Plain-English guidance on fee schedule changes, CDT code revisions, carrier rate adjustments, and practice strategy — written for dentists and DSO operators who don't have time for fine print.
Aetna reduced D2740 reimbursement by 2.4% and D2391 by 1.8% effective January 2026, while selectively increasing periodontal codes. Here's the full picture and how to respond.
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The gap between your UCR fee and what insurance carriers actually pay is the single biggest driver of revenue leakage. Here's what the spread means and how to manage it.
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Humana cut D1110 reimbursement 6.1% effective January 2026 — one of the largest single-code cuts from any major carrier this year. Here's the full picture and how to respond.
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Every PPO contract means accepting write-offs on every procedure. Most practices have never actually done the math on whether the volume justifies it. Here's how.
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MetLife updated PDP and PDP Plus schedules effective January 2026. D1110 took cuts in both networks while D4341 improved. Here's what changed and how to request a review.
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Every carrier has a specific window when renegotiations are processed. Miss it and you wait another year. Here's the complete negotiation calendar for Delta, MetLife, Cigna, Humana, and more.
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The average dental practice loses $26,000 annually to preventable revenue leakage. Here's where it goes — fee schedule erosion, billing errors, missed codes, uncollected balances — and how to stop it.
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Delta updates PPO fee schedules across 39 states every January with minimal notice. Here's what changed in 2026, which codes were affected, and what to do before your next negotiation window closes.
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Most dentists never actually read their PPO fee schedule agreements. Here's a practical guide to understanding UCR fees, tables of allowances, and the fine print that costs practices thousands annually.
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Reimbursement rates across major carriers shifted in 2026. Some cut rates on high-volume codes while others adjusted upward in specific states. Here's the full picture.
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Most practices accept the fee schedule they're given and never renegotiate. Here's exactly how to request a fee review, what data to bring, and when the windows open for each major carrier.
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The ADA releases CDT code updates each year affecting billing eligibility and reimbursement. Here's a plain-English breakdown of what changed in 2026 and how to update your billing protocols.
Read article →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.