Dental PPO Negotiation That Actually Delivers
Your fee schedules were set by carriers to benefit carriers. We renegotiate them to benefit your practice — backed by $100M+ in recovered revenue and a decade-plus AAOMS Approved Partnership that no competitor can match.
Most Practices Don’t Know What Their Contracts Are Costing Them
Here’s the math most dentists never see: if your practice produces $1 million annually and your average PPO write-off is 35%, you’re giving back $350,000 a year to insurance carriers. Over a decade, that’s $3.5 million — money that could have funded equipment, staff, expansion, or retirement.
Carriers aren’t going to tell you your fee schedule is below market. They don’t send a letter when the practice down the street negotiates better rates. They benefit from your inaction. The typical practice that comes to PQ discovers their contracts are significantly worse than they realized — enough that clients regularly describe the results as “far-fetched,” until the checks start coming in.
“Before Practice Quotient, we really didn’t know how bad our insurance contracts were. At first, Patrick and his team made predictions we thought were far-fetched — but with the sweeping changes they made, they delivered.”
Dr. Frank YehCoastal Virginia Oral & Maxillofacial Surgery · Virginia Beach, VAAn Insurance Insider on Your Side of the Table
Most PPO negotiation firms approach carriers from the outside — submitting requests and hoping for the best. PQ is different. Our founder built dental networks at MetLife and managed large-group operations at Humana. He designed the dental plans you’re participating in. He knows exactly how carriers evaluate fee-schedule requests, what triggers approval, and what gets ignored.
- We know which carriers have room to move — and which don’t
- We understand the internal approval thresholds carriers use
- We speak their language because we helped create it
- We maintain active relationships with carrier representatives nationwide
From Analysis to Revenue Recovery in Four Steps
Analyze
We examine every carrier agreement, fee schedule, and participation contract to identify where you’re underperforming — down to the procedure code. What we need: current fee schedules and contracts. We handle the rest.
Strategize
We build a carrier-by-carrier negotiation roadmap customized to your goals, geography, and patient-acquisition strategy. No cookie-cutter playbooks.
Negotiate
Patrick and the PQ Team engage carriers directly — no junior staff, no handoffs. This is where the insider advantage matters most.
Manage, Then Recalibrate
We manage your contracts until they’re optimized — then tell you the work is done rather than keep billing. When fee schedules or the market shift (typically a couple of years out), we recalibrate.
What a Project Changes Day to Day
Your Team’s Hours Come Back
There’s a cost that never shows up on the balance sheet: the hours your team spends on the phone with carriers chasing answers on claims — and too often getting the wrong one. A PQ project ends that. Your staff knows exactly which networks you’re in and why, what each carrier pays, and where every claim should land.
Proof, Not Promises
Results vary by practice size, carrier mix, and current contract status. The gap between where your contracts are and where they should be is almost always larger than you think.
Frequently Asked Questions
How long does the process take?
Most consultations are completed within 7–10 business days of receiving your data. Engagement length varies by practice — our goal is to start making decisions around the six-month mark. Execution follows each client’s decisions and timeline, and the PQ Team builds a custom plan around that practice’s needs. There is no one-size-fits-all solution.
Do I need a consultation before starting a project?
No. Some practices move from the first conversation directly into a project. The consultation exists for practices that want the math first — a preliminary analysis of your fees and contracts that lets us quantify the opportunity specifically for your practice before you commit to anything.
What data do you need from my practice?
Current fee schedules, carrier contracts, and basic production data. Our team handles the analysis — we don’t ask you to pull reports or do homework. We’ll walk your office manager through exactly what we need.
How does PQ get paid?
Our fee structure is performance-aligned. We start with an initial consultation, and ongoing engagement fees are based on the scope of negotiation and management. We’re happy to discuss specifics when we talk.
Can’t I just negotiate with carriers myself?
You can try. Most practices do — and most get marginal results or no response. Carriers handle thousands of fee-schedule requests. Without carrier-side expertise and established relationships, self-negotiation rarely moves the needle.
Will you recommend dropping carriers?
When both the math supports it and the decision aligns with your defined objectives — which we help determine at the outset. Other intangible factors come into play as well. Dropping a carrier should never be an impulsive decision; it belongs in a comprehensive long-term plan where the relevant positives and negatives are weighed for that specific contract.
Is my data secure?
Yes. We execute HIPAA Business Associate Agreements (BAAs) and NDAs with every client before any data is shared. Your practice data is treated with the same security standards required by federal healthcare privacy law.
Will my account be handed off after I become a client?
No. The PQ Team personally manages every client relationship and every carrier negotiation. When you call PQ, you talk to the people doing the work.
See What Your Contracts Are Really Costing You
The conversation is confidential. And the results speak for themselves — $100M+ recovered for 200+ practices and counting.
Start With a Conversation