Drill & Bill

Drill & Bill

Drill & Bill is a concise practice-owner brief for dentists and office managers who care about production, collections, payroll, insurance, technology, and exit pressure. Each episode turns one business problem — PPO vs FFS, hygienist hiring, claims, software, DSOs, payer policy, margin — into a useful operator read. The cheeky title opens the door; the content stays serious.

Episodes

October 23, 2026 • 4 mins
A fourth-quarter equipment quote comes with an expiry date and a tidy pitch: spend now, deduct now, pay less tax. A usable deduction can reduce what a purchase costs after tax, but its timing and value depend on your circumstances, and it never changes the work the equipment lets you do. This Drill & Bill brief gives owners the one line to write before they call an adviser — collections added and costs avoided each month,...
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A payer that believes it overpaid can recover the money by shrinking a later remittance, even one for different patients, so a recoupment arrives as a smaller deposit instead of a bill. This brief gives owners a three-step check for every takeback line and a ninety-day look-back that finds the adjustments nobody owns.
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A cleaner EOB can clarify a claim, but it cannot assign the next follow-up. Build the three-bucket owner and due-date map.
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September 12, 2026 • 5 mins
QA-passing review cut.
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An out-of-network EOB can appear to show zero patient responsibility in a specific no-agreement scenario. This brief gives dental owners a four-part before-treatment handoff: network status, practice fee, estimate boundary, and documentation. Informational practice-operations commentary, not patient-balance or legal advice.
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A signed associate is not yet in-network. This owner-ops brief separates the signed, submitted, and payer-effective dates so bookings and payer status stay in the same reality.
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A firm that investigates dental embezzlement estimates most dentists get hit at some point -- and it's almost always the same structural flaw: one person controlling the entire money path. Here's the one control that closes the door, no accusations required.
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Rank every in-network PPO plan by write-off depth and patient volume, then fire or renegotiate the single worst one -- the middle path between doing nothing and dropping fee-for-service entirely. Recut round 2: added a real spoken CTA to drillandbill.com for the PPO Plan Ranking Worksheet, per Andrew's review feedback and the corrected website-enabled status.
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Holding an under-market hygienist wage to protect margin usually costs far more than the raise would have -- an empty hygiene chair bleeds both direct production and the restorative cases that hygiene visits catch. This episode gives owners the empty-chair math and the total-comp / temp-platform move to make instead.
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Your dental PPO reimbursement just arrived by virtual credit card -- and the merchant fee quietly ate two to five percent of it. A new California law and a national model policy are forcing insurers to let dentists opt out. Here is the three-step fix: switch to direct deposit through CAQH EnrollHub before your next remittance.
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Supply costs up 9–14%, PPO fees flat. Here is the margin math and three operator moves to protect it.
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July 1, 2026 • 3 mins
Production climbing while cash stalls isn't bad luck — it's the widening gap between gross production and real collections, driven by three line items: contractual write-offs, aging accounts receivable, and the insurance payment lag. This owner's brief names the one report to pull Monday first, then walks all three leaks so you know which one is yours — in under four minutes.
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