PPO Dental Consulting

What PPO Dental Consulting does

PPO Dental Consulting, LLC is a privately held dental insurance consulting firm headquartered in Fort Worth, Texas, founded in 2011 by Dr. Dana Moss. The firm serves small and mid-sized dental practices (primarily in the Dallas/Fort Worth Texas market and across the US) that participate in PPO insurance networks, helping them navigate credentialing, fee negotiations, plan realignment, insurance coaching, and accounts receivable management. Its stated positioning is enabling practices to participate profitably in PPO networks without sacrificing patient-oriented care, targeting a well-defined pain point: untrained front-office staff, high adjustment rates, and slow claim payments in PPO-heavy dental offices.

The company's product portfolio spans high-touch professional services, a project-based Strategic Plan Placement offering (starting at $4,900), a $125/hour consulting line, a no-contract monthly Remote Insurance Coordinator managed service that ships HIPAA-compliant equipment to client sites and integrates directly into the practice's PMS (Dentrix, Eaglesoft, Open Dental), and a $1,000 DIY Negotiations digital download product. Distribution is sales-led and referral-driven, supported by content marketing (blog, Mailchimp newsletter), social media, and Dana Moss's speaking engagements at dental industry events. The firm is bootstrapped with no external investment, operates from a single Fort Worth office, and relies on founder-led delivery supported by a small team (including credentialing specialist Melinda). It has begun exploring AI-assisted verification workflows but treats them as a process improvement rather than a differentiated capability.

Name

PPO Dental Consulting

Legal name

PPO Dental Consulting, LLC

Website

https://ppodentalconsulting.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

PPO Dental Consulting is a Fort Worth-based dental insurance consulting firm founded in 2011 that helps SMB dental practices with PPO credentialing, fee negotiations, plan realignment, insurance coaching, and outsourced remote insurance coordination services across the US.

Ownership category

akta.pro rank

Product category

Dental Insurance Consulting

NAICS

Other Management Consulting Services (541618)

SIC

Services-Management Consulting Services (8742)

akta.pro primary industry

Provider Network Administration & Contracting (PPO Network Management) (HLAEALAE)

Keywords

• Dental insurance consulting
• PPO fee negotiation
• Insurance credentialing services
• Dental practice coaching
• Remote insurance coordination

Headquarters

HQ city

Fort Worth

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Consulting Services: Hourly consulting and coaching services for dental practices seeking help with PPO-related questions including insurance systems, accounts receivable, and practice management. In-office training programs and coaching sessions delivered by Dana Moss.
2. Insurance Coaching: Training programs for dental teams covering insurance systems, verbal skills, accounts receivable management, and practice profitability. Covers insurance specialist training from first call to claim payment.
3. Plan Realignment Services: Strategic plan realignment services to help dental practices optimize their PPO participation. Includes assessment of active patients and plans, evaluation of top used codes, creation of customized spreadsheets comparing plan reimbursements, and custom patient/insurance company letters. Starting price of $4,900 depending on project size.
4. DIY Negotiations Product: One-time purchase digital download product priced at $1,000. Includes step-by-step guide, communication templates, comparison spreadsheets, and documentation log. Personalized guidance available at $125/hour additional rate.
5. Remote Insurance Coordinator: Outsourced insurance verification and coordination service. Includes in-office onboarding visit, dedicated team member, same-day verification, daily claim submission, daily payment posting with reports, and current claim management. Full Service and Ala-carte options available with no contract required.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

PPO Dental Consulting provides specialized consulting services to dental practices focused on PPO dental insurance, including provider credentialing, fee negotiations, strategic plan realignment, and insurance coaching. The firm also delivers an outsourced Remote Insurance Coordinator managed service where dedicated staff perform insurance verifications and enter data directly into the client's practice management software, and sells a DIY Negotiations digital product for self-service fee negotiations.

Product overview

PPO Dental Consulting offers a suite of dental insurance consulting services centered on helping dental practices navigate PPO networks profitably. The core offerings include Credentialing Services, Negotiations, Strategic Plan Placement (Participation Evaluation and Realignment Plan), Insurance Coaching, and Remote Insurance Coordinator services. The company also offers a DIY Negotiations digital download product ($1,000) and speaking services. The service portfolio is designed to help practices optimize their insurance-related operations from credentialing through claim payment, with pricing for plan realignment starting at $4,900 and optional hourly consulting at $125.

Differentiator

Problem solved

Functional benefit

Products and services

• Credentialing Services Assists dental practices with provider credentialing processes, including PPO network participation applications, renewals, and ongoing maintenance. Designed for dental practices and DSOs joining or maintaining in-network status with PPO insurance carriers.
• Negotiations Fee negotiation services for dental PPO insurance plans, helping practices achieve better reimbursement rates, reduce write-offs, and improve profitability. Built on the firm's proprietary step-by-step negotiation playbook developed over a decade of real-world engagements.
• Strategic Plan Placement Participation evaluation and realignment plan service (starting at $4,900) that assesses active patients and plans, evaluates top-used codes, builds customized spreadsheets comparing plan reimbursements, and produces custom patient and insurance company letters to reduce adjustments and confusion from excessive fee schedules.
• Insurance Coaching Training services for dental teams covering insurance systems, verbal skills, accounts receivable management, and practice profitability, with options for hourly consulting ($125/hour) or comprehensive training programs. Designed to bring dental teams from first insurance call through claim payment.
• Remote Insurance Coordinator

Quantifiable outcome

• Achieving 100% collection percentage or better for accounts receivable and insurance claims
• +3 more outcomes

Named customers2 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability2 records

Feature2 records

Partnerships

Seven partnerships are on record, tiered minor.

• ADMCminorOthersResource partner listed on PPO Dental Consulting's Resources page. ADMC (American Dental Medical Consulting) appears to be a consulting or professional organization serving the dental industry.
• Plan ForwardminorOthersResource partner listed on the Resources page. Plan Forward appears to be a dental practice management or planning software/solutions provider.
• Kelly SchwartzminorOthersResource partner listed on the Resources page. Kelly Schwartz (kellyschwartz.com) appears to be a dental consulting or professional services firm.
• Susan Gunn SolutionsminorOthersResource partner listed on the Resources page. Susan Gunn Solutions (susangunnsolutions.com) appears to be a dental industry consulting or solutions provider.
• IdealminorOthersResource partner listed on the Resources page. Ideal appears to be a dental industry solution provider.
• AADOMminorOthersResource partner listed on the Resources page. AADOM (American Association of Dental Office Management) is a professional association for dental office managers.
• NADPminorOthersResource partner listed on the Resources page. NADP (National Association of Dental Plans) is the primary trade association for the dental benefits industry in the US.

Scale indicators1 record

Recent moves6 records

Expansion highlights4 records

Direct peers

• T-Bone Solutions: Dental practice coaching and consulting firm specializing in insurance, fee negotiation, and practice management. Closely comparable to PPO Dental Consulting in service scope (credentialing, negotiations, coaching) and target buyer (small/independent dental practices).
• The Dental A Team: Dental practice consulting and coaching company offering insurance optimization, team training, and operations consulting. Direct competitor serving the same SMB dental practice segment with overlapping coaching and consulting offerings.
• eAssist Dental Solutions: Provides outsourced dental insurance verification, billing, and claims management services to dental practices. Directly competes with PPO Dental Consulting's Remote Insurance Coordinator service on the same workflow (insurance verification into PMS systems) and same SMB dental practice buyer.
• Jameson Management and Marketing: Dental consulting firm offering practice management coaching, marketing, and operational consulting to dental practices. Comparable buyer (dental practice owners) with overlapping service categories including insurance-related consulting.
• Practice Dynamics: Dental practice management consulting firm offering coaching, team training, and operational guidance to dental practices. Comparable target buyer and consulting/coaching service model.
• Banta Group: Dental consulting practice working with dental offices on practice growth, systems, and operational performance. Comparable in serving small/mid-sized dental practices with consulting engagements, though broader in scope than PPO-only focus.
• MGE Management Experts: Long-established dental practice management consulting firm providing coaching, training, and operational support to dental practices. Comparable in service scope and target customer (private dental practice owners), with broader practice management focus.

Broad incumbents

• Levin Group: Large, well-known dental practice consulting firm led by Roger Levin, offering practice management, marketing, and operational consulting. Comparable buyer and service category, but materially larger scale and broader portfolio than PPO Dental Consulting.

Others

• AADOM (American Association of Dental Office Management): Professional association for dental office managers providing education, networking, and resources. Not a direct competitor but a strategic ecosystem partner (listed as PPO Dental Consulting's resource partner) that influences buyer awareness and purchasing decisions in the dental consulting market.
• NADP (National Association of Dental Plans): Industry trade association for the dental benefits industry. Listed as a strategic resource partner; relevant ecosystem participant that shapes the regulatory and market environment for PPO dental consulting services.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/ppodentalconsulting
• LinkedInlinkedin.com/company/ppo-dental-consulting
• Instagraminstagram.com/ppodentalconsulting
• Xx.com/DentalPpo

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PPO Dental Consulting