
Why Dentists Don’t DIY Their PPO Fee Negotiations
Let’s play a game of “Would You Rather.”
Would you rather…
Perform a root canal on yourself using only a hand mirror and bravery?
Rewire your office’s server during lunch using YouTube and a prayer?
Negotiate your PPO fees without any training or experience?
If you answered “yes” to any of these—congratulations. You’re either fearless, delusional, or you’ve never tried PPO negotiations before. Don't be mad that I said that because that's just the truth!
Because let’s be honest: trying to negotiate PPO fees without help is like trying to do open-heart surgery with salad tongs. You might survive it, but you’re gonna bleed cash, time, and sanity. Okay, I know that was a terrible example but I hope you get the point.
The Harsh Truth About PPO Fee Negotiations
Most dentists know they’re underpaid. You’re not just delivering exceptional clinical care—you’re doing it at a discount… because an insurance company in a windowless building said your crown is only worth $612.
And what do many dentists do?
Cue the heroic music. They roll up their sleeves and say:
“I’m gonna handle this PPO thing myself.”
Spoiler alert: it rarely ends well.
Why Doing PPO Negotiations In-House is Like Letting Your Hygienist File Your Taxes (nothing against our lovely hygienists, they would rather do what they love)
Dentists are some of the most brilliant, talented, driven people on the planet. You studied anatomy, pathology, occlusion, and the dark art of scheduling a full-mouth rehab case during hygiene week. You’re amazing.
But unless you’ve spent years studying PPO contracts, reimbursement data trends, umbrella networks, and the fine print buried in provider manuals, you’re flying blind.
It’s not your fault. This stuff isn’t taught in dental school.
(Though we did spend three months dissecting frogs. Super helpful.)
Negotiating PPO fees is not just about asking for more money. It’s about:
Knowing what fees can actually be raised
Understanding when and how to negotiate
Recognizing which plans use shared fee schedules
Leveraging competitive data and reimbursement benchmarks
Avoiding landmines like hidden clauses and exclusivity traps
In other words, it’s a full-time job. And you already have one of those.
Successful Practices Know When to Outsource
Here’s a little secret: the most profitable practices are not the ones who do everything in-house.
They outsource what doesn’t make sense to DIY—especially when it comes to:
Legal and accounting
IT and cybersecurity
Marketing and SEO
AND PPO fee negotiations
Why? Because smart business owners understand the difference between an expense and an investment.
Trying to “save money” by keeping negotiations in-house often costs far more in the long run:
Lost reimbursement opportunities
Poor leverage utilization
Missed renegotiation windows
Confusing contract structures that trap you with umbrella networks
A whole lot of stress, burnout, and bad vibes
Enter: Veritas Dental Resources (aka PPO Jedi Masters)
If you’re ready to stop guessing and start winning, Veritas Dental Resources is one of the best PPO negotiation partners in the business.
They help dentists:
Analyze existing PPO participation and reimbursement levels
Identify where fee increases are possible (yes, it still happens in 2025!)
Negotiate smarter—not harder
Avoid getting trapped in umbrella networks or locked into bad contracts
Maximize revenue without adding more patients or more hours
Best part? They don’t just toss you a template and say, “Good luck!”
They actually do the negotiations for you, track outcomes, and help you stay on top of contract renewals and re-negotiation cycles.
Think of Veritas as your PPO pit crew. You’re the driver—fast, focused, and mission-driven. They’re the experts tuning your engine and changing your tires so you can actually win the race.
Final Thought: Just Because You Can, Doesn’t Mean You Should
You can try to negotiate your PPO fees on your own…
…just like you can attempt your own vasectomy with dental floss and a YouTube tutorial.
But maybe—just maybe—this is one of those areas where it’s worth calling in the pros.
Because when your fees go up, your stress goes down.
And when your stress goes down, your team’s happier, your patients feel it, and your bottom line finally starts to match your effort.
So do what successful practices do:
Outsource the tough stuff. Focus on what you do best. And let Veritas Dental Resources handle the PPO chaos.
Ready to stop giving discounts you didn’t agree to?
Visit Veritas Dental Resources and get serious about reclaiming the value of your work.
Because negotiating your worth isn’t optional—it’s essential.
And doing it right? That’s priceless.
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