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
Today
2287: Reinventing Dentistry with Single-Chair Mobile Practices
On today’s episode, Dr. Mark Costes sits down with Dr. Kwane Watson, the visionary founder and CEO of Kare Mobile Inc. With a background in both private practice and corporate dentistry, Dr. Watson has pioneered a transformative model of mobile dental care using single-operatory ... Show More
24m 25s
Yesterday
2286: Inside Henry Schein’s Global Outreach Efforts
On today’s episode, Dr. Mark Costes sits down with Kyle Guerin, Director of Corporate Social Responsibility at Henry Schein, to explore the transformative power of service in dentistry. Kyle shares incredible stories from nearly two decades of humanitarian outreach—including 16 t ... Show More
30m 55s
Jul 8
2285: Why Most Dental Practices Are Leaking Profit Pt. 2
In today’s Part 2 episode, Dr. Mark returns with a powerful message on the critical importance of practice infrastructure over sheer production. From leadership and culture assessments to systemization, He shares the real metrics that matter in dental practice ownership. He empha ... Show More
26m 13s
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
Apr 2024
Constructing Deals: Ron Hogen's Guide to Successful Business Negotiations
Request A Customized Workshop For Your Company: https://www.americannegotiationinstitute.com/services/workshops/ In this insightful episode of "Negotiate Anything," host Kwame Christian, Esq., M.A., and construction negotiation expert Ron Hogen unpack essential strategies for mas ... Show More
42m 51s
May 2024
Mastering Persuasive Content Creation with Vernon Foster II
Request A Customized Workshop For Your Company: https://www.americannegotiationinstitute.com/services/workshops/ In this enlightening episode of "Negotiate Anything," host Kwame Christian welcomes Vernon Foster II, a seasoned expert in leveraging video and audio content to enhanc ... Show More
27m 11s
May 2024
Ortho Finance 12 - Contracts w/ Michael Byrd & Bradford Adatto
Today, Michael Byrd and Bradford Adatto, both of ByrdAdatto law firm, join us as we discuss employment contracts. Whether you're embarking on a new job opportunity as a physician, or seeking to understand your current employment situation better, understanding the ins and outs of ... Show More
49m 53s
Jul 2024
Setting the Tone for Success in Negotiations with Jeff Sipe
In this insightful episode of "Negotiate Anything," host Kwame Christian, Esq., M.A. is joined by negotiation expert Jeff Sipe to delve deep into the nuances of negotiation tactics within the professional realm. They dissect the art of strategically managing one’s tone, delivery, ... Show More
38m 43s