The knowledge that Sandi has of the insurance industry was invaluable to me as a new dentist buying an existing practice. With her help I was able to quickly and clearly see what plans I needed to focus on or even try and phase out to increase my bottom line immediately. Often just working with the insurance companies to increase reimbursement rates instead of raising the fees to the patients was what I needed to do. Everyone wins with that situation. I would have spent countless hours on this to do it myself. But with Sandi, I was able to focus on other issues in the new practice; all the while knowing that my new office was on a solid path to maximizing its financial success.
We were extremely pleased with the level of service from Sandi. She takes the time to understand your office so she can create a more custom approach to the process. She then supports you with the necessary forms and guides you so you can feel confident in any future negotiations or communication with insurance companies.
-Kellen Tadano DDS
I wanted to thank you and your staff at Unlock the PPO for guiding me through my startup insurance process. If it wasn’t for you, I would have been completely lost! I (or any dentist for that matter) do not have the expertise, time or patience to go through this extensive insurance setup process.
Lisa, you were very professional and understanding at the same time. I would love to recommend you to anyone who work with insurance. I have no doubt they will be thanking you (and me for sending them your way!).
-Sara Seo, DDS
Who we are
In an ever-changing insurance world, it’s increasingly difficult for dentists to manage insurance restrictions while providing quality dental care to patients. Our company specializes in analyzing the relationship dental practices have with PPOs so that business owners can ‘unlock the PPO’ and have the information they need to make decisions about who to do business with and how. We focus on being an advocate for solo practices—those with no more than two dentists or two locations. We firmly believe that the solo practice can continue to be competitive with corporations and can negotiate strategically based on what’s in their best interest, and not what’s in the best interest of a group of a hundred other dentists.
What we do
If you already participate with PPOs, we will examine insurance plans you are in-network with, the fee schedules and profit associated with each one and how many patients are involved with each plan. We will advise if plans are eligible for a fee schedule increase, give a detailed recommendations on which codes to focus on and negotiate fee schedules on your behalf. After maximizing fee schedules, we will determine which plans, if any, you might consider dropping. Should you be in a position to drop a PPO, we’ll make recommendations about the process and the timing. If you are currently trying to increase new patient flow or production by considering adding additional PPOs, we will present a detailed view of which plans to consider and which ones would not be beneficial to your practice growth. We help create a strategic plan based on what pace you feel comfortable with and what will best fit your goals.
Your next step
Visit the About page to see answers to some frequently asked questions and to get details about what to expect from our service packages.
Have more questions or ready to see how we might be able to help you? Contact our office (toll free) at 855-327-9125 for a complimentary phone consult.
You can also visit our Contact page to email us for more information.
If we don’t think we can help you, we’ll let you know. You have nothing to lose, and smiles to gain.