PPO Profitability Analyzer โ€” Dental Strategy Institute
Free Tool  ยท  Dental Strategy Institute

Find Out Exactly What Your PPO Plans Are Costing You

Most dentists know their write-off percentage. Almost none have calculated what that means in actual dollars โ€” including the hidden administrative overhead. This tool does it in under two minutes.

65ยข
Average effective PPO collection rate
7โ€“12%
Revenue lost to insurance admin overhead
75%
Higher treatment acceptance โ€” membership patients
Run My Numbers Now How It Works

The write-off column tells you a percentage.
This tool tells you the dollar truth.

The PPO Profitability Analyzer calculates your true net collection rate for each insurance plan โ€” including write-offs and administrative overhead โ€” then shows you what your practice would generate if you replaced that volume with membership or fee-for-service patients.

True Net Contribution Per Plan

Most payer mix reports show gross production and write-offs. This tool adds the administrative cost overlay โ€” staff time, software, clearinghouse fees โ€” to show what each plan actually nets your practice.

Exit Sequence Recommendation

Enter data for up to five plans and the analyzer ranks them by net contribution โ€” giving you the exit sequence that minimizes revenue disruption and maximizes financial recovery speed.

Key Insight

When administrative costs are included, the average PPO-dependent practice collects approximately 65 cents per dollar of production. The average membership plan patient generates $1,400โ€“$1,600 in annual practice revenue at 80โ€“85 cents on the dollar โ€” with near-zero administrative overhead. This tool makes that comparison specific to your practice.

Before the Analysis

โœ—"My write-off is around 28% โ€” that's just how it is."
โœ—No accounting for administrative cost per plan
โœ—Exit sequencing based on gut feel or patient count
โœ—No side-by-side comparison to the alternative model
โœ—The decision to change feels uncertain and risky

After the Analysis

โœ“Exact dollar cost of participation โ€” per plan, per year
โœ“True net contribution ranked for each plan
โœ“Data-driven exit sequence โ€” lowest value out first
โœ“Projected revenue under membership model scenario
โœ“The decision to change is based on your actual numbers

Four inputs. Two minutes. A clear picture.

Pull your payer mix report from your practice management software โ€” Dentrix, Eaglesoft, or Open Dental all have one. Then enter the numbers below.

1

Enter Plan Data

For each PPO plan: patient count, gross production billed, and write-off percentage. Up to five plans.

2

Set Admin Cost Rate

Enter your estimated administrative overhead percentage โ€” or use the default of 8%, which is typical for most practices.

3

Review Net Contribution

The tool calculates true net contribution per plan and ranks them from highest to lowest value.

4

See the Comparison

Side-by-side view: your PPO model versus the membership model at equivalent patient volume.


PPO Profitability Analyzer

Enter your plan data below. No email required โ€” your numbers stay in your browser and are never collected or stored.

PPO PROFITABILITY ANALYZER  ยท  DENTAL STRATEGY INSTITUTE

Having trouble viewing the tool? Open in a new tab โ†’

The numbers told you the story.
Now get the playbook.

The PPO Profitability Analyzer is the diagnostic. The Insurance-Free Dental Practice is the treatment plan โ€” a complete step-by-step guide to designing your membership plan, exiting your contracts professionally, and building the practice that collects 95 cents on every dollar.

The Book

10 chapters covering the full arc: Pre-Exit Audit โ†’ Plan Design โ†’ Contract Exit โ†’ Marketing โ†’ Operations โ†’ Scaling. Available on Amazon and Kajabi.

Calculator Suite

9-tab Excel workbook with 231 live formulas โ€” attrition modeling, cash flow bridge, KPI tracker, and the full membership revenue projector.

Ready to stop leaving money on the table?

The Insurance-Free Practice Suite has everything you need โ€” the book, the calculators, and the course โ€” to make the transition with confidence.