About Nierman Practice Management


Nierman Practice Management helps dental practices implement medical billingdental sleep medicine (sleep apnea), & TMJ treatment. Celebrating their 30th anniversary in 2018, they helped pioneer medical billing in dentistry and continue to innovate new solutions, making it easier than ever for dentists to expand their practice with cross-coding, TMD, and dental sleep medicine implementation.

Their leading solutions include:

  • DentalWriter™ Software: Narrative Report Writing and Medical Billing Software for Dentists
  • CrossCode™ Medical Billing Service: Medical Billing Service for Dental Sleep Medicine, TMD, Implants
  • CE Courses, Mentoring, and In-Office Consulting for Dental Sleep Medicine, TMD, Medical Billing in Dentistry
  • Snoring Isn’t Sexy™ Dental Sleep Medicine Marketing
  • Dedicated Client Support & Implementation Training


Founded in 1988 by cross-coding pioneer Rose Nierman with the mission to help dentists get paid by medical insurance, we are now celebrating 30 years of achieving this mission for thousands of dentists, and hundreds of thousands of their patients. Nierman Practice Management has become the industry leader in dental-medical billing, dental sleep medicine, & TMD implementation solutions through our expertise, innovation, and unwavering dedication to supporting our dental clients.

Billing medical insurance in dentistry and implementing dental sleep medicine (sleep apnea treatment) and TMD treatment is not a matter of luck – the successful dental practices have the proper training of protocols down. Nierman Practice Management understands this and is dedicated to providing proven systems and world-class training and support to each and every client.

From Then

Rose Nierman’s journey started while she was working as a dental hygienist in a busy practice that treated 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.” the first cross coding and narrative report writing software for dental practices, and began lecturing and consulting nationwide.

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, and never stopped innovating. Now the most experienced lecturer on dental to medical billing implementation, Rose stays on the leading edge of medical billing codes, policies, protocols and trends to ensure she is providing the best information to our clients and attendees.

Our Story

Nierman Practice Management has been the leader in helping dentists get paid by medical insurance for 30 years, with a compelling history of innovation and dedication that helped pioneer an entire industry.

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.

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.


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.

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.

We pride ourselves on our support

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

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