Present DayNierman Practice Management

About Us

Celebrating 33 years in business in 2021, Nierman Practice Management provides leading solutions and support for dental practices to implement medical billing, sleep apnea, TMJ, and implant services.

Our Mission

Nierman Practice Management (NPM) makes it easy for dentists to implement medical billing, dental sleep medicine, and TMD services to create the practice of their dreams.

Core Values


Clients First

Our business was founded on building relationships with our clients. We cherish the long-term partnerships we have with our dentists based on value and service.



Our company was created to simplify the implementation of medical billing in dentistry. We are constantly innovating through technology and systems to make things E.A.S.Y. (education and systems/support for you)



Our deep passion for over 3 decades is helping dental practices transform and provide medical reimbursement and life-changing care for sleep apnea, TMJ, and implant patients.

Our Philosophy

33 years ago, we identified that dental practices succeed in medical billing, sleep apnea, and TMJ when 3 key areas are in place:


Knowledge is power and the foundation for success. We believe education & training is vital to implementation.


Our core competency is in establishing a repeatable system in your practice for efficiency & scalability. In other words, we help you “get your ducks in a row.”


Having a dedicated team of experts behind you is key to overcoming hurdles for seamless growth.


Clients Helped

Average Client Rating

Team Members

Our Solutions

DentalWriter™ 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.

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.

Dental Sleep 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.

Blast from the PastNierman Practice Management

Our story began over 32 years ago with Rose Nierman..

Rose had an idea.

Rose’s journey started while she was working as a dental hygienist in a busy practice renowned for treating TMJ disorders. She 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.

1988-1991: Rose writes first cross-coding manual and narrative report software.

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.

1991-Present Day

Nierman Practice Management innovated the systems and processes that have become the gold standard in medical billing, sleep apnea, and TMD implementation. Today, we continue to shape the industry with a team of over 40 specialists that partner with thousands of dentists across the world for the sake of helping patients receive access to medically necessary dental services.