For many dental practices, insurance participation feels like a necessary evil — a trade-off between steady patient volume and low reimbursement rates. But what if the problem isn’t the insurance plans themselves, but the way practices manage their PPO contracts?
The truth is, most dental offices don’t realize that PPO fees are negotiable. Even fewer know how to approach these negotiations effectively. As a result, they’re leaving tens of thousands of dollars on the table every year — not because of shrinking reimbursement rates, but because of missed opportunities.
Why Most Practices Miss the Mark
In many offices, PPO fee negotiations are either overlooked entirely or delegated to a front office team member who is juggling a dozen other responsibilities. With limited time, training, and negotiating power, these efforts usually result in minimal increases — typically around 3–5%, if any.
These small bumps don’t move the needle when overhead is rising and profitability is tight. Worse yet, practices often remain locked into outdated contracts or overly aggressive participation strategies that actually hurt their revenue.
A Strategic Approach to PPO Contracting
At PPO Profits, we specialize in professional fee schedule negotiation. Our team partners with dental practices across the country to help them renegotiate their contracted fees with insurance companies — using strategic leverage, regional data, and industry expertise to deliver real results.
We don’t just ask for increases — we build a case for them. We assess your current contracts, compare your reimbursements to market benchmarks, and develop a custom negotiation plan designed to help you earn what your services are truly worth.
What Our Process Includes:
- Fee Schedule Optimization: We evaluate your current reimbursements and identify areas where you’re being underpaid. Then, we construct optimized fee schedules that are competitive, strategic, and backed by data.
- Direct Negotiation with PPOs: We handle all communications with insurance companies — removing the burden from your team and ensuring the conversation is handled by professionals with experience, strategy, and leverage.
- Custom Market Benchmarking: Your fee schedule should reflect the value you provide and the region you serve. We use our proprietary data and insights to ensure your schedule is aligned with your geographic and specialty-specific norms.
- PPO Participation Strategy: Not all PPO plans are equally valuable. We help you evaluate which plans are working for your bottom line and which may need to be dropped or renegotiated. We also guide you through smart participation via third-party administrators (TPAs) and umbrella networks, so you can maintain volume while increasing profitability.
More Than Just a Quick Fix
Fee negotiations aren’t just about getting a one-time raise — they’re about laying a stronger financial foundation for your practice. When done right, renegotiated PPO fees can provide long-term benefits, including:
- Higher average reimbursement per procedure
- Improved profitability without increasing patient load
- Better alignment between production and collections
- A more strategic approach to insurance participation
While fee negotiation is our core service, we also offer these services medical billing, revenue cycle management and in-office membership plans to support your practice fully. Together, we help you create an operational structure that supports both growth and profitability.
Tailored Solutions, Real Results
Every dental practice is unique. Whether you’re a solo provider in a competitive urban market, a growing group in a suburban area, or part of a multi-location DSO, we tailor our approach to meet your needs. There’s no cookie-cutter process here — only custom strategies designed around your goals, demographics, and practice type.
You Deserve Better Than PPO Defaults
Too many practices accept low reimbursements simply because no one ever told them they had a choice. PPO Profits exists to change that. Our mission is to help dentists stop settling — and start negotiating — from a place of strength, strategy, and data.
If you’re tired of wondering why your collections don’t reflect your production, it might be time to take a closer look at your PPO contracts.
Ready to See What’s Possible?
Let’s talk about your fees. Join one of our live webinars with PPO Profits on Wednesday at 6:30 CST and Friday at 12:00 CST, and we’ll walk you through how professional fee negotiations could significantly increase your revenue — without adding a single new patient.
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