Why am I stuck with contracted fees on a PPO patient after their maximum? Because that's the trap most PPO contracts are written to spring. You hit the patient's 1,500 or 2,000 dollar annual maximum, and the contract still forces you to bill every dollar past that at the discounted rate. On a routine filling that's annoying. On a full mouth rebuild it's fatal, because you're carrying enormous risk and the margin simply isn't there to make the case pay. A lot of dentists just quietly eat it or turn the case away. You don't have to. There are real solutions, [...]