Fire Your Worst PPO Plan (Not All of Them)
Most dentists have never ranked the PPO plans they accept — they just stay in-network with everyone because dropping any of them feels risky. That habit hides the practice's single biggest invisible revenue cut: the contractual write-off, the gap between your full fee and what a plan actually pays before revenue is ever reported.
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The Problem
Most dentists have never ranked the PPO plans they accept — they just stay in-network with everyone because dropping any of them feels risky. That habit hides the practice's single biggest invisible revenue cut: the contractual write-off, the gap between your full fee and what a plan actually pays before revenue is ever reported.
The Playbook
Pull a by-plan report for production, write-offs, and patient volume so every accepted plan gets its own row instead of hiding inside one big insurance bucket. Rank each plan on two levers — effective reimbursement and real patient flow. The plan that is weak on both is the first renegotiate-or-drop candidate. Before making a move, review the fee schedule, notice terms, and any leased-network or direct-contract details so you know whether renegotiation or exit is the cleaner tool.
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