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Show Notes

In this episode, Michael Dinsio and Paula Quinn sit down with Stafani Sandoval, billing and credentialing expert at Next Level Consultants, to tackle the biggest question in the industry right now: “Should I drop my insurance?” They break down the massive differences between lease networks and direct contracts, when it is time to aggressively negotiate your fees, and why jumping out of network without a strategic plan can absolutely tank your dental practice revenue.

What You’ll Find Out:

• Why you should never drop an insurance plan if your schedule isn’t completely full
• The 60% rule: How to know exactly when an insurance fee schedule becomes insulting
• Why updating your UCR fees to the 90th percentile is critical before attempting dental insurance negotiation
• The hidden financial dangers of DIY dental credentialing and submitting blind PPO applications
• How to retain your patient base using in-house membership plans when transitioning to fee for service
• The essential 90-day patient communication playbook for going out of network seamlessly

Perfect for: Startup dentists, established practice owners, front office managers, and anyone focused on dental billing strategies, increasing profitability in dentistry, and mastering dental practice management.

Special Guest on Today’s Show: Stefani brings years of specialized experience to the table as the Billing & Credentialing Lead and Front Office Coach at Next Level. She specializes in navigating archaic insurance algorithms, maximizing practice fee schedules, and guiding dental teams through safe, profitable out-of-network transitions without losing their patient base. Special Promotional Offer and Connect: https://nxlevelconsultants.com/dental-consulting/

Key Takeaways: 
You no longer have to be a victim to stagnant insurance reimbursements. 
By fully updating your UCRs, mastering upfront patient communication, and strategically evaluating your clinical capacity, you can confidently take back control of your practice’s financial future. 
Finally, a realistic and actionable roadmap to escape the PPO trap!

Stay Connected to Get More Topics Covered by Dental Unscripted: 
dental insurance negotiation, fee for service dentistry, dropping PPOs, dental credentialing, dental billing, UCR fees, dental practice management, successful dental practice, dental consulting, buying a dental practice, running a dental practice, dental practice revenue, growing a dental practice, dental entrepreneurship, dental industry advice, dental solutions, profitability in dentistry, dental practice tips, how to run a dental practice, business of dentistry, out of network dentist