Podcasts about dsos

In this Very Dental (Dental Hacks) Classic throwback from the 2018 Voices of Dentistry meeting, Alan captures an impromptu, high-energy conversation right from the after-party. Dr. Peter Boulden and Dr. Craig Spodak (hosts of the Bulletproof Dental Practice Podcast) sit down with DSO attorney Brian Colao of Dykema for a candid debate on the shifting landscape of dentistry.  Brian lays out a blunt reality check on consolidation, private equity, and the mechanics of DSOs, explaining why traditional practice transitions are facing unprecedented disruption. Together, they break down EBITDA multiples, rollover equity, and what the rapid rise of multi-specialty group practices means for solo practitioners navigating the future of the profession. Plus, Alan and Jason cover their favorite hacks of the week, ranging from live streaming software to dental photography essentials. Some links from the show: The Bulletproof Dental Practice podcast Dykema Join the Very Clinical Facebook group!  Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode of Ask George, Dr. George Hariri addresses a critical issue facing the industry: selling your practice early simply because you are tired. While the administrative and HR burdens of modern dental practice ownership drive many doctors to sell to DSOs, doing so prematurely cuts off your greatest wealth-building vehicle. George explains that burnout is not just a qualitative issue—it is a massive quantitative financial threat because the highest return on your investment in dental school comes from operating your cash-flowing practice for the longest possible time.If you are feeling overwhelmed in your current stage of dental practice ownership, you haven't failed—you simply haven't "nailed" the systems required for that level of success yet. By proactively identifying and solving the specific bottlenecks causing your exhaustion, you can secure your equity, reclaim your time, and maximize your income.Here is your guide to extending your career and maximizing the financial return of dental practice ownership:Audit Your Exhaustion: Track exactly what drains your energy over a two-week period, whether it is a specific type of demanding patient, a stressful clinical procedure like surgical extractions, or daily HR headaches.Delegate HR Burdens: If managing staff causes you severe stress, hire an office manager to handle schedule requests and team accountability. The cost of their salary is a small price to pay for the longevity it brings to your career.Design a Sustainable Schedule: Restructure your clinical days to prioritize rest, such as working an alternating three-day week that allows for a six-day weekend every two weeks without dropping your operational hours.Find Outside Outlets: Once your practice stabilizes and no longer needs aggressive growth, channel your entrepreneurial ambition into hobbies or fitness rather than constantly disrupting your business.Protect the Cash Cow: While outside investments like real estate are important, never fund them so aggressively that it ruins your personal lifestyle and causes you to burn out of dentistry.Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

On today's episode, Dr. Mark Costes welcomes back Brannon Moncrief of McLerran & Associates for a timely conversation about the current dental transition market, DSO consolidation, and how practice owners should evaluate their exit options. Brannon breaks down why the DSO market has shifted since the white-hot acquisition years of 2021 and 2022, how higher interest rates and more disciplined buyers have changed valuations and deal structures, and why alignment between sellers and DSOs matters more than ever.  He also compares DSO affiliations with private doctor-to-doctor sales, explaining how revenue, EBITDA, cash at close, work-back expectations, equity risk, and operational support all factor into the decision. Together, Mark and Brannon discuss when a private sale may make more sense, when a DSO deal may be worth exploring, and why understanding both the economics and the "why" behind a sale is essential for making the right transition decision. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://dentaltransitions.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Kiera gives three tactical shifts to help practice owners get their time, energy, and life back, while still maintaining a successful business. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera. And today I want to talk about a fun topic that I think a lot of you deal with.   and that's burnout. And I know we've talked about it before, I know we've talked about it in the past, and I know it's not a fun topic, but I think it's a fun one to help people not have.   I think burnout, I was listening to I have a podcast that I really enjoy. It's   Life Wisdom   by Words of Taoism. And I just love different mindsets, different perspectives, and   I think this ties really heavily into today's topic. And he was talking about how, like, so many of us are per burnout, and it's this feeling of like, I'm just spent, I'm just exhausted, like I can't do one other thing. And they were talking about how oftentimes it's not just about the work that we're doing. A lot of times it's not actually the work, it's the mental load that we're carrying or the things that we're carrying behind. And it's that is what I want to talk about today is.   like the burnout and how we can get our life back without sacrificing all of it and what this looks like and work life balance and the cliche around it. But when I started thinking of like all the pieces that we do carry the stress of a team, the workload of actually doing it, stress of our families, conversations, replaying conversations in our mind, wondering if we did things correctly, like did I check the books? Did I talk to this team member correctly? D what do I need to do? There's so much weight.   thinking about how oftentimes like we build these businesses, not to be prisoners of them, but to actually have freedom from them. And I think sometimes it feels cliche and it feels like we're getting the exact opposite of that. And so I wanted to talk about like why we get the burnout similar to that. Like we're caring so much. It's not the workload. I don't think most of us, I think a lot of us are fine. I think it's the how much we're caring, it's the subconscious caring that doesn't ever leave us alone. And so what causes that shift in an   Hopefully just some like three tactical shifts that help you get your time, your energy, and your life back. And burnout is a lot of times a conversation we have with a lot of doctors. And I think having a coach, having a guide, having someone in your corner can help prevent that burnout sooner and quicker because we're gonna be listening to it, watching it. And I think having a safe space where you can say, like, I'm exhausted, I'm tired, like I don't physically think I can do that anymore. And then somebody questioning and saying, All right, like there's other, there's a thousand other paths to do it. Let's look and let's find that solution where you don't have to do it.   But we're able to have other people there with you. and I just I think that burnout, I think stress, I think carrying it, it's at every size of practice. So please don't think like, well, people don't deal with this. No, they do. No, like there's highs and lows, everybody has it, that we've got days we've got more of it, we've got days that we have less of it. and I don't think it's like needing more motivation. I think it's like w what what do I actually do? And so kind of just going through that Dental A Team, we work with hundreds of offices across the nation.   Like we've seen it across the board. I've dealt with it. I'm a business owner. I'm a multi-million dollar owner. I've built practices, I've run dental practices, I've started my own business. I've gone from scratch up. I've sold. I mergers and acquisitions, selling to DSOs, you name it. I've been there, I've done that, I've done it a lot. I've done it in my own personal life. I've built multiple multiple businesses in my own. I've built my own personal brand. The things like let's talk, let's talk as business owners, let's talk about these different things. And so I think one of the biggest things that can help prevent this burnout is to stop being the solution to every problem.   I think that we carry this weight constantly of feeling like, especially founders who have built up from the ground up, feel like they've got to be the solution. You were. That's who you were. You had a GSD to get there. But that doesn't mean that's who you need to continue to be. And I'm I'm guilty of this. I watch Slack and I watch myself. And how often do I just jump in and solve a problem? Or I'm sitting in meetings and I know the answer, but just because I know the answer doesn't mean I need to raise my hand and answer. I need to have a team that can create solutions. I need to have a team that genuinely can do it.   Because I genuinely believe one of the fastest paths is being the answer for everything. team members are like, how to know if this is the case is you got team members who are constantly coming to you. Every decision requires your approval and you are solving problems all day long, even minimal problems. And I know I'm guilty of this in my own company. I watch it and I'm like, why are they asking me for that? Like, how do I give them the permission to not need that? And I need to just let them be dependent. And   Let them be independent and not dependent on me. I think when I see teams very dependent on an owner, including myself, I think people being exhausted. I think the practice that can't function without you, can they handle these decisions without you? But also there you think there's a flip side of can you handle them making mistakes? Can you handle letting go of the control? Can you handle if things break? I remember me and a dear colleague, we were having a very spicy conversation and I was like, what?   You want me like sign off on these things and let our reputation get destroyed? I was very sassy that day. This was just like six months ago. You guys, this was not like young Kiera. This was real life Kiera. And she's like, no, Kiera, we're not like just gonna let our reputation fall apart. She said, but you do need to have things like she sent me a decision matrix and she said, You've got to make decisions like which ones really are going to destroy our business, and which ones do you need to realize are not going to destroy and you need to stop being involved in those.   And to have somebody who's willing to push back on me like that, I was so appreciative of because she's like, Kiera, you're sitting here making decisions about cards and branding. That isn't like we're not gonna destroy it. And she's like, I understand in the past that might not have been the case, but guess what? If something goes wrong, your team's gonna fix it. But you have to let them, you have to trust them. Otherwise, you're forever gonna be held in bottleneck, choke hold burnout. And I think when I hear that, I think about the monkey who.   puts their hand in the hole and they hold on to the nut and they can't get their hand out and they end up getting trapped. And I think about how many business owners with burnout have their hand holding on so tightly to control and wanting everything perfect that they don't let go of it that they end up suffocating themselves and burning out when it didn't necessarily need to be that way. So when I look at like doctors and how much are you answering and office managers, how much are you answering   versus how much is your team able to do? This doctor I was in, we were looking at like etching glass and the team found some cool things on Etsy and the doctor's like, yep, sign off stamp. You guys do it. I know you're gonna do a great job. And it's not something where they're gonna check over their shoulder. No, if it doesn't look good, of course they're gonna say something, but that's such a small decision with such small ramifications versus they're building out the entire construction of the business on the other side. Two very different pieces. Like what is the ramification long term? And so   When you're looking at it, I would say   But number one, when questions come to you, start to ask your team what solutions do you think are we can do for this? And then trust them and let them run with it. Second, for yourself, in meetings, stop being the answer to everything. And then third, just look to see like what's one, two, three, four items that you don't need to give an answer to. Just sit and watch and observe. And I think for me, I almost like have the visual putting my hands, like sitting on my hands and pretend or pretend my hands have glue on them and they're stuck together.   If I couldn't do anything, would my team be able to handle this without me? And I think it's a good test to see how much they're actually able to do. Anytime I go on vacation, I completely check out and I come back and I'm shocked at how good they can do. And I think reminding myself that my team wants to make me proud, that they can answer these things, that I don't need to answer it for them, trusting them they're gonna have better ideas than me. And again, them doing 80% of the work is better than me doing 100% of it. And so I think a great way for you to look at like,   Start asking your team to bring solutions. You can even roll it out that guys, I'm not, I'm not great at this. So please, like everybody, this is my ask. This is my goal for the next six months. Put a bracelet on, whatever you got to do to remind yourself. Like, I literally have a bracelet this year that says no. And that's to remind me, like, no, like, don't do that. Don't say yes to this. Like, let your team flourish. Let go of that control, trust. Because honestly, as a team member, that's the greatest thing your your boss can ever do for you, is to give you the trust and the confidence into.   Let you flourish. That's where people love to work. No one loves to work when they're being micromanaged. And I know I'm guilty of this. So my team listening, I'm sorry. And just know that I'm hyper aware of it, actively participating in letting go of that. And genuinely, I know my team will do far better than I ever. Like they want to make me proud. Our team is such a great team. And your team's the same way. So let them stop stopping the solution to every problem. The second thing to help prevent this burnout that's tactical is.   have boundaries around your time. And this is something I learned early on. I used to work sun up to sundown, seven days a week, on holidays, on weekends. And I think we protect our production time. Like you better believe I ask you for a meeting. Do you how many offices come in? They to coach and they want to solve their problems. But like, but don't do my calls during during production time. I'll talk to you on my drive home. And I'm like, hard pass? No. You're blocking out two hours a month during production time because I know you're gonna be way more proactive. And I'm probably gonna do like   In the morning. You are not running through our meetings and you better be on time to every single meeting. Otherwise, don't sign up for coaching. Like hard and fast. If you can't give me two hours to work on the business, you are not prepared to do coaching because you're not going to implement anything. I'm not talking to you on your drive home. Like, sorry, that's just not where it's going to be. You product your production time, but you don't product your personal time. And both are equally important in my opinion. So, like, are you working through lunch all the time? Are you answering messages at night? Are you h working every single weekend? Do you have this constant mental load that never shuts off on you?   And what I found is you gotta block CEO time where you work on the business during your week. Every time I'm getting stressed out, Marissa and I and Shelbi, we look at the schedule and it's like, Kiera had no time to work on the business. This is why she's stressed out. It's a non-negotiable for me. That is the rock. That is the number one thing that goes in the schedule. Non-negotiable. Then after that, like I have family time. I have a date night. And our team, we made it all like a very conscious effort that like after five, we don't do work. I'm not gonna say it's perfect and I'm not gonna say you have to have that because sometimes working.   Like sometimes I get up at three in the morning and I'm freaking lit and I'm jazzing. It's not depleting for me. That's not burnout. That's working and it's passionate. So it's not a like hard and fast, no one can work. Because sometimes we do want to, but there's there's a conscious shutoff. And so I look at it, I try hard not to send slacks after five o'clock at night. I can schedule those for the next morning. Like shut my email off, take it off of my phone. Don't have Slack and emails on your phone. And really truly be intentional. So   I actually have a box. This came from a friend. she has a really cool box, and that box no longer is being made, otherwise, I'd share it with you. So I bought a like nice $5 box from Target. It's a white box, it's pretty, it sits on my counter, and that's my phone box. So when I'm done with work, so at five o'clock and I have something where I've got to go, like go for a walk with my husband, have something that I'm looking forward to, have a set end time. my phone my watch comes off and my phone goes off and it goes in the box and I leave and I completely disconnect. Now, for a lot of us, I can feel like a heart palpitation.   There's also, I think it's called the brick where you can brick your phone where it turns back into like a brick phone, where honestly there's like calling and messaging, and that's all you have. There's no other apps or anything like that, and you can set it up. for me, I just stick it in the box. And what's really awesome is to be able to disconnect. On the weekends, phone's completely off. Like I'm a princess wife and my husband has his phone and he loves it. And I leave my phone. I leave it plugged in. I don't take it with me.   Because I need a complete disconnect. When I go on vacations, it's a hundred percent offline. I love to go out of the country for that reason because I'm out o offline and I know it's gonna charge me more to to talk to people. Now I know some of you have kiddos and whatnot, but the more you can have blocked family time, blocked CEO time, blocked personal recharge time, and you protect all three of those equally, you will actually feel like like even that, like I feel like this breath of fresh air.   It's and again, it's not about being perfect, it's about being consistent. So you might miss in one week you're gonna have a lot more. But our consultants, they're working for such long hours and we set a quarterly rock that all of us would get out at five o'clock. And every week we actually start asking, like, how is it? And it's shocking. We have seven consultants, and I've been watching all of them start to trend more and more and more to personal life. I've also watched happiness levels increase across our consultant team. I've watched burnout become less and less, and they're still able to take care of their clients, they're still able to work with their   Teams, they're still able to get their things done. We just consolidate. We also started having it where like every Monday people list off how many hours they have available for the week. Like, hey, how many hours do you have? Looking at the schedule, who's got time? And then we're using each other within the department to help each other out. So that way people aren't getting burnt out. We've got people who have hours of time. They're not as busy. You might have an assistant or a hygienist who's not as busy. What do people have on their workload? Can we share the workload with each other? Can we pass out the recare list, the reactivation list? Like, how can we do this to where we all get out at five? We're all committed to it.   Let's all work together as a team. Let's all get our pieces done so that way we're all together. But I think for you, don't answer messages at night. If you knew I'd pay you a million dollars for the next month, okay? Million dollars is on the line. For the next month, you didn't do any work after five. I'll give you till 5.15 because your patients might go. 515 and on the weekends you're not touching work. Would you do it for a month? A million dollars is on the line. And I know every one of you would say yes to me. So if you're gonna say yes to that,   Your life is worth more than a million dollars. Your health is worth more than a million dollars. So you do have a million dollars on the line for you. I'm not paying you. You're paying yourself this. So create those boundaries and dedicate this time. For me, I do have on the weekends. I've got one hour, two hours. I'm gonna block my week on Sundays. Like I do that. That's part of it. I'm okay with that. That's something that I don't take away from my family. Jason knows it. We're good. I've got it. But it allows me to decompress and I'm able to be there present with him. I literally.   Control my calendar. So my calendar doesn't control me. I am actively creating my life and man, I'm not managing my circumstances. I'm creating my life. So for you, I used to think like working harder was better. No, there's a place to work hard and there's a place to play hard and there's a place to sleep hard and there's a place to rest hard. All of those are important. So block your CEO time and guard that. Block your family time and guard that. Block your personal recharge time and block and like honor all three of those equally.   You're doing it with your production, so I know you're capable of doing it. Shut off, be done at five. Go give yourself that freedom. And like even me saying that, I feel this weight come off my shoulders. So I would say schedule those three non-negotiable blocks of time every single week. Treat it like production time, non-negotiable. You will be shocked at the life you will get back and the burnout will go away very quickly. Now, you might be like me, there was one summer I was completely burnt out. I sent I slept 17 hours a day for almost an entire month.   Sometimes we're so far into the burnout phase that we have to give some massive recharge. And like just taking this isn't going to be enough. You might have to schedule in a week off or you just sleep nonstop. But once we get to that point, and I'd say don't wait to that point. Like let's start doing some things proactively now. it is capable, it is doable. And these are some tactical things that I would say put it in now. Let's put some guardrails in and let's protect that very, very, very strongly. And then number three is build a practice that supports your life.   So and we always say that your business should serve your life, not the other way around. And so like I think you should just ask yourself and like it's okay, pull out the crayons, like let's get the canvas back out. What do you want your life to look like? And we do this with our doctors when they start with us, like how many days do you want to work? What kind of a schedule do you want? What role do you want long term, like in one year, three year, 10 year? And then let's put into place and start making your practice work for you. So if you tell me I only want three days, fantastic, let's work for it.   What is our bam? What's our production? Let's build this just a math equation. And I love because math always maths. So let's just build it. What does it need to look like? And what I've watched is when people are living their dream life when they're having it. Now, ego plays. For me, I keep saying, like, I only want to work three days. But my ego is so strong and she really wants to be just important. So I need something to fill that time that's equally as important. I have Jace and I now have a side gig that we do on Fridays together. And it makes it to where like I have a set thing that   full like fuels me, fuels my spouse. and we do it on Fridays together. And so I do. I've got I've got other CEO responsibilities that are not Dental A Team specific. But even if I didn't have something else, that's okay as a CEO. You're allowed to to have your business, serve your life. You do not need to work constantly. You are allowed to have whatever life you want. And so let's let's put those systems into place. Let's have leaders in place that are freaking thriving on it and they want to do this. Let's like make our decisions based on vision, not on guilt.   Like that's what we're gonna do. And so you can reduce your clinical days. We can hire people for that. me and a doctor were working and we just created this like awesome two year vision. I'm so pumped. I was like, okay, in two years, like let's build this. Like, what's your tenure? And I was like, sweet, let's build it into a two year. To be able to help people see it. Sometimes we can't see that. Sometimes we don't think we're worthy of it. Sometimes we I don't know. I think we just get in a rut and robotic and then we just forget that, like, no, no, no, we're the creators of our lives, not the managers of them. You get to create this.   You didn't build yourself a prison. You build yourself freedom. But it depends on which route you're gonna go and if you're actually gonna live it. So you've got to have your practice supporting your life, not the other way around. So I want you to look down, like what your, you can write down what your ideal work looks like, what it's gonna look like in one year, three years, ten years, and then like let's just work backwards. Some of you get so stuck and you're like, I don't know, how do I get my team bought into it? Your team wants you to thrive.   Your ego wants you to just survive. Like it's usually ego that keeps us there. It's not really our team. It's not all those excuses we tell ourselves. It's not that mental load that we're carrying constantly. That mental load is heavy. It's a constant guilt running and guilt's not serving. It's just keeping you stuck. So if you've been feeling exhausted, overwhelmed, trapped, or even none of those, like I just want you to know you're not alone. Let's put into place these safeguards. Let's let's have this where number one, we're going to stop being the solution to every problem. Number two,   We're gonna create those boundaries around our personal time and we're gonna block them like we do our production time. We're gonna honor them, we're gonna value them. It's our CEO time, our family time, and our personal recharge time. Block those. And then we're gonna build a practice that truly supports our life. And we're gonna be so committed and know that we deserve every ounce of this. And we're we are so committed that we're gonna get it. Non-negotiable. Pretend a million dollars, billion dollars, whatever you want, your dream car, your dream vacation, whatever it is, it's on the line. If you'll just show up for yourself. I think so often burnout comes because we're not willing to.   Reduce the load. I think a lot of it is self-induced, and then I think a lot of it is just habit. We've been doing it for so long that we don't know a different path. But I will say that other path is always there. The HOV lane is always open. Let's get over into that HOV lane. Let's start doing things easier. You deserve it. You are a billion dollar asset. Treat yourself like it. You guys have this. You don't have to work harder. You just need to have it be a like we've had one formula and it's been running. There's nothing wrong with it. But if we want a different life, there's another formula that we can start running, and I'd encourage you to do so.   So that's what we do. We help you build leadership teams. We help you build your vision. We help get your team bought into that vision. We could give you the permission to shut off at five. We tell you, like, stop, grab a PA, like a personal assistant, hire this person. Like these things you don't have to do. You're welcome to keep doing it. There's no force on our side. There's no judgment on our side. There's just love and unconditional love to make sure you are taken care of. So reach out. I'd love to help you. You can grow your business and you don't have to sacrifice your life. It's not one or the other. It can be an and. And I hope you choose that. And I hope you know you're worthy of it. I hope you know you're worth it.   And I hope you know that it is possible. So come be a part of it. There's so many of our doctors that live their best lives. I got one doctor who's a million-dollar practice working three days a week, wants nothing more than that, and is so freaking happy and is an incredible leader. I have another doctor. They work four days a week. They got a three and a half million dollar practice. Incredible, incredible. They could build another location. They don't want to. We got it set up for their kids, their life. They're on vacation. They're able to serve and get back to their community. Whatever your life is, it's doable for you. I've got others that have like five locations and they're so happy with it.   Whatever your life is, it's doable. So let's make it, let's create it, let's not manage it. You guys, I'm proud of you. I'm proud of the life you're living. Reach out, Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

Dentistry has become a target. From Hormozi-style marketers to practice brokers charging six figures for "scaling retreats," everyone suddenly wants a piece of the profession. In this episode, Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh unpack why dentists are easy prey, how to spot the warning signs of a predatory pitch, and why the same voices who screamed "sell now before the bubble pops" in 2023 are now selling solutions to the dentists who listened. They also dig into the rise of the zombie DSO: the 50 to 60 private equity backed groups that can no longer service their debt, can't recap, and never improved the practices they bought. What does this unwind mean for the doctors who rolled equity? And why does the market correction actually signal a powerful shift back toward independent ownership? Plus: why AI is becoming the great equalizer for the solo practitioner, the one moat DSOs still hold, and an open invitation to Brady Frank to come on the show and talk it out. If you've ever felt pressure to sell, this episode is your reminder: no one is coming to save you, and that's exactly why you're in a stronger position than you think. Only a handful of spots remain in the Bulletproof Mastermind. Apply at bulletproofmastermind.com.

Everyone's watching interest rates, the election, and capital markets — but Brannon Moncrief, a 20-year sell-side advisor with over 200 DSO transactions, says timing the market is a mistake and timing your situation is everything. In this episode, Brannon breaks down why quality practices are still commanding 7-9x EBITDA despite a "tight" market, the diligence red flags separating stable DSOs from ones quietly falling apart, and the handful of things that actually predict whether a doctor is happy three years after their sale — insight David ties back to a bigger question every seller eventually faces: how much is really enough? P.S. Whenever you're ready, here are some other ways I can help fast track you to your Freedom goal (you're closer than you think): 1. Schedule a Call with My Team: If you're tired of running on the hamster wheel, and are looking for a proven blueprint to create more freedom and reduce dependency on your practice income, schedule a call with my team to learn more. 2. Get Your Dentist Retirement Survival Guide: The winds of economic change are here, and now is the time to move to higher ground. This guide gives you the steps to protect your retirement, your family, and your peace of mind. Get the 25-point checklist here. 3. Are You Exit-Ready? Complete this 2-min scorecard to reveal where you stand across the four pillars that determine if you control your exit—or are just waiting for one. You'll get a personalized plan to start building optionality immediately.

In this episode, Howard Farran sits down with Dr. Peeyush Ranjan, a board-certified pediatric dentist in both the United States and Canada and the owner of Tooth Pals in Airdrie, Alberta. Dr. Ranjan began his career in general dentistry in 2009 before discovering his passion for treating children, which led him to complete his pediatric residency at Nova Southeastern University and Joe DiMaggio Children's Hospital, where he served as Chief Resident. His master's research explored using picture-guided techniques to improve oral hygiene in children with Autism Spectrum Disorder — work that continues to shape how he cares for kids today. The conversation spans Dr. Ranjan's unique cross-border journey — training in the U.S., practicing in rural Washington, and building a practice in Canada — and what it taught him about the profession in both countries. He makes a compelling case that rural America is dramatically underserved and full of opportunity most young dentists overlook, and shares why he remains a strong believer in independent ownership even in an age of consolidation and DSOs. Howard and Dr. Ranjan also dig into the role of culture and team (he runs his practice alongside his wife and treats his staff like family), how technology like the Solea laser and dental-specific VR transforms a child's experience in the chair, and his collaborative approach to infant tongue-tie treatment. The episode closes on the community work at the heart of his practice — from the Switch Witch candy buyback to toy drives and free screening camps — and the most important lessons he'd pass on to any young dentist starting out today.   Episode #1729 : Dentistry Uncensored with Howard Farran, Howard sits down with Dr. Peeyush Ranjan — board-certified pediatric dentist in both the U.S. and Canada, and owner of Tooth Pals in Airdrie, Alberta. From training in the U.S. and practicing in rural Washington to owning a practice in Canada, Dr. Ranjan brings a rare cross-border perspective — plus a passion for technology, community giving, and making sure no child grows up fearing the dentist.

Re-releasing a Dental A-Team podcast fan favorite! Britt is fresh off visiting a ton of practices, many of which are part of dental support organizations (DSOs), and she's sharing her insight. With Kiera, she talks about the foundational pieces to set up DSOs for success — everything from training the leadership team, setting up KPIs, providing profit and loss statement education, and allowing culture and patient experience to grow in each practice while keeping an overall brand. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time.   on the Dental A Team podcast.   speaker-0 (00:31) and I've got the one and only Brittany Stone back on the pod. Guys, she has been a freaking road warrior, traveling to seven offices in one day. Dang, Britt. Welcome back. How you doing? How you feeling? How are you today?   speaker-1 (00:45) I'm good. You made me sound better than I was in one day. Seven in a week. Still a lot, but seven in a week.   speaker-0 (00:51) Yeah, that's exactly what I meant. We could edit that or you guys can just know. in my mind, I think it felt like you were seven in a day. Like you were cruising   speaker-1 (00:58) Yeah.   speaker-0 (01:00) to practices. Seven in a week is so many offices. But guys, don't worry, Britt wasn't like leaving them high and dry hanging out. You were seeing it kind of walk us through. I know you went to quite a few DSOs that had multi practices, multi locations. Kind of what was that like and and how does that even look when you're going to multiple practices like that?   speaker-1 (01:19) Yeah, it's fun. So that was it was a week of my like multi practice location. So one had three offices, one had four offices, the two groups that I work with last week. And so it's fun. It's fun to see one you get to know kind of like the visionaries who who started a thing, whether it's just an owner or multiple partners that are involved in it, get to see kind of their vision and it's it's fun to see   the different also types of practices that are underneath their umbrellas and how they run 'cause usually we've got some different sizes, obviously different locations. So so yeah, I got to go in, meet everybody, go see all the different practices, kind of see what's going on with them, what things we could help with on an individual practice level and then also as an organization. So it was a good time.   speaker-0 (02:07) That's a lot. And I I do think it is fun when you go see multiple practices because this whole idea of DSO is that we want all of our practices to run exactly the same. And I know when I was a regional manager of ten practices, the bottom line is there is no such thing as running every practice the same. I think it's more like getting rid of that illusion that they're all going to be the same. And it's more what are the foundational pieces and the the silver lining strings that we want running amongst them all. Britt, I know you had one practice,   that kind of wanted to do their own thing within a group. Like, how do you how do you get like one, paint the vision of all the practices needing to be at least fundamentally pretty consistent and similar. And then also helping the doctors and the team members understand like, I get it, it might be annoying for you, but for the greater good of all the practices, it really does make everything easier when we run the same. Because I know a lot of practices just want to run as solo practices, but when you're in a group and multi-offices   that no longer serves the greater organization. Like what was kind of your findings with that? How do you how are you finding to get people on board? Is that something you were running into? Just kinda give us your thoughts around that.   speaker-1 (03:16) Yeah, I think every DSO probably struggles or like group practice struggles with all right, how much do we have the same and like where can we kind of let them be their own and shine in their own way? And also from the business side of things for the DSO, right? What things are more financially beneficial for us to be able to do them the same and have on the same system? so that we run it across all offices and get the true benefit of the DSO.   And so that's where you s kind of start to to figure out, all right, there's gonna be a lot of systems that one, yes, anything that impacts other offices or the group overall, we've gotta make the best decision for the group on how we want that to run, whether it's but easy things like payroll is a pretty pretty common one that's gotta be obviously the same across all over offices. If we're using the same software, right, the way we run our schedule, who's allowed to be on our schedule.   All of those things kinda need guidelines that go across the board. So we all know a little bit of the rules of engagement on things like the schedule. So that's kinda I start to think of it as all right, what are the most important things that impact each other that we need to have the same that's also gonna allow us to be most financially beneficial for the DSO? And then what things don't necessarily impact the other offices where those offices can start to really like, all right, what are procedures you do? Great, go run with it, build it up and   Even if we can get some referrals from other offices for that thing, fantastic and they kinda kinda do their own a little bit.   speaker-0 (04:48) For sure.   And but I was thinking like it actually might be fun on this podcast for us to dive into when you're in a DSO, because Br I know your private practice sold to a DSO. I work with lots of DSOs. You work with lots of DSOs. And I think DSOs are a pretty hot buzzword right now in dentistry. of kind of what are some of those things that you should have standardized. I love that you brought up the payroll for sure. for me, some of the things I know I'm looking at is I really am just looking at   Key metrics amongst all practices. And I know, Britt, with a lot of the DSOs that you and I are consulting together, that is one of the biggest things of making sure all of them are hitting the metrics. And then whatever they want to do outside of those metrics, it's pretty much free reign from there. So, like we're talking labs, supplies, overhead, production per hour per provider, hygiene production.   those are like my main things. Case acceptance is another one I really like to watch. Number of new patients per practice is another key indicator that I really love watching. but those are kind of the main things. And then I really feel like in DSOs and multi practices, some of the biggest things that get lost are culture and patient experience. And those are to be different shades for every practice. And I really I like practices to think in like, no, you want the patient to feel the exact same way whether they come to this location.   Or whether they're going to another location. It is that way. And having practices and offices think like I've got one right now and they just acquired another practice. And they're really doing a divide between the offices. And they're they're labeling each office based on the city. I was like, whoa, whoa, whoa. let's call them all the practice name. So we are all, let's just say, healthy smiles. It's not healthy smiles of probos and healthy smiles of orum. It is   Healthy smiles, and then we have our Aurum location and our provo location. Those are just a quick way because I think when you can have it as an umbrella of all the practices operate as this way, and then here's these different locations, but helping everyone realize there is the healthy smiles way. And we operate on healthy smiles first. Secondary is going to be our location. Are those some of the things you've seen? Like those are one, the key indicators I like to look at. And then secondly, making sure that people realize like the culture and the patient experience.   really need to be dialed in in my opinion, to really help these DSOs grow and flourish.   speaker-1 (07:09) Mm-hmm. I'm with you on KPIs, right? Teaching office managers how to be able to kind of take charge of those, know what's going on in their practice, and that we're all watching those important numbers to be healthy for sure. That's an across the board thing. and then I'm with you on capitalize off the brand. from a lot of the DSOs we work with, where it's a few different locations, usually I feel like a lot of them are gonna be like five or less, where you can truly   make sure that we are maintaining our standard, maintaining our brand, and then capitalize off of that brand for all practices to where there might be a patient who's looking to go to the office, but maybe it's a little bit farther. great, they've got a location that's closer than to me. Awesome. Let me just go ahead and go to that closer location. And agreed. You've got to keep then the culture and the patient experience up to be number one. And what does that look like? What does it stand for? And there are   I will say different pieces that go into that when it comes to maintaining that culture in our practices and that experience. And I think those would be some non-negotiables like you start to build in if it's we're on time, right, with our appointments as much as possible. So that's something we really drive with our teams. We're always friendly with our patients, we're always welcoming. How do we present on the phone?   you can start to dig into some of those things that you really want to represent as a practice and make sure it's ingrained in our team members and how we present.   speaker-0 (08:41) Yeah. And I think like you said it's that culture in that brand. And honestly, I think people forget that that's actually why you became successful. Like that culture, that brand you started developing, that's how you're able to multiple scale across other practices. And I feel like offices that that see all the practices as one company and then the the different locations are just extensions of that company are the ones that really flourish. In that same thing, I feel like Britt, something you and I have really been   trying to hone in on with offices is to make sure that they have a key leadership team. So people that are really in sync to make decisions. and that's for your operations, for your labs, for your supplies, and and then making sure that things can actually execute forward. Because I feel like when we get a lot of partners involved, what happens is everybody has a strong opinion, but those opinions actually are great unless they stop all the the forward progress   And I think they really just have to be key decision players that everybody elects. It's almost like a board. I feel like all the practices are almost like a neighborhood and you need an HOA, like somebody who can actually just make the decisions and execute in the best interest. And maybe you've got a few of them. So you've got, say, your regional manager who's overseeing all of the practices, the overhead, the operations really. You've possibly got a clinical manager on there who's really looking at the hygiene, the dental assistants.   Then you've got probably a dentist on the board who's making decisions as far as what are the clinical diagnoses, what are the supplies that all dentists need across the board. And then you're probably gonna have somebody who's your finance person. So someone really looking at the financials of the practice. And if you can have one of those key players, I feel like just get that honed in. Then you can have all the practices have their own like little leadership teams and whatnot.   But really you've got those four players who can make very strong decisions. And maybe the dentist is the same person as the clinical lead. Maybe that we don't need an extra person there, maybe not. But I think if you can really get that dialed in, you're going to be able to make a lot stronger decisions and be able to move things forward more. Britt, what are you seeing? Like you were literally just in DSOs. Are you finding that that type of structure helps move things along? Or are you finding like, no, we need to have key leaders in other areas?   Wha what's kind of your take on how to make sure decisions can be made? Because I truly feel like once you get the the KPIs dialed in and everyone's reporting in, once you get your office managers looking at their practices, making sure they're profitable and reporting in, then you got your culture and your brand, it's really about getting decisions made quickly and moving things along rather than getting stagnated with so many opinions.   speaker-1 (11:20) Mm-hmm. And I am big on agreed. You've got to figure out who are your key players, what leadership team do you need in place. I am in big support of having someone who's a strong regional manager in place to help make a lot of those kind of smaller decisions for offices, the offices need support on and empowering office managers to make decision decisions within the balance that you give them.   I think the more you expose your office managers and teach them some of the business side to where they really know what those KPIs are, they really know what they're watching, they know how to influence it, you'll become more confident in their decision making as they see things at a kind of higher level, a bigger picture. but when they can have that information, know how to see it from a little bit higher level, start giving them   the the opportunity to make decisions within their practice. So one, they can kind of see the fun and feel empowered to where they really can run that team and own that office. and they don't feel like they're just kind of sitting waiting for people to tell them what to do. and then that they've got a really strong regional behind them who also has the ability to make decisions within the parameters that if it's partners or owner gives them.   to keep moving things forward and same thing. It's a super empowering thing to where they can get more creative and think of o opportunities for the practices than just feeling like they need to wait because they can't make a decision or do anything because someone's not gonna approve of it.   speaker-0 (12:47) And I really love that you talked about having that regional manager understand the business. I feel like in DSOs, you have to have somebody who understands the business and can think like a business owner. That way they can make decisions. Britt, what were some of the things that as you were basically their regional manager, you were in that DSO role? What were some of the things you felt helped? Because I I think I think sometimes business owners forget everything they've learned. So having somebody come through, it's almost like we've forgotten what business 101 is.   of what things we really need to teach them. What have you found that was maybe helpful for you, for your owners to teach you so you could be more successful in your role within that DSL?   speaker-1 (13:28) Sure. I think one of the first things is helping the office managers and regional managers understand what a PL is. Like, and it doesn't even have to be like the terms of this is a PL, but understanding, I like to relate it to it's just like at home if we have a budget, right? And what money do we have coming in, what things are we spending money in, and at the end, you know, what do we have left over? Just helping them understand not overall.   kind of equation of how the business runs and what are the different pieces within that that they can impact, which is ultimately how many patients we have, how much we treatment plan is truly our ultimate potential as an office. And then what we close, what we schedule, what we collect on, and then controlling our expenses, so then we can have a greater kind of profit left over at the end. So helping them understand that big picture and then helping them to understand within each of those little sections, which are   Then KPIs, what are the more like tangible things that we can track that impact that bigger equation to the business? And agreed, I think we don't realize how much we've learned along the way or people have taught us along the way, even myself kind of running through sometimes these KPIs when you haven't seen them before and you don't understand one, maybe where they come from, or two, why would we even track it? And three.   What could I even do to change that number? Like those are things you have to learn over time and someone's gotta gotta actually take the time to invest in teaching you.   speaker-0 (14:59) Which I I don't think people realize that PNL. When I first looked at a PL, I'm like, this looks like a straight up foreign language. Like I don't even know what ninety percent of this means. And so just imagine, if you will, if you've been running a business, you've been looking at PNLs, pretend you were just plunked into like for me, I do not speak Chinese. So being stuck in a class speaking Chinese and them handing me a report and saying, Kiera, you need to be able to read this and figure it out and tell me what I should do with my business.   I would literally look at that and want to cry. And then I'd probably take a picture with my phone and I'd start Googling and I'd hope and pray I could find some type of Google Translate to figure it out. That like I feel is a good way for you to really understand like what it feels like to be those team members when they first start looking at PL. So I think one of the best ways is just practice. and what I've done is like Britt said, is really just   Sit with your regional. Also, you can do this with your office managers, especially in DSOs, because the more your office managers understand the PL and what it should look like, that can help. So it's really just dial into that. tell them what a healthy payroll like payroll should be sitting at less than 30% of our total collections every month. Our lab should be at less than 9% of our total collections every month, supplies 5%, and just go down the list with them so they can see is this good or is this bad?   I love HDA accounting. I think they do a great job. Profy is another one. I'd Bailey is another one. those are just some some accounting companies. I like when they send the P and L because it's red and green. Like HDA is like you get a thumbs up or you get a thumbs down. Makes it a little bit easier. But then asking your regional or your managers to say, Hey, when you look at this P N L, what do you see that's going really, really well? And what do you see are some of the areas that might be trouble areas and why? Because I feel like when you can start to almost   quiz them and role play with them and have more of a collaboration with them, they start reading that PL and figuring it out rather than you always telling them. But like Britt said, you've got to take the time and invest with them. That way they can look at a PNL. I know Shelbi's been doing RPLs. She sends it to me every week and finally I said, Shelbs, what do you see on this? And that was the first time she'd really looked at it. Sha I just had an assignment for her to send them to me every week, which she does great. But then I started asking her to look at them and then we start diving into it and looking at different numbers.   And it's crazy how when you just spend a little bit of time, people can really start to find things that you as the owner might even be missing. And then they can take the accountability and the ownership of it. But just realize like it is a completely foreign language for these poor people. Let's not forget to train them and educate them so they can be set up for success.   speaker-1 (17:38) Mm-hmm, for sure. And I think also when it comes down to it, when you start looking at some of these numbers and you haven't looked at it before, so even office managers, when they look at it and they haven't seen it or regionals, they're gonna start to understand and like it it's fun in in a way to see their eyes kind of open to like, I understand why like I really want to be able to hire an additional team member, but here's where we are, so it makes sense now why now's not the time to hire.   And we need to work on some other things so we can afford to hire another team.   speaker-0 (18:10) Exactly. And then you're no longer as the business owner, the bad guy or the good guy. When your regional says, Hey, I want to hire, you say, Prime, can we afford this? What does the PNL say? And they then are the ones who are answering the question rather than you being like giving the green light or giving the thumbs down. And then they are more again a partner with you. Britt, as a regional, and I'll give my insights of how it felt for me, how does that make you feel when you can as a regional start making those business decisions and truly be like a trusted   side partner where you're like really, really informed in the business. How does that make you as the regional manager, you as the manager, the practice like, what do you feel like when you feel that competent reading PNLs and understanding the business?   speaker-1 (18:54) I loved it. I loved it for one of the biggest reasons is because I'm in a practice, especially as OM, like I'm in a practice every day and can see what I have and what I need and what's actually going on like as close to the ground as possible. So when it's something like this, we're like driving numbers in a certain direction, I'm like, all right, I can see multiple things kind of in the puzzle that I can start to manipulate or impact.   to be able to drive those numbers, drive the results, or if it's like, hey, we want to get new technology, what do we need to do to get there? Great, we want another ITero. Here's a plan of how we can afford to get that new piece of equipment.   speaker-0 (19:33) Exactly. And it it feels so good. Like for me, it just felt like the I like to win. And I felt like it was finally my my roadmap to being able to be successful and and hit the goals that my doctor had, but literally have like the optics, if you will, for success. And so I think it's super paramount of teaching your team members and empowering them. Like even as team members, I know Tiff, Britt, Shelbi, like our whole team. They'll look like, Kiera, can we actually afford that?   That is like one of the happiest days of all of my business time because I'm like, they're actually looking to see, can we afford that? Can we do this? Does this make sense for the business? And it's not me just carrying the weight anymore. So I feel like it's really important for for offices, especially DSOs. Like I would say if we were to recap this and Britt, it's fun that you just came in off of DSO. So I thought, like, hey, let's dive into DSO success of one.   Like set up your KPIs. Make sure you've got all practices reporting in and they understand and like truly spend the time to teach your office managers at each practice what those KPIs need to look like, how to get the information, and then have a set cadence where they're really reporting in with you. The next thing is like build up that leadership team within the DSO of the strong people that can actually make the decisions and they have the autonomy and the authority to execute. And then third, train the team members to really look at these PL so they understand.   Before all that we did talk about like having the standardization of culture, the name, making sure those things run the same. And I feel like within DSOs, you are way, way, way more needed to be structured and to over-communicate than you are in solo or even secondary practices. Like the type of communication, the amount of communication, the amount of I would say like rules with massive air quotes. Like people just need to know the guidelines of what we can or can't do, and they've gotta be black and white. That's kind of like my recap of everything we talked about, Britt.   Of like DSO success, but is there anything I may have missed or things you want to just highlight on your own that you feel really really makes or breaks a DSO from your perspective?   speaker-1 (21:35) I think those are all key pieces that ultimately build to like there's no one or three people at the top that depending on how big you get, right? They can be responsible for making all decisions. So a lot of it is making sure you've got that flywheel of culture going to where you don't have to put so much effort into controlling it. And then you've got key people and support so that the people kinda at the top or the the OGs, the originals who kind of started it.   that you build in support for yourself and you're not having having to make all of those decisions for everybody.   speaker-0 (22:10) Think that that's actually one of the like key pieces that I hadn't even realized is this allows more freedom of those visionaries to go and make decisions, but have a team that can also make decisions and think like that visionary more so. So, like, and to be honest, a lot of people get excited about going and buying the practices that they forget. You need to have that foundation, those guidelines, those ways for people to make decisions without the OGs being there to answer everything. And if you don't have that in play.   Get that in play, hire a coach. That's what we do. We literally help offices get these things set up, things they might not have thought about. Be that mediator who can really remind, show, guide people to get things done. But make sure you have that in play as you're building, but or I would truly suggest before you do it. However, I know all visionaries just go and they buy the practice and then figure it out. So like it's cool. We we know you, we see you, but really getting that ability for people to be it have autonomy.   And so that way the owners don't have to always be making every decision. I think one just empowers everyone and two, it's an easier flowing process for sure.   speaker-1 (23:16) Mm. Absolutely.   speaker-0 (23:17) So guys, there you go. There's Road Warrior Britt coming back in off of a DSO week. We love our DSO practices. But really, I just thought it'd be fun for us to highlight today of what are some of the the key sticks success for DSOs. And Britt, I know you came from a very successful DSO before joining Dental A Team. And so I feel like you just have such a knack for it. And offices who work with you, shoot. You got some of the most raving reviews from the offices you were with. Like I got personal text messages from those doctors thanking you for being there and how much   you're able to clarify. So Britt, kudos to you. it's fun to have you share on DSO secrets and success.   speaker-1 (23:53) Thanks. I do love my D SOs.   speaker-0 (23:56) They're just fun. Britt and I giggle were like, we loved our our new practices, but man, those DSOs, they're like puzzles for us to have to try and figure out, put together. Britt and I will collaborate on these all the time, and it's so fun for those DSOs.   Kiera Dent (24:12) I hope you all loved today's episode as much as I did. It is crazy to think that this many episodes have been released since we started the Dental A Team Podcast. And I started looking to say, my goodness, our listeners need to be reminded of some of the things they may have learned a year ago or two years ago or five years ago, because so many things in our practices weren't relevant back then when we heard them, but they are relevant today. And I would be doing you a huge disservice if I didn't re-release some of these episodes for you to remember, to refine.   to optimize and really truly if you ever need a topic or you're like, my gosh, I wonder if the Dental A Team has anything like this, go onto our website, TheDentalATeam.com, click on our podcast tab and you can literally search any topic. So whether it's overhead or hiring or firing or team morale or engagement or case acceptance or hygiene or associate onboarding or whatever it is, we have so many episodes for you. And so I am going to intentionally be   re-releasing some of the top best episodes for you, pulling back some of the ones that I needed to remember, some of the things that I feel for you to really, really relearn right now and to re-remember, or if it's the first time, welcome. I'm so happy you're listening to it, but I hope you truly enjoyed today's episode. I hope that you share this with somebody. I hope that you go and implement today because we only have one day. We only get today. And so making today the best that it possibly can be. If we can help you in any way, shape or form, reach out Hello@TheDentalATeam.com.   And as always, thanks for listening and we'll catch you next time on the Dental A Team Podcast.  

Hello, Voices of the Bench community. This is Casey Baldwin with Ivoclar. If you've been curious about fast-firing zirconia to improve efficiency but aren't convinced it can deliver predictable, high-quality results, I'd encourage you to connect with us. Our new IPS emax Zirconia, offers multiple fast-fire protocols designed to help you save valuable production time while maintaining consistent outcomes. Time is money in every lab. Don't wait. Reach out today and discover how IPS emax Zirconia can help streamline your workflow. As full-arch dentistry continues to grow, so do the demands on today's dental laboratories. That's why Knight Dental recently launched SimplyARCH Studio, a dedicated production environment built exclusively for full-arch restorations. To support this specialized workflow, Knight invested in an XTCERA milling system and carefully evaluated multiple CAM software solutions before choosing hyperDENT. The decision came down to exceptional milling quality, minimal hand finishing, and impressive production efficiency. But what truly set hyperDENT apart was the implementation process. From the very beginning, the team provided more than software training—they shared the knowledge and experience needed to build an optimized workflow for complex full-arch cases. With proven expertise in advanced milling strategies and laboratory production, hyperDENT helped ensure SimplyARCH Studio was designed for long-term success from day one. Join us at the Race For the Future 12 to raise money for the Foundation For Dental Laborary Technology. September 27th in Valley View, Texas! https://dentallabfoundation.org/news-events/race-for-the-future/ Shawn Nowak from Nowak Dental Supplies joins Elvis and Barb to talk all things NOLA LabFest October 15-17th, including the welcome addition to the speaker lineup: martial arts instructor and business coach Jude Grayson. After Jude's keynote at last year's LabFest, the response was strong enough to bring him back for another keynote and a breakout session. The conversation starts with the obvious question: what the heck does a karate instructor know about the dental laboratory industry? As Jude explains, quite a bit. Having practiced martial arts since he was five years old and built a career around teaching, competition, entrepreneurship, and business coaching, Jude draws a surprising number of parallels between martial arts and business. He talks about discipline, competition, confidence, risk, and his “five-year-old board break moment”—the idea that sometimes the ability to succeed is already inside us, and the right coach simply helps unlock it. He also explains how those lessons translate into working with business owners and helping them recognize opportunities they may not see themselves. The conversation then turns toward one of the biggest challenges facing dental laboratories today: knowing when it's time to pivot. With technology, AI, 3D printing, changing doctor workflows, and the evolving DSO landscape continuing to reshape the industry, Jude's NOLA LabFest keynote will focus on how business owners can recognize when change is necessary, decide when to act, and understand the risks that come with being an early adopter. He also shares some great perspective on failure, competition, and why making a bad business decision doesn't necessarily mean you've lost—the real loss comes when you stop competing altogether. Shawn also gives us a look at what else is happening at NOLA LabFest, including education on AI, social media marketing, employee culture, DSOs, and other topics affecting dental laboratories right now. And, of course, there's plenty of the NOLA LabFest fun mixed in, from the masquerade party and distillery tour to the return of Family Feud. It's a conversation about business, leadership, taking risks, and finding ways to keep dental laboratories moving forward—and it all starts with a karate instructor walking into a dental show.Special Guests: Jude Grayson and Shawn Nowak.

This episode is all about eyes on fall/winter 2026. Tiff and Pam discuss what's top of mind for practices as they look to the final stretch of the year, including stepping up on re-care and reactivation, how to talk about it with patients, and how to make sure it's incorporated into your practice. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team Podcast Listeners. I am so excited to be here with you today. I always am. I literally love doing this with you guys. and I more than that, I love doing this with our consulting team. And I have very, very special women on as our consultant guest today. I have Miss Pam with us today, and you guys have actually not heard from her yet, even though she's been here with us behind the scenes for a little while.   Getting these podcasts like scheduled and in the system and all of those pieces takes a little bit of time sometimes. And Pam is a prized, prized possession in our consulting department. And I am so excited for you guys to meet her. If you work with her already, you are very excited to hear her on the podcast today. I know there's a few of you who are avid listeners who work directly one-on-one with Pam. so I'm excited for you guys to hear from her today.   Pam, I've got you here. We've got the listeners and I'm just so excited to be here with you this morning. You did some prep. I appreciate that. I love the questions and making sure we're ready to go. you prep way more than I do and I value that and you push me to do the same thing. So Pam, thank you for being here. How are you today?   Pamela (01:12) Hi, Tiff. I am doing fantastic. I'm super excited to be here.   Tiffanie (01:17) Good. And you're here in Phoenix as well. We always say we are just so hot and I think we had some rain the other night and I thought by by rain I mean I got some light sprinkles in the backyard and I thought, gosh, this might cool us down and I mean it did, but it was still like a hundred and five at eight PM last night. So how is it you're like forty five minutes ish from me, how is it on your side of Phoenix?   Pamela (01:45) Yeah, we did not get much rain like you. We got like the little pitter patter, but it no, it hasn't rained. I think the storms just go around us. I don't know what's going   Tiffanie (01:55) I think so.   Pamela (01:56) on, but it just makes it humid, so we know what the   Tiffanie (01:59) Yeah.   Pamela (01:59) east coast feels like when there's a little bit of rainstorm coming, but yeah, nothing nothing like the east coast, the humidity, but we do get a little bit.   Tiffanie (02:10) I agree. I always when I travel and and I tell people where I'm from and Pam, I'm sure you have and will continue to experience this as well. When I say I'm from Arizona, everybody goes, my gosh, how do you do that summer? And I always say, Listen, there's a season for everything and everyone, and I don't have to shovel snow, and I love that. And I would take this hundred and twenty degree summer for two months over shoveling snow any day of the week. And Pam, you've done both.   Pamela (02:40) I I have originally I'm from California, so when I moved to Utah to go to college, yes, I experienced shoveling snow and then I raised my kids there. And to be really honest, that's the reason why I moved to Arizona. I couldn't   Tiffanie (02:53) Yeah.   Pamela (02:54) get out of my driveway a couple of times and I'm like, nope, not doing this.   Tiffanie (02:58) No, thank you.   Pamela (02:59) So yes, I agree. I would take the two months of the heat and jump in the pool.   Tiffanie (03:04) Yes, my fiance says the same thing. He had he says that there were multiple times he lived up in Lake Zend, Oregon area. He said there were so many times that he had to shovel out and shovel back in in the same day and he was done and moved to Arizona. So we like to say we don't have a lot of natural disasters or issues here. We just have the heat during the summer. So here we are. I   Pamela (03:26) That's right. Yeah.   Tiffanie (03:27) love it. Well, speaking of seasonalities, I think   Something that's really fun about dentistry is that there's seasonalities in that as well. Everything runs on a cycle, and we like to talk about those cycles within our consulting and Dental A Team runs off of a few different cycles ourselves. And one of those systems, systematic cycles, I shall say, is scheduling and walking into the fall slash winter. The fall slash winter in dentistry is like a mixed bag. I feel like a few years ago.   Everybody was, you know, prepping for September is what we like to call it. And then prepping for October to December to be chaotic and crazy. And then I I really saw a shift within that after COVID. I think the COVID shutdowns were about six months from September, October. And so it shifted and changed quite a bit within that. But we do still see that scheduling really needs to be a high priority in this time period.   And I truly believe with everything I have, whatever we can prep and plan for and take the guesswork out, kind of control what we can and let the rest happen around us and then you know, control what we can within that is the best avenue to take. So making sure that we're looking ahead at things and really taking in those killer systems that can really depict how your fall and winter are gonna go are are gonna be massive. So I wanted to take the listeners here, Pam through a couple of systems and   And again, this is kind of that seasonality. So we chunk it down and we we see every month or every quarter kind of seeing what does that focus need to be within Dental A Team. This is something that we believe is a heavy focus at this time period in this season. So with that, Pam, I really want you to chat through with me Dental A Team systems for sure, but Pam, you've been a consultant and you've been in dentistry for a while, and you've got tips and tricks and tools.   that you brought to our company as well as to the clients that you've served over the years. So I want to pick your brain and speak to obviously Dental A Team systems, but really pick your brain and and kind of see what are some things that you've done in practice, what are things that you're doing with your practices as you're consulting them to prep and plan for this. And one of those spaces and something that's been coming up with a lot of my clients is that recare and reactivation. I know in dentistry and you probably remember this, Pam, I remember this from   years and years and years ago, everything was about new patients. And it was like, how many new patients can we get? How can we get them? Spend on marketing, get the new patients, get the new patients. And there wasn't a lot of focus, I don't think, on the other side of it. So keeping the new patients for sure was never a thought, right? It was just get more. And then the recare piece was kind of an afterthought. It was like, well if the schedule's falling apart and we don't have new patients, then we call on recare. And that mindset   really did a disservice because if we're not taking care of the people that are coming, like what are we really doing? And I think it gave a little bit of a foothold for things like DSOs to step in and really take over, but we're trying to shift that and practices are shifting that model. And hygienists especially are always really concerned now about what's happening with my patient I've already spent so much time with.   So when it comes to recare and reactivation, we'll focus recare first. Pam, what are some things that you hammer in with practices to make sure that that recare is happening, whether it's a new patient or a patient they've had for 15 years?   Pamela (07:05) Yeah, great question, Tiff. And I I do feel like I've seen that same shift as well.   Tiffanie (07:10) Yeah.   Pamela (07:11) So I I think that recare percentage is such a big deal because it does tell us are we bleeding out the back? Are we losing patients that were right in front of us and we could have scheduled them right then? That is the most effective and efficient way to do that. I I tell hygienists give the patient   A reason to return. Like notice an area that tells that says, hey, I'm well, I'm looking at this area. Your upper right is having a little inflammation and some, you know, I got just a little bleeding, not anything to worry about, but I'm gonna note that and write it down in your notes so they see you noting it, right? And   Tiffanie (07:56) Yeah.   Pamela (07:56) that you will come back to say to them, I'm I'm really excited to see you in six months. And when you come back, we're gonna check.   check on this and and just you do a great job with your home care. Just do a little extra on that upper right side and we'll see what you can do at home.   Tiffanie (08:15) I love that because you're really   focusing in on them being seen, you know, and the value of the cleaning. I think we oftentimes say, you know, let's get you scheduled for your next cleaning. And it's like, well, I schedule my next carpet cleaning when it's needed. And I know you're really heavy on the verbiage and the way that we speak about it as well. And and us as a company, we use things like you guys have heard of NDTR.   the handoff and the reason that the recare is in there is because we want to put the value on the appointment and not just that routine cleaning. So setting that up where it's like, hey, we saw this, we're gonna check on this when you're when you come back in and then you look at your dose and you do it really sets the value for the personalization, the relationship, and it changes the script on the value of the quote unquote cleaning. What is it I'm trying to remember as I'm speaking palm and I'm not it's not coming to me.   What is it that you there's something that you change and I can't remember what it is or you you coach practices through how to speak to scheduling that recare appointment and I can't I can't think of what it is. What is it?   Pamela (09:24) Yeah, yeah,   no, I know exactly what you're talking about. So I I teach teams to say something like, you know, we consider this a confirmed appointment as a courtesy. We will always send you text reminders by email, you know, let's make sure, let's go up front. You said you didn't get one last time, let's make sure we have the right phone number on on file and   If you happen to have a change in your schedule, please let us know 48 hours in advance. And that way we can get you back in. But I really want to check on that one area so that you go back to that reason to return as you're doing that handoff. But I like saying that it is, we already consider this confirmed.   As a courtesy, we are just going to send you those reminders. So it's an easy   Tiffanie (10:14) Yeah.   Pamela (10:15) way to kind of also inform and remind your patients about your cancellation, or we don't say cancellation, right? About your about your   Tiffanie (10:24) Yeah. Confirmation process. Yeah.   Pamela (10:27) exactly. Yeah.   Tiffanie (10:28) Yeah. Yeah. I love that. And what you did there too is they're scheduling in the back office then. So it sounds   Pamela (10:33) Yes.   Tiffanie (10:34) like you've got hygiene scheduling their next recare, which I think allows for that personalization again and that like importance that's being placed on it. Not to say that other appointments aren't important, but they're coming up quicker. And so when the when you're tied to the hygienist and that is the person you're coming to see, I mean, we've all experienced where   a patient, you know, gets switched to a different hygienist or the hygienist maybe moves out of state and they're no longer seeing that hygienist. They're like, wait, where's Joanna? Like I've been seeing Joanna forever and they're a patient of the practice, but they get attached. My fiance's very attached to Amy at his place. Like I've never even met her and I know I know about her because he's very attached to her. The kids are attached to her. And that places value on the appointment and makes it more difficult for us to cancel it.   Now recare is phenomenal, tracking that, making sure that there's like in the background, there's constantly recare efforts going on. So we're making phone calls, we're sending out the emails, coming up due, do now, past due reminders, all of those pieces are always happening. Pam, something that I struggle with. practices. If you're busy, what tends to happen is we're like, well, we can't if I can't fit   appointments in my hygiene schedule. So I'm not going to call on them because then I'm just disappointing patients. The likelihood of them answering is very slim. And so when you reduce your outgoing efforts, now you need the schedule full and you're just igniting those efforts. You're not going to see a result for probably 30 to 45 days realistically, because it takes like four to seven times your effort to get that return back in. So I beg of you   Please make sure no matter how busy your schedule is, you're always doing recare efforts to help you keep that schedule busy. Something that I love to do with my practices, Pam, I think we all do, is really, really, really capitalize on the patient base that they have, not just active patient base. But there's some some practices have been around. I've got one that's been around for like 30 years. It was his grandfather's, it was his dad's, now it's his.   And they've got like 19,000 patients in their database and like six thousand active patients for three doctors, right? So I'm like, you guys have thirteen thousand patients that haven't been touched. And I'm not saying everybody's got thirteen thousand, but everybody has inactive patients. Every month patients go inactive. That's your attrition rate. Every month patients are sliding out the back door, like Pam talked about, and we're focused on new patients. You got 24 new patients, but you lost five.   You only have nineteen patients added to your patient base. So those five patients, when are they being touched on? So that reactivation program or campaign, I really have them focus, Pam, on those patients who are not active in the practice and just getting touch points onto them like emails. You can do phone calls too, but really making sure we're hitting those people who have an established relationship, just maybe haven't come in, they forgot. What do you what do you do?   Pamela (13:43) Yeah, no, I I love that and I think that's really true. I think sometimes in dentistry we think we haven't seen them in 18 months, they've forgotten about us,   Tiffanie (13:52) Yeah.   Pamela (13:53) but I don't think so. I think that they still think, that's my dentist. And   Tiffanie (13:58) I agree.   Pamela (13:59) right when they even if it's been two years and they haven't been in, you know, people may not be as conscientious about coming every six months. That's okay, but we still want to reach out to them and whether that's by email, whether   It's you're making you know a big email campaign to reactivate those patients, or it's a texting program, right? That you have. I think you know, look for those patients that haven't had an exam and reach   Tiffanie (14:27) Mm.   Pamela (14:27) out for those patients just to get them back in. And like you said, it takes some time to do, but when they are prompted, I think, and they know that you care, they're more likely to just give you a call. And in this day and age, I've   believe a hundred percent what you said people are not picking up their phone right yeah so it's yeah I might pick it up either I don't pick it up either unless I recognize the number so   Tiffanie (14:47) Yeah. Yeah. I'm not. I no ain't nobody got time for that. No. Yes.   And I'm ready to talk to them. I still have to be ready to talk to them. I have to be in a space. I have to be in a mindset. I have to be ready to engage in whatever this conversation is that's about to come. So even if I recognize the number, I'm like, I don't really have the space for it right now. So I will call you back. And then six months goes by and I'm like, wow, I never did that.   Like I never I never finished that. So then two years goes by, right? I have a friend that was we were messaging on Instagram just last night about her wedding and our wedding coming up and all of these pieces. And she's like, I can't believe how big Brody is. And we realized my son is 18. We have not seen each other in person since he was a baby. She lives three hours from me. Like we put that together and I was like, gosh, but the reality is it didn't feel that long. It felt like   It was just the other day because we have this this social media connection, right? She's in front of me. And so it felt different. And so when we're in front of the people, even our email correspondences, things like that, if we're in front of them, that time passes differently. It doesn't feel as long into your point, Pam. With all of those correspondence continuing to go, you still feel like that's my dentist, right? That's my practice, like that's who I'm going to go to.   when I'm ready and how many patients have we answered the phone for and they're like, my gosh, I can't believe it's been two years since I've been there. I'm like, time really does fly. so the reactivation campaigns are huge. And to me, I think of those patients almost like new patients, right? Because they haven't been seen. And so they they need a full workup. They need all of the pieces. You didn't spend any money to get them.   And their appointments are easier because they already have a relationship with the practice. So it's way less work, time, and money to reactivate people than it is to continue to search for new patients. Let the new patients come in, let the new patient flow be there, and reactivate patients simultaneously.   Pamela (16:59) Yeah, a absolutely. And I I love your point that it's just it's should be part of our processes. It should be part   Tiffanie (17:05) Okay.   Pamela (17:06) of our systems. And you know, if we tend to let that go, we're letting a huge opportunity just pass us by. And just if we focus only on those eighteen months patients, you know, we're doing a huge disservice truly to our   Tiffanie (17:20) Absolutely.   Pamela (17:21) patients. And I I think it's really wise to keep that going. you know, whether that like   you like we said an email campaign or a texting campaign and just put it on a system so you know whatever that is tackle it by you know x amount of patients per day per week however you're gonna do it just systemize systematize it so that you are continuing to hit those patients reach out   Tiffanie (17:49) Yep, I   have a practice I talked to about this last week and she was like, Well, do we do this every month? And I'm like, actually, you're gonna do it twice a month. And you're gonna have one that's 18 to 24, and then you're gonna have one that's 24 plus, and they're gonna go twice a month because every day someone new falls into one of those categories. And so no matter what, you're hitting them multiple times in the foreseeable future, and eventually they're either gonna call back and say, Hey, we moved out of state.   Or they're gonna call back and say, Thank you so much for sending fifteen emails. You finally got my attention and I'm scheduling this appointment.   Pamela (18:23) Yeah, and and that's a really good point, Tiff. Like being conscientious and really aware of when you are deciding to delete a patient, right?   Tiffanie (18:36) Yeah.   Pamela (18:36) I think there needs to be some actual communication and that you've talked to that patient and they say, Yes, I have moved, and you don't know what happened. They could have said they were gonna move and they didn't, you know. So and then we just delete them out of our system, and I I don't think that's   right thing. I think we need to be really aware and have have a system built in. If you have talked to the patient and they told you that they have moved, then okay, I get that. But we don't just go deleting patients willy-nilly.   Tiffanie (19:10) I totally agree. I totally agree. And even I have doctors that are like, well, I just purchased this practice, right? So like I need new patients. And I'm like, my gosh, phenomenal. Everyone who's ever been in that practice is a new patient to you. You've already paid for them. So let's get as much as we can out of that before paying for more new patients.   Pamela (19:30) Absolutely. And I have several practices like that right now that have just purchased in the last two years. And I remind them of that constantly because they, you   Tiffanie (19:39) Yep.   Pamela (19:39) know, and and right we hear this all the time in dentistry. I need more new patients. I need you have a gold mine sitting there. And so   Tiffanie (19:48) Yeah.   Pamela (19:48) go go mining. Go get them. They're   Tiffanie (19:50) Yes.   Pamela (19:51) yours.   Tiffanie (19:52) Yes. I agree. I agree. And when they say the team says, I don't have time, great, let's strategize and let's find the time. And like you said, Pam, like so many things can be automated right now. And I think everyone prefers the automation at this point. It's not I think in twenty eighteen to like twenty twenty two we were really still fighting that automation piece. But now it's twenty twenty six at the time of recording this and we are we are ready for it. Just allow to use it. Yeah.   Pamela (20:19) I I agree a hundred percent. Like we can do more in the dental let's not stay back in those ages. Let's move forward to, you know, with   Tiffanie (20:27) Yes.   Pamela (20:28) the times. And I it just makes life easier anyway because people are oriented that way now. So   Tiffanie (20:31) Yeah. I agree.   Pamela (20:34) yeah, so I think great point. Love it.   Tiffanie (20:36) Always impressed me how dentistry can be so forward thinking and have so much tech in the back office, right? We've got C B C T scans that were never there when I was physically in office. We've got all these scanners, we we're making crowns in office, they're making dentures, they're painting dentures and doing this in office and blowing my mind. But we still have paper charts in some offices. Like I can't   I can't understand, my brain can't understand the difference, the stark difference in the back office versus front office, like forward thinking and and movement there, the advances.   Pamela (21:13) Yeah.   I I could not agree more and you know   Sometimes we have people that are just sort of stuck in doing that   Tiffanie (21:20) Okay.   Pamela (21:21) and that that's okay. But embrace it because I I'm gonna tell you it will make your job so much easier to embrace that   Tiffanie (21:28) I do.   Pamela (21:29) technology. And I think the front office is more difficult to move to that direction. You know, when I go in an office and I see them handing the patient a paper chart, I'm like, okay, well, and and that is applicable in a lot of areas. Okay, in some places, I get that, but   And you know, digital is the way of the future. We need to catch up. And once you make that switch, you will go, my gosh, this is amazing. It's so awesome.   Tiffanie (21:59) I agree.   I totally agree with you. Yeah, I love it. Well, I think those are two incredible systems that really truly help build a profitable schedule and help prep for if you're gonna have a September, have a September, but also it helps prep you for even the busy period. It just keeps it consistent. And when you can build that consistency into anything in life, it becomes less chaotic, especially when you can build the consistency back into your schedule, whether it's hygiene.   or doctor side, these patients have to come in somewhere and they will all be caught within a recare system andor a reactivation system. So Pam, this was incredible. I I knew it was going to be amazing. I knew it was going to be very easy. Thank you for your time today and everyone, all of all of our listeners here today, if you're interested in these, obviously reach out. If you don't have them in place or you're like, gosh, maybe you guys have something that's a little bit different.   Reach out Hello@TheDentalATeam.com. We're always happy to share as much information as we possibly can. You can also go to hello, nope, to TheDentalATeam.com No, hello. You can go to TheDentalATeam.com and you can always schedule a call with us to chat about any of these pieces. Hello@TheDentalATeam.com, TheDentalATeam.com. And as always, leave us a five-star review so that we know that you loved and enjoyed this. Pam, thank you so much for your time today.   I know we had to reschedule this as well. Thank you for being flexible with my schedule. you are an incredible consultant and you are so valued on our team. And I cannot wait for all of the listeners to hear this. So Pam, thank you.   Pamela (23:34) Thank you, Tiff, it was a pleasure.   Tiffanie (23:37) Of course, of course. All right, listeners. if you are driving, go sit down somewhere, listen back to this, take some notes, reach out to us, hello at the dunalytime.com, and as always, have an amazing day. We'll catch you next time.

Your practice management software holds plenty of data, but is it giving you the insights you actually need to grow? In this episode, Dr. Len Tau sits down with Vin Cardillo, founder of Pronto Dental, to discuss why tracking the right metrics matters more than simply collecting data. From profitability and benchmarking to missed phone calls and perio performance, Vin shares how dentists can make smarter decisions, improve accountability, and build more profitable practices by understanding the numbers behind their business. Vin shares how aggregating data from multiple systems including practice management, accounting, HR, reputation management, and phone systems creates a clearer picture of practice performance. He explains how benchmarking helps identify opportunities for improvement and why focusing on a handful of high-impact metrics can dramatically increase profitability. The conversation also explores common areas where practices lose revenue, including missed phone calls, low periodontal treatment rates, accounts receivable, and underutilized production capacity. Vin discusses the importance of accountability, consistent SOPs, reviewing monthly financials, and using data to build confidence as a business owner. Whether you're a solo practitioner or growing multiple locations, this episode offers practical insights to help you run a healthier, more profitable dental practice. What You'll Learn Why your practice management software alone isn't enough. The value of combining data from multiple systems into one dashboard. The benchmarks every dental practice should monitor. How missed phone calls and poor scheduling impact revenue. Why periodontal treatment rates are one of the biggest missed opportunities. The financial metrics every dentist should understand. How data creates accountability throughout your team. Why confidence in your numbers leads to better business decisions. — Key Takeaways 01:00 Introduction and guest welcome 04:00 What Pronto Dental is and how it works 07:22 Why every practice needs a performance dashboard 12:30 The limitations of relying only on your practice management system  14:40 Understanding your P&L and key financial metrics 16:53 Benchmarks every dental practice should monitor 21:01 The most overlooked metrics in dentistry 23:20 What private practices can learn from DSOs 24:04 Low-hanging opportunities to increase profitability 26:05 Avoiding data overload and taking action 28:01 The biggest benefit of using performance data 29:18 Building accountability through measurable metrics 31:51 Lightning Round 36:35  How to connect with Vin Cardillo and closing remarks — Connect With Vin Email: vin@prontodental.com Learn how Pronto Dental helps practices aggregate data, benchmark performance, improve accountability, and uncover growth opportunities across every area of the business. Vin also offers 20% off the onboarding fee for listeners of the Raving Patients Podcast when you mention the show.   — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

Why fear—not dentistry—is holding practices back The mindset shift from blaming PPOs to taking ownership How trust drives treatment acceptance more than sales tactics Why dentists should stop letting insurance dictate clinical decisions Lessons learned from 40+ years in dentistry and Dentaltown Howard's perspective on DSOs, private practice, and entrepreneurship Why AI will augment dentists—not replace them The importance of surrounding yourself with positive, growth-minded people Building a practice culture that patients and employees love Why comprehensive dentistry creates better outcomes for patients and practices Howard's advice for young dentists entering the profession Practical leadership lessons every practice owner can implement immediately Resources Dr. Howard Farran

In this throwback episode of the Group Function Podcast, Alan Mead sits down with two titans of dental podcasting: Dr. Mark Costes and Dr. Paul Etchison!  Together they decode the rapidly evolving world of Dental Service Organizations (DSOs). They break down complex industry jargon like EBITDA, recapitalization, and same-store growth, making it easily digestible for independent practice owners. The trio explores the transition from the initial wave of practice consolidation to the modern, highly discerning private equity landscape. Between dropping heavy business knowledge, they also take a nostalgic detour to reminisce about feral 1970s and 80s childhoods, riding bikes until sundown, and the ultimate debate: Star Wars versus He-Man. Mark and Paul use quite a few terms that you might not be 100% familiar with. I had heard them kicked around, but before the conversation starts, I list a couple definitions that you might find helpful: DSO: Simply put, DSO stands for Dental Service Organization. A DSO is a company that helps administer the business aspects (management, marketing and business administration) of the dental practice. EBITA: EBITA stands for "Earnings Before Interest, Taxes and Amoritization." It is a measure of profitability that a potential investor can use to evaluate a potential company or practice. It's used help make "apples to apples" comparisons between potential investments. EBITA is calculated from financial data reported by a company. Many DSOs valuate dental practices as a multiple of their EBITA. same store growth (or same store sales): a measure of growth used by a DSO to know how well an individual practice within the DSO is doing. A DSO will want to know how well the individual practice is doing vs. the entire DSOs growth. The idea is to invest in a practice that has potential to grow in it's own location separate from its relationship to the whole DSO. Private equity (or PE): a type of investment where investors buy shares of privately-held businesses. Private equity is the money supply that has driven the DSO revolution in dentistry (and many other industries). Private equity money expects a return on their investment much like any investor would.  Recapitalization (aka: recapitalization event): "the second bite at the apple" according to Mark and Paul. Recapitalization is the restructuring of a company's debt and equity mixture, and/or financing. This is usually done to stabilize a company's capital structure. In the context of a DSO, recapitalization might be the sale of a smaller DSO/group to a larger one and/or the buying out of dental owners. Some links from the show: Dental Success Network (Mark's stuff) Dental Practice Heroes (Paul's stuff) Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

What if I told you that much of what you're hearing about OSOs, DSOs, private equity, and debt is missing the context you need to make an informed decision about your practice?In this episode of Five Minute Friday, I break down some of the fear, misinformation, and clickbait surrounding private equity-backed orthodontic organizations. After receiving dozens of questions about the financial health of OSOs—particularly following a recent article—I want to explain how debt, refinancing, equity, and partnership structures actually work in the private equity world.This episode is not an argument that every orthodontist should join an OSO or DSO. It is a call to educate yourself, understand the structure of the deal, and stop allowing fear or industry rhetoric to make major financial decisions for you. My goal is to give you context so you can evaluate whether affiliation is right for your practice, your family, and your long-term goals.

There's a lot of noise surrounding OSOs, DSOs, and private equity. In this episode, I sit down with Jay Hedrick, CEO of Smile Doctors, to cut through the myths and have an honest conversation about how these organizations really operate. Whether you're completely independent, already affiliated with an OSO, or simply curious about what these partnerships look like behind the scenes, this episode will give you the perspective most orthodontists never get: direct access to the CEO of a multi-billion-dollar orthodontic organization.We dive into leadership, business strategy, private equity, equity opportunities, culture, joint ventures, de novos, and what it actually takes to build a sustainable organization that benefits doctors, teams, patients, and investors alike. This isn't a sales pitch—it's an inside look at how high-level business decisions are made and what every orthodontist should understand before making one of the biggest decisions of their career.

Private practices — ever feel like you can't win against the DSOs? Kiera talks about what your practice can continue to produce that DSOs, with their multiple locations and bigger budgets, can't replicate. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera, and I am excited. Today's gonna be a fun rift of a podcast for you. It's gonna be like, can independent practices like private practice still beat DSOs if you want to? This isn't a rag on DSOs, it's not a rag on private practices. It's just can private practice, independent practices still win against the DSO? Because I think a lot of people are losing faith and confidence and feeling like if I'm not a part of a DSO, I can't win. So I wanna just tickle our brains today.   Think about it in a different way and let's have a fun rift because you remember this is the best place. Dental A Team is the place where we are obsessed about helping you have your best life. We call it the Yes Success Model, where we focus on you and your vision, earnings and profitability, and then systems scale and structure for you. So that way you've got the systems, the structure, and the scalability for long term. I'm obsessed with helping teams and doctors align. I'm obsessed with dentistry. My last name's Dent for crying out loud. I love this. So let's do a good rift. Let's talk about.   Can we really still win? It feels like DSOs, they got so much money over there and like they don't have to worry about margins. But I don't think that that's necessarily true. And I do believe last year, now I believe I know, DSOs had their first down year last year. So like I said, there is no I don't have a dog in the fight. My dog in the fight is which I don't even know where that phrase comes from. So if someone wants to pen pal me and tell me about this, I mean I could sure I could look it up. But like if you know, send me an email, Hello@TheDentalATeam.com. I'm Kiera. It's fun. It's fun to have a good pen pal over there.   But I I think my dog in the fight is what's gonna be the best for dentistry long term. That is my dog in the fight. I wanna make sure that we as a population, money talks. I don't blame you. Getting a good multiple for your practice, like, why not? You're in you're in the golden era of dental practices. Or so they make it put on paper. Make sure it really is the golden era for you if you choose to go that route. and a lot of people have been very happy. A lot of people have also had the shorts burned off them. Tell me why that's a thing too. Like,   How does someone get their shorts burned off them? I also want to know that phrase. I'm here for the phrases today, too, on the rift. And also, I'd love to know your opinion on this. So I'm gonna rift on my side and then shoot me an email. I'd love to hear. Hello@TheDentalATeam.com so okay, the rift today. DSOs are all like, okay, let me just go back, backing it up. Ultimately, I hope that we preserve the sanctity of great dentistry for patients forever.   That's my hope. I don't care if it's DSOs, I don't care if it's private practice, I don't care what it is. But I do not dental practices are businesses. I also work in dentistry as a clinician. And I'm not okay with us squeezing margins and compromising care to hit margins. To me, that's just unfair. It's unfair for patients. I look at a lot of things in our healthcare system and I don't love it. And so I think that dentistry has been kind of the wild, wild west, and we've stayed out of a lot of it. And so I just hope that while we make   Decisions financially and personally, I hope that we think about our long-term consequence. And that comes for a lot of new ones. I think that there's more senior doctors who have been in dentistry for a long time. Like they're not as worried about the multiples. I think a lot of our newer doctors who have a lot of debt on this, there's an easy cash payout. I would just say and a caution and an ask is let's just remember that we've had pioneers ahead of us who have paved the way.   Let's continue to be those pioneers that are able to preserve and sanctify dentistry, whether that's through DSOs or private practices. So that's Kiera's dog in the fight. And I hope that you agree. And maybe you have a different opinion. So like let's have a good conversation. This is what we talk about in our monthly masterminds. So come chat, hang out. I'd love to have you there. okay. So can we win? Here are some thoughts of how private practices can still win against DSOs. So like DSOs, they do have more locations. They got bigger budgets, they've got bigger teams.   But I do feel like there's still things in private practice that DSOs can't replicate. So I think the biggest threat is if you feel like you can't compete and you give up because there are ways and you can still win. you don't have to outspend a DSO. You don't need to out execute them. I do think that there's still competitive advantages. And so really leaning into whatever is going to be best for you. And again, remember, my my long term opinion is let's just make sure that we protect and sanctify dentistry for the health of our patients. And yes, I want you to be a profitable business owner.   I think you can have both. I don't think it has to be one or the other. DSO or non-DSO. Now, private equity. I do have my opinions about private equity and I don't believe that they're always there for ethical reasons. and so I just say like make sure that the decisions you're making with your practice and your patient is going to help long term, the greater good. So those are my two cents on it. So anyway, just we work with a lot of practices. So I think that there's still ways that you can still compete against large corps, corporations. So number one.   I think is independent practices, private practices, they have a connection that I think a lot of DSOs lack. DSOs tend to have a burn and churn model. So patients actually knowing their doctor, trusting their team, feeling remembered, feeling valued, and making sure that it's not a constant churn. Now I will have a call out. There are a lot of private practices that I know that are also on a burn and churn. They're churning associates left and right. They're turning team members. I get that it's hard right now, but I will say that if that's your practice, you are not competing against those corporate organizations that have.   run of the mill doctors. So I think that private practices can have a consistent provider relationship. I absolutely hate going to the dentist. I actually have transferred away. Like I can get multiple doctors across the road, guys. I don't know if you know what I do for a living, but I work with a lot of dentists. So if I want sporadic care, aka I go into one practice, but I see different providers all the time. And I know we have the whole phrase of they're provide their patients at the practice, which is not wrong.   But I'd say the more consistent you can have of team of providers that's going to help you win. I'm not saying to keep team members just because of longevity. I am here to say though, consistent provider relationships I do think will outshine. Just like I hate getting a new hair person, I hate getting a new nail person. People don't like to change that. So I think that that's going to be a zone for you. So personalized experience and long-term patient loyalty. Those are going to be   key places that I think private practices can win. Now, DSL is listening, guess what? This is your edge as well. Like this is how you can have an edge. And ultimately we're all here for it. But these things need to stay and maintain. so I do believe that patients who see the same doctor, the same team for years are much less likely to leave based on price or convenience. Like they're going to stick with you. Why why? They don't want to change that up. I don't want to go show someone else my mouth and have that awkward moment where I just   Don't like I don't have this, so just know that it's a space where like you gotta you gotta be connected, you've gotta help them feel seen and known. And I do believe that that's that is a zone. Daos are gonna scale systems, but like being able to scale genuine relationships, I do think is a harder thing. So in private practices, watch yourself. Look to see do you have those genuine connections? Are we scaling genuine relationships? Is that something that we're doing in those personalized pieces? You can stand out and still scale and still be profitable. So   I just think maybe like if you're looking at this, looking at your team, wanting to have a reflection, what's a way that we can connect and create more personalized patient experiences? How can we keep like, if we want to keep a patient for life, what's gonna make them want to choose us consistently? If there's a competitor of price, if there's a competitor of convenience, how do we make sure those patients stay loyal to us? another thing I think that private practice can win on is believe it or not, in private practice, you can typically move faster.   So I know a lot of people when they interview coming to Dental A Team coming from large organizations, like, I love that there's not as much red tape, Kiera. I love that you can move quicker, that we can make decisions faster, we're more nimble. And I think that that is a a huge selling point for private practices to be able to out outpace. You can have faster decision making, you can have faster implementation, you have less red tape, you've got greater flexibility. That can also create chaos. We gotta make sure that we don't we don't flex too much. But   If patients are wanting something, we can usually make those calls. We can have a more personalized experience. We can have like great water bottles. We can have different things that make patients have it. So, like you can change scheduling systems, you can change patient experience protocols, you can have like different pieces that your patients can recognize and see. Where in large organizations, a lot of times it does take like months to implement these items. So I do think agility does create opportunity. And so for you to just look at this and think like, all right, what ways can we be more flexible, more adaptable?   Like you don't have to have permission to improve things. So if you don't have to have permission to improve, what are we waiting to improve? What things could be improved upon? How can we make a better patient experience? How can we make a better team experience? there's a doctor that I was talking to the other day, and he said, Kiera, I have like a lifestyle practice and I want to attract team members for that lifestyle practice. And I just thought, like, how crazy cool is that? Because I think like that is the agility, that's the flexibility of a private practice that also makes it a great working place.   For team members. Like it's not just about patients, it's also about team and attracting those. So that's another zone where I think private practice can still outpace a DSO for sure. and then I do think that systems can win more than size in a lot of ways. So a lot of times we think bigger is better. And I know a lot of times I'm intimidated as a smaller business, if you will, smaller, medium sized business compared to large organizations. You're like, they just have all of it, but it's not true. So   I've seen in a lot of our practices very profitable independent practices, really strong leadership, great patient experiences, clear accountability. And you actually can have scheduling protocols and case acceptance systems and leadership systems and financial systems. Smaller scale practices can actually have great, incredible systems in place. So I do believe that a well-run single location or maybe two or three locations oftentimes will outperform on profitability than larger organizations because of.   execution is a lot stronger. So it's having those systems that are clear, having those and I know a lot of people are like, but what systems? And our team kind of boiled it down. There's about like 10 to 15 core systems that every practice that they'll implement and execute on, they're going to thrive. And it's scheduling case acceptance, leadership, like our billing protocols, things like that, morning huddles, very basic, non-sexy, but having those systems is going to be much grander than size.   And the larger you get, yes, they try to implement these, but I do still feel like those systems can create those predictable experiences. They can have a more customized experience. And then if we don't like it, we can pivot that system, we can refine that system, we can make it better. So I just think it's like, how do you have the best run practice? Not necessarily the biggest practice. And so I would look at your practice and what are the systems? What are the gaps? Where do we slip? Where do patients maybe fill that? Where does our team fill that? Let's fix that. Let's organize that. Let's let's have that. That way we're able to.   To be able to outpace. And so there's lots of ways. I think having those genuine connections, making sure that we've got systems that grow with us, having strong leadership teams, having a great, like, I don't know, community feel. There's just something different. Think about it. I have a fee-for-service chiropractor versus corporate chiropractor. I've gone to both. And one is like run of the mill. I come in, I'm out, checked in, checked out, it's cheaper. But they don't know me. They don't have an experience. They don't spend time with me. I do think time that doesn't mean like,   10 minutes, it means genuine connection time. Those things you still can win. And believe it or not, a lot of our practices are sitting at 20, 30, 40% profit margins. You can still be very profitable and not need to be in a DSO. They have a ton, they can scale a lot, but I also think there's an autonomy piece, there's a creativity piece, there's a branding piece of you being able to brand your location as you, to be able to give an experience that is very custom to you, to your audience. So I do believe that there's still a way that private practice can.   win against DSLs. I think there's space for both. I don't think one's right or wrong. But again, like I said, my dog in the fight is whatever we choose to do, whatever pieces we're doing, let's just remember to keep the sanctity of dentistry pure. Let's make sure that we're doing what's in the best interest of our patients. Let's make sure we're not cutting corners on dentistry. We're not trying to fit people in to hit production goals just to hit production goals. We're not compromising the the products that we use to be able to to hit the right profit margins. I believe that   being the best for our patients will always, always follow profitability. So with that, right now, let's remember, like relationships, you get it. You guys also have speed and flexibility and agility. And you also do have systems that you can put into place that will like beat size. They have other things. They've got billing, they've got it, but think about it, you're gonna sell to them anyway. You might as well get those things in place and you might as well try on your own. So   You think they're gonna take over all your problems? You can do this on your own and you don't have to sell your practice. I had a dentist who was wanting to sell his practice. He's like, Kiera, I'm gonna sell to a DSO. And I said, Great, like I'm here for it. Let's rally. And then he's like, I said, let's just think through. Like when they buy you, what are they going to do? He's like, they're gonna expand the practice and they're gonna put systems into place. And I said, Well, do you wanna do that? And he was like, Yeah, like I'm gonna sell to them and they're gonna make all the money on the things that I could just do. And I was like, I'm really proud of you because you're exactly right.   So if they're gonna do that anyway, why not do it yourself and reap the rewards? We're here to help you. I helped that practice. We went took them from eight eight ops to 15 ops. They're doing amazing. They're on track to be a five million dollar practice this year. All those things the DSO would have done. We were able to put the systems in place, build the leadership team, expand the practice. They're crushing it. They're doing incredible over there. So again, flexibility, agility, great patient care. And where they go, because people are like, well, a DSO is the only person who's gonna buy me. That's not true. Stop limiting yourself.   There's lots of people. There's lots of options. Do you know how many people come out of school wanting to buy? They come out and they do want to buy. So don't limit yourself, you guys. People are like, they can't afford homes. That's not true. There's a lot of people willing to there might now need to be two partners instead of just one partner. It's okay. It's gonna look a little different, but that doesn't mean that that's the only option. So I really do think that private practice dentistry can absolutely thrive. I do believe that the practice is winning today, DSO or private practice.   Aren't the ones with multiple the most locations? They're the ones with the strongest leadership, strongest systems, best connection, best patient care. Those are the ones that are winning. So look at it. Do we have the best leadership? Do we have the best systems? Do we have the best patient connection? Do we have the best experience? And if so, fantastic. Make sure that all your patients know it. Make sure that people are talking about it. You guys can do this. I love helping private practices. Whatever your dream is, whatever your goals, if it's DSO or not, I don't care. I just want you to have your best life. And like, hey, before you sell, maybe let's chat.   Let's talk about it. Let's see if there's a way that we could actually take that load and that stress and that annoyance off and you reap the rewards before you go and sell. there's so many ways that we can do this. So reach out. Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

Tiff and Kristy address why the doctor (or the practice lead or the OM) always end up getting sucked back in to answer questions they shouldn't have to. The pair also gives solutions on how to curb this automatic approach, including establishing clarity, providing the right resources, and being patient when things go wrong. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review   Transcript: Tiffanie (00:00) Hello, Dental A Team listeners. I am back here with you on the podcast. I love being here. I love what we get to do, and I love more than any of that podcasting with Kristy. And I hope that you guys have taken the time to get to know Kristy, that you've seen her on other podcasts, but also that you maybe have chosen to work with her. She's got some incredible clients. Kristy is full right now in the in the the   recording of this podcast, but she is really awesome at sneaking in some room there too. We do take advantage of that sometimes. So Kristy, thank you for being here. If they don't know you, I hope they go and figure out who you are. They go scope you if you get some more Instagram follow requests or wherever you're at, just know that's my fault. So good morning Kristy. How are you today?   DAT- Kristy (00:49) Good morning. It's a good morning. I love starting my day, actually starting my week and getting our time together because so many times we don't we don't get to work with each other. So yeah.   Tiffanie (00:54) Yeah.   I know. I agree.   I agree. We have like one half hour a month that we pre schedule to make sure that we can connect. but I love that I do get my podcasting time with you guys too. There's more consultants now, so it's spread out a little bit thinner. but when I when I can, I love getting my time with you ladies. So thank you. Thank you for making this easy on me. I'm actually really excited for this   Topic today. And just so you guys, you listeners, know the topics, they come from the marketing does a lot of research. Our marketing company, our marketing team within our company, does a lot of research on what some hot topics might be, what dentistry is going through right now, kind of just different areas and different facets of life. And so they do come up with some incredible, incredible topics that we love to spin off of.   And with that, if there's ever anything that you guys are experiencing in your world, I want you to know Hello@TheDentalATeam.com is the easiest place to reach out to us or on our website, TheDentalATeam.com. There's a little like chat with us. You can reach out to us and let us know what you're experiencing. We are more than happy to help dive into your cases and kind of figure out what it is. But also that leads to some great podcast topics as well. So if there are things that you want to hear more of.   or less of, by all means, please reach out to us, let us know what your thoughts are, because we'd be happy to add some things into the mix as well. So, Kristy, with that said, I'm really excited for today's topic. I think that this is something that no matter what time of year it is, is relevant. And I know that we work with a lot of leaders, a lot of CEO dentists, a lot of owners, a lot of leadership teams, office managers, regional managers.   DSOs, like we work with a slew of ranges within the dental industry. And something that I think consistently comes back for all of us. And I think Kristy, you and I actually experience this with the level and the size of practices that we get. We experience it quite a bit. And we've experienced it in our own company. Kiera, I love you. We've experienced this a lot in our own company of   DAT- Kristy (03:12) Ha ha ha.   Tiffanie (03:16) not knowing where to go for a decision, so you go to the person that you know can make the decision, I guess is the best way to say it. And we've got a lot of doctors that sit in a dental chair, right? They're in their chair and they've got a drill in a hand and a mirror in a hand and their loops on their head and they're drilling. And they've got somebody in the background asking them where they order their paper from, right? Or something, right? Like the the plumber. Well what plumber should I call? Because the   Toilets plugs. Like I there's a ridiculous amount of questions that are going on behind the doctor. and it and Kristy, the conversation today is is that the right person? Right? And why? Because I think we both get this question from our doctors, why are they asking them? Right? I my doctors are constantly like, Why me? Why me? Like, well, you're really special, right? Like they   I trust you so much. You're just so special. And a lot of it's self-created. We can dive into that. But when we're when we're really truly looking at the end all be all, and you've got your dentist and you've got your CEO, you've got your your different positions within the practice, what are the most common reasons or let's go off of one, Kristy, that you see most frequently? Why is the dentist the one that they go to?   DAT- Kristy (04:13) Yeah.   Yeah. I love this topic as well, Tiff. And I think just for clarity, this can even work for your your practice leads or OM, you know, a lot of times, I I I told you earlier in one of our podcasts that we create our own problems. And I believe that a lot of times this is our own creation too. Again, not not by choice, you know what I mean? But we have to paint clarity.   Tiffanie (04:47) Absolutely.   DAT- Kristy (05:08) We have to paint clarity for our team on what things they are free to handle and what things you want coming to you. You know, number one, paint that clarity. And then number two, give them the resources to do it. I'm gonna try to remember the saying, but it it goes something about, you know, our job as leaders is to know how few decisions we have to make truly in a day. And maybe that's scary, right? That's a scary thought, but   Tiffanie (05:16) Yeah.   DAT- Kristy (05:37) Truly, as the leader, I think you have to paint that vision for your teams and then just continue to reinforce that. Because a lot of times your team's gonna have better answers than you do, even. So clarity, yeah, one hundred percent. Clarity number one. Clarity number one for sure.   Tiffanie (05:51) Mm-hmm. Mm-hmm. And resources.   Yeah.   And I think within that making sure that you have clarity on what w the directions that you're going for one thing, right? Like what how do I make this decision? Because I'm I'm making this decision based on on the end goal for the practice, but also clarity within every job that's within the practice. Like who who would make this decision if not the dentist? So when or if not for for us it would be if not Kiera, right? And I think that's   One, it's very easy to see. It's easy for us to see. So it's easy for us to speak to that within our own company. And then we get the luxury of seeing it within dental practices to speak to that. But just truly know, like you said, it it works for every leader in the practice office managers or whatever. But you guys, this is transferable to any business structure because, you know, unbeknownst to you, you own a business. And so your business structure is not dentistry.   Your business structure is business. And when we can realize that and take the dentistry out of the business and let the business be a business, I think that's where you guys really truly will thrive. You get so lost in trying to make dentistry the business, but dentistry is what you're doing. You're providing dentistry. The business has to stand outside of the dentistry. They can't   Dentistry can't be the business anymore. Maybe a long time ago it could. And you know, maybe you're in your grandfather's practice and your di your father was there and you've inherited some routines and some systems, but the world is different in 2026 and whatever future year you're listening to this in, the world is different, and you have to be able to separate those things. And Kristy, that's I think where that clarity comes in is the business.   Where is the business going? Because the dentistry is gonna be dentistry and the dentistry is gonna follow the trends of dental. we're gonna, you know, we're gonna get all the tech, we're gonna get all of those things, but where is the business going so that the dentistry can still happen is huge. And having the clarity around that and the clarity around who would make this decision if not the owner is huge. And to your point, that's where the leads come in, the office manager and like if you're   If you need a plumber, right? Dentists, owners, if you're the one who has to make that decision, go back to Kristy's first comment. Like, what dis what decisions do I need to make? Is it the most important decision of your day to figure out which plumber, which AC repair guy, which I don't know, carpet cleaner? Like, is that a decision that you want to make and need to make? And Kristy, I think that's where that space of like, no, actually, this would be my manager.   or this would be our clinical director, that that has to be stated and clear so that an office manager or a dental assistant knows who do I go to.   DAT- Kristy (09:01) One hundred percent and document those things. I mean, maybe you do have a doctor that's like, My brother's the plumber, so we always call my brother. Then have a list of those items with the numbers and who to contact, you know. But yeah, and to your point too, Tiff, I think so many times we don't create the space for our doctors or leaders to have these conversations. Like running down the hall in between patients is never.   the time to do it. I mean doctors say yes to so many things they would not have said yes to just because it's like you know right there and I have to handle it but truly block time to have discussions that are truly the things that need to come to doctor to make the decision. But also as leaders watch how you preface the question. You know I need to call a plumber. This is what I was thinking. You know   Tiffanie (09:35) Mm-hmm.   Yeah. Yeah.   DAT- Kristy (09:58) And and then to that point too, Tiff, painting the clarity. If you have a a go-to that you want, make sure that that's vocalized. But then also going back to leaders, how many times do we just answer the question versus asking our team members, what do you think? And I know I hear this day in and day out. It's faster just to do it myself, right? It's faster to do it myself.   But I think it was you, Tiff, that told me choose your hard. And it's Britt. Okay. Yeah. Yeah. Choose your hard. And the time you take in the very beginning to train your team, this is how we do it, will go so much further in the long run. So give your team the opportunity to answer the question because then you're you're making them think for themselves and not rely on you.   Tiffanie (10:31) It's Britt. Britt told everyone, but I love that. I use it all the time.   DAT- Kristy (10:57) Again, going back to us creating our own problems, when we answer for our for them, you're not you're not letting them rise to the occasion and grow to the level that you're looking for.   Tiffanie (11:08) Yeah.   I completely agree. And I think this is something that's so relatable for parents. because in my opinion, I say this a lot, and I think we are people are people and we learn the way we learn, we we hear the way we le we hear and we can grow. We do grow and we physically grow, but at the bottom of it all, we're still people. And when we again like when we treat things so differently, we think, they're adults, they should   They should know why. I have so many dentists, by the way, who have said that to me, or so many office managers that's like, why do I need to spell this out? They're an adult. Why don't they just know? And I'm like, because they're trying to figure out what you want. They're not trying to figure out how to solve this. Because if it were outside of your dental practice and they were at home, or if they were on the side of this side of the street in a broke down car, they would figure it out. They're not, they're not incapable. They don't know what you want.   And so trying to figure out what someone else wants, trying to intuit the right answer when you have not enough direction to know, but you're trying to please, you're trying to do it correct, you're trying to not ruin a business with a plumber decision, you're gonna just ask the person. And when you just answer, just like a parent, if I just answer every single time, am I giving Brody the space to grow and to learn things on his own when he was little? He   used to get frustrated with me, then he kinda he kinda just learned that I was always gonna say it. He would say, Mom mom, how, you know, how did they do this? How did they build that? How did they and he's in the backseat of the car just seeing everything. Mom mom, how did they, how did they, how did they? And I would say, buddy, what do you think? And he'd just come up with these incredible ways that they built the building, that they put the traffic lights in, that they, you know, and I'm like, gosh, that's really smart. Do you also think that   And within that thought process of how do we grow our children to become positive parts of humanity, right? And independent to go live on their own and add value to the world. We're doing the same thing for our team members. So if we want our team members to be a valuable piece of humanity and add positive impact to our business, we have to grow them.   DAT- Kristy (13:14) Indeed. Yeah. And yeah.   Tiffanie (13:34) and allow them the space to grow in the same capacity that we do our own children. Otherwise they're gonna stay with us forever. Right? If I always clean up after the kids, they're gonna have messy houses later, right? And I'm gonna go over to their home and I'm gonna be like, what the heck? What did I did I teach you nothing? No, I taught you that I'll clean it.   DAT- Kristy (13:38) Yeah.   Yeah.   Yeah. Tiff, I love that you talk about that. I know you just have Brody, but you also have some significant others in your life. But I remember even with my son and daughter, I thought my secondborn wasn't gonna talk. And it wasn't that he wasn't gonna talk, it's because my daughter was talking for him. And so many parents can relate to that. And so your analogy is like spot on. But also I you know, I want leaders to hear this loud and clear.   Tiffanie (13:58) Mm-hmm.   Yeah.   DAT- Kristy (14:21) They're gonna get it wrong. They're gonna get it wrong and they're gonna do it different than you. But please give them the space to do it because so many times it goes back to your Brody's mind. They can be more brilliant than we are. I'll never forget the story. I had a colleague t talk to me about buying a copier. The dentist was gonna go get this y you you probably remember back in the days the big Pitney bows, like I mean, it was on, it was a cart on wheels thing, you know.   Tiffanie (14:22) Mm-hmm.   They're huge. Yeah. Wheels, yup.   DAT- Kristy (14:50) Yeah, and they were spendy like a lot of money and he was gonna go buy this. And then actually what happened is he did buy it and the team wasn't using it and he was very, very upset. So then it taught him a valuable lesson that the next time that copier went out, he went to them and asked them the features that they wanted, or better yet, just give them a budget to work within and let them go buy it themselves, right? Because   So many times, doctors, we try to make those decisions or as leaders, we try to make those decisions. we're gonna cut back our hours. you're gonna work this time to this time. You know what? Just put it out to your team. This is what we're doing. We need to fill these hours. What what can you guys come up with? And nine times out of ten, they're gonna come up s with something better than we can as leaders.   Tiffanie (15:42) Yeah, and Kristy, to your point, I think the copy machine is is brilliant. That's a brilliant thought process because on the flip side of that, our dentists right now, our owners are going, Yeah, but he was trying to do he was he got the best of the best to do the best thing for the team. He's trying to he's trying to do something. And so many of our our leaders come back to us and they're like, gosh, I'm just not appreciated. They don't care that I put so much time and energy into picking out   the best copying machine that had the best features and was going to save them time and it was going to do all these things for them and they didn't even use it. They don't care. And it's not that they don't care, right? It's not that our kids don't care that we slave over dinner every night and then do the dishes and then make sure that their laundry is done. Like they don't, it's not that they don't care. It's that they don't there's not value and appreciation on it because they don't know what they don't know the value of it. And when they go and they're able to go   Do the research and find the coffee machine that they want, they're like, this is really cool. I'm gonna use it. Thank you so much, Doc, for allowing us to get this. Right. And I think it goes back to like a goes back to compliments, right? It feels so much better to give a compliment than to receive a compliment. And when you receive something, somebody's like, here, use this coffee machine. You're like, cool, thanks. Like, I don't know how to respond to that, right? Like, okay, thank you.   DAT- Kristy (16:47) Yep.   Tiffanie (17:07) But when you're like, my gosh, we found the best copy machine. This is gonna save us so much time. This is gonna be incredible. They're actually gonna use it.   DAT- Kristy (17:15) Yeah, I love that you make that statement because Tiff, we believe in meeting with our teams one-on-one. And I love the feedback loop, like reinforce the things that are good. So when your team does get it right, recognize it. What gets rewarded gets repeated, I like to say. And the things that maybe need guidance or development when they do miss the mark, approach it with curiosity instead of like, what the heck were you thinking? Why did you do that?   Hey, out of curiosity, Tiff, will you share with me how did you come up with that decision? You know, and then use it as an opportunity to guide the outcome. So again, if it was my blood, my brother is the plumber and that's who I wanted you to call, can you share with me how you made the decision to call ABC plumbing? You know, where did you come up with that? And then re guide them to the outcome you're looking for. So that feedback is is critical. Yeah.   Tiffanie (18:11) I agree.   DAT- Kristy (18:12) And I don't   know a team member that walks in the door and says, I wanna make my doctor's life hell today, you know? So   Tiffanie (18:17) Yes, I agree. I agree.   And the way you said the curiosity of like tell me, tell me how we got here. And there's been so many times, Kristy, even just like with Brody, but with team members too, where I've said, tell me more about that. Like help me understand. Because my brain is my brain is focused on what I thought the outcome was going to be and what it should have been. And if I stay stuck there, you're wrong no matter what. But when I go in with curiosity and I say   DAT- Kristy (18:43) Yeah.   Tiffanie (18:46) Tell me more. Like, I want to know that side. Oftentimes, I would say at least 80% of the time, I'm like, cool. Actually, yeah, let's try it. Like, great, that's not what I thought I would have done, but I love that option. Let's explore it. But when we go in so hard with the like, you're wrong, you didn't make the decision I wanted you to, again, back to the beginning, it is nearly impossible to make a spot on decision based on what.   DAT- Kristy (18:54) Okay, yeah. Yeah.   Tiffanie (19:16) some like intuitively knowing what someone wants you to actually do. It's so hard.   DAT- Kristy (19:20) Yeah, too.   I was gonna say to your point with that, going back to that too, is we could actually shut down our team with those remarks because it's like, what were you thinking? Now I'm like fearful to even try to make a decision, you know, so thing.   Tiffanie (19:29) Hands down.   Okay.   And I'm gonna come to you with everything. Ever the pencil   that I order is gonna come to you because I never want to feel like that again. Immediately my brain is gonna say, Well, never gonna feel like that again. So we're gonna do the polar opposite of what I just did. We're gonna overcompensate and now you're going to be making every minor decision possible in this company.   DAT- Kristy (19:56) Yeah, one hundred percent. It seems so easy and I mean I wish it was that easy, but truly slow down and and ask a question and approach from curiosity, it's gonna get you a lot further for sure.   Tiffanie (20:10) Totally agree. Yeah. So actionable pieces. I hope you guys loved this as much as we loved doing it. Kristy, I know I am like I could I could do this one for hours. So I love the psychological pieces of it and communication is I think both of our jam. So I know we can go on forever. Actionable items, I would say job descriptions, clear job descriptions and roles. I think decision trees and and also organizational charts. So who   DAT- Kristy (20:20) Yeah.   Tiffanie (20:40) is responsible for what that goes into your job description as well, but who can I go to? Like who's my next in line that would be able to get me this answer? And then learning how to have that positive feedback and being in the question. Like how how can you ask more questions to understand rather than being in the decision already and judging? Kristy, anything you can think of that I missed there within those actionable pieces?   DAT- Kristy (21:06) No, Tiff, truly not. I just think it's a muscle that we have to work. And I will also say, like, my greatest performing teams have developed this type of hierarchy, if you will say, because it helped and it tethers the team to them. It really does. So if you don't want team turnover, you're allowing your people to grow in a way that that   Tiffanie (21:24) Yeah, I agree.   DAT- Kristy (21:31) They need to grow and they want to grow. And when you master this skill of 'cause it really is a skill set, when you master it, it's a win win all the way around.   Tiffanie (21:43) Totally agree. I completely agree. Thank you, Kristy. And I know you work on this with all of the leaders that you work with because whether you're really great at it or not, there's always room for growth, there's room for better understanding, and there's room for revisiting. We are huge, huge proponents of relearning and going back to the things that work to get you where you are, and then also integrating and implementing and changing new policies and procedures. So I love it. Thank you, Kristy, so much for being here with us today. listeners.   When you decided that you loved this, I hope you went and you clicked that five star and gave us a nice review. If you haven't done that yet, go do that. let us know what you thought. Let us know any tips or tricks that you have within this realm as well. And if you're one of these leaders that we're talking about that you just feel stuck and you feel like, gosh, I'm in this constant loop of having to make decisions, you're gonna hit decision fatigue real fast. So reach out to us, Hello@TheDentalATeam.com or on our website, TheDentalATeam.com. We've got a quick little link there that you can schedule a   free consultation with us so that we can just say, hey, these are some tips and tricks to move forward or hey, yes, you are a perfect match. We would love to work with you. Please reach out Hello@TheDentalATeam.com and you guys, we cannot wait to catch you next time. Thank you.  

What if I told you one of the biggest wealth-building opportunities in oral health may have nothing to do with owning more practices?Most orthodontists have heard plenty about private equity, OSOs, and DSOs—but venture capital is an entirely different conversation. In this episode, I sit down with Dr. Jeremy Krell, co-founder and managing partner of Revere Partners, to explain how venture capital works, how it differs from private equity, and why innovation across the oral health industry may create compelling opportunities for doctors who want to invest beyond their own practices.Jeremy brings a rare combination of clinical knowledge and entrepreneurial experience. He shares how Revere Partners identifies promising oral health startups, provides the capital and guidance they need to grow, and creates opportunities for investors to participate before those companies reach acquisition or larger-scale expansion. You'll walk away with a clearer understanding of the risks, potential rewards, and practical steps involved in exploring venture capital as part of a broader investment strategy.

In this episode, Howard Farran sits down with Eric J. Morin, MBA, Founder and President of Tower Leadership, a Forbes speaker and best-selling author who has spent more than two decades helping doctors build more profitable, scalable, and valuable businesses. The conversation focuses on the operational and financial disciplines that separate a practice that simply produces well from one that commands real enterprise value. Eric explains how dentists can grow EBITDA without just doing more dentistry — by finding the profit quietly lost to overhead, inefficiency, weak scheduling, and poor case acceptance — and walks through the key KPIs every owner should actually be tracking to make better decisions. He and Howard dig into the most common operational blind spots, including why what looks like a production problem is often really a leadership, accountability, or systems problem. The discussion also covers how to scale from a strong single location into a larger, sustainable business without sacrificing culture, patient experience, or profitability, and closes with how owners should think about private equity, DSOs, and timing a potential exit before deciding whether to stay independent, keep growing, or prepare for a transition. Episode #1716 : Dentistry Uncensored with Howard Farran, Howard sits down with Eric J. Morin, MBA — Founder & President of Tower Leadership, Forbes speaker, and best-selling author who's helped thousands of doctors turn good practices into high-value enterprises. From growing EBITDA without just "doing more dentistry," to the KPIs every owner should know, to what actually makes a practice valuable in today's market — Eric breaks down the business side dental school never taught.

Marketing is different than it was five years ago, especially now that AI is firmly entrenched in so many communities. Kiera talks about how AI, online reviews, and local trust are more important than ever, and what you and your practice can do to keep patients coming your way. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera, and I hope you're having a great day. I am having a great day. I love being in office with offices. I love working with practices. I love being with our team. I love seeing my team elevate and grow. I love watching and seeing just wins. I love hearing how our clients are doing. I love to see the wins our clients are getting. Honestly, dentistry is so great and it's fun. It's fun to see the evolution of the Dental A Team. I remember when I started this, there is no way, shape, or form that I honestly thought.   That we would have this many clients that I get to celebrate and love on and just rally to see them hitting production goals that they never thought they'd do, having profitability, working through leadership team issues, ⁓ revamping what they believe is their why and their power. very invigorating to see offices wanting to possibly sell to a DSO and then finding other alternatives, having offices sell to DSOs, having offices bring on partners and associates. To me, that is one of the most like   rewarding parts of owning Dental A Team is to see so many people and to get to be friends with so many of you and to truly watch I would say like the good guys and girls win. And ⁓ my job and our company's mission is to truly like your success is our passion. So I'm excited. I hope that you're excited. I hope you remember the dentistry. We're so lucky to be a part of dentistry. We get the most incredible job and it's it's not just a job. I think it's a life changing experience we all get to be a part of. So today I just want to kind of like dive into like   AI reviews and ⁓ trust are genuinely kind of changing how patients choose their dentists. And I've been watching this and we've been talking about it within our private doctor communities and ⁓ just recognizing that the world's changing on how people are picking dentists now and how are they finding you? And this is a little ⁓ I feel local. So some areas are gonna have more AI influence versus other areas are possibly going to have less AI influence.   But I think for all of us to just kind of figure out like how are patients choosing to go to the dentist? How are patients coming and picking dentists? Cause I do believe that marketing and the AI, it's different than it was five years ago. So I'm also finding that patients truly have already figured out who they're probably gonna call before they even call you. So like they're gonna determine do they trust you or not before they even make that first phone call. And before I used to feel like we could win them over, and I still believe we absolutely can, but a lot of it's already coming. And so it's coming before they talk to you.   And it's more than just having a website. It's you gotta be able to build that trust online with your patients before they even walk through the door, before they even want to make a phone call with you. So I just want to talk about like how is AI changing behavior, why our reviews like genuinely matter, how things are changing over there, things are shifting. there's some new algorithms if you're not familiar with how Google is switching it up for us, and really just trying to give you guys some preps because I believe that there are maybe some possibly three areas for a practice to focus on to really like   be the choice of your community. So we're big on making sure that we work. We work across the globe. We work across the nation. So seeing practices and how patients are making decisions from small boutique country villages to very metropolitan cities to places where there's not even like more than like five team members to choose from, to little isolated islands out in the Caribbean, you name it, we've seen it all. And so just really trying to help offices ⁓   look at things differently and to be observant. And so I want you guys to to realize that there's still ways to stand out. I think there's still ways for us to make big influences. And right now, AI is so new that we don't know all the ways of how it's working. And so just giving some tips and ideas to kind of have that healthy conversation of what is the innovative way for practices as of today, knowing that it could shift and change. But I believe that when we're on the cutting edge and we're being attentive to this, we're trying to stay   as up to date as possible without like killing ourselves off, I think is very important and very astute as CEOs. they have the phrase innovate or die. And I believe the practices do need to innovate. We do need to be on top of this. Otherwise we will get ⁓ dated very quickly. So ⁓ I think what was happening is patients are they used to rely a lot on referrals and I still think that that is a piece of it. But I will say it's a referrals and then it's a verify.   So they're verifying referrals. They're looking to see, hey, my friend told me this dental office. I'm gonna go double check it. And the way I'm gonna double check it is I'm gonna go read the reviews. I'm gonna check their website. I'm gonna look at social media. I'm gonna search online. Do you how many people are looking? Like you guys, I just went on a trip. I asked Chat GPT. I said, build me out the best hotels, the best locations. So people are starting to use AI. It's not all algorithm from the reviews and different pieces. It's pulling from that, but it's also not there. So we're kind of all looking like AI tells me this and I'm gonna go check the reviews. So   We're starting to have a lot more pieces to that. And so I really do believe like your online presence is a lot of times the exact first impression. And we're looking at evaluating trust before they come in and they're going to like evaluate your treatment. So can I trust this? Do they have a good online presence? And I know that that's annoying because not all the best practices are the ones with the highest reviews. However, society and for years of training of five stars, we're starting to learn that that's what we trust.   So I believe that there can be two practices side by side, similar services. One has recent reviews and online engagement and like very clear online presence. The other one hasn't updated anything in years. Patients are gonna look at both of those side by side and they're most likely probably gonna choose the one with the great reviews. Even if they're identical practices, even if they do the great same dream, even if the one who doesn't have a strong online presence is better, people don't know that. And it like you have to be present, you have to be winning online in order for people to want to come and work with you. So   For me, it's you've got to make sure you're building that trust online. You've got places where people can see you. And we have to remember different types of buyers are going to look at this differently. So if your demographic and population is going to be a more senior patient base, you might still be newspaper flyers, ⁓ having webinars, CE, things like that, where you're in person with them more. If your demographic is anything of like 60 and younger, they're probably online. not all the 60, like from the 50 to 60 range, that's still variable.   But anyone pushing that 50, they are in that realm where they have been trained with reviews and looking online and things like that. So, and regardless if your patient base is older, you have to remember that next wave of patients coming that are probably going to be your patients long term. They are that younger generation. So people don't want just recommendations anymore. They want confirmation. Like I want to trust. I think that in the world of AI where people are really questioning what's real, what's not real.   We're asking for referrals. We're verifying online. We're trying to put all the pieces together because we're inundated with so much noise that people are really trying to sift through the noise to figure it out. So ⁓ I think if you one one call to action on that is like re review your online presence this week as if you're a brand new patient. What's our social media look like? What are our reviews saying? When was our most recent review? What's our worst review? It's okay to have a bad review. Like it truly is. How you respond to that bad review is actually going to weed out patients and it's also going to show people a lot about you.   It's okay to not have the best reviews. It's not okay to have a lot of bad reviews, but it is okay because guess what? Everybody goes on there and the first thing we do is we look for the newest and then we go for the worst. We want to see, we want to see what happened. That's what's also going to make you stand out is real. I don't want you having a lot of bad reviews, but it's okay if you do. It just depends on how you respond and also pay attention. Are there things that you can fix and change with those reviews? Sometimes even calling those patients can help with those reviews. But look at that, see, go ask people to like type into Chat GPT.   Go do it on your own. See if you pull up, see where things are at. Are you the most recommended dentist? Look at those items. If you're not pushing like five, six, seven, eight hundred reviews right now. A lot of people are going to gloss over because there are other dentists that are going to whoop you because they've got like they're going to beat you in the race because they have more reviews than you. So that leads into our second thing of reviews really are becoming word-of-mouth marketing. And they're not just nice to nice to have anymore. They truly are like part of the patient experience. And so   You've got to have consistent review generation. You've got to have reviews that are talking about patients' stories. You got to have team involvement asking for feedback. Now, a latest update with Google algorithm is if they have the team member's name in there, they're starting to like disqualify some of those. I did have a practice tell us that they lost like 15 reviews in one day. Now, this feels a little weird to me, and I hope Google's listening. Not that I think they care about Dental A Team podcast, but I hope they do. Because to me, I'm like, I actually want patients to talk about.   their team. I understand that there's ways that we can gamify the system and we can like have our team members try to get their names and reviews. However, a lot of people are going to talk great about it. So in our mastermind, we were talking, we do have a dentist who has over 1500 reviews and she said where she's actually getting the reviews is right at the end of the appointment when they're checking out. They are asking for reviews right then and there and the text message is going to that patient while they are still in the practice. And people are like, we don't want that. Like they're busy on that. And I was like, guys, she has 1500 reviews.   I think she's got something going really, really well for her. She's figured it out. She's doing an incredible job and they're going for it. So this is something where like mistakes on reviews are where we only ask occasionally. You've got to be very consistent. We've got to be asking every single time. ⁓ we don't want reviews to be an extra task. Like, we don't want to ask for reviews when there's a problem. We're like once in a blue moon. You've got to have a steady stream of consistent reviews coming through. I love Swell. Swell's been one of my best best.   Review generators across the board. I've tried tons of them. I personally love Swell. You guys can tell them Dental A Team sent you. We still get like OG back at the very beginning when Zeke and Kiera met when we were just babies building our businesses. And Zeke still honors that pricing over there. So definitely would recommend them. It's Swell ⁓ dot I think it's CX. It's been a while since I've said their website, Swell dot CX. sorry, Sw Swell CX.com, I believe is their website. And   Head on over there, the SwellCx.com, let them Dental A Team sent you. It is truly one of the absolute best review places, but putting it right then and there, asking for it, having them go through. Some people use their computer softwares. Regardless, you need to be attracting and getting reviews on a consistent basis. And I'm talking like one, two, three, four, five a day. Yes, I said a day, because think about it. If you have two hygienists, if you've got four hygienists, if you've got six hygienists,   We are seeing eight patients a day. So minimum you're probably seeing 16 patients a day on hygiene side. Doctor side's probably pulling in at least eight more. You're seeing like 30 to 50 patients per day on a low end, up to like 100, 150 on a high end, even up to 200. Pediatric, you're seeing a ton. So think about if we're only getting like even 5% of those patients are leaving a review. That's a very small amount that I believe that we can all get trickling in there. So reviews.   At scale, they are going to build trust. So think about it: the best restaurants, the best thing, but be a practice that's review-worthy. We've talked about this on so many other podcasts. We can link some of those for you. But make sure that your practice is doing an incredible experience because you want to have a consistent review process instead of hoping that reviews will happen naturally. You've got to be asking for it. And I know that that's annoying, I know it's awkward.   Do believe me. Do you think I like coming on here and be like, hey guys, leave us a review? So if you want to feel good about a review, go leave us a review. Give five stars on Dental A Team, give five stars on our podcast. It feels good to leave reviews. And so that way you can also feel good asking for it. And it's something where just like working out doesn't feel good at the beginning, but then it feels real good. This is just asking people to like share their great experience with the world about you. There is nothing wrong. If you've done a great service, ask those people to share about it. It's a great way for more patients like them to find you.   So that's gonna be like step two. And then step three around that is going to be like, I do believe that local trust is becoming a very big competitive advantage. So technology is growing, AI is growing, but I still believe that like trust still wins and having local people and consistent people like building that local trust. So having those reviews, having those referrals, having raving patients. I just came from an office. I'm so proud of them. They've grown from four ops into 15 ops, and now they're looking to add on to 25 ops. So   it's only been a couple of years. I think we've been together about four and a half years. So really fun. And to see them, they're getting patients looking at their reviews, having people tell them that they're a great dentist and they want to go. But it's just a consistent patient experience. It's community involvement, strong referrals, team consistency, follow-through. And I'll say just being good humans, like treating patients like humans. ⁓ patients, I believe they want confidence, they want connection, and they want credibility and they want to know that you're you're authentic.   Again, we talked about there's so much out there that's not authentic. We've got so many people and it's like, what's real? I went, I was doing a gym photo shoot and they're like, pick photos that you like. And I showed my trainer which ones and she's like, Kiera, you picked all AI photos. And I was like, Well, shoot, that's not even fun. Like, we don't even know what's real or not real. Things look so real and they're not. So people still want to know that it's real and authentic. And so having a great patient experience, having it where you're involved in the community, ⁓ being the dentist that the community chooses, being a part of things.   Being a human, having authentic connection to your patients, giving them confidence and having a team that really backs you is, I believe, a lot of great ways for you to still be competitive, even in spite of a world that's so, so advanced in technology. ⁓ and I really do believe that private practices have a huge competitive advantage of treating people like people. ⁓ I think it's like the Ritz-Carlton's tagline is ladies and gentlemen serving ladies and gentlemen. Like, what if it was like,   Dental professionals serving, like human beings serving human beings. We're just here to serve them and to love them and help them have this amazing experience at a place where most people don't even enjoy being. So I believe that technology might help patients find you. I believe that trust, connection, consistency, continuity is what's going to help them continue to choose you long term. And I want you to remember that just because a patient's been seeing you forever doesn't mean that they're with you forever.   I do believe that every time they come to you, it is an opportunity to rewin their trust to bring them in, to help them, to help them see that this is ⁓ the the best decision that they could ever make. So really truly you've got to be visible because visibility gets attention, the trust, the connection, the community, it keeps the patients with you. So look at your practice and see like, what are we doing every week to build trust with our patients? How are we making sure that we're genuine and authentic? What is that our culture? Is that what we preach?   go read the reviews, see what people are saying about you, ⁓ look to see where people are referring and just be good humans. Like I I know that seems so silly, but be a great human goes a long way. I think it's starting to become the currency that people are looking for of being kind, being considerate, being connected, being authentic. ⁓ so again, remember patients are looking for that proof before they even make the phone call. So you've got to be visible, you've got to have reviews, you've got to have things out there. ⁓   Reviews are like your modern word of mouth. So they're gonna read, people are gonna look at it, they're going to see. And then having that local trust, that community connection can be a great differentiator. So that's a great way to stand out. It's a good way for people to talk. Have your care to share cards, give them to people. We had podcasts on that. Like remind people to share you with their friends and their family because I still believe that referrals are one of the fastest ways to grow your practice and be the dentist that people want to refer. I think that that's probably my like final line. Like   Be the dentist, be the dental practice that people want to refer to. And I think if that's your mantra, that's your mindset, you're gonna win every single day. I wanna be the dental consulting company that people refer to. I wanna be the consulting company that when you need help, you think about us. I wanna be your best friend in the industry. I wanna be the person that you can count on to always give you non-filtered advice to truly give you the best of the advice. I will constantly be elevating myself and I wanna be that person for you. I wanna be the dental consulting company that dentists choose and the teams choose, ⁓ that they trust that they know that are gonna take care of them.   And I hope that you want to be the dental practice that your community chooses. So go out because really you can continue to win patients over. AI is coming in, technology's coming in. You've got to be visible. It's non-negotiable. You have to do it. It's just what it is. You got to check yourself there. You've got to be present there first. And then you got to make sure that that what we say online is what we really do. And in person is actually better than out there. If we can help you guys, this is what we do. We improve patient experiences, we improve.   How to ask. We help get your teams on board to ask for those reviews. we help make it very fun for teams and for owners. So reach out. I'd love to help you out. As always, guys, don't fall behind. Innovate or die. Be the dentist that the community chooses. Be the dentist that you're proud of. Be the practice that you're proud of. ⁓ be authentic to you, but make sure that you're visible because I would hate for somebody who's not as great as you.   Just because they have a stronger online presence, patients are going to them when I know you're the better dentist. I know that you have the great hand skills. And I'm not here to pit dentists against each other. I'm here to say, I want the best dentist, which is you listening, to win. You're the best dentist, you get the best treatment. Patients only have 32 teeth, and most of the time they only have 28. And I want those 28 teeth to be taken care of for as long as possible from the best dentist. And that's you. So get yourself visible. You have an obligation to share yourself with other people because they deserve to have the best clinician. They deserve to have that.   Get the review so people know about you, post on social media, and then make sure that you've got a great connection and a great community. If we can help you out, reach out. I'd love to help you. Like I said, I want to be the dental consulting company that you choose, that you share with. And I believe that that's how most of our practices feel about us. So come be a part of it. I'd love to have you be a part of us. Hello@TheDentalATeam.com. And as always, thanks for listening. And I'll catch you next time on the Dental A Team podcast.  

Full Podcast Title: “Kiera Dent Founder of @dentalateam on How To Maximize Practice Growth, Business, and Success”1. Questions Asked: 00:00 – How did Dental A Team start, and how long has it been around?05:42 – What systems and processes helped scale the success of the practice?08:37 – How do you approach improving practice environments?14:02 – How do you empower teams to ensure success in dental practices?16:43 – What are the percentages of private practices vs. DSOs that you work with?22:37 – How do you translate humanistic patient care into systems and processes?25:04 – How do you hire the right team members for your consulting business?27:49 – How do you ensure successful collaboration and the future of dental consulting? 2. Topics & Stories: 00:00-02:45 – The birth and growth of Dental A Team, starting as a random idea to help dental students and growing into a major consulting firm.02:45-05:42 – A story of scaling a practice from $500,000 to $2.4 million in nine months, highlighting the challenges of rapid growth and success.08:37-11:22 – The story of implementing systems to create a thriving practice, including an anecdote of adding flowers to a checkout area, improving case acceptance, and smooth patient flows.11:22-14:02 – Consulting internationally, including a humorous story about almost being deported from Canada due to misunderstandings at the border.16:43-19:41 – Navigating the dental landscape, from working with private practices to DSOs, with a strong focus on empowering teams for sustainable success.19:41-22:37 – Insights into building relationships in dentistry, ensuring the human element of patient care is not lost in fast-paced environments.25:04-27:49 – Discussion on hiring and identifying the right talent for the consulting team, with examples of hiring from personal relationships and emphasizing hospitality backgrounds. 3. Quotes & Wisdom: 02:45 – “My obsession has become helping dentists live a fulfilled life, hitting those sexy big numbers but still maintaining their life, identity, and freedom.”14:02 – "There's more to life than just the numbers. It's about how you impact your team, community, and patients, while living your best life."16:43 – “If we can elevate the team as well, and teach them to think like owners, that's 90% of the battle to having a successful practice.”19:41 – "The patient is not here buying dentistry. They are buying your confidence. They are buying the dream and hope you offer them."22:37 – "Dentistry is such an intimate experience... the way you treat your patients, the kindness you show them, is what will make you stand out."25:04 – "Look for good talent everywhere. You can find the best people in unexpected places. The greatest teams are built from people who truly love what they do." Now available on:- Dr. Gallagher's Podcast & YouTube Channel- Dose of Dental Podcast #101Watch worn in this episode = Citizen Caliber 2100 Chrono Panda9.2024#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Guest: Daniel Kubikian DMD https://www.sjperio.com/doctors/ Regenerative Courses- Grow Full Arch referrals and Improve Case Acceptance. Explore Upcoming Courses: https://www.nobelbiocare.com/en-us/kubikian-courses   Host: Serv Wahan MD DMD https://www.drwahan.com/    content  type Interview  primary  goal Educational  summary In this episode, Dr. Dan Kubikian shares insights on building a referral-based dental practice, managing complex implant cases, and the importance of systems and relationships in dentistry.  keywords dentistry, implants, referral practice, case management, dental systems, implant systems, patient care, practice growth, Nobel Biocare Implants, Nobelactive, Nobel S Series  key  topics Referral-based practice development Case workflow and communication Implant system preferences and inventory management Patient maintenance and long-term success Use of digital tools and systems in dentistry  guest  name Dr. Dan Kubikian Titles Mastering Referral-Based Implant Practice with Dr. Dan Kubikian How to Build a Successful Implant Practice: Insights from Dr. Dan Kubikian  sound bites "We discuss building a referral-based practice." "Effective communication is key to case success." "Using densify drills improves implant stability." Chapters 00:00 Introduction and Background 02:03 Building a Referral-Based Practice 06:00 Patient Workflow and Communication 12:07 Scaling the Practice 16:04 Implant Techniques and Preferences 21:52 Inventory Management and Efficiency 27:57 Handling Complications and Patient Care 31:39 Navigating Patient Care and Surgical Decisions 32:59 Implant Choices: Overdentures vs. Fixed Solutions 36:12 The Importance of Maintenance in Dental Implants 38:59 Building Trust and Continuity in Patient Care 40:10 Understanding Implant Loading: Immediate vs. Delayed 42:58 Managing Implant Failures and Patient Expectations 53:54 The Impact of DSOs on Specialty Practices 55:01 Emotional Patient Reactions to Dental Transformations      

Dr. Vishal Sharma, VP of Clinical Education & Operations at Spear Education shares his thoughts on: DSOs failing at clinical education Education as a performance & retention lever $3,500 per day associate production To learn more about Spear Education visit: https://www.speareducation.com/ You can also contact Dr. Sharma via email: vsharma@speareducation.com or on LinkedIn: https://www.linkedin.com/in/dr-vishal-sharma-78527543/  

In this episode, Ash and guet host, Erin discuss whether it is still worth buying a dental practice in today's changing landscape. They talk through how the dental industry has shifted over the past decade, with urban market saturation, shifting reimbursement rates, and the rise of DSOs (Dental Service Organizations) creating a more complex environment for new and current dentists. Ash shares that while owning a practice used to be the standard end goal for most dental professionals, now the decision requires more individual consideration and careful research into location, business model, and personal goals.The conversation touches on the pros and cons of both starting up a new practice and buying an existing one, as well as alternatives like joining a DSO or seeking equity in a group practice. Ash emphasizes the need for self-awareness, understanding your appetite for risk and business management, and the importance of factoring in potential exit strategies. The episode closes with practical advice on evaluating your own goals and considering all options before committing to practice ownership in a rapidly changing dental industry.Key Topics Discussed:Shifting trends in dental practice ownershipImpact of urban market saturationDifferences between buying a practice and starting upRise and influence of DSOs in the dental industryImportance of location and demographicsRole of business models: PPO, Medicaid, fee for serviceLender requirements for dental startupsAdopting existing practice culture versus building your ownDSO purchase structures and seller lock-insAssociates getting equity and alternative paths to ownershipGenerational differences in career goalsBurnout risk and planning for exit strategies

In this episode, Dr. Bryan Laskin exposes one of the biggest blind spots in dentistry: the lack of care traceability. While practices can prove every dollar collected, most cannot prove what happened after a diagnosis was made.   For dental leaders, DSOs, and practice owners, this creates a costly visibility gap that impacts patient outcomes, treatment acceptance, referrals, and revenue.   Discover why care traceability is the missing link between diagnosis, treatment completion, patient trust, and revenue.   #Dentist #DentalLeader #DSO #PracticeGrowth

In this episode, we unpack the consolidation of private practices and the growing influence of Dental Support Organizations. While many independent dentists view consolidation as a threat, Peter and Craig argue it may actually create one of the greatest opportunities the profession has ever seen. They explore the economic forces driving DSO growth, including insurance arbitrage, private equity investment, rising operating costs, and changing ownership models. But beyond the numbers, the conversation focuses on something much more important: what independent dentists can offer that large organizations often cannot. Peter, Craig, and Ian discuss why personalized care, strong patient relationships, community, and entrepreneurial freedom remain powerful competitive advantages. They challenge the idea that independent practice is becoming obsolete and explain why dentists who embrace leadership, innovation, and business education may be better positioned than ever before. The discussion also explores AI, technology, customer experience, insurance dynamics, and the future of practice ownership. As dentistry becomes increasingly consolidated, the question isn't whether the industry is changing. It's whether practice owners are willing to evolve with it. The golden era of dentistry isn't behind us. It belongs to the dentists willing to build it. If you've ever wondered what the future holds for independent practice ownership, this episode is for you. DESCRIPTION The Bulletproof Dental Podcast Episode: 445 HOSTS: Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh In this episode, Peter Boulden, Craig Spodak, and Ian de Jongh explore the rise of DSOs, the accelerating consolidation of dentistry, and what these trends mean for independent practice owners. The conversation examines the economic realities driving consolidation, the advantages and challenges of private practice ownership, and why community, leadership, technology, and patient experience may become the defining factors separating thriving practices from struggling ones in the years ahead. TAKEAWAYS DSO consolidation continues to reshape the dental industry Insurance arbitrage remains a major driver of acquisitions Independent practices still possess significant competitive advantages Personalized patient care is difficult to replicate at scale Community creates resilience during periods of industry change Leadership and business education matter more than ever Technology and AI will accelerate practice evolution Customer experience can become a powerful differentiator The future belongs to adaptable practice owners Consolidation creates both risks and opportunities Dentists must actively choose their path rather than react to industry trends The golden era of dentistry is still available to those willing to build it TIME STAMPS 00:00:00 - Introduction and Welcome 00:00:43 - Discussion on DSOs 00:01:34 - Statistics on DSO Growth 00:03:07 - Impact of Interest Rates on DSOs 00:04:21 - Historical Perspective on DSOs 00:05:15 - Comparison with Dermatology and Veterinary Practices 00:07:05 - Relationship-Based Nature of Dentistry 00:08:33 - Business Coaching in Dentistry 00:10:02 - Pause in DSO Consolidation 00:10:17 - Example of DSO Unwinding 00:12:09 - Financial Distress in DSOs 00:13:01 - Rollover Equity in DSO Sales 00:14:47 - Importance of Upfront Cash in DSO Deals 00:16:00 - Independent Dentists Thriving 00:18:20 - Personalization of Care 00:18:49 - Example of Personalized Service 00:20:52 - Customer Service in Dentistry 00:22:46 - DSO vs. Independent Practice Quality 00:24:02 - SOPs in DSOs 00:26:06 - Moats for Independent Practices 00:28:28 - ADA Statistics on DSO Affiliation 00:29:01 - Macro Factors Affecting Consolidation 00:31:14 - Insurance Arbitrage in DSOs 00:33:01 - AI and Service Businesses 00:34:27 - Future of Independent Dentistry 00:36:09 - Importance of Community 00:37:03 - Power in Numbers for Independent Dentists 00:37:34 - Personal Experience with DSO Sale 00:39:09 - Paycheck Advance Analogy 00:40:15 - Summary and Closing Remarks 00:42:27 - Outro and Call to Action

Does your front office feel overwhelmed? Kiera shares what the problem is 99% of the time, as well as how to clear up the confusion, and three tactics that bring about clarity and control very quickly. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Trasnscript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today, I just wanted to talk about front office overwhelm. Like, dun, dun, dun, dun, dun. That's a real thing, it's a real deal. This happens all the time. And I just want you guys to be able to fix that quickly and easily. So today, we're here to wrap. We're here to have a good time. We're here to talk about the front desk overwhelm and how you can fix that and do it with a ton of ease. So.   If your front office feels overwhelmed, if you feel like they're overwhelmed, if you're ever scared to walk up there because you're like, my gosh, they're always stressed out. This is the episode for you and your front office team, because honestly, it's usually not that they have too much to do. It's that they're just, I call it front office soup. Then they're just all like, it's a bowl of spaghetti and we're all slurring and slopping and it's just a mess up there. But because we just have to figure out what matters and who does what.   And it usually, in front office team members, I hope you hear me loud and clear, I'm not being a jerk, I'm Kiera Dent from the block and I've sat in your shoes and I understand it and I've been in your shoes and I know this overwhelmed feeling. It's not usually a workload problem. Usually what it is, is it's a role clarity problem. 99.9 % of the time, if we clean that up and we like untangle the ball of spaghetti, everybody's super happy, everybody's clear and things start rocking and rolling. So.   Again, this is where we're at today. I wanted to just give a quick tactical podcast for you for that front desk overwhelm. And I want you to just know that like at Dental A Team , every single consultant on our team has been in your shoes. ⁓ I don't just say these words on the intro to the episode. We don't just understand you. We genuinely are you. We've been in your shoes. We've sat in your shoes. We've sat at the front office. We've taken the phone calls. We've had the schedule fall apart last minute. I've had the treatment plans not close. I've had doctor on my case saying, Kiera.   get the schedule full and I'm like, I don't really know what to do, okay? I've had that phone running a million miles a minute. We get it. It's chaotic up there, but it doesn't need to be chaos. And so when we have all that, how can we take the urgency away and help you focus on the important thing? And so this is gonna help us kind of figure out like, why do people get overwhelmed? How do get the confusion cleared up? And then what are three things that bring clarity and control very quickly? That's not gonna take months and months to get that stabilized, but to actually do it really quickly.   If you don't know us, hi, we're the Dental A Team. I'm Kiera Dent. Dent really is my last name. It took me three fiancees. You can ask me about that later. It's a real joke, but it's a real life. I love dentistry. I love helping people have their best lives. And I love the dentistry as the platform that brings us all together. I've been a dental assistant, a treatment coordinator, a scheduler, biller, an office manager, regional manager. have all my own practices. I took my first office from 500,000 to 2.4 million in nine months and opened a second location.   To say I've been around the block is not a lie. I have bought practices, I've sold practices, I've been parts of DSOs, I've been part of boutique practices, I've merged offices, you name it. I don't think that there's a single thing that I haven't done yet in dentistry, so try me. I'd love to meet somebody that I'm like, yep, never heard of that before. ⁓ And our job is to make dentistry fun again. Our job is to make you love your life again. Our job is to bring simple clarity. But as a business owner myself, I hated where I'd go to conferences and people would just talk.   to me and I have to go back and rally my team and I realized I'm gonna create a business that's gonna make your life easier. So we actually work with doctors and teams. We help doctors set the vision, where are we all going? And then we figure out your finances. Let's make sure you're profitable. And if you have tax aversion, like you're so scared of it. Not that you don't pay it, don't get me crazy on that, but that you're so scared because you feel like you're making money but you're always broke. We help offices actually like find the money, keep the money, make the money. Like let's have you be profitable.   And then the other part is how do we do system and team development together? I call that the yes model. You first vision, making sure you're taking care of E stands for earnings and profitability. S is systems and team development. Doing that yes, success model. So you can say yes to more in your life. Truly, truly. And teams freaking love us because guess what? We get this. We understand it. Doctors love us because we're magic magicians that can fix it with your team, but also help you be profitable. It's like.   Let's put a bow on all the beauty together. So let's talk about your front office because everything freaking feels like a priority. my gosh, I gotta answer the phone and check patients out. I gotta try and schedule all the doctors asking me questions. I gotta keep my doctor busy. I've got constant interruptions nonstop. As soon as feel like I get patients checked in, that hygiene team's bringing them right back out. It is nuts. And it's because we just don't have priorities hierarchied. And also we're not using time when we need to.   So when front office is jumping between five tasks and finishing none of them well, that's chaos. And so how can we actually make it to where things aren't as chaotic? Because yes, you're always gonna have interruptions. And I think for us to never feel like, I can never have interruptions, like that's not my perfect date. That's not real life. We signed up for an amazing job that's very busy up front. And I feel like my job in front office, I say like, I'm here for air traffic control. Like that's my job. And I'm gonna make sure every plane lands easily, AKA every patient has an appointment. I get them scheduled. We're gonna have calm.   Like I want to feel like JFK's airport. Like we're there. I just think about that airport and that air traffic control. I'm like, they have people flying in and out like mayhem or you can go to Atlanta or you can go to like any big city. Like think about that air traffic controller. And that's who like, I want to be at the front office. So front office team members, hopefully that's a good vision for you of, Hey, yes, we've got a million things going on, but we are laser focused on what's the most important thing. And so I love to give like, okay, number one, our scheduling person, what's their number one job? Their number one job is to make sure our schedule is filled to goal every single day.   That's your job. So hygiene and doctor like bada bing, bada boom, that's your role. You keep them on there and you do not leave the day until your schedule is full. Like I'm not having you go home like, well, I did my best. ⁓ Outcomes over activities. I am big on this. We own our role. We don't just do a job. We own that. So if I'm a scheduling guru, you better believe I'm going to have my hygiene schedule full, full. That doesn't mean perfect. It means full and productive. And I'm going to have my doctor schedule the goal.   treatment coordinators, your number one job is to have your doctor's hitting goal or exceeding goal every single day. Not a full schedule. I don't want all the white space filled in. But if my doctor needs to be hitting 5,500, you make it rain sister or gentlemen, you go figure out how to do it. You go look at your unscheduled treatment plans. I'm not gonna say you sit here and call 20 unscheduled treatment plans unless you're an office that's 7.5 million, then yes, maybe we'll put that as a job. But 99 % of the time, your job is to call as many as needed to get your schedule full, period.   So scheduling coordinators, it's to make sure we're running on time, hygiene's full. Sometimes I have doctor over there. Treatment coordinators, you're always responsible for getting doctors scheduled to go. Billers, 98 % collections, non-negotiable. We gotta have money in the bank, otherwise we're broke and we can't feed our team. And we've done the work, we need to collect the money. So from there, and then office managers, your job is to make sure profitability is there, KPIs are being hit, and the whole team is flourishing. So that's just like a very simple like.   Yeah, but Kiera who's first on phones first on phones is scheduler first person they're always on it unless you guys like no we want them to be concierge style we have a concierge then they're not first on phones but we have somebody who's first who's second who's third on phones so as that phone rings we've got it can you set up a phone tree so where if they've got billing questions it just goes to the billing line and the biller can help with that if you're like Kiera I only have two people in my front office fan freaking tastic we need to have dedicated power hour time so front office and scheduler usually does insurance verification too typically that's who's gonna do it   but sometimes my treatment coordinators, like they want to make sure that they get all their insurance verification done and they have maybe a bit more time than our schedulers do. So again, it's who's got the most amount of time and who's the best with bandwidth on that. That's how I'm gonna set it up. If you have a bill or a dedicated bill or they're gonna do insurance verification for you, insurance verification should take you two to four hours max. And I'm talking to max a day. If we're taking longer than that, we gotta figure out how to be a bit more efficient and I got great ways to do it, like lump them together. I got a ton of podcasts onto it.   but we've got to just make sure that each person, and I love end of day checklist where, and it's not we wait till the end of the day, it's we get this stuff done during the day, but by the end of the day, all this needs to be stamped, signed, delivered. So scheduler, you're responsible for hygiene, making sure it's full and up to par, possibly insurance verification, possibly doctor, depending upon your office. Treatment coordinator, non-negotiable doctor scheduled to go every single day. I'm talking if I'm working four days, three of my four have to be to go, period. And the first patient of the day,   Please, please, please, please, please do not leave me one that's unconfirmed. And you're like, well, it's full. If they're unconfirmed, they're not showing. Like I might get lucky, but don't do that. Make sure it's a guaranteed confirm. Move those patients off. I've got a ton of verbiage for getting patients off the schedule. So we're not sitting there with like, to me, those are like gap fillers. Like it makes us feel good, but it's not gonna actually, like that's not me owning. I know that patient's not gonna show up. I call and call and call until I get people.   So I start doing my confirmations at usually eight or nine in the morning. So I've got time and I do a 48 hour confirmation guarantee. So if they're not there, and then we started implementing with a lot of offices that if they don't call and confirm you, we are moving you off the schedule to open that space up because we do need confirmation you will be here. I have moved patients off the schedule. Yeah, I'm gonna have about five people mad at me, but guess what? It's gonna fix 95 % of my problems. I can handle those five upset patients with me. I can handle that. If someone comes in duplicative, I can handle that.   Ladies and gents in the front office, air traffic controllers, you're also word ninjas. And you gotta learn to word ninja your way through a lot of things. Words are free. You can handle those hard conversations, but what we can't handle is not having productive schedules to where doctors aren't making money, we're not making money, and we're gonna go under. We can't handle that, but I can handle one or two upset patients. But I can also set up expectations so they're not upset with me, because I don't want to get berated. That's no fun for anybody.   So clear ownership, who does what, what are the simple KPIs for each of them? Put that in place, have us track it. That just right there, hopefully cleaned up 90 % of your issues. Now everyone was like, yeah, but we all do it together. High five. I love that you have teamwork. Like genuinely love it. Teamwork though is that game where it's who's on first, what's on second, I don't know, is on third. it's like who, like what thought everybody was going to do it? Everybody thought nobody was going to do it. So then somebody picked it up, but then nobody respond like,   It's a mess. So I love that y'all help each other. We just have to know at the end of the day, who's the one who puts the button on it? Who's the one who puts the final bow on it? Yes, we can all help each other, but I need a clear owner of each specific thing. I need a clear owner of hygiene and getting them scheduled. I need a clear owner of insurance verification. I need a clear owner of doctor's production. I need a clear owner of collections. Like I need those clear buttoned, tidied, and I need a clear owner of who answers the phone first.   There are several others. I know that there's more and you're like, but what about this? What about this? Again, it's just playing this game and you guys can get sticky notes, write them all up, put them there. I have end of day checklist. I'm happy to share with people, but we've got to have roles are shared, but they've got to be owned. So like it's a clear owner. You can have help. I'm fine with that, but you have to own it and you've got to own those results. Again, it's outcomes over activity. I am so grateful you called 50 people, but if we don't have people on the books, you gotta call 51 or 52 or 53 or 54.   And when you own that and you know that, guess what? How do I become a killer treatment coordinator? Because I knew I had to put people on the schedule and I wasn't gonna call them all night long. I was like, I got a family, I wanna go home. But I knew that that was my responsibility and I owned that result. So when we have shared responsibility, it actually creates drop in responsibility. So clean it up, if everyone owns it, no one owns it. So we have clear owners. And then what we have from there is we just have set systems. So what is our system for doing scheduling?   What's our power hour? I put schedulers back there, I put insurance for everybody. Put them behind the door for two hours where they're not being disrupted. Unscheduled treatment plans. Give that treatment coordinator one hour of blocked time. Go make it rain, honey. Like call the patients, text the patients. We are focusing on highest level priority things. Look over your treatment tracker. Practice your verbiage. What are the things that aren't closing for you? Why? But we actually spend it. And so put the systems into place. What is it? Some people have like...   To me, these are slightly aggressive checklists, but if it works for you, it's not aggressive. It's like by 10 a.m., all confirmations need to be done. By 12, all insurance verification needs to be done. By two o'clock, all of the schedule is filled to capacity. And then we're scheduled two days out or whatever it is. You can have it where it's benchmarks like that so we don't get stuck and then it's like four o'clock. I'm like, where did our day go? Sometimes those mile markers really can help, but we have to have set systems, set processes that everybody's following and we all know it.   And that's going to help because this helps when we bring on new people. How do we schedule? How do we treatment plan? How do we follow up? Getting those protocols written so it's not just living in our head. If it's in our head, we're dead. We got to get it out. We got to have those systems and protocols written. so systems don't live in people. ⁓ Systems like we're not relying on people. We're relying on systems. So when I look at that, systems are on paper or in video form, not in memory. That then helps.   Like if there's just one person that's like, well, Sue's out. We had a Sue in one of my offices. I'm like, I don't know how to do the billing. I don't know how to collect the money. I don't know how to schedule patients. Sue did it all. But if Sue goes on vacation, the practice is donezo. Like you cannot be reliant on a Sue in your practice. We need to have systems. We need to have processes. Yes, I want clear owners. But if that owner's on vacation, which they should be like our marketer Eve, she just went, she's like, it was awesome. I disconnected for an entire week. Didn't check Slack.   I knew everything would be taken care of and I came back and she had like three Slack messages of things that were missed. That is truly a systematized organization. Yes, I'm having a little kudos moment. It just happened yesterday. So yes, it's a brag moment on our side. But I think about that. Like could your Sue, Alison, Kiera, Tiffanie, Jenny take off for two weeks and would you guys be okay? And if the answer is no, we gotta get those systems written and then we need to send them on vacation and test it and see how we survive.   because we've got to be able to have it. So the three things that will fix this very quickly is number one, we've got to get clear ownership and that's ownership, not just job descriptions. Ownership, who owns scheduling, who owns phones, who owns our collections, who owns our treatment plans, who owns our doctor schedule. Get those things and eliminate overlap. Everybody in the front office is going to feel 20 times better and then have it on KPIs where we're tracking it every single week so we can see the progress and make sure it's true ownership, not just checking boxes.   Number two is we have a priority framework for an office. So what is it? Because like I can have my checklist and I can know this. Number one is my KPI. But before my KPI, patient in front of me, always. Always, always the patient who's in front of me. Then it's my KPI, that's my number two. And then it's gonna be team needs. And then from there, always phone for me. Phone is pretty high up there. Like I say, it's patient in front of me, phone. And then it's gonna be my KPI.   So you can be like, well, that phone's ringing. Okay, great. So then I can throw it and be like patient in front of me, KPI phones. Phones are so valuable. And if we don't answer and take care of it, but let's get a phone tree because we don't need to answer every phone call. The phone calls I really need to answer are my new patients. That's what I need. Also stop letting cancellations happen on your voicemails. Save yourself some time. The dermatologist that I'm going to, no voicemail. Like literally it's not even there. I can't leave a voicemail. And I have to call during business hours, period.   Like that's just how it works. And if I want to get into them and you might be like, but I'm so nervous. I'm going to have patients that won't call. That's fine. But I leave a voicemail and I have it. And I say, don't accept any appointment changes via voicemail. Please call during business hours. I also do not accept them via text message. I make my patients, if they're going to break up with me or having a phone, a voice to voice conversation, you're not just able to text me. Like we don't break up via text here. You get to call me, have a conversation. And that's how I'm going to help save my time on that as well. Have a phone tree.   Make sure that it's really set. So you know it's patient, my KPI, phones, whatever your guys' thing is, but make that priority framework for you so everybody's following it, we all know. So that way we're not sitting here with this like built up resentment of like, duh, you should be fixing the schedule. When it's like, they're with a patient. Now, team members, I have that priority framework, but that doesn't mean I don't get to own my KPI. My number is my responsibility. And yes, I can sit here and chat all day long with my patient, because they're number one, but that doesn't mean that I don't get to own my number.   I'm responsible for owning, like own that thing, air traffic controllers. You can't just be like, well, my job is to like make sure the plans land, ⁓ treatment and schedules. And then be like, but like I got busy and we were chatting with the pilot. They're gonna crash. No, you can chat, but you need to still own your role, okay? And then number three is build simple, repeatable systems. So that way like Sue, Jenny, Sarah, Kiera, Tiff, anybody can go on vacation.   and we're not gonna drown and think, yes, we'll be tired and we'll be glad they're back. Like I missed Eve, I'm super happy she's back, but our company didn't go under without her. And that's how your team should be as well. So, front office overwhelm is usually not about the team, it's just about clarity and consistency. It's about roles and systems being clear and defined, so that way confidence can go up and stress can go down. And I know you might be like, this was such a like 20 minute podcast to clean up my whole front office. And I wanna say like, it really can be that easy.   I think that teams get in this, I think ego gets a little bit in the way of like, I've always been doing this. I think it's a little scary to shake up a role cause you're good at it. ⁓ But I think, not I think I know, if I have done this in 500 plus practices with our entire team, I know we can do it for you and your team too. And it's not a set, deadly team is not a set like, you have to do this. Like that's a cookie cutter. That was me like pressing my Christmas tree into the cookie. ⁓ You don't have to just be a Christmas tree or.   an ornament or a square or a triangle. It is what is best for your practice. We will share best practices, but ultimately this is your teen year practice. They live there, I don't live there. So let's make it a place that they're happy to live. Let's make it a place that you're clear. And then doctors is great for you. So if you need a scheduling issue, you go to Kiera. If you have a treatment plan issue and your day's not scheduled, the goal, you go to Sarah. If you have an issue with billing, you go to Monica. Like you just go to your correct people. So that will help you. So look at that, see it really does like.   clear front office creates a calm place. And ⁓ I just want to say that it's very doable. We do this all the time. think I'd say probably like 70 % of our consulting is on front office and just helping because it is a slush pond up there and it does get messy and we're all trying to help each other and we all have the same goals and desires, but it's on the execution of those goals and desires and how it's being done to create the simplicity or the chaos. So reach out. I'd love to help you out. Let's see if you're a great fit. Let's see if we can help you.   take the pieces, implement today, whether you reach out to Dental A Team to get help for your front office because they just don't know it. If your front office listens to this and you guys have a meeting and you divide it up and make your end of day checklist, whatever it is, but do something to go from that chaos to that calm. It is very doable. We do this all the time. I would say we are freaking experts at it. So reach out, Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

On this episode of The Dentist Money Show, Matt and Christine have a conversation with Joshua Scott, owner and CEO of Studio Eighty Eight, to break down what drives practice growth in today's dental market. They discuss the difference between branding and marketing, how private practices can compete with DSOs, the biggest marketing mistakes dentists make, and why authentic storytelling and patient experience matter more than ever. Whether you're a startup or an established practice, tune in for practical insights on attracting ideal patients and building long-term momentum in your practice. You can check out Studio Eighty Eight here! Book a free consultation with a CFP® advisor who only works with dentists. Get an objective financial assessment and learn how Dentist Advisors can help you live your rich life.

Thinking about buying or selling a dental practice? The decisions you make years before a transition can significantly impact your practice value, retirement plans, and long term financial success. In this episode, dental transition expert Dan Van Eps shares what dentists need to know to navigate today's practice sales market with confidence.Art Wiederman and Dan Van Eps discuss the current state of dental practice transitions, including what buyers are looking for, how practices are valued, and the common mistakes that can reduce a practice's sale price. They explore why preparation is critical, how sellers can maximize value before listing their practice, and the importance of building the right advisory team. The conversation also covers financing, lease negotiations, due diligence, rural versus urban practice opportunities, and the growing influence of DSOs. Whether you are planning to retire in the near future or simply want to understand your options as a practice owner, this episode provides practical insights to help you make informed decisions and avoid costly mistakes during the transition process.Connect with Dan✉️ Email: dan.vaneps@henryschein.com

Welcome to the third episode of Group Dentistry Now & Black Talon Security's Dental Cyber Watch Live. As dental groups rush to adopt artificial intelligence, many are spending on tools no one uses and feeding patient data into platforms no one controls. The result is wasted budget, hidden liability, and growing security exposure. In this episode of Dental Cyber Watch Live, Bill Neumann (CEO, Group Dentistry Now) sat down with Gary Salman (Co-founder and CEO, Black Talon Security) and Matthew McGaw (founder, DSO Compass; co-founder, Relay) to unpack the promise and peril of AI in dentistry. The clear message for DSOs of every size: AI is transformative, but only when paired with governance, training, and due diligence. Here are the key takeaways. Shadow AI: The Risk You Can't See Shadow AI is the unmonitored use of large language models — ChatGPT, Gemini, Claude — by employees without policy, oversight, or controls. Staff turn to these tools to work faster. The problem is that no one is watching what data goes in. Salman described the scope at a recent DSO event with roughly 20 leaders, representing practices from 10 to 200-plus locations. Most reported a mix of LLMs already in use across their teams. Few had standard operating procedures governing what could be entered. Fewer still had any technology to monitor that activity. The exposure is real. Information uploaded to a free model may be anonymized, but it can resurface when others ask similar questions. "When the product's free, you're the product. They're not doing you a favor." — Gary Salman, Black Talon Security For an organization handling protected health information, that is a compliance event waiting to happen. The fix doesn't require shutting AI down — it requires structure: enable privacy settings so platforms don't train on your data, write SOPs that define what can and cannot be entered, and train staff on why it matters. The AI Graveyard: Paying for Tools No One Uses The "AI graveyard" is where promising technology goes to die. It's the software a DSO bought with enthusiasm, then abandoned because of poor implementation, failed training, low adoption, or clunky integration — while the subscription keeps billing. McGaw pointed to two familiar culprits: "shiny object syndrome" and the "Hawaiian shirt guy effect," where a charismatic salesperson wins the room and the product never fits the problem. Neumann offered a grounded example. Some automations at Group Dentistry Now worked well. Others proved clunky and were better handled manually. A buried tool isn't just a wasted subscription. It drains training hours, erodes staff confidence in future rollouts, and makes the next investment harder to champion. The escape route is unglamorous but reliable: plan, implement, and train before you scale. Roll out to a small group, confirm adoption, refine the workflow, then expand. Design Backward, Build Forward The smartest framing of the conversation came from a concept Salman credited to Andy Farina of Destination DSO: design backward, build forward. Understand the problem you're solving first, then align products to it — never the reverse. Most purchasing runs backward. A leader sees an exciting tool, then invents a reason to need it. McGaw captured the trap: "Sometimes the problem that they think they have to solve isn't always the problem that is really the problem." Salman's advice for separating substance from hype was blunt: "Stay away from the shiny penny and buy the gold." Before any AI purchase, leaders should define the problem, set clear criteria for success, evaluate fit against those criteria, and only then buy. Vendor Due Diligence — and Who's Really Liable Many DSO leaders misunderstand a critical point: under HIPAA, breach liability sits with the healthcare entity — the DSO — not the software or technology provider. Assuming the vendor carries that risk is a dangerous shortcut. That makes cyber due diligence non-negotiable. Before signing with any AI vendor, ask: How do they access, store, and share data? Who, specifically, has access to it? What security measures protect it? Salman's larger point: security should be the first question in any technology evaluation, not the last. Too often it's raised only after the contract is signed and the data is already flowing. Building AI Securely The throughline of the discussion was AI governance, risk, and compliance treated as a foundation, not an afterthought. For organizations handling patient data, that distinction separates innovation from exposure. Leaders should expect real safeguards from any tool touching PHI: scrubbing confidential data like dates of birth, Social Security numbers, and patient health information on upload; annotating sources so answers can be traced; flagging possible hallucinations; and hashing files to protect their integrity. Pair those safeguards with disciplined implementation, and today's investment doesn't become tomorrow's graveyard occupant. Protecting What You've Built AI is a genuine opportunity for DSOs willing to pair ambition with discipline. The risk isn't the technology — it's deploying it without control. Three steps to start now: Audit current AI usage to learn which tools your team uses and what data flows into them. Establish AI governance and SOPs before the next tool goes live. Make vendor security due diligence standard, with security as the opening question. Is your DSO adopting AI faster than it can secure it? Get these fundamentals in place, and AI stops being a liability waiting to surface — and becomes the advantage it promised to be for your practice and your patients. Get the MAX Surgical Specialty Management Case Study: https://dso.pub/4v8OwfP  

Part two of Kiera's conversation with Howard Farran on the Dentaltown podcast. As a business owner, the greatest gift you can give yourself is to get systems in place so you are not dependent on core people. This second part of Kiera's conversation with Howard is about determining your weaknesses as a practice, building systems to fix those weaknesses, and letting your practice hum regardless of who's sitting in the seats. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:02) Hello, Dental A Team listeners. This is Kiera and quick heads up, today's episode is a special repost from a podcast I joined as a guest. It is a great conversation for practice owners who want to progress without carrying everything. I cannot wait for you to hear it. Let's dive right in.   speaker-0 (00:16) And you know, I was doing a million dollars in the eighties, a million dollar practice, and I went to two and and I I thought I actually think I had a higher treatment plan acceptance rate than my buddies on just measuring the same day. My clothes is always like, you don't want to come back. I mean, we could you know, I'm when I'm doing the hygiene check, I'm gonna say, I'm gonna leave. The hygienist gonna Denise Missy, they'll numb me up.   speaker-1 (00:21) They're like eight million now there, Howard.   speaker-0 (00:44) And and then and then move her to room eight and we'll we'll we'll knock this out in 30 minutes because you don't want to drive all way from work and then kid and school. You just pulled your kid out of school, now you want to do it twice. It I just always s insisted on just the same day because if we do this because from my perspective, if we do this filling a day, it's two fifty. If you walk out that door, half of you never come back until it hurts, and then it's a twenty five hundred dollar root connected crown.   speaker-1 (00:50) Amen.   speaker-0 (01:12) It's only one tenth the price to do the filling. I got a room. The hygienist can numb you up. And then I always hit the hygienist on the show and said, You should have numbed her up before I got here and I could be doing it right now. And she laughed and she said, but that's illegal. I said, I'm not a lawyer. I'm a dentist. Let's get this done. But just by really leaning on same day. And I really think that was a huge part of our success.   speaker-1 (01:37) Well, and Howard, I think what you said is like going back to the COVID crank, I think so many business businesses right now have lost that like customer service and let's make it easy. Like, as you said, one of our core values in Dental A Team is ease. And I'm always like, How can you make it easy for everybody? Because that's what people want. Like you said, like no one wants to take time off for the dentist. I'm switching dentists right now and they're like, So you're gonna come in for a hour appointment and then we'll bring you back in like three months for your hygienist. And I told my assistant, I was like, just call them back. I was like, tell them no, no, no, like   Make it easy. I don't want to come back. And so I think when offices take on the mentality, I have grown practices 10, 20, $30,000 a month just by same day treatment. Like just get it done. Let's train our team. Like, let's be quick. Let's have that quick turnaround time. Now, of course, doctors, you've got to be like Howard can get that done and he can rock it out and he's great. If you're a dentist that is not quite that quick, like we do not want to scale back all your patients. So maybe you do like add, add on an extra filling that's already in the quad that you're getting numb.   Like, where can we do it? Can we add that fluoride in today? Can we add in this thing? Can we take the scan today? Because you're right, no patient wants to take time off of work to come to the dentist. So like let's just rock it out, make them a raving fan because we went above and beyond to make them happy.   speaker-0 (02:49) And and and it also is a good variance counterbalance to no shows and cancellations. You know, she said yes, and then your next patient didn't show up as opposed to reschedule this one a week from now and then then this doesn't show up. But hey, I want to ask you, I'm gonna hold your feet to the fire on this. True. Would you rather build a dental office on rock star employees or rock star systems?   speaker-1 (03:16) ⁓ this one is I think the this it's ⁓ it's interesting because I think that there's space for both. However, Rockstar employees can walk out that door and then you are left. And I say that this to me is where as a business owner, you're shackled and you're always going to feel scared. You're gonna feel scared to hold accountability, you're gonna feel scared to ask people to do their job because you're so afraid of them leaving. Whereas if you have systems, I'm not here to say be a jerk, like that's not what we're here for, but it becomes so much easier to just   plug and play. And then also for team members, they tend to stay longer because they understand they've got clear systems. And people get really weird on systems, Howard. And I think they feel like systems are so hard. And it's like, I'd rather just bring someone in who knows what they're doing. And I'm like, but make that repeatable. So if they're out and I make my rock stars go on vacation for a week. I'm like, absolutely. And people are like, no, no, no. I don't want them to leave. And I'm like, you need them to leave because you need to see where it breaks down and you need to build systems. But I will say as a business owner, the greatest gift you can give yourself   is to get systems in place where you are not dependent on those core people. Like I want great team members that love my patience and do what they have, but I want it to be a repeatable process that every time, no matter if I've got Susie, Sarah, Jenny, Mike, John, anybody, we're giving the exact same experience. Like I look at Chick-fil-A and it's the same amazing experience. Every time I walk in there, they say the same thing and none of us are annoyed by that. And teams are super happy and thriving. I interviewed a guy who's a big wig in Chick-fil-A and I was   Fascinated by the culture. I was like, tell me more about this. And he's like, we have systems. We have buddy systems. We have it built on systems. That is the core to great success. And it's the core to like less stress in your business. Like obsessively, I am so obsessed about simple systems. I've been called the Dr. Seuss of systems. Make it so simple that anyone can do it. And then hire amazing talent that treats your patients with the great culture that you want.   speaker-0 (05:08) Yeah, and if the systems are so good, they don't even have to have dental experience. I mean, I the best receptionist I had was the the teller at Chase Bank next to me and I absolutely said her, I said, You are so dang good. You're always happy, always you remember my name. I said, What do I have to do to get you to work for me? And she she told me and she's been here for you know, over a decade. just the same things.   speaker-1 (05:36) Howard, I want to highlight, I hope dentists listen to you. ⁓ there are not a lot of dentists that are scrap like you. And that's something I love about you. And this is just like a little, it's not intentional, like boost your ego, but like please take it. Like it's a good boost. You are so scrap, right? It's like, let's just get that done. Like again, like let's do same-day treatment. My best employee in the company was my next door neighbor. I knocked on her door. She like took care of my plants when I traveled. She's like, those things are gonna die. I was like, the fact that someone as a neighbor just watered my plants to be nice to me.   She's been amazing. She's been with me five years, best incredible EA I've ever had. You ask the bank teller. We look for great talent. You build on systems. And I just hope the dentists realize like, just saying yes and GSDing, like, let's just get it done. That is something that I think so many people have like lost that art. And truly, that's what impresses me with your podcast, with who you are. And I just hope that people here, you don't have to go for perfect. You don't have to find this perfect person. You just gotta be scrappy and gritty.   And your practice will grow and you'll have great team members with you. Like it's not actually hard. And I think we make it hard, but just hearing your examples, I hope people listen as a dentist, this is what makes successful dentists in dental offices and great team culture as well. That is the core vote values that he's got. And it is why he's so successful. And I hope dentists can learn from that.   speaker-0 (06:53) Well, thank you. And I got did I ever tell you a story about the third hygienist they hired? I I already had my two full time hygienists, everything was great. And ⁓ this ⁓ young girl walked in, just graduated straight out of hygiene school, and I could hear someone giggling up front and they said I was busy, you know, she wanted to talk to me and then she just took it upon herself just to just to walk through the office and I I er and anyway, long story short, I finally got done. I broke, I met her.   speaker-1 (06:57) Tell me, I'm ready.   speaker-0 (07:20) And had no opening for hygiene, and she was so into the office, and she's asking all the right. I can just feel her energy, she's like sucking out my soul. And I and the first thought I said is she's from Alwatukee, she lives in Alwatuki. Do you want to compete against this girl for the next 40 years? Or you know you want her on your team, you don't have room for her on their team, but she ain't gonna end up across the street. I hired her and told everybody we'll just have to figure it out because this is a rock star personality.   I mean, you know, she just walking through like she owned the place and probably probably one of the top two or three, her and Jan, probably the best employees I ever had. I mean, unbelievable. ⁓ how do you get the dentist to stop being the limit to his own growth? I mean, it's it seems like I don't know about dental school curriculums, and it seems like shooting yourself in the foot has got to be the first and the last course they teach you there. How do you get the dentist to quit being the ceiling to their own practice?   speaker-1 (08:21) Think it's a I actually want to just like shout out a lot of the dentists. I feel that the new generation of dentists coming through actually are very prone and open to understanding business and recognizing there's so many books out there that talk about like CEOs and owners of businesses are the bottleneck to their success. And so I just want to say, like, I think a lot are starting to recognize that, but I think that there's still a lot that don't. And I I usually help people say, like,   When the pain is bad enough is usually when people change. Or you can recognize that you need to get yourself out of the weeds. You need to become the CEO of your business. You need to be working at the highest level of your ⁓ license. And everybody in your practice needs to be doing the same. And if you're not, like I do a delegation exercise. I just did it with our doctors on Tuesday. I was like, write down everything that you're working on right now, everything on your to-do list, everything there. And then I want you to go back through it and I want you to literally look at that and like only things that you can do. And like, please don't like   Boost your ego, but what are the things that only you could do? And I had a group of 50 doctors the other night and they were like, really, it's like vision, culture, and profitability. Like everything else can be someone else can do. And so when doctors recognize like that is your sweet spot and no one else is doing that, you need to have other people in there. Like you're welcome to hold it all yourself. But there's also another path where you can elevate people around you. You do great dentistry and you own the visionary and the CEO seat. Be obsessive in there.   But I think so many of them want to just do everything. I'm like, that's great, but you're gonna run right into burnout really quickly. So it's a helping them realize, go look at your to-do list. Honestly, of that, who can you delegate this to? Who can do it better than you? And who's gonna be somebody that's gonna light up and be excited about it and get yourself continually moving towards that CEO seat? I think so many dentists don't realize that they are a CEO of a multi-million dollar business. And I think, like, look at Jeff Bezos, look at some of these really prominent people.   That are great CEOs. What are they doing all day long? They are not answering emails. They're not responding to these things. Like they're not doing any of that. They've got teams around them that are incredible at that. How can you get yourself closer to that? Because that is where the practice flourishes. But if you're sitting there doing every single thing, you're stopping it constantly. It's truly a bottleneck. ⁓ and I think that's when people are ready for it, when people actually recognize that, there's there's two types of dentists. There's the one who calls when they're absolutely burnout, exhausted, and they can't see like past like one foot in front of them.   There's the other dentist that realizes I don't want to be that. I've seen too many dentists like that. And I want you to coach me into how to become like not there. And I say, like, life's so much easier. I have a dentist hired us two months before he started his practice. As a brand new practice owner, this year he should be clearing 2.5 million. And I'm like, why? Because he recognized, get out of the way, have these other people do it, train my team. I'm going to bottleneck this. I don't want to be burnt out. I want to be present for my kids.   Teach me how to be the CEO of my practice and empower my team. And so I'm like, again, it's choose your hard. Which path do you want to live? It's all in Wonderland. There's both, there's paths. It's just what path do you want to go on? And also what mentors and what people be the CEO of your practice. Do not be the operator that's doing it all.   speaker-0 (11:35) You know, I always call a great idea is I always call them a giraffe. I'll never forget when I took my kids ⁓ to a ⁓ Serengeti and the guide was so funny, he would he would all of a sudden he'd stop. Well he stopped for a reason. He's giving us a guide and and it was one of these long tour to trucks where you'd stand up in the middle and you look out, and after about five minutes, we just said, What? What? And he's like, It's right in front of you and we're just like, Well, we're looking all around, my boy, everybody's gonna find it.   And he says, Are you kidding me? Look at that tree. Look at to the left of that tree. And it was a giraffe standing right next to the tree. Totally camouflage. And that that's what I mean when I say, you know, they can't see the giraffe. And here's a missing giraffe for 40 years. Remember the great Jennifer D. St. George? She's still out there. I love her to death. And she had this lecture on schedule. It's called Rocks, Sand and Water. She goes, You gotta schedule your rocks first. Do all your rocks. And then she'd fill up a glass with rocks.   And then she say, Then you can do your sand. And she'd pour like a half glass of sand on top of the rocks and you still didn't have a full. And then she'd say, and then the water, then she'd take like a full bottle water and pour it in the sand and and it was still full. And I already know when you talked about block scheduling, I already know that at least fifty to a hundred and fifty percent of the dentists said, ⁓ I don't care if I do a root canal in the morning or night. I they they don't understand block scheduling.   They don't understand rock, standing water. They haven't for 40 years. Jennifer lectured for 40 years and and I still don't think anybody saw the giraffe. Can you just slow down and talk about you just made the example about how all you did was change the scheduling and you got the it up. So show that giraffe. What what does that giraffe look like?   speaker-1 (13:23) Well, thank you, Howard, because I do love giraffes. I do have freckles and have I've definitely been like and have a very long neck and I'm very tall. So I do love giraffes in and of itself. So thank you. Like let's just talk about it. ⁓ but I I agree. It's so I don't know. I think as a team member, you just get obsessed with making puzzles. And like for me, I'm like, how can I maximize and squeeze more juice out of your lemon tree? Like, let's just do it. It's gonna be a great time. ⁓ and so what I love to do is.   Like, let's just go through and build you a perfect day. And I love to build my rocks. And I used to do like high production. And then I learned it was even more fun if I put a dollar amount on those high production blocks. Because as a team member, like, hi, Kiera, I'm Kiera. I sit up front. I am now looking for puzzle pieces that are coming through my puzzle. And instead of just filling your day with a bunch of water, aka no production, I'm actually able to like fill you full.   Make sure I've got you up to production and then I move on to my next day. And then as I have my little water that comes through, I just fill in the gaps. And you, doctor, are so happy. And I did this with an office and the doctor was like used to making five, seven thousand dollars a day max. We got him to a twelve thousand dollar day and he walked out the door at four o'clock. And normally he was there till 536. And he's like, Here, how'd you do it? And I was like, Because we actually put in blocks, we actually scheduled it of what's the most efficient way to use your time.   And it's playing seduco in a schedule is how you really do it. It's like perfect. Where is the doctor? And then where does doctor need to be for hygiene exams? What does my hygienist need to be producing? How much period do I have? How many new patients do I have? Let's block those so I can get those people in on our schedule. Make sure my hygienists are up to goal every single day. So, like, what are they supposed to be producing? Usually three times their pay is typical. And then on the doctor side, doctors, what do we want to be producing for the year? What do we need to be producing per day? Let's build in those dollar amounts.   That is going to make you feel so easy to get through to get to exams where you're not running behind. And now let's figure this out. And when we go through, and I look to see how much procedures cost, how much like on average, how many new patients we need, how many SRPs we need, how many perio maintenance we need. And then you take those pieces, those are your rocks, and I'm gonna go build a schedule to where it actually flows really, really well. And then from there, I'm gonna duplicate that over every single week.   And what's crazy about it is when you do this, people realize they're gonna be walking out with $10 to $12,000 days, getting out on time. We're doing the easy stuff in the afternoon, the harder stuff in the morning or whatever you like to work. I don't care. And when people see how much they can produce with minimal effort, no extra patience and no extra time, like usually that's how it builds. You're able to, like you said, see the draft, but it's crazy because you're a happier dentist, you're not running behind all day long, and you're actually profitable. We hold those blocks, I usually say for 24 hours as team members.   And me as a treatment coordinator, I am scanning my canvas, I'm scanning my own scheduled treatment to find something of that dollar amount or that rock to fill in my blocks. And I'm not gonna put multiples in there. We're gonna make sure if you only have one root canal system, we're not putting two next to each other. If you have one implant system, I'm not doing two back to back. Like you just have it to where the day flows and 85% of your days will be great. And the other like, you know, 15% are like, shoot, we couldn't get anybody in it. We just fill it with whatever we can, get you up to that, put emergencies in there.   But that's how you do it. And it's so, it's so satisfying. I've got an office that they lost two doctors. So I've only got two doctors. We are producing as much as they were on four doctors with better blocks, better scheduling. And it's just incredible to see how much more efficient you can be with your time without more patience, more effort. And it's very, very fun and fulfilling. And when people follow it, they're shocked at how much their practice grows without any, like hardly any extra effort.   speaker-0 (17:07) Tell me, tell me this. Why do my DSO buddies, who have hundreds of office locations, tell me that that when someone calls their office, they can convert 70 to 80% of the people on the phone to getting their butt physically measured in the chair? And that in private practice, it routinely shows up at about 42%. How can Heartland   close seventy to eighty percent of the callers as measured by you called on the phone and now your butt is sitting in a chair in private practice forty two percent. What do you think explains that the most?   speaker-1 (17:44) I think Howard, it's they're obsessive about numbers. I have an office that works for Aspen and I've just watched like they are obsessive about KPIs and tracking and measuring. And I feel like in private practice, we don't track and measure nearly as much as they do. Like they've got metrics, they've got numbers, they're looking at it. And so what they do in Heartland and corporate, they're smart businesses. They look to see where is our leaky hole and how are we going to fix it. So I know what they're doing is they're watching their call conversions.   They're talking to their offices and they're setting this of like your goal is 75%. And this is the training and the verbiage. And we're going to track this and we're going to measure it because what we track and measure improves. And I like tell me a private practice out there that's like, we know our call percentage rate. None of them could probably tell us, but you ask a DSO and you better believe they're going to know all their metrics. And that's where I love like so many offices are obsessed about systems and what system do I put into place and how do I grow my practice? And I'm like,   Number one, let's figure out where you want to go and what's your vision. I call that why. And then E is earnings and profitability. Like based on those two things, based on where you want to go and what the profitability and our our numbers are, then you determine the systems. And then we look at those metrics of the profitability and our KPIs and the metrics, and you put systems into place for that. So these DSOs are so good at tracking and measuring. And like I've got a practice doing 29 million. And what we do is we have a scorecard. They know.   We just hit the most important things that are going to drive the needle forward and we watch those numbers like a hawk and that's all we coach and focus on. You coach and focus on those items, your practice will grow. But I promise you it's because they're tracking, measuring, and training to that and having metrics of what they need to hit. They're not better than us. They're just better at measuring and then improving those numbers.   speaker-0 (19:24) Well, they they say that just by weighing yourself at the same time every day will start bringing your weight down just because you're focusing on it. Totally. And things like that. ⁓ I want you to do the same thing to treatment plan. Why do you think most patients are saying no? And what's the draft that one of my homies could listen to right now that could help him increase his treatment plan acceptance rate?   speaker-1 (19:46) I think the no is just surface level. And what you gotta hear is what they're not saying. And I also would say a lot of people, they're like, it's about money. And I'm like, again, you're looking for reasons and you're gonna continue to find that. So for me, my mantra, and this is a great thing for the homies out there, my mantra is everybody says yes to me and everybody loves me. Like, no joke, I say that every time I'm going into a treatment plan. Why am I sitting here thinking about my gosh, they can't afford it or they can't do this? You're creating more of that.   Rather than going in with a confidence, they're buying your confidence. Like hands down, I can I can close a fifty thousand dollar case same day. Let's swipe a credit card, like let's buy a boat. But it's confidence. And I'm walking in there of like, we're doing this, we're doing it now. My job is just to figure out how you're paying for it. And so when we look at that case acceptance, I've coached an office and we've added, I've got five locations. All I do is train their treatment coordinators. I just rep them. We are constantly going through reps. We add   One to two million annually amongst those five offices just by focusing on it. And I'm like, it's 80% psychology. What are you thinking about? You walk in there, everybody loves me, everybody says yes to me, and let's make this happen. And I do it in a way where I love them. I give them like a warm virtual hug, like I'm not actually hugging. I want them to feel so comfortable, so confident. But then I also say, like, watch out. How are you using words? Words are free, Howard. Like, I'm not going to lead with, do you want to get this done? No, I'm going to assume they want to get this done.   Hey Howard, let's get that treatment done. So I'm gonna schedule you. Doctor is really busy. So I'm gonna do Monday or Wednesday, which works best for you. ⁓ Kiera, I want to talk about fees. Howard, absolutely, I'm gonna talk about fees. Let's just make sure we get this time locked in. I've got Monday or Wednesday, which do you prefer? We schedule you on Wednesday. You're already halfway there for me. I've got you scheduled. Perfect. So treatment's gonna be this amount. This is what the total will be. This is what our insurance estimates are, this is what our total will be when I see you on Wednesday. What questions do you have for me? Howard then asked me. I'm not gonna say I'm like, so do you want to talk about money? Do you want to get scheduled?   Like, why? Why am I bringing this up? Like, let them come up with it. Give them the time. Have the things. Don't bombard them, but be so confident. If I've got a great dentist that I know has great dentistry, they diagnose my job is to close and let's have that type of attitude. Walk in their doctors, don't be like, I don't know if they want to do this. Like, what if they can't afford? No, be the freaking clinician that's like amazing and like they all love you. They say yes to you. Diagnose them. Stop scrimping on them. Like morally, that is your job is to tell me what's going on.   Your job is to diagnose for me and then I get to make the decision from there. But truly it's eighty percent psychology. What are you thinking about? What's your mantra? And then twenty percent is skill, but get that confidence because they're buying your confidence, they're not buying dentistry.   speaker-0 (22:18) Then I want you to pontificate on ⁓ this. ⁓ I watch this in my own eyes. ⁓ every American I know that's as old as me, ⁓ or by the time they die, has bought one new car in their lifetime. Am I right? You know any do you know anybody that lived to be 80 that never bought a new car? Yeah, yeah. And right now the average new car is 50,000.   speaker-1 (22:41) They all do it.   speaker-0 (22:45) And I would say ninety-five percent of all the dentists go to retirement and they never sold one case for the price of a new car, which would be fifty thousand dollars a day. And then I watched Clear Choice, my favorite DSO, because they rolled out a hundred locations, and the only thing they sell is fifty thousand dollar two arcs all on fours, twenty-five thousand dollars an arch. They rolled into Phoenix and all the world surgeons and paradox, like, I don't know, I don't know if I like this.   And they start doing all these infomercials. Remember, remember, orthodontists have always been ahead of general dentists in advertising. All the orthodontists were advertising before 10% of the flipping general dentists were. And when the general dentists finally got to like two or three percent, the orthodontists were at five. And now all my two million dollar dental orthodontist offices on up are spending eight percent on marketing. Here's clear choice.   You go through the channels, they got all these 30 minute infomercials and and all this stuff like that. No, I never I never had heard of an all on four until I heard it on a clear choice deal. And then all my paces were coming in saying, Do you do all on four? I'm like, what are you even talking about? Then then they tell me, and then because I I would have called it a you know, four implant. You know, I didn't think of four, say whatever. And and then the next thing you knew.   Every oral surgeon and peridonist in the valley of Arizona was doing more cases because they were selling it to so many people that our pace that we were benefiting from it. So I just want to hold your feet to fire. How come ClearChoice with a hundred locations? Don't tell me it's demographics. They're in the hundred biggest cities in America. And and in each one of those cities, 95% of the dentists will retire without selling a single $50,000 case. And ClearChoice is doing it in their backyard.   Every single day of the week. Explain that to me.   speaker-1 (24:42) gosh. I I don't disagree with you. And I think there's I I ⁓ to me it's kind of like the four minute mile, right? Like so many people did not think that they could do it. And then once the four minute mile broke, it was like, my gosh, now all these people can do it. I still cannot run a four minute mile mark. Like I'm still working on that, Howard. So I get it. There's like limitations still. But I think a lot of dentists I watch, a lot of them get weird. Like they get uncomfortable. They feel like, well, do they really need it? Should I really offer this? Like   They get into this weird space in their head rather than just like, why don't I just offer it? Like I have a dentist who literally presents $250,000 treatment plans consistently. And they do all like full cosmetic. I have another doctor. It's 75 per arch, 75k per arch, and they're closing them consistently. And I think there's a space of like, why are we not doing this? And like you said, clear choice is doing it in their backyard. I think there's a   My background's marriage and family therapy as well. So I studied that when I was in college. And so I love the psychology of it. And I think so many people are truly afraid of rejection. And so they're like, I'm just not going to offer it. And they like justify it in their brain of why, like, I don't need to do that. Like other people can do that. Like, I want to make sure I'm taking care of my patients. And they live in this world that's their own reality. And I think that we all create our own reality. And clear choice is like, no, there are patients out there that do this. My client that does 250,000 consistently.   My other client who does 150,000 consistently, that's just their level of comfort, right? And so, how can dentists get to a higher level of comfort? I think one, be confident in your clinical skills. If you know you're the best dentist out there and you can do this, like for me, I feel like that's my moral obligation to make sure that patients are getting the best dentistry because they don't know if Howard or John or Sarah or Tom is a better dentist than you. So if you aren't confident that you are a dang good dentist,   Your job is to make sure that those patients know that. The second thing is get more confident presenting larger cases. and I tell all the offices I coach on these large cases, like please drop the mindset of a large case. I think we psych ourselves out by being like, ⁓ it's like a $30,000. Like, no, it's just a case. There's no big, there's no small. It's just a case. And I'm going to present what this patient needs and I'm going to present it to them. And I'm going to believe that they want this and I'm doing the best thing. And then we get to decide from there. And our job is to make this to where it's easy. We follow up.   There are so many people that want to do this, but I think people hold themselves back and they live in lies that they choose to tell themselves, but they believe are truth. But they're only the truth to you because there's other people doing it just like the four-minute mile, and you can too. So I think it's a matter of why not? And so when dentists are nervous about this, the way I usually am able to break it is like going from a $5,000 treatment plan to a $50,000 treatment might feel a little scary.   And so I'm like, perfect. Let's just diagnose one more thing or let's present one treatment that we normally wouldn't. And let's start to like build that confidence for you. And whether they choose to say yes or no, you just got to work on your presenting, like presenting skills. It's not like they're not saying yes or no to you. It's just how are we presenting it? How are we using the words? Are we assuming the yes? Are we assuming that they want to do it? There's so many ways that you can present treatment better. Like it's an art, it's not a skill. But I think people choose like Howard, they   They just want to live in this world and they believe that that's the world. And so I'm like, until you choose to get uncomfortable, it's like we've got a little thermometer in our world and in our world. Like if I say that I am comfortable at 75 degrees, if the temperature goes up to 78, I'm like, this is out of control. Get it back to 75. If it drops down to 70, I'm like, it feels uncomfortable. So how can we take it to where I can get comfortable getting out of my 75 degrees and move me to the next level of whatever that is, to where that becomes my new norm. And then I move myself up to the new norm.   There are people doing 35, 75, 150,000. And I don't say that for you to like belittle yourself, but to see that's possible. Other people are doing it. Believe in yourself. If you're the best dentist, be confident in that. And then truly, please, for the love of everything, I am a patient. No hygienist offers me fluoride Howard. No dentist offers me emphasizaline. I would say yes to both of you, but you are selfish. And I'm saying this with like love and respect. You are selfish by not giving me the chance to say yes or no to you.   And I would say give more people the opportunity to say yes to you, offer it, get better at it, check to see why they're saying no to you, refine that and keep offering. I love my offices that set it a 35% case acceptance because I know that they're presenting 50, 2000, like they're sending 10,000, 15,000, $50,000 cases consistently because they know that the more things that they say yes to with great dentistry and great confidence, the more people will say yes to them. But like get out of your own way.   nudge it up a little bit more, get uncomfortable, but truly do great dentistry, offer to patients and stop like holding back and assuming that they don't want to do it because more patients want to than you believe that they do.   speaker-0 (29:37) And you know, a lot of dentists don't like the blood and guts. They don't want to place implants. They don't want to play certain modes. I get it. But you know what? I know a handful of dentists, at ⁓ five at least. I think the sixth one might have retired, but one of the reasons they're probably so big, they didn't they didn't like blood and guts either. But they would always tell ladies, they go, Well, I'll tell you what, before you go back to your twenty fifth wedding ⁓ school high school anniversary or or whatever, I mean tell you what, you always remember   For 50 grand, the price of a new car, what we do here is we take everything out, every filling and crown comes out, we put it all back in in the most beautiful portion. You'll leave with a Hollywood movie star smile. I know it's a lot of money, it's 50 grand, but you gotta think about that. And he and they both tell me they say, Well, you know, if you say that 10 times a month, yes, someone always always says it. And they go, Really? I'd have a movie star smile, and I'd say,   Absolut flipping Lutley, man. We take all that old crap out and veneers, inlays, onlays. I mean, when you're done, you'll look like a movie star. And and and I got a a a couple that is in not so rich areas of town like Tempe and Chandler Mesa. And they say that they have to say that about 10 times ⁓ to get one or two to do it. And in North Scottsdale Paradise Valley, ⁓ boulder area, ⁓ they they they say it's about a one in three close rate. If they just say it right like,   Be because when when someone gets a new car, what do they do? They drive around, they show it to everybody, you know, they just they they just love it. So I we're over an hour and we try to keep it under hour. So I wanna ask you one question. But first you said your background's a marriage advice and I just wanna tell you the best marriage advice you can have. Just like you're saying, it's all in your attitude. You don't you know, you start every day. When you wake up, the first thing you do is you tell your wife, I love you. Not you again. And ⁓   speaker-1 (31:35) I agree.   speaker-0 (31:35) If you if if you just drop the U again and it's so last question. What are ⁓ the one or two KPIs that ⁓ you think every dentist should be reviewing every single week? And what should they stop tracking? That's my final question.   speaker-1 (31:49) Hmm, this is a great one. ⁓ KPIs for dentists to be tracking specifically. ⁓ I really feel like the things that are gonna move you forward on a weekly basis are we've talked a lot about them. Your case acceptance is gonna drive you fast, like forward the best. Like track that, look at that, review it, get really good with that. And then I also really like to look at my hygiene. How is my hygiene doing? What's my what are they producing?   And then if you wanna add a third, like look at your schedule maximization and optimization. Like those are gonna be like really big, like heavy hitters for you constantly. And then I'm gonna throw in one on a monthly basis because I'm really big on I prefer weekly, but I get most aren't obsessive with me. I call it like my mind and my money. So every morning I meditate and I look at my money. So that's like my mantra of how I do it. But if you wanna do it at least monthly, you've gotta be looking at your overhead and your PNL and like what you're producing, what you're collecting, and what you're spending. ⁓   Just if you look at it alone, you're gonna get better. So it's like weighing ourselves. Now things for them to stop tracking. Gosh, there's like to me, I actually feel like really I don't want to say everything, like keep tracking, but I actually think people over track on a lot of things that don't move the needle forward. Like we want to track on, I don't know, I just see people like, well, we're gonna track on this and this and this. And like it's just like it feels like it's such a smorgasborg of items. But I'm like, what really is gonna move your practice forward?   Production collections, new patients, case acceptance, our scheduling optimization or overhead. Like those things and like sure you can look at like dollar amount per patient if you want, like so our marketing ROI. But like that's like really the core. And the more you can simplify it down, the easier it is for you. Cause like you can get lost in data, like buried in it, and actually not be able to execute on what really is gonna move you forward. And I'm like, I've got offices and I'm just a broken record. I say profit and production, profit and production, and that ties to collections. If you focus on that, your practice will grow.   So those would be the things that I'd end with.   speaker-0 (33:42) Garrett, you are a gift to dentistry. Thank you so much for all that you do for dentistry and thank you so much for coming back on the show. You gotta promise you'll come back again before the dirt nap. Gonna come back on again.   speaker-1 (33:52) I will.   I will. Don't take a dirt nap anytime soon, Howard. The world needs you and I'm grateful to be a part of it. So thank you.   speaker-0 (34:00) ⁓ thanks for all you do. It was an honor to podcast you.   speaker-1 (34:03) Likewise, thank you so much.   The Dental A Team (34:05) And that wraps up today's guest interview. If you liked this style of episode, let us know and we'll be sure to share more of them. For more resources, events, next steps, head on over to TheDentalATeam.com. And as always, thanks for listening. We'll catch you next time on the Dental A Team podcast.  

Part one of Kiera's conversation with Howard Farran on the Dentaltown podcast. They discuss how many details a dentist should know about their business, what about the COVID-19 pandemic still haunts practices, the AI of dentistry and the human care of patients, hidden gaps draining profitability, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today we are sharing a guest interview I did on another podcast. And it was too valuable not to bring you guys here.   this episode, you're gonna hear this host lead the conversation and then I'll wrap us up at the end. I cannot wait. It was truly one of my most   episodes and I truly hope you enjoy.   The Dental A Team (00:17) It's just a huge honor for me today to bring back Kiera Dent. How are you doing, Kiera? my gosh, Howard. It's so great to be back. I remember my very first podcast with you. I was actually at an office in Alabama and I went like hid in this room because I was starstruck podcasting with you. So to be able to be back on the show with you ⁓ several years later is just fun. I love what you guys are doing. I love Dentaltown. I love your posts. so it's really fun to be back. So thank you. ⁓ the honor is all mine. Just remember Kiera likes Shakira.   And Dent is just her nickname. The full name is Dental Queen Goddess. So thank you. And ⁓ she is the founder and CEO of the Dental A Team, committed to elevating dentists and their teams to their highest level through customized in-office and virtual consulting and training. Her vast experience ranges from the front office to assistant, regional manager, and dental practice owner, giving her a perspective few consultants can claim.   She and her team work with hundreds of dental practices nationwide and confidently say we don't just understand you, we are you. Among her many accomplishments, Ciara has grown a practice from 500,000 to 2.4 million in just nine months with a doctor straight out of dental school. She's coached hundreds of practices, authored numerous articles, and designed a customizable operations manual manual that serves as a roadmap for systems and team success.   Her Dental A Team podcast has amassed nearly 2 million downloads, making it one of the most impactful resources in all of dentistry. Kiera lives every day by her core values. Do the right thing, ownership, passion for excellence, ease, grit, innovator, die, and fun. Her motto says it all. There is always a solution. And my gosh, I just want to tell you the truth. And the reason I was so excited to bring you on. It seems like dentistry has turned into two groups of dentists.   There's all the old farts like me who, you know, we had, you know, we had great practices, great lives, great careers. And then you got these younger dentists that look at us and say, ⁓ man, you graduated in the good old days. You know, you didn't have five hundred thousand dollars of student loans, you didn't have DSOs, Delta hasn't given us a raise in four generations, and and and they're mad at the ADA. I think they're even mad at their mom. I I they're I think so and they're not happy. Do you have any good news?   For these dental graduates with $500,000 of student loans, or did they make the wrong decision and should have become a plumber? I mean, you know, plumbing is always a backup plan if dentistry doesn't work. So I think you're like at least in that realm. Like, you know, there's always options. But I love dentistry and I actually, ⁓ I think we're actually in the best time of dentistry. And I know that yes, there's the good old days. Then Howard, those were great days for you. But I think like, how many options do people have now? We have AI, we have these innovations, and I mean.   Your my example of a student straight out of dental school, we actually had one million. So I actually called her 2.5 because we had $2.5 million. So from student debt to practice loan debt to buying another location, all within a couple of months of us starting the practice. And so I called her 2.5 every time I walked past her. I was like, get that back straight, girl. Like we got 2.5 mil of debt on us. but to be able to grow our practice in nine months was   Absolutely incredible. And I think that that's where dentistry is amazing. There is no cap, there is no ceiling, and you have a way to truly impact and change people's lives. And I'm like, you have DSOs as options. Like there were not the times where you were getting the multiples that you get today. You also have like there are so many avenues that dentistry can afford you. but I think it's a it's a matter of what you choose to focus on, is what you're going to find more of. If you want to sit here and say, ⁓ my gosh, it's awful. We have 500,000 of debt. And I'm like, Yeah, but guess what? My husband had   Not quite the same, but we had several hundreds, thousands of dollars of debt. And he's a pharmacist. And so I understand what it's like to come out of school and have hundreds of thousands of dollars of debt on us. But guess what? He's making, you know, hundred, hundred and fifty. If we're lucky on a good day, we're capped out. It took us forever to pay back our student loans. But as dentistry, you have untapped and uncapped potential. And so for me, you get to change people's lives, you get to give them confidence, you get to help them have better health, and you're able to make people smile like.   I can't think of a better opportunity to be a part of. And I'm not just Pollyanna over here. I coach hundreds and thousands of offices. I've seen the good, the bad, the ugly, and the in between. But I'll tell you, depending upon how you choose to view this, you can either find the good or the bad. And I'd recommend like, let's find the great because it's a gold line of opportunity if you want to see it. What what do you say to dentists who say, Mm-mm, you know, I I really don't want to complain really a bit. I mean, on paper my   My practice looks perfect. I got two hygienists. I do a million dollars. I do all this, but just internally it just feels chaotic and stressful. So it looks like on paper he's doing everything right. But she says, I still feel like chaos and stress. What's what's that about? I think like welcome to being a business owner. I think that there's two sides of success. In the word success, there's literally the word suck. Like there are parts of success that are going to suck. Like that's just how it is, guys.   And so that chaos and internal turmoil, I think I there I have lots of offices where you don't have to be that way. And I think going from like operator doing all the pieces, being stressed out into like a CEO of a business. ⁓ I think sometimes dentists are such gunners doers, they're so hands-on that they have this internal chaos. But there there are paths again that don't have to be that way. But I also think this is part of the game of business that we signed up for. And I think when you get to the level like Howard.   You've seen, I've seen over our career, we've got the gunners and the doers and the like zero to two year business owners. Like it's freaking chaos. It's psycho. Like you're learning these things just like you're back in dental school. But as you mature, you start to realize that the chaos is just part of the game. And the more you're able to learn to weather it, to see it, and to not do all the pieces, elevate your team, get great people, do like hire it out. You can hire, I mean, a practice is doing a million and you got great profitability and overhead.   You can hire a lot of great people to take away a lot of your problems. And so like, let's get some of those things done. And then you actually become happier and you make more money. So that you don't have to sit in that chaos. I think that there's a part of it that will always suck. but there's also a part that can really be the successful part too, that's fulfillment and enjoyment. But you got to make the steps and take the steps to do it rather than just sit and complain about it.   Love it, love it, love it. ⁓ what do you what do you say about the ⁓ the dentist who got out of school, goes and works for a major DSO, say say he's working for Rick Workman, Heartland, and he works there two years, and you know, he you know, he's working for a guy that owns eighteen, nineteen hundred dental offices, but he can't tell you the code for a profit. Can't he'll say, like, you know, are they paying my pay right? Really? You can't check at you. I mean, it it's like   It's like they'll listen to a forty hour lecture on the difference between two different composites, but they did I mean th they worked through two years, they don't know insurance codes, they can't check out a patient, they don't know the software. I mean, I had one guy tell me, ⁓ the only thing you could tell me about the practice manager software is the brand name. He couldn't tell me and then he's asking me, you know, it what which one you know, but anyway, do you think do you think a dentist doesn't need to know all the business details?   Or do you think that's a blind spot and you can't delegate anything till you can do it and master it? I think that there's two types of owners. And I think that there's some that are really great at hiring people that they are great at hiring people, knowing it, listening to podcasts, hiring coaches, training the team, and like having somebody spot check for you. Then there's others that like they've got to know the ins and outs. But I think that like Howard, there's   To me, there's also a middle ground where I think that you can go sit with your biller for one day and just like say, like, walk me through your process. So you have a general idea and an understanding of what they do. Go watch to see how they schedule. ⁓ I think when it comes to billing, I do think the dentists have a very big blind spot. And to me, that is like as a business owner, not to know how your money comes to you. To me, that feels like a pretty big blind spot of like even just understanding that knowledge. And so   If I were to say, I don't think you need to know the ins and outs. I love like I recognize this. I was a business owner of it. I own practices. I worked with hundreds of dentists at Midwestern University's Dental College. Like, I hear what you guys are taught. Plus, I'm a team member on the other side. And so I created a billing course and an office manager course because I just want a dentist to know like, what should I be able to expect? And I think like if you want to just have a general overview so you don't get blindsided, you you can have it. I think you can quickly within like a week.   Know the bulk of like everything you need to know in a practice very simply, very easily. So that way you can delegate. That way you can have it. You're not gonna be perfect. but I think just having a general awareness. And then I love to give doctors just a quick checklist, like once a month, go spot check, go grab an EOB. Even if you don't know what the heck that EOB is, go ask your front office for it, check it. And just the more you learn that language, just like the language of business, I think it doesn't need to be an overnight sensation.   But I do think the more you're aware of it, I don't think you have to do every single role though to be a successful practice owner. And I mean, shoot, if Heartland can do it, I think it's a good example. But I think who are you? And are you a hands-on tactical person? Are you somebody who's really good at hiring people, t trusting other people, getting the checklist and spot checking? I think you can do it either way. But my recommendation is like just like one week, go like sit in every seat of your practice and get a general awareness and educate yourself on the things that you don't know. I'm really big on money, understanding at least how insurance works. And then also how do we like   present cases, what are kind of the flow that way those big zones that really impact your financials, you can you can be aware of. So those courses, those online CE courses, your website is The Dental A Team. The Dental A Team. Now I think the A Team, you need that guy with the Mohawk and all the bling. I mean that's who I am in my like spare time. This hair is just a facade. Like, you know, I hang out as Mr T. Mr T. Mr T, Mr T, yeah.   That's why I was thinking the A Team, but is that on your on your website, the th those courses? Yeah, they are. So we have an online library, it's all C E. We've got downloadable checklists, we've got operations manual. You got it. That's exactly right. And Howard, in real time, I'll have our marketing team actually put together a code. If you guys put in Dentaltown, since you're listening, we'll make sure that you guys get a coupon code for that as well. Well, since it's my compass podcast IRS that you just put Fabio.   you want Fabio? Okay. well in that case. So ⁓ so is I also see you have a ⁓ Summit twenty twenty six is live on Friday, April twenty fourth. Grab your ticket. Where's where's that show gonna be? Is it Reno where you are? You know, that's actually virtual, Howard, and it's one of our like favorite comebacks constantly. And the reason I do it virtual, people have been asking me for years, like, why don't you do it in person, Kiera? And what I found is   Because it's so like again as a team member, I really struggle to get my team ramped up, amped up, and have it be financially affordable. So what I found is if we can have it virtual in your practice with your full team, you guys are able to get this boost and surge of energy and have a good time. So it's for leadership teams, it's for doctors. ⁓ we've been doing it for six years strong and we tend to have hundreds of offices. You get your whole office there, you have a good time.   But yeah, it's virtual and it's C E and it's a great time. ⁓ I attend a lot of Tony Robbins, a lot of Brendan Bouchard, Rachel Hollis. So we've learned how to do people have told me the online experience is so fun. ⁓ we just get continual people coming back year after year after year. So yeah, come join us. It'd be a great time. I love Tony Robbins because ⁓ you know, my boys they wrestled year round from age five to fifteen.   Yeah. Made our garage. I got two real wrestling mats from the manufacturer in Pennsylvania delivered by an AJ Miller. So I never ever parked in my garage ever. And we would we were listening to that Tony Robbins 30 day, 30 day personal power. Yep. And then I and then I bought my first laptop when I went to MBA school. And so I took notes on it. And then when I was done, I I ⁓ closed down Saturday and I went to a studio Saturday, Sunday, and I ranted out my notes.   And I said, this has got to be 30 hours because I mean it's still Tony Robbins 30 day personal power. And that was the 30-day dental MBA. ⁓ and it worked out to be about thirty hours. But I'm telling you, the pandemic changed everything. That was when ⁓ online CE at Dentaltown just went through the roof and it hasn't come back and dental meetings haven't come back. Cause why do I need to fly to Chicago to listen to you if I got a Zoom call or   or streaming video or this event. I mean, I mean, just think of the plane ticket, the hotel, the sitting and attending. If you're in Phoenix, you know, just to get to New York is a five hour flight. I mean, why I I gotta fly five hours each way when I could see you on YouTube or a podcast or or whatever. But I wanna but I want to go back to that pandemic because that pandemic, I really think the reason you can really do this so successfully today is because of that pandemic. That's why we realize   I don't have to be in the flesh to learn knowledge. And and like I I I feel fine talking to you. I me too. The only thing I regret is teaching my mother how to do that. I got her FaceTime and all that kind of stuff. And because she calls to tell me about ever every one of her exciting things is junk mail she has. She's eighty seven and she believes every piece of junk mail. I love it. She's always free freaking out on her junk mail. But but I want to talk about the pan the dark side of the pandemic.   And that is a lot of people think about 20% of the hygienists left to practice. Before, you know, when I got out of school, your labor was supposed to be twenty percent, your overhead was supposed to be fifty percent. And by the time it was it didn't even take 10 or 20 years, and and due to insurance, I think not keeping up, ⁓ overhead went to basically two thirds. It went to about sixty-five percent and labor went to about twenty five, sometimes twenty-seven percent.   I'm hearing thirty percent labor all the time. And I mean I mean I'm talking about serious dudes who know the business of dentistry. And I don't I don't want to get my buddy Rick Kirstram out of me. He owns a hundred comfort dentals and he said he can't he said he's got the mean and lean where labor is twenty. He says he's got mean and leans with labor at twenty-eight, twenty-eight and a half. So so the the pandemic is ⁓ it that was five years ago. Why do you think it   seriously impacted labor cost of the pandemic. I do, Howard. And I think I think we kind of have this perfect storm, right? Like I think we've got multiple waves coming at us that have impacted. I think the pandemic pushed out those that were like, you know, I'm done. Like, like I'm good. I'm at the end of my career. I don't really want to do that. ⁓ a lot of hygienists are female and I think a lot of them realize they did not need two incomes anymore. And so it's like, you know, I want to be with my kids. I want to be home.   And then hygiene schools don't pump out a lot of hygienists and it's usually like a two year span. So yes, I have actually seen like hygiene is it really did, and then it clicked up. So the cost of hygienist has gone up astronomically. I mean, I think the highest I've seen of a hygienist being paid was 85 an hour. And to me, I was like, at that point, that was up in ⁓ it was up in Washington, up by Bellevue, Mount Vernon, that area. And I literally saw the the posting for 85 plus a a bonus, and I was like,   Screw that at that point. Like in all respect to hygienists, I'm gonna hire a dentist for that cost. Like I truly will. And that's not being disrespectful. It's just like a dentist is a more multifaceted. I understand they are not great hygienists, but if I have to and I'm gonna be putting this number up, like we've got to get to a space where it does work. So yes, I do. However, there are more hygienists coming onto the market. I still know that this is one of the hardest things, but ⁓ I have a practice that's out in Maui, rough life, huh, Howard? I get to fly to Maui to go do work, like.   You know, shout out to that office. ⁓ but what we found is we were able to find a way to get the hygienist to be paid exponentially higher by doing assisted hygiene. And so I think I'm seeing people innovate. I think I'm watching them create. I think I'm seeing people do some more outsourced costs in the front office. And so they're able to then offset the costs of the clinical team. ⁓ I think that people are just getting innovative and creative. And what I want to highlight is while this feels annoying, this is also business. And if we don't innovate and if we don't continue to evolve,   We actually decay and decline as an as an organization and as an industry. And so I know it's annoying and I absolutely empathize. And you're right. Like for me on our payroll, we're at 30%. Like I've had that as our metric for our clients for the last five years because payroll costs have gone up. But I'm like, but just because they've gone up, like let's look at several other industries. I mean, we're not here to like love on or hate on McDonald's, but I'm like, they have kiosks. They figured it out.   I checked in at a hotel in downtown San Francisco. There was no person there when I checked in. It was literally a person on Zoom just like this. I clicked in, they said hello to me. They took my information, but they didn't have to have a physical body in the office. And I think with AI and technology, dentistry is going to evolve, but I think the art and the care of patients does not need to evolve. And so, like, let's put our dollars where that matters and let's be able to look and innovate in other ways that keep our costs low. ⁓ I still think dentistry, I mean, why is there a one percent default rate on loans? Like,   Banks are still lending. We had the first down year of DSOs last year and the first uptick of private practice last year. And so when I look at these things, like it is still a great business to be in, even though labor costs, like, guys, again, it's just another flavor of business. So like let's figure out how to innovate. Let's figure out how to do it. And like, yes, I'm gonna pay for great people. I see team members as assets, not liabilities. And I'm gonna cut and chop on other areas that I can, but I'm also gonna be smart with my labor costs and make sure each person hitting their KPIs, they've got numbers that they're driving.   We are running this as an efficient business while like loving and taking care of our patients at the same time. I'm glad you mentioned bank loans because it's less than one percent default rate. Yes. All the defaults have the same thing in common. They all had their license taken away. Right. Always. And and if it's for drugs or alcohol, they now treat that as a medical disease. And the dentists still say, Screw you, I'm not gonna quit doing biking. And then they run south of the border. And that's why whenever you find a dentist down there that looks like me.   They're running for free Vicada. They they they said I'm not peeing any. So unless you, you know, do something just horrible. I mean, and you know, you have you have to get your it licensed in your way. But I w I wanna tell you about you know, there's just so many other things that you can focus on besides labor, like increasing their productivity. ⁓ I know dental offices. you can get a full if you pay a dentist in the Philippines five dollars an hour.   You get the best dentists in the Philippines. And I and there's dental offices that with Zoom and things like that are doing all their insurance and their claims and all that stuff. I mean, ⁓ so the with with with ⁓ with the internet, I mean you can literally have someone ⁓ be at the front desk ⁓ on a on a kiosk that's actually a dentist from the Philippines from five dollars an hour who when he's not busy can be calling your insurance companies all that. I I want to ask you another thing that's really hot on Dentaltown.   today. Everybody keeps talking about these dental insurance EFTs versus virtual credit cards. but basically everybody's reporting that major dental companies like even Delta are gonna stop sending paper checks and you gotta do it all electronic. And I guess that that electronic could be free, but it could be you know it could be another three and a half or three percent credit card fee on all your claims. Or what or what are your thoughts on all that? I'm hard on that   I have and I'm a hard no on the credit cards. Like, why? Why are you doing that? EFTs are so fast. Like there's absolutely no reason to be paying this. Explain to my home. A lot of them don't even know what a EFT. Mo I I bet 80% of the the dentists listen don't even know what we're talking about. Will you explain it? Will you explain it like I just graduated from dental school eight minutes ago? Of course. Well, I think that this is also where going back a little bit where you said, like, do dentists need to know the business? To me.   You don't even have to know that much, but I want to just challenge you that if you're getting a three, three and a half percent cut on your payments for quote unquote ease, that's a real big hit. And I would just challenge you to think about like for what and why. And so coming in, there's different ways the insurances are going to pay you. So they're gonna pay you via paper check, they're gonna pay you via EFT, which is a electronic fund transfer, or they've got this new thing where they're gonna pay you via credit card. And like honestly, to me, the credit card is so scammy.   And I've talked to so many people and like educate me, like, why would anybody do this? Like, I cannot comprehend. Like, I'm already taking a cut on insurance as is. Like, thank you for my marketing fee to be an insurance. Like, that's how I view that that write-off. Like, I know you hate it, but you're also gonna, you're either gonna have to do that, or you're gonna have to pay for marketing to bring in fee for service patients. So, like, again, let's just think about that. But I'm like, so I've already got a cut there, but I'm then gonna take another hit in addition to that for a credit card ease.   So as we're talking about that electronic fund transfers, they deposit straight into your bank account. The reason that some offices don't care for electronic fund transfers is because like trying to match it up is a like it kind of dumps and chunks into your bank account. So all you need to do is help your team members. Like there's ways that you can have it where it automatically emails your team when that comes through. So then they can go online and they can find out what the EFT was, so then they can balance and like enter it in.   I do think dentistry software is so dated because what happens is when we get paid from the insurance company, we get either like it's called an EOB, it's an explanation of benefits, and it's like batch checks. So when they dump this money to you, Delta's gonna give me like 20 grand. But like, who do I allocate that 20 grand to of all these patients? So that's I think where some people have like, well, electronic funds are so annoying and this and that. But I'm like, they're very quick, they're very fast, they're a lot safer than paper checks. Paper checks people do get embezzled on.   That I literally see no reason. Like, I don't care if you get it like one day sooner with a credit card, you are paying a huge hefty fee on that unnecessarily when electronic fund transfers are pretty much just as fast. Like maybe a like smidgey of a delay. But to me, that's a that's a very worthwhile smidgey of a delay. Because you're getting your payments so much faster. And as long as you're staying on top of it, you should still be able to maintain a 98% collections rate, even if you do checks or if you do electronic fund transfers. It just is so.   So dumb. I've yet to see a reason. But to me, I'm like insurances are so smart because it's just another way for them to take a chip out of what they're paying you and to have it come back to them. So again, think of the motive as to why they're offering. These people are not dumb. Those insurance companies, if you've ever gone to a business who's the biggest building in the entire city, it's your insurance companies. They're not dumb businesses. And I think we need to be smarter business owners that out think that. They always but Delta always says, we're   Yeah, so is Rolex Watch. Rolex Watch is a non profit. And and some of the CEOs of some of the anyway, we won't go there. But ⁓ yeah, ⁓ so what other ⁓ besides you know, when when someone tells me about their overhead, I tell them, look, I can't call the government and have my tax rate lowered. I can't call the nuclear power plant SRP or APS and tell them to lower my electric bill. I mean, something I i if the hygienists can   Wants a dollar an hour and if I say no, I'll give you 75 cents and she can go get a dollar across the street. I mean the market sets many, many prices. So the only way to fight that back is to ⁓ increase your productivity. You know, I mean if if if you have a dollar in labor and they do a dollar in dentistry, your overhead is a hundred percent. But if your dollar in overhead can do two dollars in dentistry, now it's down to fifty percent. So how so ⁓ are there other   ⁓ hidden gaps that are quietly draining profitability, or has it just come down to production? Or is it both I like I'm so glad you brought this up because I think like it's so easy to sit here and say, like, dentistry's not profitable. But I'm like, go find me another business that has a one percent fell rate that usually can run twenty to thirty percent profit margins if you run a business right. And this is not just Kiera sitting here fluff. This is like I got real clients running at these margins consistently. They've got large practices, small practices.   And so when I look at this and I'm like, okay, how do we make this more efficient? A lot of people want to go to the first thing of like, let's cut insurances. And I'm like, yay, pop the confetti, but be real smart. Because again, you're gonna then increase marketing fees, you're gonna lose a lot of your patient base. Like, let's just think through the ramifications. And so there's lots of different ways that we can increase productivity and not have to go for the cut. So I look at three levers that I found that can increase a practice. So one is we can increase our production. We're talking net production, not gross, like please feed your family, not your ego. So that's number one.   Number two is what's your collection percentage? Cause half the time doctors feel like they're broke and they don't have money, but your money's sitting in AR, which is your aging reports or your accounts receivable. We're not collecting the money and we don't have a good billing process. We got to get our collections up to 98%. And then the third thing is like we cut costs. And so looking at that, a lot of people want to go to just cut costs. I'm like, but in dentistry, let's break it down. If I want to add 10 grand more to my practice.   I love to help teams. Most offices are working four days a week. So if we're wanting to add 10 grand to a practice, working four days a week, let's do 10,000 and we're working 16 days a month. That's an extra six twenty-five a day. Well, how can we make six twenty-five in a dental practice? Let's think about our fluoride applications. Let's think about FMXs. Like I'm just talking, this is your lowest hanging fruit for you. Let's talk about could we add one or two fillings? Could we add like same-day dentistry, which is going to make more raving fans for our patients? There is so much ease in there.   Now, to increase our production, we can also look at our case acceptance. Doctors have so much case acceptance. And also, what are we diagnosing? I'm like, doctors, if you want to be producing 100 grand a month, the statistics are you need to be diagnosing three times that amount. And then we need to make sure our treatment coordinators are really good at diagnosing explaining treatment to them. They're not diagnosing, but they're explaining the treatment. They're presenting it in a way. We're not using insurance as our main driver. We're using it as like a coupon. And then we're really good at our follow through and our follow up.   Gotta have a right person, right seat in your treatment coordinator seat that's obsessive with hitting the right goals. And so there's like so many little ways. Like you can in I have added block scheduling, which I know is like a consultant's number one favorite thing to talk about, but like make it really make sense and easy for your team. I've added a million to a practice with no extra days, no extra work. We literally are just being more strategic with how we schedule. And so there's just so many little ways that I want dentists to realize like,   To me, I get really excited. This is where I geek out as a consultant. I geek out and I love to help that is because I'm like, how can I like squeeze more juice from the lemon you're already in? Like, let's just make more lemonade. Let's figure out ways to do it. And then let's make sure our costs are effective. So we teach your teams how to look at the business as a business. We teach each team member about their one KPI that's really going to drive it forward. We help them track. I just did this with an office manager this week and she's so lit up to look at her numbers, to look at her metrics, to see how she can do it.   And when they start to see how they can click it through, it's not you trying to push and drive more money. Like doctors, I tell everybody, every team member, you want your doctor to be so freaking profitable. Because if they're profitable and they're like they're secure, your life is so much better. So like I'm like dentists, we got to get you profitable, we to get the cash flow, we got to get you less stressed because you're gonna be a better dentist and a better business owner. But how are there's so many little easy ways where it's just low-hanging   Typically I'm able to add 10 to 30% of production in usually 90 days to an office, like very consistently with just small little reps, no real extra work. How are we doing our exams? Are we being directive in our treatment planning? Are we using like, okay, next visit I want to see you for this? And when do I want to see you back? And how much time is this going to take? Like, let's break down the barriers of treatment planning. There's so many little simple things that if you just implement, you can be very profitable very easily.   And then look at your P L. If you're not looking at your P and L every single week or month, like just being aware, getting into the language of business, that's also gonna help you too. So yes, cut. ⁓ but I found that it's always a lot easier to make sure our collections match, our production matches, and we use those little low hanging fruits. ⁓ and it's there. Like dentistry is such a magical, like, like it's a great lemon tree. You can make a lot of lemonade out of a dental practice. I want you to tell me if I'm right or wrong or or   I think I think there's two threes to double your price. Number one, if three people call your front desk, one is going to come in because they're smart and they need to they know they need to get their teeth clean. One isn't gonna come in for anything and you can hear them vaping and smoking and drinking beer and eating Cheetos on the call. But one out of three needs a little extra push. And if you train the person answering the phone, they can close that one out of three. And if they do, they doubled your practice. Then when they get in, you still got the now you got three people in chair.   One's gonna do what you say because you're a doctor and they've done their their author search and and you say they got a cavity, they're not gonna argue with you. One's not gonna do anything. In fact, in fact in fact I was like I had about a dozen patients that in the middle of my treatment plan, they asked me if they could just take a cigarette break ⁓ from my presentation and they went outside, had a cigarette, came back. They're gonna do it. But the other one in three needs some some closing skills. And so if you if you can close on the phone   You doubled your practice. You you got two butts in instead of instead of one. And if you fix your treatment plan presentation, you're gonna do two cases at one. And I think it's so funny now because the dentists have never let their hygienist or assistant, let alone receptionist, do any diagnosing treatment plan. But now AI, Pearl, and Overjet diagnosing all the cavities. So you wouldn't let your hygienist while she's in there for an hour.   Diagnose and treatment plan and sell the dentistry, the assistant while they're taking FMX, they they can't point out, yeah, see, that's a cavity, you don't need a filling and a root now. yeah, they couldn't do it because they were humans. But now Pearl and Overjeck can do it all day long and you're good with that. I mean, so so what how do you how do you double the close rate from one out of three to two out of three on the phone? How do you double the treatment plan acceptance rate from one to two out of three? Yeah. Do you do you agree those are possible goals?   Absolutely, Howard. I think again, this is the low hanging fruit that people are like, but that feels so hard. And I'm like, choose your hard. Like, is it harder to spend a little time with a front office and train them how to do this? Is it a little like, or is it harder to be cash flow negative? Like you choose what's your hard to me? Absolutely. Let's go after that. And I agree with you. Like teaching a team to preheat an oven, I call it what would doctor do. And so like, let's train our hygienist.   Like I tell all hygienists, doctor should be the second opinion, not the first opinion. And you got Pearl and you got Overjet. And so just spending a little bit of time with your team. So what we typically do for case acceptance, like let's go hit that one quick and then we'll talk about scheduling. Is I'm really big on let's get the whole team where we're talking the same language. So we recommend, like, what would doctor do? I recommend you run this over the course of six weeks, is typically how long it takes, anywhere from six weeks to maybe three months.   but we're gonna sit there and we're literally going to go through. We're gonna pull up an FMX. We're gonna do it one day over lunch. Hygienists, doctors, and if you want front office and dental assistance, rock on. But really, I want my like people that are seeing the bulk of my patients with doctor and hygiene. We're gonna look there and I want all of our hygienists to start like if we have an FMX up there and the interaurals, what is doctor going to recommend and how is doctor gonna talk about it? We're not just gonna sit here and have a nice little chit-chat. We're each gonna write it down because I wanna make sure every hygienist starts to get very, very comfortable. And the goal that I tell all hygienists is   Your goal should be at the end of this, what would doctor do training over six weeks? And if doctors are really consistent with it, I'm like six weeks of training to be able to double your practice and increase your case acceptance to me is a very good use of my time. So if I can do that, doctors and hygienists, you should be able to have 95% accuracy with your doctors at the end of this. And they do it. So hygienists get really lit up and they get very excited about it because now they're able to preheat the oven. They're able to talk to patients about it, use Pearl, use Overjet.   And then doctors, when they tee it up to you, and I say like hygienist, you've got to be the ones who first like introduce it, talk about it with the doctor as soon as they come in, but be real quick. So we introduce the patient, we compliment the patient on something, we recap the treatment that's discussed and we say something personal. Hygienist, you do that, your doctor exams will be much shorter for you and doctors will love it because it's very quick. If we can get that dialed in, and then doctors, you have a very like confirm the treatment.   then recommend exactly what needs to happen. And then we take that same baton up to the front office and front office, we schedule first. We then present the treatment. We use insurance secondary. I'm never leading with insurance. You do these little items which seem like, ⁓ no, that's like very quick, easy things. You're going to rapidly be able to help those ones. And then I do a two two two follow-up. So if they did not close for me and I'm going to go through it and I'm going to work through and I'm going to track all the people that didn't say yes to me and all the people that did say yes to me.   I'm gonna look for patterns. What are people saying yes? Like those are easy ones. Those are the gimme's. Those are the easy patients that Howard said. I'm looking for the people that say no and what's my pattern in there? And how do I change my verbiage? Because treatment planning is 80% psychology, 20% skill. So like what are you thinking? How are we presenting it? What are the words we're saying? One or two little changes usually will close that. What are the patterns and how can I get that number up higher? And I follow up with them in two days, two weeks, two months to make sure that they don't follow off.   People are like, Kiera, you really make your treatment coordinator do that? And like, yeah, I was your treatment coordinator that closed $50,000 same day. And this is exactly what I did. This is how I've trained co offices across the nation to do it. You just have these simple little things that help them out. And then you flip over to our scheduling. Like, I think scheduling's easy, Howard. I genuinely do. I'm like, half of it is just be nice. Like you got the COVID crank, and so many people are so grumpy and so like.   Annoyed when they pick up the phone, then I'm like, you can already leap your ahead by just being nice and being excited to welcome a patient. Then take like charge of that conversation. So let's take the ownership of that conversation. If someone's Do you take my insurance? I'm going to quickly redirect and say, my gosh, how did you hear about us? I'm going to answer that, but I want to find out how did they hear about us? If it's our Google reviews, if it's a referral, if it's somewhere else, I want to like say, my gosh, you're so lucky to be here.   We love our patients. We love our reviews. I can't wait for you to be a great raving fan too. let's talk about this. I can everything can be overcome. Please do not let being out of network stop people. It's a thousand dollar coupon and we're turning people away over that. No, no, no. We are better than that. And if we are the best dentist, they need to be coming to us. We need to win these patients over, make them feel so loved. Let's get them scheduled. Let's make this a great experience for them. Let's make them feel so excited. I did it with PT called like six offices.   And the office I chose, like so many people were annoyed I was calling. Can I put you on hold? Can I do this? And I was like, no one really wants my business. If you're just nice and you take control of that conversation, you can easily turn and transform your practice. So hopefully that was like not too much. I like I love these things. I love training treatment planning. I love training how to like take control of a phone call. I love helping teams overcome those little simple objections because it's very, very simple things.   that make massive leaps and bounds of change. And it's a great way to double your practice very easily, like you said.   The Dental A Team (36:13) All right, Dental A Team listeners, that was the guest interview that I absolutely loved. And I hope that if there was one idea that stood out to you, don't just agree with it, but actually go implement it this week. And if you need help setting this up in your practice or you need help just navigating or need a friend, head on over to TheDentalATeam.com and I'll be able to help you guys out. Click on the book of call or any way that we can support and serve you. That's what we're here for. That's what we're obsessed with. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.

Hiring and keeping an associate sounds simple until the interview process, compensation questions, and culture-fit issues start to derail everything. In this episode, Kirk Behrendt brings on Cassie Tallon, an operations expert and founder of The Fractional Match, to explain why most dental practices fail when hiring associates and what to do differently. You'll learn how to evaluate fit beyond clinical skills, how to set compensation expectations with transparency, why paying on collections matters, and how to prepare your practice so an associate can actually succeed and stay. Listen to Episode 1058 of The Best Practices Show!Main Takeaways:Decide whether you want an associate purely for production or someone you will develop into a leader and potential legacy successor.Use a recruitment service instead of posting a job yourself without understanding today's compensation models and contract pitfalls.Evaluate relational and empathetic patient-care philosophy early, not just clinical procedure capability.Confirm the associate is coachable and willing to be led during onboarding, not just eager to produce immediately.Start onboarding with financial clarity—how the P&L works and how pay is calculated—to prevent distrust and turnover.Pay associates on collections to tie compensation to real revenue and reinforce documentation, billing, and follow-through habits.Fix patient mix, services, and marketing before hiring an associate instead of expecting the associate to solve a broken model.Snippets:00:00 Hiring Associates Is Hard01:06 Meet Cassie Tallon03:41 Associate or Partner Choice05:30 Recruiting Landscape Today06:56 Fit Over Clinical Skills10:40 Pay Models That Work12:35 Equity and Autonomy14:31 Fix Patient Mix First19:10 Develop Associates Skills22:00 Retention and Transparency24:02 Work Life Satisfaction27:47 XChange Soft Skills Talk30:01 Final Advice and Wrap UpGuest Bio/Guest Resources:Cassie Tallon is a dental operations leader with 20 years of experience spanning multi-doctor practices and DSOs, including supporting growth and operational efficiency across multiple locations. She is an author focused on dental operations and has dedicated her current work to helping dentists improve efficiency, navigate growth decisions, and strengthen systems without adding unnecessary overhead.Resources mentioned:The Fractional Match: thefractionalmatch.comBook: Permission to DreamBook (upcoming): Permission to ScaleMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com

Most dental teams were never taught about waterline safety in school, yet it has become one of the most important infection control topics in modern dentistry. In this episode, Angela Simmons shares why dental unit waterlines remain a misunderstood area of compliance and what practices need to do to better protect patients. Angela and Kevin Henry discuss the challenges of getting waterline protocols, infection control procedures, and risk management strategies implemented consistently across dental practices and DSOs. They also explore how overloaded dental assistants are often expected to manage critical compliance tasks without enough training, support, or understanding of why those tasks matter. The conversation highlights the value of standardized processes, better communication, and investing in team education to improve compliance, patient safety, and long term practice success.

On today's episode, Dr. Mark Costes welcomes back longtime friend, mentor, and returning guest Alastair Macdonald for a deep conversation on dental partnerships, practice ownership, and the costly mistakes many dentists make when trying to retain associates. Alastair shares why selling equity too early can create long-term problems, how fear-based decisions often lead to bad partnership structures, and why production alone does not make someone a strong business partner.   He and Dr. Costes also unpack the shifting economics of dentistry, the rising pressure from DSOs, and the importance of building dynamic, values-aligned partnerships that can grow with the business over time. The episode also previews their upcoming Dental Success Summit session, where they will go even deeper into frameworks for creating healthier, more strategic partnership paths. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://partnerships.sovereigndentist.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Documentation, charting, and insurance narratives are taking time away from patient care, and many teams are already stretched thin. In this episode, Kirk Behrendt sits down with Rushi Ganmukhi, founder of Bola AI and former MIT AI/NLP researcher, and Cassie Tallon, a dental operations leader and author, to explain how voice-enabled AI can reduce clinical documentation burden, improve note quality, and help practices get paid faster. You'll learn where voice tech fits best (perio, restorative charting, and clinical notes), what it changes operationally, and how to identify the friction points in your own workflow. Listen to Episode 1055 of The Best Practices Show!Main Takeaways:Voice technology can reduce the time and disruption of perio charting by allowing hands-free entry during hygiene visits.Faster perio charting supports more comprehensive perio exams, which can improve identification and treatment of periodontal disease.Delayed or incomplete notes can delay insurance submission and cash flow, creating a backlog of unsent claims.Templated, generic notes and late documentation can weaken clinical records for both insurance review and legal defensibility.Insurers are increasingly requiring more documentation, including perio charting for restorative claims, to support medical necessity.Effective adoption of AI tools depends on fast implementation, flexibility in workflows, and customization to an office's documentation preferences.Practices can start by tracking daily workflow “sticking points” for a week and mapping which issues could be reduced with voice-driven documentation.Snippets:00:00 Voice tech as the “hidden power” of AI for practice efficiency.01:00 The documentation burden: perio charts, restorative docs, and insurance narratives.02:10 Rushi's background in AI/NLP and MIT research, and why he entered dentistry.04:35 Why voice tech fits clinical environments better than consumer voice assistants.06:00 Bola AI's early focus on voice perio charting and expansion to notes and restorative charting.07:05 Why integrations with practice management systems matter (Dentrix, Open Dental, Curve, Patterson, Henry Schein).08:00 The time cost of manual charting and its impact on hygiene workflows.10:00 How delays and backdating notes can hold up insurance submission and revenue.11:20 The risks of cut-and-paste templates for insurance and legal documentation.13:00 Insurance requiring more documentation, including perio charting for restorative claims.14:00 Why “decay” alone is not a sufficient clinical reason in a narrative.15:00 How dental-specific logic and terminology improve accuracy over general dictation tools.16:35 What “plug-and-play” adoption should look like in the operatory.18:10 Handling variation across practices (sleep/airway, medical billing, pediatrics, customization).19:00 Current curiosity vs. adoption: workforce shortages and the cash-flow case for AI.22:00 Overview of Bola's three core products: Voice Perio, Voice Restorative, and AI Scribe.26:00 A practical challenge: measure how long perio charting takes and identify workflow friction points.29:00 Final guidance: start small, solve specific problems, and choose tools proven in clinics.30:10 Where to learn more and request a demo (bola.ai).Guest Bio/Guest Resources:Rushi Ganmukhi is the founder of Bola AI and has a professional background in artificial intelligence and natural language processing, including research experience at MIT focused on helping computers understand human speech and language. He leads Bola AI's work applying voice technology to dental workflows, including perio charting, restorative charting, and AI-assisted clinical documentation.Cassie Tallon is a dental operations leader with 20 years of experience spanning multi-doctor practices and DSOs, including supporting growth and operational efficiency across multiple locations. She is an author focused on dental operations and has dedicated her current work to helping dentists improve efficiency, navigate growth decisions, and strengthen systems without adding unnecessary overhead.Resources mentioned in the episode:Bola AI (demos and product information): www.bola.aihttps://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com

Dentists often keep operating beliefs long after the market, technology, and patient expectations have changed. In this episode, Kirk Behrendt sits down with recurring guest Dr. Tom Hedge, practicing dentist and educator, to unpack myths dentists still believe — from selling to DSOs and misunderstanding recap/valuation, to overestimating the cost and complexity of modern technology, imaging, magnification, and hygiene staffing. You'll learn how to rethink “rules of thumb,” evaluate DSO offers more clearly, adopt practical tech that improves diagnosis and case acceptance, and use education and community to stay adaptable. Listen to Episode 1052 of The Best Practices Show!Main Takeaways:Dentists often assume what worked ten years ago will keep working, even when costs, fees, and alternatives have changed.DSO deals can break down when recapitalization happens and cheap money is no longer cheap, shrinking what DSOs can “skim” between dentist pay and profitability.A “second bite of the apple” payout is not guaranteed, and dentists can lose value if the DSO is not financially strong when the holdback comes due.Technology prices and workflows have changed dramatically, and many tools (cameras, scanners, digital X-rays) now deliver faster diagnosis and better patient understanding.Patient imaging can be created quickly using AI tools, which can help patients visualize outcomes and move forward without high-pressure selling.Magnification and hands-free lighting can simplify clinical work, reduce operatory clutter, and improve the patient experience compared to traditional overhead lights.Investing in continuing education moves dentists from “not knowing what you don't know” to confident clinical decision-making, but learning never stops.Snippets:00:00 Welcome And Setup02:04 Why Myths Persist02:38 Rethinking Fees03:42 DSO Big Check Myth05:31 Recap And EBITDA08:19 Independent Dentistry Future09:39 Tech Costs Myth12:59 Hands Free Operatory Tech13:50 AI Smile Imaging Fast15:58 Magnification Lighting Simplified17:33 Hygiene Crisis Reframed19:27 Education And Community20:35 SmileSource Exchange Invite22:09 Final Takeaways GoodbyeGuest Bio/Guest Resources:Dr. Tom Hedge is widely known as one of the top-notch cosmetic dentists in the United States. He received his Bachelor's degree from Kenyon College in Gambier, Ohio, where he majored in biology and chemistry. While studying at the Ohio State University College of Dentistry, he conducted research resulting in the publication of seven abstracts and one paper, which received numerous awards at the state and national levels. After graduating from dental school, he completed a general practice residency at Richland Memorial Hospital in Columbia, South Carolina. This advanced education included training in anesthesia, pediatrics, emergency medicine, geriatrics, TMJ treatment, endodontics, periodontics, orthodontics, oral surgery, prosthetics, and implantology.Dr. Hedge is nationally recognized not only for excellence in clinical programs, but for sound business practices that make full use of the newest technologies in dentistry. He is an alumnus of the renowned Las Vegas Institute for Advanced Dental Studies, as well as the Pankey Institute for Advanced Dental Education. Dr. Hedge is a frequent contributor to dental publications, as well as professional development magazines.Resources mentioned in the episode:Smile Source Exchange: https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com

You've felt it. Walk into one practice and everything feels light. Walk into another with the same tech and the same training and something feels heavy.That feeling is the new edge in dentistry. The emotional physics of how a practice operates under pressure.Inside this episode:The 1% details Dave Brailsford obsessed over to end 110 years of British cycling losingWhat "under pressure" really means in a dental day, and where the advantage actually hidesThe signals patients pick up before you've said hello, invisible on any spreadsheetPress play to learn the one thing DSOs can't buy. The invisible system behind higher case acceptance, more referrals, lower turnover, and a calm that compounds.

This week, Dr. Grace Yum sits down with Dr. Noha Nour, current President of the Orange County Dental Society, to talk about leadership in organized dentistry and the importance of building strong professional communities. Together, they discuss mentorship, advocacy, and how dentists can create meaningful impact within the profession.  Episode Highlights: How adaptability and life experiences shaped Dr. Nour's leadership journey The value of mentorship, networking, and organized dentistry Conversations around private practice, DSOs, and insurance reform Balancing practice ownership, leadership, and motherhood Why attending conferences and building relationships creates opportunities  Ready to thrive as a dentist and a mom? Join a supportive community of like-minded professionals at Mommy Dentists in Business. Whether you're looking to grow your practice, find balance, or connect with others who understand your journey, MDIB is here to help. Visit mommydibs.com to learn more and become a part of this empowering network today!

In this episode of Navigating Dental Insurance, Jordon Comstock and Tessina Bullock sit down with Elijah Desmond, co-founder and CEO of Dental Pitch Brokerage, to talk about practice valuation, preparing for an exit, and how dental owners can create a more valuable business before selling. Elijah shares his story as an entrepreneur, motivational speaker, event creator, DJ, and dental industry connector. He also breaks down why most dentists wait too long to prepare for a sale, why “no” is one of the most valuable words in business, and how his Dental Pitch model brings buyers and sellers together in a Shark Tank-style format. The biggest takeaway: dental practice owners should start preparing 5–7 years before they want to sell, not when they are burned out and ready to leave tomorrow. Key Topics Covered Elijah's background in dentistry, events, entrepreneurship, and motivational speaking Why relationship capital matters more than almost anything Why Dental Pitch Brokerage only works with a small percentage of practices Why practices under $2M in revenue may need advisory work before selling Why 3–4 chair practices are harder to sell Why sellers who refuse to consider DSOs may limit their market How Dental Pitch creates a faster, more human buyer/seller process Why culture fit matters in a practice sale Why sellers should get a Quality of Earnings Lite The difference between a basic valuation and forensic financial analysis Why adjusted EBITDA drives practice value How improving EBITDA from 13% to 20% can create major valuation lift Easy EBITDA levers: labs, distributors, merchant services, insurance negotiation, software consolidation Why efficiency can be more valuable than simply chasing more production DSO Pricing and how group purchasing can help private practices improve profitability Strong Pull Quotes “Your no is so much better than your empty yes.” “Dentists wait way too long to sell.” “You should reach out 5–7 years before you want to sell.” “Culture is everything.” “If I save you $10,000 and it goes straight to your bottom line, that may be $60,000 in sale value.” “CPAs are historians. We want forensic accounting.”Contact To connect with Elijah, visit: DentalPitchBrokerage.comDSOPricing.com

Andrew Smith, CEO of the Association of Dental Support Organizations rejoins the show to share: What to expect at the 15th annual ADSO Summit The Emerging Dental Groups to Watch awards & panel Updates on the ADSO's accomplishments this year DSOs and dental group practices can save 20% by using code DISC20GDNMEM. Visit https://dso.pub/ADSORegister26 The 15th annual ADSO Summit takes place in Chicago at the Hyatt Regency on June 15th - June 18th. 

What separates dental assistants who stay stuck from the ones who grow into leadership and management roles? In this episode, Sherrie Busby shares the mindset shifts, career decisions, and uncomfortable moments that helped her build a 42 year career in dentistry and become a respected educator, mentor, and industry leader. Kevin Henry and Sherrie dive into the reality of growth in the dental field and why leadership is not just about standing in front of a room or having a management title. They talk about how dental assistants can create opportunities for themselves by learning new skills, saying yes to uncomfortable challenges, and becoming valuable inside the practice. Sherrie shares her journey from single mom working at Pizza Hut to becoming a dental assistant training developer and speaker, along with the lessons she learned from failure, rejection, burnout, and personal growth. The conversation also explores the role of DSOs, mentorship, continuing education, and the importance of taking initiative in your career. Whether you want to become an office manager, mentor, educator, or simply feel more fulfilled in dentistry, this episode offers practical insight and motivation for dental assistants who want more from their career. Connect with Sherrie Busby Email: Sherrie.Busby@yahoo.com Podcasts Dental Assisting Uncharted: https://www.youtube.com/playlist?list=PLrjkyvO6G1h0SDcqniI9yoMsIMQUqDAtC ZenOne Podcast: https://www.youtube.com/@ZenOne_Dental/featured ------------------- Dental assistants play a powerful role in whether patients move forward with treatment. You are a key part of the patient journey, and having the right financial options can make all the difference. CareCredit is a health and wellness credit card that offers flexible financing options, so patients can pay over time for the care they want or need, subject to credit approval. When money isn't the obstacle, patients say yes. Want to make CareCredit part of your practice's offerings and strengthen case acceptance? Email me at kevin@kevinspeaksdental.com and let's make it happen for your team.

Alan sits down with George Khoury, VP of Enterprise Sales at Net32, to discuss the evolution of the dental supply industry. Drawing on his 30-year career—spanning the early days of digital X-rays at Schick to nearly two decades at Henry Schein—George provides a candid look at why the traditional "high-touch" sales rep model is facing significant pressure. They explore how Net32 functions as a transparent marketplace, empowering independent "mom and pop" practices to access the same pricing advantages and catalog variety as large DSOs. The conversation highlights the shift toward tech-driven efficiency, the importance of price transparency, and how clinicians can reclaim control over their practice's overhead without being tied to a single distributor. Some links from the show: Net32 Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, Frank or Lipscomb!  The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Are you a practice owner who feels like the bottleneck in your own business? If you're tired of being the hardest-working person in your office, I've got something you need to hear. Dr. Paul Etchison, is hosting a virtual event that is a total game-changer. Paul is honestly one of the most brilliant minds in dental leadership today, and he's hosting the 3-Day Freedom Practice Workshop from February 19th through the 21st. He's going to show you exactly how to break through that two-million-dollar revenue ceiling while actually compressing your clinical week. It's about building a leadership team that takes ownership so you can finally step into the CEO role you deserve. Head over to DentalPracticeHeroes.com/freedom to grab your spot. And do me a favor—mention the Very Dental podcast when you sign up. It's 100% guaranteed, so you've got nothing to lose but the stress. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

In this episode of The Dr. Bryan Laskin Podcast, Dr. Bryan Laskin sits down with dental tech expert Dave Pryor to discuss the future of dentistry, AI, DSOs, patient experience, and why clinicians must take back care. From AI receptionists to treatment acceptance, this conversation dives into what's helping practices grow and what's quietly damaging the patient experience.  Check out CairDemo.com.

Germany sits at the centre of Europe's energy transition: over 800 distribution networks, deep intraday markets, and a flexibility gap roughly 40 times its battery fleet. But the real question isn't whether the market is big - it's whether it saturates as battery capacity grows, or scales for years yet.Philipp Man is co-founder and CEO of Terralayr. He joins Ed Porter to unpack the operational reality of building Germany battery storage at scale, the regulatory tension around grid fees, and the contrarian view that Germany's flexibility market is structurally larger than most forecasts suggest.They cover:- Why operating Germany battery storage is harder than capital alone can solve.- Why Germany's TSOs are positive on BESS, why DSOs are nervous and what regulators need to fix.- What the Bundesnetzagentur grid-fee review means for the BESS exemption running to August 2029.- How splitting merchant capacity across multiple optimisers outperforms single-optimiser tolls.- Why flexibility revenues are convex, dominated by tail events, and structurally larger than forecasts predict.Want to track Germany's battery storage pipeline, grid-fee changes, or flexibility market data? Ko, Modo Energy's AI analyst, is built for exactly these questions. Free sign up: https://modoenergy.com/sign-up?utm_source=podcast&utm_medium=podcast_apps&utm_campaign=philipp_man&utm_content=ko_signupTranscript available here: ⏱ CHAPTERS00:00 Introduction01:01 What everyone gets wrong about Germany battery storage04:50 Inside Terralayr's 8 GW pipeline07:00 German grid fees and the 2029 BESS exemption11:00 Why DSOs are nervous about battery storage14:30 Nodal pricing, FCAs and the one-price-zone problem18:30 How layer's virtual battery auction works24:30 Will Germany's BESS market saturate35:30 Markets outside Germany — UK, Spain, Nordics37:00 Advice for new entrants and the coming consolidation40:30 Contrarian view: flexibility revenues are convex`You can watch or listen to new episodes every Tuesday. Transmission is a Modo Energy production. Your host is Ed Porter - Director EMEA & APAC at Modo Energy.Music licensed via Artlist.

Welcome back to the Shared Practices podcast.In this episode of Ask George, we're diving into a question we hear all the time from aspiring owners: How do you build a real business instead of just buying yourself a job? Whether you're preparing to purchase your first practice or thinking about expanding into your second or third location, this conversation will give you a clearer, more honest picture of what ownership really looks like today.Dentistry has changed a lot over the years. With more options like DSOs, choosing private practice is no longer the default—it's a decision. And for many, that decision means stepping into the role of an entrepreneur. That comes with real challenges: managing rising staff costs, dealing with insurance reimbursements, and navigating tighter margins, especially in a post-COVID landscape. But at the same time, it creates an opportunity to build something that can grow beyond your own clinical work.So what's the difference between a job and a business? If everything depends on you being in the chair day in and day out, it's still a job—no matter how successful it looks on paper. A true business is built to operate and generate income even when you're not there. That shift in mindset is what separates operators from owners.George breaks down a practical path to get there, including how to build around multiple providers, improve efficiency, and create systems that support long-term growth. From bringing on associates to optimizing your space and team, it's all about creating a structure that doesn't rely solely on you. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Brannon Moncrief is the Principal and CEO of McLerran and Associates, where he helps  multiple surgeons buy and sell their practices every year. Join us as Brannon shares insights  from more than 25 years in buying and selling dental practices, including how to prepare for the  inevitability of selling your business, considerations for selling to DSOs, and the status of the  dental market in 2026 in comparison to previous years. Brannon shares what is trickiest to  navigate about the transactions he deals with and offers valuable advice for practice owners  pursuing DSO affiliations, from early planning to knowing your options, finding the right partner,  creating a competitive environment, and more. Join us for an incredibly informative conversation  about the complexities of selling your dental practice and how to get the best deal possible.  Key Points From This Episode: • Brannon's background in the financial side of dentistry.  • The story of how he purchased McLerran and Associates 15 years ago and grew the  business. • Why selling your business is one of the inevitabilities of life and how to prepare for this.  • Common reasons an OMF surgeon might decide to sell to a DSO. • The status of the dental market in 2026.  • How DSO deals are typically structured: equity, structure, and more. • The trickiest thing Brannon and his colleagues deal with on a day-to-day basis. • Advice for practice owners pursuing DSO affiliations. • The importance of creating perspective and optionality for the right partner. Links Mentioned in Today's Episode: Brannon Moncrief on LinkedIn — https://www.linkedin.com/in/brannon-moncrief-aa681272/ Brannon Moncrief Phone Number — 512-660-8505 Brannon Moncrief Email — brannon@dentaltransitions.com McLerran and Associates — https://dentaltransitions.com/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/ Dr. Grant Stucki Email — grantstucki@gmail.com Dr. Grant Stucki Phone — 720-441-6059 

The Bulletproof Dental Podcast Episode 431 HOSTS: Dr. Peter Boulden,  Dr. Craig Spodak and Ian de Jongh DESCRIPTION In this episode, Peter Boulden, Craig Spodak, and Ian  De Jongh (CEO of Bulletproof) explore the critical role of accountability in dental practice management and how it directly impacts growth, hiring, and team performance. They break down effective hiring strategies, emphasizing the importance of involving team members, setting clear expectations, and building a culture of ownership. The conversation also dives into associate development, highlighting the mindset required for long-term success, the importance of mentorship, and creating clear pathways to partnership. With insights on retention, motivation, and the evolving role of DSOs, this episode provides a practical framework for building a high-performing and aligned dental team. Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com. If your story is selected, you'll join Peter and Craig on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter and Craig. We'll listen and respond with real-world feedback. Hotline: (561) 933-5575 TAKEAWAYS Accountability is a key driver of action and results in practice management Involving team members in hiring improves culture and long-term fit Clear communication of expectations sets the foundation for success Hiring slow and firing fast leads to stronger teams Empowering staff in hiring decisions builds ownership Motivation is tied to individual drive and long-term goals Associates need clear career pathways to grow and succeed Partnership opportunities attract and retain top talent Monthly check-ins support new graduates and associate development Understanding practice performance and financials is essential Mentorship plays a critical role in developing dental professionals The dental industry is evolving, requiring adaptability and strategic thinking   CHAPTERS 00:00 Introduction to the Hotline and Its Purpose 02:47 Accountability and Action in Practice Management 06:03 Hiring Strategies and Team Dynamics 11:46 Empowering Team Members in Hiring Decisions 15:11 Mindset and Motivation in Associate Growth 21:40 Navigating the DSO Landscape 25:19 The Importance of Partnership Pathways 30:07 Understanding Associate Dynamics 34:49 Key Questions for Associates 38:54 Announcements and Closing Thoughts REFERENCES Bulletproof Summit Bulletproof Mastermind  

On today's episode, Dr. Mark Costes sits down with Kyle Francis of Professional Transition Strategies to unpack the current state of the DSO and private equity marketplace. They dive into why valuations for single practices remain strong despite industry noise, how interest rates are impacting large group recapitalizations, and what's really happening behind the scenes with private equity-backed DSOs.   Kyle shares insights on deal structure, liquidity challenges, and why smaller practices continue to be highly attractive acquisition targets. The conversation also explores the pros and cons of selling to a DSO versus a doctor-to-doctor transition, including autonomy, risk, and long-term upside. This episode is a must-listen for any dentist considering a transition or trying to understand where the market is headed next. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://professionaltransition.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast

Kiera is a guest on The Zero Balance Podcast with John Stamper! She and John discuss the advancement of software over the past few years, and why the current culmination — artificial intelligence — isn't something to be skittish around in your practice.  Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today we are sharing a guest interview I did on another podcast. And it was too valuable not to bring you guys here.   this episode, you're gonna hear this host lead the conversation and then I'll wrap us up at the end. I cannot wait. It was truly one of my most   incredible episodes and I truly hope you enjoy.   John (00:19) What's going on everybody. Welcome to another episode here on The ZeroBalance podcast brought to you by the team at Quanta Suite. Very excited to keep this thing going. Uh, our last conversations and episodes crazy to think it's 2026 already were at the Dykma conference. And I had the privilege of spending time, not only with the Quanta Suite team, but also a lot of great individuals that came on the podcast and talked about what they were seeing in that case, it was in the DSO space. Uh, I'm very excited today to   be with Kiera Dent from the Dental A team. I've known Kiera for many years. We were actually just talking before we came on here live. ⁓ she is doing a lot along with her team to help dental practices, take things to the next level. she's been in dental for many, many years. And so we're going to have a conversation today, ⁓ kind of around all things AI and automation and love to have her, you know, kind of share with all of you what she's seeing, you know, her and her team are working with dental practices on a daily basis. And obviously, you know, the Qantas suite team is, is creating.   their software in an effort to be able to support practices in the RCM world. But Kiera, it's such great to have you here. How you doing?   Kiera (01:26) Oh my gosh, John, it's great to see you again. And I love chatting about all things dentistry. I love having the last name dent. I love dental. love AI. love, um, it's crazy. Dental A Team hits 10 years old this year, which is like absolutely wild. Uh, 2026, I was getting ready to, know, writing my goals out and I was like, Oh my gosh, I turned 40. My husband turns 40. We've been married for 15 years and Dental A Team hits 10 years this year. So   ⁓ and I bring that up only because like, it's like a trifecta of a cool year for me. ⁓ but I think as you were discussing, like being in dental consulting for 10 years, having worked in front office teams, having worked at a dental college, having owned dental practices, having bought and sold, having consulted like 300 plus offices physically, ⁓ watching the DSO emerge, watching AI come in. I just think it's really like such a fun time for us to be in dentistry and so many great advancements and, yeah.   In Dental A Team, we are obsessed with doctors and teams, like getting them aligned, getting them streamlined, helping dentists be like CEOs and owners of their practices. We love ⁓ Josh, we love what he's building in DCS and now in Qantas. We think that they're doing some really fun, incredible things. And Dental A Team, we're just really big on, I think, streamlining dental practices, helping them say yes to more things. So getting them in their vision, getting financially free and profitable.   and then getting systems and team development to support that. And AI is definitely being a big player. And I think dentistry is, it's so fun because it's been such a, like, I think slow roll on evolution in certain ways. Sometimes I think we are very archaic. My husband's in healthcare and medicine and he's like, wait, that's your guys' software. I'm like, don't judge. I know it's a little dated. He's like, they didn't even have that when I started my career 15 years ago. ⁓ But I think,   to watch dentistry evolve into AI and automations and different things. I think we are in such a special time. So yeah, we work with solo practices. We work with multi practices. We work with emerging DSOs. We work with DSOs. We've got consulting for kind of a broad spectrum and kind of our sweet side, like two to five to $10 million practice. ⁓ We definitely have built a lot of things that can help multi offices, but yeah, we really love those offices that are obsessed about team, about culture and about.   just positively impacting the world of dentistry in the greatest way possible. So John, super excited to talk about it. I feel like we just have like so much knowledge to bring to the table and just rift and discuss and give your listeners hopefully a fresh, fun, positive perspective on the world of AI dentistry and of course bringing team and doctor perspectives to the table for you today.   John (04:03) Well, thanks for sharing that. you can see, everybody, Kiera comes with a ton of energy, but it is rooted, as she mentioned, in years of experience in this industry. And here's where I wanted to start, Kiera. So I want to go back maybe like five or six years in dentistry when there was a lot of new software platforms that were coming to dentistry, patient engagement, right? It was like this big giant party and a lot of practices were excited. You may remember though, as someone that works directly with the dental practices with as much   excitement as there was there also was a little bit of overwhelm right because it's like where do we start like how do we build these in and it's funny that you talk about your husband because yes in dentistry these are all somewhat kind of new to the industry and so practices are figuring how to use them and I do feel like okay maybe a couple years ago with like firms like yourself that have really helped these practices figure out how to utilize them they got that under their belt and then   here comes AI, right? And here comes this whole new way for these practices to be able to communicate, you know, task orient and all that stuff. So that's kind of the first place I'd like to start is that when you look at the work that you do now with the dental practices and I say the word AI, where is everybody's heads?   Kiera (05:13) Yeah. and agreed. I think, I think that this is just evolution of business. Like if I were to like even simplify it down, I think dentistry has been so much like we drill teeth, we fill teeth, but I'm like, guys, we have evolved. We don't do wooden teeth anymore. we've evolved and now there's laser and there's PRF and there's more advancements to dentistry that we do. Like I have a practice, I call them my PRF powerhouse and they've added PRF to their practices and we've added multi-millions to their office.   But like, yes, financially, that's been amazing, but their patient care has gone up so much, like the amount of results we're seeing. so when people are like, software's AIs, I'm like, hold on. You have evolved in your dentistry and you've seen how much it's evolved and how much better it is. I mean, the way we used to do crowns compared to how we do crowns, we can do same day crowns. We look at how we do ortho. We look at the different like skill sets that we've been able to add in. I feel like AI is the same thing. And I think when we get a little skittish, that's actually where I feel like we're   at more danger of a society. as I don't want to use the word old John, but I'm like, Hey, if you're not going to innovate and like you're going to die. there's innovate or die. We've got to grow and evolve or we're going to be left behind. And I mean, I think we see that with certain practices who elected no, no, John, I'm not going to have online and online. No, they're going to see my sign. They're going to drive by. This is how I'm going to be. Well, if you don't have an online presence today,   you're pretty much not visible anywhere in the world. No, no, no, John, I'm not going to do Google reviews. I don't need to do Google reviews. Well, Google reviews are how people find you. And now it's becoming AEO where AI is actually now searching for offices. I mean, we just did a trip to Iceland and where did I go? Chat GPT. And where's my next place I go? I go to Instagram, TikTok. What are the best places to go? No, John, I don't need to be on social media. We don't need to have that presence. We have our marketing. We send postcards.   Well, if you're not on Instagram, people are going there now. They go check your Google reviews and then go check your online profile. So I think for dentists to maybe recognize that high five, like you actually have evolved over the last several years. You've evolved. You are morphing and as businesses, it is an innovation or it is a die. And so when we talk about AI, AI is going to be awesome. You guys, AI was created. Like I think so much of the reason it took off is because we had 2020, we shut down.   Then we went through 2021 of the great resignation. We could not find people. You want to talk about hygiene shortages? Well, great. Now we're able to bring in people and you're like, but AI is not going to replace hygiene. Correct. But AI is actually helping with perio charting and different pieces that we're able to utilize. It's cutting down our costs that we're able to have on some of the billing and the revenue cycle management that we actually have alleviated funds to be able to pay the higher costs of hygiene that's offsetting. So our businesses can still be profitable. So when I look at it from a business,   I think guys, welcome to 2026, welcome to AI and get excited about it. And rather than being afraid of it, let's start to embrace and you don't have to be the earliest adopter, but I will say similar to like, I'm not going to join the internet. I'm not going to have Google reviews. I'm not going to do Instagram. We have watched that those who wait too long, I'm not going to do online payments. John, that's my favorite. Like we still expect checks. I don't even know how to write a check guys. Like truly I'm like, who accepts checks? ⁓   But things like that are so dated and so cumbersome compared to how the world's evolving that you are niching yourself more and more, more to less and less and less of a patient base. And if that's your exit strategy, rock on, it's a great one. But if you're not on the exit strategy, you definitely need to get on board with AI. And I think like we have a practice in Maryland, she's a pediatric practice and she's like, we call it AI Amy. And well, yes, our team gets annoyed with ⁓ AI Amy. They've trained an AI bot to be able to schedule for these   DC parents that want to make appointments at all hours of the day and they want to talk to someone. AI Amy schedules and guess what? AI Amy schedules about 75 % correctly and the team's annoyed and the doctor's like, you never get to be mad at AI Amy because that was 75 % of patients that we didn't even have to schedule. 25 % were a miss. Perfect. But that was 25 % out of 75, like a hundred percent. We, that's a quarter. We've literally cut down our space. And so I think when it's looking at   scheduling tools, revenue cycle management, ⁓ looking at how we use it for hygiene. Doctors like using Pearl or ⁓ Overjet to help with diagnosis. Case acceptance is going up. And while it's not perfect today, I think getting in the language, getting in the familiarity so you don't accidentally get too dated, AI is going to take off faster than anything else. If you're not on chat GPT, if you're not utilizing it for things, it cuts down man hours and people are like, but I don't want people to lose jobs. And I'm like,   You're not, we're elevating, we're lifting up our practice and we're morphing into where the world and society is going and your practice and your patients will thrive because of it. So that's my take. And I know I kind of went on a soapbox for you, John, but I think doctors need to realize it's not as scary as I think maybe some of them are looking. ⁓ It's something we've always done. It just looks different today.   John (10:22) Well, I'm glad you shared all that because I've been talking with people a lot lately and I feel like in unknown times or times where many of us don't know kind of where things are going to be, it really calls for leadership. And I think that's what's important. I think that's what you shared. think that practices are looking for people like yourself and others that are living this. They've dove into it. They're embracing it. They're learning how to get the maximum out of it. And so I glad you shared that. All right. So that's the first piece, right? That's kind of like the overwhelming the tech.   you mentioned a little bit about revenue cycle management and I wanted to get your thoughts as well on this other thing that dental practices are facing which is patients now come in and are having the same type of expectation of the experience on the business side of the practice, their billing and their payments and all of that, that we have with other businesses that we work with.   And so now a dental practice is getting questions as you know so well, like, okay, like am I gonna be able to pay easy? Are we gonna be able to track all this easy? Because that's how we do it with other businesses. And now all of sudden the dental practices have had to wake up and they have to make sure that that part of their practice is also, you know, automated and where it needs to be. So love to have your thoughts on that part as well.   Kiera (11:37) Yeah, and John, just to piggyback of where you were talking about dentists getting on board, I will just plug, and this is why we built an in-person mastermind, is because I recognize dentists feel like they're on isolated islands. And when you can get around really smart, you are the equivalent, proximity is power. And so getting around dentists that are not afraid of this, being in groups, listening to podcasts like this, if we can serve on that, rock on, I'm happy to do that. I would just encourage you to...   surround yourself with smart people that are getting involved in this and people that push you out of your comfort zone. People that have voices that are maybe not the same of what you normally listen to. Like if you're always listening to Fox News, maybe listen to CNN or if you're listening to CNN, then go to Fox. Like you need to hear opposing opinions on this. And I would just really encourage people to be a part of innovation rather than being destroyed by innovation would be my recommendation. And then going into this patient payment.   John, it makes me laugh because dentistry and I did a podcast, I should go find it. was several years ago and I'm like, why is dentistry on payments? Like we're in the 1800s, like put it on my tab. I'm like, what is going on in dentistry? Like nowhere else do you go and you're like, got my groceries, but could you put that on my tab, John? Yeah. Yeah. But yet in dentistry, we're like, yeah, we'll bill insurance and then we'll charge you for that. What are we doing? And I just think like,   Our revenue cycle management in dentistry is so dated and archaic that I'm like, ladies and gents, it's an amazing way for you to make a lot more money with a lot less effort if you just update a little bit on your revenue cycle management. Like we are so archaic ⁓ and dental insurances are using AI. Like why do you think Pearl and Overjet exist? Well, you better believe that the insurance companies are ripping that too. They're using AI to see their claims.   ⁓ so with payments and patients, do think like patients are expecting us to have online scheduling. They're expecting us to have easy ways to pay. mean, I've even seen some dental offices that take payments in Bitcoin and I'm not here to say you need to go clear to Bitcoin or like some extremes, but I do think that there's this evolution of, I don't want to wait a long time. I don't want to have weird payment things. want to people like John, I think it used to be the society where we worked eight to five.   We left our work at home. didn't have computer or at work. We didn't have computers. Our phone was a landline. It would shut off and we were home. That does not exist anymore. So most of the time I feel like our eight to five is our quiet time at work. And then after hours we're like, ⁓ I need to pay for this and I need to take care of this appointment and I need to schedule the kids for this. And we do that while we're sitting in bed scrolling through Instagram and like, shoot, I need to make that payment.   I feel dental practices, they have such an amazing opportunity if they will update and use more modern, I would say, like it's not even AI guys. We're just talking about getting onto the playing field. If you would do that, I have watched practices that implement these processes, their AR, their collections, their profitability are exponentially more, I would say consistent and constant as much as...   as opposed to being like inconsistent and fluctuating like they were in the past, because patients can pay all the time. Patients can send things forward. And I do think like, yes, dentistry people want that good old home, like girl and dentists that like takes care of them. But I think a lot of times the way you've evolved with technology also helps people see how have you evolved in your dentistry as well. I do not want to go to somebody who's still paper charts. I get concerned about   Are we up to speed on our current things? That's so foreign to me. No one else does that anymore that I think we to be careful that we don't accidentally date our dentistry by not being up to speed on our payments as well.   John (15:27) So you just built the bridge to the next thing I was going to ask you, right? So we talked a little bit about technology and embracing it, the patient experience and what they expect. And then this final thing is the perception of the patient in looking at the practice and the technology that the practice invests in. And again, 10, 15 years ago, when maybe dentistry was not as proactive and patients were just going to the practice. Now practices are, it's more competitive. There's more practices in every city, many across the country.   And so with that becomes this image that you portray to the patient and your business that you are making those investments to stay up to speed to be able to provide those types of services. And so talk about that a little bit. And I think that   for many dental practices, like for many of us that are entrepreneurs, like we've lived in this ROI world, right? If you ever were someone that had to raise cash or capital, you get those questions. And from a dental practice perspective, right? It's like, okay, we're going to make this investment in technology and rightfully so. What's the ROI on this? And I do think, and I loved your thoughts on this, that companies are doing such a better job of being able to paint that picture of, okay, you're going to make this investment. You're going to put this technology in the practice. It's going to make your patient experience better. But here is going to be   the return on investment, you are going to unlock a lot of your AR that's out there, make things easier for your patients. So talk about that a little bit.   Kiera (16:50) Yeah. I'll just get like paint a story of a practice. So there's a practice in Texas and this practice is amazing. Like they truly have a castle of an office. am blown away at how stunning this practice is. They are up to par on all the latest technology. They do a lot of these items in their practice, but what they were doing was the patient came in. So the waiting room was beautiful and they would just walk the patient straight back to the back.   Now this is a practice who's been around multi-generations of dentistry. They do service in other places. They have a state of the art lab they do in-house. Like it is a practice that should be showcased and they were struggling and their revenue was down and we went in person with this office and we consulted their team and we taught them like, we're going to have you guys take them on a patient tour. like, this is a pretty large team. think there's about 35, 40 people and we like made them role play walking through this practice and showcasing.   this ROI items that they've put into it. I you guys are using this, but do your patients actually know that you're doing it? So we do this, we implement it, we track a few things with them. Fast forward two, three months post visit, their reviews exponentially went up, their new patient counts went up, their revenue, they had their highest revenue number they had ever had and their culture of their team was happier. And I was like, I don't think I can sit here and say it's a coincidence. So like the patients love the tour.   Like they love seeing this practice. They love seeing what's going on. And what is as is it just gives confidence. And I say, John, if you and I were to go to ⁓ a surgeon, right? I'm going to want to know that that surgeon is the best freaking surgeon and that I'm going to put my confidence in them because I only have one arm, one hand, one leg, one neck. We'll have one set of teeth too. And so helping patients get the perception of who you are as a dentist and showcasing, I have seen like I've worked in hundreds of practices.   And some of my best offices do not showcase like they're the best and perception is a lot. Now there's some practices who actually are not great dentists and they showcase like they're amazing. And so you've got to make sure that who you are is what you're doing. But the ROI, and I wanted to showcase that practice, they have invested in a lot of this technology. They have invested in advancing their practice and it shows and they're able to show their patients. And we had direct correlation of higher reviews, higher new patients and higher production. And so I think.   Just that example, and this was done just a couple of months ago. We were out there in September and in December they had their highest month. So it wasn't a long-term ROI churn. It was very quick. so I think in general, medicine has evolved. think across the board, we're talking healthcare as a whole has leveled up. They uptick higher. Patients are expecting more. I mean, we go anywhere and technology is higher. You go to the movie theater, you go to the restaurants.   everything has upleveled. And if you and your practice are not up leveling, and I don't think it's hard for dentistry, I'm like, you guys already have a 3d printer or you already have a scanner or you already are taking digital x-rays. Just tell your patients, you do this showcase it around because I think the, the fallacy that you might fall into is like, but patients are just loyal to me. I think I to be careful because there's so much online noise that while a patient might love you,   they're seeing other offices that might accidentally take away your patients and they're doing it. Like it annoys me, John. I have a patient sitting in my chair and like, yeah, I just went to Dr. Thompson down the street from my ortho. I'm like, so we do ortho here, but they didn't know we did it. And so don't accidentally not showcase your work and showcase how great you are and how up to par you are that you're accidentally losing patients that are silent levers of your practice. ⁓ because you didn't showcase how great you were and let your patients know what you actually do.   I think that's the trap and the opportunity if you take it to be able to keep your patients with you and keep them happier with you when there's still noise and chatter because they know they're at the best practice that's investing and elevating and giving them the best patient care they possibly can have.   John (20:52) Yeah, I've been thinking about that a lot lately, just this kind of invisible credibility that comes with what you just talked about, which is when a business, in this case, a dental practice is making the investment in these newer technologies. A lot of times as patients, we don't say it, but we know, like you said, you walk into a practice and you see there's in your own life, you know what it took to remodel your house or to get a new car or whatever the case may be of the things that are important to you. And so I think more and more patients know   and understand what a dental practice or a business has to go through when they up their game. I believe that you get a lot of credibility out of that, right? Versus maybe the one that doesn't do that. Maybe the thought becomes whether it's real or not. Hey, why aren't they doing that? Like are things not good here? Like, do I have something to be concerned about? And in many cases, perception is reality. And again,   It's going to run through to patient care. We all know that. think the last thing I wanted to get your thoughts on, and you talked a little bit about earlier was AI in the sense of case acceptance because you know, you and I both have been in this industry for many years and have watched all the courses that dentists and hygienists and dental assistants have had to take on how to present good treatment and get case acceptance.   and we've watched them struggle for many years, Kiera, and then all of a sudden we have these newer technologies where you can show the patient where the work needs to be done in their mouth. And it's crazy, right? All of a sudden, I'm like, wow, that's me? That's where I have to get work done? the dentist is like, I've been telling you this for like, why didn't you just believe me? And in front of our eyes, this technology is now instilling confidence in the patients. And ultimately, it's a win for everybody.   Kiera (22:36) Yeah, think it's such a beautiful time for dentistry right now because we've been living in shades of gray for so many years. We advanced from like little tiny thumbnail ⁓ x-rays to on the screen x-rays that are still in gray to now having AI that can show patients exactly what's going on. And it's colored and it's showing them and it's giving measurements. And I think like what an amazing opportunity for you.   to use tools at your fingertips where you're not having to try to convince a patient of like, can you kind of see this like little gray box within this like other gray box that they truly cannot see? To now, this is what we're seeing. This is how it is. And to still give the doctors the liberty to be diagnosing. I know some have said that like AI is so aggressive on it. And I'm like, you don't have to diagnose that, but you now have a tool that's going to at least highlight. And I think dentists, you're so busy. You're running from exam to exam to exam. You have something.   that can look for all these things, prep it. You can train your eye. You can tee up all your associates that come in. Your hygiene team can learn collectively and your patient now has visible proof. It's like the, and I know dentists hate being compared to mechanics and I'm very sorry. I think it's just such a good like analogy. I go, you know, right? Like I go to the mechanic and like, here, you need new breaks. And I'm like, but do I really? Cause I've been scammed so many times patients like, do I really need a crown? John? Like, are you sure?   John (23:50) analogy I say because   Kiera (24:02) And we have taken that guesswork of, you sure? To being able to show them with black and white proof to where they're bought into it. They know they're not being scammed by you. They can see it with their own eyes and they're much more likely to accept treatment. I say, like confidence is what people are buying when they're saying yes to dentistry. Confidence is what increases your case acceptance. And this is a layer of confidence for you as the dentist, for your patients to see, for your team to all speak the same language.   care if AI is over diagnosing, don't over diagnose. You are still the doctor. Like this is just a tool in your tool belt. But I think it's something that hands down, I am so pro using it. I'm like, doctors also be so vigilant because insurances are denying claims based on the same software. Like they're using AI as well. So you might as well be in the game with them to see what they're seeing, to learn, to educate AI. So you're a part of it.   They use AI in medicine all the time. They use AI overlays on their x-rays that I'm like, yes, I get that it's not perfect. Yes, I get that it's clunky, but gosh, it's a freaking good tool that I would strongly advise you trying out, getting to know, using and learning. Even if it just helps you. I think about it. If I'm able to get 1 % more on case acceptance, go look at everything you're diagnosing. Usually that's a pretty good uptick, but not even just on your bottom line, but on the amount of patients you're able to help and serve. ⁓ why not?   Like what, what are you holding back on? I would just say, don't be afraid. Like just get in the game because you'll learn it's a lot better for you than it is scary. And there's a lot more good than there is harm.   John (25:39) Yeah, no question. Well, here's how I want to bring us home. You work with a lot of dental companies and I believe that this gap that I've seen for years between like the companies that are bringing the technologies to the dental practices and the practices themselves, it's exciting to kind of watch that gap close, right? Like I'm seeing more and more companies kind of listen and say, hey, what problems are you having? How can we utilize our resources to help you solve these problems? And you know,   We talked a little bit about at the onset, you know, the relationship that you have with Josh and DCS or whatever. And what's exciting is that you have companies that are starting, ⁓ and doing and solving one problem and then taking a lot of that feedback and then creating, you know, in this case, another technology platform and an effort to kind of elevate that problem. I mean, to be able to solve that problem with their solutions. What's that been like, right? Like talk a little bit about when you watch these companies evolve and continue to listen to the dental practice and bring these technologies to help these practices.   practices up their games.   Kiera (26:41) Oh, I think it's amazing. Actually. I am such a pro. Like I'm on a couple of different boards as well. And I think it's something where when I look at it, I'm like, why are these people doing it? And it's because we love dentistry. Like I look at Dental A Team team and what I used to consult versus what we consult now, like there's DSO, there's different needs than what a solo practitioner has. And so Dental A Team evolved and we became something of what are we going to do to serve the DSO thing and still be able to give back.   What is Josh with DCS? Like we heard this, we saw the need and we built something to help on that other avenue. To me, I think like, how awesome is it that you have people that are in the weeds, in the trenches have been here? I mean, I've got a decade of consulting, not to mention my like five years prior to that of assisting and all the other things prior to before that, like five more years. Like there's so much, like you have people that are so embedded in dentistry and they've seen the evolutions.   that they're willing to come forward. They're willing to execute. They're willing to stamp. They're willing to work hard to evolve these products and softwares to give back to you. And I think like people who are deeply rooted in dentistry, building these products, they're the best ones. Like I watched Modento, which I'll just give them. Like they were built by a hygienist and a dentist, and they were able to be one of the best softwares when they first started that I've ever seen. I'm like, I could tell this was built by people that got it. And so watching DCS like,   They get it. They're in the trenches. They've been watching this. They know what they're doing and they're moving it forward. We've been watching offices. We've been working with DSOs. We see what the nuances are and we build and create stuff to serve the dentist. Gosh, I just think it's magic and I think it's beautiful. And I think like, how lucky are we to be in these spaces to have people that have had enough time in the industry to know what the next layer is that you need before you even know. It feels like Henry Ford to me in a little bit like,   They said, if I give the people what they want, they'll want a faster horse. But if I give them what they need, it will be a car. And they don't even know that they need that yet. And I think that that's where we're evolving is being able to anticipate the needs of what offices need prior to them even realizing it's a need. And that to me is like just epic and incredible of a society and a community that really wants to give back and serve and make dentistry the best it can be.   John (28:55) Well, and who would have ever thought that a dental company would take the time to create a podcast like this, the zero bounce podcast, right? As a way to continue to add value and of course, invite amazing guests like yourself. I can tell everybody. I remember, I don't know how many podcast episodes Kiera has done, you know, in the past over many years. I remember the actual weekend that she was building and putting up those black panels behind her. ⁓ and so it's like, you know, you're, you're, you're definitely   listen to someone, you know, when you talk about someone that has rolled up their sleeves and dug in an effort to move dentistry forward, Kiera, you certainly have done that. And, ⁓ I know the DCS and Quanta Team really, really appreciate you taking the time out of your busy schedule to show your passion. And I think more importantly, help dental practices bridging a lot of these technologies and how to implement them. So any final thoughts as we wrap.   Kiera (29:47) Yeah, well, huge appreciation, John. And thank you for helping me with the background, because I definitely asked for you and your help and your insights. So appreciate that. I love it. Thank you. But I think, again, it's an evolution. And I would just say AI is going to be awesome. And there's going to be glitches, and there's going to be problems with anything. But I think the more we can embrace and we can innovate, we're either going to innovate or we're going to die. And we're going to be either on the path forward or we're going to be left behind.   John (29:55) So good.   Kiera (30:14) I think, Denissure, we have such a beautiful gift to give people confidence and clarity and smiles and health that no other profession is able to do. So I think it's just a moral charge for each of you to look to see where is maybe one area of AI or advancement that I'm willing to step into this year. So I commit to not getting dated. ⁓ And I think DCS and the Qantas team are a great place to start. think on our side, if there's anything we can do with team, with consulting, with...   like shoot, hate doing this. I don't want to go rally my team. Great. We love to do that. We do the part that no one likes to do just like DCS. They do the part of billing that no one likes to do. ⁓ I think we like do the dirty work of dentistry, but we love it we have a passion for it. So if we can help them serve in any way, TheDentalATeam.com Hello@TheDentalATeam.com. ⁓ huge partners of DCS and have referred many people to them over the years and just excited for what they're doing. So be excited guys. We live in the best times. We live in the most innovative times. And I think it's just.   a really amazing miracle that we get to be a part of dentistry and the changes. And I think everybody needs to realize what you do or don't do is going to have an impact on our future of dentistry. And I think that that's a moral charge each of us should take to be able to preserve the sanctity of our dentistry. That doesn't mean we stop it. That just means that we're able to positively impact. We're able to keep the integrity of our profession. And each of us, think, have a moral charge to do that. And so get on board, be a part of it, be a part of the noise, be a part of having your voice heard.   and I'm truly just excited and honored and happy to help in any way we can.   John (31:45) great way to wrap. And if you're watching this on YouTube, love to have you subscribe to The ZeroBalance podcast. If you are an audio podcast listener and you're listening to on Spotify or Apple as well, subscribe. And each time the Quanta team adds a new episode like this great one with Kiera, it'll come through on your listening device of choice. So Kiera, thanks so much. Best of luck as you continue to do great things. It's a big year for you, like you mentioned, 2026. So I'm excited to stay connected and watch all the great things that you and the Dental A Team are doing. So until next time, we'll see you everybody.   The Dental A Team (32:13) All right, Dental A Team listeners, that was the guest interview that I absolutely loved. And I hope that if there was one idea that stood out to you, don't just agree with it, but actually go implement it this week. And if you need help setting this up in your practice or you need help just navigating or need a friend, head on over to TheDentalATeam.com and I'll be able to help you guys out. Click on the book of call or any way that we can support and serve you. That's what we're here for. That's what we're obsessed with. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.