Dentistry Uncensored with Howard Farran

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POWERED BY DENTALTOWN.COM Uncomplicate your dental life with Dr. Howard Farran as he interviews your fellow townies and leaders in dentistry! Dentists and dental professionals share their wisdom to make your dentistry faster, easier, higher in quality and lower in cost. Episodes released every week…

Howard Farran: Dentist | Dental CE Speaker | Founder & CEO of

    • Sep 30, 2021 LATEST EPISODE
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    Latest episodes from Dentistry Uncensored with Howard Farran

    Howard Speaks with Scott Bradshaw and Miles Cone DMD, CDT on how GC has changed the dental industry over the past 100 years

    Play Episode Listen Later Sep 30, 2021 51:33

    Howard Speaks: Dentists could learn a lot from Costco

    Play Episode Listen Later Sep 27, 2021 2:19

    Dentists could learn a lot from Sol Price (1916-2009), the founder of Price Club in 1963, which became Costco, which pioneered the membership, absolute pricing authority, warehouse store retail model. The membership model is currently one of the hottest trends in retail. A store that tries to be all things to all people will end up being nothing to anyone. A retailer reflecting honesty, credibility, and a definite direction that can be understood by its customers and vendors will have a good chance to make it. Costco's 3 Business Categories: Personnel, Product & Facilities. Costco's 6 rules: Have the right kind, in the right place, at the right time, in the right quantity, in the right condition, at the right price. Costco counts on very significant productivity because they pay high wages and benefits. If you buy into the concept that Costco is the low-cost provider of goods and services and also pay the highest wages in retail and have the richest benefit plan, then we must be getting better productivity, because of every dollar that we spend on our business, $0.70 is on people. There's a categorically false notion that the only business model in the service industry is the minimum-wage business model. Costco people work for years making great money plus health benefits. 87 million people have a Costco card because they have absolute pricing authority meaning if you see it at Costco, you're sure it's the best price you can find. Advertising is cost. The only secret to lower prices ins lower cost. So, if you spend 1-3% on advertising, you'll raise your cost which will raise your prices. Advertising is like heroin, once you start doing it, it is very hard to stop. Word of mouth is the lowest cost most effective type of advertising. Costco saves 2% a year in costs by not advertising. In 2017 Amazon spent $6.3 billion in advertising, Target $1.4 billion, Walmart $2.9 billion. The average markup at Costco is just 11%, Walmart is 24%, Supermarkets 30%, Home Depot and Lowe's 35%.

    Howard Speaks: In baseball and HR, three strikes and you're out.

    Play Episode Listen Later Sep 24, 2021 1:59

    In baseball and HR, three strikes and you're out. So, if you fire someone and they're surprised, you need to reexamine your ability to manage and lead your team. Sometimes no matter how many times you tell someone they're not performing and meeting expectations, they just don't get it. However, more times than not, managers and leaders want to avoid confrontation and they don't ever address the issues with someone and instead avoid the person. That's being a horrible leader or manager. Let's say you open at 7:00 am and your assistant rolls in at 7:05. Young dentists are mad but don't say anything. The better managers, as soon as time permits will call the employee back into their private office and explain the problem, open up a word document and leave while the assistant types out in their own words what went wrong and explains why it won't be a reoccurring problem. Many times, you comeback to learn that she does this because she always stays an hour after we close while the other assistant flies out the door and she doesn't think it's fair. This is what you need know so you can build a winning team as opposed to other more common method where the first time it made you mad and you didn't say anything. The second time it made you madder and you still didn't say anything. Then the third time you erupt like a volcano and fire them. This person had no idea this was going to happen, they have monthly bills they need to pay, and now they're shocked, saddened, and unemployed, all because their coach never showed up for the game. Watch any professional game and watch how the coach is intimately involved during the entire game, standing at the sidelines calling in plays, time outs, etcetera. Now watch Doc go back to their private office in between every patient and shut the door. If this is you, then you need to delegate to an office manager that has the same authority to make plays that match their responsibility. You're either the coach or a player, cuz you can't be both. So, play ball... and okay to win.  

    Howard Speaks: Getting to Yes by Tracking No

    Play Episode Listen Later Sep 22, 2021 2:48

    Getting to Yes by Tracking No means you better know your overhead and break even point for the day. The average net income for: Dental Specialists ($320,990) General Practitioners ($197,190) Dentists who owned their own practices ($244,980) Dentists who were employed at a practice ($147,950) Oral and maxillofacial surgeons $448,140 Periodontists: $330,690 Endodontists: $307,460 Pediatric Dentists: $304,280 Orthodontists: $289,190 Prosthodontists: $219,950

    Howard Speaks: Does your dental team celebrate as much as your family?

    Play Episode Listen Later Sep 21, 2021 2:05

    Does your dental team celebrate as much as your family? Do they spend more time discussing problems than celebrating victories? The whole team is greater than the sum of each team member. There's no such thing as a self-made dentist. You're only gonna reach your goals with the help of others - and that means having fun.

    Howard Speaks: Is a bird in your hand really worth two in the bush?

    Play Episode Listen Later Sep 21, 2021 1:40

    Is a bird in your hand really worth two in the bush? Is it really better to hold onto something you already have than risk it all for a double? Did capitalism die? Why didn't you keep your fast-food job instead of spending years and student loans for something better? Saving money for retirement is about laying out a bird now to get two or more out of the bush. Do you really want to be an associate dentist? When you decided to be a dentist back in grammar school did you envision yourself as an employee dentist or the dentist owner of your own dental office, land, and building? Associate dentists are paid just enough money to kill all off all their dental self-mastery dreams. Don't settle for a sure bird in your hand today if you have already proven that you have the internal self-discipline of delayed gratification to invest it in yourself in the hopes that someday it will be worth two birds. Dentists know this or they would have invested eight years of their life and half a million dollars to get a dental degree.

    Howard Speaks: Transparency vs Opaque

    Play Episode Listen Later Sep 14, 2021 2:04

    Transparency vs Opaque. I was wondering why successful dental leaders are transparent and not opaque until it became clear to me that if your not it's clearly offensive. Does your dental office team know the daily breakeven point? Do they know the office overhead? Do they get to see the accounting reports for the balance sheet, statement of cashflow, and statement of income? Management transparency is the key to trust and the foundation for strong management-employee relationships to analyze and grasp how the practice is doing and where we're going. Are collections meeting expectations in the 30/60/90 day periods? How's are overhead looking and could we lower it? Are costs being managed? What's helping us achieve our goals? What are our obstacles? Everyone in the entire company has complete visible transparency into the budget, how and what we're spending, what our results are, and does everyone have a voice on how we can improve our performance. How often have you heard that people leave a job because of the manager not because of the company? It's true whether it's a small family dental practice or a large dental group practice DSO. One of the common complaints you hear from disgruntled employees is they don't trust their dentist or office manager who is not very transparent, and have no idea what they're thinking, what is happening, the performance of the office and don't know what's coming up in the future. If you can't trust your opaque non-communicating dentist, office manager or team leader then your life and work become an exhausting challenge day in and day out. The late Herb Kelleher (1931-2019) co-founder & CEO of Southwest Airlines was the only airline CEO who was a member of his own pilots union because he knew how important that relationship was. His book was called Nuts!: Southwest Airlines' Crazy Recipe for Business and Personal Success. Maybe it's time to go nuts and start trusting your employees to help you become successful.

    Howard Speaks: Dentistry could learn a lot from Sanford I. Weill, the former CEO of Citigroup.

    Play Episode Listen Later Sep 9, 2021 3:09

    Dentistry could learn a lot from Sanford I. Weill, the former CEO of Citigroup who tried to join the Air Force until his application was denied by a dentist after examining his teeth. His major break on Wall Street came with a mundane job doing g the paperwork behind the brokers trades. Sandys success with Citigroup came from mastering the back office mundane details of Wall Street trading, banking, insurance, and finance creating value from the knowledge and details of accounting, record keeping, and every other mundane task that was mostly unknown to all the major CEOs. How many dentists could do every task from scheduling an appointment to billing the dental insurer company. Sandy Weill fired Jamie Dimon when he was 66 years old because Jamie wanted to be CEO and then Sandy retired four years later, and in that time, the ship of Citi was wrecked. Young associates share this same issue working for older dentists who swear they are about to retire, it's never in writing, the older dentists keep delaying their retirement, with nothing in writing, and eventually the relationship breaks down and the younger dentist moves on. Tearing Down the Walls: How Sandy Weill Fought His Way to the Top of the Financial World

    Howard Speaks: Let's get back to the pre-pandemic mindset.

    Play Episode Listen Later Sep 7, 2021 2:09

    Let's get back to the pre-pandemic mindset. If you're double vaccinated you know this pandemic is over. Let's get back to fight mode in building a championship dental office. What do champion dentists do more of that their colleagues don't?

    Howard Speaks: Dentists could hit a Hank Aaron sized grand slam

    Play Episode Listen Later Aug 31, 2021 0:59

    Dentists could hit a Hank Aaron sized grand slam if they could just learn and implement any of the major business lessons that Denny's have used in over 1,702 locations since Harold Butler and Richard Jezak founded the first Denny's in 1953 in Lakewood, California. Denny's are 24/7/365 explaining why in 1988 more than 700 of their 1,221 stores didn't even have locks. During an economic contraction being poised for growth means you're conveniently available, with low enough overheard, to perform profitable, high volume quality dental services with low prices. During an economic expansion… this strategy is even better. I'd rather own McDonalds (MCD) any day with a $177 Billion market cap than Ruth Chris (RUTH) with a $700 Million market cap.

    An Honest Conversation With Dr. Howard Farran Of Dentaltown About The Future Of Dentistry

    Play Episode Listen Later Aug 23, 2021 34:20

    Chris Pistorius talks with Dr. Howard Farran, the founder of the incredibly popular online dental community, Dentaltown. Chris & Howard have an open and honest conversation about all things dental.

    Howard Speaks: How do you manage people?

    Play Episode Listen Later Aug 19, 2021 0:57

    First you need to stop doing it backwards. If you get the wrong person you spend all your time managing that person, you get poor results, and then you look like a bad manager. Get the right person who is already internally motivated, loves to work, loves their new job, who gets along with people, now you barely have to manage them and they're making you look like a pro, because that's how the pro's do it. Sporting teams couldn't manage me to be an NFL quarterback or the next ballerina. Your new hire has to already have the natural ability first. As far as turnover, it should mostly be at the new employee beginning as you and/or the new hire find out the new job isn't a fit and then at the other end have employees that have been with you since the beginning. Whenever the person doing all the hiring is the only person in the company who's been there for more than five years and no one else has made it five years then the wrong person is doing all the hiring.

    Howard Speaks: What is the best use of my dental office profit dollars?

    Play Episode Listen Later Jul 16, 2021 2:37

    What is the best use of my dental office profit dollars?Only 60 of the Fortune 500 companies in 1955 were still listed in 2017. Over 50% of the S&P 500 has disappeared since 2000. Economist Joseph Schumpeter called this creative destruction in 1942. Mufasa called it the circle of life in the 1994 Disney children's movie Lion King remake of Shakespeare's Hamlet in 1603. This is why how you allocate your capital is not only the most important business decision you'll ever make, it's also the most important financial life decision you'll ever make. Retained Earnings (RE) are those net income profit dollar earnings that you decide to reinvest into your dental office by adding another operatory, laser, CAD-CAM, CBCT, oral scanner, 3D Printer, continuing education, or marketing campaign, as opposed to taking it out by paying it to yourself in income to reinvest or consume. Would your profit dollar be more likely to turn into two dollars of capital value creation if I deployed it in my dental office, or should I extract it and redeploy it by investing it in another business, real estate, stock or bond? Or, should I just consume the dollar myself with a new house, car, boat, or toy? Obviously the dentist that needs to learn a new technique, and hasn't taken the time and invested the money to learn it, is already paying for it, but eventually you'll want an exit strategy from working with your hands all day to having your money work for you. Debt reduction is always a great idea considering it's guaranteed that the 18% you're paying on your credit card is a sure bet use of your capital because that is certainty as opposed to the inverse of making 18% in a stock is not. But over the long run, having an investment portfolio which you can retire and live off is very likely given a dentists income given a few decades of time with the miracle of compound interest which Einstein called the most powerful force in the universe because not only can money make money, the money that money makes, makes money, so you can do other things with your time than drilling, filling and billing.

    Howard Speaks: Dentists could learn a lot from Pizza Hut

    Play Episode Listen Later Jul 15, 2021 2:37

    Dentists could learn a lot from Pizza Hut. Founded in 1958 by two brothers Frank and Dan Carney who borrowed $600 from their mom. They named it Pizza Hut because their sign only had room for eight letters, whereas dentistry has nine. I want to personal thank Dan Carney with a shout out for making a religion out of availability to the young entrepreneurs, always making himself available to young dreamers like me and my High School buddies listening to all of our ideas, always adding constructive critiques to our business plans. Dan was a firm believer in investing his returns into the business and not the real estate.

    Howard Speaks: Dentists could learn a lot from Sonic Drive-In

    Play Episode Listen Later Jul 14, 2021 2:40

    Dentists could learn a lot from Sonic Drive-In delivering service with the speed of sound. Founded in 1959 in Stillwater, Oklahoma by Troy Smith based on a new technology speaker box allowing you to stay in your car to order with your food deleted by a carhop. Today Sonic has over 3,494 locations in 46 U.S. states, and is owned by Inspire Brands which also owns Arby's, Buffalo Wild Wings, Jimmy John's, Rusty Taco, Mister Donut, Dunkin' and Baskin-Robbins. The franchise fee for a single SONIC restaurant is $45,000, with a total investment ranging from $1 to $1.75 million not excluding land. To all the Holier than thou Hypocrites, Gallup surveys show over 80% of Americans eat fast food at least once a month. In 1991 Kentucky Fried Chicken shortened its name to KFC because “fried” was a bad word. Sonic, which is America's fourth-biggest chain.

    Howard Speaks: Does your bookkeeper sit next to you?

    Play Episode Listen Later Jul 13, 2021 2:18

    Does your bookkeeper sit next to you providing statistical analysis like NBA Dallas Mavericks owner Mark Cuban pioneered back in the day with coach Rick Carlisle sitting next to Roland Beech–like I've done with Lorie Xelowski since June 28, 1998?

    Howard Speaks: How to start your new dental office from scratch with no money down

    Play Episode Listen Later Jul 12, 2021 1:16

    How to buy a dental office with no money down. Back in the day, owners carried risk, but sellers had skin in the game. We didn't have 3rd-party banks financing $1M+ dental practices to broke kids fresh out of dental school, getting their poor parents to co-sign, where if their kid couldn't do the numbers and it went south, then it was an emotional disaster for the whole family. Greed sucks. Find a job as an associate where the owner/mentor Doc knows you want to buy it after an appropriately long courtship period. Have Doc finance it at 10% over seven years so everyone has skin in the game. If they don't want to be on the hook for the whole enchilada, then stand your ground with the seller-Doc that they must at least carry half the risk. Otherwise, the seller doesn't have faith in you like I do! You didn't go to dental school for eight years to be somebody's bitch. Just stop letting fear live rent-free between your ears and invest in yourself! If you work like no one has for a decade, then you can live like no one has for the rest of your life. Same advice for starting a family, I made my four boys in 60 months. So don't overthink it, just get this party started.

    Howard Speaks: Doc, I practiced through the 2008 bankruptcy of Lehman Brothers

    Play Episode Listen Later Jul 9, 2021 2:28

    Doc, I practiced through the 2008 bankruptcy of Lehman Brothers. I met the financial crisis that led to the Great Recession when investors withdrew a record $196 billion from their money market accounts. 2020, you're no 2008. I've been contacting my friends at Henry Schein and Benco. In 2020 Benco closed fewer accounts due to collections/payment issues than in either 2018 or 2019, in fact in 2020, the number of accounts closed due at Benco according to my buddy Chuck Cohen, the managing director at Benco Dental and the only man in dentistry smart enough to be published in the Harvard Business Review, said their practice retirement sale closure declined more than 20% vs. 2018 or 2019. Halfway through 2021, the numbers indicate that the trends from 2020 are holding steady. Why? The federal programs to support dentists, most notably the PPP - Paycheck Protection Program  worked, Benco had fewer collections issues in 2020 vs two prior years. Fears of the pandemic leading to either an exodus of doctors from the profession due to health financial fears or an overall consolidation wave due to DSO acquisitions are overblown, in fact, fewer dentists closed due to retirement/sale/closure than in the two prior years, probably due to a combination of a slowdown in practice acquisitions by larger players during and directly after the shutdown and dentists deciding to remain in practice post-pandemic, possibly because their net worth declined during/after the pandemic.

    Howard Speaks: How the COVID Pandemic Has Impacted Hiring In Dental Offices

    Play Episode Listen Later Jul 8, 2021 2:57

    Millions are unemployed but dentists struggle to find new employees 

    Howard Speaks: Who's Answering Your Phone?

    Play Episode Listen Later Jul 7, 2021 5:36

    Who's answering your phone? Funnel-y how most dentists don't track their new patient journey from landing on your website to calling your dental office. On average 100 people have to land on your website for three to call. Three people have to call for your front desk to convert one into a scheduled patient. Three patients have to come in with a cavity for you to convert one into getting treatment. Combine every one of these underperforming aspects of your new patient dental marketing journey and the U.S. Bureau of Labor Statistics still shows an impressive 2020 median annual wage for dentists of $164,010 with the lowest 10% earning less than $79,000 and the highest 10% earning more than $208,000, showing the top 10% netting 2.5 times more than the lowest 10%. This clearly shows hope in the range of possibilities for any individual dentist wondering what's possible. We've talked before how owner dentist net $100K more than non-owners. We know every successful business needs to get really good at one thing explaining why ADA economist Dr. Marko Vujicic shows average 2019 net income for general dentists was $204,710 and for specialist it was $343,410 illuminating the value of specialization. The world learned in 1776 when economist Adam Smith published The Wealth of Nations that specialization leads to an increased production of higher quality work predicting why centuries later an oral surgeon could take out four wizzies faster than I can turn a can of Cheese Whiz into Cheese Was. We know demographics matter and the importance of creating a supply of what people are demanding which is why dentists often move far away from where they were born for a better opportunity. Combine this with living below your means and saving and you have the recipe for early retirement.

    Howard Speaks: Same Day Dentistry

    Play Episode Listen Later Jul 6, 2021 4:00

    When you increase your treatment plan acceptance rate you prevent a small problem cavity today, from turning into a bigger problem root canal or extraction in the future. When you offer same day dentistry patients are very motivated to do it today so they don't have to come back. If the patient fails to schedule and come back your treatment plan acceptance rate goes down and the disease continues on which is not optimum for oral health. The only secret to lower prices is lower cost so to maximize profit make every operatory the same so you can do any procedure, in any room, anytime. When 35% of cost is the dentist, 25% staff, 7-10% lab, 4-6% supplies, you can't afford for your business to slow down or stop because of a constraint from the lower cost rent and facilities of 5-8%. When you have to move a patient from a hygiene room to a treatment room it cost time and money often times causing you to reschedule. Not to mention the front desk can't schedule emergency patients or walk-ins. Extra operatories are not overhead, they are your means of production. When your over head is $1 and you produce and collect $1 then your overhead is 100%. Raise your production to $2 and now it's down to 50%. Increase the number of your dental operatories until you never find yourself waiting for a room. In fact the biggest ground breaking technology in dentistry was the shovel when used to build a new, bigger and better serval office.

    Howard Speaks: The New Patient Letter and Share the Care Card

    Play Episode Listen Later Jul 5, 2021 4:20

    Welcome to Our Practice! We realize that when it comes to picking a dentist that you have many choices to choose from. We want to sincerely thank you for coming in today and choosing us to keep you smiling for many years to come. Please feel free to share the enclosed referral cards with your family and friends to bring in on their first visit. Share the care $10.00 gift card. Tell your friends and family about the great care you experienced at Today's Dental and give them this card. When they become patients, you will receive a $10.00 gift card and your referral will receive a new patient gift! The highest compliment comes from our patients when you refer a friend or family member to our office. Please let us know you passed along our card by writing your name below. Two $10.00 gift card limit per family. We look forward to seeing you soon! Today's Dental staff serving Ahwatukee since 1987.

    Howard Speaks: Dental Public Health Specialists

    Play Episode Listen Later Jul 4, 2021 3:04

    Kudos and praise to all the Dental Public Health (PDH) specialists who were recognized as a speciality in 1950, focusing on improving dental health at the community level rather than the individual level with programs like Community Water Fluoridation, children's dental health programs in schools, setting up coronavirus and HPV vaccination programs, and public health clinics, the PDH work is never completed. With unlimited demand and limited supply, finding ways to increase efficiency is key. A common problem in any healthcare delivery facility is patient cancellations and no shows. If you miss two appointments in a row you should have to pay a non refundable deposit to make another appointment which you lose if you don't show. Vinegar that is free, is sweeter than honey. The proverb not to look a gift horse in the mouth is because the horse's teeth are an indication of the horse's health, but if the horse was a free gift it doesn't matter since it cost you nothing. People always value something more if they paid for it and since oral health diseases are mostly preventable, our patients need to have skin in the game.

    hpv kudos specialists vinegar pdh dental public health
    Howard Speaks: Pre-Appoint Hygiene Patients

    Play Episode Listen Later Jul 3, 2021 8:12

    When hygienist pre-appoint their own patients to future continuing care they will instantly find out which patients are onboard who isn't . If the patient bought in to do the right oral healthcare thing and schedule their next appointment in advance, you can monitor this vital sign of patient buy in or give a warning sign your back door is open and the patients are going down stream so you can decide if you want to fix the dam or spend the damn marketing dollars to replace them. The hygienist is most responsible for creating this value which is why they have to ask the patient to schedule to come back because when a patient says no they can see exactly when and with who, their hourlong appointment message did not work on in time to adjust w response to this tasks, hence the meaning of the word responseability. The hygienist needs to own it, be measured, and held accountable. How could you expect the front office to be responsible for preappointing the hygienist patients when you obviously can't be responsible for something you don't have the authority to change. Does the front office manager have the authority to trade your hygienist from the Jets for one from Tampa so your team has the right buccaneers to find the treasure? Or does everyone just blame Dr. Ignominy who is the only one with skin in the game.

    Howard Speaks: Perception Equals Reality

    Play Episode Listen Later Jul 2, 2021 2:44

    Perception equals reality despite the world not being flat because trust has more value than logic. The time needed to make a knowledgeable decision reality means that most of us can only master one thing unless you're Torakusu Yamaha who mastered both motorcycles and pianos. Trust is an investment when your infection control builds patient confidence and is being explained by long term staff the patient already knows and trusts providing an economic barrier in the marketing efforts from someone else they don't know. Trustworthy, loyal, helpful, friendly, courteous, kind, obedient, cheerful, thrifty, brave, clean, and reverent has been the Scout Law since 1908 and will help you become more talon-ted and breaking it is ill-eagle.

    Howard Speaks: New Patient Gifts

    Play Episode Listen Later Jul 1, 2021 1:05

    Do you reward your new patients with a gift?

    Howard Speaks: The Financial Arrangement

    Play Episode Listen Later Jun 30, 2021 3:19

    Profitability begins with the Financial Arrangement and ends with increasing account receivables, sending statements, then resending again with scary ‘Past Due” messages stamped on it with red ink made from a single drop of blood from your CPA, collection agencies, bad debt, negative cash flow, and high overhead. The Financial Arrangement at McDonald's begins with clear prices so you can decide exactly what you want to order, and then you pay in full or you will not get your Happy Meal with McVodka. If Doc Ronald McDonald did give it to you first, and you never did pay for it, assuming they had average dental overhead of two-thirds, then they would have had to buy the all natural ingredients, which I assume was the human hair, from the profit dollars of two previous sales. This is why financial arrangement impacts profitability more than price. If you want to boost profitability i'm lovin' McDonald's order, pay, food. If you prefer lovin' the Profit Hamburgler use Dentistry's order, food, and pray.

    Howard Speaks: Underpromise and Overdeliver

    Play Episode Listen Later Jun 29, 2021 2:42

    If you want to keep your promise you should Underpromise and Overdeliver. The First Law of Customer Service is Satisfaction = Perceptions – Expectations. The Second Law of Customer Service is it's hard to catch up once you are behind! When you over promise and underdeliver you are raising your patient's expectations which is setting up a trap that you could eventually step in. If you under promise to lower their expectations and then over deliver with a fantastic experience you will satisfy your patients by successfully managing their expectations. You should always keep your promise but if in doubt, under promise and over deliver. When a patient breaks their front tooth off and asks you if you can match it, why would you say absolutely! I tell them God made the tooth next to it and you want me to match it?!? I will try my very best, but no one can perfectly match your natural human tooth. Their expectations have been lowered and then they are delighted when they see the final result because I exceeded their lowered expectations. The same with post-operative pain; will I feel any pain afterwards and can I go back to work? I say, “When the anesthetic wares off you're probably going to want to jump off a cliff.” When they come back in, they are all happy saying, “I was fine afterwards. That didn't hurt at all.” Then I tell them they're probably married with children and they're used to pain and suffering, they chuckle and we're all good. At the Fortune 500 level they almost never pick an extrovert salesperson for CEO because that person has spent their entire career over promising and underdelivering and that never works from the top. They always want an introvert because they listen, think, and then methodically set out with a doable plan.

    Core of the Nest Egg by Rick Kushner DDS, Founder and CEO of Comfort Dental

    Play Episode Listen Later Jun 28, 2021 29:01

    Join the community on Dentaltown at

    Howard Speaks: Please Wait in Line to Give Me Money

    Play Episode Listen Later Jun 27, 2021 3:01

    I'm sorry, we can't see you today. Please wait in line and give us your money another day. Having your customers wait in line to give you money is an idea that given enough time will make your business obsolete and dead as a doornail from some competitor dentist who doesn't have lines. If I can't come in today and give you money then hit your gas pedal to add capacity, operatories, associates, hours, or buy the technology that allows you to work faster. Or, you can hit the brakes and raise your prices. This will shorten the line by making the people who value you less and are unwilling to pay you more to see you today, to get out of line, so the people willing to pay more are allowed the freedom to pay you more money for the extra value of being seen today. Same day dentistry is the fastest way to increase your case acceptance. If you sell a bottle of water for $1 and your profit margin is 10 cents (represented by the bottled water cap) then your profit margin is 10%. If you raise your price one dime (which would add another cap) you just raised your price 10% and doubled your profit margin from 10% to 20%, reduced the number of people waiting in line, and now have more profit to take home or reinvest in your business as retained earnings. Another way of raising your price is to drop your lowest paying dental insurance PPO. I don't care which pedal you hit as long as you do something. What is not acceptable is to do nothing. Shit or get off the pot but don't sit there all day while your customers are looking around to see if someone else can see them today. When your patient does find another dentist who will see them today they are not going to take the time to call you back and cancel their appointment with you, they will most likely extend the same curtesy you gave them and just not show up without notice known as the “No Show” which comes from you telling them “No” so they give it back as a “No Show” known in my 30 Day Dental MBA as “No Shit, Sherlock.”

    Howard Speaks: Are You Poised for Growth?

    Play Episode Listen Later Jun 26, 2021 1:58

    Is your house in order? Are you poised forward growth? The first Dollar General store opened in Springfield, Kentucky in 1955 and today has 16,368 stores in the U.S. which is 3.5 times as many as the 4,743 Walmarts. They locate their 7,500 square foot stores and plan their merchandise selection to best serve their target customers of the low and fixed income households who are underserved by other retailers, with 75% of their stores in towns with less that 20,000 people. Going where your completion ain't is the antonym of being just another me too product and service. In the past Dollar General had trouble with mergers and acquisitions and found starting their own de nova stores worked better, measuring their success with the final metric being same store sales growth. If your only dental office, or all of your offices are shrinking in same store sales the. you need to stop, adjust and get back to growth before you start expanding. Dick and Mac McDonald, now you know why they call it McDonalds, spent six years starting in 1948 experimenting with hot dogs and BBQ before perfecting their business model and selling their six franchise locations to Ray Kroc in 1954. Krispy Kreme started in 1937 and in the first 63 years only had 142 locations now have just over 1000 locations today.

    1641 Dr. Doug Depew on Attracting and Retaining Orthodontic Patients : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 25, 2021 87:06

    Dr. Doug Depew has been practicing in the Northwest suburbs of Atlanta Georgia since 1990. He graduated Magna Cum Laude from the University of Georgia, received his dental degree from the Medical College of Georgia, and received his certificate in orthodontics and master's degree from Baylor College of Dentistry at Baylor University. Dr. Depew is the founder and Academic Director of Trapezio, which provides formal training for orthodontic staff members and is endorsed by the American Association of Orthodontists. As the program creator, Dr. Depew is frequently invited to speak at professional meetings around the country and overseas. Dr. Depew is also proud to have served as a member and chairman of the AAO Council on Technology. Join the community on Dentaltown at

    Howard Speaks: Are You Female-Friendly?

    Play Episode Listen Later Jun 24, 2021 2:09

    Female-friendly Lowe's started in 1946 and has 2,197 locations. Home Depot started in 1978 and has 2,296 locations. Home Depot focused on men because 90% of the 11.4 million U.S. construction industry workers were males while Lowe's focused on females because they knew home improvement decisions are made by women, who also make 75% of all dental appointments. OB-GYN became a specialty in 1880 and was founded by the horrible unethical man James Marion Sims who is credited as the “father of modern gynecology”. The word hysterical comes from Latin hystericus "of the womb" thought to be exclusive to women sending them into uncontrollable and neurotically insane owing to a dysfunction of the uterus, the removal of which is still called a hysterectomy to this day. Today women comprise 58% of practicing OB-GYNs and 84% of residents, with males down to 16%. Today 52% of pediatric dentists are female up from 14% in 1998. Today dental school graduation classes are now 51% female vs 46% in 2009, 35% in 1999, 27% in 1989, and 11% in 1979. If you want to be a cosmetic dentist it really helps to be hot, and if you want to be a pediatric dentist it really helps to be a mom. So, if you're one of those unfortunate bastards like me who's mother was fined for littering whenever she dropped me off at school and always had me hold the camera to take the family photo, you should focus on dental implants since ugly goes all the way down to the bone.

    Howard Speaks: Hire on Attitude, Train for Skills

    Play Episode Listen Later Jun 23, 2021 2:02

    Hire on attitude and train for skills is what made Atlanta based Chick-fil-A started in 1967 by S. Truett Cathy. They do $11 billion a year with only 2605 locations, averaging $4.8 million per store, compared to McDonald's $2.7 million. The franchise fee is only $10K, the average franchisee earns $200K a year, you can only own one store, all because they want long term happy employees that stay twice as long as the average fast food employee. They say “My pleasure” instead of “Thank you” which is probably why S. Truett lived to the ripe old age of 93, when he died September 8, 2014.

    Howard Speaks: What can dentists learn from the UFC - Ultimate Fighting Championship?

    Play Episode Listen Later Jun 22, 2021 2:56

    What can dentists learn from the UFC - Ultimate Fighting Championship? You think dentistry is tough? How would you like to go to work and get punched in the face, literally? When Dana White and the Fertitta brothers, Frank and Lorenzo purchased the Ultimate Fighting Championship (UFC) in 2001 for $2 million, it was banned from Pay Per View and every major television network. Even right here in Arizona the late Arizona Senator John McCain did everything he could to block the UFC referring to their brand of violence as human cockfighting which is laughable coming from a man who never met a war he didn't want to the USA to fight in, and today it's worth $7 billion, and you can't pull the trigger on buying your own dental office. Avoid the naysayers and focus on your true core customer patient fans that want to only see you just like they want to see Nate Diaz fight tonight despite his 12 losses. You know why he has 12 losses? Because he never turned down a fight and you turn down, quit, and give up on every rootcanal you refer to the endodontist and every extraction and implant to an oral surgeon. Precision Beats Power. You don't need to bench press 250 lbs. to pull a wisdom tooth. Timing Beats Speed. It doesn't take an hour to pull four wizzies or do a molar root canal. Find a highly disciplined mentor like Royce Gracie or Bruce Lee. Spend More Time on Promotion and marketing. Everyone understands fighting but not necessarily the difference between boxing, wrestling, karate, and Ju-Jitsu. Everyone understands teeth but not the difference between a crown, bridge, partial, denture and implant. Fighting is a Mind Game. Discover Your Opponent's Weaknesses. Have you looked at every dental website when you search dentist near me at your own office? Find a Need in the Market that Needs Fulfilling.

    Howard Speaks: The Patient Experience

    Play Episode Listen Later Jun 22, 2021 1:44

    The secret sauce at Blockbuster was the experience, what is your everyday patient experience like? Blockbuster started in 1985 renting VHS movies for 70% of sales and 30% for merchandise, popcorn, candy, and late fees. They peaked in 2005 and went bankrupt in 2010 after steadily declining to subscription services like Netflix that comes to you, instead of you going to them which is a much better experience, paying per movie at Blockbuster, or going to one of the 40,000 Red Box locations which was started by Mitch Lowe, SVP of McDonalds in 2003. (In 2000 Blockbuster declined a deal to purchase Netflix for $50 million) were both killed by a better experience at home, streaming video technology like Netflix, and getting too expensive unlike Arizona ice tea which kept their price at 99 cents by printing it on the can.

    1640 Santosh Patel of Complete Specialty Solutions on the Benefits of Having an In-House Specialist : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 21, 2021 75:57

    Santosh Patel, President and Co-Founder of Complete Specialty Solutions, is committed to driving collaboration between general dentists and specialists by providing a turnkey in-house specialty solution. With over 15 years of large-scale operations experience in both the medical and dental industry, Santosh and his team are helping DSOs/Groups/Solo offices thrive by addressing the needs expressed by patients for comprehensive in-house dental care. Join the community on Dentaltown at

    Howard Speaks: Do You Have ED?

    Play Episode Listen Later Jun 20, 2021 2:26

    Do you have ED? Come on doc, it's really not that hard. The hospital Emergency Department (ED) patients are admitted for treatment 15% percent of the time, resulting in profits of 8% on low paying government insurance Medicaid and Medicare and 40% on high paying privately insured patients. This is why oral surgeons earn $448K and endodontists earn $307K because they all have ED - Emergency Department that know they have to see every emergency from their Too 10 referrals which is why they always have an extra one or two emergence department operatories that no one is ever scheduled in unlike my general dentist homies who only earn $197K while telling the patient they don't have an opening today and then telling me and their denral supply rep that they can't afford an extra operatory. Please tell your friendly oral surgeon and endodontist that I told you he had ED and please, no hard feelings. Check out this topic on Dentaltown

    Howard Speaks: Own Your Land and Building

    Play Episode Listen Later Jun 19, 2021 1:32

    I'm lovin it if you own your dental office, land and building. McDonalds does via the Harry J. Sonneborn (1916-1992) Model because McDonalds is really a real state company that owns all of their McBuildings, charging 8-15% of store sales as rent, with more earnings from McRent than selling McBurgers and McFries. This is what Dr. Rick Kushner DDS does with his Comfort Dental franchise with over 150 independently owned offices in 13 states across the U.S. and why he could donate $1 million to Marquette Dental School for the Comfort Dental clinic.

    Howard Speaks: Get Good at One Thing

    Play Episode Listen Later Jun 18, 2021 1:36

    In-N-Out proves you need to simply get good at one thing, specialize, and reduce manager turnover by paying them on average $160,000 a year to manage a single location so they stay 14 years providing a consistent experience. In-N-Out isn't racing to a city near you because they take their time to open consistent de novo locations with the same simple, quality in a world of turnover. When CEO Lynsi Snyder was asked how big the company was she said 29,000 associates, it's a pretty big family.

    Howard Speaks: Keep Your Existing Patients

    Play Episode Listen Later Jun 17, 2021 0:49

    Do you warranty your work? It's cheaper to keep them than replace them. Loyalty programs like warranties, birthdays, & bleaching for life is better than marketing. Increasing retention rates by 5% increases profits by 25% to 95%.

    1639 Dr. John A. Wilde's Lessons Learned from a Lifetime in Dentistry : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 16, 2021 84:01

    After eight years of higher education, paying 100% of costs himself, Dr. John A. Wilde spent two years in the Army Dental Corp before beginning a practice from scratch in Keokuk, Iowa. By age thirty, he was debt-free, owning outright his new country home and the practice he'd designed and had built. By forty, John was financially able to retire. At age fifty-three, he fully retired. He has had six books and over two-hundred and twenty articles published, and may be reached at 309-333-2865 or Join the community on Dentaltown at

    Howard Speaks: Donut Shop Hours

    Play Episode Listen Later Jun 15, 2021 0:37

    Donot judge me! Why did you go to dental school? Because you were fed up with the hole business!

    1638 Gabriel Asulin on Turning Your Dental Practice into a Successful Business : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 14, 2021 74:06

    Gabriel Asulin is an international expert in the management and marketing of dental Practices and the author of the book "Turn Your Dental Practice into a Successful Business - the Gabriel Asulin Method". The book has been translated also into Spanish, Russian, Bulgarian and Hebrew and is considered as a bestseller in the global dentistry market. In recent years, Gabriel is considered a "guru" in the field of marketing and promoting dental clinics worldwide, having consulted for hundreds of dental practices around the world. Gabriel has developed unique methods in the field that are successfully implemented in a great many practices. Join the community on Dentaltown at

    Howard Speaks: What Is Your Waiting Room Worth?

    Play Episode Listen Later Jun 13, 2021 1:07

    What is your waiting room worth? At Cracker Barrel it's worth 20% of sales, $2.7 billion a year, $415 per square foot, which is in line with Wal-Mart, while your patients in the USA spend $33 billion a year just on toothpaste.

    Howard Speaks: Wasting Money on Marketing

    Play Episode Listen Later Jun 12, 2021 1:13

    Department store magnate John Wanamaker (1838-1922) said, “Half the money I spend on advertising is wasted; the trouble is, I don't know which half." How many phone numbers do you have?

    Howard Speaks: Get Rid of Your Lines

    Play Episode Listen Later Jun 11, 2021 1:13

    Only two industries have lines: Healthcare and Government. Get rid of your lines.

    Howard Speaks: Make It Faster, Easier, Higher Quality, Lower Cost and Smaller

    Play Episode Listen Later Jun 10, 2021 1:07

    Are you playing with a full hand - Faster, Easier, Higher Quality, Lower Cost, and Smaller - or are you just making noise until someone does?

    1637 Ted Teele, Charis Santillie & Mary Kay Miller of Kaleidoscope 2.0 on Technology-Driven Dental Marketing : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 9, 2021 91:49

    Ted has over 25 years of experience running technology companies, including two similar to Kaleidoscope (in different industries). He is an expert in all aspects of digital marketing, and a passionate leader/mentor. Ted holds an BA/MBA from Harvard, having graduated in the top 5% of his class. He has traveled to 60 countries and 47 states. Ted begins his days in Florida with yoga on the beach. Charis has over 25 years of experience in marketing, with 17 of those years involved in her husband's orthodontic practice. She is the proud owner/Mom to Heidi, a 4.5-lb Havapoo, who can often be found sleeping on the desk while ‘Mommy' works. Mary Kay Miller has over 50 years of experience in the orthodontics arena, 35 years in private practice and 15 years as the 1st orthodontic online marketing consultant in the US and owner of Orthopreneur Internet Marketing Solutions, one of the first private web agency specializing SEO and strategic web services for the orthodontic profession. Join the community on Dentaltown at

    Howard Speaks: Competition is Good for Business

    Play Episode Listen Later Jun 8, 2021 1:32

    Competition makes everything better from Dinosaurs to DSOs.

    1636 April "Dr. Patty" Patterson, DDS on Cosmetic Dentistry and Hiring the Right Associate : Dentistry Uncensored with Howard Farran

    Play Episode Listen Later Jun 7, 2021 64:42

    Dr. April Patterson, more affectionately known as Dr. Patty, is a highly-trained and forward-thinking cosmetic dentist. She attended Florida State University and earned her Bachelor's degree in biology before completing Dental School at the University of Michigan in Ann Arbor, named one of the top three dental schools by U.S. News & World Report, to obtain her dentistry doctorate. Dr. Patty trained extensively with some of the most respected cosmetic dental specialists in the industry at well-recognized institutions. Join the community on Dentaltown at

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