Sealants Save Teeth… But PPOs Are Stealing Your Profits
So, you just applied a D1351 Dental Code—Dental Sealant.
You did your job. You prevented decay, protected a patient’s teeth, and provided value.
You bill insurance, and then…
DENIED!
UNDERPAID!
MORE PPO HEADACHES!
Now your front desk is:
Arguing with insurance reps.
Writing off THOUSANDS in “adjustments.”
Seeing your revenue disappear.
Reality check: The average dental practice writes off $35,000+ per month in PPO discounts. That’s $420,000 per year—GONE.
❌ Why do you keep letting PPOs run your business?
✅ Over 50% of Americans don’t even have dental insurance.
✅ Membership patients accept treatment 2X-4X more than PPO patients.
✅ You can build predictable recurring revenue (MRR & ARR) with a membership plan.
In this guide, you’ll learn:
✅ What the D1351 dental code is & how to appeal a denial.
✅ Why a membership plan is the best alternative to PPOs.
✅ How BoomCloud™ helps practices generate predictable revenue & happier patients.
Let’s go.
Story: How One Dentist Ditched PPOs & Added $500K in Recurring Revenue
Meet Dr. Josh Bennett.
He was:
❌ Tired of insurance paying pennies for preventive care.
❌ Sick of seeing sealants get denied for “lack of necessity.”
❌ Frustrated that PPO patients kept delaying care due to insurance confusion.
Then, he made ONE SIMPLE CHANGE—he stopped relying on PPOs and launched a membership plan.
Fast forward 12 months:
He dropped 3 low-paying PPOs.
His practice added $42,000/month in predictable recurring revenue.
Case acceptance skyrocketed (because patients had a simple way to pay).
That’s the power of saying goodbye to PPOs & embracing memberships.
What is the D1351 Dental Code & How to Stop Losing Money on It
What is the D1351 Dental Code?
D1351 is the ADA insurance code for dental sealants.
Definition:
✅ “D1351 – Application of Sealant Per Tooth to Prevent Decay”
Sealants are a simple, effective way to prevent cavities, typically applied to molars in children and even some adults at high risk for decay.
BUT HERE’S THE PROBLEM:
What D1351 Should Be Worth: $40 – $60 per tooth
What Most PPOs Pay: $10 – $20
That means for every 100 sealants you apply, you’re losing $3,000+ per month.
The True Cost of PPO Write-Offs:
You apply 500 sealants a month
PPOs underpay by $30 per tooth
$15,000 lost PER MONTH
$180,000 PER YEAR—GONE!
So, what’s the fix? Stop relying on PPOs & start offering a membership plan.
Why Membership Plans Are Better Than PPOs
RULE #2: Membership patients don’t need insurance. They just say YES.
How a Dental Membership Plan Works:
✅ Patients pay a low monthly or annual fee for preventive care.
✅ They get exclusive discounts on additional treatments.
✅ You generate predictable recurring revenue (MRR).
Why This Works:
✔️ Membership patients spend 2X-4X more than PPO patients.
✔️ Case acceptance skyrockets (because cost isn’t a barrier).
✔️ You create LOYALTY & RETENTION.
Want to launch your membership plan & ditch PPOs? Check out BoomCloud™
