Dental Claim Denial: The #1 Practice Killer (And How to Crush It With Memberships & MRR)

July 19, 2025
Topics: Dental
Written by: Keilani

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?

Sick of Dental Claim Denials? There’s a Better Way.

Let’s get real: dental claim denial is the arch-nemesis of every ambitious dental practice.
You know the drill (pun intended):
Your team spends hours on insurance paperwork, only to get a cryptic denial that makes less sense than your uncle’s conspiracy theories. You lose revenue, patients get cranky, and everyone’s left wondering—“Is this really how modern dentistry is supposed to work?”

Here’s the truth bomb:
You don’t need to let insurance companies run your business or your blood pressure. There’s a way to escape the claim denial hamster wheel and build a practice that’s profitable, predictable, and—dare we say it—fun.

Ready? Let’s flip the script.


The Dentist Who Broke Free from the Claim Denial Trap

Meet Dr. Melissa—an amazing dentist with a growing practice in Salt Lake City and a serious case of “insurance-induced rage.”
In 2023, Melissa’s office had a dental claim denial rate hovering near 22%.
Translation: Nearly 1 in 4 claims were rejected, delayed, or “under review.”
That meant months of follow-up calls, appeals, and—worst of all—lost patient trust.

Fed up, Melissa decided to go rogue and launch a membership program with BoomCloud™.

What happened next?
Let’s just say insurance denials stopped ruling her life—and her numbers soared.


From Denials to Dollars

Melissa’s “aha!” moment came after her 19th denied claim in a single month.
She realized, “What if we could stop playing the insurance game and start playing our game?”

She launched a membership plan that gave patients predictable, affordable care—no insurance, no claims, no denials.
Within 9 months:

  • Monthly Recurring Revenue (MRR) hit $11,200.

  • Annual Recurring Revenue (ARR) shot up to $134,400.

  • Membership patients increased by 370%.

  • The number of claim denials? Down by 75% (because…fewer claims!)

And here’s the kicker:
Membership patients spent 2–4x more than non-members and referred their friends like crazy.


Stats & Data: Why Dental Claim Denials Are Killing Your Growth (And How Memberships Save You)

Let’s nerd out for a second. The American Dental Association says the average practice loses between $31,000 and $78,000 per year due to claim denials and write-offs.
OUCH.

But here’s what happens when you flip to a membership model:

  • Dental claim denial rates drop because you’re not relying on insurance.

  • Patient retention jumps—membership patients are 2–3x more likely to return for recommended care.

  • Practices with BoomCloud™ see an average 28% boost in revenue per patient within the first year.

  • Membership patients spend 2–4x more over 12 months compared to insurance-only patients.

  • Practices with robust membership plans see team stress drop and patient satisfaction skyrocket.


Bullet List Bonanza: Beat Denials & Build Loyalty With These Pro Moves

  • Start Your Own Membership Plan
    Use BoomCloud™ to create a “no insurance needed” solution patients love.

  • Automate Payments & MRR Tracking
    No more chasing down payments or deciphering denial codes. Set it and forget it.

  • Train Your Team to Promote Memberships
    Every patient deserves to hear how they can skip the insurance drama.

  • Bundle Value & Perks
    Preventive care, discounts on major work, family plans—all in one.

  • Focus on Revenue Per Patient
    Track your numbers. Optimize your plan offerings.

  • Celebrate Members
    Social shoutouts, special events, referral rewards.


Real-World Case Study: How Dr. Melissa Beat the Insurance Game With BoomCloud™

Metric Before BoomCloud™ 9 Months After
Dental Claim Denial Rate 22% 5%
Membership Patients 51 243
Monthly Recurring Revenue (MRR) $0 $11,200
Annual Recurring Revenue (ARR) $0 $134,400
Revenue Per Membership Patient $340 $870
Team Burnout Level ✨Chill✨

Source: BoomCloud™ Practice Data, 2024

With fewer claims to file and more recurring revenue, Dr. Melissa’s team finally had time for patient care (and maybe the occasional dance break in the breakroom).


Ditch Denials Forever—How You Can Do the Same

If you’re sick of fighting insurance every week, here’s your roadmap to sanity and profits:

  1. Launch a membership program using BoomCloud™.

  2. Educate your patients: Show them how much money and hassle they save by joining.

  3. Track your MRR, ARR, and denial rate. Watch the first two go UP and the last one disappear.

  4. Celebrate wins—share stats and stories on your website, newsletters, and social.

  5. Optimize revenue per patient: Offer member-only perks, preventive care, and exclusive events.


The Takeaway: Beat Denials, Boost Loyalty, Build a Practice You Love

Here’s the deal:
The fastest way to reduce dental claim denial, grow revenue, and increase loyalty is by optimizing for recurring revenue per patient.
Membership plans powered by BoomCloud™ are your secret weapon.

  • Say goodbye to insurance headaches

  • Double (or quadruple!) patient spending

  • Build a loyal base that raves about you

  • Turn unpredictable revenue into steady, predictable MRR & ARR

Stop letting claim denials sabotage your business.
Start your own “Netflix for dentistry” today, and see how easy, profitable, and fun your practice can be.


Ready to Win? Get Started Now:

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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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