PPO Fee Schedule Negotiation · Nationwide

Your PPOs are paying you less than your dentistry is worth.

PPO fees aren't fixed. I analyze your contracts, find where you're underpaid, and negotiate higher reimbursements, so you collect more on the same patients and the same procedures.

One flat project fee. No percentage of your increases. No retainer.

Fee Schedule Review

PPO · sample codes
CDT codeCurrentNegotiated
D0120Periodic oral eval$38$49
D1110Adult prophylaxis$72$92
D0274Bitewings, four films$49$63
D2740Crown, porcelain/ceramic$780$1,000
D2391Resin, one surface, posterior$112$144

Illustrative numbers only. Your review uses your real codes, fees and payers.

Same patients · higher fees
26 yearsin dentistry, from assistant to DSO revenue cycle leader
Flat feeNo percentage of your increases, no retainer
NationwideRooted in Reno & Las Vegas, serving practices coast to coast
Fee schedule coachingIncluded with every PPO fee negotiation
What a few percent is worth

Small fee increases add up to real money, every single year.

Most practices accept PPO fee schedules at face value. Drag the gold sliders to plug in your own numbers and see what an increase could mean for your practice.

An estimate, not a promise. Real results depend on your networks, location and payer mix, and your free review will show you the actual numbers.

Interactive calculator · drag the sliders
Estimated more collected per year*
$80,000

Over 5 years: $400,000, without adding a single patient.

That's money you collect every year, on the same patients and the same procedures.

*For illustration only. These figures are estimates, not a guarantee of any specific fee increase or result. Actual outcomes vary by payer, network participation, location, procedure mix and current fee schedules.

How PPO fee optimization works

A clear, four-step process

Analyze

I review your most-billed CDT codes, current reimbursements, write-offs and overall insurance performance.

Strategize

We decide which plans to renegotiate, restructure or drop, and stop direct contracts from blocking higher-paying networks.

Negotiate

I work directly with carriers and third-party administrators, backed by your real production data.

Coach

Your team learns how to use the new fee schedules so the increase shows up in collections.

Services & pricing

Straightforward pricing. No surprises.

Most requested

PPO Fee Schedule Optimization

Flat project fee
No percentage of your increases. No retainer. Priced by the number of fee schedules we negotiate.
  • Full PPO contract and fee schedule analysis
  • Negotiation with carriers and third-party networks
  • Network restructuring: which plans to keep, renegotiate or drop
  • Fee schedule coaching for your team, included
Get your quote with a free review →
New practices & providers

Credentialing

Custom quote
With or without PPO fee negotiation. Priced by number of doctors and plans.
  • Network selection strategy from day one
  • Applications, CAQH setup and payer follow-up
  • Avoid low-paying and leased networks
Ask about credentialing
Operations & growth

Practice Coaching

$300 / month · 2 calls
  • Practice operations & profitability
  • Scheduling and hygiene department growth
  • Admin staff, doctor & doctor support team
  • Out-of-network transitions
  • Or weekly calls for $600/month
Book a call
Ongoing support

Remote Insurance Billing

$1,200 / month · starting
  • Daily claims with attachments and narratives
  • Timely remote payment posting
  • Insurance AR follow-up and cleanup
Request a quote
Also available
Per patient

Insurance Verification

$3.50 / patient
  • Eligibility check, $3.50: active status, effective dates, deductible and maximum status, plan type
  • Full benefits breakdown, $5.50: coverage percentages, frequencies and limitations, PMS-ready notes
  • Advanced verification and rush service available
Ask about verification
On-site or online

Team Training

$1,200 flat · local or online
  • Customized to your practice, team roles and software
  • Real-time workflow coaching and team Q&A
  • Out-of-state full day, travel included: $2,950
  • Travel fees waived when I'm in town for your dental society meeting
Schedule training
MH
Meet Mary Hennessy
“PPO fees are not fixed, and accepting them at face value often leaves significant revenue on the table.”

I've spent 26 years in dentistry, starting as a dental assistant and working up through front office management, insurance and revenue cycle leadership, and practice operations. I've led revenue cycle for a privately owned DSO and helped offices grow into high-performing, million-dollar practices.

Today I help dentists nationwide get paid what their dentistry is worth, with the right PPO contracts, the right fees, and a front office that collects them.

Former DSO revenue cycle leaderCreator of “A Day at the Front Desk”Single-location to multi-location groups
Free, no obligation

Find out what your fee schedules are really worth.

Tell me about your practice and I'll personally reach out. Prefer to talk now? Call 530-314-9694.

Request My Free Consultation →

Or call 530-314-9694 · mary@successdds.com