D6057 Dental Code: The PPO Ripoff on Implant Abutments & How Smart Dentists Are Fighting Back

April 02, 2025
Written by: Jordon Comstock

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Another Implant Case, Another PPO Nightmare—Sound Familiar?

You just placed a D6057 dental code—Custom Abutment for an Implant.
You crafted a beautiful, precise abutment, ensuring the implant will last for decades.

You submit the claim to the insurance company, expecting a decent reimbursement…

And then…

DENIED!
UNDERPAID!
MORE PPO INSURANCE BS!

Now, your front desk is:
Stuck on hold fighting with insurance reps.
Writing off THOUSANDS in PPO “adjustments.”
Watching your profits disappear.

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

Why are you still playing this game?
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 D6057 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. Ryan Mitchell.

He was:
Tired of insurance companies slashing his implant fees.
Losing thousands every month due to low reimbursements.
Frustrated that patients delayed care due to insurance excuses.

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 D6057 Dental Code & How to Stop Losing Money on It

What is the D6057 Dental Code?

D6057 is the ADA insurance code for a custom abutment placed on a dental implant.

Definition:
“D6057 – Custom Abutment – Fabricated to Provide Support & Retention for an Implant Crown”

This code is used for:
✔️ Custom-designed abutments that fit perfectly with the implant and restoration.
✔️ Ensuring proper occlusion, aesthetics, and longevity of the implant.
✔️ Providing patients with a long-term, high-quality solution.

BUT HERE’S THE PROBLEM:
What D6057 Should Be Worth: $600 – $1,200
What Most PPOs Pay: $200 – $500

That means for every 10 implant abutments you place, you’re losing $10,000+ per month.

The True Cost of PPO Write-Offs:
You place 20 implant abutments a month
PPOs underpay by $700 per case
$14,000 lost PER MONTH
$168,000 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™

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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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