PPO Profits

What PPO Profits does

PPO Profits, LLC is a privately held dental revenue optimization company founded in January 2019 and headquartered in Pittston, Pennsylvania, operating as a subsidiary of Benco Dental, a major dental industry distributor. The company serves US dental practices through four interconnected service lines: PPO fee schedule negotiations, PPO network credentialing, outsourced revenue cycle management (RCM), and medical billing for dentistry, complemented by an educational ecosystem of coaching programs, on-site certification courses, and self-paced workbooks. Its RCM services are offered exclusively to practices running Open Dental or Dentrix practice management software, with two tiers (claims-focused and full A/R with patient collections and dedicated account management).

The company's proprietary technology asset is FFS Profits, a subscription-based SaaS platform launched in November 2024 that enables dental practices to design, enroll, bill, and renew in-office membership plans for uninsured patients, priced at $299 setup plus $150/month with integrated merchant services. PPO Profits monetizes through a mix of one-time professional services engagements (fee negotiations, credentialing projects, $1,599 two-day training courses, $799 Master's certification), recurring managed services (Tier 1 and Tier 2 RCM), coaching subscriptions ($199/hour to $1,799/3 months), and SaaS subscriptions. Go-to-market is primarily direct sales via Calendly-scheduled consultations and mid-funnel webinars ("The Path to Higher Profits"), supplemented by content marketing through the PPO Talk blog, organic social on Facebook and LinkedIn, and on-site training courses held in multiple US cities.

The company has expanded through both organic product development and tuck-in M&A, notably acquiring Dental Performance Experts and onboarding its founder Amy Hernandez to lead the RCM division. Leadership includes Laurie Owens as Director of Medical Billing (holder of CPB, CPC, and COC certifications) and Tasha Burris as Sales and Marketing Lead. No external venture funding is disclosed, and the firm operates as a Pennsylvania LLC governed by Pennsylvania law, with distribution and content reach augmented by its position within the Benco Dental ecosystem.

Name

PPO Profits

Legal name

PPO Profits, LLC.

Website

https://ppoprofits.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

PPO Profits is a US dental-focused revenue optimization company offering PPO fee negotiation, credentialing, outsourced revenue cycle management, and medical billing services, plus FFS Profits SaaS for in-office membership plans, serving SMB dental practices through its Benco Dental parent.

Ownership category

akta.pro rank

Product category

Dental Practice Management Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (52512), Software Publishers (513210)

SIC

Accident & Health Insurance (6321), Services-Prepackaged Software (7372)

akta.pro primary industry

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

akta.pro secondary industry

Dental PPO Networks (HLAEANAE)

Keywords

• Dental PPO negotiations
• Dental revenue cycle management
• Medical billing services
• PPO credentialing
• In-office membership plans

Headquarters

HQ city

Pittston

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Fee Negotiation Services: PPO fee schedule negotiation services for dental practices to increase insurance reimbursements
2. PPO Credentialing: Credentialing and contracting services to help dental practices become in-network with PPOs
3. Revenue Cycle Management: Outsourced insurance billing services including claim submission, appeals, follow-up, and payment posting. Offered in two tiers with different service levels and pricing.
4. Medical Billing Services: Medical billing outsourcing for dentistry including expert coding, claim follow-up, appeals, and monthly itemization. Also includes coaching and training services.
5. FFS Profits Software Subscription: Monthly subscription software service for in-office membership plans with $299 setup fee and $150/month recurring charge
6. Medical Billing Training Courses: On-site 2-day courses and coaching programs teaching medical billing for dentistry. Also includes workbook and Master's level courses.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

PPO Profits provides dental practices with PPO insurance fee schedule negotiation, PPO credentialing and contracting, outsourced revenue cycle management (RCM), medical billing for dentistry, and the FFS Profits subscription software for in-office membership plans. The firm sells directly to dental practices of all sizes, including startups, established offices, multi-location groups, and DSOs, and supplements services with on-site training courses, coaching, and workbooks.

Product overview

PPO Profits is a dental-focused revenue optimization company offering a suite of interconnected services and software products. The core offerings include Fee Negotiations (renegotiating PPO reimbursement rates) and PPO Credentialing (network enrollment assistance), complemented by the FFS Profits Software platform (in-office membership plan management with automated billing). Additional services include Revenue Cycle Management outsourcing (Tier 1 and Tier 2) working exclusively with Open Dental and Dentrix practices, and Medical Billing Services for dentistry which includes full-service billing, coaching (hourly/monthly/3-month plans), on-site courses (2-day and Master's level), and a Step-by-Step Medical Billing Workbook. Educational content is provided through the PPO Talk blog. The company is part of Benco Dental.

Differentiator

Problem solved

Functional benefit

Brands

• FFS Profits: In-office membership plan software for dental practices to manage patient subscriptions and payments.

Products and services

• Fee Negotiations PPO fee schedule negotiation service that helps dental practices renegotiate reimbursement rates with insurance companies to increase revenue from insured and cash patients; serves startups, acquisitions, existing offices, and multi-location DSOs.
• PPO Credentialing Dental PPO network credentialing and contracting service that helps practices become in-network with selected PPOs, including a Fast Track Credentialing option for quick enrollment without rate negotiations.
• FFS Profits Software In-office membership plan management software that enables dental practices to create and manage subscription-based patient payment plans for uninsured patients, with plan design tools, automatic billing, payment processing, and custom branding.
• Revenue Cycle Management (RCM) Insurance billing outsourcing service in two tiers: Tier 1 focuses on outstanding insurance claims with best-practice training; Tier 2 adds patient collections, statement mailing, collections referrals, unlimited training, and a dedicated account manager. Served exclusively to Open Dental and Dentrix practices.
• Medical Billing Services Full-service medical billing for dental practices covering claim submission, expert medical coding, claim follow-up, first-level appeals, and monthly itemization reporting, delivered by qualified medical billers specializing in dentistry.
• Medical Billing Coaching Ongoing coaching service providing step-by-step medical billing guidance via phone consultations in three paid tiers: 1 Hour ($199), 1 Month ($699 weekly calls), and 3 Months ($1,799 weekly calls plus webinars); covers case identification, medical policies, diagnosis codes, documentation, and implementation.
• Medical Billing On-Site Course Two-day intensive in-person training course teaching dental teams medical billing, covering medical necessity documentation, claim submission, and EOB interpretation. Includes 13 CEU credits. Priced at $1,599 per person.
• Master's Course (Level II Biller) One-day advanced certification course for experienced dental billers covering Level II specialist skills including complex claims handling, denial management, appeals mastery, and payer escalation. Prerequisite: completion of the Two-Day Medical Billing Course. Priced at $799.
• Step-by-Step Medical Billing for Dentistry Workbook Comprehensive self-paced training workbook covering the development, implementation, and management of a complete medical billing process for dental practices. Sold as a one-time purchase at $799, non-refundable.

Quantifiable outcome

• 30%+ increase in fee schedule rates reported by customers
• +4 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature1 record

Partnerships

One partnership is on record.

• Benco DentalcoreOthersPPO Profits is part of Benco Dental, a major dental distribution company. Benco Dental is described as the publisher of IncisalEdgeMagazine.com where PPO Profits content appears.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Others

• Open Dental Software: Open-source dental practice management software platform. PPO Profits' RCM services are built exclusively on Open Dental, making it both a key integration partner and a potential competitive vector if it expands into billing services.
• Benco Dental: Major US dental distributor and parent company of PPO Profits. Comparable as a dental ecosystem player and key distribution channel that gives PPO Profits privileged customer access.
• Dentrix (Henry Schein One): Leading dental practice management software from Henry Schein One. PPO Profits' RCM is exclusive to Dentrix users, making it a critical channel partner and the largest incumbent PMS in US dentistry.

Emerging players

• CareStack: Cloud-based dental practice management and billing platform targeting DSOs. Overlaps with PPO Profits in serving larger dental groups and could eventually extend into RCM outsourcing.
• Curve Dental: Cloud-native dental practice management software. Currently outside PPO Profits' supported PMS base but represents a growing segment of dental software where RCM partnerships could expand.
• Mango Voice / dental coaching networks: Dental practice coaching and operations services companies. Comparable to PPO Profits' training courses and coaching products on the education side of the dental services stack.

Direct peers

• Sikka Software: Provides practice optimization and revenue cycle software for dental and veterinary practices, with API integrations across PMS platforms. Comparable to PPO Profits in targeting dental RCM automation and practice intelligence.
• Dental Claim Support: Specializes in dental insurance claim appeals, billing, and credentialing for US dental practices. Directly comparable service overlap with PPO Profits' credentialing and claims follow-up offerings.
• eAssist Dental Solutions: Outsourced dental billing and insurance claims processing company serving US dental practices. Most directly comparable to PPO Profits' RCM and credentialing lines, with similar SMB-to-DSO customer base.

Broad incumbents

• Medusind: Large-scale dental and medical revenue cycle management provider serving group practices and DSOs. Competes with PPO Profits' RCM tier offering but at significantly larger scale and broader scope.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/ppoprofits
• LinkedInlinkedin.com/company/ppo-profits

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 Profits