Getting Out of the PPO Trap and Becoming Your Own Dentist Like a Boss

Dental TreatmentLet’s just get real here for a sec.

PPOs have been, since its creation, a bureaucratic prick. Especially for dentists who are highly dependent on PPO networks for their potential patients, it’s simply a “don’t ask, don’t tell” love-hate relationship.

And the thing that hurts new and seasoned dentists alike is how limited a dental coverage actually is. So, it’s important to talk about why an increase in dental PPO fees can make the life of a dentist favorable.

The Crippled Dental Insurance Cap

As compared to what other medical services have, dental insurance is well, mediocre.
It’s a typical scenario: patients would always get confused about why do they have to pay extra for a dental procedure that they badly need. Now, that’s the thing here. The common misconception is that dentists are goblins who treat your pearly whites for gold; when in all honesty, they’re the least prioritized regarding medical insurance coverage.

If you’re aware, dental insurance started in the mid-60s to the early70s with the cap of $1000, and it still is roughly around the same value today. With all the cutting-edge technology and medical breakthroughs in Dentistry, that $1000 cap still lives on.

Practicing Dentistry One Patient at a Time

When you participate in a PPO dental plan, the reimbursement for a particular procedure is already predetermined. But, that doesn’t mean you cannot work your insurance terms with your provider. To know whether or not you should continue with your PPO consider these things first:

  • Do you get most of your patients from PPO or traditional referrals?

  • Is your monthly profit from PPO sustainable?

  • Are there enough opportunities for new patients that come from your PPO network?

  • How much discount do you do for a PPO patient?

  • Does your PPO give you any out-out-work benefits?

Changing your PPO or becoming an independent practice is a scary thing and often, a strictly a case-to-case basis. The best course of action would be to know first where your practice stands.