Skip to content

When PPO Fee Schedules Don’t Tell the Whole Story

 

When PPO Fee Schedules Don’t Tell the Whole Story

Let’s be honest—navigating PPO insurance is rarely anyone’s favorite part of practice ownership. It’s complex, often confusing, and feels like a moving target more days than not.

But if even a portion of your dental practice depends on PPO reimbursements, you need to understand what’s really going on beneath the surface of those fee schedules.

And today’s episode? It’s going to help you do just that.

Decode the Hidden Costs of PPOs

Insurance doesn’t just impact your collections—it shapes your workflows, your team’s time, and your patient relationships. In this powerful conversation with dental coding expert Theresa Duncan, we unpack what dentists need to know about the PPO landscape in real-world, practical terms.

Here’s what we explore:

  • When miscoding turns into fraud—and how to protect your license

  • What insurance carriers actually expect when it comes to documentation and narratives

  • The costly mistake three well-meaning team members made with insurance coordination

  • How PPO plans contribute to shifting costs onto patients

  • The #1 way your insurance coordinator can protect your bottom line

  • How to avoid eroding trust with your patients while working with PPOs

  • Why fee schedules are just the tip of the iceberg

These aren’t hypotheticals. This is the knowledge dentists need to stay compliant, ethical, and profitable.

Want to Go Deeper with Your PPO Strategy?

Here’s how to get started:

Your PPO strategy doesn’t have to be a liability—it can be a strength. But only if you understand how to play the game with clarity and integrity.

Let’s make sure your startup is set up to win.

– Stephen Trutter