Shared Practices | Your Dental Roadmap through Practice Ownership
Ask George: Is a Fee-for-service dental practice Right For You?
Jul 27, 2026 · 31 min · 11 segments
In this episode of Ask George, Dr. George Hariri breaks down the pros, cons, and brutal truths of running a fee-for-service dental practice. While dropping insurance is a dream for many in dental…
In this episode of Ask George, Dr. George Hariri breaks down the pros, cons, and brutal truths of running a fee-for-service dental practice. While dropping insurance is a dream for many in dental practice ownership, George explains why going out-of-network is often like "swimming upstream". It becomes significantly harder to attract new patients and retain existing ones when they face higher out-of-pocket costs. However, if you are committed to this model, it can be incredibly rewarding when executed correctly. To achieve sustainable dental practice growth without relying on PPOs, you must deliver an experience that justifies the premium price tag. Here is your blueprint for operating a successful fee-for-service dental practice: - Simulate the In-Network Experience: The best out-of-network offices are extremely insurance-friendly. You must submit claims on behalf of the patient and avoid charging extra for preventative care whenever possible to reduce friction. - Leverage Rural Markets: The most predictable path to fee-for-service success is in rural or underserved areas. When there is a severe lack of access to care, patients have no choice but to tolerate out-of-network fees. - Create a Unique Value Proposition: If you are operating in a highly competitive, urban market, your patient experience—from the doctor-patient relationship to the physical office environment—must be undeniably superior to the in-network clinic down the street. - Transition Slowly: If you are acquiring an in-network clinic, do not abruptly transition into a fee-for-service dental practice. Build your patient base first, establish goodwill, and then gradually drop the lowest-paying plans one at a time. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.
In this episode of Ask George, Dr. George Hariri breaks down the pros, cons, and brutal truths of running a fee-for-service dental practice. While dropping insurance is a dream for many in dental…
- Speakers
- GGeorge HaririHost
