Financial calculator

PPO Fee Reduction Calculator

Estimate how PPO write-offs affect production, collections, and margin.

Active5 minPPO

Active

PPO workspace

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Category

Financial

Time

5 min

Estimate PPO and fee-adjustment impact

Model how payer mix and contractual adjustments affect billed production, collected production, and annual write-off exposure.

Production and payer mix

Use a typical month and blended adjustment assumptions. Keep payer-specific decisions separate from this planning estimate.

Network breakdown

In-network billed

$63,000

Out-of-network billed

$27,000

In-network adjustment

$17,640

Out-of-network adjustment

$2,160

Actions

Actionable recommendations

Use this estimate to make cleaner operational reports before reviewing payer-by-payer contracts.

Review payer mix separately

This model allocates 70% of billed production to in-network patients. Review each payer separately before changing participation strategy.

Track contractual adjustment impact

Estimated monthly write-offs are $19,800, or 22% of billed production before collection.

Compare collected production

At these inputs, estimated collected production is $70,200 per month after modeled adjustments.

Separate PPO and non-PPO discounts

Do not assume every write-off is caused by PPO participation. Separate contracted adjustments, courtesy discounts, refunds, and billing corrections.

PPO impact, not a blanket assumption

PPO participation and contractual adjustments can create insurance write-offs, but this workspace separates in-network and out-of-network assumptions so every write-off is not treated as PPO-caused.

Estimate only

This tool is for practice planning. It does not provide legal, accounting, tax, payer-contract, or contract-negotiation advice, and results are not saved in this phase.

Related tools

Frequently asked questions

Is PPO Fee Reduction Calculator available today?+
Yes. This calculator is available now and uses the same shared calculation logic as the existing member Insurance Write-Off calculator.
Will this save results in DentistOS?+
Saved reports are planned for the DentistOS platform, but no result storage is added in this routing phase.
Does this change my public listing?+
No. These tool pages do not modify public dentist profiles, claims, publishing data, or DentistOS account records.

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