How much do PPO write-offs cost a dental practice?

Multiply your PPO production by your average write-off percentage. A practice producing $1.2M with 60% from PPOs at a 35% write-off gives up about $252,000 a year — revenue you earned clinically but never collected.

What is a typical PPO write-off percentage?

Most practices report write-offs between 25% and 45% of their full fee on PPO procedures, depending on the plans they participate with. Check your own adjustment reports — the number is usually larger than owners expect.

Can a membership plan replace PPO revenue?

Partially, and profitably. Members pay full plan fees directly with no write-off, no claims, and no waiting on remittance. Practices typically move uninsured patients onto the plan first, then reduce PPO dependence as membership grows.

How do I start dropping PPOs without losing patients?

Launch a membership plan first so uninsured and soon-to-be-out-of-network patients have an affordable way to stay. Then drop the worst-paying plans one at a time, offering the membership plan at every conversation.

What is the PPO treadmill actually costing you?

Enter your production, your PPO share, and your average write-off. The number that comes back is what you earned clinically but never collected.

Annual production ($)

Share from PPO plans — 60%

Average write-off — 35%

Most practices report 25–45%. Your adjustment reports have the real number.

Written off every year

$252,000

$720,000 of PPO production, discounted 35% before you see a dollar

The membership alternative

$630,000/yr

If the ≈1,500 patients behind that PPO production were on a $35/mo plan instead — collected in full, no claims, no write-offs.

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PPO write-offs — questions

How much do PPO write-offs cost a dental practice?: Multiply your PPO production by your average write-off percentage. A practice producing $1.2M with 60% from PPOs at a 35% write-off gives up about $252,000 a year — revenue you earned clinically but never collected.
What is a typical PPO write-off percentage?: Most practices report write-offs between 25% and 45% of their full fee on PPO procedures, depending on the plans they participate with. Check your own adjustment reports — the number is usually larger than owners expect.
Can a membership plan replace PPO revenue?: Partially, and profitably. Members pay full plan fees directly with no write-off, no claims, and no waiting on remittance. Practices typically move uninsured patients onto the plan first, then reduce PPO dependence as membership grows.
How do I start dropping PPOs without losing patients?: Launch a membership plan first so uninsured and soon-to-be-out-of-network patients have an affordable way to stay. Then drop the worst-paying plans one at a time, offering the membership plan at every conversation.

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