Your contracted dental rates may be below market. Do you know by how much?
Compare your current fees with actual negotiated rates disclosed by payors—not generic price estimates. PayorMap helps dental groups investigate gaps by payor, CDT, local market, and mapped TIN where supported, then prioritize contract negotiations.
Find My Reimbursement OpportunityWhat could a below-market fee schedule look like?
Consider a DSO with a D2740 crown contract rate of $785 and an illustrative local market median of $920. That's a $135 difference per procedure, or 14.7% below the example benchmark. A procedure-level difference does not by itself establish the ability to renegotiate that fee.
Example only: These figures are illustrative—not a current PayorMap observation, customer result, or guaranteed achievable rate. Market comparability, network, data freshness, and utilization must be reviewed before modeling any opportunity.
What a defensible dental rate benchmark needs.
National averages rarely tell a multi-location dental group what to negotiate. PayorMap starts with actual negotiated rates disclosed in payor source files, then organizes available observations by payor, CDT, ZIP and mapped TIN, with local market context and transparent data coverage.
Observed negotiated rates are directional evidence, not a guarantee of an achievable contract rate. Scope, methodology, plan and network differences matter.
Five questions for every DSO benchmark review.
Are our contracted rates below comparable local market rates?
Start with commercial payor and CDT comparisons within the relevant ZIP-level market and validate network, data freshness and sample depth before drawing conclusions.
Which gaps could materially affect collections?
Pair the rate difference with the organization's own CDT mix and claim volume when available. Treat modeled opportunity as an estimate, not realized revenue.
Which contracts can be addressed now?
Contract notice periods, renegotiation windows, leased PPO participation and existing amendments can determine practical timing.
Can we see the evidence behind the recommendation?
Review supporting rate records, market percentiles and methodology instead of relying on an unsupported headline average.
How do we track negotiated improvements?
Maintain a baseline of current fees and contract terms; verify that agreed changes appear in adjudicated reimbursement after implementation.
Commercial benchmarks and Medicaid context in one intelligence workflow.
PayorMap brings negotiated commercial reimbursement observations, company and provider mapping, contract intelligence and Medicaid dental fee schedules into a connected workspace. Coverage varies by market and payor; a demonstration can establish evidence readiness for your footprint.
Learn the language behind the data.
Explore our free dental reimbursement glossary for plain-English explanations of negotiated rates, silent PPO leasing, fee loading, CDT codes and market percentiles.
Browse the Dental Glossary →Dental PPO benchmarking questions, answered.
How do I know whether my dental PPO rates are competitive?
Start with your contracted fee schedule. Compare meaningful CDT codes with relevant disclosed negotiated-rate observations for the same payor and local market. Check network comparability, sample depth, and underlying evidence before acting.
Can a DSO compare reimbursement across multiple offices?
Yes, where data coverage permits. PayorMap organizes available observations by payor, CDT, market, and mapped provider or TIN so teams can investigate location-level differences without treating every market as interchangeable.
How do I estimate the financial effect of a reimbursement gap?
Pair comparable rate differences with your organization's actual procedure volumes and payor mix where available. Modeled reimbursement opportunity is not realized revenue, and an observed gap is not a guaranteed negotiable increase.
Does PayorMap help with the next contract negotiation?
PayorMap supports evidence gathering, opportunity prioritization, and contract analysis. Managed negotiation services, when available, are provided under separate agreements.
Can a rate below the local median be called an opportunity?
It is a signal for further review, not proof of an achievable increase. Network terms, provider mix, contract windows, and the scope and quality of the available data determine what action makes sense.
Review our benchmarking methodology → See the DSO workflow →
Find the reimbursement gaps worth fixing first.
Tell us your DSO's states, payors and contracting priorities. We'll identify a practical scope for an opportunity review.