The Trend Is Clear—Dentists Are Opting Out
May 22, 2026There is a growing trend in dentistry: more dentists are choosing to opt out of PPO networks.
And with PPO write-offs ranging from 30–50%, it is not hard to understand why.
The financial impact of PPO participation is real. Many dentists are looking at their profitability, their patient experience, and the level of care they want to provide, and they are asking an important question:
Is this still the right model for my practice?
The Opportunity Is in the Planning
Leaving or reducing PPO participation should never be a rushed decision.
With the right plan, you have an opportunity to do things differently.
That starts with understanding your current contracts, your write-offs, your patient base, and where your new patients are coming from.
The goal is to make a strategic decision that supports your practice financially while protecting the patient relationships you have worked hard to build.
Look at Your New Patient Sources
One of the most important questions to ask is:
Where are our new patients coming from?
Are they finding you through insurance lists?
Are they being referred by current patients?
Are they coming from your marketing?
Are they coming from relationships in the community?
This is why tracking referral sources in your practice management software matters.
If your new patients are coming from referrals, existing patients, marketing, or other sources outside of insurance lists, that can be a strong sign that you have leverage.
Referral Growth Gives You Options
When patients are choosing your practice because they trust your reputation, hear great things from others, or connect with your message, you are less dependent on insurance lists to fill your schedule.
That does not mean you drop every plan immediately.
It means you may be in a position to explore your options.
You can evaluate which contracts are helping your practice, which are hurting profitability, and which may no longer support the direction you want to go.
Take Control of Your Financial Future
Reducing PPO dependence is not about following a trend for the sake of it.
It is about deciding whether your current insurance participation supports the practice you want to build.
If your write-offs are high, your team is frustrated, and your best patients are coming from referrals instead of PPO lists, it may be time to look more closely at your contracts.
The right strategy can help you reduce disruption, protect relationships, and create more control over your collections.
Ready to Explore the Shift?
If you are ready to take a closer look at your current PPO contracts, I’d love to help you evaluate where you are now and what opportunities may be available.
Schedule a PPO strategy review with me, and let’s talk about how you could reduce your dependence on PPOs and regain more control of your collections.
Stay connected with news and updates!
Join our mailing list to receive the latest news and updates from our team.
Don't worry, your information will not be shared.
We hate SPAM. We will never sell your information, for any reason.