When a dentist is deciding to sign a contract with an insurance carrier to become a “preferred provider” the thought process is usually centered around gaining patients through the employers that sign on with those particular carriers. While under contract, the dentist agrees to the fees set by the insurance company and the dentist then must decide how to pick dental materials, dental labs, staff and equipment based on those fees. While most dentists who are not preferred providers do not have higher fees than their competitors, they have decided to practice dentistry in a different way. There is a freedom in being able to provide quality care based on quality rather than trying to figure out where to cut costs in order to fit within the fees an insurance company dictates. There is also a freedom in providing the appropriate care for individuals based on their individual needs rather than providing a lesser alternative because it’s the only option the insurance company will cover. Becoming a preferred provider dentist takes away many freedoms in how a practice is run and that trickles down to the type of care an individual receives. There are many good dentists in this world who are preferred providers but the limitations of being a preferred provider can be a hindrance for some dentists looking to provide something more for their patients.