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Episode 118MarketingAugust 21, 2025

The complexities of PPO Fee Negotiations in 2025

B
with Ben Tuinei & Naren Arulrajah
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Episode Guide

Key notes

Key Points

Start with an Insurance Profile. Before negotiating, gather your PPO contracts, fee schedules, top 40 procedure codes, and network details.:

Dentists Have Limited Leverage—But Still Have Power. Your main leverage is being ready to go out-of-network. Insurance companies only pay attention when they think you might walk away.:

Consultants Can Unlock Better Results. Unlike dentists, consultants can legally compare fee data across practices, giving them stronger negotiation tools.:

The Dentist Should Be the Face of the Negotiation. Insurance companies take requests more seriously when they come directly from the provider—not just the office manager.:

Episode details
Episode118
PublishedAugust 21, 2025
CategoryMarketing
GuestBen Tuinei & Naren Arulrajah
TranscriptAvailable
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