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PPO Negotiation Solutions

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Case Study: How Dr. Janahgiri Doubled Production After a PPO Review

July 11, 2025

Real results from a practice owner who stopped leaving money on the table.

When Dr. Janahgiri opened his dental practice in 2011, he made a choice many dentists make early on: sign up with everyPPO network available. The strategy was simple—maximize patient flow and build the business fast.

And it worked… at first.

But as the years passed, something wasn’t adding up. Despite a full schedule and steady new patients, profitability lagged. Write-offs were high. Investments in new equipment and marketing were being delayed. And Dr. Janahgiri found himself working harder without seeing the financial rewards he expected.

That’s when he partnered with PPO Negotiation Solutions—and everything changed.


🧩 The Problem: A Fast-Growth Strategy with Long-Term Consequences

When Dr. Janahgiri launched his practice, signing up with every major PPO network felt like a no-brainer. Patients came in quickly, the chairs stayed full, and the business grew.

But behind the scenes, the math was working against him.

By the time he connected with PPO Negotiation Solutions, he was writing off between 40–50% of his regular fee schedule. That meant nearly half of what he should have been collecting—based on his UCR (Usual, Customary, and Reasonable) fees—was being sacrificed due to unfavorable PPO terms.

This high-volume, low-margin model was capping his growth. Despite an expanding patient base, his profits were stuck. Like many dentists, he was unknowingly giving away revenue in exchange for access.


🤝 The Solution: Strategic PPO Contract Analysis and Negotiation

One of Dr. Janahgiri’s billing specialists recognized the issue and referred him to Tricia and the PPO Negotiation Solutions team.

From the start, the approach was different. Rather than offering generic advice or piecemeal contract edits, we delivered a comprehensive PPO analysis and renegotiation roadmap tailored to his goals.

What We Did:

  • Analyzed every active PPO contract to assess fee schedules, reimbursement structures, and red-flag clauses

  • Benchmarked his UCR fees against local industry standards

  • Identified opportunities to consolidate or eliminate underperforming networks

  • Built a step-by-step renegotiation timeline that aligned with his operational priorities

This wasn’t about dropping patients or starting over. It was about taking back control—without sacrificing growth.


💡 The Strategy in Action: Turning Contracts into Leverage

Many dentists assume they have no power when it comes to PPO contracts.

They sign what’s offered. They assume all networks pay about the same. And they believe negotiating is reserved for multi-location DSOs with legal teams.

But that’s not the case.

With PPO Negotiation Solutions leading the charge, Dr. Janahgiri gained an advocate—someone who could speak the insurers’ language and fight for better terms.

Here’s how we helped shift the tide:

  1. Identified High-Impact Procedure Codes:
    We targeted the codes that made up the majority of his production and focused renegotiations around increasing those reimbursement rates.

  2. Tackled the Worst Write-Off Offenders First:
    Certain networks had fee schedules well below the regional average. We prioritized those for aggressive renegotiation—and provided guidance for potential termination if terms couldn’t be improved.

  3. Created a Long-Term Growth Framework:
    The renegotiated contracts weren’t just quick fixes. They were designed to support ongoing production goals, technology investments, and long-term scalability.


📈 The Results: Production Doubled, Practice Reinvested

The outcome was transformative.

With optimized PPO contracts and a smarter payer mix, Dr. Janahgiri doubled his monthly production. He didn’t need to cram in more patients. He just got paid more fairly for the work he was already doing.

This boost in profitability created new momentum across his business.

Results at a Glance:

Metric Before PPO Review After PPO Review
Write-Offs 40–50% Reduced significantly
Monthly Production Baseline 2x increase
Reinvestment Capacity Limited Funding tech, marketing, equipment

Today, Dr. Janahgiri is reinvesting those gains into new equipment, enhanced technology, and more robust marketing strategies—without financial strain.


👨‍⚕️ What Dr. Janahgiri’s Experience Proves

Many dentists believe signing with multiple PPOs is a necessary evil to grow fast—and it often is. But staying in badcontracts for too long will erode your profitability and limit your practice’s potential.

Here’s the truth:

  • You don’t have to accept the first offer.

  • You don’t have to manage contract negotiations on your own.

  • You can renegotiate and win back control of your revenue.

What worked for Dr. Janahgiri can work for you—especially if you’ve been in practice a few years and feel like your profits are capped despite consistent patient volume.


🛠️ What You Get With PPO Negotiation Solutions:

✔️ A dedicated dental contract consultant—not a call center
✔️ A full PPO contract analysis service with customized recommendations
✔️ Proven negotiation strategies that insurers respect
✔️ A roadmap for ongoing success—not just a one-time fix


✅ Ready to Review Your PPO Contracts?

Whether you’re running one practice or planning to expand, your PPO contracts have more impact on your profitability than you might think.

Before you renew, sign, or settle—talk to us.

📞 Book Your Free PPO Contract Review Today
🧾 Check out Our PPO Contract Red Flag Checklist

Let’s stop the leaks and unlock your practice’s full earning potential.

Filed Under: Dental negotiations Tagged With: PPO contract analysis service

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PPO Negotiations, LLC
8183 Rhode Dr
Shelby Township, MI 48317
Mon – Thu: 7:30 am – 5:00 pm
Fri: 7:30 am – 4:00 pm

Local: 586.803.7501
Toll Free: 888.421.1808
Fax: 586.803.7506
Email: info@spsolutionteam.com

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