Every dental office has a pile of money it can't reach
Here is a scene that plays out in roughly 200,000 dental offices across the United States, every single day: a patient comes in, treatment gets delivered, the claim goes out — and then nothing happens. The insurer sits on it. The front desk calls once, maybe twice, logs a note in a spreadsheet, and moves on to the next patient. Thirty days become ninety. Ninety become a write-off.
It is not incompetence. It is volume, complexity, and the brutal reality that insurance companies have built their business model around the assumption that overwhelmed dental offices won't follow up. Most don't.
Wisdom was built specifically to be the entity that always follows up. The New York-based company, founded in 2023, pairs proprietary AI with dedicated human billing experts to manage the full revenue cycle for dental practices — from insurance verification before a patient ever sits down, to collecting the last dollar owed on a 120-day-old claim.
"Over 98% of our clients see an increase in insurance billing revenues. That is not a marketing number. That is what happens when you stop letting claims die in a queue."
Wisdom, 2025 company materialsIn just two years, the company has collected hundreds of millions of dollars for dental practices that previously considered that revenue simply... gone. It has earned a Net Promoter Score of 71 — comfortably above the healthcare industry average — and won three major industry awards in 2025 alone.
(first 6 months)
Dental billing: the industry everyone ignores until it ruins them
Dental billing sits at the intersection of three genuinely difficult systems — medical coding, insurance adjudication, and practice management software — none of which were designed to talk to each other. A single claim can be rejected for a missing tooth number, a wrong procedure code, a coordination of benefits issue, or simply because the insurer's proprietary system flagged it for no discernible reason.
Most dental practices handle billing in-house, with a front-office generalist who is also scheduling appointments, answering phones, and managing patient check-in. The billing work, which requires deep expertise in CPT codes, insurance contracts, and appeals processes, gets whatever attention is left over. Which is rarely enough.
The outsourcing options that existed before Wisdom were not much better: generic medical billing firms with no dental specialization, or offshore services with high turnover and inconsistent follow-through. The result was the same — practices left money on the table every single month, and nobody had a clear picture of how much.
"Insurance companies have built their business model around the assumption that overwhelmed dental offices won't follow up. Wisdom was built to follow up every time."
Wisdom company overview* Systematic follow-up rate on open insurance claims beyond 30 days. Estimates based on Wisdom company materials and industry benchmarks.
A fintech veteran and a billing expert walk into a dental practice
The combination of Stoyan Kenderov and Ashley Bond is either the least obvious co-founding pair in healthtech history, or the most obvious one. It depends entirely on how you understand the problem.
Kenderov spent 25 years building and scaling financial technology companies across Europe and the United States — Intuit, Quicken, LendingClub, Plastiq, where he grew the company's gross transaction volume to $4 billion in under four years as COO. He holds patents in mobile tech, payments, and identity management. He is, in short, someone who thinks about money movement at enormous scale.
Bond started in her father's dental practice in 2009 knowing nothing about dentistry. Within a few years she was running it. In 2018, she identified systemic revenue leakage in the practice's billing operation and started fixing it — which turned into founding Bond Dental Billing, which grew 600% in two years to become a nationwide billing service before being acquired. She brought the domain expertise. He brought the infrastructure to scale it.
Former COO at Plastiq where he scaled GTV to $4B. Veteran of Intuit, LendingClub, and six earlier startups across Europe and the US. Holds patents in payments and identity management. Brings 25+ years of fintech infrastructure thinking to dental billing.
Built Bond Dental Billing from a one-practice fix to a nationwide service with 600% growth in two years before acquisition. Started in her father's dental office in 2009. Knows every line item in a dental claim and why it gets denied.
Every part of the billing cycle, handled
Wisdom offers a modular service — dental practices can outsource specific pieces or hand over the entire revenue cycle. The platform integrates directly with Dentrix, Eaglesoft, Open Dental, CurveHero, Denticon, and most major practice management systems, so there is no data migration project, no parallel system to maintain.
The AI layer handles pattern recognition: reading claim histories, flagging likely rejections before submission, cross-referencing fee schedules, and automating eligibility verification. The human layer handles everything that requires judgment, negotiation, and the kind of persistent follow-up that automated systems still cannot do reliably. Claims are submitted within 24 hours. Follow-up begins at 30 days and continues every 14-21 days until resolved. Denials get appealed. Patient balances get statements, calls, and letters — five of the former, three of each of the latter.
Claims Submission
Daily submission within 24 hours, following Clean Claim guidelines. Electronic, fax, and mail backup. Weekly tracking to catch unbatched claims.
Insurance Verification
Complete eligibility breakdowns with updated fee schedules. Data entered directly into practice management software before the patient arrives.
Proactive Follow-up
Follow-up starts at day 30, continues every 14-21 days. Denials get appealed. Nothing ages out quietly.
Payment Posting
EFT tracking, detailed write-off reports, and thorough reconciliation of all insurance payments.
AI-Powered Processing
Proprietary AI for eligibility checking, claims preparation, and pattern analysis. Human expert review before every submission to catch what AI misses.
Patient Billing
Systematic outreach for overdue balances: 5 statements, 3 letters, 3 calls. Weekly audits. Targeted communication at 60, 90, and 90+ days.
"Wisdom has allowed my team to provide a better patient experience. We now have accurate information when completing treatment plans and estimating costs."
Wisdom client testimonial, Dental Product Shopper (4.9/5 stars)Two years. A lot of claims.
Numbers that dentists actually care about
Every dental billing company claims to improve collections. Wisdom's figures are specific enough to be interesting. Within the first six months, clients typically see up to 50% reduction in accounts receivable aged 90 days or more — the accounts that most practices have mentally written off. The platform's NPS of 71 puts it in the top quartile of healthcare service companies.
The company has collected hundreds of millions of dollars for its clients — a number that becomes more striking when you consider that Wisdom was founded in 2023. The growth is powered heavily by referrals: dental practices telling other dental practices.
The team is always on top of everything — our insurance aging has never looked so healthy. Our biller at Wisdom is by far the most detailed and hardworking biller, ager, and poster we have ever encountered.
Dental practice client, Wisdom testimonialsThe Series A backers add a layer of institutional credibility. Aquiline manages approximately $13 billion in assets and specializes in financial services technology. This was their second investment in the dental industry, suggesting a deliberate thesis rather than a one-off bet. Permanent Capital Ventures focuses specifically on building go-to-market engines for enterprise-scale companies — which signals where Wisdom is headed next.
The industry is paying attention
The practice that survives is the one that gets paid
Wisdom's stated mission is to safeguard the futures of dental professionals and their communities. That is a large claim for a billing company, but it is not an unreasonable one. When a solo dental practice loses 15% of its revenue to uncollected insurance claims — which is not an unusual figure — that money does not go back into patient care, staff wages, or equipment upgrades. It simply disappears into the machinery of insurance adjudication.
The longer vision is more ambitious: Wisdom intends to build the unified financial system of record for dentistry. That means not just collecting on individual claims, but creating the infrastructure that makes the entire insurance-practice relationship more transparent and predictable. In an industry where the average dentist spends a significant portion of their working life on administrative overhead rather than dentistry, that kind of system would matter considerably.
The $21M Series A is, in effect, a bet on that vision. Permanent Capital Ventures and Aquiline are not writing checks for a billing outsourcing company. They are writing checks for a platform that could become the financial operating system for every dental practice in the country.
"Dentistry is about people. We exist to make the future of dentistry stronger and more sustainable — for dentists, their teams, and the patients they serve."
Wisdom mission statementReturn to the scene from the beginning: the claim that went out and was never followed up. The front desk that logged a note and moved on. The revenue that quietly aged out of collections and became a write-off. That is the problem Wisdom was built to eliminate — not someday, not for a select group of large practices, but systematically, for every practice willing to let go of the billing burden. Two years in, with $28M, 86 people, and hundreds of millions collected, the company is making a reasonable case that it knows how.