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We Dropped Delta: The Truth About Dropping PPOs
September 25, 2026 · BoomCloud™
About this video
What REALLY happens when a dental practice drops its biggest PPO?
In this episode of the Automatic Patient Podcast, I sit down with Dr. Dan Nelson to talk about what happened after his practice went completely out of network—including dropping Delta Dental, which represented roughly 51% of their patient base.
We get into the stuff nobody talks about:
What happened to the hygiene schedule
How many patients they expected to lose
Why going out of network requires a financial safety net
How they prepared patients before the PPO exit
The systems they built to reactivate patients and refill hygiene
Why membership-plan patients became some of their most valuable patients
How recurring revenue changes the economics of a dental practice
Why you should build the alternative before you drop the PPO
Dan also shares the challenges honestly. Going out of network wasn't magically easy—but seven months later, the practice was still growing, had added an associate, and had expanded into another location.
