you — as long as it's current and every Medicare patient has a signed private contract in place.
Two things shift this decision: most practices opted out when MA dental coverage was thin. At 98% coverage today, opting back in is worth running the numbers on. Some practices are leaving $20,000–$40,000/year on the table to stay "fully private."
A 10-minute call runs the revenue math for your specific patient base so you can make the call with real data.
10 minutes · No obligation · You keep your decision, we just show you the numbers
Undefined — this is the exposure zone. It's fixable in 30 minutes.
"We don't deal with Medicare" is not a protected legal status — and it gets riskier every year as MA dental coverage expands.
Right now, your patients almost certainly have active MA dental coverage. You're leaving that revenue uncollected while carrying unresolved compliance exposure.
90% of dental practices are in this exact position. Most don't realize it until a claim audit surfaces it. The fix takes one call.
10 minutes · We map your options · No pressure to do anything
What enrollment unlocks
The MA dental revenue most practices aren't capturing
Medicare Advantage dental benefits exist in your patient base right now. They've been paying premiums for coverage they've never used at your practice. Here's what a typical solo GP can add through proper enrollment.
Preventive cleanings, exams, X-rays for MA patients
2× per year per patient under most MA plans
$180–$350/patient
Restorative under comprehensive MA plans
Fillings, crowns, extractions — plan dependent
$500–$2,000/patient
Sleep apnea appliances via DME enrollment (E0486)
Requires Form 855S · physician order required
A solo GP with 400 active patients and 15–20% on Medicare Advantage can conservatively add $18,000–$36,000/year in previously uncaptured revenue through proper enrollment.
Why this exists
"My father died at 62. Sepsis from infected root canals that went undetected for years. He had Medicare. His dentist wasn't enrolled. The oral-systemic connection was never made — clinically or financially. That gap cost him his life. I'm building tools to close it."
E
Eric Morin
Founder, NightLeak · Health starts from the mouth.
Free 10-minute Medicare review
Know exactly where your practice stands.
We confirm your status, run the revenue math on your patient base, and map the steps forward. No pitch. No obligation. Just clarity — in 10 minutes.
Confirm whether you're enrolled, opted out, or undefined
Estimate uncaptured MA dental revenue in your patient base
Map the steps to enroll or formally opt out
Check whether DME enrollment for sleep apnea applies to your practice
10 minutes · Free · No obligation
The three paths — reference
Option A
Enroll in Medicare
Revenue opportunity
Participating or non-participating enrollment lets you bill Medicare Advantage dental plans. Your patients' existing coverage starts paying you. The mandatory filing law applies — you must file claims for covered services.
Choose participating (accept MA rates) or non-participating (bill higher, patient pays difference)
Begin billing MA dental benefits · benefit verification required before covered services
Sleep apnea appliances require separate DME enrollment (Form 855S)
Option B
Formally opt out
Fully private practice
The opt-out affidavit filed with your MAC removes you from Medicare entirely. You and your patients cannot submit claims — but you are protected from mandatory filing requirements. Valid 2 years, auto-renews.
File affidavit with your MAC within 10 days of first private contract
Have each Medicare patient sign a private contract before services
Confirm renewal every 2 years — automatic, but verify it's on record
This is not a protected status. As MA dental coverage expands into every zip code, the likelihood of treating a covered service without a formal status increases every year. "I didn't know" is not a defense under CMS rules.
No protection from mandatory filing penalties ($2,000/incident)
Cannot capture MA dental revenue your patients already have
Exposure increases as MA enrollment grows year over year
This is the current status of most dental practices in the U.S.
Step 1 of 2
We'll pull your practice profile before the call.
So we show up already knowing your numbers — not a generic pitch.
1We pull your CMS profile→2We run your revenue estimate→3You pick a time — we show up prepared