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Susie Oliver
2021-10-29T07:36:31-04:00
Assesment Draft
Specialty
ENDODONTIST
GENERAL DENTIST
ORAL SURGEON
ORTHODONTIST
PEDIATRIC DENTIST
PERIODONTIST
PROSTHODONTIST
State2
-None-
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
No of Dentists
-None-
1
2-4
5+
No Locations
-None-
1
2
3
4+
UCR INCREASE
-None-
12 months
24 months
more than 24 months
GORSS ANUAL REVENUE
-None-
$250K TO $499K
$500K TO $749K
$750K TO $1.24M
$1.25M TO $2.9M
$3M-$5M
$5M +
PERCENT OR REV - PPOS
-None-
Below 10%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
IN-NETWORK PPO CONTRACTS
None of these
Aetna
Anthem
Ameritas
Assurant
Blue Cross
Cigna
Companion Life
Delta Dental
Guardian
Humana
Medicare Advantage Plus
Met Life
Prinicipal
United Concordia
United Healthcare
IN-NETWORK UMBRELLA PPO CONTRACTS
Careington
Connection Dental / GEHA
Dentemax
Diversified
Maverest / Stratrose / Zelis
Premier
Health Insurance
-None-
Yes
No
Primary Vendor - Clinical Supplies
Atlanta Dental Supply
Benco
Henry Schein
Patterson
Other
Practice Goals
Reduce the amount of PPO write-offs
Increase the profitability of the practice
Fill excess capacity
Start-up practice intending to grow
Add an associate dentist
Add a new location
Acquire an existing practice
Begin accepting insurance
Company
NPI
First Name
*
Last Name
*
TITTLE
-None-
Owner Dentist
Associate Dentist
Office Manager
Other
Street
Street 2
City
Phone
How did you Hear About us
Referred by
*
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