In this episode, Ben Tuinei and Tessina Bullock explore the impact of usual and customary fees (UCF) on dental practice reimbursements. They discuss how setting fees at the 80th or 90th percentile can improve insurance reimbursement rates, especially in areas with high living costs like Utah. They highlight the benefits of in-office membership plans as an alternative to traditional insurance, which can increase treatment acceptance among uninsured patients. The episode closes with advice on using resources like Fair Health Consumer and the National Dental Advisory Service to set competitive fees better.
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Time stamps
- 00:03:29 – How does UCF influence allowable UCR over time, particularly in terms of setting fees across decades?
- 00:08:26 – What is the right percentile at which to set your fees as a doctor?
- 00:13:57 – Recommendations for Patients Considering a Switch in Dental Insurance
- 00:16:57 – What websites or databases can help doctors find usual and customary fee trends aligned with the 80th percentile?
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