What is Insurance.dental?

Insurance.dental is a PPO fee intelligence platform for dentists. It benchmarks in-network allowed amounts, out-of-network allowed amounts, and submitted charges across 19 percentile breakpoints, indexed to your zip code and backed by over one billion dental claims.

Where does Insurance.dental's data come from?

Our benchmarks are derived from over one billion de-identified dental claims, aggregated and indexed by CDT code and zip code. We provide three complete benchmarks — in-network allowed, out-of-network allowed, and out-of-network submitted.

Does Insurance.dental handle Protected Health Information (PHI)?

No. Insurance.dental operates exclusively on aggregated, de-identified market data. We do not collect, store, or process PHI as defined under HIPAA.

PPO Fee Intelligence Platform

Your PPO rates are below market. We have the proof.

Q: How much money do dentists leave on the table with PPO contracts?

The average solo general dentist leaves $80,000 to $250,000 per year on the table in below-market PPO reimbursements. Most practices have no visibility into how their fee schedule compares to local market percentiles.

$80K–$250K

is what the average solo GP leaves on the table annually in below-market PPO reimbursements. Most practices have no idea.

We built the largest dental reimbursement dataset in the country. Three complete benchmarks — INN allowed, OON allowed, and OON submitted — each with 19 percentile breakpoints from the 5th to 95th. Backed by over one billion claims. Indexed to your zip code. Founding members lock in pricing at a fraction of what fee consultants charge.

Get early access →

D0120Periodic EvalINN $44→ OON $110

D1110Adult ProphyINN $122→ OON $180

D2740Crown CeramicINN $1,341→ OON $1,900

D4341SRP/QuadINN $236→ OON $410

D2392Comp 2-SurfINN $216→ OON $400

D3330RCT MolarINN $1,328→ OON $1,758

D7240Impacted BonyINN $466→ OON $761

D0120Periodic EvalINN $44→ OON $110

D1110Adult ProphyINN $122→ OON $180

D2740Crown CeramicINN $1,341→ OON $1,900

D4341SRP/QuadINN $236→ OON $410

D2392Comp 2-SurfINN $216→ OON $400

D3330RCT MolarINN $1,328→ OON $1,758

D7240Impacted BonyINN $466→ OON $761

73%

of practices we've analyzed have at least one code reimbursed below their state Medicaid rate by a commercial PPO

1.30x

average OON-to-INN ratio across 568 CDT codes — what payers will pay when they have to

is what most practices spend on fee schedule analysis — and it shows in their reimbursements

The Platform

The reimbursement data
your payer won't show you.

Every number comes from actual claims data — not UCR estimates, not billed charges, not industry surveys. In-network allowed amounts. Out-of-network allowed amounts. OON submitted charges. Three complete benchmarks, each with 19 percentile breakpoints, indexed to your zip code.

FeeCompass Market Index

Full percentile distributions — 5th through 95th, 19 breakpoints — for 568 CDT codes across 887 zip-level markets. Backed by over one billion claims. See exactly where your contracted rate falls against every provider in your area. Not a range. A percentile rank.

INN vs. OON Gap Analysis

Three complete benchmarks per code: INN Allowed, OON Allowed, and OON Submitted — each with full 5th-to-95th percentile curves. The spread between what payers negotiate in-network and what they actually pay out-of-network is the leverage you've never had.

Denial Intelligence Engine

251 denial reason profiles across 62 of the most commonly denied codes. Each one mapped to the specific payer logic behind it and the documentation fix that prevents it. Stop losing revenue after you've already done the work.

Revenue Gap Calculator

Enter your contracted rates, see the gap. Code by code, annualized, with visual breakdowns. The average practice discovers six figures in recoverable revenue in the first ten minutes.

Live Data — San Jose, CA (951xx) · FEB 2025

Code	Procedure	INN Avg	INN 75th	INN 90th	OON Sub 75th	Gap
D0120	Periodic Oral Evaluation	$43	$44	$64	$110	+150%
D1110	Adult Prophylaxis	$96	$122	$122	$180	+48%
D2740	Crown — Porcelain/Ceramic	$1,079	$1,341	$1,420	$1,900	+42%
D3330	Endodontic Therapy — Molar	$1,037	$1,328	$1,373	$1,758	+32%
D4341	SRP — Per Quadrant	$197	$236	$267	$410	+74%
D7240	Impacted Tooth — Completely Bony	$455	$466	$494	$761	+63%

Early Access

We're building this for you.

The full platform is in development. Get on the list now and you'll be first in line when we launch — with founding member pricing locked in before we go to market.

Founding Members

Lock in early pricing.

Fee consultants charge thousands for a single analysis. We're building a platform that puts the same data in your hands for a fraction of that — permanently, updated continuously, on demand.

✓ Priority access before public launch
✓ Founding member pricing — locked in for life
✓ 568 CDT codes benchmarked across your market
✓ 19 percentile breakpoints — 5th through 95th — for your zip code
✓ Direct input on features we build next

Get Early Access

Full Name

Practice Name

State

Zip Code

Specialty

No credit card. No obligation. Just priority access.

✓

You're in.

We'll reach out as soon as the platform is ready. Founding members get first access and locked-in pricing.

870K+

Data Points

568

CDT Codes

887

Markets

States + DC

1B+

Claims

To Join