Filing Dental Insurance Claims is Killing Your Profit — Here’s the Fix They Don’t Teach in Dental School

July 19, 2025
Topics: Dental
Written by: Ally Comstock

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?

Tired of Chasing Insurance Like It’s Your Second Job?

You didn’t go to dental school to become a paper-pushing reimbursement robot, did you?

Yet here you are…

  • Chasing unpaid claims like a debt collector ️‍♂️

  • Spending hours on the phone with insurance reps who put you on hold with Kenny G hold music

  • Waiting 30, 60, 90+ days just to get paid half of what you billed

  • Getting denied for things as stupid as “incorrect code position” or “not enough documentation” ‍♀️

Filing dental insurance claims has become a full-time job inside your practice.
And here’s the worst part — it’s costing you BIG.

On average, practices lose 9%–15% of collectible revenue just from claim rejections and write-offs.
Not to mention the time, stress, and burnout.

But what if I told you there’s a way to ditch the drama… and still grow your revenue?


The Dentist Who Stopped Filing Claims — and 3X’d Her Profits

Meet Dr. Naomi Kim, owner of a small but mighty 4-op practice in Austin, TX.

She had a killer team. A loyal patient base. But every month ended with the same question:

“Why are we working this hard and barely breaking even?”

The answer?
⛓ Insurance dependency.

Her front office was filing dental insurance claims like crazy.
Denied claims. Delayed payments. Confused patients.
Sound familiar?

In 2023, Dr. Kim said “Screw this” and made a bold move:
She stopped filing insurance and went membership-only using BoomCloud™.


Build Recurring Revenue Without the Insurance Circus

BoomCloud™ is your ticket out of the dental insurance rat race.

With BoomCloud™, you can:

✅ Launch your own in-house membership plan in minutes
✅ Offer patients affordable care without needing insurance
✅ Automate billing, renewals, and reminders
✅ Track your Monthly Recurring Revenue (MRR) and Annual Recurring Revenue (ARR)
✅ Escape PPOs and claim-filing chaos — forever

No more pre-auths.
No more 8-week waits.
No more begging for your own damn money.


CASE STUDY: Dr. Kim’s “No More Claims” Playbook

Here’s how Dr. Kim turned “filing dental insurance claims” into a relic of the past:

The Offer:

  • $32/month = 2 cleanings, exams, X-rays + 15% off treatment

  • Built in BoomCloud™ with automatic renewals

  • Offered to uninsured patients AND those sick of limited coverage

Marketing:

  • “No Insurance? No Problem” campaign via Facebook + postcards

  • Website banner with QR code to join

  • In-office scripts: “We’re out-of-network — but we’ve got something better.”

Results (in 6 months):

  • 487 active members

  • MRR = $15,584/month

  • ARR = $187,008/year

  • Average treatment acceptance rose to 78% (from 41%)

  • Dropped ALL PPOs

  • Eliminated 95% of claim-filing workload

  • Reclaimed 15 hours/week of admin time

“We went from chasing insurance to attracting cash-paying members. And our patients love the simplicity.” — Dr. Naomi Kim


Filing Claims Isn’t a Flex — It’s a Trap

Let’s just say it out loud:

The dental insurance model was never built for dentists. It was built for corporations.

You provide $1,200 in care.
You get reimbursed $740.
Your admin spends 2 hours arguing for $20 of fluoride.
And the patient is still confused.

That’s not healthcare. That’s hostage care.


THE REAL MATH: Claim Filing vs. Membership Model

Metric Insurance Model Membership Model
Average Reimbursement 60–70% of UCR 90–100% ✅
Time to Get Paid 30–90 days Instantly ✅
Admin Time Spent/Claim 8–15 mins 0 mins ✅
Claim Denial Rate 10–14% 0% ✅
Membership Patient Spend N/A 2X–4X more ✅

Now imagine if you had 500+ patients paying you every month, directly, without gatekeepers.

That’s what BoomCloud™ does.


FILMING DENTAL INSURANCE CLAIMS? HERE’S YOUR EXIT PLAN

If you’re still filing dental insurance claims daily, here’s how to phase them out strategically:

✅ Step 1: Launch a Membership Plan

  • Use BoomCloud™ to set pricing + benefits

  • Focus on preventive care and discounts for big cases

Step 2: Educate Your Patients

  • “We’re moving to a simpler, more affordable model”

  • Use emails, brochures, and front-desk scripts

  • Position it as freedom from insurance limitations

Step 3: Run a Campaign

  • Use headlines like:

    • “No Insurance? Join Our Plan.”

    • “Say Goodbye to Dental Claim Confusion.”

  • Add urgency with limited-time perks

Step 4: Measure Your Metrics

  • MRR, ARR, treatment acceptance, patient retention

  • Watch your profit-per-patient skyrocket

Step 5: Drop the PPOs (One by One)

  • Start with the lowest-paying contracts

  • Replace with member revenue

  • Repeat. Freedom is close.


Still Gotta File for Some Patients? Streamline It

If you’re not ready to completely cut the cord yet:

  • Use dental claim software like DentalXChange or NEA FastAttach

  • Batch file claims weekly to reduce time

  • Set a hard boundary: “We’ll file on your behalf, but we don’t chase them.”

Protect your time. Guard your team. Value your expertise.


Filing Dental Insurance Claims Is a Time-Suck. Membership Is the Solution.

Filing dental insurance claims is outdated, annoying, and profit-sapping
BoomCloud™ helps you create a revenue stream you own
Membership patients pay more, stay longer, and don’t ghost you over deductibles
Grow MRR & ARR while cutting admin headaches
Provide better care, without jumping through flaming insurance hoops


Fire the Claims. Keep the Patients. Own Your Revenue.

Dentistry should be about smiles — not scanning EOBs like they’re treasure maps.

✅ No more begging insurance.
✅ No more revenue roulette.
✅ Just you, your team, and a predictable, profitable business model.

Ready to break free from filing dental insurance claims forever?
Visit BoomCloudApps.com

Build your dental membership empire.
Earn on autopilot.
Treat without limits.

You’re not a claims clerk. You’re a CEO. Act like it.

My Top Podcasts

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

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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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