Dental Appeal Letter for Crown: How a Membership Plan (Like BoomCloud™) Wins the War Against Denials, Drama & Dropped Treatment Cases

July 10, 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?

Insurance Sucks. Let’s Beat It at Its Own Game.

You’re a dentist. You just delivered a perfectly crafted crown—full contour, flawless margins, textbook occlusion. The patient smiles, says thank you, and you submit the claim.

Aaaaand DENIED.

The dreaded dental insurance denial letter for a crown shows up like a bad Yelp review. “Not medically necessary.” “Frequency limitation.” “Plan exclusion.”

It’s enough to make you question reality (and PPO contracts).

But what if you could break up with insurance, boost your practice revenue, AND help patients get the treatment they need—without ever writing another appeal letter again?

Enter: the Dental Membership Plan.
Specifically, BoomCloud™.


From Insurance Victim to Revenue Hero – The BoomCloud™ Journey

Let’s talk about Dr. Smith (yes, real doc, fake name). Her Utah-based practice had:

  • 60% of production tied to insurance

  • $40k+ per year in unpaid claims

  • Patients delaying necessary treatments due to “insurance excuses”

Then she discovered BoomCloud™.

In just 18 months, Dr. Smith turned her insurance-dependent circus into a predictable MRR machine. She launched a custom membership plan, cut ties with 4 PPOs, and watched her ARR soar past $280,000/year just from memberships alone.

But here’s the kicker: her members didn’t just stick around—they spent 2X to 4X more on treatment compared to insurance patients.

Why? Because there’s no appeals, no pre-auths, no barriers—just care and connection.


The Truth About Appeal Letters

If you’re still writing dental crown appeal letters, let me give you the hard truth:

You’re writing essays to faceless claim auditors who are paid to say “no.”

Here’s the data:

  • Dental insurance denial rates are 20% to 30% industry-wide (ADA 2023).

  • Appeals succeed less than 50% of the time (and only after weeks/months of back-and-forth).

  • Dentists spend 2-6 hours per week on administrative appeals (ADA claim study).

It’s exhausting. It’s inefficient. And it’s stealing your growth.


Membership Plans = The Anti-Insurance Business Model

BoomCloud™ isn’t just a membership platform. It’s a recurring revenue engine that helps you ditch appeals, drop bad plans, and finally own your practice model again.

Here’s how it flips the script:

Membership Economics

  • MRR (Monthly Recurring Revenue): Predictable cash flow month after month.

  • ARR (Annual Recurring Revenue): Revenue you can count on whether patients show up or not.

  • Revenue per Patient: Members spend 2X-4X more vs. insured patients (BoomCloud™ internal data).

  • Retention: Higher loyalty, fewer no-shows, stronger relationships.

Why It Works

  • Patients feel like VIPs with exclusive benefits.

  • You eliminate PPO friction, claim delays, and BS denials.

  • Your team saves hundreds of hours every year on admin.


Case Study: How One Practice Turned Denials Into Dollars

Practice: Miller Family Dental, CO
‍⚕️ Members: 312 in Year 1
MRR: $8,476
Insurance Plans Dropped: 5
Revenue Growth: +27% YoY

Key Changes:

  • Built a custom 3-tier membership program via BoomCloud™.

  • Removed “crown exclusions” from the equation.

  • Offered discounted rates on crowns with membership—no pre-auth needed.

  • Replaced appeal letters with same-day treatment acceptance.

“Instead of fighting insurance, we’re helping patients say ‘yes’ faster—and our collections are up $100k this year.” – Dr. Miller


How to Optimize Your Membership Plan (and Crown Revenue)

Here’s how to stack your membership program so it obliterates insurance headaches and increases revenue per patient:

✅ Build Tiered Options

  • Basic: Exams, X-rays, 15% off crowns

  • Premium: Add hygiene, 20% off major treatments

  • Family: Group plans = retention gold

✅ Offer Immediate Benefits

  • Crown discounts start Day 1—no waiting period

  • Encourage same-day treatment planning

✅ Market Like a Pro

  • Use BoomCloud’s marketing automations

  • Text/email campaign: “Tired of denied crowns? Join our Dental Club.”

✅ Use Real Language, Not Insurance Gobbledygook

  • “Save on Crowns” > “15% Coverage for Indirect Restorations”

✅ Track & Scale

  • Know your MRR, ARR, churn, and conversion rate

  • Build in annual price adjustments (like Netflix does)


TL;DR – Why Dental Membership Plans Crush Crown Appeal Letters

Insurance Model ‍ Membership Model
Denials & delays Instant acceptance
Appeal letters Same-day treatment
Revenue guesswork Predictable MRR
Admin overload Simple automation
1X patient visits 2X–4X treatment $

It’s Time to Fire the Appeal Letter

You don’t need to beg insurance companies to do their job.

Instead, give your patients a better experience, build recurring revenue, and scale your practice like a SaaS company (seriously!).

Get off the hamster wheel of crown denials—and start collecting cash like a boss with BoomCloud™.


Useful Links & Power Resources

Download the Million-Dollar Membership Plan eBook
Take The Six-Figure Patient Membership Plan Course
Schedule a Demo of BoomCloud™
Create Your BoomCloud™ Account For FREE

My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

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!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

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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