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Corporate dental practices turn "free" insurance-covered cleanings into expensive procedures through systematic upselling techniques and profit-driven quota systems. I expose the tactics used to inflate bills, including aggressive probing to diagnose periodontal disease, expensive add-ons called "adjunctives," and unregulated screening tests designed to frighten patients into accepting unnecessary treatments.

• Corporate dental offices operate on quota systems where every staff member has production targets
• New dentists often start with daily rates before transitioning to production-based pay that incentivizes overtreatment
• Probing measurements are sometimes strategically exaggerated to diagnose periodontal disease and unlock more billing codes
• "Adjunctives" like antimicrobial irrigation ($10-27 per quadrant) add substantial costs to basic cleanings
• Non-FDA approved saliva screenings create fear to drive treatment acceptance
• Hygiene departments generate the highest profit margins in dental practices
• Patients should ask questions, request diagnosis codes, and be willing to decline treatments

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