Toothy AI

Verification runs on its own. Toothy pulls the day's appointments from the practice management system, checks primary and secondary coverage against clearinghouse EDI and payer portals using the practice's own NPI and credentials, and writes a filled out benefits table back to the record, with no list for the office to upload. Where portals fall short, the founders' Y Combinator profile says the follow up calls to payers are placed with voice AI.

Billing is described as specialist work: claims with attachments, rejections, posting, appeals and receivables follow up. The February 2025 launch post had pitched agents for those steps too, including denial correction, appeal letters and depositing insurance checks.

Verification is automated and exceptions go to Toothy's specialists; the practice reviews flagged items each week and can mark any verification urgent for same day handling. The dashboard shows each verification's status, including those waiting on more information, with an audit trail of when it was completed.

What makes a verification an exception is not stated, nor what happens when a breakdown already written to the record proves wrong. On billing, the practice uploads checks, virtual card payments and EOBs, and Toothy's team posts them.

Toothy's site describes the workflow, not the models. Verification syncs appointments from the practice system, collects eligibility and benefits through clearinghouse EDI and payer portals, normalizes them into one format and writes them back to whichever fields the practice uses, matching its existing note style and breakdown form.

The founders' Y Combinator profile adds that the company builds on large language models and voice AI. Which models, how outputs are checked and how the system changes over time are not published.

Toothy's data path runs from the practice system to clearinghouse EDI, payer portals and payer phone lines, then back into the record, and its founders say large language models and voice AI do the work along the way. The model, voice and hosting providers on that path are not named.

The benefits calls carry patient names, member IDs and dates of birth.

Reported results run from 80 to more than 240 hours saved a month depending on practice size and collection ratios of 97 percent or higher, along with 94 aged claims cleared and $119,172 taken off receivables at one practice and a collection ratio raised from 50.8 to 97.2 percent at another. The February 2025 launch post claimed early customers cut back office staff by 50 to 75 percent within weeks and gained 5 to 10 percent in revenue.

None of these figures comes with a named practice, a baseline or a period.

Data handling is described as HIPAA first workflows with access controls, audit trails, structured documentation and clear handoffs, with protected health information handled under strict compliance standards.

It publishes no privacy policy, so how long verification data, call audio and transcripts are kept, and whether practice data trains any model, cannot be read.

HIPAA first is how Toothy describes its workflows, and its founders' launch post called the agents HIPAA compliant.

The site carries no legal pages: no privacy policy, terms or business associate agreement, and no statement of business associate status. Toothy reads patient schedules, insurance details and clinical attachments for claims, so it handles protected health information for every practice it serves.

Security is described as access controls and audit trails. No outside audit or certification is named.

The access involved is considerable. For on premises systems Toothy ships a small computer to the clinic and runs it through remote software, sometimes with the practice's IT team arranging server access, and it works in payer portals with the practice's own NPI and credentials.

Insurance verification and dental billing are administrative work, and Toothy makes no medical device claim. Its billing team does handle clinical material, attaching radiographs, perio charts, photos and narratives that the practice supplies to its claims.

No terms of service or other statement of responsibility is published, so how responsibility for what a claim or a benefits breakdown says is split between Toothy and the practice is not set out.

Verification works by reading clearinghouse responses and payer portals and by calling payers, and its errors reach the chair: a missed frequency limit, waiting period or missing tooth clause produces a wrong estimate for the patient, and mistakes concentrated on particular payers or plan types would land on the same patients again and again.

How verification accuracy is tested or monitored is not published.

Every verification carries an audit trail with its completion time, the dashboards filter by patient, carrier and plan status, and rejections are typically corrected within 24 hours. A practice can see what was written and when.

What Toothy owes when a breakdown or a posting is wrong is not published, and with no terms of service on the site, the contract that would allocate that risk is private.

Toothy writes into Open Dental, Dentrix, Eaglesoft and Dentrix Ascend, and into whichever fields a practice uses: appointment, patient, plan and chart notes, pop up alerts and calendar colors, in the practice's own note format and breakdown form. Benefits land as a full table of coinsurance, deductibles, maximums and fee schedules, with frequency limits, procedure history and waiting periods.

Toothy calls these approved integrations; the program behind them is not named.

Setup depends on the practice system. Open Dental, Dentrix and Eaglesoft practices receive a small computer that Toothy manages remotely, and Dentrix Ascend connects through its API; most practices are running within two weeks. Results reach the practice through its own records, two dashboards and a daily email report.

Where Toothy's own systems run and where patient data rests are not stated.

Verification comes in two plans: unlimited verifications priced per dentist, or a monthly bundle with overage. Both include the structured breakdown, benefits calls when needed, the verifications dashboard, a daily report and a dedicated account specialist. Billing and collections are quoted separately.

No figure appears for any of it. Exact pricing depends on providers, appointment volume and payer mix and is confirmed in a demo.

Practices on Open Dental, Dentrix, Eaglesoft and Dentrix Ascend are the market. The service verifies the whole schedule, primary and secondary coverage included, handles same day urgent requests, and pairs verification with specialist billing for claims, posting, appeals and receivables. Hours saved, it says, depend on provider count, payer mix and insurance volume.

The practices behind its results are not named, so the size and specialty mix it serves today cannot be read from the site.