Dental Insurance Claims: The Ultimate Guide to Beating Denials, Growing Loyalty, and Winning the Dental Money Game (With BoomCloud™)

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?

Dental Insurance Claims—The #1 Thing Standing Between You and a Profitable, Low-Stress Practice

If you’re tired of the phrase “Your claim is under review,” you’re not alone.
Dental insurance claims are the single biggest source of stress for practices—next to “that one patient” who thinks a cleaning should cost $5 and come with free whitening.

Think about it:

  • Endless paperwork.

  • Mysterious denials.

  • Delayed payments.

  • Angry calls from patients who don’t “get” their benefits.

It’s a hamster wheel, and you deserve better.

But what if you could turn the tables? What if you could stop letting dental insurance claims run your life and finally build a system that gets your team paid, your patients happy, and your practice growing?
Let’s talk about the real solution—membership programs, MRR, ARR, and the BoomCloud™ revolution.


The Practice That Kicked Insurance Claims to the Curb

Meet Dr. Erica, a dentist in Phoenix with a full schedule and a front desk that looked like a tornado hit a filing cabinet.
Her team spent 12+ hours a week battling dental insurance claims—filling forms, making calls, fixing denied codes.
Sound familiar?
Worse, her patients were stuck in “insurance limbo”—confused, frustrated, and slow to accept needed treatment.

Dr. Erica was desperate for a fix. That’s when she found BoomCloud™ and started her own dental membership program. Suddenly:

  • Patients didn’t need insurance to get care.

  • Treatment plans got accepted 3X more often.

  • Monthly Recurring Revenue (MRR) started rolling in—before a single patient even walked in each month.

  • Her team was smiling (for real this time).


The Day Dr. Erica Ditched Dental Insurance Claims for Good

Dr. Erica’s lightbulb moment came after her 14th denied claim in a single week.

“Why am I spending my life chasing money that’s already mine?”

She realized patients didn’t actually like their insurance—they liked clarity, savings, and knowing you care.
So, she launched a membership plan powered by BoomCloud™. Patients signed up, loved it, and spent 2–4X more per year compared to insurance patients.


Stats & Data: Why Dental Insurance Claims Are Costing You Big Time

  • Average practice spends 9–14 hours/week on insurance claims (ADA, 2024)

  • Claim denial rate hovers around 21% for dental offices (OUCH)

  • Each denied claim costs $34–$57 in admin time to resolve

  • Practices with robust membership plans see MRR/ARR boost by 20–38% (BoomCloud™ Data, 2024)

  • Membership patients spend 2–4X more per year and accept more treatment


Bullet List Bonanza: How to Escape the Dental Insurance Claims Trap

  • Start a Membership Program
    BoomCloud™ makes it easy to set up, track, and grow.

  • Automate Payments (MRR/ARR)
    Forget waiting for insurance checks—recurring deposits straight to your account.

  • Train Your Team to Pitch Value, Not Insurance
    Patients want clarity, savings, and a great experience.

  • Reduce Denials and Delays
    No more mystery codes, missing info, or chasing adjusters.

  • Maximize Revenue Per Patient
    More visits, more loyalty, and more treatment accepted—without insurance drama.

  • Track Your Wins
    Use BoomCloud™ dashboards to see your MRR, ARR, and membership growth in real-time.


Case Study: BoomCloud™ Membership Plan—From Claims Chaos to Predictable Profits

Metric Before BoomCloud™ 10 Months After
Time on Insurance Claims 12 hrs/week <2 hrs/week
Monthly Recurring Revenue $0 $13,900
Annual Recurring Revenue $0 $166,800
Membership Patients 24 224
Claim Denial Rate 21% 6%
Revenue Per Patient $380 $920

Source: BoomCloud™ Practice Data, 2024

Dr. Erica’s practice went from stressed and stuck to thriving—and her team got their sanity back.


How to Win at Dental Insurance Claims (Hint: Stop Filing Them!)

Let’s be blunt:
You can master the art of dental insurance claims, or you can make most of them obsolete.
Here’s how to get started:

  1. Launch your own membership program with BoomCloud™.

  2. Train your team to promote membership benefits (no claims, instant savings, more value).

  3. Automate recurring billing and renewals—get paid every month, no matter what.

  4. Track your real numbers (MRR, ARR, case acceptance, revenue per patient).

  5. Celebrate wins—every new member, every automated deposit, every happy patient.


The Big Takeaway: Ditch the Dental Insurance Claims, Double Your Growth

Here’s the truth:
Dental insurance claims are a broken system designed to make dentists and patients jump through hoops.
The practices that win?

  • Focus on predictable revenue per patient

  • Build loyalty with membership plans

  • Escape the chaos, boost profits, and actually enjoy running the business

With BoomCloud™, you’re not just reducing paperwork—you’re building a better practice.


Ready to Ditch the Dental Insurance Claims Headache?

Take action 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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