Toothsome provides employers with prepaid digital dental wallets that fund a virtual card for each employee, enabling instant point‑of‑service payments at any licensed dentist without deductibles, copays, or claim submissions. The platform offers real‑time balance visibility, transparent pricing, and immediate provider reimbursement, simplifying dental benefits administration for mid‑size to large companies and streamlining revenue for dental practices.
Funding
Funding not disclosed
Founders
Product
Problem
Traditional dental insurance relies on annual maximums, network restrictions, and slow claims processing, which limit employee access to needed care and create administrative overhead for employers.
Solution
Toothsome offers a prepaid dental wallet that employers fund and allocate to each employee. Employees receive a virtual card that can be used at any licensed dentist nationwide, with payments processed instantly at the point of care. The platform eliminates deductibles, copays, and network constraints, removing the need for claim submissions and reducing administrative complexity. Real-time balance visibility and transparent pricing empower employees to make informed care decisions, while providers receive immediate payment, streamlining their revenue cycle. The system leverages HIPAA‑compliant, SOC 2‑certified infrastructure to ensure secure data handling and integrates real‑time eligibility verification.
Target Audience
Primary customers are mid‑size to large employers seeking cost‑effective dental benefits for their workforce, and dental practices looking for direct, claim‑free reimbursement.
Features
- Employer‑funded digital dental wallets with customizable monthly or annual allocations per employee
- Virtual payment card accepted by any licensed dentist, enabling point‑of‑service payment without networks or pre‑authorizations
- Instant transaction processing and real‑time 213(d) eligibility checks for eligible expenses
- Transparent pricing display before treatment and roll‑over of unused funds to the employer
- Provider portal delivering immediate payment at the visit and eliminating claim paperwork
- Full coverage for preventive, restorative, and cosmetic services within a single wallet
- HIPAA‑compliant and SOC 2 Type II certified platform ensuring data security and privacy