logo
episode-header-image
Jan 2024
33m 27s

1898: Solving the PPO Riddle Pt. 1

Mark Costes
About this episode

On today’s episode, we have the first of a 2-part series from the TPL (The Practice Launchpad) event in San Diego, CA. Vivek Kinra’s (founder of PPO Profits) presentation, “Solving the PPO Riddle” is broken down and shared in this episode.

He brings invaluable insights into the Importance of Proper Credentialing and Fee Schedules in dental practices. We start off by discussing the critical role of negotiation in insurance contracts and how it can significantly impact your practice. Then, we delve into the utilization of the High Tech Law in specialty procedures, highlighting how it allows certain procedures to be performed at cash fees through specific patient agreements. Vivek also emphasizes the impact of having expert support, like PPO Profits, in insurance negotiations to achieve substantial returns. We also touch upon the various types of insurance plans in dentistry, the distinctions between credentialing, contracting, and fee negotiations, and their implications for dental practices. Lastly, we explore the technical aspects of National Provider Identifiers (NPIs), focusing on the difference between Type 1 and Type 2, and the detailed process of credentialing for dentists and associates. Don't forget to tune in tomorrow for Part 2 of this discussion!

EPISODE RESOURCES

Up next
Yesterday
2355: Balancing Growth and Simplicity in a Multi-Practice Journey
On today’s episode, Dr. Mark Costes sits down with newly minted Black Belt Coach Dr. Karley Schneider, a dynamic dentist and entrepreneur based in Tucson, Arizona. Dr. Schneider shares her journey from dental school to acquiring three practices and ultimately deciding to simplify ... Show More
52m 45s
Oct 9
2354: How a Guinness World Record Launched a Dental Marketing Empire
On today’s episode, Dr. Mark Costes is joined by the energetic and insightful Minal Sampat—best-selling author, marketing strategist, dental hygienist, and founder of the wildly popular CE on the Beach. After reconnecting at a recent event in Philadelphia, Dr. Costes realized Min ... Show More
51m 51s
Oct 8
2353: Behind the Scenes of Dentistry and Reality Television
On today’s episode, Dr. Mark Costes sits down with Dr. Randy Houska, a general dentist from South Dakota and one of the original co-founders of the Voices of Dentistry. Live from the VOD Lite event in Gilbert, Arizona, the two dive into Dr. Houska’s unique journey—from nearly fou ... Show More
24m 46s
Recommended Episodes
Jun 2021
Invisalign: Patents, Patients, and Profits - [Business Breakdowns, EP. 11]
Today, we will be breaking down Invisalign. Founded in 1997, Invisalign pioneered clear aligners as an alternative to metal braces. Today, Invisalign generates over $2bn of revenue and accounts for roughly 20% of the orthodontic market. To break down Invisalign, I am joined by Ni ... Show More
59m 20s
Nov 2021
95. Dr. Tarun Agarwal - Dental Practice Growth Hacks
I have gotten so many requests to have some episodes be about practice management and how to have a thriving dental practice, whether you’re a practice owner or associate. Dentists deserve to be compensated for their hard work. We do have a service based-profession, but we work v ... Show More
50m 34s
Oct 2020
37. Dental Digest. Clinical Pearls in Oral Implantology [w/ Dr. David Attia]
Earn dental continuing education for listening to this podcast through: https://www.dentaldigestinstitute.com/dental-continuing-education/ This episode is filled with clinical pearls related to anterior implant dentistry and its led by Dr. David Attia. He will discuss more tips f ... Show More
20m 12s
May 2022
Everything you need to think about in establishing your own practice in 20 minutes!
Tune in to Dr. Alexandra Otto, who will inspire you with her fine-tuned process in creating and growing your practice. In this enlightening podcast, Dr. Otto shares her process improvement approach to creating all the necessary systems for practice function at its highest level. ... Show More
23m 21s
Feb 2022
Ep. 47 Mavericks as Innovators: How Daring Leads to Discovery with Dr. Michael Rutter
Pediatric airway surgeon Dr. Michael Rutter and I discuss risk-taking and effective market analysis in entrepreneurship. In the operating room, Dr. Rutter cultivates a congenial OR environment and often seeks ideas from other team members with different areas of expertise. These ... Show More
1h 19m
May 2023
#253 - Stress Free Dentistry With Dr. Eric Block
In this episode, Dr. Tarryn MacCarthy is joined by Dr. Eric Block, Co-founder of the International Academy of Dental Life Coaches, or IADLC.com, to discuss how dental professionals can achieve a stress-free life with the help of a life coach. They delve into the pressures and str ... Show More
33m 23s
Aug 2023
How to Identify Key Stakeholders and Properly Engage Them | Dave Fink - 1692
Quality beats quantity when it comes to lead generation, prospecting, and moving customers through your sales funnel. Knowing who to talk to and how to reach them can save you from getting caught up in drawn-out back and forths with the wrong people. In today’s episode, our host ... Show More
28m 28s