FREE ASSESSMENT

Insurance Independence Readiness Scorecard

Discover where your practice stands and get a personalized roadmap to reduce insurance dependence.

What this scorecard measures

The Insurance Independence Readiness Scorecard is a free 15-question self-assessment built for dental practice owners who are evaluating whether (and how fast) to reduce their dependence on PPO insurance contracts. Each question covers one of five domains that determine how quickly a practice can transition without losing patients or revenue: financial stability, fee schedule strength, patient mix, marketing engine, and team alignment.

Your answers produce a single readiness score plus a personalized action plan. The scorecard takes about three minutes and does not require an email address.

The 5 readiness levels

Level 1 · Just Starting

Heavy PPO dependence, thin patient base, limited marketing. Focus on fee analysis and one-plan-at-a-time strategy.

Level 2 · Building

Some PPO reduction completed. Marketing in early stages. Ready to model membership plans or fee adjustments.

Level 3 · Transitioning

Solid revenue, strong fee schedule, dropping a plan within the next 6–12 months. Focus on patient communication and retention.

Level 4 · Independent

Out of network on most or all PPOs. Healthy new patient flow. Optimizing operations, hygiene production, and case acceptance.

Level 5 · Thriving

Fully fee-for-service or membership-based. Strong margin, predictable growth, mentoring others or scaling additional locations.

What you'll get

Why insurance independence matters now

Industry analysis shows U.S. dental practices typically write off 38–44% of revenue to PPO contracts, a margin most practice owners cannot afford to keep absorbing as supply, lab, and labor costs continue to rise. A 2024 ADA Health Policy Institute report found that more than 30% of practicing dentists are actively planning to drop one or more PPO plans within the next two years. The question is no longer whether to start the transition; it is how to plan it without losing patients or stalling revenue.

This scorecard is the entry point. After you finish, use the PPO Write-Off Calculator to see your annual write-off in dollars, then the Revenue Simulator to model the financial impact of dropping a specific plan, and the Membership Plan Calculator to design a patient retention engine.

Reviewed by Naren Arulrajah and Gary Takacs. Naren is CEO of Ekwa Marketing and has worked with 1,000+ dental practices across all 50 U.S. states. Gary is the founder of Thriving Dentist and has coached 2,200+ practices. Together they co-host the Less Insurance Dependence Podcast (listen here). Learn more on our About page.
1 of 15

Frequently Asked Questions