In-Network and Profitable? Yes, It’s Possible—Here’s How Dentists Are Winning the PPO Game

In-Network and Profitable? Yes, It’s Possible—Here’s How Dentists Are Winning the PPO Game

April 14, 20253 min read

Let’s clear the air once and for all:

There is no shame in being an in-network provider.

In fact, many of the most successful, profitable dental practices in the country are still contracted with PPOs. Yes, even the ones with 30–50% write-offs.

So, if you’ve ever felt judged—or discouraged—because your practice is in-network, take a deep breath and read on.

The truth is, you can play the PPO game and still win big. But it requires intention, strategy, and the right systems in place.

The Hidden Trap of Hard Work and Low Profit

Here’s what we hear all the time from practice owners:

“We’re busy. We’re booked out. But where’s the money going?”

Sound familiar?

Many dentists are shocked when they sit down with their CPA or financial coach and realize they’re barely making more than their associates—even though they own the practice, carry the risk, and work 50+ hours a week.

We’ve heard countless stories like this, including one doctor who said:

“I finally ran the numbers and realized I had to produce $1.6 million a year just to take home $180,000. I couldn’t believe it. I felt like I was sprinting every day toward a financial treadmill.”

The culprit? You guessed it: poor PPO fee schedules, inefficient systems, and lack of visibility into the business side of the practice.

It’s Not Just the Fees—It’s the Framework

Here’s what many dentists miss: PPO write-offs aren’t the only thing hurting your bottom line. They’re just the most obvious.

Under the surface, other issues compound the damage:

  • Unnegotiated or outdated PPO fees

  • Silent PPOs dragging your reimbursements down further

  • Poor billing systems causing claim delays and denials

  • Lack of case acceptance training for lower-paying plans

  • Inefficient scheduling and hygiene recall models

So yes—write-offs matter. But it’s the combination of these inefficiencies that really erodes profitability.

And here’s the kicker: most dentists are too busy to notice it’s happening.

You’re in the chair, managing a team, putting out fires, and doing dentistry. It’s no wonder things get missed.

But Here’s the Good News: You Can Still Win

There are PPO-based practices thriving today. Why? Because they’ve figured out how to play the game with intention.

They don’t accept every plan—they pick the right ones.
They don’t settle for low reimbursements—they negotiate.
They don’t guess at profitability—they track, analyze, and adapt.
They don’t do it alone—they get help from experts.

Play the PPO Game—and Win Every Day

This is where Veritas Dental Resources comes in.

Veritas isn’t about telling you to drop insurance. They’re about helping you understand your PPOs and make them work for you, not against you.

They help dentists:

  • Evaluate which plans are worth keeping

  • Negotiate stronger PPO fee schedules

  • Avoid silent PPO traps

  • Build systems that turn low reimbursements into high profitability

  • Plan for long-term independence—if and when you want it

In other words: they help you play smart. And win daily.

You Don’t Have to Choose Between PPOs and Profit

You can be in-network and still run a wildly successful, profitable, low-stress dental practice.

You just need the right tools, the right partners, and the right mindset.

So if you’ve ever felt stuck—busy but underpaid, tired but not sure where the money’s going—know this:

You’re not alone. And you don’t have to figure it out alone, either.

Start with a complimentary consultation at www.veritasdentalresources.com.
Let them show you how to stop surviving with PPOs—and start thriving.

Because in the end, it’s not about being in-network or out-of-network.
It’s about being in control.

Benjamin Tuinei

Founder - Veritas Dental Resources, LLC
Phone: 888-808-4513

Services:
PPO Fee Negotiators | PPO Fee Negotiating | Insurance Fee Negotiating
Insurance Credentialing | Insurance Verifications

Websites:
www.VeritasDentalResources.com | www.VerusDental.com

 

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

Benjamin Tuinei

Benjamin Tuinei is a leading expert in PPO strategies and fee negotiations, recognized by multiple state dental associations and continuing education institutions. Since beginning his dental career in 2007, he has helped over 9,000 dentists improve insurance reimbursements, influencing more than $5 billion in negotiated revenue. His expertise in restructuring billing departments increased collections from 65% to 98%, and his negotiation skills with third-party payors boosted insurance revenue by nearly $1 million, earning widespread recognition from dental practices across several states.

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