Dental Code D4910: Sick of PPO Write-Offs & Insurance Nightmares? There’s a Better Way!
Let’s talk about Dental Code D4910—Periodontal Maintenance.
You do the work. You save your patient’s gums. You bill insurance. And then…
❌ BOOM—Your PPO slashes your reimbursement rate.
❌ Claim denied.
❌ Your front desk is now spending an hour on hold with an insurance rep.
Sound familiar?
Meanwhile, your patient—who desperately needs ongoing perio maintenance—is now:
❌ Confused about what their insurance covers.
❌ Hesitating to book their next visit.
❌ At risk of gum disease progressing because of financial worries.
And your practice? You’re left writing off THOUSANDS per month because of insurance games.
Here’s the truth: Smart practice owners aren’t playing the PPO game anymore. They’re growing their practice the right way—with membership patients who pay directly.
Keep reading to learn how you can:
✅ Ditch PPOs & build a thriving membership plan.
✅ Stop chasing insurance & start generating predictable, recurring revenue (MRR & ARR).
✅ Turn perio maintenance patients into HIGH-VALUE, long-term members.
Let’s dive in.
Story: What is Dental Code D4910 & Why Are You Losing Money on It?
What is D4910?
The D4910 dental code is used for Periodontal Maintenance. It’s required for patients who have undergone:
✅ Scaling & Root Planing (SRP)
✅ Gum Disease Treatment
✅ Perio Surgery
It’s NOT a standard cleaning. Patients need ongoing maintenance visits to prevent relapse.
The PPO Problem: You’re Not Getting Paid What You Deserve
What D4910 Should Be Worth: $150-$250 per visit
What Most PPOs Pay: $80-$120
That means for every 10 perio maintenance visits, you’re losing $1,000+ per month.
The True Cost of PPO Write-Offs:
You see 50 perio maintenance patients a month
PPOs underpay by $50 per visit
$2,500 lost PER MONTH
$30,000 PER YEAR—GONE!
And that’s just for one procedure. Multiply this across crowns, implants, and other treatments, and you’ll see why most practices struggle with profitability.
So, what’s the fix? Stop relying on PPOs & start offering a membership plan.
Offer: How a Membership Plan Turns Perio Patients Into Revenue Machines
The Problem:
Most uninsured perio patients skip maintenance visits because:
❌ They don’t know what it costs.
❌ They assume it’s expensive.
❌ They think “I’ll wait until it hurts.”
And insurance patients? They follow whatever their PPO allows—even if it’s not enough.
The Solution? A Membership Plan.
Instead of dealing with PPO nonsense, why not have perio patients enroll in a direct-pay membership plan?
How a Membership Plan Works for Perio Patients:
✅ Patients pay a low monthly or annual fee for perio maintenance.
✅ They get discounts on all future treatments (crowns, implants, etc.).
✅ You generate predictable monthly recurring revenue (MRR).
✅ No insurance headaches. No claim denials. Just direct payment.
Why This Works:
✔️ Membership patients spend 2X-4X more than PPO patients.
✔️ They stay LOYAL because they’re financially committed.
✔️ Your practice has recurring revenue—NO MORE rollercoaster months.
How much could you make?
If you sign up just 200 perio maintenance patients at $40/month…
That’s $8,000/month in guaranteed revenue (MRR).
That’s $96,000/year in additional revenue (ARR).
And that’s BEFORE they say yes to crowns, implants, or other treatments!
Want an easy way to manage memberships? Check out BoomCloud™ Click Here
Epiphany Bridge: How One Dentist Scaled to $500K in Recurring Revenue
Dr. Mark Thompson was tired of PPOs dictating his income.
What He Did:
✔️ Launched a BoomCloud™ membership plan for perio patients.
✔️ Included 3 perio maintenance visits per year in the plan.
✔️ Marketed the plan through email, direct mail, & in-office promotions.
Results in 12 Months:
850 perio patients joined his membership plan.
MRR hit $35,000/month.
ARR grew to $420,000/year.
Now, Dr. Thompson has predictable revenue, loyal patients, and NO PPO headaches.
Want the same results? Check out BoomCloud™
Final Thoughts: Stop Letting PPOs Control Your Income
Here’s Your 3-Step Plan to Take Back Control:
Step 1: Identify Your PPO Write-Offs.
Find out how much money you’re losing every month.
Step 2: Launch a Membership Plan for Perio Patients.
Give them affordable, predictable care WITHOUT insurance restrictions.
Step 3: Use BoomCloud™ to Track & Grow Your Membership Program.
Automate billing, renewals, and revenue tracking.
More revenue. More patient loyalty. Less stress.
Ready to build a membership plan that scales? Check out BoomCloud™ and start making your practice insurance-free.
Resources & Further Reading: Dental Code D4910
BoomCloudApps.com – The #1 tool for launching & managing dental membership plans.
ADA Practice Report – Industry trends & insights on PPO reimbursement rates.
DentistryIQ – Expert tips for growing a profitable dental practice.
Want More Growth Strategies?
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Final Thought: PPOs are suffocating your practice’s growth.
The future of dentistry is membership-based. Are you ready to take control of your revenue? Start today with BoomCloud™.
