Less Insurance Dependence Podcast

In this episode of the Less Insurance Dependence Podcast, co-host Don Adeesha sits down with Naren Arulrajah, CEO of Ekwa Marketing, to unpack one of the biggest opportunities in dentistry today: attracting more fee-for-service patients. With nearly half of Americans lacking dental insurance, dentists have a massive untapped market—but many are stuck thinking like PPO-based providers instead of value-based clinicians. Naren explains the essential mindset shift dentists must make, how to communicate value with confidence, and the marketing foundations that help practices break free from PPO dependence. From SEO and Google reviews to membership plans and long-term patient relationships, this episode provides a clear roadmap for dentists ready to elevate their practice, charge what they're worth, and attract patients who genuinely value quality care.

In this episode, Lester De Alwis is joined by Joanne Villani, co-founder of PreVu Software. Joanne shares her 35+ years of experience in dentistry and the biggest lessons she's learned about case acceptance. You'll discover why patients say no, how to build trust, and how powerful visuals like smile simulations can boost case acceptance. If you're looking to reduce your insurance dependence and grow your revenue with fee-for-service treatments, this episode is packed with practical insights you can act on right away.

In this episode of the Less Insurance Dependence Podcast, Lester de Alwis welcomes Ryan Mingus, Managing Director at Tusk Practice Sales, to discuss how insurance dependence and evolving legislation are shaping dental practice valuations. From Medicaid cuts and PPO reimbursement stagnation to the impact of inflation and tariffs, Ryan explains how these trends affect profitability and deal structures in the dental M&A landscape. He offers practical insights for dentists planning to sell or transition, including how to strategically reduce insurance participation and prepare for a smooth and lucrative exit.

In this episode of the Less Insurance Dependence podcast, host Lester De Alwis sits down with dental business expert Scott Plantenberg to talk about building real financial freedom by reducing reliance on insurance. Scott brings 30+ years of experience in dental practice growth, consulting, and transitions, and shares why fee-for-service practices often have higher value, stronger profits, and better long-term outcomes. Together, they explore the warning signs of PPO overdependence, how to safely transition away from low-paying plans, and why small practices should think more like DSOs when planning for growth. This conversation is full of practical advice, especially for dentists looking to build a more profitable and independent practice—whether they're just starting out or preparing for sale.

In this episode of the Less Insurance Dependence Podcast, host Lester De Alwis talks with Dr. Tarun Agarwal about how dentists can take a smarter path with insurance through the hybrid model. Instead of dropping all plans or staying stuck in every PPO, Dr. Agarwal explains how to keep the practice in-network while giving lead doctors the freedom to be selective. He shares how to use supply and demand to guide decisions, why training your team matters, and how to talk with patients about plan changes without losing trust. With years of hands-on experience, Dr. Agarwal gives practical tips that help dentists take back control of their time, fees, and practice growth — without letting insurance run the show.