PPO and Insurance Participation

PPO or preferred provider plans in dentistry, what the ppo plans cover, and how plan contracts work

Dental Code Advisor Podcast Cover Art

Utilizing D0180 and D4346

Join Practice Booster’s Dr. Greg Grobmyer as he discusses two CDT codes that every practice should be using to maximize insurance reimbursements; D0180 comprehensive periodontal evaluation and D4346 scaling in presence of moderate or severe gingival inflammation. Learn when to use the codes, how to properly document in the clinical record, what attachments to submit […]

PPO Fee Negotiations

In this episode of the Dental Code Advisor Podcast, Dr. Greg Grobmyer speaks with Christi Billquist, the Director of Operations with Unitas PPO Solutions, about the current PPO fee negotiation climate. Learn about PPO negotiations, network optimization leveraging direct vs. leased network arrangements, the annual PPO audit you should be doing, and more! Christi Billquist […]

PPO Participation

Dr. Greg Grobmyer speaks with Penny Reed, Practice Booster CEO, about PPO Participation. Learn how to evaluate plans, the concept of the dollar value per chair hour, when you should join, when you should exit, and what to do if you do decide to leave a plan. Penny Reed served as CEO of Practice Booster […]

The Ins and Outs of Understanding Your PPO Contracts, part 2

In this episode of the Dental Code Advisor Podcast, Dr. Greg Grobmyer and Dr. Charles Blair continue their discussion of Preferred Provider Organizations (PPOs), including a look at the documents that define the relationship between the dentist and the PPO, “handcuffs” commonly found with participation, how to leverage optional services to obtain reimbursement, alternative benefits, […]

The Ins and Outs of Understanding Your PPO Contracts

In the second episode of the Dental Code Advisor Podcast, Dr. Greg Grobmyer and Dr. Charles Blair discuss Preferred Provider Organizations (PPOs), including misconceptions about participation, how to attract out of network patients, the two major types of plans and what laws apply to each, fee capping, and more.