How to Get Out of Dental Insurance Dependence — And Build a Thriving, Freedom-Driven Practice Why Even “Insurance Practices” Eventually Face a Choice
October 21, 2025
Why Even “Insurance Practices” Eventually Face a Choice
It’s a quiet Tuesday morning.
A new patient, Mary, sits nervously in the reception area. She’s been dreaming of a smile makeover for years. Now she’s ready for veneers — but like many patients, she assumes her dental insurance will cover the cost.
She overhears the front desk:
“Yes, we take that insurance.”
“Your cleaning and exam should be fully covered.”
Mary feels relieved… until the doctor explains that veneers are “cosmetic” and not covered by insurance. Her excitement fades, and the case walks out the door.
This moment — where hope collides with coverage — plays out in thousands of dental practices every day.
The Trap of Dental Insurance Dependence
Most dental practices are built on the insurance model because it feels safe, familiar, and predictable. But it also:
When you’re tethered to insurance, your fees, your schedule, and your care model are ultimately controlled by someone else — the insurance company.
The Hidden Cost of Insurance-Driven Dentistry
Insurance dependence comes with costs that most dentists underestimate:
The truth? The dentistry that changes lives — implants, cosmetic dentistry, TMJ therapy, Invisalign, airway and sleep solutions — rarely lives inside the boundaries of insurance.
The Hybrid Illusion: Why “Both Worlds” Rarely Work
Many practices try a hybrid model — offering insurance for basic care while promoting fee-for-service for advanced services.
It sounds smart.
But in reality, it often creates:
To patients, it feels like bait-and-switch: “You take my insurance… except for the treatment I actually want.”
柔道 “Walk on road, hmm? Walk right side, safe. Walk left side, safe. Walk middle, sooner or later… get squish just like grape.” — Mr. Miyagi (The Karate Kid)
Escaping Insurance Dependence Starts with a Mindset Shift
Getting out of insurance isn’t just about billing — it’s about philosophy.
You must:
When you shift the conversation from coverage to transformation, patients say “yes” because they see the value — not because insurance allows it.
️ 7 Practical Steps to Get Out of Dental Insurance Dependence
Real-World Example: The Implant Dilemma
A patient loses a tooth.
Insurance covers a bridge — not an implant.
A coverage-focused team defaults to the “covered” option.
A value-focused team explains why the implant is the long-term, healthier, more cost-effective solution.
Result: higher case acceptance, better patient outcomes, and sustainable growth.
Build a “Liberated Practice” — Not an Insurance Prison
You can only grow so far when someone else sets your limits.
When reimbursements drop, when coverage narrows, when codes change — your practice feels it first. You can’t raise fees. You can’t slow down. You can’t practice fully on your terms.
That’s not security.
That’s dependency.
The path forward is liberation: a values-driven, outcome-based model where your patients choose you for your expertise, hospitality, and results — not because you’re “in network.”
Ready to Liberate Your Practice?
The The Liberated Teams Program trains your staff to communicate value clearly, confidently, and compassionately — so patients say “yes” to the best care, not just the covered care.
Because when your team learns to speak the language of transformation, everything changes.
Learn more about how to escape insurance dependence and build your Undeniable Practice.
Michael

Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.
Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.
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