D4910 Dental Code: PPOs Are Robbing Your Hygiene Revenue

April 01, 2025
Written by: Jordon Comstock

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If PPOs Were Employees, You’d FIRE Them Immediately!

Let’s talk about d4910 dental code – But first, Let’s do a quick reality check:

Imagine you have a business partner who:
Takes 30-50% of your revenue every month.
Pays you LESS than you deserve—every time.
Finds new ways to stall and deny payments.
Uses AI to AUTOMATICALLY reject legitimate claims.

Sounds like the kind of toxic, freeloading employee you’d fire on the spot, right?

Well, guess what? That’s exactly how PPOs treat your dental practice.

Reality check: The average dental practice writes off $35,000+ per month in PPO adjustments. That’s $420,000 per year—GONE.

And the worst part? Insurance companies are now using AI to deny claims faster than ever before.

Isn’t it time to FIRE PPOs and build a practice that actually pays YOU?

In this guide, you’ll learn:
What the D4910 dental code is & how to stop PPOs from underpaying you.
Why a membership plan is the best alternative to insurance headaches.
How BoomCloud™ helps practices generate predictable revenue & happier patients.

Let’s go.


Story: How One Dentist Fired PPOs & Added $500K in Recurring Revenue

Meet Dr. Emily Carter.

She was:
Drowning in PPO write-offs on perio maintenance.
Watching claim denials skyrocket thanks to AI algorithms.
Struggling with unpredictable cash flow.

Then, she made ONE SIMPLE CHANGE—she stopped relying on PPOs and launched a membership plan.

Fast forward 12 months:
She dropped 3 low-paying PPOs.
Her 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 D4910 Dental Code & How to Stop PPOs From Controlling Your Hygiene Revenue

What is the D4910 Dental Code?

D4910 is the ADA insurance code for periodontal maintenance.

Definition:
“D4910 – Periodontal Maintenance Following Active Therapy”

This code is used when:
✔️ A patient has completed SRP (Scaling & Root Planing).
✔️ Ongoing maintenance is needed to prevent disease progression.
✔️ The patient requires specialized perio cleaning beyond a standard prophy.

BUT HERE’S THE PROBLEM:
What D4910 Should Be Worth: $150 – $250
What Most PPOs Pay: $60 – $120

That means for every 100 periodontal maintenance visits, you’re losing $10,000+ per month.

The True Cost of PPO Write-Offs:
You perform 300 periodontal maintenance visits a month
PPOs underpay by $100 per visit
$30,000 lost PER MONTH
$360,000 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™


How to Scale Your Membership Plan & FIRE PPOs Forever

Step 1: Market Your Membership Plan Like a PRO
Use Facebook & Instagram Ads to target uninsured patients.
Run Google PPC ads for “Affordable Dentist No Insurance.”
Leverage SEO with blogs like “How to Get Dental Care Without Insurance.”

Step 2: Train Your Team to Offer Memberships FIRST
Patients hate dealing with insurance—offer them a better option.
Show the VALUE of a membership plan vs. PPO headaches.
Role-play with your team on handling objections.

Step 3: Automate & Scale With BoomCloud™
Track revenue, manage renewals & optimize pricing.
Easily integrate memberships into your patient flow.
See real-time MRR & ARR growth for financial stability.

Want to automate your membership plan & increase revenue? Check out BoomCloud™


 How BoomCloud™ Helped One Practice Scale to $500K in Recurring Revenue

Dr. Carter stopped relying on insurance patients and started offering a membership plan.

What She Did:

✔️ Launched a BoomCloud™ membership plan.
✔️ Used social media & SEO to attract high-value patients.
✔️ Implemented AI booking & same-day treatment for convenience.

Results in 12 Months:

1,800 patients joined the membership program.
MRR hit $42,000/month.
ARR surpassed $504,000/year.

Now, Dr. Carter has predictable revenue, loyal patients, and NO PPO headaches.

Want the same results? Check out BoomCloud™


Final Thoughts: FIRE PPOs & Take Control of Your Revenue

The biggest mistake dentists make? Relying on PPOs instead of BUILDING RECURRING REVENUE.

Step 1: Track how much money PPOs are stealing from your hygiene department.
Step 2: Offer a membership plan to reduce insurance reliance.
Step 3: Use BoomCloud™ to automate memberships & grow predictable revenue.

More patients. More revenue. Less stress.

Ready to build a membership plan that scales? Check out BoomCloud™

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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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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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