Most dental practices have not audited their fee schedule in three years. Most have not renegotiated a PPO contract in five. Most have write-offs on the books that should be adjustments. The combined leak is 8–15% of collections — a six-figure number in any $1.5M-plus practice. We do the audit, on-site, in two hours.
The fee schedule audit is a structured walkthrough of every revenue stream in your practice. We pull your existing schedule, compare it against UCR averages for your zip code and your specialty mix, identify codes that are below market, and flag the codes where you're leaving money on the table.
Then we look at write-offs. Most practices conflate adjustments and write-offs. The accounting impact is identical. The clarity impact is enormous.
Most dental PPO contracts auto-renew with the same reimbursement schedule for years. The plans know practices don't push back. The ones that push back routinely get 6–12% reimbursement improvements.
We walk you through which contracts to renegotiate, which to drop, and which to keep at current rates. The work pays for the coaching engagement on its own.
45 minutes with Tammy. She'll walk through one of your typical weeks and show you what would lift production first. No commitment.
Every 18–24 months at minimum. Most practices audit every five to seven years and lose meaningful revenue between audits. UCR averages shift, insurance reimbursements shift, and your specialty mix shifts. An out-of-date fee schedule is a slow leak.
Depends on your patient base. The audit tells you the math — what each PPO contributes in volume, what it costs you in write-offs, and what your fee-for-service capacity is. We coach the decision; we don't make it for you.
An adjustment is a contractual reduction (PPO discount, professional courtesy). A write-off is bad debt — money you billed and won't collect. Most practice management software lumps both into 'adjustments' which obscures the actual collection picture. The audit cleans this up.
About two hours of on-site work with the office manager and doctor. We pull reports during the visit, walk through findings on the spot, and leave with a redlined schedule and implementation plan.
Some will. We coach the conversation with the team and the conversation with patients. Most fee increases land without patient pushback when the front desk has been coached on the language.
We do fee schedule audits as standalone projects and as part of every full coaching engagement. The audit work is the highest-immediate-ROI part of the assessment phase.
A dental practice fee analysis follows a sequence: pull every code billed in the last 12 months, compare each against zip-code UCR averages, flag codes that are below market, audit write-offs vs adjustments, and review every PPO contract on a single page. Dental fee schedule consulting that takes more than two hours of on-site work is overpriced. Dental fee structure decisions shouldn't take three weeks.
Most practices haven't moved fees in 3+ years. Most should be doing dental practice fee optimization every 18–24 months. If your fees are below the 60th percentile of your zip code for major codes, your fees are too low. Dental insurance contract review should be the same cycle — the plans are betting you won't push back.
Depends on volume share and write-off depth. We coach the math: what each PPO contributes in patient volume, what it costs in write-offs, and what fee-for-service capacity exists. Dental PPO contract negotiation is the alternative — most plans will renegotiate 6–12% upward when a practice pushes. Drop the PPO only if the math says yes after the renegotiation conversation.
Book the free 45-minute assessment. Tammy will tell you whether your fee schedule is a candidate for the two-hour audit. No commitment.
Free Assessment