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 […]
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Credentialing Timeline Mistakes That Cost You Revenue
Credentialing isn’t paperwork. It’s revenue protection — and the timeline mistakes cost more than most dentists realize. Credentialing is one of the least exciting parts of dental practice operations. It’s also one of the most expensive areas to get wrong. A single timeline mistake can mean weeks of patients seen at out-of-network rates, claims paid […]
Read MoreDental Associate Credentialing: What Most Offices Miss
Hiring a new dental associate is exciting. It means growth. It means expanded production. It means shorter wait times and more patients served. But there’s one administrative detail that quietly determines whether that growth turns into revenue — or chaos: Dental associate credentialing. Most practices underestimate the impact of credentialing delays. They assume that if […]
Read MoreCase Study: Billing Fixes That Recovered $120K in PPO Revenue
The Practice Didn’t Have a PPO Fee Problem — It Had a Billing Problem** When this multi-provider general dental practice reached out for help, the owner believed their PPO contracts were the issue. Production was strong. The schedule was full. New patients were steady. But collections lagged far behind expectations. Initial assumption: “Our PPOs just […]
Read MorePPO Coding Tips to Reduce Dental Claim Denials
Most PPO Denials Start With a Code, Not the Treatment When PPO claims deny, most offices assume one of three things: “That plan just doesn’t pay well.” “Insurance is always difficult.” “The treatment was clearly necessary — they should have covered it.” In reality, the majority of PPO denials are not about the treatment at […]
Read MoreDental Billing Best Practices That Protect PPO Revenue
Billing Isn’t Administrative—It’s Financial Strategy Most dental practices believe they have a PPO problem when, in reality, they have a billing problem. Production is strong. Schedules are full. Providers are busy. Yet revenue doesn’t reflect the effort. The disconnect almost always lives in the billing process—specifically how PPO claims are coded, documented, submitted, and followed […]
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