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Do not accept a PPO fee increase without reviewing what actually changed.A fee schedule increase may look good on paper,...
07/21/2026

Do not accept a PPO fee increase without reviewing what actually changed.
A fee schedule increase may look good on paper, but it may still miss the codes that drive your revenue.

Before accepting a proposal, review:
1. Your top 30 production codes
2. Which codes increased
3. Which codes decreased
4. Whether hygiene reimbursement covers the cost
5. Whether specialty procedures are fairly reimbursed
6. How the proposal affects actual collections

A small increase in low-volume codes may not help your practice.
A decrease in high-volume codes may hurt more than expected.
PPO negotiation should be evaluated against your real production mix.

Let's run the numbers before you accept the next fee schedule.

Your UCR Fees Matter More Than You Think. Outdated UCR fees can weaken your PPO strategy.They affect more than patient b...
07/19/2026

Your UCR Fees Matter More Than You Think.
Outdated UCR fees can weaken your PPO strategy.
They affect more than patient balances.

They can impact:
1. Out-of-network reimbursement
2. PPO fee negotiations
3. How claims are submitted
4. How insurance views your practice fees
5. Whether your reimbursements keep up with costs

Many practices should review office fees annually.
A 3% to 5% increase may be appropriate depending on inflation, market data, and practice economics.

Do not negotiate PPO fees with outdated office fees.
Start by knowing whether your UCR fees reflect the true cost of running your practice.

Ask us how to review your fee strategy before the next negotiation.

Review Your PPO Strategy Every Two Years. PPO strategy is not a one-time setup.Contracts change. Networks change. Fee sc...
07/17/2026

Review Your PPO Strategy Every Two Years.
PPO strategy is not a one-time setup.
Contracts change. Networks change. Fee schedules change. Your practice also changes.

A startup with empty chairs may need a different PPO strategy than an established practice booked two months out.

Every two years, review:
1. Which PPOs do you participate in
2. Which plans are profitable
3. Which plans drive the right patients
4. Whether your UCR fees are current
5. Whether fee negotiation is available
6. Whether your team understands the strategy

The goal is not to avoid PPOs completely.
The goal is to avoid letting PPOs quietly control the practice.
Strategic review now prevents surprises later.

Let's review your PPO strategy and identify where your practice stands.

Your Front Desk Can Make or break the Transition when going out of network. Insurance changes do not fail only because o...
07/15/2026

Your Front Desk Can Make or break the Transition when going out of network.
Insurance changes do not fail only because of numbers.
They often fail because the team is not prepared.

If your front desk sounds unsure, patients feel unsure.
Before changing PPO participation, your team should know:
1. What is changing
2. Why the change is happening
3. What patients can still use
4. What language to avoid
5. How to explain benefits clearly
6. How to handle EOB questions
7. When to escalate questions to leadership

Avoid fear-based language like:
"Dropped" / "Not covered" / "We do not take it" / "You are out-of-network"
Use calm, accurate language instead.
Confidence creates trust.

We help practices review the financial side so owners can lead the transition with clarity.

One of the biggest PPO misunderstandings is this:Going out-of-network does not always mean the patient cannot use benefi...
07/13/2026

One of the biggest PPO misunderstandings is this:
Going out-of-network does not always mean the patient cannot use benefits.

Many PPO plans still have out-of-network benefits.
The office may still be able to:
1. Treat the patient
2. File the claim
3. Help the patient understand the benefits
4. Apply available coverage
5. Present accurate patient responsibility

The language matters.
Avoid saying:
"We do not take your insurance."
Say:
"Your benefits may still apply here, and we can help you understand how they work."
Your team's words can determine whether patients stay or leave.

If your practice is considering an out-of-network transition, train the team before making the move.

Do not drop PPOs based on frustration.Use data.Many dentists feel ready to leave every plan after years of low reimburse...
07/11/2026

Do not drop PPOs based on frustration.
Use data.

Many dentists feel ready to leave every plan after years of low reimbursements and rising costs.
But the better move is to evaluate first.

Before terminating a plan, review:
1. Your UCR fees
2. Your actual write-offs
3. Your reimbursements by the payer
4. Your top 20 to 30 procedure codes
5. Your patient count by plan
6. Your collections by payer
7. Whether negotiation is possible
8. Whether the contract can be optimized

Dropping a plan may be the right move.
Negotiating may be the better first move.
A quick review now can prevent a costly decision later.

Message us to run the numbers before making a PPO decision.

Dental Insurance Is Not Medical Insurance. Patients often expect dental insurance to work like health insurance.That cre...
07/07/2026

Dental Insurance Is Not Medical Insurance.
Patients often expect dental insurance to work like health insurance.
That creates confusion at the front desk, during treatment presentation, and when benefits do not cover what they expected.

Here is the simple explanation:
Medical insurance is usually designed to protect against major, unexpected costs.
Dental insurance often works more like a discount plan for basic care.

That means:
1. Preventive care may be well-covered
2. Major treatment may have limits
3. Annual maximums can run out quickly
4. Necessary care may still create patient responsibility
5. Benefits do not always match clinical need

When patients understand this, financial conversations become clearer.
Your team should be prepared to explain benefits calmly and accurately.

We help dental practices build financial systems that support better patient conversations.

More Patients Are Not Always More Profit!Avoid this mistake: assuming every new patient helps your practice.Some PPO pla...
07/05/2026

More Patients Are Not Always More Profit!
Avoid this mistake: assuming every new patient helps your practice.
Some PPO plans can fill your chairs while quietly reducing profitability.
If reimbursements are too low, your practice may be busy but not financially healthy.

Before celebrating new patient growth, review:
1. Where the patients are coming from
2. What plan are they attached to
3. What the write-off looks like
4. How much is actually collected
5. Whether the plan supports your treatment mix

Production matters.
Collections matter more.
Profitability matters most.
Strategic moves now prevent surprises later.

Message us if you want help reviewing whether your PPO mix supports your practice.

More patients do not always mean more profit.A full schedule can still hide low reimbursements, high write-offs, and wea...
07/03/2026

More patients do not always mean more profit.

A full schedule can still hide low reimbursements, high write-offs, and weak cash flow.

The better question is not:
"Should we be in-network or out-of-network?"
The better question is:

"Are we PPO-driven or PPO-optimized?"
Review these before making a decision:
1. Which plans bring the most patients
2. Which plans create the biggest write-offs
3. Which plans reimburse your top procedures fairly
4. Which plans support your long-term goals
5. Which plans are controlling your schedule more than they should

PPOs are not automatically bad.
But they need to be reviewed, negotiated, and structured around your practice. Not the other way around.
Let's review your PPO strategy and run the numbers.

The healthiest dental practices are not always the busiest.They are the ones that keep more of what they produce.That re...
06/30/2026

The healthiest dental practices are not always the busiest.
They are the ones that keep more of what they produce.
That requires more than production goals.
It requires a system for turning revenue into profit, and profit into cash flow.
A wealth-building dental practice reviews:
Overhead by category
Payroll productivity
Hygiene contribution
Fee strategy
Case acceptance
Debt structure
Tax planning
Cash reserves
Owner compensation
Long-term growth goals
Avoid building a practice that looks successful but does not support your life.
The right financial structure gives you clarity, control, and better decisions.
Strategic moves now prevent surprises later.
If you are unsure whether your practice is busy or truly profitable, schedule a consult to review your best next step.

Address

155 E Shaw Avenue, Ste 317
Fresno, CA
93710

Opening Hours

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+1 877-718-2937

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