Dental Informatics Solutions to Manage Performance

P&R Dental Strategies aggregates vast amounts of de-identified dental claims data from over 60 national and regional dental plans, but we don’t stop there: we help you derive actionable insights from your own data and leverage the vast benchmark database, DentaBase®, to optimize your organization’s performance on many levels.

  • Scoring Dental Quality

    As the dental market shifts toward value-based reimbursement, how can I accurately measure dental quality under a pay-for-performance model? P&R Dental Strategies' unique DentaQual® platform, an industry first, provides you over 100 objective, customizable data-driven measures to determine a range of quality scores for dentists, giving you a foundation for accurate internal quality assessments and pay-for-performance rankings.
  • Eliminate Unwarranted Payments

    How can I determine which claims should be held for review prior to payment in an accurate and efficient manner? P&R Dental Strategies' Pronto® helps identify, in near real time, if a claim that has been submitted should not be paid — prior to payment of the claim.
  • Contract With The "Right" Dentists

    How can I contract with dentists whose discounts are most favorable to my business model? P&R Dental Strategies' Network Development Module helps you segment dentists in a specific geographic area into clear categories (e.g., utilization patterns and discounts) that show which dentists best meet your plan’s business objectives for that market.
  • Price New Products

    How do I price a new dental benefit in an area where I have no utilization history? Use our Actuarial Intelligence Module to assess current utilization trends to determine optimal premiums for a given market.
  • Identifying Potential Abusers

    How can I tell which dentists in my network are possible abusers? Identifying potential abusers within your network is key to keeping your business as profitable as possible. Our Utilization Management Module identifies dentists whose claims activity may indicate a history of upcoding, unbundling and overutilization in order to enable you to identify potential abusers.
  • Finding Potential Fraud

    How can I identify potentially fraudulent behavior in a more efficient and accurate manner? Fraud plagues our industry, but P&R Dental Strategies' Fraud and Abuse Module makes identifying and reducing fraud much easier by clearly tracking and highlighting patterns of potential fraudulent behavior.
  • National and Regional Benchmarks

    How can I assess utilization patterns and pricing trends from other payers? P&R Dental Strategies’ DentaBase® is a cross-payer claims database from over 60 national and regional payers with valuable practice-level data on over 190,000 dentists.