PPO Fee Intelligence Platform
Upload your fee schedule. See how your PPO rates compare to real market benchmarks — indexed to your zip code, backed by one billion claims.
Drop your PPO fee schedule
We benchmark every code
See your revenue gap
The Hidden Revenue Gap
Most practices have no idea. Now you will.
Geographic Precision
Your rates compared to real market data from over one billion dental claims, filtered to your exact geography and specialty. No state-wide averages. No guesswork.
Code-Level Analysis
Down to the penny. Percentile by percentile. We rank every CDT code in your fee schedule against 19 percentile breakpoints so you know which procedures hurt you most.
Negotiation Toolkit
One-click PDF packets with the data, charts, and talking points you need to walk into a payer renegotiation and win.
One-time fee. No subscriptions. No surprises.
1 payer analysis
Up to 3 payer analyses
Unlimited payer analyses
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.
Every number comes from actual claims data — not UCR estimates, not billed charges, not industry surveys. We surface 19 percentile breakpoints per code so you can see exactly where your contracted rate falls in your local market.
We accept PDF and CSV fee schedules from any major payer. Our parser maps every CDT code automatically — no manual entry required.
Yes. Professional and Enterprise plans include one-click negotiation packets with code-level gap analysis, charts, and talking points designed for payer renegotiations.
Yes. We operate exclusively on aggregated, de-identified market data and never collect or store PHI as defined under HIPAA. Your fee schedule data is encrypted at rest and in transit.
Insurance.dental is a PPO Fee Intelligence Platform built specifically for dental practices. We help dentists and office managers understand whether their contracted PPO reimbursement rates are competitive by benchmarking every CDT code against real market data from over one billion de-identified dental claims. Our platform reveals the revenue gap between your current payer rates and what top-performing practices in your zip code actually collect, giving you the data you need to negotiate fairer contracts or evaluate in-network participation.
Our dental PPO fee schedule analysis works in three steps. First, you upload your current PPO fee schedule as a PDF or CSV file. Our parser automatically maps every CDT code without manual entry. Second, our engine benchmarks each code against three market datasets: in-network allowed amounts, out-of-network allowed amounts, and out-of-network submitted charges — all indexed to your practice's zip code. Third, you receive a detailed scorecard showing your payer-allowed amount, the market 50th and 75th percentile values, the gap amount, and your percentile rank for every procedure. This gives you a complete, code-level picture of how your rates compare to the local market.
Insurance.dental uses over one billion de-identified dental claims to build its benchmarks. Every data point comes from actual paid claims — not UCR estimates, billed charges, or industry surveys. The dataset is aggregated and indexed by CDT code and zip code, allowing us to provide granular, location-specific benchmarks for every procedure. We surface 19 percentile breakpoints per code, including the 50th percentile (market median) and 75th percentile (top quartile), so you can see exactly where your contracted rate falls relative to real market performance. We never collect or store protected health information (PHI) as defined under HIPAA.
Insurance.dental is designed for dental practice owners, dentists, office managers, dental consultants, and DSOs who want to maximize PPO reimbursement. Whether you run a solo practice or manage a multi-location group, the platform gives you actionable, code-level intelligence to negotiate better payer contracts, evaluate new PPO participation decisions, and identify the specific procedures where your rates lag the market.
Insurance.dental is primarily a data and analytics platform, not a negotiation service. We provide the fee schedule analysis, market benchmarks, and negotiation-ready reports that empower you or your consultant to renegotiate rates directly with payers. Professional and Enterprise plans include one-click negotiation packets with gap analysis charts and talking points, but the actual negotiation is conducted by you or your representative.