Five Lakes Dental Practice Solutions provides expert PPO consulting, credentialing, and revenue cycle management to dental practices and Dental Service Organizations (DSOs) across the United States.
Since 2010, we have worked with more than 6,000 dental offices in all 50 states. Our team delivers data-driven, market-based strategies. We help you attract and retain patients, streamline operations, and maximize profitability in today’s competitive, insurance-driven environment.
Five Lakes serves practices of all sizes, from solo practitioners to large DSOs, in the following states and nationwide.

States We Serve
Our consulting team works with dental practices in these states and across the country:
- Ohio (OH)
- Oregon (OR)
- Virginia (VA)
- Illinois (IL)
- California (CA)
- Texas (TX)
- New York (NY)
- Iowa (IA)
- Pennsylvania (PA)
- Colorado (CO)
We are also available to serve practices in all 50 states.
Our Services: Nationwide Expertise for Your Practice
We offer a comprehensive suite of services designed to help dental practices and DSOs thrive. Whether you are starting a new practice, managing a growing group, or leading a large organization, we have solutions tailored to your needs.
PPO Management
Our PPO Management services help you maximize reimbursements and optimize your insurance contracts. We work with you to review current contracts, negotiate better fee schedules, and manage ongoing payer relationships. We ensure you are getting the most from your PPO participation.
Advisory & Consulting
We provide high-level advisory and consulting to help you develop a smart, sustainable payer strategy. Our team analyzes your market, evaluates your contracts, and provides data-driven recommendations to strengthen your revenue and competitive position.
Credentialing & Enrollment
We handle the entire Credentialing & Enrollment process from start to finish. We manage applications, follow up with payers, and ensure your providers are enrolled quickly and accurately. This gets your practice billing faster and reduces administrative burden.
Project-Based Engagements
Do you need short-term, high-impact help? Our Project-Based Engagements deliver focused solutions for specific challenges like PPO fee analysis, network leasing reviews, or payer mix evaluations. You get expert help without a long-term commitment.
Acquisition & Transition Support
Five Lakes provides Acquisition & Transition Support to protect your revenue during ownership changes. We align payer contracts, manage credentialing timelines, and ensure a seamless handoff for patients and staff.
Solutions for DSOs & Multi-Location Groups
We understand the unique challenges of scaling a Dental Service Organization (DSO). Our solutions are built for growth and complexity.
We help DSOs with:
- Standardizing PPO Contracts: We make sure all your locations have the same fee schedules and participation.
- Integrating New Practices: We manage credentialing and contracts so you can add office locations without losing revenue.
- Optimizing Payer Strategy: We use your patient volume to negotiate better contracts.
- Managing Revenue Cycle: We help you streamline billing and collections across your entire organization.
Whether you manage five locations or fifty, our solutions provide the structure, insight, and strategy you need to scale successfully.
Services for Newly Affiliated Practices
Integrating a new practice into your DSO or group is critical. We help you ensure your newly affiliated practices are profitable from day one.
Our support includes:
- Aligning Payer Contracts: We get your new practice on your optimal fee schedules immediately.
- Fast-Track Credentialing: We enroll your new providers with insurance companies as quickly as possible.
- Reviewing Office Fees: We analyze and adjust fees to be competitive and profitable.
- Managing Tax ID Changes: We handle updates smoothly to avoid billing disruptions.
- Identifying Hidden Risks: Our team will uncover issues that weren’t visible during due diligence.
Our PPO consultants help you stop revenue leakage and build a foundation for long-term success.
Strategic Market Reviews
Data is the key to smart decisions. Our Strategic Market Reviews provide the insights you need to stay ahead of the competition and maximize contract leverage.
Market reviews include:
- Leverage Assessment: We quantify your patient volume to negotiate better fees.
- Competitive Analysis: We benchmark your performance against local competitors.
- Payer Strategy Alignment: We ensure your contracts match your current business goals.
- Actionable Recommendations: We provide clear, data-driven steps to improve your position.
Our proprietary tools and data sources give you a deeper understanding of your market. This helps you make confident decisions about payer contracts, practice growth, and competitive positioning.
Why Dental Practices Nationwide Choose Five Lakes
We understand the unique challenges of dental practices in different markets. Our team provides deep industry knowledge. They know PPO negotiations, payer policies, and competitive benchmarks better than anyone.
We are trusted by over 1,675 dental practices nationwide, from startups to multi-location DSOs, to protect margins and drive growth. Our refined processes shorten timelines for better collections and efficiency. As a result, clients see better ROI that far exceeds our fees.
$1.5 billion collected for our clients in 2024, with nearly 50 dental startups credentialed annually.
Five Lakes supports over 250 practice transitions each year and is trusted by over 1,675 dental practices nationwide.
Unlock Your Practice’s Full Revenue Potential
Whether you are in Ohio, California, Texas, or any other state, our nationwide team of PPO experts is ready to help. Let’s talk about your goals. Contact Five Lakes online or call us at (440) 636-1378.