Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: July 16, 2026 The dental credentialing timeline runs anywhere from 30 days to 9 months, depending on how you contract with each carrier. Direct contracts are the fastest at 30-60 days. Credentialing through a third-party administrator (TPA) is the slowest and can take ...
Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: July 16, 2026 Network blocking is when an insurance carrier refuses to load a provider into its network, even though the carrier appears on the payor list of a TPA or shared network agreement the provider signed. The carrier always has the final ...
Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: June 4, 2026 A new network leasing agreement is rarely the whole story — and Cigna just proved it by announcing two on the same day. Both take effect August 1, 2026: one with Guardian’s DentalGuard Preferred, the other with Principal. If you’re ...
Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: April 9, 2026 A senior discount dental insurance billing mistake can turn a generous gesture into an insurance fraud charge. If your practice offers a discount to seniors but submits the full, undiscounted fee on insurance claims, you’re misrepresenting your charges — and ...
Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: April 9, 2026 Billing during practice transition under a seller’s TIN, NPI, or contracted status is insurance fraud — there is no grace period and no exception. Not for six months. Not for six weeks. Not for six days. If a broker, attorney, ...
Written by Shelley DeGroff, Founder & CEO of PPO Advisors Last Updated: April 9, 2026 Shared network agreements dental contracts contain can silently enroll your practice into multiple additional insurance networks — each paying you at lower rates — without your direct agreement. You sign one PPO contract. Behind the scenes, that contract shares your ...
New insurance reform laws are shifting control back to dentists and patients. For years, insurance companies set the rules, controlled prices, and limited options. That balance is now starting to change. If you work with PPOs, these updates matter. They affect how much you get paid, how long contracts last, and how much control you ...
We’ve been seeing an uptick in dental credentialing-related outreach lately — both emails and physical mail — coming from various networks and third-party platforms like Skygen and DentalHub. These communications often sound like updates to existing participation or dental credentialing processes, but in many cases, they’re actually new or separate requests. What’s Happening Across the ...
As the Founder of PPO Advisors, I spend a lot of time helping dentists understand the national provider identifier, navigate the maze of insurance, credentialing, and compliance. One of the most common questions I hear is: 👉 “Do I really need a Type 2 NPI for my dental practice?” It’s a great question, because the ...
As of December 1, 2025, Guardian and Principal will enter into a new network sharing arrangement. Guardian providers who participate in the DentalGuard Preferred Select (DGPS) network will automatically become participating providers for Principal’s PPO plan members. This means your office will soon be able to see Principal members under the same Guardian fee schedules ...