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Dental PPO negotiation · Plan economics

Know which PPO plans are worth keeping.

Most offices never see how their PPO fees compare across plans. We show you what each plan pays on the procedures you actually do, then take your case to the low payers.

Works with your current systemScope and handoffs agreed upfrontBAA before PHI access
Billing specialist and clinician reviewing a claim workflow together

A clear scope. A consistent handoff.

Support designed around real practice work.

A fee schedule only matters in relation to your procedure mix. We put your plans side by side, identify the ones holding you back and prepare the request for higher fees, while network decisions stay yours.

01

See the numbers

Compare plans on what your office really produces.

  • Current fee schedule collection
  • PPO mix by patient and production
  • Plan comparison on top procedure codes
  • Write-off review by plan
02

Make the request

Bring each plan a clear, documented case.

  • Target plans ranked by likely effect
  • Fee increase request preparation
  • Provider relations contact and follow-up
  • Response tracking by plan
03

Put it to work

Make sure new terms actually reach your claims.

  • New fee schedule loading checks
  • First-payment review after a change
  • Network participation decision data
  • Periodic plan review

How we begin

A measured start before the work is handed over.

  1. 01

    Review the workflow

    We learn your payers, billing system, current backlog and where this work stalls today.

  2. 02

    Set the scope

    Agree on which queues we own, what stays with your staff and how exceptions come back to you.

  3. 03

    Start with secure access

    Document the handoff and sign a business associate agreement before any PHI is shared.

  4. 04

    Work and review

    We work the agreed queues, record each follow-up and review open items with your practice.

Questions

Before you get started.

We’ll use an initial conversation to understand the work, the current system and the boundaries your practice needs.

Will every plan raise our fees?

No. Some plans will not move, and others respond only at set times. We tell you where a request is worth making and what we hear back.

Do we have to drop a plan?

No. Dropping a plan is one possible outcome. We give you the data on patients and production at stake so you can make that call.

Start with a conversation

Let’s talk about the work you want off your team’s plate.

We’ll discuss your workflow and what a practical service scope could look like. Please don’t share patient details on the call booking form or this website.

Or call (844) 874-2236