PPO Fee Schedule Intelligence

Your carriers changed the rates.
Did you know?

Twenty insurers quietly update their PPO fee schedules every January. Most practices find out months later — if ever. ClearDentalRates delivers a plain-English monthly intelligence report to your inbox.

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200K+

US Dental Practices

20+

Carriers Monitored

$26K

Avg Annual Leakage

April 2026 Alert

Humana Dental PPO reduced D1110 reimbursement by 6.1% effective January 1, 2026. ClearDentalRates subscribers received this alert on January 3rd.

The Workflow

Intelligence Simplified

Four steps from enrollment to actionable rate intelligence — no software, no logins, no complexity.

Subscribe in Two Minutes

Select your state and the carriers you're credentialed with. No login portal, no software to install. First digest arrives within 30 days.

We Monitor Every Carrier

Our system tracks 20+ carrier portals, state dental board pages, and provider manuals for fee schedule changes and CDT code revisions — every day.

Receive Your Intelligence Report

Each month: which carriers changed rates, which CDT codes were affected, what it means in real dollars, and what action to take.

Negotiate from Knowledge

Armed with current carrier-specific data, you renegotiate contracts confidently and stop absorbing rate cuts you never knew happened.

No More Surprises Know within 30 days of any rate change affecting your practice.

Why ClearDentalRates

PPO Intelligence for Modern Dental Practices

"Delta Dental alone updates fee schedules across 39 states every year. Most practices never read the fine print." — ClearDentalRates Research, 2026

Monthly Fee Schedule Monitoring

Continuous tracking of your carriers across state-specific fee schedules — delivered as a plain-English report, not a raw data dump.

CDT Code Impact Summaries

When CDT codes change, we flag exactly which procedures are affected and what the reimbursement impact looks like for your state.

No Login, No Software

Your intelligence arrives in your inbox on the first of every month. No portals, no dashboards, no learning curve. Just the information you need.

Coverage

Carriers We Monitor

Every major PPO carrier plus state dental board regulatory updates and Medicaid fee schedule changes.

Delta Dental

PPO · Premier · DeltaCare USA

MetLife

PDP · PDP Plus · Federal

Cigna

DPPO · Network Advantage

United Healthcare

Choice · Choice Plus · Core

Guardian

DentalGuard · Preferred PPO

Humana

PPO · Value Plus · CompBenefits

Aetna

Standard · Premier · DPPO

Principal Financial

Dental PPO · Core

Ameritas

Dental Premier · Network

Sun Life

Dental PPO

Lincoln Financial

Dental PPO · Core

State Medicaid

All 50 states monitored

What You Receive

Sample Intelligence Report

This is exactly what lands in your inbox on the first of every month — plain English, actionable, and specific to your state and carriers.

April 2026 Fee Schedule Intelligence

3 Findings for Indiana Practices · Practice Monitor

Monthly Digest

Humana Dental PPO

Action Required

D1110 Rate Decrease — 6.1%

Adult prophylaxis reimbursement dropped from $73.50 → $69.00 effective January 1, 2026. At 30 procedures per week, this represents approximately $3,200 in annual revenue reduction. We recommend requesting a fee renegotiation before your next contract window.

Delta Dental PPO · Indiana

Action Required

D2750 Crown — Rate Adjustment 4.2%

Porcelain crown reimbursement decreased 4.2% statewide effective January 2026. This affects your highest revenue-producing procedure code. Review your UCR fee against current Delta PPO allowances before your next credentialing window.

MetLife · Cigna · Guardian · Aetna

All Clear

No Changes Detected

No fee schedule changes detected for your credentialed carriers in Indiana this month. Current contracted rates remain in effect. Next scheduled review: May 1, 2026.

Why This Report Matters

Fee schedules update annually with no proactive notification to most practices
Most practices discover rate cuts during billing audits — months after the fact
The renegotiation window is narrow — most close within 90 days of the change
CDT code revisions can affect reimbursement eligibility without changing the fee schedule

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Subscription Plans

No contracts. Cancel anytime. First report within 30 days of subscribing.

For Solo & Group Practices

Practice Monitor

$147

per month · cancel anytime

1 state monitored
Up to 6 carriers tracked
Monthly plain-English digest
Fee schedule change detection
CDT code impact summaries
Delivered by email — no login required

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For DSOs & Multi-Location Groups

DSO Intelligence

$297

per month · cancel anytime

All 50 states monitored
All 20+ carriers tracked
Monthly digest + urgent alerts
State dental board rule changes
CDT code revision tracking
Provider manual update alerts
Up to 10 email recipients

Start DSO Intelligence →

Intelligence Library

Free Resources

Fee Schedule Intelligence

Stop finding out after the fact.

Fee schedules change every January. Provider manuals update without announcement. CDT codes get revised without a press release. Subscribe and know within 30 days of any change that affects your bottom line.

View Plans & Subscribe No contracts · Cancel anytime · First report within 30 days

Your carriers changed the rates.Did you know?