Plan B Business
Healthcare

Stop chasing PPO reimbursements.
Build a fee-for-service practice that compounds.

We work with dental practice owners doing $165K-$3.3M in annual collections who are tired of insurance companies dictating their economics. Our monthly engagement, no minimum term works to migrate you to 60%+ fee-for-service, build an in-house membership plan, and reach 25%+ net margins. How fast it moves depends on how seriously you work the plan - what you will see from the first meeting is exactly what is holding the business back.

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Industry Reality

8 patterns we see in most dental practices

85%
how often we see it

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.

75%
how often we see it

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.

70%
how often we see it

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.

80%
how often we see it

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.

75%
how often we see it

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.

70%
how often we see it

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.

65%
how often we see it

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.)

60%
how often we see it

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.

Benchmarks

The numbers we aim at

These are the targets we work toward in an engagement - a bar to measure against, not an average anyone measured for you.

KPITypical starting pointPlan B target12-month goal
% revenue from fee-for-service (non-PPO)20-35%60%+45-65%
Active membership plan patients0-50400+250-500
Daily production per dentist$3,500-$5,000$7,500+$6K-$8.5K
Hygiene chair utilization65-75%90%+82-92%
Case acceptance ($5K+ plans)40-55%75%+65-80%
Owner-dentist weekly clinical hours36-44<2826-34
Net profit margin12-18%25%+20-28%
Engagement Model

What working with us looks like

  1. 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.

  2. 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.

  3. 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.

  4. 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?−
Sweet spot: $165K-$3.3M in annual revenue in collections, with 1-3 dentists - the same band our Hebrew site states in shekels. Below it there are three ways in, not none: the academy at $33/month, the $365 paid diagnostic and B-Start at $365/month - plus business-plan work for an owner who has not opened yet. Above it you usually need a full-time CFO and director of operations in-house rather than an outside partner. It is a guide, not a gate - ask and we will tell you straight.
We're 90% PPO. Can we really drop networks without losing the practice?+
Yes, but only with a structured 18-24 month migration. Drop 2-3 networks per year, always starting with the lowest-paying contracts first. Each drop, you'll lose 30-40% of those specific PPO patients but retain 60-70% (especially those with established relationships). Your remaining patients pay 25-40% more per procedure, which more than offsets the loss.
What about insurance verification and credentialing during the transition?+
We don't handle credentialing or verification ourselves - we partner with vetted billing companies if you need one. Our role is strategic: which networks to drop, when, and how to communicate it to patients.
Do you work with general dentists, specialists, or both?+
Both. General dentists are most of our work. We also work with periodontists, endodontists, oral surgeons, and orthodontists - the economics are different (referral-driven vs. patient-driven) but the membership and operational systems apply.
What's the membership plan structure?+
Typically: Adult Standard ($35-45/month - 2 cleanings + exams + X-rays + 15% off other services), Adult Premium ($55-75/month - includes whitening + 20% off), Child ($20-30/month). Plans pay for themselves in 8-10 months and patients average 2.3x more annual spend than PPO patients.
Who actually does the work?+
Ligal Frish and Eitan Eshtemaker - the co-founders. You won't be passed to associates.
What's your fee structure?+
Situation Room: $365 one-time. B-Grow: $1,430/month (most practices). B-Beyond: $2,750/month (multi-location DSOs or fast-growth practices). No minimum term and no notice period - you can end it at any time.

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.

Book My Free Strategy Call