Less Insurance Dependence Podcast

In this episode of the Less Insurance Dependence Podcast, Lester de Alwis welcomes Ryan Mingus, Managing Director at Tusk Practice Sales, to discuss how insurance dependence and evolving legislation are shaping dental practice valuations. From Medicaid cuts and PPO reimbursement stagnation to the impact of inflation and tariffs, Ryan explains how these trends affect profitability and deal structures in the dental M&A landscape. He offers practical insights for dentists planning to sell or transition, including how to strategically reduce insurance participation and prepare for a smooth and lucrative exit. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode of the Less Insurance Dependence podcast, host Lester De Alwis sits down with dental business expert Scott Plantenberg to talk about building real financial freedom by reducing reliance on insurance. Scott brings 30+ years of experience in dental practice growth, consulting, and transitions, and shares why fee-for-service practices often have higher value, stronger profits, and better long-term outcomes. Together, they explore the warning signs of PPO overdependence, how to safely transition away from low-paying plans, and why small practices should think more like DSOs when planning for growth. This conversation is full of practical advice, especially for dentists looking to build a more profitable and independent practice—whether they're just starting out or preparing for sale. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode of the Less Insurance Dependence Podcast, host Lester De Alwis talks with Dr. Tarun Agarwal about how dentists can take a smarter path with insurance through the hybrid model. Instead of dropping all plans or staying stuck in every PPO, Dr. Agarwal explains how to keep the practice in-network while giving lead doctors the freedom to be selective. He shares how to use supply and demand to guide decisions, why training your team matters, and how to talk with patients about plan changes without losing trust. With years of hands-on experience, Dr. Agarwal gives practical tips that help dentists take back control of their time, fees, and practice growth — without letting insurance run the show. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In Episode 365 of the Less Insurance Dependence Podcast, Naren ArulRajah and Don Adeesha dive into how artificial intelligence is reshaping the dental industry. They discuss the challenges and opportunities AI brings for dental practices, from standing out in a crowded digital space to how patients find and choose dentists. Naren emphasizes the growing value of human-generated content, the importance of strong SEO, AI Overview, and AI Mode, and how practices can leverage trusted partnerships to stay ahead. The episode also covers the role of reviews, website optimization, and strategic use of AI tools to maintain credibility and attract the right patients in an AI-driven world. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services.

In this episode of the Less Insurance Dependence Podcast, host Lester De Alwis is joined by dental consultant Sandy Baird to share a practical, step-by-step approach for dentists who want to reduce PPO participation and build a stronger, more profitable practice. From tracking the right numbers to identifying which plans to drop first, Sandy outlines how to start the transition with confidence — without overwhelming your team or losing patient trust. Whether you're just starting to question the value of insurance plans or you're ready to take action, this episode offers real-world advice you can use right away to take back control and grow your practice on your terms. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/   

In this episode, Dr. Lincoln Harris, founder of RipeGlobal, shares how his team is revolutionizing dental education by delivering hands-on, cloud-based training directly into dental offices. No more travel, no more downtime—just real skill-building with real results. We also dive deep into the mindset shifts dentists need to make to truly grow. From self-confidence to leadership, Dr. Harris explains why believing in your own value is the first step toward independence and profitability. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/  

In this episode of the Less Insurance Dependence Podcast, Ed Gabriel, CPA and President of DrillDown Solution, shares how financial preparation can empower dentists to confidently reduce their reliance on PPOs. From long-term retirement planning and PPO analysis to tax strategies and passive income investments, this conversation provides the financial clarity and tools dentists need to make intentional, profitable decisions. Whether you're considering a shift to fee-for-service or simply want to tighten your operations, this episode offers a roadmap to long-term freedom and reduced stress. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/  

Are you still unsure how to reduce your PPO dependence without sacrificing financial stability? In this episode, Lester De Alwis sits down with Brandon Parkhurst of Parkhurst Consulting to explore how outsourced CFO services can give you clarity, control, and confidence in your practice. Brandon introduces his BOSS model and shares how real-time data, budgeting, and smarter decisions can help you work less, earn more, and build a team-driven, patient-centered practice. If you're looking for practical steps toward private practice freedom, this one's packed with value. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/  

In this episode of the Less Insurance Dependence Podcast, dental finance expert Ken Kaufman explains how financial clarity is the foundation for reducing PPO reliance and building long-term success. He shares practical strategies for forecasting, cash flow planning, and creating systems that give dentists the confidence to make bold decisions. From lessons learned working with DSOs to step-by-step advice on moving from bookkeeping to accrual accounting, Ken breaks down how any dentist can strengthen their practice and thrive independently Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/   If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/  

In this episode of the Less Insurance Dependence Podcast, Gary Takacs sits down with Josh Gosnell, co-founder of Adit, to explore how technology and data integration are transforming dental practice management. From VOIP phone systems and real-time online scheduling to CareCredit integration and actionable analytics, Josh explains how Adit empowers dental teams to enhance patient communication, improve efficiency, and increase case acceptance. They also discuss how most practices are sitting on untapped revenue in the form of unscheduled treatment and how Adit helps recover it. If you're looking to grow your practice internally, reduce missed calls, and track key performance indicators (KPIs) effortlessly, this conversation is packed with insights you won't want to miss. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this powerful episode of the Less Insurance Dependence Podcast, we sit down with Dr. Robert Kerstein, a global pioneer in digital occlusion and Disclusion Time Reduction (DTR) therapy. He explains how TS Scan technology is revolutionizing diagnostics, improving patient outcomes, and eliminating the guesswork of traditional occlusal methods. Dr. Kerstein explains how DTR therapy not only relieves TMD pain, headaches, and bruxism but also enhances airway function and overall wellbeing.This episode dives into the clinical, operational, and patient-experience benefits of embracing data-driven dentistry. With real-life patient stories, proven research, and actionable strategies, listeners will gain insights on how to improve efficiency, elevate care, and move towards greater independence from insurance reliance. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode of the Less Insurance Dependence Podcast, host Lester De Alvis is joined by Margaret McGuckin, co-founder of i3 Ignite, for a deep dive into why reducing reliance on dental insurance is more important than ever. Margaret shares powerful insights from her experience helping large and small practices transition away from PPO plans without sacrificing patient retention or profitability. They discuss how to use data to make smart decisions, why fear holds many dentists back, and how communication and trust can turn tough conversations into lasting patient relationships. You'll also hear how tools like AI and strong case presentation training can help teams take control of their financial future. If you're looking for a clear path to building a more resilient, profitable practice, this episode gives you the first steps to start that journey with confidence. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Can dropping PPO plans transform your dental practice into a more profitable, patient-focused business? In this episode of the Less Insurance Dependence podcast, host Lester De Alwis and guest Art Wiederman, CPA, a leading dental practice management consultant, explore the financial and practical realities of going out of network. They dive into real client experiences, revealing how practices often see a 38-42% revenue boost, stronger patient loyalty, and reduced administrative stress after dropping PPOs. Art breaks down the math behind this transition, addresses fears of patient loss, and shares strategies for building trust and preparing your team. Whether you're considering reducing insurance dependence or seeking clarity on the process, this episode offers actionable insights, real-world examples, and expert guidance to help you achieve a thriving, independent practice. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Are PPO plans on their way out or will they still dominate the dental insurance landscape a decade from now? In this episode of the Less Insurance Dependence Podcast, Naren Arulrajah and Gary Takacs take a deep dive into the history of dental insurance, why benefits have stagnated despite rising costs, and how patient awareness is accelerating change. They explore real-world examples of dentists resigning from PPO plans, legislative reforms like the Medical Loss Ratio, and practical steps you can take now to protect your profitability and independence. Whether you're ready to drop plans or just want to understand where the industry is heading, this conversation will give you insights, strategies, and inspiration to act today. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode, Gary and Naren share a simple but powerful 7-step new patient experience that turns first-time visits into lifelong patient relationships. This proven process helps practices break free from the insurance trap and build real connections that lead to better case acceptance, more referrals, and steady growth. You'll hear why patients with an "insurance-only" mindset often hold practices back — and how one office used this approach to grow from $2 million to $3 million in just one year. Whether you're just starting or want to make your first visit truly unforgettable, this episode is filled with practical tips and inspiring results. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Nearly half of Americans avoid going to the dentist, either due to fear or lack of a regular provider. In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah take a deep dive into how dental practices can effectively reach and convert this underserved audience. Discover the psychology behind why patients avoid dental care, how to market strategically using the right keywords and landing pages, and what it takes to transform a fearful emergency patient into a lifelong advocate. You'll also learn actionable tips for training your team, optimizing the first phone call, and using sedation options to make every visit a comfortable one. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Tired of getting the runaround from dental insurance companies?In this episode of the Less Insurance Dependence Podcast, Gary Takacs and Naren Arulrajah dive into one of the most empowering (and often misunderstood) topics in dentistry: how to stand up to insurance companies using the power of your state's Insurance Commission. You'll learn how to respond when you're told "we never received your claim," what the 30-day "pay or respond" loophole really means, and why your patients, not you, hold the real power in filing complaints that insurance companies must answer to. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

Are PPOs quietly undermining your dental practice's long-term value? In this episode of the Less Insurance Dependence Podcast, host Michael Walker speaks with Brian Colao, Director of the Dykema DSO Industry Group and a leading expert in dental law and transition strategy. Brian explains how rising operational costs, combined with stagnant insurance reimbursements, can gradually erode your practice's profitability and ultimately impact its valuation. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode, Michelle Delling from Rectangle Health shares simple ways to help dental practices get paid faster and easier. She talks with host Michael Walker about how to fix payment problems, use automation, and stop wasting time on paperwork. If you're trying to get away from insurance and want better cash flow, this one's for you! Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/ 

In this episode of the Less Insurance Dependence Podcast, co-host Michael Walker welcomes Dr. Brad Hughes, a dentist and purpose-driven entrepreneur, for an insightful conversation on building practices that thrive without relying on PPOs. Dr. Hughes opens up about the mindset shifts that helped him move from burnout to fulfillment. He highlights the importance of building a brand rooted in authenticity, creating a team-driven patient experience, and gaining clarity around your business vision. Whether you're taking your first steps toward reducing insurance dependence or refining an established fee-for-service model, this episode offers practical strategies and powerful perspectives to help you lead your practice with clarity, confidence, and purpose. Book your free marketing strategy meeting with Ekwa at your convenience. Plus, at the end of the session, get a free analysis report to find out where your practice stands online. It's our gift to you! https://www.lessinsurancedependence.com/marketing-strategy-meeting/  If you're looking to boost your case acceptance rates and enhance patient communication, you can schedule a Coaching Strategy Meeting with Gary Takacs. With his experience in helping practices thrive, Gary will work with you on personalized coaching, ensuring you and your team are prepared to present treatment plans confidently, offer financing options, and communicate the value of essential dental services. https://www.lessinsurancedependence.com/csm/