You negotiated the fee increase. Your own fee schedule may be quietly cancelling it. The Rule Most Practices Forget Dental claims are paid at the lesser of your UCR fee or your contracted fee. Always. If you negotiate a $1,150 contracted fee on a crown but your office fee for that crown is $1,100, the […]
Read MoreDental negotiations
When to Add an Associate and What It Does to Your PPO Contracts
Adding an associate is a clinical and operational decision. It’s also a PPO contract event — and most practices treat it like it isn’t. A new associate joins the practice. The owner negotiates compensation, plans the schedule, orders the additional equipment, and updates the website. The PPO implications, which can materially affect both the owner’s […]
Read MoreHow Dental PPO Layering Quietly Drains Your Reimbursement
Most dentists know what a write-off looks like. What they don’t see is the structural reason behind the bigger ones — the ones the math never quite explains. Your write-offs creep higher. EOBs don’t match what you expected. Reimbursement on familiar procedures stops making sense. What’s almost always behind it is a problem that doesn’t […]
Read MoreWhat Rented Networks Really Cost Your Practice
You signed one PPO contract. So why are seven different payers using your fee schedule? Rented networks are one of the largest sources of unrecognized revenue loss in dental practices today. Most dentists have never been told the names of the networks accessing their fees. Many have never been told these arrangements exist at all. […]
Read MorePPO Claim Submission Best Practices for Dental Offices
The Difference Between “We Submitted the Claim” and “We Got Paid”** In PPO-driven practices, revenue doesn’t depend on what was diagnosed or even what was treated. It depends on how the claim was submitted. Two offices can perform the same procedure on the same day with the same insurance plan—and receive completely different outcomes. One […]
Read MoreWhy PPO Claims Get Denied (And How Top Offices Avoid It)
Denials Aren’t Random — They’re Predictable Most dental offices treat PPO claim denials like bad weather: annoying, unavoidable, and mostly out of their control. But high-performing practices know better. They understand that PPO claim denials are patterns, not surprises. And patterns can be fixed. The difference between offices that constantly fight insurance and those that […]
Read More