Why Mastering Dental Insurance Codes + Memberships = Predictable Profits

June 07, 2025
Topics: Dental
Written by: Lisa Rasmussen

How Smart Practice Owners Are Ditching PPOs and Adding $500K+ in Recurring Revenue

Join our exclusive course and discover the proven strategies that practices use to add $10,000+ in monthly recurring revenue with patient membership plans. Dr. Evans took this course and now has over 800 members and $37,000/mo of predictable recurring revenue. Watch this webinar before we take it down in 24 hours.

This course normally sells for $297.

But right now, I’m giving you access for just $47.

That’s cheaper than a hygiene cleaning.

And it could be the most profitable $47 you ever spend.

Get the Course Here → The Six-Figure Membership Plan Course

What You Will Learn:

- How to Build a Membership Plan That Pays You Monthly (Even While You Sleep!)

- Why PPOs Are Stealing Your Revenue—And How to Take Control of Your Profits

- The 3-Step System to Scale Recurring Revenue
(Even If You’ve Never Sold a Membership Plan Before!)

- The #1 Mistake Dentists Make When Dropping PPOs (And How to Avoid It!)

LIVE Case Study: How One Dentist Went from PPO-Dependent to $500K+/Year in Recurring Revenue With a Membership Program!

In dentistry today, PPOs are not your friend, they hurt your cash flow, demolish your profit margins, jeopardize your patient relationships & use A.I. to deny claims!!

If I had an employee or partner that messed up my business like that, I would FIRE them ASAP! 

$47. No fluff. Just results.

You in?

Dental Insurance Codes – Friend or Foe?

Dental insurance codes are either your best friend or your worst enemy.
Handled right, they’re a powerful tool. Handled wrong, they suck your soul out through endless denials and underpayments. ☠️

Here’s the truth bomb :
You can master every dental insurance code from D0120 to D8080, but if you’re still shackled to insurance, you’re hustling backward.

The real game-changer? Membership plans that let you OWN your revenue.


Story: Dental Insurance Codes 101

What Are Dental Insurance Codes and Why Should You Care?
Dental insurance codes, aka CDT codes, define every procedure from cleanings to implants.

Some heavy hitters:

  • D0120: Periodic Oral Exam

  • D1110: Prophylaxis, Adult

  • D2750: Crown, Porcelain Fused to High Noble Metal

  • D6010: Implant Placement

They’re the “language” insurance companies use to process payments—if they feel like it.

The Problem:
Insurance isn’t designed to help you grow. It’s designed to pay as little as possible, as slowly as possible.


How Membership Plans Crush the Insurance Game

What is a Dental Membership Plan?
It’s a monthly or annual subscription patients love:

  • 2 cleanings/year ✅

  • 2 exams/year ✅

  • Emergency visits ✅

  • Discounts on treatments ✅

BoomCloud™ makes it EASY:

  • Automated billing

  • No insurance drama

  • Full patient management dashboard

Check it out: Boomcloudapps.com

Translation:
You own the relationship, the revenue, and the loyalty.


The Money Machine: MRR and ARR for Practices

MRR (Monthly Recurring Revenue):
Predictable income landing every month, no surprises.

ARR (Annual Recurring Revenue):
Your 12-month financial snapshot—strong, stable, and unstoppable.

BoomCloud™ users typically hit:

  • $5,000–$20,000 MRR

  • $60,000–$240,000 ARR

Not bad for ditching the slow-drip insurance payments, right?


Case Study: From Chaos to Predictability with BoomCloud™

Meet Dr. Winsome Smiles.

Before BoomCloud™:

  • Insurance paid (sometimes) 90–120 days late

  • 22% of claims underpaid

  • Financial stress = real

After BoomCloud™:

  • 365 active membership patients

  • $21,900 in MRR

  • ARR over $260,000 locked in

  • Staff morale at an all-time high

He didn’t just get better collections.
He built a predictable machine.


Membership Patients Spend 2X–4X More

Real Data You Can’t Ignore:

  • Membership patients say YES 3x more often

  • Spend 2x–4x more annually

  • Accept larger treatment plans without hesitation

BoomCloud™ data shows membership patients boost per-patient revenue by 35%–50%.

Why?
Commitment. Trust. Simplicity. ❤️


Optimizing Revenue Per Patient with Dental Insurance Codes

Stop chasing “more patients.”
Start maximizing revenue per patient.

Metrics to track:

  • Average Revenue Per Patient (ARPP)

  • Membership Enrollment Rate

  • Case Acceptance Rate

Build deep, not just wide.


Building the Ultimate Membership Program

Killer Membership Benefits:

  • 2 Cleanings (D1110)

  • 2 Exams (D0120)

  • Emergency Visit (D0140)

  • 20% Off Additional Treatment (Implants, Fillings, Crowns)

Ideal Pricing:
$30–$50/month = psychological sweet spot

Sample Plan Offer:
“Smile Club Membership”

  • 2 Cleanings + 2 Exams

  • 20% Discount on Implants, Crowns, and More

  • $0 Emergency Visits

  • VIP Scheduling ️


Common Pitfalls to Avoid

Overcomplicating the Membership Offer:
Simple, fast, and understandable wins.

Not Emotionally Selling:
Patients aren’t buying “dental services.” They’re buying:

  • Confidence

  • Health

  • Peace of mind ‍♀️

Sell that.


Insurance vs Memberships — The Real Future

Insurance is slow, complicated, stingy.
Memberships are fast, simple, abundant.

Imagine:

  • Revenue you control ✅

  • Patients who love paying you ✅

  • A business that grows while you sleep ✅

Memberships aren’t just a “nice to have.”
They’re the future of dentistry.


Grow Your Practice with BoomCloud™ Now

Tired of begging insurance companies?
Ready to OWN your financial destiny?

Then stop waiting. Start scaling.
Build your membership program today.

Boomcloudapps.com

Your future self will thank you.


FAQs

What are dental insurance codes?
Standardized codes used to define and bill dental procedures.

How can a membership plan help with insurance frustrations?
By allowing patients to pay you directly—no middleman needed.

What’s realistic MRR with a membership program?
$5K–$25K/month depending on effort and practice size.

Do patients really spend more on memberships?
Absolutely—2x–4x more revenue annually compared to non-members.

Is BoomCloud™ easy to use?
Yes! Full support, templates, and integrations available.


Suggested Inbound Links:

Suggested Outbound Links:


My Top Podcasts

How Smart Practice Owners Attract, Retain & Create Recurring Revenue

Get the book that’s helping over 65,000  practices ditch insurance, boost cash flow, and create financial freedom with a patient membership program.

Membership Plans For Optometrists

vision-membership-plan-ebook Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & increase sales!

Fire The PPOs!

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Subscribe to Our Podcasts!

Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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