About Nierman Practice Management

Helping Dental Practices expand since 1988

Medical Billing + Dental Sleep Medicine + TMD

Nierman Practice Management provides the leading solutions & support for dental practices to implement:

  • Dental-to-Medical Billing & Cross-Coding
  • Dental Sleep Medicine
  • TMJD & Craniofacial Pain Treatment

Celebrating their 30th anniversary in 2018, Nierman Practice Management helped pioneer medical billing for dentists and continue to innovate new solutions while providing world-class support, making it easier than ever for dentists to expand their practice with dental sleep medicine, medical billing and cross-coding, & TMD implementation.

Rose Nierman is an early pioneer in the field of cross-coding and medical billing in dentistry. An icon for her contributions in the dental arena, Rose created the first manual for cross-coding and continues her mission of helping get dentists paid by medical insurance and implement dental sleep medicine and TMD services. A major innovator in dental sleep medicine and medical billing software, Rose developed dental sleep medicine & TMD questionnaire and exam forms which have become the standard in thousands of dental practices and are used by medical insurers to establish medical necessity. Nierman Practice Management’s cross-coding seminars educate thousands of dental practitioners on Rose’s established cross-coding and medical billing processes.

From Then

Rose Nierman’s journey started while she was working as a dental hygienist in a busy practice renowned for treating TMJ disorders. Rose recognized a way to successfully bill patients’ medical insurance for TMJ treatment and implants/oral surgery, allowing patients to receive treatments they otherwise would not have been able to obtain.

Realizing the potential to help other dental practices with this knowledge, she refined her protocols, and in 1988 wrote the very first cross-coding manual “Successful Medical Insurance in Dentistry.” She began lecturing and consulting nationwide on the benefits and implementation of cross-coding.

In 1991 she developed the first cross coding and narrative report writing software for dental practices, changing the entire landscape by helping dental practices streamline the documentation required for medical insurance reimbursement and physician referral building.

To Now

Celebrating 30 years in business in 2018, Rose and the Nierman Practice Management team of 40 continue their mission. Utilizing state of the art technology such as cloud hosting, online patient questionnaire forms, and electronic medical billing, the team is making it easier than ever to implement medical billing, dental sleep medicine, and TMD/pain treatment for dentists.

Rose’s secret to success is that she never stopped learning, never stopped innovating, and never stopped supporting her clients. Rose and the Nierman team of experts stay on the leading edge of medical billing codes, policies, protocols and trends to ensure they are providing the best information to their clients.

We pride ourselves on our support

Our core competency is our resource of industry experts dedicated to ensuring your practice is set-up for success.

Billing medical insurance in dentistry and implementing dental sleep medicine and TMD treatment is not a matter of luck – the successful dental practices have the proper training and guidance along the way.

Nierman Practice Management understands this and is dedicated to providing proven systems and world-class training and support to each and every client.

From training your team to integrating efficient workflows for dental sleep medicine and TMJ disorders, to establishing a system for successful cross-coding and medical billing in dentistry, we have the expertise and experience to help expand your practice, increase your case acceptance, and your bottom line.

Call 1-800-879-6468, option 1, or contact us below for more information on how we can make your practice more productive in 2016!


CEO/Founder Nierman Practice Management

Our Solutions

Software: DentalWriter™ is the flagship software that allows dentists to bill medical insurance and generate essential narrative reports to medical insurance and to physicians for building referral relationships.

Medical Billing Service: With DentalWriter™, dental practices have the power to bill medical insurance in-house for their patients. For practices that don’t want to deal with medical insurance themselves, we have the perfect solution, utilize CrossCode™ Medical Billing Service and let our expert medical billers handle it. Dental Sleep Medicine Billing, TMD Medical Billing, Implant / Oral Surgery Medical Billing, we’ve got you covered.

Dental Sleep Medicine Marketing: In addition, dentists treating obstructive sleep apnea can utilize our Snoring Isn’t Sexy branding and marketing service in order to promote their own dental sleep medicine practice in their community and online.


With our unmatched experience and support resources, we can help you build a profitable dental sleep and TMD practice, implement dental-to-medical cross-coding and receive medical reimbursement, and gain greater case acceptance and more referrals for other medically necessary services.

CE Education: When implementing Dental Sleep Medicine, TMD/Craniofacial Pain, and Dental-Medical Billing, it is important to obtain on-going continuing education from experienced leaders in the industry in order to continue growing.

Nierman Practice Management provides the renowned course Cross-Coding: Unlocking the Code to Medical Billing in Dentistry with Rose Nierman, who consistently stays up-to-speed on the latest medical billing codes, policies, and trends in the dental industry.

Nierman Practice Management also partners with the non-profit education organization SCOPE Institute (Sleep-Apnea, Cranio/Orofacial Pain Education) to provide the highest quality Dental Sleep Medicine Courses and Craniofacial Pain CE Courses.

Our Story (The Long Version)

Congratulations on making it this far down! To those dedicated enough to read more, we have our in-depth story to tell. So let’s begin…

Founded in 1988 by Rose Nierman, her journey began as a hygienist in a busy dental practice treating TMJ disorders.  Rose recognized a way to successfully bill patients’ medical insurance, allowing patients to receive treatments they otherwise would not have been able to obtain. Realizing the potential to help other dental practices with this knowledge, she refined and documented her protocols, and in 1988 wrote her first manual “Successful Medical Insurance in Dentistry.”

She had found her calling, and founded Nierman Practice Management as she began teaching dental practices how to implement medical billing in their own practice. Her secret revolved around proper communication and documentation – knowing how to communicate with insurance companies, and showing medical necessity through thorough narrative reports.

But dental practices were struggling to find the time to hand-write these narrative reports for each patient visit, and if there were any errors on the medical claim form, reimbursement would be denied!


There had to be a way to make it easier for dental practices to streamline the medical billing process. Rose knew this was something big. She had a vision, and was on a mission.

In 1991, she developed the first version of DentalWriter™ Software, transforming the industry of medical billing in dentistry.

DentalWriter™ collects data from the patient questionnaire and exam visit, and generates the medical claim form, and a custom narrative report in SOAP format that physicians and medical insurance use to communicate. In addition, DentalWriter contains Quickletters™, which are all of the forms and letters needed when implementing dental sleep medicine and TMJ services.

DentalWriter™ has since become the leading dental software for implementing dental sleep medicine, TMD, and medical billing in dentistry.

Presently Nierman Practice Management also educates over 1,000 dental professionals each year through their CE seminar programs for dental sleep medicine, TMD, and dental-medical billing, and successfully bills over $50 million in TMD & dental sleep medicine reimbursement annually through DentalWriter™ Software & CrossCode™ Medical Billing Services.