Stop chasing PPO reimbursements.
Build a fee-for-service practice that compounds.
We work with dental practice owners doing $1M-$6M in annual collections who are tired of insurance companies dictating their economics. Our 12-month engagement migrates you to 60%+ fee-for-service, builds an in-house membership plan, and gets you to 25%+ net margins.
8 patterns we see in >70% of dental practices
PPO insurance contracts capping fees 30-40% below UCR
Root cause: Practice signed up with every PPO network to fill the schedule. Now write-offs eat margin. Hygienist time costs more than insurance pays.
What we do: Strategic PPO drop schedule (2-3 networks per year). Replace with in-house membership plan ($35/month adult, $25/month child). Migration playbook to retain 70-80% of dropped PPO patients.
Hygiene chair utilization under 75%
Root cause: No systematic recare program. Patients fall off the 6-month schedule. Hygienist sits idle.
What we do: Automated recare system: SMS + email + phone outreach 60/30/7 days before. Target 90%+ hygiene utilization. Adds $80K-$150K annually per chair.
Owner-dentist doing $700 cleanings while implants go unbooked
Root cause: Owner has no associate or is afraid to delegate. High-value cases (implants, full-arch, ortho) lose to time spent on operative dentistry.
What we do: Hire associate dentist for routine restorative. Owner-dentist focuses 70% on $5K-$50K cases. Associate ROI in 6-9 months.
Case acceptance under 50% on $5K+ treatment plans
Root cause: Treatment coordinator role doesn't exist. Dentist explains plan in 90 seconds. No financing options presented systematically.
What we do: Dedicated treatment coordinator role. Structured case presentation (visual + verbal + financial). Sunbit/CareCredit financing on every plan. Target 75%+ acceptance.
Less than 100 Google reviews with 4.7 average
Root cause: No post-appointment review request flow. Practice relies on word-of-mouth and Google Ads.
What we do: Automated post-visit review request (SMS 2 hours after appointment). Target 400+ reviews at 4.9 within 12 months. Local SEO compounds.
Same-day production under $4,500 per dentist
Root cause: Schedule has gaps. No block scheduling. Hygiene checks interrupt productive operative time.
What we do: Block scheduling: morning = high-production cases, afternoon = restorative, hygiene checks in 10-min windows. Target $6K-$9K daily production per dentist.
HIPAA compliance program is 'we have a binder somewhere'
Root cause: OCR enforcement increasing. Practice has no documented risk assessment, no training records, no breach response plan.
What we do: Quarterly HIPAA risk assessment with documented remediation. Annual staff training with certificates. (Note: we connect you with HIPAA compliance vendors - we don't provide compliance services directly.)
Front desk turnover at 70%+ annually
Root cause: Below-market pay, no scripts for collections calls, manager-owner does inconsistent training, no career path.
What we do: Front desk comp restructure: base + monthly bonus tied to collections + case acceptance assist bonus. Documented scripts for collections, scheduling, treatment coordination. Path to Office Manager.
The numbers we hit
| KPI | Market avg | Plan B target | After 12 mo |
|---|---|---|---|
| % revenue from fee-for-service (non-PPO) | 20-35% | 60%+ | 45-65% |
| Active membership plan patients | 0-50 | 400+ | 250-500 |
| Daily production per dentist | $3,500-$5,000 | $7,500+ | $6K-$8.5K |
| Hygiene chair utilization | 65-75% | 90%+ | 82-92% |
| Case acceptance ($5K+ plans) | 40-55% | 75%+ | 65-80% |
| Owner-dentist weekly clinical hours | 36-44 | <28 | 26-34 |
| Net profit margin | 12-18% | 25%+ | 20-28% |
What working with us looks like
- 01
Month 1: Practice + insurance audit
We pull 13 months of production and collections, every PPO contract's write-off percentage, every operatory's utilization. You leave with a written PPO drop schedule and a 90-day operating plan.
- 02
Months 2-3: Membership plan + recare engine
In-house membership plan launches (target: 50 sign-ups in 60 days from existing patients). Automated recare system goes live. Treatment coordinator role defined and hired or promoted internally.
- 03
Months 4-6: PPO migration + associate leverage
First PPO drops execute with retention playbook. Associate dentist hired and ramping. Block scheduling implemented. Case acceptance training rolled out to whole team.
- 04
Months 7-12: Compounding + ownership freedom
Membership plan crosses 250+ members. 50%+ of revenue is fee-for-service. Owner-dentist clinical hours drop to under 30. We shift to quarterly cadence. Practice runs on systems and team - not on you.
Common questions from dental practices owners
What size practice is this for?−
We're 90% PPO. Can we really drop networks without losing the practice?+
What about insurance verification and credentialing during the transition?+
Do you work with general dentists, specialists, or both?+
What's the membership plan structure?+
Who actually does the work?+
What's your fee structure?+
Stop letting insurance set your fees.
30-minute strategy call. We'll diagnose your top 2 levers and tell you if we're a fit. No pitch. No pressure.