Why patients don’t mind paying full fee in this practice

This week on Dentistry Unmasked, Pam and Brian sit down with Dr. Brian Edwards, a preventive-focused dentist who has successfully transitioned out of network with all insurance plans while continuing to grow a thriving, patient-centered practice.

Ever wondered what it would actually take to drop insurance participation—but weren’t sure how to make it work?

Dr. Edwards shares how he transformed his dental hygiene department into the foundation of his model of care—delivering comprehensive, individualized treatment that prioritizes prevention, education, and connection. The result? A truly exceptional patient experience that has allowed him to practice fully on his own terms.

Even more compelling, he explains how creating this level of trust and value has made insurance participation unnecessary—because patients are willing to invest in care they understand, believe in, and value.

If you’ve ever considered moving away from insurance dependency, or want to elevate your hygiene model into a true driver of clinical and financial success, this episode offers a powerful roadmap.

You can watch the full episode on Youtube.

More episodes of Dentistry Unmasked:

About the Author

Pamela Maragliano, DMD

Chief Editor of Dental Economics

Pamela Maragliano, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected]

Brian B. Nový, DDS

Brian B. Nový, DDS, is the chief dental officer of the Alliance Dental Center, Massachusetts Public Employees Fund. He served as president of the National CAMBRA Coalition and is currently the consumer representative to the United States Food & Drug Administration Dental Products Panel. His awards include the American Dental Association (ADA) Adult Preventive Care Practice of the Year, the Academy of General Dentistry Weclew Award, the Dugoni Award, and the ADA Evidence-Based Dentistry Practice Award. 

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