ADA Code for Flipper: Get Paid Right, Stop Guessing & Grow Loyalty Like a Boss

June 19, 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.

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- 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

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(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?

Hey Dental Trailblazer!

Ever stare at your screen wondering if you should code that temporary partial denture as a full removable or as an acrylic partial or just scream into a pillow? Yeah — welcome to the club.

Let’s settle this once and for all: the ADA code for flipper shouldn’t be a practice mystery. It should be a revenue driver. And today, I’m about to show you how to code it RIGHT — and how smart dentists turn flippers into membership gold.


The Truth: What’s the Official ADA Code for Flipper?

Let’s clear the fog:
D5221 — Immediate maxillary partial denture – resin base (including any conventional clasps, rests, and teeth).
D5222 — Immediate mandibular partial denture – resin base (same deal, lower arch).

These are the standard flipper codes used by most insurance plans. They cover your go-to acrylic “get them through the weekend” prosthetics.

Pro Tip: Don’t try to claim it under a full denture code (D5110 or D5120) or risk an audit surprise.


The Financial Pitfall: Flippers Are Underbilled & Undervalued

Here’s the kicker: too many dentists eat the cost of flippers just to get the big implant or bridge case.

BUT WAIT — the time, materials, lab fees, and staff labor? They’re bleeding cash unless you:

  • ✅ Bill the ADA code for flipper properly.

  • ✅ Collect payment upfront.

  • ✅ Educate patients about value.

National average fee for a flipper? $400–$750. Miss that a few times a month, and you’re tossing $50k/year into the chairside trash can.


Membership Patients Cover Flipper Costs Without Complaints ‍

Let’s drop a truth bomb : patients HATE surprise dental costs.

But… they LOVE memberships. Why? Because BoomCloud™ memberships wrap flippers, crowns, cleanings and discounts into a single, simple monthly payment.

Suddenly:
✅ Patients say “Yes, please!” instead of “Can I call you back?”
✅ Treatment plan acceptance skyrockets.
✅ The flipper fee? Covered.

BoomCloud™ membership patients spend 2–4X more than non-members. Their treatment loyalty is pure gold.


Real-World Story: Dr. Emily’s Flipper Flop Turned Membership Win

Meet Dr. Emily from Phoenix.
Back in 2021, her front desk was refunding flipper fees left and right because patients ghosted after extractions.

Cue frustration.

Then she launched a BoomCloud™ membership:

  • Patients prepaid monthly for emergencies, flippers, and follow-ups.

  • 217 members joined in 6 months.

  • Her Monthly Recurring Revenue (MRR) shot up to $11,800/month.

  • No more free flippers. No more no-shows.

Dr. Emily turned the ADA code for flipper into a membership magnet. Boom!


The Secret Sauce: MRR & ARR for the Win

In case you missed it:

  • MRR = Monthly Recurring Revenue.

  • ARR = Annual Recurring Revenue.

Big words, simple reality: predictable income > unpredictable insurance. Netflix does it. Spotify does it. Smart dentists do it too — with BoomCloud™.

Instead of praying insurance coughs up $500 for a flipper, Dr. Emily banks $141,600/year in ARR. Now, THAT covers a lot of flippers — and her team’s happy hour tab.


How to Turn Flippers into Membership Loyalty

Step 1: Offer a BoomCloud™ membership on your website and in office.
Step 2: Include perks: emergency exams, flippers, discounts.
Step 3: Train your front desk to present the plan BEFORE the extraction or partial.
Step 4: Watch patients whip out their credit cards before you even hit “Submit” on that flipper lab slip.


Why BoomCloud™ Rocks for the ADA Code for Flipper

BoomCloud™ makes your flipper coding and patient loyalty effortless:
Automated billing: No awkward “You owe $500 for that flipper” calls.
Member portal: Patients handle payments themselves.
Legal templates: Stay compliant, no legal whoopsies.
Analytics: See MRR, ARR, and active members live.
Marketing: Plug-and-play landing pages & emails. Flipper promo? Done!

Schedule a free BoomCloud™ demo


Data That’ll Make You Smile

According to BoomCloud™:

  • Membership patients show up for 95% of visits.

  • Spend 2–4X more than the average cash patient.

  • Accept 80%+ of recommended treatment plans — flippers, crowns, implants, oh my!


❓ FAQs

What exactly is the ADA code for flipper?
D5221 for upper arch, D5222 for lower arch. It’s that simple — but ALWAYS verify insurance coverage.

Do patients complain about flipper fees?
Not when they’re on a membership! They love the predictability.

How fast can I set up BoomCloud™?
Most practices launch in under 7 days. They guide you step-by-step.

Is this legal?
Yes — BoomCloud™ is designed for legal compliance in all 50 states.

Does this replace my insurance income?
It can — many dentists use membership MRR to offset insurance write-offs.


Wrap-Up: Flippers, Codes & Memberships = Dental Profit Superpowers

Listen up, Tooth Jedi:
Knowing the ADA code for flipper protects your revenue.
Using BoomCloud™ locks in that revenue month after month.
More loyalty. More cash. Less insurance stress.


Ready to Join Dr. Emily?

Download the Million-Dollar Membership Plan eBook: Grab It Free
Take The Six-Figure Patient Membership Course: Enroll Now
Schedule a BoomCloud™ Demo: See It Live
Create Your BoomCloud™ Account For FREE: Sign Up


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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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