PPO Fee Negotiations 2025: Why It’s Open Season on Insurance Companies (and Why Dentists Are Finally Winning)

PPO Fee Negotiations 2025: Why It’s Open Season on Insurance Companies (and Why Dentists Are Finally Winning)

October 07, 20254 min read

Let’s be honest:
PPO fee schedules haven’t exactly been keeping up with inflation, supply costs, or common sense.

While your composite prices go up, your crown costs rise, and your staff wants a well-deserved raise, the insurance companies are still living in 1997, sipping coffee and pretending that $750 is a “fair” reimbursement for a crown.

But here’s the good news.
The tides are turning.
Insurance companies are getting desperate, and I mean really desperate, to keep you in network.

The Great PPO Panic of 2025
Across the country, dentists are dropping PPO contracts faster than Delta Dental can deny a scaling and root planing claim.

And what happens when thousands of dentists walk away from outdated fees?
Insurance executives start sweating through their suits.

You see, when an employer asks a carrier, “Why are there only three dentists left in your network?” that carrier suddenly realizes they might want to pay you a little more to stay.

That’s the beauty of PPO fee negotiations in 2025.
For the first time in decades, dentists hold the leverage.

Why Insurance Plans Need You More Than You Need Them
Here’s the irony.
The same insurance companies that spent decades squeezing dentists for every dime are now begging doctors not to leave their networks.

Employers are switching plans because provider networks are shrinking. Patients are complaining. And when that happens, the insurers start running around like contestants on a game show trying to restock their “network shelves.”

Meanwhile, the smart dentists, the ones who know how to negotiate, are walking away with 15%, 25%, even 40% higher reimbursements just by asking the right way.

The Secret Weapon: Negotiation Strategy (Not Luck)
Most dentists think PPO negotiations are like pulling teeth (pun intended).
They’re not.
They’re just strategic, and strategy is where Veritas Dental Resources shines.

We don’t send random “please give me more money” emails to insurance carriers.
We study their contract structures, their umbrella network partners, and their hidden fee relationships, then we hit them where it counts.

Insurance companies love to hide behind “network leasing” and “third-party repricing” agreements. But when you know how to navigate those, you can often reconnect with the same network through a better-paying partner, legally and ethically.

It’s like trading in your 1999 flip phone for the latest iPhone without paying full price.

The Art of War: PPO Edition
Sun Tzu once said, “In the midst of chaos, there is also opportunity.”
And the dental insurance industry? It’s pure chaos right now.

PPO plans are losing dentists left and right. Their fee schedules are under attack. Employers are furious about access issues. And behind closed doors, those carriers are quietly making deals to stop the bleeding.

That’s where you come in.

If you know how to negotiate, the insurance company will fold faster than a lawn chair at a family BBQ.

If you don’t?
You’re just donating thousands of dollars a month back to the carrier, and trust me, they don’t need the charity.

The Hidden Cost of Staying Silent
Let’s do the math.
If your practice writes off just $40,000 a year in unnecessary PPO discounts, that’s $400,000 every 10 years.

Now multiply that by your career.
That’s well over a million dollars lost, not because you didn’t produce dentistry, but because you didn’t negotiate.

Insurance companies know this.
They’re counting on your silence.
They’re hoping you’ll just “accept your fees” and move on.

But not you.
Not anymore.

The Veritas Difference: When Dentists Fight Smart, They Win Big
At Veritas Dental Resources, we’ve negotiated thousands of PPO contracts nationwide, and we’re seeing more movement now than ever before.

Why?
Because the leverage has shifted.

Carriers like Aetna, Cigna, Guardian, and Zelis are feeling the sting of nationwide provider losses. Every time a dentist sends a termination letter, alarms go off in their contracting department.

That’s your window of opportunity, and that’s where we come in.

We’ll help you:
✅ Identify which PPOs can still be negotiated
✅ Navigate umbrella networks and leasing arrangements
✅ Avoid traps that lower your reimbursements
✅ And, most importantly, win back your profitability

The Takeaway: Don’t Wait for a Miracle, Negotiate One
Dentistry isn’t a charity.
You can’t provide quality care on substandard reimbursements forever.

The truth is, insurance companies aren’t going to wake up one morning and decide to pay you more out of kindness. But they will negotiate when they realize you’re serious about walking away.

The smart dentists are doing it now, and they’re thriving.

So if you’ve been thinking, “Maybe I should negotiate my fees,”
Stop thinking.
Start doing.

October Special — 30% Off PPO Fee Negotiation Services!
Yep, this month only, Veritas Dental Resources is offering 30% off PPO Fee Negotiations for all new clients.

Use Promo Code VDR when you contact us this October and let’s turn your PPO contracts into something worth smiling about.

Because at the end of the day, you deserve to get paid what you’re worth, and we’re here to make sure that happens.

Ready to fight back (and win)?
Call Veritas Dental Resources today at www.veritasdentalresources.com
or email [email protected]
and let’s get those fees up where they belong.

Benjamin Tuinei
Founder – Veritas Dental Resources, LLC
📞 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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