Rising Costs Are Forcing Dental Practices  to Look Closer at Payments

Where payment inefficiencies cost practices time, money, and patient trust


Dental practices today are under constant pressure to balance patient care with the realities of running a profitable business. While most conversations focus on staffing, insurance reimbursements, and rising supply costs, one issue often gets overlooked: how payments are accepted, processed, and collected.


Behind the scenes, payment friction quietly drains revenue, consumes staff time, and creates unnecessary tension at the front desk. As costs continue to rise, dental practices are rethinking how they handle payments — and many are discovering that Dual Pricing offers a smarter path forward.


Rising Card Processing Costs Are Eating Into Margins

Patients overwhelmingly prefer to pay with credit cards, whether for routine visits or larger procedures. That convenience comes at a price. Every card transaction carries processing fees set by card networks and issuing banks, and those fees have steadily increased over time.

For dental practices, especially those handling high-dollar procedures or payment plans, processing fees can add up to thousands of dollars per year. Unlike supplies or staffing, these costs are largely outside the practice’s control — yet they directly impact profitability.


Unpaid Balances and Delayed Collections

Dental billing rarely ends when the appointment does. Insurance adjustments, patient responsibility, and follow-up collections often create a gap between treatment and payment. Over time, those gaps become risk.

Common issues practices face include:

  • Partial payments at the time of service

  • Declined or expired cards on file

  • Delays while waiting for insurance to settle

  • Balances that grow stale and harder to collect

When payments aren’t captured efficiently, practices spend more time chasing revenue instead of focusing on patients.


Front Desk Friction Impacts the Patient Experience

Payment conversations frequently fall on front desk staff, placing them in uncomfortable situations. Explaining balances, fees, or unexpected charges can strain patient relationships and slow down checkout.


In a healthcare environment built on trust, anything that feels confusing or surprising at the point of payment can negatively impact how patients perceive the practice — even when the care itself is exceptional.


Why Credit Card Surcharging Often Misses the Mark in Dentistry

Some practices attempt to offset rising processing costs by adding credit card surcharges. While this may recover fees on paper, it often introduces new challenges.


Surcharges can feel like a penalty to patients, especially when they appear only at checkout. In a dental setting — where emotions, finances, and health intersect — these surprise fees can feel particularly uncomfortable and out of place.

That’s why many practices are moving away from surcharging and toward a more transparent approach.


How Dual Pricing Supports Better Financial Outcomes

Dual Pricing allows dental practices to display two prices clearly: one for cash or debit and one for credit cards. Instead of adding a fee after the fact, the cost of card acceptance is built into the credit price upfront.

This approach:

  • Sets clear expectations before payment

  • Eliminates surprise fees

  • Reduces front desk explanations

  • Creates a smoother checkout experience

Patients see their options clearly and can choose how they want to pay — without feeling caught off guard.


The Financial Benefits for Dental Practices

When implemented correctly, Dual Pricing can help practices:

  • Offset 90–100% of card processing costs

  • Improve cash flow by simplifying collections

  • Reduce payment-related disputes

  • Minimize staff time spent explaining fees

  • Protect margins without increasing base pricing

Rather than absorbing fees or passing them on awkwardly, Dual Pricing aligns payment costs with payment methods in a transparent, compliant way.


A Better Experience for Patients

Patients benefit just as much as practices do. Dual Pricing provides clarity, choice, and predictability. There are no surprise line items, no mental math to determine whether rewards outweigh fees, and no uncomfortable checkout moments.


When patients understand pricing upfront, they’re more likely to pay promptly — and leave with a positive impression of the practice.


Modern Dental Practices Need Modern Payment Strategies

Dental practices face enough complexity without payments adding friction. With rising costs and changing patient expectations, how a practice gets paid matters more than ever.


At PayLow Pro, we help dental practices implement Dual Pricing in a way that supports compliance, transparency, and long-term financial health.

Because when payments work the way they should, practices can focus on what truly matters: delivering great care.  If you're ready for a better payment experience, contact us today.