In many cases, the solution is not simply negotiating higher fees, but reorganizing PPO participation to create the right combination of contracts for your practice.

I help dentists restructure their PPO participation by:

Evaluating overlapping and leased networks

Identifying contracts that limit negotiation leverage

Aligning insurance participation with practice demographics and financial goals

Reducing dependence on low value PPO plans

Stop direct contracts from blocking your higher paying third party networks.

This strategic approach allows practices to regain control over their insurance strategy instead of reacting to reimbursement changes.

Before any negotiation takes place, I conduct a detailed PPO contract and fee schedule analysis. This includes reviewing your most commonly billed CDT codes, current reimbursement levels, write offs, and overall insurance performance.

This analysis allows us to determine:

Which PPO plans are supporting your practice

Which plans are underperforming or overly restrictive

Where negotiation leverage exists

Whether renegotiation, restructuring, or termination makes the most financial sense

Every practice is different. PPO negotiation should never be one size fits all.

Using the data from your analysis, I work directly on PPO fee negotiations with insurance carriers and third-party administrators. Negotiations are approached strategically, with clear financial justification and realistic expectations based on market conditions and payer relationships.

My negotiation services focus on:

Increasing reimbursement on high-impact CDT codes

Improving overall fee schedule performance

Protecting your ability to participate in stronger networks

Avoiding unintended consequences from umbrella or leased networks

This process is designed to improve collections without increasing patient volume or production.