D0274 Dental Code: Stop PPO Write-Offs & Build a More Profitable Practice

February 22, 2025
Written by: Jordon Comstock

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PPOs Are Robbing You Blind—Let’s Fix That.

d0274: Let’s get straight to it—dental insurance companies are the worst.

You bill for bitewing X-rays (D0274), the PPO slashes your fee, and you’re left wondering why you even bother. Meanwhile, your front desk staff is fighting insurance companies all day, and you’re writing off $35,000+ per month in PPO discounts.

Fact: The average practice loses $420,000+ per year in PPO write-offs.
Fact: Over 50% of Americans don’t even have dental insurance.

So why are you still letting insurance dictate how much you get paid?

What if there was a better way? A way to ditch PPOs, increase treatment acceptance, and generate predictable recurring revenue (MRR & ARR) without dealing with insurance nonsense?

There is. It’s called a membership plan. And today, I’ll show you how to turn your practice into a revenue machine—using BoomCloud™.

Let’s dive in.


Story: What is the D0274 Dental Code & Why You’re Losing Money on It

What is D0274?

The D0274 dental code is used for bitewing X-rays – four films. These X-rays help diagnose:
Cavities & decay between teeth
Bone loss from gum disease
Infections & hidden dental issues

It’s a standard procedure in most checkups, yet insurance is paying you peanuts for it.

The PPO Problem: You’re Getting Paid Less Than You Deserve

What D0274 Should Be Worth: $50-$80
What Most PPOs Pay: $20-$35

That means for every 100 D0274 X-rays you take, you’re losing up to $4,500/month.

The True Cost of PPO Write-Offs

Let’s do some quick math:

You take 300 bitewing X-rays (D0274) per month
PPOs underpay by $30 per X-ray
$9,000 in lost revenue PER MONTH
$108,000 PER YEAR—GONE!

And that’s just ONE procedure. Think about the total losses from crowns, implants, perio treatments, and root canals.

So, how do you fix this? Stop relying on PPOs & start offering a membership plan.


Offer: How a Membership Plan Can Save Your Practice & Increase Revenue

The Problem:

Most uninsured patients avoid the dentist because they’re afraid of huge bills. They hear “you need bitewing X-rays” and immediately think:

“How much is that going to cost me?”
“Does my insurance cover it?”
“Maybe I’ll just wait until I’m in pain.”

The Solution? A Membership Plan.

Instead of dealing with PPO headaches, claim denials, and slow payments, what if patients paid YOU directly?

How a Membership Plan Works:
✅ Patients pay a low monthly or annual fee for preventive care.
✅ They get discounts on advanced procedures (including D0274).
✅ You generate predictable, recurring revenue (MRR & ARR).
No insurance drama, no write-offs, no BS.

Why Membership Patients Are Better Than PPO Patients

They spend 2X-4X more than insurance patients.
They accept treatment faster because cost isn’t a mystery.
They stay loyal longer—reducing patient churn.

Pro Tip: If you convert just 300 uninsured patients to a $35/month membership plan, that’s:
$10,500/month (MRR)
$126,000/year (ARR) in GUARANTEED revenue

And that’s BEFORE they even accept treatment.

Want to make membership plan management easy? Check out BoomCloud™ Click Here

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vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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