How to avoid profit-killing terms and choose smarter reimbursement plans
When you’re evaluating multiple PPO networks, it’s tempting to sign the first contract that sends patients your way. But not all PPOs are created equal—and not all contracts serve your practice’s bottom line.
This guide walks you through how to compare dental PPO contracts the smart way—before you commit.
1. Start With a Side-by-Side Fee Schedule Comparison
A contract might promise volume, but is it profitable?
Compare:
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Preventive care reimbursements
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Crown, bridge, and perio procedure fees
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Specialist referrals
Some networks reimburse 30–40% below the UCR for your zip code. A dental PPO contract review helps uncover which plan pays fairly—and which one makes you work twice as hard for half as much.
2. Assess Flexibility in Contract Terms
Look for these clauses:
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Rate review intervals (annual vs locked rates)
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Termination policy (auto-renewal, opt-out periods)
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Negotiation limitations
One network may offer annual renegotiation, while another locks you in with a “most favored nation” clause. That’s a financial straightjacket.
3. Check for Hidden Limitations on Growth
Some PPOs limit:
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Your ability to bill for non-covered services
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How you list new associates
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How easily you can open or move to another location
For growth-focused owners, these limitations can sabotage expansion plans or acquisitions.
4. Beware of Incentives That Sound Better Than They Are
Some PPOs offer marketing boosts or faster credentialing—but at a cost.
For example:
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“Enhanced visibility” in directories = required fee discounts
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“Quick enrollment” = waiving key negotiation rights
A dental contract consultant can help evaluate if these trade-offs are worth it.
5. Work With a PPO Contract Analysis Service
Most practice owners don’t have the time to decode legalese or evaluate 3–5 contracts at once. We do. At PPO Negotiation Solutions, we help you compare PPO contracts line by line, looking at:
✅ Net revenue potential
✅ Contract flexibility
✅ Long-term impact on profitability
✅ Take Action:
Ready to compare before you commit?
👉 Schedule a Free PPO Contract Review Consultation
Let us help you stack the odds in your favor.