Make your practice more profitable — and easier to run.
Solutions 101 helps dental practices negotiate PPO contracts, improve fee schedules, reduce write-offs, and stop losing revenue in the gaps between insurance contracts, claims, and front-office execution.
We are not just a PPO negotiation vendor. We are a practice-side dental insurance strategy firm built on real reimbursement data, payer behavior, and implementation support your team can actually use.
100M+
Reimbursement datapoints tied to real claims behavior, not generic benchmark assumptions.
Practice-Side
We represent dental practices and groups — not carriers, vendor clubs, or network interests.
Built To Execute
Negotiation, restructuring, team training, patient communication, and protection of the gains.
PPO fee schedule negotiations
For practices that want stronger reimbursements while staying in-network where it makes sense.
Payer mix and network strategy
For practices stuck in weak contracts, overlapping umbrellas, and hidden reimbursement drag.
Implementation you never have to do alone
We help your team verify, communicate, collect, and hold the strategy in real life.
Stronger collections that can exceed our fee
We build projects around measurable return — not prettier reports or empty pitch language.
Where We Step In
Regain control of your PPO contracts, reimbursements, and payer strategy.
Most dental practices do not need just one fee increase. They need a better approach to contracts, networks, claims, patient communication, and reimbursement strategy.
Solutions 101 helps untangle the payer mess and turn it into a clearer, more profitable path forward.
Dental PPO negotiation and fee schedule improvement
We evaluate direct PPO contracts, leased-network access, carrier routing, and market reimbursement behavior to determine where fee increases are realistic.
PPO restructuring and network consolidation
We identify overlapping umbrellas, low-paying access points, and participation structures that quietly suppress reimbursement.
Revenue recovery and underpayment detection
We look for missed revenue, bad allowable behavior, claim inconsistencies, and reimbursement drift that erode profitability over time.
Patient communication and front-office execution
We help your team explain benefits, network changes, and patient choices clearly so strategy does not fall apart at the front desk.
Why Solutions 101
A dental PPO negotiation company with a bigger playbook.
If all you need is someone to ask a carrier nicely for a higher fee schedule, we are probably overbuilt. If you need to understand what PPO participation is really doing to your practice, that is where we belong.
PPO Negotiation & Fee Schedule Increases
Our ALIGN track improves revenue without disrupting patient flow, changing network participation, or forcing out-of-network transitions where those do not make sense.
Full PPO Restructuring
Our ENGAGE track redesigns the payer structure to improve collections, reduce write-offs, and increase profitability through a sequenced implementation strategy.
Delta Dental Strategy
Delta strategy is not one-size-fits-all. We evaluate reimbursement behavior, patient concentration, open enrollment timing, and transition risk before recommending a path.
UCR & Office Fee Optimization
We identify outdated UCRs and fee-list structures that may be suppressing reimbursement, weakening negotiations, or distorting your payer mix.
Practice Transitions & DSO Strategy
We support buyers, sellers, associates, and groups with payer strategy that protects revenue during acquisitions, ownership changes, expansion, and multi-location growth.
Compliance, Monitoring & Enforcement
We monitor reimbursement behavior, contract changes, network drift, and underpayment issues so gains do not quietly disappear after the initial project.
Carrier Experience
Experience across the carrier landscape.
We have worked across a broad mix of payer relationships, fee schedules, and network structures as part of practice-side dental PPO negotiation, reimbursement, and payer strategy work.
Carrier names shown for identification only. Solutions 101 is not affiliated with or endorsed by any carrier shown.
DataPort Software
Most software reports the problem. We built DataPort to help solve it.
A dashboard alone will not negotiate a PPO contract, fix a bad network stack, or protect a practice during a transition.
DataPort was built to uncover payer problems, model financial impact, compare real reimbursement behavior, and support real-world strategy.
| Payer | Network | Provider | Submitted | Allowed | Variance | Status |
|---|---|---|---|---|---|---|
| Aetna | PPO Direct | $245.00 | $186.20 | $58.80 | Review | |
| Guardian | Leased Access | $185.00 | $132.40 | $52.60 | Review | |
| MetLife | PPO | $325.00 | $238.10 | $86.90 | Model | |
| Cigna | Umbrella | $140.00 | $98.00 | $42.00 | Model | |
| Delta Dental | Premier | $1,225.00 | $812.40 | $412.60 | Flag |
| Code | Description | Current | Effective | Target | Annual Impact |
|---|---|---|---|---|---|
| D0120 | Periodic Evaluation | $62 | $51 | $68 | $18,420 |
| D1110 | Adult Prophy | $112 | $86 | $118 | $42,760 |
| D2740 | Crown | $1,425 | $921 | $1,512 | $86,910 |
| D2392 | Composite | $248 | $174 | $266 | $31,300 |
| D2950 | Core Buildup | $325 | $212 | $344 | $27,640 |
The Solutions 101 Difference
A complete payer strategy — not a one-step fix.
We do not just negotiate. We partner with your practice to create a long-term plan for better reimbursements, stronger operations, and real results.
Revenue & Network Strategy
We map every payer, leased network, umbrella, and fee schedule relationship, then build a staged roadmap toward stronger reimbursement positions.
On-Site & Virtual Training
We help your front office and clinical team know how to verify, communicate, collect, and support the plan.
Monitoring & Enforcement
We help watch for reimbursement drift, payer behavior changes, and contract issues so the gains do not quietly disappear.
Who We Help
A team you will not find at a typical PPO negotiation firm.
You work with experienced professionals who understand both the business of dentistry and the complexity of dental PPO contracts.
We are consultants, analysts, administrators, trainers, and operators — and we are committed to your success.
Solutions 101 is not a law firm and does not provide legal representation or formal legal advice unless separately engaged in writing.
Chief Transitions Officer | 30+ years in the dental industry
Supports buy-side, sell-side, and transition strategy with experience across ownership, brokerage, payer relationships, and patient flow protection.
Legal & Compliance Oversight | JD internal review support
Supports internal review of payer contract language, addenda, and network terms so strategy is built with contract-risk visibility.
Chief Data Officer | PhD reimbursement analytics
Oversees reimbursement data, claims processing systems, and analytics so recommendations are grounded in math and actual payment patterns.
Training & Communication Leads | Front-office execution specialists
Help your team communicate clearly, verify benefits accurately, schedule wisely, and collect with confidence.
Our Process
From assessment to PPO negotiation, restructuring, and execution.
We do not drop a report in your lap and disappear. Our process moves from evaluation, to math-backed strategy, to real-world implementation your team can actually carry out.
Intake & Assessment Call
We start by understanding your payer mix, pain points, growth goals, and whether a full assessment or targeted PPO negotiation project makes sense.
Data Collection & Deep Dive
We gather EOBs, fee schedules, production reports, and practice metrics so recommendations are based on your actual reimbursement picture.
Strategy Design & Financial Modeling
We show which contracts to keep, renegotiate, restructure, or terminate, and what financial impact to expect.
Implementation & Negotiation
Once the strategy is approved, we execute negotiations, restructures, transitions, and staff communication planning.
Monitoring & Optimization
We monitor results, carrier behavior, reimbursement drift, and contract performance so the strategy holds over time.
Ready To Start?
See what your PPO contracts are really doing to your practice.
Whether your office needs PPO fee schedule negotiation, a full payer restructuring strategy, Delta Dental transition planning, or help with a specific reimbursement issue, the first step is understanding the numbers.
Not every practice is a fit. If we do not believe we can materially help, we will tell you.