Dental practice
Fee Schedule Intelligence · April 2026

Your carriers
changed the
rates. Did you
know?

Twenty insurers quietly update their PPO fee schedules every January. Most dental practices find out months later — if ever. ClearDentalRates monitors every carrier and delivers a plain-English monthly intelligence report to your inbox.

200K+
US Dental Practices
20+
Carriers Monitored
$26K
Avg Annual Leakage
April 2026 Alert

Humana Dental PPO reduced D1110 reimbursement by 6.1% effective January 1, 2026. A practice billing 30 adult cleanings weekly loses approximately $3,200 annually from this change alone — if they don't renegotiate. ClearDentalRates subscribers received this alert on January 3rd.

Section I

How ClearDentalRates Works

Step 01
Subscribe in Two Minutes
Select your state and the carriers you're credentialed with. No login portal, no software to install. You'll receive your first digest within 30 days — sooner if a major change is detected.
Step 02
We Monitor Every Carrier
Our system tracks 20+ carrier portals, state dental board pages, and provider manuals for fee schedule changes, CDT code revisions, and reimbursement rate adjustments — continuously, every day.
Step 03
Receive Your Intelligence Report
Each month, you receive a plain-English digest: which carriers changed rates, which CDT codes were affected, what it means in real dollars for your highest-volume procedures, and what action to consider.
Step 04
Negotiate from a Position of Knowledge
Armed with current, carrier-specific data, you renegotiate contracts confidently, adjust your fee schedule strategy, and stop absorbing rate cuts you never knew happened.
Dental practice professional

"Delta Dental alone updates fee schedules across 39 states every year. Most practices never read the fine print."

ClearDentalRates Research · 2026
Section II

Carriers We Monitor

Delta Dental
PPO · Premier · DeltaCare USA
MetLife
PDP · PDP Plus · Federal
Cigna
DPPO · Network Advantage
United Healthcare
Choice · Choice Plus · Core
Guardian
DentalGuard · Preferred PPO
Humana
PPO · Value Plus · CompBenefits
Aetna
Standard · Premier · DPPO
Principal Financial
Dental PPO · Core
Ameritas
Dental Premier · Network
Sun Life
Dental PPO
Lincoln Financial
Dental PPO · Core
State Medicaid
All 50 states monitored
Section III

Sample Intelligence Report

Monthly Digest · April 1, 2026
April 2026 Fee Schedule Intelligence — 3 Findings for Indiana Practices
Humana Dental PPO
D1110 Rate Decrease — 6.1% Action Required
Adult prophylaxis reimbursement dropped from $73.50 → $69.00 effective January 1, 2026. At 30 procedures per week, this represents approximately $3,200 in annual revenue reduction. We recommend requesting a fee renegotiation or reviewing network participation ROI before your next contract window.
Delta Dental PPO · Indiana
D2750 Crown — Rate Adjustment Action Required
Porcelain crown reimbursement decreased 4.2% statewide effective January 2026. This affects your highest revenue-producing procedure code. Review your UCR fee against current Delta PPO allowances before your next credentialing window.
MetLife · Cigna · Guardian · Aetna
No Changes Detected All Clear
No fee schedule changes detected for your credentialed carriers in Indiana this month. Current contracted rates remain in effect. Next scheduled review: May 1, 2026.
Why This Report Matters
  • Fee schedules update annually with no proactive notification to most practices
  • Most practices discover rate cuts only during billing audits — months after the fact
  • The renegotiation window is narrow and carrier-specific — most close within 90 days of the change
  • CDT code revisions can affect reimbursement eligibility without changing the fee schedule itself
  • State dental board rule changes can affect participation requirements and audit exposure
  • ClearDentalRates subscribers receive this report on the first of every month, covering all carriers in their subscription
Section IV

Subscription Plans

For Solo & Group Practices
Practice Monitor
$147
per month · cancel anytime
  • 1 state monitored
  • Up to 6 carriers tracked
  • Monthly plain-English digest
  • Fee schedule change detection
  • CDT code impact summaries
  • Delivered by email — no login required
Start Practice Monitor →
For DSOs & Multi-Location Groups
DSO Intelligence
$297
per month · cancel anytime
  • All 50 states monitored
  • All 20+ carriers tracked
  • Monthly digest + urgent alerts
  • State dental board rule changes
  • CDT code revision tracking
  • Provider manual update alerts
  • Up to 10 email recipients
Start DSO Intelligence →
Section V

Intelligence Library

ClearDentalRates · Subscribe Today

Stop finding out
after the fact.

Fee schedules change every January. Provider manuals update without announcement. CDT codes get revised without a press release. Subscribe to ClearDentalRates and know within 30 days of any change that affects your bottom line.

View Plans & Subscribe No contracts · Cancel anytime · First report within 30 days