Debunking PPO Myths


Obstacles or Opportunities It's time to put an end to providing free dental services at the mercy of dental insurance companies and their misleading guidelines. Additionally, bid farewell to misinformation and break free from dependence on dental advisors who lack the necessary expertise. Discover how My Practice My Business (MPMB) can empower you to achieve fair compensation through PPO plans and, surprisingly, your self-pay patients.  Who are we? At My Practice My Business, we blend practical dental experience with the insight gained from business degrees. Over the years, we've trained thousands of dental professionals, covering essential topics such as profitability, [...]

Debunking PPO Myths2023-09-19T20:40:36+00:00

No, ADA, You Should Not Report Full Fees To Payers


I’m sure many of you saw the business article published in the ADA Weekend Edition and in the ADA Finance Edition titled: “ADA Council Urges Dentists to Report Full Fee to Payers.” Don’t worry, I’m about to rip this ridiculous article to pieces. Let me be very clear from the start. Dental Insurance Companies, commonly called “third-party” payers, DO NOT SET THEIR REIMBURSEMENT FEES BASED UPON YOUR FEE-FOR-SERVICE FEES. For the ADA to say otherwise is unbelievable to me. They should know better. It’s articles like this that drive ADA membership down, because those of us in PPO-driven states know [...]

No, ADA, You Should Not Report Full Fees To Payers2023-08-10T17:18:19+00:00

The Dangers of Dropping Dental Insurance Plans


As a dentist, you may feel frustrated with the limitations of being a provider for dental insurance plans. You may be considering dropping some or all of the insurance plans you participate in. Before making this decision, it's important to consider the potential risks and consequences. Pros and Cons of Being a Provider for Dental Insurance Plans Being a provider for dental insurance plans can come with both pros and cons. One of the main benefits is that participating in insurance plans can help attract new patients who are searching for a [...]

The Dangers of Dropping Dental Insurance Plans2023-04-06T22:34:33+00:00

Dentists Leaving Delta Dental


The number one trend we've noticed is dentists leaving Delta Dental. It’s no mystery that dental insurance causes headaches for dental offices across the nation.  Working With Dental Insurance We have rubbed shoulders with all the major dental insurance providers in the nation for many years. We worked very closely with many of them when we passed the “Network Leasing, Downcoding, and Bundling Protections Law” in 2020. As one of the biggest providers, Delta Dental seems to cause the most grief for dental offices.  Most dental offices spend hundreds of hours every month trying to get reimbursed by [...]

Dentists Leaving Delta Dental2022-12-05T18:36:57+00:00

Why are dentists dropping dental insurance?


The message to drop dental insurance seems to consume every dental channel. Facebook groups discuss it frequently. I’ve even seen booths pass out stickers to promote this at conventions. As the cost of living increases, dental insurance reimbursements certainly do not cover the costs of dental procedures. With more and more dental offices frustrated with insurance, it’s no wonder why everyone is talking about it. The Risks of Dropping Insurance Some areas in the United States can support high percentages of fee for service patients. However, if you’re like us, over 70% of our patients use dental insurance. [...]

Why are dentists dropping dental insurance?2022-11-29T19:37:57+00:00

5 Things Your Dental Office is Doing Wrong


The title may sound harsh, but after working with hundreds of dental offices, we’ve discovered that nearly every office does the same things that negatively affect the practice. These actions ultimately decrease revenue, patient retention and employee satisfaction. The worst part is many of the things mentioned below have been preached in dentistry for YEARS. So, we can’t really blame you, but we can help “change you” for the better! So, where does this misinformation come from? Much of it comes from insurance companies. That’s right! They spread false information to dental offices and then “dental consultants” pass it [...]

5 Things Your Dental Office is Doing Wrong2022-12-04T23:37:25+00:00

If Dental Insurance Doesn’t Pay For It


Dental insurance plans don’t pay for tooth whitening, yet most dental offices charge the patient for it directly. The same applies to electric toothbrushes. However, when it comes to better technologies, materials, or skills, offices will write off thousands of dollars each month. In those three examples just listed, you wouldn’t think of not charging the patient for those services. In contrast, very few dental offices charge for local anesthetic, oral facial images, and pulp vitality tests, yet you should. There are costs of goods combined with overhead associated with those services. This ultimately means you’re losing money [...]

If Dental Insurance Doesn’t Pay For It2023-07-18T18:00:36+00:00

Dental Team Cross Training


What happens if the office manager goes on vacation, the hygienist calls in sick, or the dental assistant runs off with prince charming? Missing a team member for even one day can lead to chaos in a dental office. Team members feel overwhelmed, which could ultimately lead to a decline in the quality of patient care. It doesn’t have to be this way. The Office Manager I had a wonderful office manager early in my career who worked with me, or more accurately, put up with me, for nearly fifteen years. I hired her within a year of graduating [...]

Dental Team Cross Training2022-12-03T17:38:27+00:00

Who Teaches Dentists to Dump Dental Insurance Plans?


The list is long and unfortunately distinguished. Don’t get me wrong, most of the time we don’t like dealing with dental insurance plans and their reps either. But we are the only major consulting company that teaches dentists and their teams to keep them, because we know and teach how to be profitable with them. Please allow me to tell each of you who these teachers of “dump dental plans” really are: 1. They are individuals who have likely never read a PPO contract, cover to cover, in their entire lives. That would require a lot of effort and investigative [...]

Who Teaches Dentists to Dump Dental Insurance Plans?2022-12-02T18:33:21+00:00

Please, Make It Stop. It’s Not a Courtesy.


Years ago, I wrote an article on direct operating costs, and how important they are when setting your fee-for-service fees - let alone evaluating your profitability with contracted insurance reimbursement fees. And we all know how most dentists simply hate to use the term “profits” when discussing their businesses. But the simple fact is this: Dentists and their teams often cannot grasp the concept that the patient is responsible to pay for more expensive products and services, whether insured or not. This is a simple and “insurance verifiable” concept we’ve taught at My Practice My Business for years, yet [...]

Please, Make It Stop. It’s Not a Courtesy.2022-12-02T18:33:41+00:00
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