Why NPI Fraud is a Risk You Can’t Afford

When buying a dental practice or bringing on an associate, you’ll often hear bad advice: “Just bill under the seller’s NPI until your credentialing is complete.” It may sound harmless, but this practice is considered insurance fraud — and the risks are far greater than the short-term benefit. What is NPI Fraud? – Each dentist ...

Filed Under: PPO Advisors

When Insurance Becomes the Dentist: Why Delta Dental’s Move in Wisconsin Should Alarm Us All

In recent weeks, Delta Dental of Wisconsin announced its acquisition of Cherry Tree Dental, a dental practice group with more than 25 locations across Wisconsin and additional offices in neighboring states. On the surface, this move is being positioned as a way to “improve access to care” in underserved communities. But let’s be honest—this is ...

Filed Under: PPO Advisors

Major PPO Changes Ahead: What You Need to Know About New Shared Agreements

Major PPO Changes Ahead: What You Need to Know About New Shared Agreements The PPO landscape is shifting quickly, with new shared agreements between major carriers set to roll out over the next few months. These agreements can directly affect reimbursements, participation, and patient flow in ways many practices don’t anticipate. At PPO Advisors, our ...

Filed Under: PPO Advisors