What clinical factors should change the fee on a big dental case? Three things drive your clinical fee, and you should be able to name them out loud. First, complexity. A harder case takes more skill, more time, and more planning, and the fee should reflect that. Second, predictability. When you are engineering something meant to last for the long haul, you are charging for a result that holds, not just a procedure performed. Third, patient risk. The same restoration carries a different fee in a high risk mouth than a stable one, because you are accountable for what happens over [...]