Out of Network Dental Insurance? Here’s the Smart Fix

July 09, 2025
Topics: Dental
Written by: Lisa Rasmussen

How Smart Practice Owners Are Ditching PPOs and Adding $500K+ in Recurring Revenue

Join our exclusive course and discover the proven strategies that practices use to add $10,000+ in monthly recurring revenue with patient membership plans. Dr. Evans took this course and now has over 800 members and $37,000/mo of predictable recurring revenue. Watch this webinar before we take it down in 24 hours.

This course normally sells for $297.

But right now, I’m giving you access for just $47.

That’s cheaper than a hygiene cleaning.

And it could be the most profitable $47 you ever spend.

Get the Course Here → The Six-Figure Membership Plan Course

What You Will Learn:

- How to Build a Membership Plan That Pays You Monthly (Even While You Sleep!)

- Why PPOs Are Stealing Your Revenue—And How to Take Control of Your Profits

- The 3-Step System to Scale Recurring Revenue
(Even If You’ve Never Sold a Membership Plan Before!)

- The #1 Mistake Dentists Make When Dropping PPOs (And How to Avoid It!)

LIVE Case Study: How One Dentist Went from PPO-Dependent to $500K+/Year in Recurring Revenue With a Membership Program!

In dentistry today, PPOs are not your friend, they hurt your cash flow, demolish your profit margins, jeopardize your patient relationships & use A.I. to deny claims!!

If I had an employee or partner that messed up my business like that, I would FIRE them ASAP! 

$47. No fluff. Just results.

You in?


Going out of network with dental insurance used to feel like jumping off a cliff without a parachute…


But now? It’s like jumping off and landing on a pile of cash

No, seriously.

Dentists across the U.S. are ditching PPOs, going out-of-network, and building predictable, recurring revenue — thanks to one game-changing strategy:
➡️ Membership Plans Powered by BoomCloud™.


STORY: Why Going Out of Network Used to Be Scary

Let’s be real. You were told going out-of-network meant:

  • Losing patients

  • Financial ruin

  • Endless stress

  • Having to “explain” yourself to angry insurance-dependent patients

But here’s the truth bomb …

Insurance companies have hijacked your revenue.
They dictate your fees.
You write off 30–45% of your treatment revenue just to play their game.

So who’s really running your practice? (Spoiler: Not you.)

Now, smart practices are saying no more, going out-of-network, and replacing that revenue with something way better…


When You Ditch Insurance, You Gain Freedom (and Monthly Recurring Revenue)

Going out-of-network doesn’t mean going broke.

It means:
✅ Getting paid what you’re worth
✅ Creating your own “dental plan” patients actually love
✅ Building loyalty without the insurance barrier
✅ Creating predictable MRR (Monthly Recurring Revenue)

And the tool that makes it work like magic?
BoomCloud™.


CASE STUDY: Dr. Patel Breaks Up With PPOs & Banks $39,000+/Month in MRR

Dr. Patel ran a successful suburban practice — but was constantly battling insurance red tape. She was writing off over $300K per year in “adjustments.”

Then she discovered BoomCloud™.

Her Plan:

  • $42/mo membership

  • Includes 2 cleanings, 2 exams, X-rays

  • 20% off additional treatments

  • Set up in less than 30 days

12 months later:

  • 925 patients on the plan

  • $38,850/month in recurring revenue

  • ARR (Annual Recurring Revenue) = $466,200

  • Insurance dependence = 0

  • ❤️ Patients = more loyal than ever

“Now, every new patient is a subscription, not a gamble.”


Why Patients Love Membership Over Insurance

Let’s break it down:

Insurance BoomCloud™ Membership
Hidden fees, denials Transparent pricing
Waiting periods Immediate access
Annual max limits Use anytime
Red tape & frustration Simplicity & trust
You’re a “provider” You’re their dentist

Patients want simplicity.
And 50% of Americans don’t even have dental insurance.
They’re looking for you to give them a better way — and that’s where your in-house plan comes in.


Pro Marketing Tip: Go Out-of-Network with a Strategy

Here’s how to make your out-of-network transition smooth AF:

️ Build a Membership Plan That Rocks

BoomCloud™ makes it easy. You just:

  • Set pricing + benefits

  • Customize your plan branding

  • Automate billing & renewals

  • Keep 100% of the revenue

Communicate With Patients the Right Way

Use scripts and templates to explain:

  • Why you left the network

  • Why your plan saves them $$$

  • How they’ll still get quality care, but better pricing & experience

Focus Your Online Dental Marketing

  • Facebook Ads: “No Insurance? No Problem.”

  • SEO Blogs: “Why We Don’t Accept Insurance”

  • Google My Business: Feature your in-house plan

  • Email Campaigns: Transition guides & exclusive member offers

You’re not kicking patients out. You’re inviting them in.


THE DATA: Membership Patients Spend More & Stay Longer

According to BoomCloud™ and industry data:

  • Membership patients stay 3X longer

  • They spend 2X to 4X more per year

  • Practices with 1,000 members can generate $30K–$50K/month in recurring revenue

  • MRR = stability. ARR = scale.

You can stop living month-to-month and start planning like a real business.


The BoomCloud™ Platform Is Your Out-of-Network Engine

BoomCloud™ gives you everything to go out-of-network and win:

✅ Automated billing + renewals
✅ Legal compliance in all 50 states
✅ Dashboard for MRR & ARR tracking
✅ Custom marketing tools
✅ Team training + support
✅ Integrates with your practice management software

You’ll finally own your revenue instead of waiting for it.


BONUS: What to Say When Patients Ask, “Are You In-Network?”

Here’s the script:

“We’re actually not in-network anymore, but we’ve created an in-house dental membership plan that’s even more affordable than insurance. It includes cleanings, exams, X-rays, and discounts on treatment — with no waiting periods or paperwork. Most patients love it and say it’s simpler and more cost-effective than traditional insurance.”

Boom. Clear, confident, valuable.


How to Scale with BoomCloud™ + Smart Marketing

Stack BoomCloud™ with your marketing like this:

  • Run paid ads targeting patients without insurance

  • Promote membership in-office, on your website, and emails

  • Train front desk to present the plan as the go-to option

  • Use QR codes in the lobby + postcards

  • Automate renewals for zero admin headache

New Patient Acquisition Funnel ➡️ Membership Plan ➡️ Lifetime Revenue


TL;DR: Going Out-of-Network Is How You Take Back Control

Let’s recap:

✅ PPOs are draining your revenue
✅ You’re writing off 30–45% — for what?
✅ Patients want simplicity, not restrictions
✅ Membership plans create loyalty + freedom
✅ BoomCloud™ makes it easy to build & scale
✅ MRR = security. ARR = long-term wealth.

You don’t need more patients.
You need patients who pay you directly — every month — because they love your plan.


TAKE ACTION: Out of Network? Here’s What to Do Now:

Download the Million-Dollar Membership Plan Ebook
Take the Six-Figure Patient Membership Plan Course
Schedule a Demo of BoomCloud™
Create Your BoomCloud™ Account For FREE


Final Thoughts (in full Dan Kennedy mode)

Going out of network isn’t a risk — staying in network is.
The insurance system wasn’t built for dentists… it was built for profits.

Take your power back.
Own your revenue.
Build recurring income.
Deliver better care, and make more doing it.

BoomCloud™ is the bridge.
The rest? That’s up to you.


My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

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!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

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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