🦷 Step-by-Step Guide: Managing Your In-House Dental Membership Plan in Open Dental
✅ Step 1: Use the Plan Structure Created During Onboarding with Smile Advantage
🧾 Step 2: Create a Fee Schedule with Discounted Fees
Open Dental uses Fee Schedules and Discount Plans for membership pricing.
Steps:
- Go to: Lists > Fee Schedules > Add
- Create a fee schedule (e.g., SmileAdvantage Adult Plan).
- Select Type: Normal.
- Add discounted fees:
- Set zero or discounted fee for included procedures (e.g., D0120, D1110).
- Apply percentage reductions for other codes (e.g., 15% off crowns).
💡 Tip: Clone your UCR fee schedule and adjust from there for consistency.
💳 Step 3: Set Up a Discount Plan
Link your custom fee schedule to a Discount Plan.
Steps:
- Go to: Setup > Definitions > Discount Plans > Add
- Enter Plan Description (e.g., SmileAdvantage Gold).
- Attach your customized fee schedule.
- Set a yearly or monthly subscription fee (informational only—fees are posted manually).
- Add notes about included services or plan terms.
🧑💻 Step 4: Assign Discount Plan to Patient
Enroll your patient into the Discount Plan.
Steps:
- Open the Patient Account.
- Click on Discount Plan in the main toolbar.
- Select the plan (e.g., SmileAdvantage Gold).
- Set Start/End Date (use calendar-year or rolling 12 months).
- Save and confirm.
📌 The system now uses the plan’s discounted fee schedule for all treatment posted during the plan dates.
💵 Step 5: Post Membership Plan Fee
Track and charge the patient for the membership.
Steps:
- From the patient’s Account Module, click New Charge.
- Post the flat fee (e.g., $299/year) using a custom procedure code (e.g., D9999 – SmileAdv Plan Fee).
- Add payment manually or set up Recurring Charges (see Step 9).
💡 Tip: Create a custom procedure code for tracking membership sales in reports.
🧾 Step 6: Use “Exploding Codes” for Bundled Visits
Streamline common visit types using Procedure Code Bundles.
Steps:
- Go to: Setup > Procedure Codes > Add
- Create a new “Exploding Code” (e.g., SAAdultVisit).
- Link all included codes (e.g., D0120, D1110, D0274).
- When posted, each code auto-enters and uses the discount plan’s fees.
📢 Step 7: Show Value on Treatment Plans & Receipts
Let patients see the value of their plan.
Steps:
- Go to: Setup > Module Preferences > Account
- Enable: Show UCR fee and discount amount on statements & treatment plans.
- Patients will see both regular and discounted fees on walkouts, building perceived value.
🔁 Step 8: Automate Monthly Memberships (Optional)
For monthly plan options:
Option 1: Manual Payments
- Post a monthly charge (e.g., $25) using a custom code.
- Manually apply patient payments each month.
Option 2: Recurring Charges
- Go to: Billing > Recurring Charges
- Set up an automatic monthly charge on the patient’s card (requires credit card on file).
- Open Dental will auto-post charges based on your setup.
📅 Step 9: Use Patient Fields or Alert Flags for Visual Tracking
Open Dental lacks icons like Eaglesoft’s Intellicare, but you can:
Option 1: Use Custom Patient Fields
- Go to: Setup > Definitions > Fields > Patient Fields
- Add a field (e.g., Membership Plan Tier).
- Track plan tier (Gold, Platinum, etc.) directly in patient info.
Option 2: Use Patient Alerts
- Set a custom alert that pops up when opening the chart or scheduling.
📊 Step 10: Run Reports to Track Plan Usage & Performance
Track membership effectiveness, usage, and production:
Key Reports:
- Procedure Code Usage – Review frequency of plan-covered services.
- Production and Income Reports – Filter by provider and date.
- Patient Report by Discount Plan – Custom queries may be needed (contact support).
📌 Bonus Tips
- Use “D9999 – Membership Add-On” for extra visits not included.
- Clone and update fee schedules yearly to reflect any pricing changes.
- Export plan patients using Query: helpful for renewal campaigns or email reminders.
- Consider assigning plan subscribers to a custom billing type to separate from traditional insured patients.