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How to View Production by Insurance and Compare to Fee-for-Service

How to View Production by Insurance and Compare to Fee-for-Service

Emily McClendon avatar
Written by Emily McClendon
Updated over a week ago

To analyze how much of your production is coming from insured patients versus fee-for-service (uninsured) patients:

Step-by-Step Navigation

  1. Go to the left-hand menu and select:
    Advanced → Production Detail

  2. From the Production Detail options, scroll to or select “Production by Insurance (gross)” (bottom right panel in the dashboard).

  3. You will see a stacked bar graph that breaks down production by individual insurance plans.

  4. Among the listed insurance categories, look for the one labeled “Not Insured” — this represents Fee-for-Service patients who paid without using insurance.

How to Use This View

  • Compare “Not Insured” against your PPO plans or other insurances to understand how much of your production comes from out-of-pocket payments versus insurance reimbursements.

  • You can toggle insurance plans on or off at the bottom using the checkbox list to refine your comparison.

  • You can view production amounts in either dollar ($) or percentage (%) format by using the toggle in the upper right of the graph.


What’s the Difference Between Fee-for-Service and PPO?

Fee-for-Service (Not Insured)

PPO (Preferred Provider Organization)

Patients pay directly for their care — no insurance is billed.

Patients have insurance coverage under a PPO plan.

Typically, this results in higher revenue per procedure, as offices set and collect their full fees.

Practices agree to reduced contracted fees with insurance carriers in exchange for patient volume.

No write-offs or adjustments related to insurance plan allowances.

Includes insurance adjustments/write-offs as part of PPO agreements.

Often used by uninsured or cash-pay patients.

Common among patients who receive dental insurance through employers.

Ideal for practices seeking to reduce dependence on insurance networks.

Helpful for practices looking to maintain high patient volume.


Why This Matters

Understanding how much of your production is coming from Fee-for-Service versus PPO patients can help you:

  • Evaluate the profitability of different payer sources.

  • Decide whether you want to stay in-network with certain PPOs.

  • Identify opportunities to grow your fee-for-service base.

Use this dashboard view regularly to track trends, renegotiate contracts, or even shift your patient mix strategically.

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