Dental Credentialing · Nationwide

Credentialing is a strategy decision, not just paperwork.

The PPO contracts you sign today decide what you'll collect for years. I help new practices and providers choose the right networks, get enrolled correctly and, when it makes sense, negotiate fees from day one.

Get a Credentialing Quote →Already credentialed? Negotiate fees

Custom quote based on number of doctors and plans.

Every practice needs a credentialing strategy.

It may be a good fit if
  • You're opening a new practice or adding a provider
  • You're unsure which PPO contracts make sense to accept
  • Your current PPO participation no longer supports profitability
  • You want clarity before committing to new insurance contracts
The right start

Early decisions determine whether a practice struggles or thrives.

A custom PPO strategy

Every practice has a different payer mix, overhead structure and patient base. I build a strategy around:

  • Practice location and market conditions
  • Procedure mix and most-billed CDT codes
  • Overhead and profitability targets
  • Long-term growth plans

New practices & providers

Credentialing decisions are especially critical for:

  • New practice startups
  • Dentists relocating or opening additional locations
  • Adding associate dentists or specialists

New providers get aligned with the right contracts from the beginning.

Strategy + negotiation together

Credentialing and PPO negotiation work best together. Aligning them gives you:

  • Better reimbursement opportunities
  • Stronger negotiating positions
  • Less exposure to low-value contracts
  • More control over insurance participation
Two ways to credential

Choose the level of support you need.

Recommended

Credentialing with PPO fee negotiation

Network selection, enrollment and negotiated fees, for optimal reimbursement from the start.

Enrollment only

Credentialing only

Full-service enrollment in the plans you choose, at the networks' current fees.

Both include

  • PPO participation strategy and network selection guidance
  • Application submission and tracking for all requested plans

 

  • CAQH setup and management
  • Direct coordination with payers

 

  • Status follow-up through completion
  • A custom quote based on your doctors and plans
Why work with me

Real dental experience behind every recommendation.

I've spent 26 years in dentistry, from dental assistant to front office manager to leading revenue cycle for a privately owned DSO. I understand how insurance decisions affect not only reimbursements, but scheduling, staffing and patient communication.

  • Hands-on, data-driven strategy
  • Transparent analysis and realistic expectations
  • Customized solutions, not generic scripts
  • Ongoing guidance, not a one-time transaction
Free, no obligation

Start with the right contracts.

Tell me about your practice and I'll personally reach out. Serving dental practices nationwide, with deep roots in Reno and Las Vegas.

Get My Credentialing Quote →

Or call 530-314-9694 · mary@successdds.com

  • Reorganizing PPO Participation

    Every practice has a different payer mix, overhead structure, and patient base. PPO participation should reflect those differences.

    I work with dental practices to build a custom PPO strategy that considers:

    Practice location and market conditions

    Procedure mix and most frequently billed CDT codes

    Overhead and profitability targets

    Long-term growth plans

    This strategy helps practices avoid over participation in low-value PPOs and instead focus on a combination of contracts that support sustainable growth.

  • Credentialing for New Practices and Providers

    Credentialing decisions are especially critical for:

    New practice startups

    Dentists relocating or opening additional locations

    Adding associate dentists or specialists

    I guide practices through credentialing planning to ensure new providers are aligned with the right PPO contracts from the beginning. Early decisions often determine whether a practice struggles with reimbursement or builds a strong financial foundation.

  • How Credentialing and PPO Strategy Work Together

    Credentialing and PPO negotiations are most effective when approached together. PPO strategy informs which contracts should be pursued, renegotiated, or avoided altogether.

    By aligning credentialing decisions with negotiation strategy, practices gain:

    Better reimbursement opportunities

    Stronger negotiating positions

    Reduced exposure to low-value contracts

    Greater control over insurance participation

    This integrated approach helps practices stop reacting to insurance changes and start managing them proactively.

Every Practice Needs a Credentialing Strategy

Credentialing strategy may be a good fit if:

  • You are opening a new practice or adding a provider

  • You are unsure which PPO contracts make sense to accept

  • Your current PPO participation no longer supports profitability

  • You want clarity before committing to new insurance contracts

If you are unsure where to start, a credentialing review can provide valuable insight.

Why Work With Us?

We bring real-world dental experience to PPO negotiations, including front office operations, insurance billing, revenue cycle management, and practice leadership. I understand how PPO decisions affect not only reimbursements, but scheduling, staffing, and patient communication.

Dentists choose to work with us because we provide:

Hands on, data driven PPO negotiation strategy

Transparent analysis and realistic expectations

Customized solutions rather than generic scripts

Ongoing guidance, not just a one time negotiation

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