For practice owners

The Insurance-Free Practice

The complete playbook to stop letting insurers run your practice — and collect 95 cents on the dollar instead of 65.

Book — $39

Get the Book — $39

You built a practice. An insurance company is running it.

PPO write-offs quietly decide your fee schedule, your production, and your margin. Most owners have never calculated what that participation actually costs them — or mapped a realistic path out. This book is that path.

What is inside

From PPO-dependent to independent

A step-by-step playbook for reducing insurance dependence without losing the patients you want to keep.

What PPO participation truly costs

Calculate the real dollars every contract writes off, so you can decide with numbers instead of fear.

A membership plan patients join

Design an in-house membership plan that gives patients a reason to stay when you step back from insurance.

Exit contracts the right way

Drop the plans that cost you most while keeping the patients who value your care.

Collect 95 cents on the dollar

Rebuild the economics of the practice so more of every fee you earn actually reaches your bottom line.

Who it is for

  • Practice owners tired of watching insurers set their fees.
  • Owners considering a move to fee-for-service or a hybrid model.
  • Anyone who has never calculated the true cost of PPO participation.
  • Doctors who want a realistic, patient-friendly exit plan — not a leap of faith.
About the author

Pete Volk

Pete is a dental industry veteran with more than 20 years across DSO strategy, dental office design, and practice valuation, and the founder of Dental Strategy Institute. He has advised some of the largest dental groups in North America. DSI publishes plain-language books, tools, and courses that give dental professionals the strategic edge the industry has long lacked.

Frequently asked questions

Questions owners ask before dropping PPOs

What does PPO participation actually cost a practice?

It is the sum of every contractual write-off across your patient base — the gap between your full fee and the negotiated rate. On a heavy PPO mix that can mean collecting closer to 65 cents on the dollar, and the book shows how to calculate your own number.

What is an in-house dental membership plan?

It is a subscription your practice offers directly to patients — a flat annual or monthly fee for preventive care and discounts — that replaces the role third-party insurance plays for cash and PPO patients.

Can I drop PPO plans without losing my patients?

Many practices retain the majority of the patients they want by sequencing the exit, communicating clearly, and offering a membership plan. The book covers how to do it in stages rather than all at once.

Is this legal or financial advice?

No. It is educational content on practice economics and models, not legal, financial, or tax advice for your specific practice.

Stop letting an insurer run your practice

The complete playbook to reduce insurance dependence and keep more of what you earn — $39.

Get the Book — $39