Dental Reimbursement Services

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Medicaid and Medicare programs are essential for many individuals, and understanding dental network optimization can enhance the services offered through EPO and PPO contracting. On-site and tribal clinics play a critical role in providing care under capitation models, which are increasingly aligned with value-based reimbursement strategies. Additionally, stacked networks can improve access and efficiency in delivering health services.

Customized negotiation, partnerships, and fee schedule simplification are essential for dental network optimization. I have experience representing group practices and plans, ensuring effective PPO contracting and maximizing Medicaid reimbursement.

Led the recruitment of over 40 thousand dentists across various dental network optimization strategies, including national leased networks, regional networks, and Delta Dental plans, while ensuring effective PPO contracting and addressing Medicaid reimbursement across the full spectrum of networks.

Designed custom network "stacks" to meet access and discount objectives by product, with a focus on dental network optimization to enhance Medicaid reimbursement and streamline PPO contracting. Extensive experience working with rental networks and optimizing the network stacks.