There will always be a place for solo doc private practices built on excellent clinic skills and strong personal relationships.

But, as the gap between UCR and PPO fees continues to widen, it’s going to become much more difficult to couple great dentistry with an amazing experience while remaining in-network unless you’re willing (and can afford) to see your income decline significantly.

Some dentists will successfully transition into low volume FFS boutiques, but you can only be so charming and at some point it won’t make sense for most consumers to pay full fee for an exam and prophy when it’s free down the street.

I tend to believe that middle class, bread and butter dentistry completed at PPO fees is being squeezed out of existence.