Dental A Team Podcast

Dental A Team

This podcast is here to give dentists and all dental office team members, in EVERY position, TACTICAL and PRACTICAL TIPS to: - Be more efficient - Have more fun - Improve doctor and team communications - Eliminate frustration - And make your life easier! Jump in! We are thrilled you have decided to LEVEL UP and be part of the DENTAL A TEAM! New episodes every Tuesday, Wednesday, and Thursday.

  1. 2d ago

    #1,189: The Future of Private Practice Is Actually Very Bright

    Did you know: Today's dentists are waiting five years longer to buy a practice than they were a generation ago? Kiera is joined by Brian Hanks of Dental Buyer Advocates to talk about delayed ownership traps and why the future of private practice is an encouraging one (Brian shares numerous data points to back that up). They also touch on overcoming fears and all the information out there that makes everyone seem more prepared for business ownership than they actually are, and how to go about buying a practice while asking the right questions. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:00) Hello, Dental A Team Listeners, this is Kiera, and today is an awesome day. I am so excited to be podcasting with one of my favorite humans. He and I have spoken across the country together. We go to different things, we share clients together. I have Brian Hanks, the owner of Dental Dental Buyer Advocates. And today we're gonna talk about like delayed ownership trap because I think so many people get stuck into this of should I buy, should I not buy? And Brian and I are just here to have a fun rift. So, Brian, welcome to the show today. How are you?   Brian Hanks (00:28) So nice to be back, Kiera. You're one of my favorite people too. Thank you for having me.   Kiera (00:32) Of course. I'm excited, Brian. It's a good time. It's been a hot minute since we podcasted together. So it's time, it's time to talk about this. Because when we were chatting about episodes, you were saying that dentists are now waiting like five years longer to buy a practice than they were a generation ago, which is fascinating to me because I've been on this like whole hot to trap of like, do people buy? Are DSOs taking over? Like, is there still money to be made in private practice? Like literally my chiropractor and I were talking about this the other day because she's like,   My dentist told me that they were like not able to make any money. And I was like, well, they sh just give them my card. Like private practice to me is still one of the best businesses and industries, even if you have to buy a top dollar right now. and so just like super fascinating to talk about like delaying that purchasing, why people do it. But Brian, I've jumped right in and pretended like everybody knows who you are. Brian, give us a little intro of like who you are, how you got into Dental Buyer Advocates, what your background is, and then like let's talk about to delay or not delay buying a practice.   Brian Hanks (01:29) Sure.   Yeah, I one of my favorite stories. I'm an ex-Wall Street guy, so I'm a reformed Wall Streeter. And my father-in-law is a dentist. And I would watch these Wall Street people come in and like sell a very aggressive investments. And when they went bust, they would turn around and sell the crappy investments to dentists who at the time my was my father in law. Active practice, he lived in the Seattle area. And anyway, I went to go work for a dental CPA in the Dallas area. I went to work for another one. So I'm I've lived in the accounting world, Kiera.   And when I was in that world, I got younger dentists who were in the pro they were the associates and they were asking accounting questions and tax questions and you know financial planning questions. And inevitably they would come back to dental practice ownership. Like, how do I do this? How much do I pay? Is   Kiera (02:13) Yeah.   Brian Hanks (02:13) is this a good deal? And so I went looking for the book. I was like, well, where's the book? I was on Amazon, I was other places. There was no book. And I thought, all right, well, let me try writing this book. Famous Last Words, by the way, it's way harder than you assume. But the book is called.   Very creatively, How To Buy A Dental Practice. And that helped me start my own business. And that's   Kiera (02:30) I like it.   Brian Hanks (02:33) what I do. I I only help buyers of dental practices. And, you know, Kiera, my business is good, your business is good. Dentist business, we can talk about why the future of private practice is very bright. I can give you some stats and   Kiera (02:46) Mm-hmm.   Brian Hanks (02:46) statistics. But one of the interesting, the most interesting facts for me is Health Policy Institute has data that shows that.   Dentists get into ownership, like they they end up in ownership. Okay, so I'll give you like they've broken it down by like graduation rates. So like the the   Kiera (03:07) And what I   Brian Hanks (03:08) dental school grads from 1990 and then 1995, and everybody between 95 and 2000, so and so forth. So they have these like vintages of graduates. And   Kiera (03:16) Mm-hmm. Mm-hmm.   Brian Hanks (03:17) very reliably, they're showing that nine out of ten dentists, of which you know there's 203,000 in the US, nine out of ten end up in ownership.   At some point in their career. But like you said,   Kiera (03:27) Fascinating.   Brian Hanks (03:28) they're waiting longer to do it. And I think that's what we're going to talk about.   Kiera (03:32) Yeah. Which like again, I think people are scared. So many students I worked at Midwestern and they're like, Kiera, should I buy? Should I go associate? And I was like, listen, you're just delaying the inevitable so like get in there and get it done. Now, I like always throw an asterisk on that. Like if you're not good at your hand skills, like yeah, go go associate for a hot minute. like if you aren't confident with your speed and with case acceptance and like presenting, that's gonna be but I'll tell you there is nothing more thrilling than throwing yourself into a business that you have to produce for.   You learn case acceptance really freaking fast. Like, ask me how I know. We surely did that. Like I took a student, we took our first practice from 500,000 to 2.4 million in nine months. Like she was a she was a power producer. Do I have an office right now that just bought a practice less than a year ago? We're already on track for two and a half million. Yes. Like there are a lot of success stories from that small town. It's not like they were just given the keys to the kingdom. Like they've had to work for it, they've had to build things. They don't have full schedules. But   I just, I don't know. I'm the same way and I I don't know. I'm I'm at a space of but do what makes you happy. Like, do not go   Brian Hanks (04:37) Yeah.   Kiera (04:38) own a practice and make less than being an associate. That's like a hard line for me too. I'm like, 'cause if you're gonna like not be a good business owner, keep associating. But I   Brian Hanks (04:43) No. Yeah.   Kiera (04:46) agree, I feel like the trajectory of dentists is always to purchase. Like they want their own stamp, they want their name on the building. I will also highly recommend don't put your name on the building. Like that's really fun and not scalable. Ask me again how I know that. Like   Cura's dental consulting was real fun till it wasn't. Like the things you the things you evolve on, but truly I I'm excited to hear why you think people are delaying, what that's costing them. Brian, I love that you always come with a bunch of stats and facts. And I love that you named your book, like How To Buy A Dental Practice. That's what people want to know. so it sometimes simple is no, that is the best.   Brian Hanks (05:13) I know. I just yeah. I'm not the best at marketing, right? So yeah, like we we call Kiera when we need   marketing advice. So okay.   Kiera (05:24) Mm-hmm.   Brian Hanks (05:24) So Kiera, here are some more stats for you.   Kiera (05:28) Okay, ready?   Brian Hanks (05:29) the average owner, dentist, makes $151,000 than the average more than the average associate. Okay, 151. Now that's   Kiera (05:37) I was like, hold on, 151   is bad. That's more than if you're being an associate. You're gonna make 151,000 more. Okay.   Brian Hanks (05:43) Yep. Yeah. And think about why   that is. Yep. That's obviously the you're taking on the risk. You're taking on the the pain and suffering of being an owner, right? So there's some compensation involved in   Kiera (05:51) Mm-hmm.   Brian Hanks (05:52) that. Those are two medians, right? And there is a bell curve around both of those numbers. So is it possible   Kiera (05:57) Course.   Brian Hanks (05:58) to make less as an associate? Yes. Yeah. Is it possible   to make a hell   Kiera (06:01) Mm-hmm. Uh-huh.   Brian Hanks (06:02) of a lot more than $151,000 more than an associate? Absolutely, yes, right. So there's there's room on both end of the ends of those those bell curves. but think about   So here's why I one of the data points why I think private practice ownership and dentistry is still it's bright and it's getting brighter. Is you think about the average associate you talk to, Kiera, the average associate I talk to when we're standing around a cocktail party or at mid mid the you know, wherever, some conference, Yankee, Midwestern.   Kiera (06:30) Mm-hmm.   Brian Hanks (06:31) And I will tell you the average associate that I talk to isn't saying, gosh, Brian, you know what? I love my boss. I love the DSO I'm working for.   I love my hours. I love the insurances we take, the assistant they force me to use, I love her, right? It's the future of private practice dentistry is bright because dentists are people. And people generally like   Kiera (06:52) Mm-hmm.   Brian Hanks (06:52) a little bit of control over their career if they can get it. And dentists absolutely can get it. So that's one of the data points that   Kiera (06:55) Yeah.   Brian Hanks (06:58) I love. Now, are dentists scared to get into ownership? And do higher on average student loa

  2. 3d ago

    #1,188: Your Secret Weapon for Hiring

    Do you prefer retaining the employees you have rather than constantly hunting for new ones? Kiera shares an example of a practice that evolved from high turnover to solid team retention, and how effective leadership played a critical role in keeping people long-term — plus how you can craft it for your own practice. 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 chat with you guys about hiring and staffing and retention. I think this is something that a lot of you are struggling with. I think it's just, I don't know, it's just annoying and it's obnoxious and it's just part of what we are dealing with now. But I think that there's a lot of solutions that we can do that I think a lot of people aren't thinking about. So with that, I want to give some tips of like what we can do to retain team members more than having to hunt for them.   So I know that there's ways for us. I know there's a lot of things. And we're gonna just kick it off today. So I'm excited for you because what I found is there's probably a good way. And I was talking to an office about this. I'm really excited to share some some office growth that I've watched in office over the last five years evolve from team turnover to incredible team retention. and I really do think that a lot of it has to do with leadership, a lot of it has to do with growth and   what we can do is to solve that retention rather than needing to always hire. Now, there's always going to be hiring. So we're going to kind of talk through both of it, but also like what things can we do to retain our team that we have. Dental A Team is a consulting company where we work nationwide, we work across the globe. We work with private practices, multi-locations, we work virtually and in person. We have an incredible community where we come together in in-person masterminds, sharing the best of the best. And we're from startup to multi, multi-millions.   And I'm obsessed with helping you say yes to more in your life. And that stands for you, focusing on you and your vision, getting your team aligned, earnings and making sure you're profitable. And then system structure and scalability, really truly making sure that you guys are set up for success so you can say yes to more in your life. our goal is to positively impact the world of dentistry in the greatest way possible. And I'm obsessed with you. I'm obsessed with your practice. I'm obsessed with your team. I'm obsessed with your struggles, I'm obsessed with your wins.   And I'm here to help make your life easier. I'm very big on tactical practicals. So if this podcast has served you in any way, shape, or form, please share it with a friend, share it with a colleague, share it with someone who you feel like it could brighten their day. Post it in a Facebook group, post it online, leave us a five-star review. Anything that you do helps us spread our mission. My goal is to be in the ears of every single dental practice out there because I believe that dentistry is special. It's sacred. It's   It's a zone where we're able to change people's lives. And I'm so excited for you to be here. I'm Kiera Dent. I'm obsessed with all things dentistry, including my last name. So let's kick it off and let's start seeing of how we can figure out where and what we can do for this retention piece. So, number one, I feel like so I was talking to an office today. Me and the doctor, I said, it like this doctor has an incredible team. I think they've got 20 team members. most of them are women. There's two male doctors there.   And I said, I watched you. You went from like four operatories to now we've got 15 operatories. The team has grown. And I said, What do you feel makes this place special? Like team members love working there. And I was like, what is it? So much so that they're all like recruiting from other offices and bringing people here and saying this is the best office they've ever worked for. I was talking to one of the team members and they said, I no longer have the Sunday scaries. I don't get stressed out at work. This is my second family. Like team members are telling me this as a consultant. Usually I and I asked them like,   What do you guys need help with? And most of them are like, we're just really happy. So I was asking the doctor and the team, I was like, what is it about this place? I asked both sides of the coin because I was like, what is it? I'm obsessed. This is one my favorite things to dig into practices. And maybe I'll get this doctor on the podcast and share from theirs. I'll just share kind of some snippets from today. And the doctor told me, he said, Kiera, I'm just really big on treating people like people. He's like, I'm never gonna expect them to have work be more important than their families. he's like, I want to make this into a lifestyle practice where   We work seven to three a lot of the days so that way they're able to get home and be with their families, but we're still able to like work hard and take care of patients. I have never seen a practice where they literally leave at five o'clock. And this is in California, like it's not for overtime. They just work hard and they get home and they go be with their families. if they have time and they need to like take care of their kids or they're sick, they are able to take care of them. they expect them to work hard and they all do work hard and they build really great people there. I asked the team, I said, What is it about this place? And they said, Well, I think it's the fact that   Like our doctor trusts us and they let us do things. And but it's wild. Anything I asked this team to do, literally, I was like, let's do morning huddle prep sheets. Let's treatment track. They don't fight with me on it. And a lot of teams do. And so I was like, okay, this is fascinating. The team is very accommodating. They're willing. They want to. All of them were so excited to morning prep huddle prep. Do you how many teams are like, womp, womp, womp? So much extra work. This team was like, Yeah, absolutely, we'll do this. We'll take care of it.   I had them roll out route slips. They did it. Like no pushback. And I was just, it's fascinating to me. And I think something I'm picking up from this is one, they really do hire for great culture. Two, they see potential in people. Three, they really do treat this as like an amazing place to work. Like the doctor is just getting so excited. They're talking about putting a gym in there. Like fun things to make this where they make their life incredible. And I watched the doctor just get like twinkly-eyed about getting so excited to.   Do these surprises. They took their team on a cruise and just for fun. Like it was just a fun thing that they did. And when I think about all of that, this office used to struggle to hire. And now they literally most of their employees that they've had in the last three years have all come referral-based. and I think about Dental A Team, the bulk of our team is coming referral-based. And they're coming back and they're sharing with people, and their friends are interviewing with us.   And I think about that, and I'm like, as a business owner, I think that that's the greatest compliment. If your team is willing to refer their friends, their colleagues to want to come work here because they love it so much, you're doing something right. And people stay where there's a great, incredible culture. And so hearing both sides of the coin, hearing what team members are loving, hearing what doctors are loving, there's so many other ones. I've got another doctor, they've got team members, I've been with them for 12, 15 years. And I asked that doctor, I said, what   What do you do that makes people want to stay with you for so long? And this doctor said, you know, Kiera, I think it's that I really listen to them and I have clear expectations. They know what it is. That office also, like when we say we're gonna be there at 12 o'clock, they are there at 11:55 with their notebooks and their pens. I think that a lot of these practices, so one of the pieces I see is people really do stay where expectations are clear. Both of these offices have high standards, both of these offices expect a lot, both of these offices work really hard.   Dental A team is no exception to that. and I think having clarity, I think having clear job descriptions, I think having clear expectations from all leaders, I think team members knowing if they're winning or losing, you define it. You define it for them. And I really do love that there's clarity all the way around. Like both offices have different expectations, but both offices have them clear. The team knows how to win, the team knows what's expected, and both offices really do treat their team.   like humans. They I just watch and I watch these cohesive teams and there are clear expectations, but there's also a space where they they want to be there. There's this want, there's this draw, there's this happiness, there's a lightness about it. But they're hitting great goals. And so I think clarity really can create confidence for team members. So that's that's a good space. Another thing I notice with these offices and with teams is   people really do want growth, not just like an employment path. So, what is growth in that practice? How do people evolve? How do they grow? Like, what is a development plan? All these offices have regular one-on-ones. And one-on-ones can be about performance, one-on-ones can also be about what they want in their personal life, what they want in their professional life, what that looks like. And talking about growth opportunities, for me, every single year at the end of the year, I talk to my team about what their personal and pr

  3. 4d ago

    #1,187: Must-Know Tools for Re-Care + Reactivation

    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

  4. Aug 6

    #1,186: The Best and Smartest Way To Fill Holes in Your Schedule

    Kiera shares three approaches that will help you consistently and quickly fill your schedule on a daily basis: maximizing your current patients, creating the perfect handoff, and building consistent marketing. 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 we're gonna talk about what to do when you've got like holes in the schedule. I wanted to have a tactical one. I just came from a practice that is like an amazing same-day converter. but I want to just like talk about like it's very, very stressful when you're looking at your schedule and you just see holes, like holes everywhere. And so, what can we do to fill those holes? How can we make sure you have a very productive practice? and it's not always a marketing problem. It's not necessarily that we need more patience.   Let's just figure out how we can do like what are some simple things to help you fill those holes to have a very pro productive, predictable schedule. And like really, there's going to be holes. So let's make sure that team members and doctors have a really good solution. That way we can make sure that we take care of it. So I want to talk to you about like if you're not busy enough, how we fix it, where we can get that growth with predictability, and like three things that are gonna help you consistently fill your schedule on a regular basis. So   Dental A Team, we've worked with hundreds of practices across the nation, you guys. This is something that we see. This is something that's common. We consult them in person. We consult them virtually. And it's just something of like filling a schedule is always top of mind. It's always how do we how do we make sure it's consistently up to goal? and I think it's just a discipline. It's not something that is always talked about. It's a, it's how do we make sure, like what are the, what are the core tools to get my system? And   I think that that's just a way for you guys to to be able to be consistent and you don't need to worry about as many new patients. Like it's still a thing and I'm not here to just click it away. But this is like, let's just look for opportunities that are already sitting inside your practice that are easy. Again, they're already in the toolbox. Let's just pull these tools out for you. So what are three big areas that you can focus on quickly to help you? So I would just came from an office. It was awesome. I swear this office, like they've got holes and they just make it rain every day. It's like, all right, what are we gonna do? How are we gonna convert?   And I will say being really, really good at same day conversion is going to be a great thing. So it's maximizing the patients you already have. So instead of going after new patients, like what are the ones we already have? So what this looks like, we like are gonna look at our unscheduled treatment plans. We're gonna look for patients that are overdue and hygiene, and we're going to make sure that we're reactivating and recare and then making sure we're reappointing all patients. So number one, like a good morning huddle can fix a lot of this. So I love people to prep the day and let's all talk in huddle.   To see who has outstanding treatment. And if we are consistently doing this, of every patient who has unscheduled treatment and we schedule them in office, like the fastest, easiest way is like not going and hunting and looking at lists, but it's doing the things in office that day. Also, every morning huddle, which patients need cleanings. You can fill your schedule so quickly with a great morning huddle and with people coming prepped and prepared. So front office team members take notes. Their clinical team should be giving you a wealth of knowledge. And then as patients are coming in, we are going to be scheduling.   Any treatment that we can get scheduled and any patients due for cleanings, whether we have an opening or not today, it's good hygiene, good practice for us to get those patient schedules in office. It's so much easier to schedule them when they're in office rather than chasing and hunting them. So, number one, when they're coming in and do it through morning huddle. Number two is we need to have a set process where we're calling unscheduled treatment and recare every single day. I'm not joking, every single day. Let's make sure we have good processes. I had an office.   We just worked on it for three months. Everybody, we had a huge list of this. It hadn't been worked in years, and we're like, we're gonna get a process and a system in play. So we listed it all out. We divided the list amongst team members and we went to town. And then every single week we reported how many pay like how many dollars we were able to schedule and how many patients we scheduled. I want to say in three months they scheduled about $500,000 of unscheduled treatment. To me, that is a great use of time in three months. It's an incredible way. Every single week they were doing it. We found out who the best person was at it.   What their verbiage was, but we've got to be calling every single day. So you've got to be able to have it. There's so much out there. Unscheduled treatment, usually, like the practice I was in, and they had a bunch of holes. They're like, here, we have so many holes. I went and ran the unscheduled treatment report. They had $1.7 million worth of unscheduled treatment. And in the last six months, they've added an additional 700,000. Now, could that be duplicated treatment plans? Absolutely. But do I also believe that there's a decent amount of treatment sitting in that schedule?   You better believe it is. So, with that said, I want you to know that these items can be taken care of. You can get them done. They can be great for you. Get that process. I recommend at a minimum. Let's start with five calls a day on unscheduled treatment, unscheduled recare. Let's just have that. It's kind of like brushing our teeth. Okay. We brush morning and night. We call unscheduled treatment. We call unscheduled recare every single day. All the time. That's just part of what we do. It's part of our process. We do confirmation calls. We do unscheduled treatment and recare calls.   We also schedule every single patient that comes in for their treatment. We also schedule every patient due for recare. Another thing that you can do is you can ask when you are scheduling for recare, who else do you have that we can schedule? I cannot tell you how many people we've scheduled from family members. Me and my husband, we don't go to the same dentist. Guess what? We're about to start going to the same dentist. They ask us who we can schedule? We got scheduled together. It's very easy, it's very convenient. Just ask. It's a great way for you to fill those holes. So   You are usually sitting on tons of production opportunities that we already have. We just need to dig in our gold mine and actually be consistent with that. The fastest way to grow is usually already just sitting there. So unscheduled treatment, unscheduled recare. Let's talk about morning huddle. Let's make sure we're making those five hygiene calls a day. Like, I'd love you to do more than that. I'd love you to just fill your schedule and always have it full. But making outbound calls on a consistent basis, minimum five up to Tiffany, you sever team call, 50 calls a day. I'm not joking. So   Know that five is really, really, really low. And make sure it's a call and a text. Don't just go the the easy way and do a text, a phone call and a text. You get double whammy and call at times when people are gonna be around. So I usually like to make calls around eight, noon, or around four. It's usually when people are gonna be the most around that we were maximizing our time. So we can run the unscheduled treatment list. I always run it every single month. Divide the list up amongst every person. If we have an opening in the schedule where we've got downtime, everyone's expected for every 15 minutes of downtime we've got, we are going to be making.   Five calls. You can do it for 30 minutes, but everyone give the script, have everybody do it. It's there. So that's one tip to fill your schedule very easily and keep it full. The next one is gonna be like, let's boost our case acceptance. I kid you not. Like we don't need to go after more patients. A lot of times we just need to improve that case acceptance. So getting really good. I work a lot with offices when we do our consulting on just improving case acceptance. It's one of the fastest, easiest ways to grow a practice is just to get more patients to say yes.   If you're a great clinician and we're diagnosing, we should get patients to say yes. I have an office that I've been working with for several years. And truly, what we do for the bulk of our time is we work on their treatment plans and we just improve it and we improve it. We grow them usually a million to two million every single year, just by working on case acceptance, not pushing more new patients, not doing a lot of systems. It is truly just working on case acceptance. So when we have patients that are like, let me think about it.   We're not getting treatment plans scheduled. We also have low treatment plans. So it's a closing cases, but also diagnosing enough that's going to be there. If you want to produce your like the goal should be you're diagnosing at least three times what you want to produce. Then we need to be closing those cases. So what we need to do on this is it's strong handoffs. So I usually recommend NDTR. You've heard me talk about it million times. We'll link those if you haven't heard it. Welcome. It's next visit, date, time, recare.   So we gotta tell every patient what the next visit is, be clear and concise, what the date

  5. Aug 5

    #1,185: These 3 Things Will Turn Your Practice into a Money-Making Machine

    How do you manage money more effectively? How can you stop being surprised by taxes? How do you turn your cashflow into something predictable? Kiera answers these questions and more, with three monthly habits you can build to create profitability. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:01) Hello, Dental A Team listeners. This is Kiera. And today's topic is one of my favorite. It's money, taxes, and making a money-making machine. Yeah. Yay. Let's talk money and taxes. Because honestly, this is what everybody hates. And I'm not a CPA. I'm not a financial advisor. I'm none of those things. I'm just a girl who loves to help practices be more profitable. Help dentists like make and keep the money that they deserve, but doing it in an ethical way as a smart business owner. Because honestly, do you know how many people come to me and they're Kiera, I just want to become the CEO of my business because I don't get it, I don't know how. And I love   Helping people become competent running their businesses through systems, team, vision, you name it. I love to do it with you. So what I found is like a lot of times doctors don't have a production problem. They have a money management problem because you don't freaking know how to do it. You learned how to drop that box. You learned how to make that. This one was funny, guys. Like, why in dental school did they tell you you're doing an I L F filling? Like, come on. Like I remember seeing that and I was like, wow, dentistry. Or like I love when there's new people and they're like, Yeah, doc, we need a B O. And I'm like,   All right, or we could do like an OB, like it's fine, whatever. Or like I remember someone was like, What's a do? A DO I was like, my gosh, that's hilarious. So there's so many things like you've learned all that, but you didn't learn how to like manage your money and talk about it. So I have seen so many practices where they're a multi-million dollar office, but guess what? They're strapped for cash, they're not able to do these things. And the goal is not to like just produce more, it's to build a practice that creates consistent wealth for you. Now, team members listening, I want you to know you want your doctor.   To be insanely wealthy. Like you do. You want the practice to be wealthy because you want it to be cash flowing positive. Because if it is, you're happy. It's more stable, it's more confident. And I'm not saying like, I want your doctor to be wealthy. I want them to do well. You do too. Because guess what? If they're doing great, that means you're doing great. So I want you guys to walk like, how do we manage money money monthly? How do we stop getting surprised by taxes? And this is Kiera's tactical way of doing it. Talk to your CPAs. I'm not able to be that person, but I'm gonna give you some quick tips that work really well.   And then make sure your CPA validates and does it that's best for you. And then also, like, how can we turn this into predictable cash flow? Like that's what you're looking for. So let's do it. And to me, this is where I just see so many. We work with hundreds of offices across the nation. We're Dental A Team, we're experts in dental consulting. We work with dentists and teams. We either are virtual or in person, we're obsessed with making your life better. We call it the yes success model, where it's focused on you, your vision, your team, getting that organized, business fundamentals, earnings and profitability.   And then system structure and scalability. Like, how do we take it and turn it into that? That's what you're looking for. You want to make more money, you want to have less time that's spent in the office, you want to have more efficiencies. Like, let's do that together. That's what we're about. And really, today I get jazzed about this because so many offices are like, Kiera, I don't know where my money went. Guess what? I was that way too. Like, truly, it's so obnoxious. Because I know you are producing it. You need to just make it. Like, and how scary. I think about poor dentists. Like,   You go out, you do your fillings, you don't know if you're gonna get paid for it. You hope and pray that someone's collecting that money, but you will literally have no idea. Then the next thing is you get slapped with taxes, and you're like, my gosh, I have no money. Let's get you money. Like you went to dental school, you have so much debt on you, like you deserve to be a profitable business owner. So, like I said, just three things. Sorry about that. I'm just gonna yank this. Three things that you can do that are monthly habits to create profitability. You good with that? Let's get profitability.   cash flow and financial confidence. Here we go. So number one, dun dun dun dun, it's super sexy and not. All you gotta do, you gotta review your numbers every single month. Not when you're nervous, but as a consistent thing. You can join me. I've talked about it so many times. I call it the MMs. It's morning money meditation. That's it. Just do it. Like roll over. I turn on the call map or I'm into Joe Dispenser right now. there was another one I was listening to for a hot minute. I think it was called I don't even remember.   Was called. I can't even tell you guys. I don't remember. It was like this activations, I think is what it was called. That one was a fun one. It was like manifesting like multiple millions, like whatever you want do. but I meditate, I get my mind right, and then I look at my bank account. So join me on it. But I feel like a lot of times people just they don't know it, they don't get it, they just hope their CPA does it. my financial advisor will get it. I don't need to look at this. I'm just gonna do dentistry. Like, no, pull your head out of the sand. You are a business owner, you've got to look at it. So   We review our numbers before there's a problem, not when something fills off. So things to be looking at on a constant basis. What is our collection and production ratio? And I'm talking production in net, not gross. We got to be able to make sure, like, I don't care. I know Delta Dental's terrible. Guess what? That's all you can collect. So stop feeding your ego. Let's feed the family. Let's look at real numbers. What is that percentage? It needs to be at 98%. Half of you have a money issue, not because you have a money issue, it's because your team's not collecting. Teams, collect the money. We did the work.   Collect the money, fight with insurance, fight, fight, fight, get that money. Like you've got to. So we need to know what those two numbers are and you need to be at 98% collections. Okay. That's number one on your money. Number two is what's your overhead? Should be at 50% or less, 20% doctor pay. You gotta do this. What are we spending in those categories? So I like to look at our payroll percentage. I like to look at our supplies, labs. those are like the main big ticket items within that 50%. Doctor should pay should be sitting between 20 and 30%. All right, let's look at that.   Then beyond that, there's also probably money sitting in your AR. We should never have more than one month's worth of AR sitting there. So if you're producing $200,000, your total AR should never be more than $200,000. That's just the way the game works. So those are things we're gonna look at. All right. You gotta look at did we hit our goals, production, collection? What's our overhead? Did we overspend? Why? What improved and what did it? So we're gonna look at our PL. So I look at.   All of our team, all of our clients, they're on add it to analytics. So you usually have an online analytic. We build a KPI scorecard for all of our clients. Every client has it. So we're looking at what's our goal? What's our production? Is it red or green for that week or that month? Is it red or green for the collections? What's our collection percentage this month? What's our collection percentage year today? Because some months are gonna be low, some months are gonna be high. That's normal business. But we got to make sure we're collecting enough for our BAM, our bare ace minimum. And if not, we need to have savings for that. All right, so we have all that.   Then we also have an overhead calculator. I love the overhead calculator. I'm obsessed with it. We finally nailed this overhead calculator. Like it is, it's dreamy. Because what we do, I like to see this. It's a rolling month. So for those of you watching, great. I'm gonna share a screen. For those of you who are listening to the podcast, I'll explain it. Don't worry. So on here we have a scorecard. So this is one of my favorites. It's the overhead one. So what we do is we have our goals. So we set in our goals.   Like payrolls 30%, supplies are 5%, labs 7%, facility and equipment 8%, advertising 2%, less you're in growth mode, office supplies less than 1%, insurance half a percentage, professional services. We put in there your consulting fee. You're welcome. I want you to see that you can pay for consulting and be profitable. Bank charges and fees, I hope and pray they're less than 3%. They should be lower. And if not, you can get with Moolah. Phone internet utilities, less than 5% or 0.5, excuse me. And then other is usually 1%.   All that totals up to 60%. That means our doctor pay is probably gonna be sitting in at 20% or 30%. How can we trim this? A lot of people can produce more and have less payroll. We can outsource different things. Could we get our supplies lower? Can we order things differently? Labs, like let's look at that facility and equipment. Can we get that lower? Can we reduce our rent? Advertising, office supplies, could we get that down to a half a percentage? Professional services, like what if we got it to 1%? Or one of the fastest, easiest ways is we boost our production.

  6. Aug 4

    #1,184: How to Increase Your Bottom Line (Without Increasing Your Patient Base)

    So many offices out there think growth has to come from new patients. Tiff and Kristy share specific areas in your practice where you can increase what you're pulling in. This includes fee analyses, unscheduled patients, a finely tuned schedule, and more. 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 listeners. We are so excited to be here with you today. We love podcasting. We love giving out so much great information. And more than anything, we really love sharing our journeys with you guys, us consultants here on the team. We get to be in office with you, a lot of you. we get to be on the road, we get to go to CE courses, we take a ton of CE courses. The gal who's podcasting with me today is a CE maniac. she's always just looking things up and   And learning and growing. So we get to learn and grow. We get to boots on the ground, test things out, and then we get to deliver those ideas and those thoughts here to everyone on this platform. So thank you for being a valued listener. We hope that you enjoy today's content and please, please, please share with a friend something that we're very passionate about is reaching as many people as we possibly can on this platform and others. So whether you are a current client, a future client, or a forever podcast listener alone.   We just ask that you share this information, you pass it along to a friend, so that they can get some great nuggets as well. And Kristy, I have Kristy here with me today. And like I said, Kristy, you are just like a learning magnet. I love it because you just have this broad spectrum, this range of things that you love consuming, and you bring so much knowledge to the Dental A Team consulting team. So, Kristy.   Thank you for being here with us today. I am excited for today's topic. and before we dive in, how are you? How has your podcasting been? You listen to, you consume a lot. And then you you're   DAT- Kristy (01:37) Yeah.   Tiffanie (01:38) someone that consumes but also utilizes what you consume, which I think is a special skill. So how are you? How's your world? How's your learning? What's new for you?   DAT- Kristy (01:47) Yeah, it's going good, Tiff. it's beginning of the week, so it's always fun to dive in and hear the things. I think lately it's really been around insurance and getting payments on time. They're doing some sneaky stuff with payments, so keeping clients apprised to that and making sure the revenue's coming in. But beyond that, like you're right. I I do like to to listen and stay up on things so that we can share with our   not just our clients, but even like you said, future clients or people listening to the podcast.   Tiffanie (02:22) Yeah, I agree. I know you're gonna say insurance. That has been a bug this year. Insurance   DAT- Kristy (02:27) Mm-hmm.   Tiffanie (02:27) the insurance bug is what we will call it. and   DAT- Kristy (02:30) Yeah.   Tiffanie (02:30) I love it because I know I can I can pick your brain for so many things and you do stay up on so many forums and you're always reading. but then on the opposite end of that spectrum, like I know I I know you will what does Kiera call you? A truffle, a truffle hunter, right? Like you're gonna find those truffles in the forest.   within the insurance and the billing world, but also you love leadership, like growth and development and this the non-dental leadership podcast of the world and books and we're always talking about that stuff. So I think it's really cool and very valuable for everybody and and gives you just a ton of credibility as we speak to a lot of the things we're gonna talk about.   DAT- Kristy (03:15) thank you, Teff.   Tiffanie (03:16) Of course. and yes, it is early in the week starting my   Starting my Monday podcasting is really fun. And starting my Monday podcasting with Kristy brings it down. It's only 10 a.m. and I feel like it has been a whirlwind this morning. So knowing   DAT- Kristy (03:31) Yeah.   Tiffanie (03:31) that I'm here, I'm like, okay, actually we're gonna breathe. So I hope all of our listeners feel that. Kristy brings a sense of calm to every every space that you enter. so thank you for doing that for me today. I need it.   DAT- Kristy (03:44) Absolutely, my pleasure.   Tiffanie (03:46) So, Kristy, this is something I think you're really great at. I do go through and and this was the first podcast on our list, and I was like, Yeah, this is Kristy's podcast. If we do no more   DAT- Kristy (03:56) Mm-hmm.   Tiffanie (03:56) today, it's at least this one. And we really wanted to speak to the podcasting world here and and dental listeners about how to find growth within a practice without physically growing the practice. And this is something that has come up a lot. And I think Kristy.   I've at least had a lot of I've been experiencing this. I've had a lot of practices that are like tapped out on space, right? Like physical space. And after 2020, right? The year of 2020, March to December, this massive boom, right? We had this tank of like, what are we gonna do? And then we just had this massive boom and this influx. And so I think what I saw happen is a ton of practices remodeled or they did expansions, they added as much as they physically could.   And they're kind of tapped out. I know I have you know some that are like if I build anymore, I don't have parking where my patients gonna park. And so   DAT- Kristy (04:50) That's seven.   Tiffanie (04:51) they're finding themselves in this space or they're finding themselves in this space where maybe they don't have the finances right now to physically build or the capability and it doesn't make sense to. So we push growth. We're always saying, you know, seven to ten percent, ten percent is our goal, at seven percent is a minimum, a bare minimum to keep up with inflation. And my   Clients, you know, a lot of my practices are looking at me like, okay, Tiff, like that's crazy. So I wanted to chat today through some ideas that we utilize and Kristy that you bring to the table specifically to increase that like dollar per hour, that bottom line, that production collection space without physically increasing maybe even our patient base. Cause Kristy also have got a ton of practices.   that are struggling for new patients. We're like scraping the bottom of the braille all trying to find new patients. So yeah, that's where we're at. We're just like, how do you grow without pouring water on a plant and growing it, you know?   DAT- Kristy (05:52) Mm-hmm. Absolutely. Tip, I love this subject because so many offices think that it all has to come from new patients, you know? And sometimes new patients can be expensive if we're looking for outside marketing, right? And we have so much to tap into within our practices already. And first and foremost, I always like to say when's the last time you did a fee evaluation? a lot of people after COVID.   really didn't tap into this. And I speak to doctors almost every day who think they were at the 80th percentile. And when we look at it, they're down in the 40th or 50th percentile, you know? And I also say tip with that, a lot of docs are hesitant to to look at this because they're like, I'm so high PPO. And I always say, hey, if you don't raise your fees, they're never going to raise theirs either. So   Tiffanie (06:47) Yeah.   DAT- Kristy (06:48) Taking a look at that first and foremost is huge.   Tiffanie (06:51) I totally agree with that. It's something that's overlooked. I love what you said about the PPO space because so many doctors are like, what difference does it make? I'm tied to these fee schedules or nobody ever sees my UCR. Well, they do. The insurance companies see it. And I actually have a practice, I don't remember who I was podcasting with, but we spoke about them a couple weeks ago that they do their fee analysis and updates in during the summer. It's their slow time and so   DAT- Kristy (07:16) Mm.   Tiffanie (07:18) they do it during the summer.   when there's space and there's time because January, you know, that's an influx of just   DAT- Kristy (07:24) Basically.   Tiffanie (07:25) yeah, is it crazy. And so they move that task to the summer, which I think is really smart. And we actually just went through and did a fee analysis and found that they're they have a couple of insurances that are paying in network almost to their UCR fees. And their UCR fees are not low, right? They're getting like a thousand to eleven hundred dollars for a crown.   So when we requested a fee increase, right, they're like, hey, we're already paying 90% or 95% of your UCR, so we're denying it right now. And to your point, Kristy, they need to change their UCR because their insurances are following those UCR fees, right?   DAT- Kristy (08:06) Yeah.   Tiffanie (08:07) And so many practices overlook that and just go with the flow, and they just like muscle memory, they just keep.   you just keep doing it, right? You're like Dory, just keep swimming and you just don't think about what's behind you. And increasing   DAT- Kristy (08:20) Yeah.   Tiffanie (08:21) those UCRs makes a massive difference, especially when you're a PPO   dentist in the area that's at that 50th percentile. You need to be way higher. And if no one's seeing those UCR fees, great. Then guess what? You don't have to have that conversation with your with your patients.   that their fees are increasing because you increased fees. Like no now your insurances see those fee increases and then you can request fee increases from them for your fee schedules.   DAT- Kristy (08:49) Yeah, exactly. I think it's a it's a huge missed opportunity if if you haven't looked at them in a while. And and

  7. Jul 30

    #1,183 Is Your Practice Struggling with Collections and AR?

    Re-releasing a Dental A-Team podcast favorite! Tiff is on the pod to chat with Kiera about an office she just visited which needed some attention on its collections and accounts receivable. To give an idea of where this practice sits at, its collections are at 80% and case acceptance is at 56%. Tiff shares three points she touched on with this office: Three tactics to put into place to raise collections Establish tracking methods Spun complaints in a positive direction 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 (00:32) and you guys don't worry. We say we travel in the Dental A Team, and this time you might actually hear proof of it because I have the one and only Tiffanie Trader back on the podcast. She is getting ready to fly home, just finish up with an office, and we definitely got her to podcast while she's at the airport. So Tiff, where are you at today? How is this podcasting going?   speaker-1 (00:54) podcasting is gonna be fantastic because it is because I put it out there into the universe and I am I'm actually in DC, which is funny because it's funny because I thought I I thought I booked a different airport and I thought I booked an airport I had been to and then on the way here I was like, Yeah, I've surely never actually even been to DC and anyways it's been fun. This is how my life is.   speaker-0 (01:18) So funny travel story about Tiffanie and airports. We always giggle about this. Tiff, do you want to tell about the one time like this is like real life consulting one one for you guys? Do you remember the time that you maybe missed your alarm? You set like twenty five of them, but that's fine. Like I've seen your phone and there are seriously like, Wake up, no, like really wake up. No, like you've got to get out of bed. Like that's all your alarms that you have. But like what happened that time? Because it was a really funny travel experience.   speaker-1 (01:42) Here's the thing, Kiera. I just want to point out that I am in Virginia right now. It's   speaker-0 (01:47) Yeah.   speaker-1 (01:48) the only state that I have ever, ever, ever had any travel mishaps of any sort have been either coming to or leaving Virginia. I have Virginia stuck   speaker-0 (01:59) Is your   speaker-1 (02:00) here. I've gotten stuck here on a layover. Like Virginia just doesn't want me to leave, I think. So I slept through my alarm leaving New York, coming to Virginia.   because my flight was at six thirty in the morning, which is if you know me at all is not   speaker-0 (02:16) It's okay. It's all right. We all make decisions that we shouldn't have done. And I'll be honest, sometimes when we're like booking the travel, we're like, yeah, that seems like a really good idea until we actually have to live the travel we booked for ourselves and we're like, That was a really bad idea. So   speaker-1 (02:30) It was a poor choice.   speaker-0 (02:32) You're   up late. I remember you were texting me late at night that night and I'm like, Tiff, your freaking flight leaves so early tomorrow and you're like, I'll be fine   speaker-1 (02:40) Yes, but I was fine because I actually figured out that it was quicker to drive to where I needed to be than to fly anyway. So   speaker-0 (02:49) Only after she missed her flight. So it was you know a win.   speaker-1 (02:52) Because   I had to pivot. I had to be at an office that afternoon and I was like, shoot, how do I do this? So pivot or die is like what we live and breathe by. so I mapped it and I went and I got a car and the car rental guy was like, my gosh, this is absurd. so I drove a car from New York to Virginia and it was by far my favorite road trip of working experience because it was beautiful. I got this in so many I went through   It was like fall time, but I got snow, I got fall leaves changing. I have like every possible season.   speaker-0 (03:27) It's   one of favorite stories that I definitely feel like needed to be recorded for all of our posterity to hear and all of you listeners. So this might be mine and Tiff's like journal time over here. But this is liter   speaker-1 (03:36) I think I've I think I've now flown out as of today. I will have flown in and out of every airport in Virginia.   speaker-0 (03:45) Well, I'm glad that you're able to get the last one knocked off your list today. but you guys, that's literally the day in life of a consultant. I think it's it's fun to point out the fact that like in offices when things don't go as planned, like literally pivot. I know Tip and I have many times, I mean the time that I almost got deported out of Canada, hashtag I was literally a one hour drive across the border, but no, I flew back down to New Jersey and then back trying to get across the border.   And it would have been way better had I just driven. So I think also it's like looking at it. I mean, had we mapped it, now when people are booking travel, we're always thinking like, Could you drive there faster than flying? 'Cause there's always alternatives. So I love it. Welcome to Virginia. I'm glad you're coming home. Glad your office was there. Let's kinda like   speaker-1 (04:29) office was in New Orleans. It's   fine.   speaker-0 (04:34) Everything's fine, guys. Everything's fine. We are totally competent in dental offices and we're about like seventy-five, eighty percent competent traveling. We have that like twenty percent lack that we definitely are not great at.   speaker-1 (04:44) It   just needed to hit Virginia as a state this year, so I got it in.   speaker-0 (04:48) Good job, Tiff. So actually let's like deep dive on your practice you just came from. this is not the topic we were going to go on, but I just realized like we're talking about you leaving an office. Kinda walk us through some of the things you just implemented in that practice that you were in, just so people can kind of get an experience of what it's like having a consultant in their practice.   speaker-1 (05:05) Yeah, I think that's fun. Yep. So this was and I love a bit or die.   speaker-0 (05:10) Don't worry, we had a totally different topic, but like why not why not just keep with this consulting travel theme?   speaker-1 (05:16) I like it. So yes. this is my second time in the practice. This was Ashley actually saw this practice probably like a year ago, I suppose. so she saw them first and Ashley's no longer with us, wildfires, crying, lots of tears.   speaker-0 (05:29) Decided   to get married and move away and become a practice manager. It's fine. That office got real lucky. I shout out to them.   speaker-1 (05:37) Yeah. So anyways, this is their third visit. So it's really cool to see the progression and the growth that they've experienced, but then also like the holdups that they've had. So it's like, yes, we've been consulting them for a little over a year now. but there's still so much to be done. So this week what we did yesterday and today was we focused really heavily on collections and AR because they're just   struggling a little bit in that area and they're having a hard time dialing it into where it's coming from. So it was really fun because we saw the issue and then what I did was I kind of worked my way backwards, right? Because I think in any practice you can find something that's wrong and then I can tackle that person. Right. So I can go straight for the billing representative and the office manager and be like, why aren't you collecting? Where's your money? But it's not just them.   that are the the only cause of that, right? So the only effect of the cause. So we backtracked, we looked at everything, we realized, hey, patients aren't always getting signed treatment plans. Like patients aren't even they're not always getting told what they're going to owe in the first place. So then when they're coming in, it's a little bit more difficult to collect because I noticed we have a crown you know, a crown was in last week and they paid a hundred dollars. And so if you know anything about   Crowns in dental insurance, typically a hundred dollars is not going to be the copay required. So I thought, okay, why is this patient only paid a hundred dollars? Well, probably because this patient was not prepared to pay the six hundred dollars that he had owed when he came in. So we kind of backtracked. So we figured out, okay, our collections percentage is low. It's about 86% for last month, and overall for the year they're hovering in the mid 80s.   I like to see ninety eight percent for my practices or higher. I usually tell my Medicaid practices, Medicaid slash PPO providers, ninety-three to ninety-five percent just because Medicaid takes so long. So ninety-eight percent is what we're looking for here in this practice. So eighty six percent was like, my gosh, how are how are we paying the bills? So we back chopped and we started implementing they did NDTR for us like a boss. We've done that twice to the guys don't know the N D T   speaker-0 (08:00) And you're new, that's a perfect handoff. So next visit, date, time, recare. And I will say it's magic sauce when people do it. So goo

  8. Jul 29

    #1,182: What Every Owner Needs to Know (But Most Realize Too Late)

    It's a common trajectory: Dental schools create great dentists, but they don't create good business owners. Kiera shares three critical (but attainable!) tips for creating a profitable, scalable, and enjoyable practice, so doctors can continue doing the work they love. 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'm excited to chat with practice owners, office managers, and to kind of just talk about like what every practice owner should know. But I think a lot of us learn that too late. Myself included, I feel like business owners, I feel like we are great at our craft, but at business we learn it a little too late. And so I think that like I looked at all of our students at Midwestern and they learned how to be great dentists, but they didn't.   learn how to become great business owners. And we hear this all the time. I'm not saying anything new. I just think that a lot of practices hit ceilings because it's not their clinical skills. It's the business outgrows their knowledge. It's like, hey, take me to the moon. You're like, I've never been to the moon. And so I think just being able to help practice owners today realize in office managers, like leadership systems and financial decisions really are like the core. That's why we call it the yes success model. So you, that's the leadership,   systems and earnings. Like that's really what makes up a successful practice. But I feel like that feels so easy. But I want to just walk through like what are three things that every business owner needs to know to have a profitable, scalable and enjoyable practice. You guys the Dental A Team like we work with hundreds of practices across the nation from startup practices to multi-million dollar offices. And what I realize is the challenges are all the same. Like it's fundamentally stays the same. It just gets bigger or smaller based on the size of practice that you're in. And so   I think so many people know how to work really hard. I think so many people outproduce their problems. I think so many people they just it I hear all the time when people are calling to work with us, like Kiera, I just don't know what I don't know. And so today I just want to go through like, let's just talk about three things that I feel like every single business owner needs to know and some tactical ways that you can implement this. So hopefully it takes you from being stuck to unstuck. If you've heard this in the past, maybe you're hearing it at a different time. I know for me these are three fundamentals that I go back to no matter what phase of the business I'm in.   No matter what size of practice I'm in, none of that. So number one is going to be your leadership is like completely the like growth of your business. And your business will never outgrow your leadership. And so your business is a reflection of you as the leader. I remember reading Jocko Willink's book about that extreme ownership. And it was like everything about your business is a reflection of you. And when so when I'm frustrated of the systems or the scalability or the lack of accountability, that's me. And so when we have that.   I hate this, but I love this. Is where can we get consistency? Where can we stop the firefighting? Where can we like make sure that we've got stronger accountability? And where can we make sure that the doctor's not carrying everything? Because I think so many doctors are like, I'll just do it. I got this. Like, I I'm a hard worker. I know how to GSD. I know how to get through this. But I'm like, okay, we've got to figure out how like being a leader is not just a title. How do we create more clarity and how do we create more consistency? And how do we develop leaders and owners within our organization?   And so for this, like when I look at our leadership and how for you not to get stuck in that, like being a great leader is being able to make hard decisions. Being a great leader is how do I create clarity and consistency for my team? Being a great leader is how do I make sure that my team understands the numbers and we use those numbers to guide our decisions. we were going through a whole list the other day of of topics of leadership. And I was like, gosh, I like leadership is   It's a journey. It's an evolution. It's not something that you just do overnight. and I think about Kiera as a leader when I first started and she was erratic. I was like, I was turbulent. I had so many pieces. but leadership is maturity. it's how do I get people to buy into a vision? How do I rally them and how do I get them to buy into a vision? How am I to be a CEO versus a manager and really understanding the difference of those two hats? How do I have time management where I   Truly focus on the most important things, not just because I'm capable of doing it, but because I'm the only one that can do it. How do I delegate and work through my team? How do I like learn people and work to their strengths and work to their superpowers? Working through my team, not just working with my team, using my team. How do I have the art of influence? How do I grow my team members into incredible people? How do I see that potential when I'm hiring? How do I hire better? How do I figure   like leading, managing, and holding people accountable. How do I have consistency? How am I an example, but not the one who has to do everything? how do I value my team? Do I see them as an asset or a liability? How do I help my team feel valued without being the one who does it all? Like there's a there's a there's a great quote over here today that says I cannot give you the formula for success, but I can give you the formula for failure, which is try to please everybody. And that's by Herbert Swoop. And I thought about that as I was prepping for the podcast today of   That's I think in leadership where I'm not trying to please everybody. I'm going to make decisions that upset people, but I'm always going to make decisions that are in the best interest of the business. how do I own my mindset and make sure that I'm showing up with that clear, sharp mind? How do I have like mental health and grit and make sure I'm having that? What about creating culture, getting a team of ownership, having like my office manager, doctor, duo and having that relationship? What about performance management of my team?   So when I look at this and I think about this, like leadership, like you developing and growing as a leader. And I think that when I go back to this of like a lot of owners just think like I owned it, I got the title of a leader. But leadership is this evolution and this journey. It's becoming, it's evolving. It's all those pieces I listed off, and yet it's not a, it's not a checklist. Like, how do I learn to listen and not react? How do I learn to have my team come up with solutions rather than me?   So I rattled off a lot and all those can hit people at different phases of business. And I believe that I can check one of those off and then I can move. And then my team will double in size or our business will double in size. And I might have to go back to the beginning and the basics again of like, all right, I gotta figure out again how to work through my team. we went from having where me and our team was doing it to where now we're bringing on the C suites and the leader I need to become to manage a C suite versus the leader I needed to be.   Run when Tiff and I were just running the business together. The way I act and interact with my EA and personal assistant today versus when I first had one. It's an evolution. It's a leadership. It's an evolution of who you are. And so it's how do how do we become better at leadership? And I would say listen to podcasts, read books. some I I go back to fundamentals. I read the go giver constantly, I read traction a lot. It's so but boring. Like, sorry, Gino, it's very boring.   read the book, How to Be a Great Boss, Crucial Conversations, Discipline Without Punishment. Those are just some great books, but also look at great leaders and what do they do. For me, I'm a big mimic and mirror. So I talk to people, I talk to dentists that have really great cultures. This is why I love our mastermind group. I bring the best of the best of the best together. And I know because we work with all of them and I know our dentists personally, I have a lot of my great core leaders that I know are just dynamite leaders.   I have them share what do they do? How do they have it? How do they have performance reviews? How do they give cr like critical feedback? Some of the dentists early on in my career. I had them practice these conversations with me, like literally would have to send me voice memos. Practice your leadership skills. Use a consultant. Let's talk through how we're gonna have this conversation, how are we gonna talk to our team about this? But really I think like if I break it down to the nuts and bolts, it's how do I get a team to buy into a vision? How do I make sure that we hold accountability and ownership?   And how do I make sure that I maintain consistency and clarity? I think if I boiled it down and that's a rift on my own side, like not prepped, those would be the pieces I'd boil down. And so how do you become a stronger leader in those areas? And again, there's just indecision is worse than a wrong decision. And so just making those decisions, being more confident in yourself. someone once said like 2.0 is sitting here, and I think about Kiera 2.0, like she wasn't born, she was created.   Leaders are not born, they're created. You've got to like flex and strengthen that leadership skill because your practice can never outgrow your leadership. And if you want to get to the next level of growth, whether that's financially, w

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This podcast is here to give dentists and all dental office team members, in EVERY position, TACTICAL and PRACTICAL TIPS to: - Be more efficient - Have more fun - Improve doctor and team communications - Eliminate frustration - And make your life easier! Jump in! We are thrilled you have decided to LEVEL UP and be part of the DENTAL A TEAM! New episodes every Tuesday, Wednesday, and Thursday.

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