Your fee schedules were set by carriers to benefit carriers. We renegotiate them to benefit your practice — backed by $100M+ in recovered revenue and a decade-plus AAOMS Approved Partnership that no competitor can match.
Here’s the math most dentists never see: if your practice produces $1 million annually and your average PPO write-off is 35%, you’re giving back $350,000 a year to insurance carriers. Over a decade, that’s $3.5 million — money that could have funded equipment, staff, expansion, or retirement.
Carriers aren’t going to tell you your fee schedule is below market. They don’t send a letter when the practice down the street negotiates better rates. They benefit from your inaction. The typical practice that comes to PQ discovers their contracts are significantly worse than they realized — enough that clients regularly describe the results as “far-fetched,” until the checks start coming in.
“Before Practice Quotient, we really didn’t know how bad our insurance contracts were. At first, Patrick and his team made predictions we thought were far-fetched — but with the sweeping changes they made, they delivered.”
Dr. Frank YehCoastal Virginia Oral & Maxillofacial Surgery · Virginia Beach, VAMost PPO negotiation firms approach carriers from the outside — submitting requests and hoping for the best. PQ is different. Our founder built dental networks at MetLife and managed large-group operations at Humana. He designed the dental plans you’re participating in. He knows exactly how carriers evaluate fee-schedule requests, what triggers approval, and what gets ignored.
We examine every carrier agreement, fee schedule, and participation contract to identify where you’re underperforming — down to the procedure code. What we need: current fee schedules and contracts. We handle the rest.
We build a carrier-by-carrier negotiation roadmap customized to your goals, geography, and patient-acquisition strategy. No cookie-cutter playbooks.
Patrick and the PQ Team engage carriers directly — no junior staff, no handoffs. This is where the insider advantage matters most.
We manage your contracts until they’re optimized — then tell you the work is done rather than keep billing. When fee schedules or the market shift (typically a couple of years out), we recalibrate.
Results vary by practice size, carrier mix, and current contract status. The gap between where your contracts are and where they should be is almost always larger than you think.
The initial analysis typically takes 2–4 weeks. Negotiations proceed carrier by carrier, with most practices seeing initial results within 60–90 days. Most projects run their active course in around two years — when your contracts are optimized, we tell you the work is done rather than bill for maintenance you don’t need. Clients typically revisit every couple of years to recalibrate as the market shifts.
Current fee schedules, carrier contracts, and basic production data. Our team handles the analysis — we don’t ask you to pull reports or do homework. We’ll walk your office manager through exactly what we need.
Our fee structure is performance-aligned. We start with an initial consultation, and ongoing engagement fees are based on the scope of negotiation and management. We’re happy to discuss specifics when we talk.
You can try. Most practices do — and most get marginal results or no response. Carriers handle thousands of fee-schedule requests. Without carrier-side expertise and established relationships, self-negotiation rarely moves the needle.
Only if the math supports it. Dropping a carrier means losing patients — we never recommend it unless your practice can absorb the shift and come out ahead.
Yes. We execute HIPAA Business Associate Agreements (BAAs) and NDAs with every client before any data is shared. Your practice data is treated with the same security standards required by federal healthcare privacy law.
No. The PQ Team personally manages every client relationship and every carrier negotiation. When you call PQ, you talk to the people doing the work.
The conversation is confidential. And the results speak for themselves — $100M+ recovered for 100+ practices and counting.
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