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Built 40+ custom applications for a 250-clinic dental services organisation

Industry
INDUSTRY

Healthcare

Geography
GEOGRAPHY

USA

Capabilities
CAPABILITIES

Digital Transformation, Product Development

Tech Stack
TECHNOLOGY STACK

.NET, PMS API, Salesforce, SharePoint API, Authorize.net

Client Overview

InterDent Inc. operates 250+ dental clinics across the US West Coast with 1,000+ dentists and millions of active patients. Their practice management system handles clinical operations — but nothing else. Collections, payroll, compliance, scheduling, fee management, and government billing had no system to run on.

Classic Informatics was engaged to build every workflow the PMS couldn't support — and has been doing so for over 20 years through a single unified employee portal. 

The Challenge

  • Insurance collections tracked manually with no system for claim aging or payment follow-up
  • Doctor compensation calculations across 10–20 parameters had no automated engine
  • Patient complaints and clinical incidents managed through untracked manual processes
  • Thousands of insurance-specific fee structures managed with no central tool
  • 250 clinic profiles — hours, slots, regional settings — maintained with no dedicated system

Our Approach

1. One portal, not 40 separate tools

Rather than building standalone applications in isolation, we designed a unified Employee Portal framework — a single web application hosting every module, governed by one enterprise-grade access control layer down to individual button level. 

2. Built around real business workflows

Every application was designed around real business workflows — dental billing codes, insurance co-pay structures, OHP capitation logic, and provider compensation models — not generic software patterns. 

3. Reduced PMS dependency entirely

The PMS charged $200 per hour to modify fee structures. We built tooling that manages thousands of insurance-specific fee schedules centrally and pushes CSV files back into the PMS — removing the dependency entirely. 

4. Maintained continuity across 20 years

InterDent scaled from 80 to 250+ clinics during this engagement. New applications, new integrations, and new workflows were absorbed into the same portal framework without replacing what came before. 

What We Built

Revenue & Collections

  • Central Business Office (CBO) — claim tracking, payment follow-up, and 30/60/90/180-day aging queue
  • Payment Posting (PPA) — batch check splitting and allocation against individual transactions with PMS writeback
  • Fee Schedule Application — centralised management of thousands of insurance-specific fee structures 

Clinical & Compliance

  • Grievance Management — patient complaint tracking with SLA monitoring and multi-language compliance letters
  • Incident Reporting — multi-step clinical and operational incident workflow from logging to closure
  • Chart Audit — configurable assessment templates for 60 senior doctors reviewing 940+ junior doctors 

Scheduling & Clinic Operations

  • Call Centre Application — real-time per-clinic, per-doctor appointment availability for 250 booking agents
  • Location Management — single source of truth for all 250 clinic profiles across 80–90 fields
  • Doctor Payroll — automated compensation calculations across 10–20 parameters per provider 

Patient Programmes & Documents

  • OHP Eligibility Application — complete Oregon Health Plan billing operation with monthly state capitation reporting
  • GD Smile Plan — member eligibility, enrollment, auto-renewal billing, and card expiry management
  • Corporate Policy Document Repository — hierarchical document management with SharePoint integration 

Impact Delivered

InterDent's entire operational layer — collections, payroll, compliance, scheduling, fee management, and government billing — runs through a single Classic Informatics-built portal. The PMS manages the chair. Everything else runs through 40+ purpose-built applications serving 250 clinics from one access-controlled environment.

Business Impact

  • 40+ custom applications covering every workflow the PMS couldn't support
  • 80% of all revenue collection activity driven by Classic Informatics-built CBO tools
  • Oregon Health Plan billing operation run entirely through Classic Informatics applications
  • Thousands of insurance fee schedules managed centrally — no PMS change fees incurred
  • 20-year engagement with zero application replacements across the full portal 

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