How to Get Out of Dental PPOs Without Destroying Your Practice | Bill Rossi

Dental practices are writing off hundreds of thousands of dollars every year to PPO contracts—but simply dropping insurance overnight can create an entirely new set of problems.

In this episode of the Navigating Dental Insurance Podcast, I sit down with longtime dental practice consultant Bill Rossi of Advanced Practice Management to talk about how dental practices can strategically reduce their dependence on PPOs without destroying patient flow or practice revenue.

Bill has been helping dentists navigate insurance participation and PPO transitions for decades. In this conversation, we break down when a practice is actually ready to leave a PPO, which insurance plans to evaluate first, how much PPO write-offs may really be costing you, and why the front-office team can make or break the entire transition.

Bill shares an especially powerful insight: many practices may be writing off 30–40% on PPO treatment, while some dentists don’t even know the true dollar amount because the loss is buried inside adjusted production. He explains why he often sees practices increase collections after a properly managed PPO transition—even if patient volume declines slightly.