PPO Power Plays

What if your practice is profitable on paper—but bleeding money behind the scenes? In this final episode of 2025, Dr. Len Tau welcomes Dana Moss, founder of PPO Dental Consulting, for a deep dive into the realities of dental insurance and PPO strategy. Dana breaks down how dental practices can increase profitability without sacrificing patient-centered care by negotiating smarter, streamlining fee schedules, and knowing when—and how—to strategically exit low-paying plans. Drawing from years of hands-on experience as a front office coordinator, insurance specialist, and practice administrator, Dana shares what most practices get wrong about insurance and how to fix it. You'll learn why billing office fees correctly is non-negotiable, how getting to the 80th percentile can dramatically change your negotiating power, and when outsourcing insurance coordination makes more sense than handling it in-house. Dana also explains umbrella plans, negotiation timelines, and why organization is the single biggest factor in PPO success. This episode is packed with actionable insights for startups, mid-career dentists, and practice owners preparing for growth—or an eventual sale.   What You'll Learn The two non-negotiables practices must fix before negotiating PPO fees Why billing office fees changes your profitability picture How the 80th percentile impacts insurance negotiations When to renegotiate—and when not to The pros and cons of DIY vs outsourced PPO negotiation How smarter insurance systems lead to stronger cash flow   Key Takeaways 00:44 Welcome, Sponsors & Final Episode of 2025 02:07 Meet Dana Moss & Her Background in Dental Insurance 03:40 Who Dana Helps Most: Startups, Growing Practices & Sellers 08:01 Preparing to Negotiate PPO Fees the Right Way 10:30 The Two Non-Negotiables: Billing Office Fees & Fee Balancing 14:30 PPO vs Fee-for-Service Philosophies Explained 15:29 How Often You Can Renegotiate Insurance Fees 16:20 DIY PPO Negotiation vs Outsourcing: Pros & Cons 18:07 Using Your Top Procedure Codes Strategically 20:40 Dropping Low-Paying Plans & Understanding Umbrella Networks 26:39 Training Insurance Coordinators for Clean Claims & Strong AR 29:13 AI, Remote Teams & the Future of Revenue Cycle Management 31:00 Life on the Road: Dana's Full-Time RV Lifestyle 33:20 Lightning Round Q&A with Dana 36:50 How to Work With Dana + DIY Negotiation Kit Offer 37:40 Closing Thoughts, Sponsors & Event Reminder   Connect with Dana Dana Moss Founder, PPO Dental Consulting 📞 Phone/Text: 817-456-0012 📧 Email: [email protected] 🌐 Website: https://ppodentalconsulting.com/ 🎁 Exclusive Listener Offer Get 25% off Dana's DIY PPO Negotiation Kit (normally $1,000). Use code LEN at checkout.   Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!