Million Dollar PPO - Discovery Questionnaire

Your Information






Provider Hours (dentists)






clinical hours only
Hygiene Department
On a scale of 1-10 (10 being the highest), willingness to learn, grow, and implement new things.
clinical hours only
ADA Codes - Quantity over the last 12 months (or previous calendar year)






Revenue

$
No commas or decimals

$
No commas or decimals

$
No commas or decimals

$
No commas or decimals




$
$
Team
Tell us about your team



On a scale of 1-10 (10 being the highest), willingness to learn, grow, and implement new things.

Leadership and Communication







Insurance
PPO's DMO's / Capitation Medicaid Discount Plans None
Opportunity
Patients that have had soft tissue therapy within the past 18 mos.
Patients that have had soft tissue therapy within the past 18 mos.
Technology and Facility



Current Reality



Your Future




Past Experiences


Million Dollar PPO

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