Grow Dental Practice Without Insurance: Dan Nelson’s Real Story
Most dentists think they need insurance to grow.
Dan Nelson proved the opposite.
And not theoretically.
In real life.
At Wood River Dental in Idaho, Dan and his partner built a thriving practice — then systematically eliminated PPO dependency, including Delta Dental, while increasing profitability, stability, and freedom.
That’s not rebellion.
That’s strategy.
Let’s break down how to grow a dental practice without insurance the right way.
The Problem: Insurance Creates Volume… Not Wealth
Here’s the trap.
Insurance makes you busy.
But busy doesn’t equal profitable.
When reimbursements stagnate and overhead rises:
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You see more patients
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You write off more production
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You work harder
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You feel trapped
Dan saw it firsthand.
Overhead was climbing.
Reimbursements weren’t.
Write-offs were crushing margins.
That model eventually collapses.
So instead of complaining?
He rebuilt the business model.
The Strategic Shift: Optimize Revenue Per Patient
The average dentist thinks growth means:
➡ More new patients
➡ More marketing
➡ More hygiene volume
Dan flipped it.
He asked:
“How do we increase revenue per patient?”
That question changes everything.
When you optimize revenue per patient, you:
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Need fewer patients
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Reduce chaos
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Improve margins
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Increase lifetime value
And the vehicle?
Membership.
The Engine: Membership = MRR + ARR
Before Wood River Dental dropped PPOs, they built infrastructure.
They launched a structured in-house membership program using BoomCloud™.
Why?
Because membership creates:
💰 Monthly Recurring Revenue (MRR)
📈 Annual Recurring Revenue (ARR)
🔁 Retention
❤️ Loyalty
🦷 Higher case acceptance
Let’s do simple math.
400 members at $45/month =
$18,000 MRR
$216,000 ARR
That’s predictable revenue before diagnosing a crown.
That’s stability insurance companies don’t give you.
Learn how practices structure scalable plans here:
👉 https://boomcloudapps.com/dental-clinic-marketing-goals-how-to-scale-a-membership-program-to-365-members/
The Data: Membership Patients Spend 2X–4X More
This is the hidden leverage.
Membership patients typically:
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Accept more treatment
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Return consistently
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Stay longer
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Refer more
Why?
Because they’re committed.
They’re not asking, “What’s covered?”
They’re asking, “What do I need?”
That psychological shift increases lifetime value dramatically.
And that’s how you grow a dental practice without insurance.
Not by replacing insurance with nothing.
By replacing it with ownership.
The Transition Strategy at Wood River Dental
Dan didn’t wake up one day and cancel contracts.
He built a runway.
Here’s the simplified blueprint:
1️⃣ Establish Identity & Vision
Through Elevation Association, Dan helped align:
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Core values
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Mission
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Team accountability
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KPI tracking
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Long-term vision
You don’t grow without clarity.
2️⃣ Build the Membership Infrastructure First
Before exiting Delta:
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Membership enrollment increased
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Team bonuses rewarded new member signups
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Communication scripts were trained
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Data was tracked weekly
The team was rowing in the same direction.
That matters.
3️⃣ Track KPIs Relentlessly
They monitored:
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Revenue per patient
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Active patient count
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Reappointment rate
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Attrition
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Treatment acceptance
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Membership growth
Data removed fear.
When you know your numbers, you make confident decisions.
4️⃣ Communicate Clearly With Patients
Insurance companies send scary letters.
Dan’s team was prepared.
They explained:
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Patients could still come in
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Out-of-network benefits often still applied
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Membership was a better alternative
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Care wouldn’t change
Control the narrative.
Or someone else will.
5️⃣ Gradually Drop PPOs
Delta represented over 50% of their base at one point.
Instead of panic:
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Gradual shift
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Increased membership penetration
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Stronger cash flow
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Strategic exit timeline
And when the final contract ended?
They were ready.
What Happened After Going Fee-for-Service?
Less chaos.
More control.
Higher margins.
Improved lifestyle.
Dan described it like removing a ball and chain.
Instead of:
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Herding patients through ops
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Fighting write-offs
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Relying on volume
They focused on:
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Quality care
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Strategic growth
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Team culture
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Profitability
And here’s the irony:
They didn’t shrink.
They stabilized and strengthened.
That’s how you grow a dental practice without insurance.
The Big Myth: “I’ll Lose All My Patients”
Some will leave.
That’s okay.
The ones who stay:
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Value you
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Trust you
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Invest in care
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Accept treatment
And when you have MRR from membership, the financial shock is softened dramatically.
The parachute is already open.
The Real Growth Model (Without Insurance)
Let’s compare.
Insurance-Driven Model
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Volume dependent
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Low margins
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High write-offs
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External control
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Burnout risk
Membership-Driven Model
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Recurring revenue
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Higher revenue per patient
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Predictable cash flow
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Loyalty-based
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Scalable
Which one builds equity?
Exactly.
Why This Matters Long Term
Insurance companies are consolidating.
Margins aren’t expanding.
And private practices that depend fully on PPOs are vulnerable.
But practices that:
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Build MRR
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Increase revenue per patient
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Strengthen loyalty
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Control pricing
Have leverage.
That’s what Dan built.
And that’s what Elevation Association coaches practices to implement.
Frequently Asked Questions
Can you really grow a dental practice without insurance?
Yes — if you replace PPO dependency with a structured membership model and strong KPIs.
How long does transition take?
Most practices prepare 6–18 months strategically.
Is this only for large practices?
No. Smaller practices often pivot faster.
What’s the biggest mistake?
Dropping insurance before building recurring revenue.
Final Thought
If your practice depends on insurance…
You don’t own your growth.
If you build:
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Membership
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Recurring revenue
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Revenue per patient optimization
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Team alignment
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KPI-driven decision making
You control your future.
Dan Nelson didn’t grow by fighting insurance.
He grew by outgrowing it.
And that’s the difference.
Ready to Build Your Membership Engine?
📘 Download the million-dollar membership plan ebook
https://boomcloud.myclickfunnels.com/million-dollar-book
🎓 Take The Six-Figure Patient Membership Plan Course
https://www.boomcloudapp.com/six-figure-membership-course
📅 Schedule a Demo of BoomCloud™
https://boomcloudapps.com/demo-schedule
