Every thriving dental organization—whether a single-location practice, a growing group, or an emerging DSO—needs a smart, sustainable strategy to navigate today’s payor landscape.
At Five Lakes Dental Practice Solutions, our Advisory & Consulting services help dentists make data-driven decisions about participation, pricing, and positioning so you can protect profitability and grow with confidence.
We combine decades of payer-side experience, deep market analytics, and hands-on understanding of how real practices operate. The result: clear strategies that strengthen revenue, reduce administrative friction, and align your business model with the realities of modern dentistry.
Payor Contracting Strategy
Insurance participation decisions shape your revenue model more than any other single factor. Yet most dentists make these choices reactively—without a structured plan or reliable benchmarks.
Our team helps you build a proactive, evidence-based Payor Contracting Strategy that fits your practice’s goals and market conditions. We evaluate your payor mix, reimbursement data, and network relationships to determine where you should participate, renegotiate, or strategically opt out.
Our approach includes:
- Comprehensive analysis of reimbursement rates vs. regional market averages
- Modeling participation scenarios and their impact on collections, volume, and patient retention
- Structuring tiered participation strategies across networks including leased partners.
- Benchmarking your performance against top-performing peers
Whether you’re a single practice or a multi-site organization, we help you contract intentionally—not reactively—so every payer relationship supports your long-term vision.
Our Strategic payer Contracting Strategy
Marketplace Solutions
The dental marketplace is evolving fast. Network leasing, third-party administrators, and regional payer shifts can all impact your reimbursement and access to patients. Five Lakes provides Marketplace Solutions that keep you ahead of the curve and aligned with market dynamics.
We monitor payer activity, fee schedule trends, and network composition in your region—then translate that intelligence into actionable recommendations. Our insights empower practice owners and executives to make decisions that enhance network stability, maximize reimbursement, and support patient growth.
Typical deliverables include:
- Market and competitor participation analysis
- Network leasing transparency (who’s renting your contracts and at what rates)
- Market entry or expansion evaluations for new locations Payor-specific rate trend forecasting
With data as your guide, you gain visibility into where you stand today—and clarity on where to go next.
PPO Negotiations
Negotiating with PPOs shouldn’t feel like guesswork. We combine your data, our market intelligence, and two decades of negotiation experience to drive results that reflect your practice’s value.
Five Lakes develops customized negotiation strategies that highlight your market leverage—patient volume, geographic coverage, specialty mix, and payer access needs. We handle the outreach, data submission, and follow-up, ensuring your requests are positioned for success.
Our PPO negotiation services include:
- Reimbursement analysis to identify underperforming plans
- Rate improvement and term-revision proposals
- Cross-network optimization to avoid conflicts between leased contracts
- Comprehensive documentation for transparency and compliance
The outcome: higher reimbursements, stronger payer partnerships, and measurable revenue growth.
why five lakes?
Dental practices choose Five Lakes because we bridge the gap between consulting and execution. We don’t just offer advice—we build strategies, negotiate contracts, and track outcomes until you see results.
Our team of former payer executives, analysts, and dental business professionals understands the full ecosystem—from credentialing and participation to rate strategy and network performance.
Whether you’re a solo practitioner, a growing group, or a DSO managing dozens of providers, our Advisory & Consulting services provide the clarity and confidence you need to lead.
Take the Next Step
Schedule a consultation with our Advisory team to see how data-driven contracting can strengthen your revenue and simplify your payer relationships.