Step 7 of the 100 Day Profit Reset Protocol
PPO Inspector
See what each insurance plan really pays you — and decide with numbers, not nerves.
The leak it stops
Insurance reimbursements have not kept pace with what it costs to run a practice — supplies, staff, inflation, tariffs — so the gap between your office fee and what a plan actually pays has quietly become the biggest leak a practice can have. Written off, it takes thirty to fifty percent of gross production.
The hard part is not knowing the write-off exists. It is knowing which plans are doing the damage, by how much, and what would happen if you stopped participating in the worst of them. That decision usually gets made by feel. PPO Inspector makes it with the numbers.
What PPO Inspector does
Every plan you take, ranked
Sixty-plus insurance companies come pre-loaded (umbrella companies, not every regional carrier). For each one you enter a year of production, patients and families, and the tool gives it a profitability score — sort the list and the plans that pay you least sit at the bottom.
The write-off on every code
Enter a plan's fee schedule for the procedure codes you use most, and PPO Inspector calculates the write-off against your office fee — per code and for the plan overall — flagging anything above twenty percent in red.
How many patients you could afford to lose
For each plan, the tool shows the number of patients you could lose by going out of network and still keep the same production from the patients who stay — the figure that turns "what if we dropped them?" into arithmetic.
The what-if, per plan
Enter how many patients you estimate you would lose, and see the new production estimate, the insurance-related admin cost you would no longer carry, and the net impact — before you decide anything.
The what-if, for the whole practice
Choose a share of your lowest-performing plans to leave and a patient-retention rate, and see the total effect across the practice. The recommended approach is phased: leave the worst first, watch what happens, then continue.
Built on the fees you already entered
Your office fees are one shared list — if you set up Club Creator first, PPO Inspector already has them; if not, you enter them once here.
What running it looks like
Setting it up
Step 7 of the protocol — an introduction and four short videos. This is the longest setup of the seven tools, and the step says so up front: entering fee schedules company by company takes four to nine weeks at a sitting a day, never more than twenty minutes at a time, four or five companies a sitting. The tool saves as you go.
Day to day
There is no daily workflow afterwards. PPO Inspector is analytical: once the numbers are in, its job is the decision — which plans to renegotiate, which to leave, and in what order.
Worth knowing
Leaving a plan ends the contract that binds you to its fee schedule. You still see those patients and still file their claims; the difference is that you collect your own fee instead of theirs.
What it did in one practice
The first practice on Profit Smiles — the tool was proven there before it was offered to anyone else.
Results shown are from one practice following this protocol. Individual results may vary.
Questions about PPO Inspector
Will PPO Inspector make me drop insurance plans?
No. It shows you what each plan actually pays you, ranks the plans by profitability, and runs what-if scenarios for going out of network. The decision stays yours, and nothing changes in your contracts unless you change it.
What do I need to enter?
For each insurance company: the past twelve months of production, the number of patients and families, and the plan's fees for the procedure codes you use most. Your own office fees go in once, on a shared list. Estimates are fine — the tool is there to make the comparison, not to audit you.
What is the profitability score?
A per-company score computed from that plan's production, patient count and write-off percentage — the higher, the more the plan is worth to your practice. It appears once all three inputs are in; until then the tool shows a dash rather than a misleading number.
What does the what-if actually show?
Per company: enter the patients you expect to lose by going out of network and see the new production estimate, the insurance-related administrative cost you would stop carrying, and the net effect. Practice-wide: choose a share of your lowest-performing plans to leave and a retention rate, and see the total.
How long does it take?
Four to nine weeks at about twenty minutes a day — the longest setup in the protocol, because fee schedules are entered company by company. After that there is no daily workflow; the tool is purely analytical.
More on the protocol as a whole: questions dentists ask before they start.
The other tools
- Patient Pipeline — Turn the patients you already have into your main source of new ones.
- Case Closer — Follow up automatically when a patient leaves without scheduling the treatment you presented.
- Content Caddy — Educational posts on your Facebook and Instagram every day, published for you.
- Payment Flexer — In-house monthly payment plans, so cost stops being the reason a patient says no.
- Club Creator — A membership plan for the patients who have no insurance at all.
- Stock Sentry — Stop the supply waste and the panic ordering.
How they fit together across the hundred days: How It Works.
PPO Inspector is free for your first hundred days — with the other six.
No credit card, nothing to cancel, and your own numbers on your own dashboard from day one.
Start the 100 Day Protocol FreeFree for 100 days · No credit card · Built by a practicing dentist