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Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions

May 5, 2025 by John Ray

Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions, on Dental Business Radio with host Patrick O'Rourke
Dental Business Radio
Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions
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Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions, on Dental Business Radio with host Patrick O'Rourke

Live from Insurance Extravaganza 2025: Kandra Sellers, Pristine Interprofessional Academy and Tandem In-Practice Solutions (Dental Business Radio, Episode 59)

In this episode of Dental Business Radio, host Patrick O’Rourke broadcasts live from the 6th Annual Insurance Extravaganza. Special guest Kandra Sellers, a speaker at the event, discusses the integration of medical billing in dental practices. She explains various dental procedures that can be billed to medical insurance, the potential for higher reimbursements compared to dental insurance, and the importance of medical necessity. Sellers also highlights the challenges dental providers face when implementing medical billing and offers her support services to help practices navigate the process. 

Dental Business Radio is underwritten and presented by Practice Quotient: PPO Negotiations & Analysis and produced by John Ray and the North Fulton affiliate of Business RadioX®.

Kandra Sellers

Kandra Sellers

Kandra Sellers, RDH, BA, is the owner and founder of Pristine Interprofessional Academy and Tandem In-Practice Solutions (T.I.P.S.), two organizations at the forefront of dental-medical collaboration and medical billing education. With over 25 years of experience in the dental industry, Kandra has held diverse roles as a dental hygienist, executive coach, educator, and speaker.

Kandra is widely recognized as a passionate and highly effective coach, helping dental practices elevate their standard of care and increase revenue by implementing advanced hygiene protocols and successful medical billing strategies. Through Pristine Interprofessional Academy, she has created programs that emphasize the oral-systemic link and provide hands-on coaching for both doctors and team members, ensuring practices are equipped to deliver optimal patient care and navigate the complexities of medical billing.

At T.I.P.S., Kandra leads a team dedicated to guiding dental practices through every step of the medical billing process, from documentation and pre-authorization to claim submission and appeals. Her approach focuses on integrity, ethics, and transparency, aiming to unite oral-systemic professionals and transform how dental and medical practices align for improved patient outcomes.

Kandra is also a sought-after speaker, motivator, and author, known for her ability to inspire teams and foster growth. Outside her professional pursuits, she enjoys traveling, spending time with her family, and advocating for children on the autism spectrum alongside her husband, John.

LinkedIn | Pristine Interprofessional Academy | Tandem In-Practice Solutions (T.I.P.S.)

Topics Discussed in this Episode

00:00 Introduction and Welcome to Dental Business Radio
00:20 Live from the Insurance Extravaganza with Kandra Sellers
01:06 Introduction to Medical Billing
01:20 Medical Billing Examples and Reimbursements
04:37 Network and Out-of-Network Providers
05:15 Understanding Blue Cross and Other Insurers
08:44 Challenges and Implementation of Medical Billing
14:36 Contact Information and Conclusion

About Dental Business Radio

Patrick O'Rourke
Patrick O’Rourke, Host of Dental Business Radio

Dental Business Radio covers the business side of dentistry. Host Patrick O’Rourke and his guests cover industry trends, insights, success stories, and more in this wide-ranging show. The show’s guests include successful doctors across the spectrum of dental practice providers, as well as trusted advisors and noted industry participants.

Dental Business Radio is underwritten and presented by Practice Quotient and produced by John Ray and North Fulton Business Radio, LLC, an affiliate of Business RadioX®. The show can be found on all the major podcast apps and a complete show archive is here.

Practice Quotient

Practice QuotientPractice Quotient is the sponsor of Dental Business Radio. Practice Quotient, Inc. serves as a bridge between the payor and provider communities. Their clients include general dentists and dental specialty practices across the nation of all sizes, from completely fee-for-service-only to active network participation with every dental plan possible. They work with independent practices, emerging multi-practice entities, and various large ownership entities in the dental space. Their PPO negotiations and analysis projects evaluate the merits of the various in-network participation contract options specific to your practice’s patient acquisition strategy. There is no one-size-fits-all solution.

Connect with Practice Quotient

Website | LinkedIn | Facebook | X (Twitter)

Filed Under: Dental Business Radio, North Fulton Studio Tagged with: Dental Business Radio, dental industry, dental insurance, dental practices, dentists, Kandra Sellers, medical billing, Patrick O'Rourke, PPO Negotiations & Analysis, Practice Quotient

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Patrick O’Rourke, Host

Patrick-ORourke

Patrick O’Rourke began his career in operations management at a dental & vision insurance company in Florida, which after several acquisitions and mergers, is now MetLife. He spent five years at Humana in Atlanta selling in the large group segment (100+ employees). In addition to several awards throughout his career, he has earned many professional certifications.

Understanding the nuances involved with all aspects of risk management helped business partners rely on his expertise to guide client recommendations. He is an insurance insider that has built dental networks, worked in operations management, designed dental plans, and opened markets.

In 2013, he founded Practice Quotient, which specializes in dental insurance PPO network contract analytics and reimbursement guidance, representing the dental provider.

When he’s not negotiating contracts, Patrick serves on panels and as a guest speaker for dental associations and study clubs across the nation.

As a national public speaker, Patrick educates doctors on how dental managed care participation impacts the lifecycle of their business and its bottom line.

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