Today, Dr. Killeen challenges the common assumption that accepting Medicaid is never worth it for a dental practice. Drawing on his own experience as a Nebraska Medicaid provider, he explains how lower fees can still work within the right business model, especially when a practice is equipped to meet demand that other offices may not be serving. Medicaid is not the right fit for every practice, and success requires the right scheduling, staffing, and systems. Rather than relying on assumptions, this encourages practice owners to look at their actual margins and local demand to determine whether Medicaid makes sense for their business.