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By Kiera Dent
The podcast currently has 920 episodes available.
Here’s to the people who make your life incredible. Happy Thanksgiving!
Episode resources:
Reach out to Kiera
Tune Into DAT’s Monthly Webinar
Practice Momentum Group Consulting
Subscribe to The Dental A-Team podcast
Become Dental A-Team Platinum!
Review the podcast
Transcript:
Kiera Dent (00:00.856)
Hello, Dental A Team listeners. This is Kiera and happy Thanksgiving. You guys, if you are new to the podcast, welcome. I'm so happy you're here. If you've been with me for a while, you know this to be true. I love holidays. I love holidays so much. I am so appreciative of holidays because I feel like it's just the time that like takes our autopilot life and puts it actually on pause and.
Thanksgiving is honestly my favorite podcast of the entire year. I have so many amazing things to be thankful for and it's always just special of what I'm able to celebrate with our team, celebrate with all of you and just give gratitude and thanks. And every year on Thanksgiving, my husband and I have it as a tradition. We listen to the podcast as soon as we wake up. And I really think it just centers me. It centers me of the gratitude that I have for each of you being a part of the Dental A Team family.
Whether you're an active client with us, you've been a client with us, you're a podcast listener, soon to be client with us, my gratitude for you is immense. This was just a girl's dream to be able to help dentists across the nation and their teams. It was a dream for me to help the dentists from Midwestern to be able to live thriving lives and to have their teams flourishing and living thriving lives as well.
for people who trusted me and took a risk when I didn't know what I was doing. even today, let me practice on them and make things up and bring things to them and to be open and humble and have fun and make me laugh and challenge me and encourage me is just truly a blessing. For you guys on the podcast to listen and to be raving fans and to share this with people, I don't take this for granted.
I know how blessed I am. I dreamed of having a consulting company where it was spanned across the nation, where we were able to serve and help people on this higher level. And it's the reality of the life that I'm living right now. And I don't take that for granted. And I'm so grateful and appreciative of all of you. I also hope that you today take time to thank your team. I think so often we can just go by the wayside and we can not necessarily give out that gratitude and that thanks for what we have. I realized that
Kiera Dent (02:04.902)
You can either see teams one of two ways. You can either see them as an asset or a liability. And I choose to see my team as an asset. I choose to see that they're brilliant, that they're smarter than me, that they're the ones who make the magic happen. They're the ones who love our clients so much. They're the ones who come up with the brilliant ideas. They're the ones who make the marketing. They're the ones who do the customer service calls. They're the ones who talk to potential clients. They're the ones who are figuring out the partnerships. They're the ones who make all this dream become a reality. They say teamwork makes the dream work. And I say teamwork.
and teens also make the dreams become reality. And so just having maybe a moment of pause and reflection today and maybe sending out some little love bombs to your team and to the people that make your life incredible. I believe that the secret to life and fulfillment is giving and gratitude. And if we can have that sense of gratitude, like today my bracelet, it's the grateful bracelet here. And to have that gratitude, to show gratitude in all that we have, I mean,
We are just truly so blessed to be alive at this day and age. We're so blessed to be able to have the technology and the teams and the resources and the life that we get to live. mean, gosh, life is just so magical. And I hope that you see it as magic. And I hope that today of all days, like you take that pause and be grateful for your family, for your health, for your friends, for your team, for your patients, for your community.
all these things that make you a person, all these things that make life magical, all those things that add fairy dust and sprinkles to your life. But just to maybe take a moment, maybe reflect, maybe write in your journal, I would encourage you and challenge you to write maybe 100 things that you're grateful for. If you guys want, if you're listening to this before Thanksgiving dinner, you can do it. I've done it in some teams and it's very fun where you put your name on the top of a paper. Shout out to our marketing gal, Eve. She gave me this brilliant idea and I've done it in teams and they absolutely love it.
But what you do is you put the person's name at the top of the page and then you send it around the table and everyone writes something that they're so grateful for that person for or something that they love about that person. And then it comes back to you you're able to read this little love note. I've done it in leadership teams. I've done it in full teams. And it's interesting because every time I do it, this is the piece of paper that is stuck up on the walls. This is the thing that saved. This is the thing that's on people's phone savers because to be reminded of that we're loved.
Kiera Dent (04:24.98)
is one of the greatest gifts that we can give someone else. So maybe do that with your team, maybe do that with your families, but really truly just showing gratitude today. like I said, Thanksgiving podcast is always my favorite podcast of just giving you guys a tip of gratitude, but also to take this time publicly to thank my incredible team. And I always do a shout out to each of my team members.
of a thank you to each of them. And so we just kind of will go through, I go through them from like when they were hired. And so that way it's just really fun. But shout out to the one and only Tiffanie Trader, the spiffy tiffy. has been with me for seven years and Tiff is someone that if you know her, you love her. Tiff just makes life fun. I feel like she's a beautiful yin to my yang. We believe that we were twins in another life. We just happened to get separated this year by a year or this round.
Tiff and I actually share the same birthday. We're just one year apart from each other. But I'm so appreciative of Tiff and the grit and the love and the determination she's had to come into a company where there was just a girl with a dream and she bought into that dream and she's run it and she's done it and she's consulted all across the nation and she served so many offices and she's on the podcast with me and she writes the newsletter. She just she makes it fun and she's been with me since the beginning and to have somebody that's really gone through all of it with me.
This is something I'm so grateful for. think when you're an owner, and a lot of owners will feel this way, when you have someone who's a ride or die with you that you know you can count on, is something that I think we might take for granted. And it's something that today especially, we don't take for granted. We don't take for granted those people that have made us who we are, that have helped us grow. Like, of course, we've had to bring ourselves to the table, but Tiff is someone who really has been there with me.
She's been a rock through so many things. She's been there through all of it with me. And I'm just so appreciative of her and her love and her dedication and her determination to be the best consultant she can be. She's gone through so many growths throughout the company and to watch her just grow and evolve and morph into this incredible consultant is something I'm so appreciative of and just grateful for her going on this fun ride with me. We celebrated seven years together this year and just excited for the next seven and what we can create and make and serve more clients on another level.
Kiera Dent (06:37.176)
So that's our one and only spiffy tiffy. And then gosh, like I think my next one is actually no BS Britt. Actually, I think I lied. I think it's Shelbi. Sorry, Shelbi. My order is like, I shouldn't have gone in order. I should just do you guys like in whatever order, but Shelbi, we'll go to Shelbi next. Shelbi, if you don't know Shelbi, you are missing out on one of the most incredible humans. Shelbi has the deepest love for every single person that comes her way. She makes me want to be a better human.
She loves our client so much. loves me so much. Shelbi has been my EA, our customer success, and literally the jack of all trades. Like that woman can fit into so many different areas. And to watch her blossom from when I first hired her by knocking on her door, she used to be my next door neighbor and she took care of my tomato plants when I was traveling so much to make sure they wouldn't die, to now taking care of me and our entire team. Shelbi is someone that I am so grateful for, for her love.
for her ease every single month in our one-on-ones. We always ask our team who should we celebrate and who should we like give kudos to for going above and beyond and without fail, Shelbi is the number one named teammate of all of our team consistently. Everybody loves Shelbi. Every person that meets Shelbi loves Shelbi. Shelbi is just someone who has a heart of gold, who works hard, who is like this woman loves tasks. She is the person I know I can count on 150 million percent to always follow through.
and deliver more than I ever expect. She keeps all the balls in the air. She never misses things. She truly just has so much passion and love and commitment to our company and to our clients. And I am so like eternally grateful that this girl took my awkward knock on her door and then the awkwardness of living as next door neighbors and working together and has just really blossomed into this amazing woman who I trust implicitly with every single thing. And I know she will always be the best example. She will always show up.
She will always love, she'll always care, and she literally will make everything beautiful, seamless, and smooth for every single person, and I'm so appreciative of her. Next up is Brittany Stone, no BS, Britt. Brittany is someone that has just truly grown and blossomed, and I love that she is my yin to my yang in the business. She's a consultant, so those of you who get her love her as a consultant. Britt also is our operations within the company, and to have somebody that I can rally with who is not afraid to...
Kiera Dent (08:55.64)
give me her opinion and to make sure in the most respectful way that we are really working on what's most important in the company. She's the brakes on the company. She tells me not to do things. She tells me to do things, but to know that I can be on the road and that our team is being led and guided and directed by somebody that I trust and respect in like beyond the beyond is something that I think is such a magical gift that a lot of people I don't think get to experience. And I'm so grateful for Britt. love her, her sass. love her.
her thoughtfulness, I love her directness, I love how she communicates to our team, I love how she thinks and processes, I love how Brittany is just someone who everybody loves, everybody wants to get to know Britt and she has such a quiet, gentle nature about her where she genuinely is just so loyal, she's so curious, she's so just wanting to be her best at all times, wanting to make our company just be the best that it can be and I'm just so.
So grateful to have somebody like that on my leadership team, personally and professionally, to have her work so closely with me, hand in hand, day in and day out, to have the conversations. She has grown me so much and just helped me see how great she can be in this role. And I'm so appreciative of her and just where she will fill in the gap. She's an incredibly brilliant consultant. She's a brilliant business and just someone that I feel so lucky to know. We have Ms. Dana is, gosh, Dana.
She just is incredible. She is that employee that you never have to worry about. never like they're always just doing more than you ever expected. Dana is such a steady Eddie for me. And she also has the freaking funniest stories of anybody like that girl does not travel as much as the rest of us do. And every time she travels, I don't know what it is. She comes back with the craziest travel stories of all of us and Dana with her consistency and her commitment to clients and her love and her true internal growth. Dana is a warrior.
And I just love her. I love her so much. I love who she is. I love her drive. I love how she makes me want to be a better person. Dana loves so deeply and she will forever continue to grow herself. She's the person that's the easiest for me to have uncomfortable conversations with because she just takes it. She gets it and she executes and implements. She's also the person who is constantly behind the scenes making things happen. She always wants another project. She wants to grow. She encourages me to work out. She encourages me to love my clients better. Dana is just someone who has this heart of gold that I feel.
Kiera Dent (11:20.15)
so ridiculously blessed is on my team, is an example to me, is someone like, and I don't get to talk to Dana as much as others, but I'm always watching Dana and I'm observing her and I'm watching how incredibly talented and gifted this woman is. And I'm just so grateful for her. We can not go without talking about Miss Eve. Eve is a, gosh, I think Eve, if we would not have met through Dental A Team, we would have found each other in some way in this world. Eve is one of the most incredibly talented marketers.
I've ever had. She's come into this company and she gets my vision and she delivers to me impeccable work every single time. I can tell Eve this is what my vision is and Eve makes it magic. She does it with so much grace and ease and she's so freaking funny. Like you should talk her about her hobby horse. This is a real thing. You should talk her about like all the fun things. She makes us laugh. She's like entertainment within our company and she's also somebody where I just love who she is. I love her outlook, her outlook on life. I love who she is as a person. I love what she stands for.
I love her journey. I love the humor she brings. And honestly, we call it the Eve adds her pixie dust, but we've made it marketing where it's the pixel dust to everything. So when you see beautiful things everywhere, Eve just puts her heart and soul into it. She's an incredible artist, an incredible designer, incredible marketer, comes with great ideas and her passion and love for marketing, for her family, for our company, for our clients, for our team.
is something that I am just awe inspired by and so grateful. She's in my life personally and professionally and that you guys all get to experience Eve through anything. She's at our monthly webinars. If you're not attending those or the Thirsty Thursdays, the third Thursday of the month, be sure to join us. Eve has taken that on. She grows herself, but gosh, this woman is just chef's kiss of beauty that she creates for our company and does it with so much grace and ease.
We also have Jacintha who's part of our marketing team and Jacintha has come she's from the Netherlands and I love Jacintha's grit, her determination. She's also super funny. She makes me laugh. But whenever we give you something a problem or a project, she is just like bloodhound on it and she will go she will drive, she will figure out how to do this. And I'm so appreciative of her grit and her stamina and the things that this woman does. She has come in with this
Kiera Dent (13:29.214)
unrelentless determination to be the best to figure out dentistry and when they present the two marketers never coming from dentistry, gosh, I am just amazed and wowed at the love, the passion, the grit, the desire to become the best and to be associated with two marketers. Eve and Jacintha, our marketing department is incredible. does all, Jacintha does all of our, all of our social media and so many of the designs you guys see out there.
That is you synthesis magic and she is just constantly making sure things are smooth and easy and I'm so appreciative of her. And then last but not least is Miss Kristy and Kristy coming onto our team and just being this amazing consultant that has love and dedication and determination and she just is so brilliant at what she does. She brings this sense of calm and ease and fun and I'm so excited for clients working with her and to get to work with her because this woman's knowledge is unmet.
compared to all of the other, like she just has this knowledge and this love of dentistry. When I was looking for our next consultant, I made this little wish list and I said, I want them to just have so much passion and love for dentistry. And Kristy has that and she has the knowledge and she's got the experience and she's just this, she just ignites and exudes so much love for what we have. And I'm just so, so, so grateful for her on our team. Our team is incredible and our team has just.
morphed over the years and I'm so thankful for those who have been a part of Dental A Team that have made us the great people we are. I obviously would be remiss if I didn't shout out my husband Jason. Jason's just, he's my ride or die. Jason has gone through so much. You guys should all be grateful the countless hours this man does with me early in the morning, late at night, letting me talk his ear off about the podcast and our clients and all the different things. And he's just constantly there for me I just love him and I'm so grateful for him. My coaches, Liz and Kareen and
my trainers and like all the different people who make me who I am, all of our sponsors, all the people that make us great, all the people that we have affiliates with, all the trainers, all like literally every single person, whether you're a client, whether you're a sponsor, whether you're a listener, whomever you are, you have this magic touch on my life that allows me to be able to be here to podcast with you, to do these pieces with you. And I'm so appreciative of all of you. I'm appreciative of you making.
Kiera Dent (15:45.274)
where we are in this world of dentistry, great. I'm so grateful that you love your patients and you love dentistry and you want to be the best you can be. And I'm here to say, go spread those magic love bombs, go do the magic today and tell someone, tell five people, thank you for what they do because it will not only fill their cups, but it will overflow you of just the love and the magic that you get to experience living this life today at this special.
specific time. with that, go enjoy your magical Thanksgiving. Go love on those family members. Go be grateful for the health that you have and to be alive in today's world. And thank you so much for being a part of the Dental A Team podcast. So much love. All the kisses, all the love. And as always, thanks for listening and I'll catch you next time on the Dental A Team podcast.
This one's for the doctors and hygienists. Tiff and Britt discuss why perio calibration matters, how accountability on top of that improves practice-wide success, the right percentages your hygiene department should be reaching, and more.
Episode resources:
Reach out to Tiff and Britt
Tune Into DAT’s Monthly Webinar
Practice Momentum Group Consulting
Subscribe to The Dental A-Team podcast
Become Dental A-Team Platinum!
Review the podcast
Transcript:
The Dental A Team (00:01.302)
Hello, Dental A Team listeners. I am excited to help with you today with me, with us. Britt Stone, Miss Britt is one of our hygiene queens. You know, we have a couple of them on our team and occasionally I like to bring them in for some hygiene flow and some hygiene spaces. Now, Britt, today we are gonna talk hygiene, but I wanna do hygiene from doctors.
perspective and like doctors really getting a lot of value out of that space. So today's hygiene is a little bit different. Your hygienists can listen to this always as well. Obviously there's gonna be nuggets in there for them, but doctors, this is for you. Before we jump into my hygiene, I'm so excited for this one, my hygiene stuff, Britt, how are you? You just went on vacation and it was a little chilly, I agree, because we're from Arizona, anything under.
80 degrees is a little chilly. I get it. Tell me, where did you ladies go and how amazing was it?
Britt (00:56.382)
That was true.
Britt (01:04.513)
It was amazing. One, thanks for calling us Hygiene Queens. I think all the hygienists out there appreciate that. So we love it. But I went up to Washington, Seattle area. So out to Woodby Island. So a little island out there. Took the ferry over, enjoyed it. It was great. I mean, we're all Arizona girls that went. It was like a high school crew, all my high school friends that went for a vacation once a year. And so we went out of town, enjoyed some fall, enjoyed some cooler weather since we don't...
The Dental A Team (01:17.913)
Super cold.
Britt (01:32.695)
get as much of that here and had a great time.
The Dental A Team (01:34.351)
No, that's awesome. And you froze, because you were like, those islands, they get really cold no matter what time of year it is. They're chilly, because they're way up there. You're almost Canada in those suckers.
Britt (01:46.497)
Yeah, and it's windy and it was rainy because it's fall time, but I mean, yeah, it's, yeah, which makes it nice and green and it was gorgeous. We saw like a bald eagle. Amazing. So it was.
The Dental A Team (01:52.333)
in Seattle.
The Dental A Team (01:58.028)
to.
that's really cool. Well, I am excited that you got to go and I think that's super cool. I know you guys do your once a year trip and it's always something really, really fun and you get to just disconnect for at least a weekend. So I was happy to see you're out there. Yeah, I love it. I love it. And I love, I do love my hygiene queens and I think hygiene is obviously an imperative space.
for dentistry and today's topic, it's actually, it's serendipitous, know, things always happen and come up. But the other day, my partner was asking me, he said, because he's a financial advisor, so he's always thinking numbers and he advises a few dentists. And so he's like picking my brain for things. And he's like, how much do dentists actually make?
off of a cleaning, because like he'll go in for his cleaning and then come out with like all of these financial questions for me and I'm like, I'm very smart, you like I'll walk you through it. Yeah, so I'm like, nothing. He's like, what do you mean? What do mean they make nothing? And I was like, they make nothing. Like you're not, you are not going to be profitable off of strictly re-care appointments. And so I literally like, that was my initial response was like nothing and like walk away, right? And he's like, no wait, tell me more. And I'm like,
Britt (03:22.275)
all the things and then eventually nothing.
The Dental A Team (03:25.539)
Yeah, and so I was like, okay, fine, I'll break it down for you. Let me tell you all the things that go into a hygiene appointment and that cost analysis per hour and why it's so important that a hygienist does 3.3 times his or her rate of pay and can produce 30 % of overall production for the practice because if they're not, that department is not profitable for the company. And the non-profitable space of the company
is an issue, right? And it's not to say hygiene that, know, we're never gonna say do things you don't wanna do or squeeze your appointments or do more. And like, that's not who we are. It's really just about finding the spaces where we can create more value for our patients utilizing the tools at our fingertips and creating more profitability for the company because for Dental A Team we believe that the profitability leads to reinvestment back into.
the patients and the practice. So we cannot reinvest back into our patients' experience and all of these, you digital workflows that everybody's trying to do, these new x-ray machines, the scanners, the cavitron tips, guys, like those pieces of things and, and cool lasers and all of these things that you want even for your hygiene space, those are reinvestments back into it. So that profitability creates the space to be able to do that. And doctors today, I really wanted to walk through that. His question the other day was just like,
my gosh, like, this is something that as a consultant and as a dental professional, this is one of those spaces that to me is just like, I'm like, why would you even ask that? Like that was, that was a weird question. Like, obviously it makes nothing. And then I'm like, you want me to walk you through it? Okay, this is one of those spaces that I think people know that they don't. And really taking an analysis and a look doctors at your hygiene department and how you're influencing that.
as well and making sure that you're staying on top of it. think hygienists are incredible. I think dental teams are incredible. I think doctors are incredible human beings. But I think a lot of dentists, a lot of doctors are like, well, they're hygienists. Like you've got this. You've got this. You do the periapart. You do that, which I totally agree with you guys, right? You are in that world. You are in the gums, right? You got the gums. I'm gonna give you that world, okay? My doctors.
The Dental A Team (05:48.642)
you diagnose the decay, the things that need to happen, like you are in that world way more than anybody else is. So for hygienists to be the lead on perio and periodontal pieces, whether it's a routine cleaning or sky's the limit, that makes sense to me. But my doctors who pull so far out that they don't actually know what's going on over there anymore, which...
That doesn't happen for anybody out there legally who's listening. That doesn't happen. But when we're not calibrated, or my doctors, I've had so many times a doctor that's like, yeah, I think they'll be fine, maybe a debridement. And the patient gets over, and the hygienist is like, five millimeter pocket. I'm like, no, he said a debridement. I guess we've already treatment planned it, so now we have to do a debridement. My hygiene team is upset.
Britt (06:15.165)
Yeah.
The Dental A Team (06:40.269)
I really wanted to talk periocalibration today and Britt, I wanna speak to the doctors specifically, hygienists too, and if you're listening to this and your doctor doesn't listen, like share this one, but go back and do these things with your doctor too. But Britt, from a hygiene standpoint, like how does periocalibration with your doctor, how does it positively influence your experience as a hygienist to...
obviously give your patients the best experience, but how does that influence your experience as a hygiene team member within a practice when you guys are more calibrated like that?
Britt (07:13.537)
Yeah, mean, is big, right? When it comes down to it, we need to have a standard when it comes to perio that we all agree on. It's doctor-led, right? And then someone's got to ensure that that standard is actually happening. And that's where doctors don't get so disconnected from it that you can't recognize when a hygienist is not following the standard that we've all agreed upon or that you have set forth and you want that level of care provided for your patients. That's where...
You know, as a hygienist, I love a doctor who trusts me. And you know what? You trust me because we are calibrated and you trust my opinion and you double check it and that trust continues to be there because we continue to be calibrated on how we treat our patients. And if we are not, then great, have a conversation and let's address it and let's reset things. mean...
We're all human beings. How many of us have a habit that slowly over time, gradually changes a little bit? It can happen. So we need to help each other, right? Keep that standard of care that we want to provide to our patients. And sometimes it goes both ways, right? I want that doctor double checking, spot checking things to ensure that that quality is there. If there is a question, great, let's have a conversation about it.
If doctor comes to me and says, hey, like question something, then like, great, let's have a conversation about it and let's recalibrate and let's get back on track with each other and get in line so that we ensure that the quality of care that we're providing to our patients is what we want it to be. So I think for doctors, right, anything we do, and even when we work with people on front desk items, it's like, well, how do I make sure that that's happening? Someone's got to spot check. There's gotta be accountability somewhere.
Clinical is where doctor needs to be strong accountability. Office manager is more strong accountability for front desk and doctors accountable for office manager to ensure things are getting done. So there has to be checks and balances. If you just let someone go, that's how one day you realize or you have a switch in hygienist and your new hygienist is like.
Britt (09:17.347)
What's been going on over here? I'm having to work real hard and I'm having to have a lot of conversations and hard conversations that are just tough for the practice all around to have to talk to a patient about, this is what the hygienist did for the last 10 years. Here's what I've seen today and we need to do something different. And those are just tough conversations to navigate. They can be done, but we don't want to get in a position where we need to do that.
The Dental A Team (09:43.637)
Totally agree. think that calibration piece you're talking about and the accountability on top of that is huge. And I think there's a couple of, know, step gaps that are put in there for that situation. And I want to implore upon all my doctors listening today that standards and metrics are set based on everyone.
Like it's a pool of people that the information is taken from that says we should be three to 3.3 times your rate of pay. You should be about 30 % of your overall production. So these standards are set based on multiple people being looked at, right? Multiple practices. So don't forget that because I know a lot of the pushback I get from a lot of teams, a lot of doctors, when I go into consult them and I'm looking for these pieces is what you don't know my patient base. Okay, and there are, I do have a few practices. I've got,
a practice out in Pennsylvania who was like right next to a university, right? So he's got a young patient base, like yeah, your period is gonna be a little bit lower, but it's still there. And he had a new hygienist come in and she's like, he's like, my gosh, my period percentage went up. I'm like, yeah, because it's still there. It just wasn't being diagnosed before. So he fell into that situation where we were like, well, know, okay, fine. And I'm like, fine, it's college kids. Hands in the air, I'm giving it to you. Fine, totally fine.
switch up a hygiene and she's like, no, she's got perio blocks all over the place because it's still there somewhere. I've got an office in Utah who's similar. They're in a younger area. There's a couple of colleges in that area, right? But they've got younger families, they've got younger patients, and there isn't a lot of perio in that area, but he's still hitting like 18 to 22 % with a non...
Perio involved area so that 30 % isn't super difficult to hit as long as the perio diagnosis is being done so Doctors when you're listening to this and you're like, okay, but like where does this standard come from? It comes from everywhere. It comes from everyone. This is across the country standards that 30 % I like it because it keeps everything in the threes I want 3.3 times your rate of pay and 30 % of my overall production should come from hygiene now
The Dental A Team (11:57.565)
If you're not seeing that or when you do the analysis, which is super easy, you guys, I want you to go in and do this. If you don't know how to do it, we're gonna tell you in a sec. If you're not doing it, I would do it every single month and watch your perio constantly or watch your hygiene department constantly. So realistically, all you do is you take your hygiene production. So what did all of your hygienists do for the month?
and divide that by the overall practice production, and that's gonna give you your hygiene percentage for your practice. Most practices, when they're not looking at it, when they're not tracking things like this, and they're not truly calibrating on hygiene department items on Perio, most practices are anywhere from 14 to 20 % on average, from what I've seen from my practices. They're on the lower spectrum because they're just not looking at it. We're just doing that hygiene mill where best...
know, backwards to the beginning of this where I was like, we don't make anything. Like that's where you're at, that 14 % rate and 18%, like doctors, you're working your tail off to make up that gap. So you should be covering 70 % of the goal, but typically doctors are closer to like 85 % of the goal and they're like, tch, Brett, why am I so tired? Like don't wanna do this anymore. I'm like, all right, let's look over here. So calibrating on those pieces is huge.
because you want your hygiene team to all be diagnosing it as similarly as we possibly can. You will have hygienists who have been there for a long time, but aren't getting a lot of new patients. Their perio diagnosis is gonna be a little bit lower, because they don't have the opportunity. And that's okay, but overall across the board, your hygiene department should be diagnosing enough perio to be getting you to that 30%, because based on the statistics of the country, we have enough perio in
you know, the people here in the general populace to account for that in every in every practice. So watch those numbers. then, but I think maybe speak to some more for me, from hygiene perspective, how the doctor and the hygiene department really truly calibrate on those. then, like, that's one space, right? The numbers is a space of accountability, office managers can do that.
The Dental A Team (14:13.546)
face real easily, let the doctors know and you can also watch your treatment plans if you're not getting treatment plans for perio, like you can start digging into that. But then from an accountability point chair side, like what is it that your expectation is for that doctor, that dentist in the chair with that hygiene department? What do you want that to look like?
Britt (14:33.825)
Yeah, when it comes to diagnosing perio, right? Our hygienists do a great job in helping to evaluate things, see the big picture and relay that information to you. You need to verify the information. I'm not saying go through and do a whole perio charting, but check some of those numbers, check those deeper areas to see, we getting the same reading?
Do I agree? Is this the diagnosis that I want to make as the doctor? Because you're the one that's making the diagnosis. And if so, awesome. If you're off a little between the two of you, then it's like, all right, maybe it's time to do a little calibration, which can even be going through, taking a team member, period charting, seeing what we come up with. Are we pretty close with each other? Are we way off? Do we need to go through and look at some of the clinical skills for that team member?
and evaluate. And sometimes it might be doctor or hygiene clinical skills, right? Like that's what's like, all right, let's work together on it because doctors don't do it all the time. But the more that you do it and the more that you're checking, you're going to keep your parietal skills up and you're going to keep your team calibrated and accountable on those things. And if you're not agreeing on something, hey, if it's just off a little bit, like great, go for it in front of the patient, but come back to it and know that it's something that we need to address and we need to talk about to calibrate and evaluate.
And that calibration goes both ends, right? Sometimes, you know, it's not diagnosing what's there. And sometimes it's been a little too aggressive, right? So it can be both ends that you're helping to manage and keep everybody in line. So I think doctors, if you're not spot checking, but you're making the diagnosis of perio, spot check it and know what's going on there and validate that, yep, I agree with what's going on.
The Dental A Team (16:17.322)
totally agree and that comes back to what makes me think of like no matter what, you're the only one doctors who can diagnose. And so if that diagnosis is off, it's not what it should be in either direction. It should have been perio and it wasn't caught or it wasn't perio yet and it was diagnosed as perio, that falls back on you. So I wanna scare you with that. Like I want you to be afraid of allowing someone else to truly diagnose with.
Britt (16:25.058)
Mm-hmm.
The Dental A Team (16:44.046)
for you, right? We're diagnosing as your support team, we're diagnosing with you or code, we're co diagnosing, we're saying this is what I'm seeing. Do you agree? So your hygiene team is like, I'm seeing some deep pocketing there, I explained to them that it could be a deeper cleaning that we might recommend. Like, that's, you know, the verbiage. And I just want to say that to remind you guys not to get so comfortable that you forget
that it is your license, it is your responsibility. And I love hygiene, I love support teams, I love all of them. And I'm not, I don't think there's many people, if any, out there who are just out to get something or do something wrong or inaccurate, but it does happen. We get sloppy, we get tired, we get fat, quick, we're like, gosh, we've gotta go, we've gotta go, and we start missing things. And so it's just that.
where you guys are looking out for each other and you're truly, truly just spot checking and double checking, a quick PSR. But I did have a practice for it as you're talking, I'm thinking of them. One, a lot of new patients right now are ending up on doctor schedules because our hygiene schedule is chock full and people are forgetting to do their new patient locks in hygiene. So don't forget to do that.
But a lot of those new patients, or I do have a lot of practices that prefer like a cosmetic approach to a new patient and a full mouth series, like scans and all that. So they put it on doctor's schedule first. That patient's gotta go over to hygiene. And in a patient's experience, going over to hygiene for the correct procedure, instead of going over to hygiene another day to be diagnosed to come back another day, creates a way better experience. So doctors knowing too, how to diagnose
what your hygiene department's gonna want from your chair is massive. I do have a practice that recently did exactly what you were talking about, Britt. They had the team in the back and they're doing all the probes together, the hygiene team and the doctor, because the hygiene team was like, what is happening? Like his probes are 10 times deeper than what I'm getting. And they realized they were reading the probe depths differently on the probe.
The Dental A Team (18:56.02)
and they had to buy all new probes because they couldn't calibrate on the probes that they had. They could not come to an agreement because it was one of the generic ones, know, where there just wasn't, there weren't a lot of lines. So was kind of like pick and choose what the long line meant, you know? And yeah, and it was impossible for this team to truly calibrate on that probe. And so they replaced all the probes with one that had smaller lines, that had more of the lines for the depths.
Britt (19:11.094)
at a time.
The Dental A Team (19:25.668)
And then they were like, and the doctor was, you know, and it was the doctor that was off is what we'll say, like, whatever, they came to an agreement, but the hygiene team was like, I don't know what's happening. And so they did exactly that. ran a test and where they were like, we've got to figure this out. And so they had to replace the probe. So it's not always to like, you're wrong. Sometimes it's like this, just this tool is not working for me. And I need a better tool, especially with, I mean, I'm not a hygienist.
I've never probed a patient because I'm not allowed to, but I can't imagine this like giant black line, right? That's just supposed to be so many depths and you're going in and being like, it's about this. So I get it. I would require many more lines on that sucker, but that's what it made me think of. So it is truly out there, you guys. It's not just you. You're not like some special case that did something wrong.
Everyone's doing this and everyone needs to do this. So really truly in order to make sure that you're calibrated, it's gonna take, Britt, you mentioned it, being on the same page, coming up with what you want, those parameters. Yeah, the standard, exactly. What is that standard? What's class one, class two, class three? Referral. What's omega class four? What are these standards and how are we going to follow them?
Britt (20:34.253)
this.
Britt (20:42.039)
Yeah.
The Dental A Team (20:49.253)
Calibrate on the diagnosis, not just what those are, physically, are you diagnosing the same? Are you getting the same probe depths? And really practice that. Do spot check PSRs on some patients as they come through. And if you are off and your trend is like, I'm off more than I'm on, start practicing with your team and really look at, is it the tool? Is it the person? How can we calibrate this? And look at your numbers, you guys.
Office managers can pull these numbers, they should be looking at them in my opinion, every month to ensure that we are reaching those percentages that we really truly want and that our hygiene department is paying for itself. And I hope your financial advisors too are thinking about that, like literally it pops into his head just because he has appointments with the clients or he goes and gets his teeth cleaned and it pops in. But I thought it was really cool because I'm like, gosh, that's just not something that I think all people think about. So I want you guys to go do those things.
Britt (21:29.155)
I'm
The Dental A Team (21:45.211)
Find your standards. If you've set standards, go back through them again. But I would say, I think every, I think once a year, mandatory. And maybe even every six months.
Britt (21:56.043)
Yeah, I almost even say quarterly. You should be reviewing cases together, honestly, and depending on, right, sometimes you might need to actually like pull out team members, calibrate on actual doing like probed ups to see where you're at. And sometimes it's just pulling cases and looking at it. So at least quarterly go through some cases to make sure you guys are calibrated.
review our perio standards to make sure we're on the same page and that there's no questions. The more turnover you have, the more often you should be reviewing these things. But even if it's hygiene department with doctor or quarterly reviewing things and also with that, not just perio, you can look at some preheating, right? Bring in some calibration on those things as well for the hygiene department are huge. And I love what you said about the perio probes. Usually doctors get the crappy ones. They get the old ones.
The Dental A Team (22:45.915)
Mm-hmm.
Britt (22:46.723)
and the hygiene gets the new ones. So yeah, thanks for everybody's got the same tools we're working with.
The Dental A Team (22:48.443)
So sure.
Yeah, that's so true. I love that, I love that. Go do those things, you guys. Go do those things. Make sure your standards are set. Review them as a team. I love quarterly, I would say at least quarterly. Spot check constantly. Always be comparing your probe depths to your hygiene department. Calibrate when needed. Buy new instruments when needed. And then always watch your numbers. Make sure that the standards are there for you guys. And you may have that patient base that doesn't have as much perio and that's okay.
Let's see what you do have and if it makes sense. As always, reach out, [email protected] if you need more information or if you need help diving into it or you're just not sure what to do or you need more ideas, like whatever it is, just reach out to us, we're here. Britt, thank you so much for today. I love picking your hygiene brain and I think it was just a fantastic one for doctors to really see how they can lead and guide the hygiene department from the forefront. So docs, I hope you go do these things, enjoy it, love it.
Let us know how much you accomplished with your hygiene department. We love hearing from you. Drop us a five star review below. As always, we like to know that this hit home for you. Everyone, thank you so much. Britt, thank you. We'll see y'all later.
Kiera and Britt review Who Not How: The Formula to Achieve Bigger Goals Through Accelerating Teamwork by Dan Sullivan. The theory is to consider how much time you’re spending on tasks that would be done better and cheaper, and give you more time for other tasks that only you can do. Kiera and Britt give examples of how this can work in a dental practice as well as your personal life.
Find the full book club rundown here!
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Transcript:
Kiera Dent (00:00.92)
Hello, Dental A Team listeners. This is Kiera and I am pumped. I have the one and only Brittany Stone on the podcast with me for our book club. Britt, how you doing today?
Britt (00:10.986)
I'm doing great. book club day is always fun. tell you, I know people like wish they could be part of our actual live book club with Dental A Team. I've heard it from clients before, but we've got a pretty good one.
Kiera Dent (00:18.711)
you
Kiera Dent (00:23.638)
We do. And Britt, we are thinking of shaking up our book club for 2025 of adding in a little more fiction. I'm not sure how you guys feel about that. So be sure to email in. Do you want us to solely stick with dental books? Do you want us to cut the book club? Or do you want to roll into our fiction? Britt has been banned from choosing the ones Britt and I book club on, which are very dicey topics. We will not even share the ones we book club on. They're not bad. They're just
very very very charged of I don't know it's not even like politics
Britt (00:55.114)
They make you think that there's some of those like ethical or different things that you're like, hmm, what do I think about that? So it's more of like stretching the mind on things, not like bad books.
Kiera Dent (01:03.241)
Exactly.
Kiera Dent (01:07.608)
Exactly. No, no, I should clarify that it sounded like you were like reading these steamy books. No, we just like the ones that challenge our ethical minds and make us question. It's kind of like those like if you think about I remember there was a one like the dad, the train person and the tracks are there and he hears this little boy and it's like you could either save your child or you can save a train of 500 people. What are you going to do? Like I hope and pray I'm never in that position, but Britt loves to bring these juicy ones up like that.
We're not even going talk about it because I would cry. Luckily, I don't have a child, so I wouldn't even have to make that decision. That is the one benefit of failed IVFs. We're fine.
Britt (01:45.888)
Hey, you know, you got nieces and nephews. It must be a family trait. I've got one niece that she was asking her mom at Sunday dinner when our family was together, would you save me or the dog? So, you know, she does love the dog.
Kiera Dent (02:00.03)
I mean, I would. Britt, would you save me or Bertie?
Britt (02:06.128)
So you want to know what I told my niece and here's why I just get like we'll get back to the book. Don't worry guys. It's a tangent. I Like I told my niece to give her a hard time and like well you couldn't walk and get yourself out of the house The dog might get lost you're you're smart enough to help yourself, but the dog may not so
Kiera Dent (02:11.478)
sorry.
Kiera Dent (02:24.413)
What if I'm like stuck in bed Britt like decrepit I can't move and birdie is birdie who are gonna save then?
Britt (02:33.781)
Both.
Pick them up. One in each arm, let's go.
Kiera Dent (02:40.701)
Well, on that note, that's how our book clubs usually shake out. So maybe, maybe one day, Britt, we might actually host a live book club. If you guys want that, let me know. We could do like a live webinar style and have you guys come give the book. Let me know if you'd be interested in that. I don't know if I don't know, we might do it. might not let us know if you're interested.
Britt (02:51.231)
Yes.
Britt (02:59.625)
I don't know if that's fun or not. It's kind of a nerdy thing. We know you guys like your dental nerds out there You're listening to us and you're reading books with us. So maybe it's interesting
Kiera Dent (03:07.916)
Maybe, maybe you'd want to. So let us know, email [email protected] Let me know. There's two things I'm dying to know. One, should we stick with business books for next year? Two, I lied, I want three things. This is how I roll. Britt knows it's going to turn to three. Two, should we keep the book club for 2025? And three, would you want to attend a book club live with us? Cause I could even do a live podcast. So let us know if you want to do that. One, should we change to fiction?
Two, should we keep it going? And three, do you want to attend a live book club with us? Let us know. Email in [email protected]. If I hear from none of you, we're eliminating the book club and Britt and I are just going to do our own ethical dilemma ones on our own that you'll never know about. But we're here for it if it's serving you, that's ultimately the podcast is for you. And just want to say thank you all for being our listeners and part of our Dental A Team podcast family. We're hoping several of you actually join our Dental A Team in-person family.
Britt (03:48.032)
I
Kiera Dent (04:00.792)
Speaking of meeting us in person, next year, 2025, we are releasing business and leadership events. They're happening. We're super freaking jazzed to meet a lot of you. It's part of our platinum consulting now. So be sure to reach out if you're interested, if you want to meet us, they're going to be incredible. call it like, basically these events are going to be fun because it's Dental A Team, of course. They're a day and a half on a Friday and a Saturday. And I call them like, we're stripping it down to the bones of your business.
to literally get down to what's really going on. Let's figure out what the issues are and then let's make you a map of clarity when you leave and it's for doctors and OMS to come to. So that way doctors, you don't just come and get jazzed up and then have to go get your team on board, but you literally can come and be with us in person. So Britt, Tiff, Dana, myself, Kristy, all of our consultants, you're gonna meet a lot of the Dental A Team in person. So one, if you wanna meet us, come join us. But two, I really think it's an incredible opportunity to...
basically like mastermind with other doctors, like mastermind so cliche and we're actually doing it a lot differently and it's built on your life. It's built on your business. We're having you really like, like I said, it's like a full autopsy of your practice in front of other offices to where we can give you the nuts and bolts of what you need to do to be successful and to have your dream life and your dream practice. so we're super excited. We're going to do this every quarter.
But two in-persons next year. So reach out [email protected]. and I are pumped about it. Tiff and I are giddy. We have been dreaming of doing this for a few years. So there is limited spacing. So before end of year, be sure to get in. I would love to have you be a part of it. And prices do go up in 2025. So be sure to get in in 2024, because I like to save you money. And it's also a great tax write-off. So if you've been thinking about it, you've been wondering if I should do consulting, the answer is stop thinking and start deciding and execute. Let's make 2025 thriving rather than surviving.
So Britt on that, Who Not How? This is actually excellent. The book is Who Not How by Dan Sullivan. Dan Sullivan makes me like have a good time, because I actually met Dan Sullivan in real life. So that was really fun. It was awesome. And this book is really about, instead of thinking about how do I do this myself, who can I hire, who can I elevate out to be able to do this faster and more effectively? And honestly, Britt, as I...
Britt (05:52.448)
You
Kiera Dent (06:16.684)
I didn't even mean to tie these together, but think about a consultant. Like, why are you trying to run your practice on your own? Why are you trying to rally your team? Why are you trying to figure out how to run this practice successfully when literally there's the Dental A Team consultants, there's other consultants as well, they can do it better, faster, more efficiently than you can. Why are you spending your time? And so even for this, like Britt, goes back to the book club of buy back your time. If you know, you're hourly. like, let's do what's a general dollar per hour for.
a usual Dr. Britt. Like let's not go high end, not let's not go at low end. What's usually a dollar per hour for a dentist.
Britt (06:52.0)
Well, and they say even go from yearly. So like, what's a yearly salary for a dentist? Let's say, you know, we know our dentists do a lot better than this. But let's start with an easy number just to make it simple. And let's say 100,000. We know you're doing more, but let's say 100,000 to make easy math.
Kiera Dent (07:09.684)
I hope you're doing more. If you're not doing more than that, you should definitely still call because, our doctors are usually doing two, three, 400,000 take home that that's like on the low end as well. have some doctors taking home in the millions, which is great. And I, I geek out about that. I don't care about your number. care about your life. And we ultimately build your, your take home pay based on what you want your life to be. So, okay. So if you are making a hundred thousand, if you are doing a task that's below that hundred thousand dollar a year mark,
Britt (07:17.535)
Yep.
Britt (07:30.495)
Mm-hmm.
Kiera Dent (07:39.562)
you should be delegating it out. And like that's the whole idea between buy back your time and who not how. And I think like a really easy analogy on this that I actually like I tested this Britt. I don't know if I told you this, I tested this this summer and my husband, he's been wanting to get some projects done. Like literally Britt, I wanted him to figure out there's a 457B plan there's, which was gonna save us a lot on taxes from his perspective.
and there were some other things he wanted to do. There were different positions, like that. just had all these different projects he wanted to do. So this summer I decided to be a helpful wife and I thought about it I'm like, he is freaking mowing the lawn every single week. And he's always telling me like, here, I have to work on the yard. So I can't do all these projects. So I just hired a lawn care company. knew what Jason's hourly was. I knew what his salary was. And not to say that Jason can't do it because Jason loves doing the lawn. Like he really does. He says he enjoys it.
But I didn't, I didn't even tell him. I just wanted to test this theory of buy back your time and who, not how, and like, does this really work? So we hired this lawn care crew because our lawn literally looked terrible. So I had a good edge that way because I don't know what happened. My family's a lawn business team and we could not get this grass to grow this year. I hired them, I kid you not, we had this lawn care crew for two and a half months. Okay. So I didn't have them for a long time in those two and a half months. Jason got his 457B plan set up. He got this whole retirement thing done.
He got, like, there were so many projects on his list that Jason just checked off and he's like, man, like, yeah, I got this scheduled. I got this scheduled. And I told him at the end when he's like, we should get rid of the lawn care crew. I said, yes, like our grass is dead at this point. And it became fall. So I was like, it was an easy cancellation. But I said, is it crazy that I think they charged me, I think they were $35 to come and mow our like teeny tiny backyard. A week is what we were paying.
but my husband was making more than that. And so I was like, let me just try this experiment. was like $200 a month is what we were paying for it. And yet that 457B plan is exponentially, that's a $23,000 piece for $250. And like, this is the whole principle of like, when we eliminate those projects that we can and delegate them out, you're able to buy back so much of your time, who not, how, like, how are we gonna figure out how to mow the lawn and do all these things? And I know that sounds like something so funny.
Kiera Dent (09:57.144)
But it's crazy because when you have the time available to do it and you're not trying to figure out how to do it all, you actually can grow exponentially. So thinking back to the doctor trying to figure all the pieces out, that's actually where I think a consultant is a great bang for your buck because one, we put production on your schedule. Two, we reduce your overhead. Three, we take care of your team for you. Four, we have all the secrets of how to get there and we'll just share every one of them with you. And we cost less than what it's going to cost you to bring a whole employee into your practice. So.
I mean, it wasn't intentionally meant to be a consultant plug, but I think like even the math for our logical people, the math, math, the math's really well of how to do this. And it's really thinking of how can we stop thinking of how I can do this myself and who, but Britt, you're my financially savvy person. You're the person who's like, figure it out. I can do this. What's your take on this book club? Cause I did the, I ran the experiment. Jason's like a freaking penny pincher, which is fine. Like it's great to have that.
I just was curious if we'd actually get things done if he didn't have to do it, and he did. So I ran the experiment and I saw it worked, but Britt, what's your take? Let's rally on our book club of back and forth.
Britt (11:01.207)
Yeah, and I like looking at what it costs right and what you're making and what you can outsource to someone else and like I pick a hundred thousand because it's easy to multiply I know in a 40-hour workweek it's 50 bucks So if you're making double that triple that quadruple that whatever it is It's easy math to do to see what you could be making right with your time versus what you're paying out to someone else So you said what it costs 35 bucks or something for them to come mow your lawn
How long would it take Jason to do that job?
Kiera Dent (11:31.65)
So usually would take Jason about an hour to an hour and a half. Cause like he just piddled out there and like then he'd go pick the weeds and then he'd do this and then he'd do that. So he's usually out there for like an hour to two hours. But what was actually happening is I think it was more the mental real estate time, not just the actual time on it because he's like, I got to get the lawn done. I've got to get the lawn done. every night that was mental real estate in him too, outside of the actual time that it was taking him. So that's why he wasn't getting any of his other projects done because he was saying,
Britt (11:46.228)
Mm.
Kiera Dent (12:00.16)
I need to get this 457B plan done, but yet the higher real estate was the grass that doesn't stop growing that he knew he needed to get out there. So I'm like, yes, hourly, he was out there for like an hour and a half, two hours, which if we do the 50 bucks, that's a hundred dollars. We're only paying 35. It's still a net positive, but it was also the mental real estate that I'm like, let's just check up at least like one to two more hours a week that Jason was stressed about it, trying to figure it out, going to Home Depot to get the blah, blah, whatever he was buying.
Britt (12:16.916)
Mm-hmm.
Kiera Dent (12:28.012)
Like let's just say on an average week, let's not be over the top, but let's say it's two hours every single week. That's right there. If we're 50 bucks, that's $100 a week and it's 35. That's $65 of extra time that we bought and your time's worth more than that as well.
Britt (12:45.598)
Yep, and you're doing the higher value tasks agreed here, right? Like whether it's the time or it's the mental energy to go do those tasks that are definitely a higher value. So for our penny pinchers out there, sometimes it's like, like is it really worth it? Yes, because you can do much higher level, more productive things with your time over.
people who also do it way more efficiently than I do, right? Mowing the lawn, I guarantee you it doesn't take them an hour and half to mow those lawns because they do it all day every day and they're super efficient at it and that's their profession and they're great. So I'm like, awesome. One, they get it done faster. Doesn't cost me that much. I get to open up time to do things that are higher level. Fantastic. And that's just an example of life. And for doctors, you also have lawns. And do I hear some of my clients that are like, I did the best thing, right? That is one thing I'm
Kiera Dent (13:11.563)
No.
Britt (13:34.78)
not doing anymore. So you've got your home things and you've got your business things to look at to see who not how. So you're not trying to cram all these things, feeling like you're ragged and kind of burning the candle at both ends. But you can look for those things that you can outsource, delegate if we've got the bandwidth to do it, so that you're looking for that person that's who and not how you're going to fit all the things in.
Kiera Dent (13:58.974)
Yeah, and I think it's just an interesting perspective of when you start to think of who, not how, it actually, I feel, takes like a mental lift off of you too, like off of your shoulders. You no longer having to carry this because I think so many doctors who reach out to us for consulting, they're doing the payroll, they're doing the HR, they're doing the policies, they're doing the dentistry, they're doing the management, they're doing the schedule, they're doing the time off requests. Like there's so many and then they're trying to be a parent or a spouse or an individual dating, like whatever it is, they're trying to do that. And then you're trying to juggle your house
tasks as well, like I've got to get the dinner made and I've got to get these items done or I've got to take the trash out, I've got to mow the lawn. So in all the aspects of our life, looking to see who could actually we delegate this to and maybe we just start with small things.
But I think about like in the book they talk about there's the collaboration and there's the delegation like Britt was saying. So who could we collaborate with? Who could we delegate? I know Britt, Tiff, Shelby and I just had a really good in-person meeting and it was crazy to think of like, and then we did it with our marketing team of who's the most efficient at getting this done. Tiff has said that. Tiff can write a newsletter for you guys, which by the way, I hope you guys are all getting that. The consultants like truly, I feel like they write you love letters every week in their newsletters. They just truly want you to be successful. So if you haven't subscribed to our newsletters,
Be sure to, I think it's on the website. Is that how you get it? I don't actually know. Email us, [email protected] and then, Britt, let's make a note to ask marketing. It should be on our website to subscribe to the newsletter. This is how we delegate guys, right there. Britt, talk to marketing. There you go, you're welcome. But like we talked about it and we're like, who's the most efficient at writing the newsletters? If it takes Britt an hour to write a newsletter, but Tiffany can do it in 15 minutes, well, Britt's a lot stronger at writing policies, procedures, operations.
Britt (15:18.012)
Melis.
Kiera Dent (15:39.82)
let's split our tasks, it takes a tip a lot longer. It's creative brains and logical brains as well. So who can we collaborate and delegate with? And then leveraging others' expertise. And this is where I think like coaches, different mentors, different people, like as an office manager, I wanted a mentor so bad because I'm trying to just fumble through and figure this stuff out rather than learning from someone else. And then he says, focus on what you're good at, stop worrying about the process, and then clarify your outcome. So just thinking of this who, how,
Like leveraging other expertise, like other people can mow a lawn a lot better than Jason can. so doing that, that allowed Jason then to work on higher, like I said, was $250 is how much. So for the two months that I had them, it was $500, I think is what I spent on our lawn care. And Jason was able to figure out, this was just one of the projects he did. It's a $23,000 investment into our retirement fund. So we think about it, $500 compared to 23,000, I think we often bog ourselves down and don't realize like,
These tasks will actually move you forward personally, professionally, exponentially. Like our doctors were adding 50,000, 100,000, 200,000. Our fee is anywhere from 24,000 to 50,000. But like you're making a hundred grand. So stop doing it. And I know it can be very scary. So Britt, how do you within the book, within your own personal life, how do you get past that? Like it's scary to spend the money and hope the experiment works. Jason was adamant.
He was not super excited about me because the first lawn mow was $75 and he's like, I could do it better than that, which is true. But yet, like I can give you this math equation. How do you, it's almost like, how do you let go of the vine and trust and like jump into the process when maybe things already feel tight or already feel scary or already feel like, like, how do you do that and get past that mental block from your perspective?
Britt (17:30.452)
I know. think it's trying something simple first, like honestly, right? Even if it's like mowing the lawn, right? And you see, all right, what can I get done? It's starting with something simple that's maybe, you know, isn't as scary to you to do it. And you'll start to realize that it's beneficial. And I love how you said even the things that are going to think about something new you're doing or something you're trying to do and the amount of time you might spend researching, trying to figure it out.
trying not having it go well, right? Kind of running that circle and the amount of time that it takes where sometimes it is just hiring someone that's an expert about it to be able to get you there so much faster. And I'll tell you, I think that some of our, some of our gunners out there that we work with, right? True entrepreneurs are dentists that are like, yep, they've got big dreams. They've got big goals and it's fantastic. And they realize this principle. think they've learned this principle already. They're like, great. Who can I hire?
who can I get to help me that's going to get me there faster because time is an opportunity cost, right? So like you're like, it's just my time. No, there's a cost associated with your time and you can be doing things that are much better use of your time to move things forward. If you've got, hey, most efficient way to do it, bring someone in, hire someone to do it. And that's part of who, not how.
Kiera Dent (18:49.249)
Yeah, I-
Britt (18:49.6)
I'd say try something simple first if you need to and you start to realize, my gosh, most people are going to be like, my gosh, I'm so glad that I did that. Right? And then, all right, what's the next thing?
Kiera Dent (19:00.08)
And as you were saying, Britt, it actually made me think back to, we have a pretty good pool of doctors to look at, to see how they're doing. And we have different tiers in consulting. And for all of our clients that listen, please know that I see you, I respect you. There's no judgment because everyone's at their own space. I have noticed though that there is a trend with the doctors who go for the platinum. So whether they're coming in person to our events or the ones that are we're flying to their practices and they have the one-on-one consultations.
They exponentially like without fail are always the practices that move forward the fastest. And I think it's the same thing of like virtual training with a gym. I had it, I had my trainer and she was great and it was awesome and I got good results. But me going in person with her and me training, have like, I was lifting 15 pounds and now I'm doing 65, 75, 85 just in a few short months. And so I think it's just the difference of like, I do believe that what we invest in can shorten the runway for us as well.
but also making sure we're not just dabbling in small dabbles too. Like it's just this interesting dynamic, but I'm like, look at the most successful people. They hire great coaches, they execute on it, they hire the team that they need to do, and they just consistently will move forward. And I think back to even some of our startup doctors that bought a practice, we have several that are doing ridiculously well. They jumped in, they paid in full for their consulting at the top tier. But I also think it's because they burned the boats and they were committed, they were locked in of like, I'm going to get the ROI from this. So I think there's also a mental game to it too.
And so looking at yourself of who are you, start with something small or jump in and be like, no, I need to commit to this. Like I love to freaking scare myself. love like Tony Robbins this year was so much like I pay stupid amounts of money for it. Like, and it's not stupid amounts of money. It's $150,000 that I pay for Tony's coaching. And yet the fit, the ROI I get, but like, I love to do it because I love to scare myself of like, all right, I'm going to write this check. I'm going to pay in full.
and then I'm going to force myself to find a way to make that ROI up. I don't put that on Tony. I put that on me. Like he's got the tools I need to implement and execute. And if I don't, that's on me. And so I also think sometimes like it is the mental thing with the lawn, you better freaking believe I was like, I am hoping this pays Jason off. And then when Jason saw it, he started to think of what is his hourly and what things is he doing that he could outsource to someone else to free up his time for it. Now the flip side is
Kiera Dent (21:23.82)
Well, Jason would argue with me, but I like mowing the lawn and I like doing these house projects and I enjoy doing that. And I would say, fine, pick one that you enjoy and the rest, let's look for who we can outsource that to, who we can leverage to, who we can collaborate with. You don't always necessarily have to hire someone. You could just delegate and use your resources like we do with our consultants, with Tiffany, with the newsletters more efficiently. And so I think within a practice, have it. And also office managers, look at your time. Could you outsource to billing? Could you outsource to an HR company? And when you look at your hourly,
Don't forget to tack on your insurance that you're getting, your PTO that you're getting, like all the different pieces, your 401k benefits, because your hourly is actually probably more than what you think your hourly is. So let's not forget that too, because for outsource people, like a consultant, like an HR company, like a biller, you're not paying the insurance on them. You're not paying the 401k on them. You're not paying for them to take time off. None of those things are coming out of your pocket. So looking at that as well.
I think are really great ways. So if I was you listening today, one, I'd read the book. think it's a good read, buy back your time, whichever one you jive with. think they're pretty similar notions, but I think they just speak of it in a little bit different. One, you've got to know your dollar per hour. What is that? And then go through your tasks, write down all your tasks, and then maybe put a dollar amount of if you could outsource this to someone. And if you don't know, Google it. But like I said, like these outsource companies are going to be cheaper than what you're doing for the most part. Maybe not always, but like,
Could you look for someone to come clean your house for you once a month or once every other week? And so it knocks it down and allows you to have the space to work on your business and grow that more. Could you find someone to do your yard service for you? Could you find someone to teach your team for you? Could you find resources for your team? Could you look for a different HR company? Could you reduce costs somewhere? There's so many different options. And what I love about these kind of books is when you expand your brain, you're able to actually do a lot.
more than you thought. And like we said at the beginning, I think don't forget the mental real estate of researching, figuring it out. So if you already know great people there, execute, grow. And then during that time, even ask those people. So like I'm thinking about coaches, I asked Tony Robbins, like, who do you know? And one of our great coaches this year came from my network within Tony Robbins, because now I'm not having to research, I just ask brilliant people, who do you know? And that's why I love our community is whatever question you have, there's a doctor who's done it done it somewhere who knows who can give you the resources for it.
Kiera Dent (23:44.886)
Now you don't have to spend the research. All you have to do is send one message in our group. They'll tell you exactly where it is. The consultants are there and working with hundreds and hundreds, like we're talking six, 700 practices. We have some pretty good resources available. Let's cut that timeline down for you and execute really quickly. So Britt, those are kind of my takeaways from it. Any others that you had, I'm obviously a proponent for this and Britt, you know that because on a week that you guys are gone, I just get a lot done and you're like, Kiera, know you think of who you can delegate to. Who do you know? Who could we send this to?
Britt (24:03.872)
You
Kiera Dent (24:13.75)
and you're able to get a lot done in a short amount of time. But I really do think that this is a powerful, powerful exercise. If you want to get more done with your life with less stress, more ease and go further faster rather than trying to like muscle through the entire thing.
Britt (24:28.884)
Yeah, and I think also realizing what things are your time sucks because I think often we can get stuck in doing the things that are simple and easy for us because it's just routine. And so sometimes those can be the hard ones to delegate or get rid of or outsource to someone else, even though those are low hanging through items. So even kind of asking ourselves sometimes, am I just using this as a distraction from the things that are most important for me to get done? If you are, then that's something that if you can delegate or outsource, it should probably be delegated or outsourced.
can focus on the most important.
Kiera Dent (25:00.992)
And a good way to look at that, think, Britt, brilliant is look at what tasks you're doing first thing in the morning. And most of the time, if we are not delegating efficiently or effectively or hiring people or utilizing the people around us, we're usually starting with low level tasks in the morning because it's easy. And the reality is the gunners, the practices who do the best, the CEOs that are really cranking, they're hitting their top, like highest value. I'm working at the top of my...
My degree is what Jason's clinic says with all their doctors, like you should be working at the top of your degree first thing in the morning, cranking things that are moving and pushing you forward. And if you're not, I think that's a really great area because it's easy to feel productive by being busy when the reality is being productive means we're moving forward exponentially consistently. So look to see, we busy or are we moving forward on the things that really push us forward? And if not, can we get rid of some of those other things? Can we hire people? Can we help other people train us?
I think are really good ways to look at this. So for you guys, read the book. It was a super fun book. I enjoy topics like this. I enjoy it. And also truly look to see your hourly. I know a lot of people get nervous about consulting. Consultants can be scary. The ROI, all the different pieces, but I guarantee I can stamp my hat on this. Every single client we have ever worked with, we run the numbers, we watch it. Your consulting is guaranteed to be covered.
Britt (25:58.912)
you
Kiera Dent (26:23.774)
with what we're able to add to your practice, reducing your overhead, fixing your billing in your systems. But in addition to that, you're happier, you're less stressed. Yes, it's a two way street. You have to show up to the game. Just like I said, I can't blame Tony of like, didn't get $150,000 of value. That's on me. Like I got to make sure I'm showing up to the game as well. If we're doing our part, which I promise you, we are experts in this field, but we can shorten your runway. We can give you back time in your life. We can train your team for you. We can help rally the team.
figure out the shortcuts to it, find the solutions for you. I'd love you to be a part of that. So reach out [email protected]. Like I said, whether it's virtual or it's in person, we've got the solutions for you. We've got the experts on our team and truly every client. just, heard from a client last night, he was like, Kiera, since signing up with you, my life is so much better. The team is doing so much better. I have more time to go play tennis, which was his ultimate goal when he signed up with us. And so really it's crazy. Like buy your life back. You deserve that. You worked hard.
Live the life that you were destined to have. Reach out. [email protected] Thanks for book clubbing with us. Next month, we will podcast on Deep Work, rules for focus, success in a distracted world, which I think is absolutely a perfect pairing to what we just talked about today. So you're focused on those really hard projects that move the company forward, delegating those lower tasks that you can to people that are not the top of their hourly rate. Spire time back, save yourself the headache, who, not how. It's a great time. Britt.
Thanks for podcast with me. I always enjoy a good book club with you.
Britt (27:50.184)
Yeah, absolutely. And I'll just add, you can sign up for the newsletter on our website. So TheDentalATeam.com. Scroll down, easy as clicking a button.
Kiera Dent (27:56.717)
Good.
Kiera Dent (28:00.472)
Amazing. There you go Britt found it. Amazing. Our marketing team is doing great. Good job, marketers. And for all of you, thank you for listening. I hope to see you in 2025. I hope you invest in yourself. I hope you shorten your runway. I hope you decide it is time to stop the insanity and let's execute and do something different. Let's do it. Let's thrive in 2025 instead of just barely survive. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Kiera and Britt outline how to go about assessing 2024 for your practice. They give three metric areas and discuss questions for evaluating each:
Profitability and business
Clinician and dentistry skill
Personal and team fulfillment
Included in all that is the recognition of accomplishments. Don’t forget to celebrate!
Episode resources:
Reach out to Kiera and Britt
Tune Into DAT’s Monthly Webinar
Practice Momentum Group Consulting
Subscribe to The Dental A-Team podcast
Become Dental A-Team Platinum!
Review the podcast
Transcript:
Kiera Dent (00:00.812)
Hello, Dental A Team listeners. This is Kiera and today is a special day. I have the one and only Brittany Stone, no BS Britt. What else do you have? What other names Britt? think bad.
Britt (00:11.616)
mean, you got my full name today. So like that's always, Tiff did that the other day on a podcast too. And I'm like, I always get worried when it's my full name that comes up.
Kiera Dent (00:15.127)
You
Kiera Dent (00:21.158)
Brittany's still back on the podcast. Don't worry. No fear there. It's just a good name. I mean you go by Britt. I only usually call you Britt every so often it comes through as Brittany
Britt (00:23.542)
you
Britt (00:31.786)
My mom did a good job. I'm happy with it.
Kiera Dent (00:34.22)
Yeah, and then BS. What's crazy is there's an office that I consult and their office manager is killer. She's incredible. And her initials are BS. And I was like, you and my BS are two good BSs.
Britt (00:47.03)
huh, it's true. They are fun initials to sign on anything when it's like a legal thing that you initial and you sign BS. I'll just say it makes me Google anyways.
Kiera Dent (00:56.458)
I mean, someone that I know, I won't say who they are. They have an account called BS Investments. So it's like they're just like nonsense investments. And we were transferring some money and the bank stopped us and they were like, are you sure you want to send it to this? Yes. So agreed. The legal, all the things. There's some good initials. But I thought they were very clever to have BS investments. Like those are just the ones that are like shot in the dark. You don't know what's going to happen. So with that,
Britt and I are back on the podcast. thought it'd be fun to podcast today about like, let's just go through kind of what we do internally. Britt and I work, believe it or not, we're not just consultants in Denali team. Britt does all operations within our company and her and I really do yin and yang. And so I thought it'd be a fun podcast for us today of kind of like, how do we assess how our 2024 was for you guys to really like, let's go through how was 2024 for you? What things should you be looking at? How do you assess if it was a good year?
if it wasn't a great year, because honestly, I think it's fair to say that 2024 was actually our hardest year as Dental A Team, like all the way around. And I think a lot of practices had a hard year. I think there were some who had like best years ever. But I think it's important to note that like ebbs and flows in business are normal. And that's okay. It's just how do we assess was it a good year or not? But shoot, I mean, we hired consultants this year, we hired recruiters this year, like we went all in this year.
because there were a lot of things we were struggling with as a company and I think like struggling and also on the high ends, we also hire coaches then too, but it's like making sure you're really getting the need and the support you have. And like those were pivotal decisions you and I made throughout this year, yin and yanging off of what we both had and our different perspectives.
Britt (02:41.949)
Yeah, for sure. I think when it comes to looking at years, like even your tough years, right? Everyone's going to have them. That's welcome to business. Welcome to life. That's what happens sometimes. And even just looking back and making sure that we always look at the things that went well. I think sometimes when we get to end of year, you're like, my gosh, what are all the things? What do we need to fix? What do we do? And making sure to take a look back at what went well and the things that went well.
What do we need to keep doing and not lose track of as we start to focus on maybe some areas or some other areas?
Kiera Dent (03:13.248)
I agree and I'm glad you brought it up because I think sometimes you and I are actually cynical and like it's like yeah, yeah, yeah, that was something good. So my question is, I mean, this is a real question. haven't, you guys, we don't script any of this. This is just me and Britt rifting in real life here. How do you not just like get complacent and be like, yeah, that was great, but we need to fix all these things. Like how do you really celebrate the good things going on and not lose sight of those? I don't know. Like I said, this is a rift. You and I have never really talked about this in real life.
Britt (03:20.721)
huh.
Britt (03:41.378)
I think it takes effort. That's why I try to keep it top of mind because it's more a reminder for me than anyone and anyone else out there that's like me that we struggle to look for the things that did go well or the things that are going well. So it's making the conscious effort to find those things that went well and acknowledge them because yes, I agree.
Kiera Dent (03:47.982)
you
Britt (04:01.802)
very easily that I'm like, yeah, yeah, or like not take credit for like certain personality types, right? Like I'm like, yeah, it's like, sure, sure, And like move on to the next thing. But I think everyone can benefit, myself included, from practicing and becoming better at accepting the things that did go well and accepting the accomplishments.
Kiera Dent (04:18.67)
I actually love that perspective. makes me think back, like I started doing this little exercise where they say to do a celebration at the end of every week. So you literally look back on your week and you write an entire paragraph of the celebrations of the great things that happened for that week before you go in and start planning your next week. And I thought it was stupid. Like, I skipped it for quite some time. I was like, I know better than you. That's just a waste of time. And it's interesting because on the weeks when I will do the celebration box,
Britt (04:41.174)
you
Kiera Dent (04:49.31)
and you and I both attended this event so you know exactly what I'm talking about. That celebration piece literally flipped my brain into a more optimistic, positive, I could do more momentum than when I'm just like week to week, what did I not get? And I honestly wonder, and I have no backing and nothing other than just my own personal experience, I wonder if truly celebrating those wins and really building that momentum before we go into our build.
can actually help us see the positives. it's almost like those are the sunglasses we're putting on. So then when we do go and tackle where things didn't go well, maybe we have a better proactive mindset on it versus like, we suck, we need to figure this out. It's almost like down and beaten versus vibrant and finding the solutions rather than just problems.
Britt (05:27.914)
Thank
Britt (05:36.374)
Yeah, and I think it's the perspective, right? That I think when you start with what you've accomplished, it makes going into planning to accomplish more things like, all right, like, yeah, we can do these things. So like, it's not like, well, we keep working on the same thing, right? Like, are we keep doing this? Are we keep doing that? Or like, there's always something wrong. Like, no, it takes a minute to set some perspective on it first, and then move into the next things. And I think for us, right, working with clients, I become more aware of it because I think like,
care about them celebrating more than I care about me celebrating. So like when things happen, I'm like, no, no, no, can we stop for a second and just acknowledge like how far you come right now? Like I was on the phone with the client the other day. And I've been with them since like early on when they opened and they like expanded and added associates and I'm like, can we just acknowledge for a minute and just like, I've been with you for like four years almost now, but like how far you come and really a relatively short amount of time.
Kiera Dent (06:07.32)
same.
Kiera Dent (06:23.182)
you
Kiera Dent (06:33.086)
Which is ironic Britt because without us again scripting any of this I did the exact same thing for a client that I've had for almost the same amount of time I think I'm a year longer than you with that client and I said can we just celebrate the fact that you've built this practice You've had two babies you've cut down your hours You've expanded your practice like you've gone from these numbers to these numbers like that's a lot and I remember one of the doctors she's like Thank you for telling me that because I think I forget to to acknowledge where we've been and where we've come from
And there's a quote that I heard where it says, we overestimate what we can accomplish in a year and we underestimate what we can accomplish in a decade. And I think it's just that like, we really do get a lot done. It's just the day in, day out grind. It's often hard to see progress when you're in it consistently. So agreed. I think that that's a good way to start of like reviewing your 2024 of like, let's celebrate the things that did go well and like make a whole laundry list and like have it as the brag sheet.
Get your leadership team. And honestly, Britt, we should do this before we set our goals. We should probably have a nice brag sheet, because I think a lot more got accomplished. And it's also fun to look back and see, we did accomplish a lot. I think it helps you also set the stage for the next year of, we were able to do all this this year. Let's make sure that we're being realistic with what we can do next year as well.
Britt (07:49.504)
Yeah, and I think evaluating some of the benchmarks too, right? think everyone, most people can feel the strain of like staffing, right? And so it's like, all right, we still may not be like completely staffed, but how have we handled this scenario or got creative or taking care of things like, those also are wins even though it's maybe not our ideal scenario we'd like to be sitting in, but we've done a lot with the circumstances we've been in.
Kiera Dent (08:12.347)
For sure. And I also think like you and I just in our last meeting hiring consultants. If you know any consultants, I'm not doing a shameless plug. This is a legit plug. I'm just going to ask for it. If you know anyone who'd love to be a consultant, we do not poach from offices. So don't even think about it. But if you know anyone who wants to be a consultant, send them our way. But like you and I literally in our last meeting, that's my little commercial. Thank you for listening. But like we literally came down to it we're like, Hey, this has been a problem for us for so long.
Britt (08:34.326)
No.
Kiera Dent (08:40.492)
What can we actually do to get out of this pickle? And we forced us to innovate and think outside the box, which I thought was really beautiful that we did. And I think for offices, like you said, assess the metrics and like don't harp on it. It's not like Britt freaking hire somebody, even though I sometimes wanna say that to you. Sometimes I'm like, just go find somebody. But the reality is like, let's innovate, let's think about it. Let's come up with different solutions that we can all do together. So on that agreed, celebrate.
look to see where we may be missed and why. I think us doing a deep dive of like, why, what things can we change? Instead of being like, well, we just tried to hire whomever we could. It's like, well, let's get creative. If we can't find hygienists, I know I just did this with an office, like, we can't find hygienists. So we literally talked about like, let's do a CE for hygienists, like once or twice a year. So all the hygienists come and if they're not happy, like amazing, it's a networking opportunity or when they're ready to move positions, they think about us.
We're literally going and we're gonna schmooze. Like I kid you not, we're gonna be schmoozing at that hygiene college constantly. Then I thought like, why are we going through administrators? Dental colleges, like the best way to get to the students is through the students. So how can we get like the students to get together in the hygiene schools? Like we came up with so many ideas when it's like, we can't hire anybody. We started offering part-time hours. This office has not wanted to offer part-time hours and we decided.
Let's actually look to see how could we hire part-time people. and I, did a similar thing. We're like, all right, this is tricky. Who's our ideal consultant? What did they do? Where are they at? Let's start figuring out a different solution for it. And I think that that's a fun thing of business, at least for me. That's the puzzle of how do we figure out these scenarios? Do we need to hire someone? Do we need to find somebody? Do we need to think outside the box? We need to get more creative. Or did we just set two lofty of goals that were unrealistic and we need to pare that down for next year?
Britt (10:23.648)
What's this?
Kiera Dent (10:28.288)
So on that, are you guys ready to review 2024? I think easy. think, and again, Britt and I have no script for this, so we're just going to riff for you. But as I'm assessing and what we do in Denali team when we're looking at 2024 is one, I think it's very easy. Did we hit our production numbers? Yes or no? Like, did we hit that? Two, how's our overhead? What's our profitability on the business? Did we hit that or did we not? Why or why not? After you do all this, after you've celebrated. So don't forget, celebrate first, then go into this.
Britt (10:28.501)
Thank you.
Britt (10:36.778)
Hehehe.
Britt (10:53.984)
which is
Kiera Dent (10:57.166)
I think I'm also looking at providers. Like how many providers do we need more providers? Do we not? Like how do we do well on that? We're looking at our goals that we set at the beginning of the year to the end of the year. How did we do on that? Why did we hit them? Why did we not? Were they the right goals to set? Were they not? And then what we start to do, and this is coming up for us, is we start to set the projections for the next year. Like what are all the raises? What are all the different pieces? How's our marketing? How's our bookkeeping? How's our legal? Like all those things we assess and what are we going to have coming in for next year to then set our new goals for next year? like
Really, think, Britt, when we look at it, I don't think if you hit production or you hit all your goals that that was necessarily a win of a year. I think you and I might have also shifted our definition of winning, but I'll let you speak to that first before I share. Do you agree with that? Disagree with kind of your thoughts because I think it's very easy to like it's only production, but I don't think that necessarily equates to the win.
Britt (11:45.236)
No, mean, numbers for sure need to be reviewed, right? That's our objective. How did we do? What were we shooting for? It's necessary. We need to look at them. And especially knowing we have hard, fast costs and expenses, right? Things that need to be covered. So those for sure. And then I think the rest of it is a lot more.
systems team soft skill kind of things almost of like, all right, take a look at what are all of our departments? How are all of our departments doing? What's going well in those departments? What's not going well in those departments? And looking at business-wise big picture things, but numbers are part of it. I agree. A lot of the other things have to do with our experience for our patients and our experience for our team, honestly, right? Because that's what systems build. It builds experiences for everybody.
Kiera Dent (12:15.318)
you
Kiera Dent (12:37.559)
And I'm so glad you said that because I agree. I think there's the data, the metrics, so the numbers, how do we do, then how are our systems, how's our team, how are all the different departments, how's our marketing ROI? Looking at that P &L, C is all the amount of money we're outputting actually getting the ROI that we're needing. But I think you and I asked each other really, I think telling questions throughout the year of are we happy doing what we're doing?
And like for me, I got to a spot of like, love my clients, but I am not happy day in and day out. remember, gosh, but this is a few months ago. I don't know if you remember it. You're like, I'm not happy and you're not happy. that's why you're no BS Britt. You will never like let me off the hook. Do you remember that conversation?
Britt (13:21.91)
I I remember that and cause it's like, that's not the way it has to be. think like that was the cut, like right, we're not. So like, it doesn't have to be that way. So what do we need to do to make it not that way?
Kiera Dent (13:33.676)
which I probably should have finished the statement. Like agreed. You came to it of like, you're not happy. I'm not happy. Like we're pulling all the weight of this. And if we're not happy, what's causing this unhappiness and what do we need to do to change it? And what was interesting is when we had that conversation, we realized that the vision we had set a few years ago of our company was actually the wrong vision that we had. and it was, don't know, Britt, I remember the day that we decided to give up our current vision or like our prior vision.
that we had been striving for and driving. I don't know how you felt, but it was like this, like, I didn't feel like I had lost the game or I was giving up. It literally felt like a sigh of relief of like, yeah, that's actually like the wrong vision and we don't even want to go for that anymore. And we need to create something that we actually are all excited about. That's doable. That gives us the lifestyles that we want to have. I don't know how you felt, but it was one of like, like I said, one of the hardest years to say like, well, shoot our North star. We don't even want to go after anymore. We need to find a new North star.
but also it was so liberating to have those honest conversations with each other as well.
Britt (14:34.426)
And I think that's end of year, right? And going through and reviewing some of these things and even in some of the soft stuff, I'm like, there's definitely a personal check in too, I think, and especially for leadership, right? Because leadership shapes everybody else. So I have no doubt. I know it, right? The rest of our team feels it too. If we're being impacted, they're 100 % being impacted by it. And that's not what any of us want. So what do we need to shift, change, work on, maybe reassess or reset on what we're shooting after and
focus on to make things better, right? And that's like you said, it's not necessarily like money, dollar better. That always has to be there. Don't get me wrong. Profitability always has to be there. But are there other things that we can do that we're not having to push for something that we're not really behind?
Kiera Dent (15:18.282)
Exactly. And I think that that's where end of year is such a good check-in. It's like, how did our number shake? How are our metrics? How are all of our KPIs? How did our quarters go? Were we on track? Were we off track? But then also, like, are we still super happy and fulfilled doing this? And if not, what do we need to do to shift and change that? Like for us, I remember when we realized like we need to hire a coach to come in and help us like set our vision because we're all in the weeds of this. When we decided we were going to hire recruiters to bring in different people for us that are better at this than we are.
we decided to bring, like, we brought in quite a few different people to our team. We've, shifted the vision. We worked on a different vision for the company and then we started setting like more realistic goals up until this year. I've been in founder mindset founders are like meant to double their production every single year. And like, that was fun until it wasn't fun anymore. And I was like, I'm tired. You're tired. We're all tired. Is this something that's necessary to achieve the vision of helping and serving more dentists?
Britt (16:10.454)
you
Kiera Dent (16:17.792)
And so like our vision of having massive impact in this world and positively impacting the world, that hasn't shifted, but how we do it is where we shifted. And so I think really like as you're assessing your year this year, look at it, look to see where did we hit, where did we strike? And maybe you're in the flow of like, I love everything and I just wanna go to the next level. That's also a zone of like, what is the next level? Like I have offices that are just like humming along, but even sometimes like.
Sometimes I even create chaos when we're just humming along and I think you want to tell me to like quit the chaos. But like you either will have chaos for real or we will create chaos because I think as human nature is like the secret to fulfillment is growth. Like we're looking for that growth piece but doing it in a way I think that's sustainable, realistic and attainable as well was maybe a good lesson I think we learned this year as well.
Britt (16:47.22)
Hahaha
Britt (17:06.016)
Yeah, I would agree with that. And I think with offices too, right? It's fun because we get to work with offices at a variety of stages. And I've even got some clients where they've got multiple locations and those locations are all in different stages. And we have to have the conversation of like, yes, like when we look at numbers across the board, right? We take a look back at months.
We've got to acknowledge there are standards, you're like, we have like a baby face and like a teenage phase and an adult phase. And the issues or struggles are going to be very different. And the successes are going to look a little bit different in all of those stages. And that's okay. And so in those different stages and depending on where you're at, right. Listening to this or where clients are at, what is it you want to go after? And what are the things we want to do? And like you get to a more mature stage in some locations that it's like, great.
What else can we do? There's always stuff to advance or that's the time that if you're really looking for that growth and like it might be time to start exploring what that could look like if it is another location or expanding or something.
Kiera Dent (18:05.678)
Absolutely. And I think a setting like even a three year target too helps us make better decisions for where we want to be this year as well. So like, what is that three year focus and where do we want to be in three years? But agreed with you, Britt. It's like, I think that it's a it's a balance as you set goals and you review your year of how am I profitability wise and business wise? How am I as a clinician and our dentistry? And then how am I on my personal fulfillment and team fulfillment? Where are we at? And I think when you look at those three different metrics,
But I also think it's important and I don't know, but I'm super curious on your intake or insights on this. Like what happens when you see you've got a gap and we're like, all right, I look at it and I know our numbers are not where they want to be. I know my clinical dentistry is incredible. I would love to learn like another CE and like fulfillment wise, I'm good, but I'd like to take a few more vacations for the year. Like I think sometimes we see the gap, but we don't actually know like how do we get to the other side of that gap? So do you have any like tactical
practical ideas for offices when they're in that boat of how to get to the other side of that gap.
Britt (19:10.396)
say I think that's where like community you're looking outside. Sometimes it's really hard to see how to jump that gap when one I've never seen it done before right I'm just sitting so silent that I'm doing everything that I know how to do and I just genuinely don't know a different way to do it. And so getting that insight from other people connecting with the group seeing what can be done I think is probably one of the best ways of like reaching outside of yourself or asking for some help to be able to see like how can we get through that gap.
and what aligns with you on the way to make up that gap.
Kiera Dent (19:42.218)
Mm-hmm. And I think like I'll piggyback on that of agreed like someone's done it success leaves clues So let's find some who's done it and done it successfully and like have them help us So whether that's a coach whether that's a mentor whether that's books But I also think but there's something to be said and you and I really had I wouldn't say a tug of war because I think we were both on the same Same side of the rope. It was just like where do we put the spend because we were looking at costs and we're like Okay, does it make sense to spend this? for X result
Britt (20:00.63)
Thank you.
Kiera Dent (20:12.192)
or does it make sense for us to DIY it? And so how do you, this is her real question, I'm curious, I'll tell you how I do it, but like how do you decide when it's worth it to spend the money versus when it's like worth it to DIY and invest it on your team and on the resources that you already have?
Britt (20:31.082)
I mean, I think it might be, it depends on how fast you wanna go, right? I really do genuinely think that, cause it's like, sure, we can try it. And if it doesn't work, then of course, like we need to go get some outside help. If I want it to get done faster, then all right, like maybe I just go for the help now right away and it's gonna, I'm gonna get there a little faster than maybe potentially failing, failing forward, learning from it, but still taking that time to fail. So I think that's.
My honest answer is I think it depends on how fast you want to go and what makes sense. What can you afford?
Kiera Dent (21:03.714)
Yeah, I would agree with you. And I think also investing in things that are going to generate you money, like a decision we have is on a recruiter to hire us this like amazing customer success sales and biz dev. Like it's a very unicorn position. And we have been trying for what a year to hire this position. And so when we look at that, I know for us, I also look at like, how long have I been in this pickle of an issue? And how long am I willing to continue? Like when we had the, like the realization of it's been a year.
We're like, all right, we clearly run the experiment. We're not great at this. We need help. And also, when we invest in things, like when I invest in consulting and we hired somebody to help us do our vision and build out the pieces, I knew that, yes, that cost was going to be high, but my ROI on the other side of it was going to be exponential. So I like to invest in things that are going to help me, like hiring a recruiter that's going to hire a key player for us. Yes, it's an initial upfront cost, but that key player
Britt (21:37.462)
We'll you
Kiera Dent (22:01.344)
should generate exponential revenue for us long-term as well. And so I think when you look at the dials like that too, how fast do you want to go? How long has this been a pain point for you? And then also like, is it a passion for you too? Cause I think like Britt, you and I will sometimes DIY when I'm like, do you want to do this? Cause I don't want to do this. Like, and maybe we do it for two months, three months. But I think like knowing that also, think putting the deadline on yourself, we had the deadline for us with this person, like
Britt (22:19.072)
True.
Kiera Dent (22:28.172)
We said, we're going to give it a month. We're going to try our best. We're going to do all these different pieces. We've got all these pieces in play. And if it doesn't work, then we're going to execute on this decision. But I don't know. I feel, Britt, so many people stayed too long in the DIY phase when if they would just hire the help or bring on the different pieces, it feels scary to spend the money. But I think the more you can realize, I guess it's just ROI. And I don't know how to even help people get more comfortable with that. But I think I've learned over the years, like,
I sometimes actually waste so much money DIYing where if I would just take, like just have the gumption and the like kahunas to do it, like we'd be so much better off for it. And so I think that that's also a skill as you go through. But then there's other people like, I think you and I would look at our clients, our clients execute, they take the risks. And I think because they take the risks and they execute consistently, that's why they have insane growth. Like our clients numbers are like doubling and like,
One of my favorite offices in three years, we've gone from 2 million to almost 6 million, like huge ROI on that. But then we have other clients that just don't want to execute and implement, like even if they have the help to do it. So how do you assess yourself on that? I think would be a good question I would ask you,
Britt (23:41.984)
think it's cost and I think assessing yourself because I'll own it right on some of those things is ego because I'm like, no, I can do it right like I should be able to fix this I should be able to do it. I can do it. So it's feels like failure even though it's not that's my my story. I'm telling myself it's failure but there's no nothing out there that says I can't get some help. And I do like in the end genuinely believe right I I want to surround my people
myself with people who are ultimately better at everything than me because that means I'm only going to grow and get better. kind of letting go of that assessing yourself like am I ready to let go of that ego be ready to accept the hell you ready to like not see it as failure but see it as growth and if so then like take the jump and make the move.
Kiera Dent (24:28.11)
Absolutely. And I think you and I, there's always going to be more things that we want to spend money on than we necessarily have the funds for. I think something we did really well this year as we moved through our business was we assessed of all of our spend of has that person that we're going to spend on done what we're asking for and have they done it successfully before versus like a hope and a wish. Like, we heard like we really vetted a lot of companies this year and a lot of different people before we made the spend of can they do it? But I think something we also did well is like
we jumped in with both feet and we're like, we're going to make this work no matter what and we will get the ROI. And I think that's half of like, whatever you spend in life, a lot of it comes down to you too. And I think for us, the pain point or the way out was greater than sitting in it for longer. And maybe it's just the time we're in, but I think like as business owners and as teams, the more consistently you can get yourself out of the pickle, the quicker you can do it. Like more is lost through indecision than a wrong decision. So like just execute, cause you're going to learn faster than you
than sitting there waffling. But I think as I would be reflecting back on 2024, I would be looking at how are my numbers? Am I good with that? And do I know that? And can I do that? How's my clinical dentistry? And am I good? And do I need help there? And then how's like my happiness, life fulfillment? And then what are the gaps within all of them? And also like assessing our teams and our practice, what are the gaps? Who can get me to the solution the fastest? And then just make the decision and move forward with it because I think
I think so many practices could have so much help and have so much happier lives and less stress, but they just sit in it for so long, ourselves included. But yeah, I actually do think it's a muscle that you learn to develop. And I think the quicker you can learn to decide, make educated decisions and move forward, realizing you're going to figure it out. And if you commit to it, you're going to find the way. I think you have such better years and more success quicker. It probably goes to the book like who, not how.
let's execute on these things and be really good at what we do well and hire experts to do the other parts.
Britt (26:22.656)
you
Britt (26:29.95)
Yep, agreed.
Kiera Dent (26:31.726)
Cool. Well, there you guys go 2024. So I think I would look at it, would review and really take this time to assess, see how your practices, see how you're doing, see where you can raise the standard and I think have someone like Britt in your corner as an owner where you can have the uncomfortable conversations, you can have the growth conversations. You know that you're both working hard to get the business where it needs to go and then set deadlines and execute. But I don't think either of us regret our decisions to hire the people we hired this year.
to make the spend. I think there was one that we'd both agree was a bust this year. Like if I could go back in time, I think you know exactly who that bust was. But hey, guess what? We learned from it and we learned what we won't do next time. So I still don't think it was a bust because we would never have learned otherwise. We tried something and it didn't pan. And we're going to try something the next time. And I'd say all of you do it. And if we can help be a part of that journey.
Britt (27:05.046)
Thank
Kiera Dent (27:23.5)
We literally are experts who have been there, done that, done that successfully. We get practices to be profitable. We implement the systems. We help the leadership teams. We implement within your practices. We teach you the systems and foundations so that way you literally have someone who knows how to do it and you don't have to do it. And so if we can be a part of that, out. [email protected]. and I have success story after success story, like offices and lives that have been changed. And I think we're living proof of that ourselves as well. So reach out anytime we're here to help you.
Let's make 2025 your best year. So when you're looking back next year, you're looking at your profitability and you're saying it's exactly what I wanted, if not better. My clinical dentistry is exactly where I want it to be, if not better. My practice is exactly where I want it to be, if not better. And my life and my happiness is where I want it to be and it's only getting better. And I think that that would be a beautiful goal to set for 2025. So Britt, any last thoughts you've got as we wrap up today?
Britt (28:15.518)
No, I think my only thing is always make sure to celebrate. Those of you who are doing awesome, rock on, keep it moving, keep going that direction. And those of you who look at this year and realize like, hey, maybe I could go quicker with some help. Like you said, that's what we're here for. So we're here to help support.
Kiera Dent (28:30.486)
Yeah, and we love it. Like we absolutely love it. We get so excited seeing our clients win. And it's so fun to celebrate them to show the longevity of what they've had and to also give them the guidance and set realistic goals so they're not having to try and figure it out themselves. And as an owner, I think that's the greatest gift we can give you is you don't have to do this alone anymore. You don't have to try and have all the answers. You literally have resources at your fingertips who know how to do it very successfully. So Britt, thanks as always for being on the podcast. I love a good podcast with you.
Britt (28:58.291)
Agreed, thanks for having me.
Kiera Dent (28:59.987)
Of course. And for all of you listening, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Kiera breaks down need-to-know pieces of leadership meetings—ones that are regularly scheduled, have focused agendas, and require personal ownership from each person present.
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Transcript:
Kiera Dent (00:00.798)
Hello, Dental A Team listeners. This is Kiera and welcome to the Dental A Team podcast. I hope you guys are just having the best day of your life. I hope that you just remember we are truly so incredibly blessed to be able to be in dentistry. I say this often and I genuinely mean it. I think it's so incredible that we get to be a part of dentistry. We get to be part of all this evolution. We get to be a part of AI coming into our practices and being able to have all these fun things. We're able to help our patients with
PRF and now there's laser that's helping with restorative treatments have less sensitivity and we're able to add it on and have literally patients healing like within three days after a full mouth extraction by using a lot of these procedures like it is truly mind-blowing that we get to be a part of this and giving people their smile. I was in an office this last weekend one of the the team members she's new to dental and she said you know a smile is the universal hello.
And while, yes, I've heard that before, it just kind of hit me again of how beautiful of a work dentistry is where we get to help people with that universal hello of being able to smile and have the confidence and also be able to fuel and be able to eat the healthy foods that we need to eat. To my mother-in-law, she had an accident and she wasn't able to eat. Some things happened and just hearing like how hard it was for her to be able to eat and consume food and how hard it was for her body to heal. just thought...
I think we sometimes forget how important our job and our role and what we're doing in dentistry is and the life impacts we're able to make for people. just wanted to remind you of what a great work you're doing and mass kudos and celebrate your team because we really are doing a work that changes lives. I understand we're not heart surgeons, but we are smile surgeons and we're able to give people the smile and the confidence of their dreams and make that a reality for them. So just wanted to remind you.
Keep doing what you're doing because you're making an incredible impact in this world. So as always, thank you for being a part of our Dental A Team podcast family. If you've not left a review, please go leave those five star reviews. Be sure to share this podcast with someone. Just literally like send it to someone. I want you to think of one dentist or one office manager or one hygienist that you know. Just send this podcast to them because I really am here to inspire and positively impact this world of dentistry in the greatest way possible. And the only way I can do that is providing great content.
Kiera Dent (02:21.984)
that you naturally want to share. So please share this with someone. And today's topic is going to be really fun for you to share. It's all about how to run effective leadership meetings. I know. Don't worry. I know how to give a good pitch and hook. How to run great effective leadership meetings. I just came in off the road. did nine leadership meetings in one week. That was my latest record. It's definitely something that I have not done before. And to say I was very tired at the end of it and
What my favorite phrase is, came from Tony Robbins and he said, bone tired, but victorious. And that's how I felt. I was literally physically exhausted. I slept in four different hotel rooms in five different days. It was just very, very like I was running. I was sleeping on all different time zones. But by the end of it, my cup was so full from being able to help so many offices achieve goals and dreams and amazing leadership teams that they never believed were possible.
And for me as a consultant, think my greatest success is watching my offices. Yes, I love numbers. I love hitting up sexy numbers. I love seeing offices who when I first started with them, like I have one office that I'm thinking of, when I first started with them, they were doing about 2 million. Incredible practice. They were doing a great job. And just over the course of a few short years, they are now producing, we're hoping that they end in the 5 to 6 million range.
And so to be able to give that ROI of sexy numbers, those are always fun for me to throw out to you of true real life examples, other offices that are producing 12 million, other practices that started out as scratch startups that are now producing 1 million, 2 million, 3 million, and having very successful profit margins on that too, because I don't care what your top line number is, I care what your profitability is, to see offices that bringing on partners are able to pull in 35 % profit.
Those to me are really fun, sexy numbers, because I think in consulting, you're looking for ROIs. And so to be able to share those success stories, but then I also have other offices that don't have as great of numbers. And I really do look to see what's the difference between them. And I think there's a few differentiators and one is execution and commitment. Offices that flourish truly do execute and commit for at least the three to six months or whatever we've committed to as a team, they commit and they stay committed to that. They don't just like, yeah, we did this. And then they let it slip off.
Kiera Dent (04:41.056)
The owners are very, very strict with that. Something else is the doctor is very much, the owner is very much involved in not necessarily running the meetings or doing all the pieces, but they're there setting the vision. They are there being a part of it with the team and they very much love their teams. And then the other part is they expect their teams to rise up. They expect their teams to have the conversations. They invest in their teams. They pay for the consulting, but they have their teams come to the meetings.
I have an office and like our meetings every single month. We have our leadership meetings and it is never missed and it is never let go. It is and it is in gold and it's so important and they expect the leadership team to go and tell the doctor what they learned at that meeting versus my other offices who are missing the meetings. They're not blocking the schedules. They're not taking the time. They're not following through. And then we're looking at the numbers. We're consistently looking at the numbers to see where we at, where the lovers and we fall in love with numbers.
All of my offices that are very successful know their metrics forward and backward. If I called each of them up right now, they would know their overhead, they know their profit, they know their collection percentages, they know how much is in their AR, they would know how much their doctors are producing, every single one of them. Like literally I would call them, but that's been trained over years of this is what we need to look for and we need to make decisions off of that. And then I train leadership teams to do the same. Training leadership teams to think like owners, to look at this practice and take the ownership of like, yes, the doctor is here.
but leadership teams are now setting the vision. They're setting the goals. They're setting the objectives. The doctor has a small portion of that as the owner, but the leadership teams are ultimately taking the ownership and having an ownership mindset on the practice. The doctors that don't do as well in consulting, or I would say in general, are the ones who are making excuses that are blaming, that aren't having the uncomfortable growth conversations with their team, that aren't expecting their team to show up to meetings. It's crazy. Some teams start right on time. Like the offices that do really well.
They are always set up, prepared. Everyone has a notebook and a pen. They're there usually five to 10 minutes before the meeting starts. And that's the expectation that they have versus other offices. They're coming in. No one has notes. No one's taking notes. No one's following up on what's going on. You obviously have two different stages, two different standards, but both of them have the same opportunity if they desire. And so just giving you guys some tips on how you can run very successful leadership meetings is one.
Kiera Dent (06:59.796)
always have it like set in the schedule and everybody comes and I recommend you always start five minutes like they're there five minutes before and that's on time. We always have an agenda. So there's got to be an agenda. I follow the traction model by Gina Wickman. We call them L10 or level 10 meetings. And there's a very solid structure in there where we start with our personal professional wins of the week. And then we have our expectation of what we're hoping to get out of the meeting. I do this every single time our team does it. My offices that I coach do this.
After that, we then go into reviewing last week. Did we get our action items done? Where are we at? We look at the numbers and the metrics. If anything is off track for that quarter, that goes to an issue that we're going to discuss. And then we move on to issues and issues we don't just go one by one by one. We categorize them, we put them together, and then we look at what's the one, two, and three most important things to get solved and resolved. And we come to meetings to resolve. We don't come to meetings to just talk. So we're coming there to make decisions. We're coming there with all the information people speak up.
Then we commit, we have our action items, people follow through. And a lot of times it's like dependent upon the office manager to tell everyone, no, in very successful leadership teams, you are taking notes, you are writing down your action items of what you need to get done. So you take personal ownership of it. The office manager is just expected to know everything going on. And if something's off track, they go have a conversation with that team member. But if leaders can come to the table this way, if leaders show up this way, leaders are being very involved, the bulk of the time is spent on those issues.
We're not here to debate it of a way of making people right or wrong. We're here to debate of what does the business ultimately need and why is this an issue without blaming? Sometimes it is like you got to call people out like, hey, Kiera, you're not showing up to these meetings on time. And I can either be annoyed, that's the ego, or I can say like, you know what, guys, you're right. And I need to set an alarm 10 minutes before so that way I'm here. I really have found that excuses destroy leadership teams.
excuses of why things aren't happening are what destroy and make it to where we can't move forward. And these are the things that I would recommend and encourage that you actually remove out of your leadership and call each other out of like, Hey, is that an excuse or is that a fact? And encouraging your leadership teams, like I'll throw another plug for Patrick Lanziani's, five dysfunctions of teams book, making sure that we're actually all talking about it. And we're, we're working on winning.
Kiera Dent (09:22.582)
And we've got to have the healthy debate. We've got to be able to call each other out and not take the personal offense. We've got to put our egos at the door and it's okay to feel bad because you didn't meet the standards and you let your team down. But that doesn't mean we make excuses or we blame. We take personal ownership and then we commit and resolve and we don't have it happen again. And so that's how you run effective leadership meetings. And then we always rate them and we rate them honestly on a one to 10. So 10 was, was an incredible meeting. We got a lot done. There's a solid plan in place. Everybody's clear.
One is this was a complete and utter waste of time. And the more honest and truthful we are with our meetings, like I've given my team a six before I'm like, it was a six today because we just got in a spin and we resolved nothing today. And it was an absolute waste of time for all of us. So next time we come in, this is what we need to do differently. I usually don't give that low of numbers, but when it's not a good meeting, leaders need to step up and say the honest truth. Now there's the flip side where people are like, I'm never giving tens or I'm never giving this like, but if it was.
give the celebration and let's celebrate that we did an incredible job as a leadership team. and then the other piece that I always recommend. So we start on time. It's always consistent. We have an agenda. There's someone who's taking notes, but everybody should be taking their own notes of what they're expected to do. There's true follow up. No excuses. Let's have that. And then whatever we discuss in the leadership team needs to stay confidential within.
and we all need to be committed. We're not having side conversations and that's literally being all brought up within that leadership team meeting. And you can also do this within your team meetings too if you don't have a leadership team today. But really making sure we're doing these pieces, we're building the trust, we're having the conversations, we're having the healthy debate, we're fully committed. And then I recommend ending that meeting about 10 minutes before time so that way we can make sure, okay, what did we discuss today? What's the action plan?
who's doing what and what did we truly like solve today to make sure we're all on the same page. And it's almost like giving you a 10 minute time to recap it before we get to the next meeting. And I found that that really, really helped. So even on my calendar, we shrink it up by 10 minutes. That way we can recap it at the end and we can end and be done right on time. And I'm always very committed to we end on time. Now, if you're in the middle of something that's very important and if we could get this resolved, we can move it forward faster.
Kiera Dent (11:37.938)
move the next meeting if appropriate, but try really hard to end on time. I understand sometimes it takes a while to get things there. So I give our leadership team permission of like, let's move our next meeting by 10 or 15 minutes. That way we can get this resolved. Let's be respectful of time. But I think a lot of those things are very helpful for running it. And something I found is I'm obsessed working with leadership teams. I'm obsessed with helping leaders learn how to run a practice and think like an owner. So we look at the numbers to make the decisions. We have the...
growth conversations with each other. fully committed when things aren't there, we figure out how to have the conversations with each other. This is the type of stuff that freaking lights my fire because if I can teach a team of leaders how to be leaders, that doctor is able to then have a practice that flourishes with a team that's bought in and committed to things that they would never imagine possible. This doctor that I was telling you that went from 2 million to about 6 million, we were chatting and he said, Kiera, I never believed that this would be possible. And I'm like, it's because
it's probably not possible with just you. But when you have a leadership team that's as passionate and fired up about it, they go and find the creative solutions. They're thinking about it as a business. And I've had to like work with this team. We're talking a year, two years, three years. We're helping them look at the numbers and learn the numbers because I don't think that that's happenstance. I don't think that this is something where we just naturally get it. And team members, myself included, we're not looking at the business like a business. We're looking at it as a team member of our
Like the awareness piece that we have is all that we know and all that we know is making paychecks and then paying our bills. We don't know what overhead is. Like it would work. Like that's how much is left over at the end of your paycheck. We don't have big tax bills because our taxes are just taken out of our paychecks for us. And so really helping teams understand how this works in a business. I think there was like a golden star moment in one of my meetings where the office manager said,
This is so incredible because you've literally taught me to think like an owner that I'm thinking like an owner and this is going to hit my PNL and what can I do so it doesn't hit my PNL and I make sure that it's fair amongst the other practices in the organization. And it was like chef's kiss, so much love for her because she literally thought like an owner. She thought this is going to hit my PNL. I don't know that I want to pay for this. What other solutions do we have? So that way it's not taking away from our profitability of our practice.
Kiera Dent (13:57.802)
when you can get your leadership team thinking like that and asking those questions, but that takes time, that takes education, that takes having the conversations. And so really, hopefully, that gave you a quick structure of how to run these leadership meetings. But I think the core piece is being consistent, executing consistently, following through, having the conversations, and then staying laser focused. We're all focused on it. Really, really truly is gonna help you guys have incredible leadership meetings.
and incredible practices. So kind of take an assessment of yourself. I gave you a little checklist of like my really amazing offices and then offices who actually don't do as well. Some maybe some DNA traits of these different practices and DNA feels a little unfair to say because I don't think that they're naturally born with it. So I would say that these are more talents that they've developed throughout the years because I believe anybody can be a successful business owner. I believe that anybody can actually have a thriving practice. I believe that practices should flourish.
Somebody I heard, I overheard that they said they thought that the glory days of dentistry is over. And I almost spit like my food out because I was so taken back that we do create our own realities. And I actually would argue that we are in the most glorious days of dentistry. There are so many opportunities around, there's so many ways that we can serve more patients. There's so many amazing things that you can do. And maybe it's just because I consistently see it with the clients that we consult that.
they're living the glory days that they're having these incredible practices that cashflow is not an issue for them. The profitability is there that they can take vacations with ease. Like, of course, everybody goes through ebbs and flows of owning a business, but the glory days are here if you want to. And I think having a leadership team really can help you. So if we can help with that, this is what I think we specialize in exponentially. We definitely do the systems and the foundations. And then we move you into leadership teams and helping them think like owners and the numbers and the pieces. And if that just feels like
Gosh, like I would love that. Reach out, [email protected] or go to our website, TheDentalATeam.com and click book a call. I promise if you're not quite ready, we'll let you know and we'll give you resources. So no matter what, your time will definitely be well worth it. Cause I will make sure that you get resources and value no matter if you work with us or you don't. Because I think sometimes we just need to have the courage to do something differently and to have the courage as an owner to say, I don't know this. I had to say this this year, like guys, I don't know this. I've never done this before.
Kiera Dent (16:14.764)
We need to hire an expert who has and can teach us the way. What I'm obsessed with of what we do is we do it with the doctors and the team to make sure that doctors, you don't have to just learn it and then go try and execute it to your team. Cause I actually think as a business owner, that's the hardest part. We literally help with that integration with your team, getting them fired up, getting them excited about it, making it easy for them. And that's what I think we're experts in. There's lots of consulting companies, but definitely team does it with doctors and teams, getting our teams to think like owners, getting them to be incredible leaders.
getting goals to be hit with ease and to have a just ton of fun. Like throw the confetti, laugh a lot, have a good time and serve as many patients as you can. So reach out, I'd love to help you. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Tiff and Dana discuss the ideal ways to utilize expanded functions dental assistants (EFDAs). They provide different ideas of how an EFDA can effectively fill in gaps, address scheduling SNAFUs, why state regulations need to be taken into consideration, and more.
Episode resources:
Reach out to Tiff and Dana
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Transcript:
The Dental A Team (00:01.464)
Hello, Dental A Team listeners. We are back at you. Dana and I, Dana, thank you for being here with me today. I'm so excited to see you. How are you on this lovely, lovely, still morning? Yes, morning.
Dana (00:14.474)
God, I'm doing pretty good. I'm excited to be here. I like this. I know you're always like, I love my time with Dana. It's equally reciprocated. So I'm excited to get a little extra Tiff time today.
The Dental A Team (00:21.101)
Thank you.
Thank you, me too, me too. We really need to, I was thinking this morning, as I was getting ready for work, I was like, my gosh, we need to schedule the Seven Falls hike in Tucson because it's getting cooler, we'll say. So yeah, we need to find a weekend that we can get down there, you can get up there, and we meet, it's almost in the middle, right? So, awesome. Okay, hiking is my jam, you know that, we'll get that scheduled and...
Dana (00:42.731)
Yes.
The Dental A Team (00:49.771)
We're going to spend some time together today. We've already recorded one podcast and I cannot wait for that one to release. I think it was fantastic. Doctors. was really good. We just did it about coding and making sure that systems are accurate and billing is accurate and billing representatives, making sure that you're getting the support you need from your doctors within that coding accuracy department. So go listen to that. If you haven't listened to it yet, I do love all of our podcasts. I think that they're all fantastic, but
We like to hear it from you guys too. So whatever you think, whatever you need, if there's ever ideas that you guys have too that you're like, gosh, I would love more information about this. Do you know anything? One, ask us at [email protected] We're always here to help answer questions or give ideas. But if you've got podcast ideas, like we are open to them. literally, the consulting team goes through and we pick the topics and we try to think of the things that you might like. And I honestly think sometimes we might miss the mark on something. So.
Let us know if there's things that you want more information on or things that we could dive into further for you, because we're here for that. Also drop a five star review. Let us know what you think down there as well, because we do love hearing about it. I love sharing podcasts, Do you ever share a podcast with your friends? I have a very specific friend group that's podcasters, and we very specific podcasts that we share. Do you have one of those in your life?
Dana (02:10.75)
Yes, I do. And I always joke around and say, if I start sending you podcasts or even sometimes like funny Instagram things, like you've made it to my inner circle.
The Dental A Team (02:18.672)
Yeah, I totally agree. I saw a the other day that was like, it's a full-time job. I'm here for it. You're welcome. And it was like sending memes all day to my best friend or something like that. And my best friend is a stay at home mom. And so I sent it straight to her. She's like,
You're welcome. I'm gonna log on at the end of the day and I'm like, my gosh, got a lot of things in here. Yeah, but I do, I love sharing the podcasts and sometimes I'll share a podcast and they're like, gosh, I can re-listen to this. I'm like, I don't know. Like sometimes I just re-listen to podcasts and I get nuggets and tips that I didn't catch before or it hits a little bit differently. And I know I've gone back and listened to years later a podcast and been like, wow.
I didn't even realize it could have meant this or now I'm in this space of my life and it's completely applicable. And I think about that on my free time, I listen to much different, I listen to leadership and life coaching style podcasts and I do sprinkle some dentistry in there just to stay up to date. But it made me think this morning too, these podcasts that we do.
Sometimes we've got startup doctors or two years into owning the practice or associate doctors who maybe don't own their own practice yet or maybe they don't want to own their own practice but they're super new, listen to a podcast and then fast forward five years, we've been doing this podcast for a long time you guys, going back and listening to it from a different perspective. Today I'm a different person than I was five years ago when I first listened to it.
It made me think about that this morning. I love podcasting, I love pulling you guys into the podcasting world and getting this time with you. And it really made me think about how different stages of your life things are just gonna hit a little bit differently. So I wanted to take that minute to just remind everyone to go back through. We've got a million podcasts. Share with your friends, share with your family who's in dentistry. Like how many of us, right, have some sort of family member who's also in dentistry that could use the information?
The Dental A Team (04:19.771)
Just a quick reminder, and today's topic is super fun. I am not an EFDA. I will put that out there. I'm not an EFDA, but I'm a dental assistant at heart. I will say it every single time. I just said it on the last podcast. I love dental assisting. It just makes me so happy. It fulfills my soul. So today, Dana, I thought it would be really fun to take a little adventure down the road of what an expanded functions.
dental assistant within a practice might look like. And I think this is a good space for teams and for doctors, a good podcast for doctors to really get some ideas on what that could look like within their practice. Now doctors, will say and listeners out there, not every state sees an EFDA for what another state sees them as.
So a lot of the things that we're going to talk about, remember we consult practices from coast to coast. We are all over the country. And so we've got tidbits and pieces that we picked up from different practices all over different states. So caveat to today, I want you to go check what your state's requirements are, what your state's legalities are, what they can or can't do before taking anything we say and implementing it right off the bat, right off the bat, unless you already have that information. Really easy place to go is your state dental board.
ADA usually has some interesting facts on per state. So just go double check those beforehand. So that's my caveat, but Dana and I both have worked with a lot of practices who do utilize EFTAs. It's a wild wild west out here, so we don't require the EFDA, but we do have that available here and you can do more with it. You can do the coronal polishing and things like that here in Arizona, but it's...
sadly not yet required in Arizona. I think it is getting pushed towards that way. But I wanted to pick your brain a little bit Dana on some things that you've seen maybe just within different practices across the country. We don't have to like state specific them or anything, but how have you seen chair, know, chair side wise with a doctor and after really be useful to the dentist and the practice for maybe even practice flow.
Dana (06:29.374)
Yeah, so I there's two ways that I think are super common. And I do think that, like knowing, like you said, knowing your state regulations, exactly what you're after can and can't do will kind of help you choose which way might work best for your practice. And there is the first way is they really have their own column, right? And the doctors hop in where doctor is needed. And then the flip side of that is there isn't a separate column for them. They just follow the doctor.
So I think it just kind of depends on how much they can do independently based on state laws as far as which one you choose. But those are the two most common structures that I see. And I think that...
Again, we wanna maximize the way that we utilize them. The other thing that I see is EFTAs being used a lot for assisted hygiene because if they can coronal polish, that's just another avenue for them to be able to help in a different way, help to boost production too and just see more patients.
The Dental A Team (07:19.283)
Yeah, thank you.
The Dental A Team (07:29.703)
Yeah, I agree with that. I was thinking the same thing with hygiene and I was actually thinking as you were talking about like their own provider column or utilizing that provider situation where the doctor's kind of almost the assistant following the assistant, right? It makes me think of your hygiene schedule because if you've got an assisted hygiene schedule or even just two or more hygienists, your doctors are going in for what they need to for their exams. So it's kind of similar I think to...
practices and team members get a little hung up on the scheduling piece and like wrapping their minds around it because you're kind of like Reworking how you thought about an appointment you learned how to schedule an appointment you learn the X's and slashes and the block scheduling but now we're like totally warping what you knew and adding a new caveat but if you think of it in that like assisted hygiene or Double or triple hygiene where the doctors coming in for the exams. It's kind of similar the doctors coming in for
their pieces, right, for the drilling and the decay removal while the assistant stays there just like the hygienist would stay there and finish the cleaning, et cetera, the assistant staying there and filling the tooth back in and finishing it out. So the doctor would come and go and follow the assistant more as a provider. So I do have, I actually have an interesting like smash of all of that information. I do have a practice in a state in Tennessee.
that she's a fantastic dentist and she has like these insanely great ideas and she's always smashing things together. She actually took a hygienist, had a hygienist EFDA. So she had a hygienist go get her EFDA and now she truly is like a provider column because she's doing hygiene and she's doing EFDA out of that column, out of her chair in her room. So it's kind of cool because when practices do that, I have a few practices that are maybe not hygienists, but doing that
kind of column in that chair, that process for like a provider of a few offices that are doing that. And it's almost like you can then look at it as you would an associate or that fifth hygiene. Like how much is this column, how much is this chair able to produce based on what my UFDA can produce and not just what my doctor. So then my doctor column, like my doctor heavy column over here can be those big long.
The Dental A Team (09:46.101)
crown appointments or root canals or whatever. And while he or she is able to break and go do what they need to do in my assistant, my EFDA column, they go pop over and do that and my EFDA finishes it. It's almost as if my EFDA is a provider there and can provide that column's worth of production. So it really helps you, think, when you do it that way to be able to split it out very easily. And then Dana, you mentioned the assistant following the doctor.
that's kind of the same as it is now, but you would need that other assistant to be there if the other one, like you've got two assistants calling the doctor, but that one makes it, that one I think is probably the easiest version for the scheduling aspect for people to digest because it's more similar to the way we naturally already learned how to schedule. So I think that's probably the most common one that we see.
Dana (10:22.368)
there.
The Dental A Team (10:41.62)
And then the hygiene one, I love that, the assisted hygiene, because yeah, coronal polishing, most of them can coronal polish and most states allow that, but again, double check that for you. But I do, actually have a practice that seriously struggles with hygienists. Like they're just in an area that is impossible to get and keep a hygienist. It is so hard. So what they've done is they've actually completely changed the model of their practice and we're still testing it.
We're only a few months in, so do not drop everything and change everything unless you have already been on this train and you're ready for it, but I'm not suggesting you drop everything and change it. Hygiene is difficult right now. I will put that out there. And we need more hygienists, so everyone out there listening, if you wanted to be a hygienist, go be a hygienist. need more of you guys. But this practice is really struggling in their hygiene department, so what they did was they actually got rid of the normal hygiene model, and the doctor
is the hygienist and the doctor, but he's got his FDES who are running the hygiene schedule. So he'll actually have like full hygiene only schedule and he'll run three or four columns of just hygiene. And it's actually super similar to a pedo practice scheduling. So there are smaller appointments and the assistants are doing most everything. He goes in and scales and does the exam at the same time. And he pops out and he's just running around like a pedo doctor would from room to room doing the scaling and the exam.
So that's actually been super beneficial for their practice because then they'll do three days of hygiene, two days of heavy treatment because they've got now four assistants. And so they can run assistant-driven columns on treatment days. And then his column, he can run two chairs on his with two assistants and then two assistant-driven columns.
where his F-Dos can be over there doing whitening, they can do impressions or scans for night guards, all of those pieces. So smashing all of those worlds together, he is exhausted, I'm not gonna lie. He's still trying to figure it out, because he's running around like a chicken. But it is a kind of cool smash between that Peto style of scheduling and then going back to that GP style of scheduling for those F-Dos.
The Dental A Team (13:00.019)
I know you have lot, have practices spread out all over the place too. What have you seen practices doing? Those were kind of like examples, even similarly, but what have you seen in your practices, them really be able to utilize those F-DOS4 within all of their treatment?
Dana (13:03.21)
Yeah.
Dana (13:15.86)
Yeah, I love that you pointed out, Pito, because that is a great space to utilize an EFDA because assistants are doing a lot of the hygiene, but when the assistant can do the sealants and do the night guards and even do some of the restorative, you know.
The Dental A Team (13:25.984)
Yeah.
Dana (13:30.812)
after the preps are done, jump in and do that. So, PETO is a great avenue where you can really maximize an EFDA. So, if you're a PETO practice, consider at least having one EFDA on your clinical team because you really can maximize what they can do, especially, I mean, kiddos were trying to crank and burn out those sealants pretty routinely on those kiddos. And so, having an EFDA that even they can be scheduled specifically in their column for that, that's a really great way to maximize it. I do agree on those power hygiene days. I've got a lot of practices
that are doing the same thing where it's a power hygiene day. We are bringing in as many hygienists or assistants as we can and doctor and team are cranking out as much as you can there. And I like the assisted hygiene model and even if you're not in pedo, right, to be able to have them say, hey, no, let's go in overflow. Let's do your whitening today. Hey, no, let's go into overflow. Let's get that night card started. Like they can maximize and expand on what's already on a hygiene column. And if you're just a practice where like your restorative side
The Dental A Team (14:14.005)
You too.
Dana (14:30.668)
is busy and you are booked out so far, consider bringing in an EFDA who can run their own, like essentially have their own column that you hop in and out of while you're seeing your patients to really be able to maximize the restorative need in your patient base.
The Dental A Team (14:44.576)
Yeah, absolutely. I love that you said that about pedo with like the sealants and things, because I was actually in one of my favorite practices not that long ago out in Atlanta. She's a pedo dentist and it is just like, I love pedo practices. I just get so, I feel like a child when I'm there and like, my gosh, I'm so excited. And it's so much fun, but it's moving so quickly. And the front office gals, the scheduling, they slid in like.
some sealants on a hygiene day, right? Which is like a no-no in this practice and in PETO, like if it's a hygiene day, it's fricking hygiene. And if you're not, don't have F-dos or hygiene doing the hygiene and doctors, it's a no-go. You don't do this, right? So they slid in some sealants because it was break, was spring break, of course. And doctor was like, I'm not really sure how you expect me to get this done. And in my brain, I was like, wow, that's wild to me that she's responsible for the sealants and that
I didn't, in that moment I was like, my gosh, she doesn't have someone here to do the sealants for her. That blows my mind, right? So was like, we gotta get this fixed because if a kiddo is here, a kiddo is ready, a kiddo needs sealants, bust it out. 15 extra minutes to get those sealants done is way better than reappointing, bringing them back, getting them settled in again, getting them prepped, like.
All the children love going to this specific practice. I'm not gonna lie, they love coming back. She's fantastic. But that's not always the case. So if you are a pedo practice or just even a pedo practice that schedules out really far and this patient needs sealants, it's really fantastic to, like you said, be able to just be like, yeah, let's just pop over here. This, know, EFDA over here or this high jumps over here is gonna get these sealants done for you while this person moves on to their next patient or that patient, that person can stay with that kiddo.
give that expanded service while someone else takes the next patient because you're all kind of doing the same things. And I know in pedo model, there's more dental assistants typically than there are hygiene. It's very rare that we see hygienists working in a pedo practice. So having those FDAS on hand is gonna be super beneficial. Maybe one, maybe two, depending on how busy you are, to really bust some of that stuff out. I think that is brilliant.
Dana (16:58.23)
Yeah, and I've had a lot of general practices switching right, like we talk about sealants all the time, especially to hygiene. Like that's just a great add on for hygienists, even in adults. But I've got a lot of offices where they're switching adult sealants to flowable. Well, the hygienist can't really do that, but guess who can? And then it makes that transition super easy. We can find it in hygiene, we can do it while they're there for their hygiene appointment, but we're able to do a flowable or something that maybe the doctor prefers. So I just think, think about
The Dental A Team (17:03.319)
Yeah. Yeah.
The Dental A Team (17:11.225)
Bye.
Yeah.
Dana (17:26.804)
the things that you would love to incorporate or where you might have just a gap as far as a need for it. And if you're a practice that does that, if you're a practice that's like, I just need somebody to kind of fill in those gaps here and there and FDOT is a great solution oftentimes to the obstacles that we're running into.
The Dental A Team (17:46.251)
I totally agree. My doctor for years was like, this is so frustrating because I would prefer flowable over the sealant material because it doesn't chip as easily, but he was the only one that could place it. So I agree that is brilliant. And I think whether, whether your state allows the APTA space to really be driven like that, to really be utilized, effectively, start thinking about those things that maybe even a regular dental assistant could take from your plate.
that you're holding onto that doesn't require that extra schooling or education or letters on their name. Start looking for those spaces. Pedal, general practice, oral surgery, like surgical assistance. There's a lot of stuff they can do too. And a lot of things that assistants can do that we forget to utilize them for and then we get behind or we get stuck.
you know, stuck on something. know a lot of my associate dentists, our sticklers, still about their temps. I walk into practices and I'm like, why are you making a temp right now? Like, this is insane. This is why you have dental assistants. And the dental assistants over there twiddling their thumbs like, have nothing to do all day and I don't feel important. And you know, I'm not valued. And it's like, get your butt out of that chair, doc. What can she do to help support you? Or what can he do to help support you to give that patient an even better experience and to get you moving so that that next patient's experience
Dana (18:42.038)
Yeah.
The Dental A Team (19:05.716)
isn't negatively impacted just because you're spending time doing things that you don't have to. So, EFDA or not, I think it's really important to look for those areas where a dental assistant can be super supportive. Dana, have you had a lot of practices that have been in search of EFTAs and struggled to find them? Or I feel like my practices that can utilize EFTAs, like they're out there. They're finding them fairly easily and able to get them.
into the practice right away, but what have you experienced with that with the hiring search for Aftis?
Dana (19:38.646)
Yeah.
I mean, I definitely think that they're out there. think practices can find them. And then I think if you can't get set, like if there is an assistant that you absolutely love in your practice, who you're like, she's just as a chair side master, or he just is so fantastic. Consider reaching the topic of looking for growth, right? Are you looking for growth in your position? Is this something that you would consider? I think we could implement it really well in the practice. And it's something that I think you would be great at. I think that that's an easy space to look within your practice if you can't find someone out there because oftentimes,
we've got that fantastic personality, that amazing chair-side go-getter, that if we had the conversation with them, it's something that they'd consider.
The Dental A Team (20:16.892)
I totally agree, I think that's brilliant. I actually have a doctor here in the valley that did that and I was like dang, this gonna be everybody. He had like three assistants go and he's like my life's about to be so easy. I was like sure, we're okay. Yeah, so I do agree, I do agree. All right guys, hope, dentist, I hope you found this super valuable and I hope it gave you at least some ideas or sometimes we kinda just feel stuck or lost or like I just need like.
Dana (20:26.633)
I love it.
The Dental A Team (20:39.682)
something lost in the hygiene world, like whatever it might be. I hope there was a tip or a trick in here that helped you. For my FDAS out there, you guys are fantastic. For my dental assistants out there, you guys are fantastic. My heart is with all of you guys, my hygienist, front office representatives, like I hope everyone found something super helpful and valuable within this podcast and I want you to share it with each other.
especially when it comes to the scheduling. It does get little wild. It's just a little hard sometimes to bend our minds to understand what it is we're looking for. So Dana, I think action items, number one, check your state requirements and your state laws. Like what are you allowed to do with an EFDA? And number two slash three is really explore the idea and figure out where could you add more value to your patient's appointment.
reduce your time or not, at least not increase it utilizing an APTA or a dental assistant for more than what you might be right now. Dana, is there anything else you can think of? feel like those are like the two main shebangs right now. Like think about it, figure out what you can do, think about what you'd want to do, and then implement, figure out how to implement within your practice. Yeah, awesome.
Dana, thank you so much for being here today. Your ideas were fantastic. I know you've seen so many different things in all the practices you work with. And I know that with your virtual clients, you worked a lot on the scheduling model. So thank you so much for having that knowledge and for being here with me today and letting me pick your brain. I adore you and I appreciate and value your time today. Awesome, everyone. Thank you.
Dana (22:12.768)
Thanks so much.
The Dental A Team (22:16.539)
Go leave us a five star review. I wanna know if you enjoyed this. Doctors, I really wanna make sure that this stuff is really hitting home for you, that it's something that's super valuable for you. So reach out to us, [email protected] Let us know if you loved it. Let us know if there's more information that you'd like or if you're trying this model already and you've got some, you know, some stop holds, some holdups, some walls you're hitting, whatever that might look like, reach out to us. We're always here to help. [email protected] and we will catch you next time.
The more engaged your team members are with your practice, the happier everyone (patients included) is. Kiera shares four questions to ask employees in connection to their engagement, then breaks down how to interpret the responses and what to put into place for improvement.
Episode resources:
Reach out to Kiera
Tune Into DAT’s Monthly Webinar
Practice Momentum Group Consulting
Subscribe to The Dental A-Team podcast
Become Dental A-Team Platinum!
Review the podcast
Transcript:
Kiera Dent (00:00.75)
Hello, Dental A Team listeners. This is Kiera and welcome to the Dental A Team podcast. I'm so happy you guys are here. I hope today has just been an incredible day for you. And I hope you guys just remember that we are so lucky and so blessed to work in this incredible industry of dentistry. We are getting ready to roll into Q4 and I hope you guys are just feeling good about it. Like Q4, end of year, here it is. And I hope you guys are just loving it and enjoying it. And you just feel like you are completely and utterly prepared for the greatest time ever.
As always, thank you for listening and please, please, please go leave us that five star review. Please share this in other groups, tag this, snag this. You guys are gonna wanna share today's podcast. I know you will, but you guys downloading these episodes, sharing them with other people, that's how you keep us as the top dental podcast. And you know our mission is to get this podcast into every dental practice out there because I believe that if we can positively impact the world of dentistry in the greatest way possible, we are gonna make the greatest good.
We're gonna be able to help teams. We're gonna be able to help owners. We're gonna be able to help patients have the best lives, the best experiences, the best communities. And that's what I'm here for. So today I wanted to go into a topic about how to get better employee engagement. All right? Anybody here for it? Are you here for employee engagement? Because if you are, I am here for it. I think having employees is some of the like hardest and most rewarding part of owning a business. And so today,
I just wanted to give you guys some amazing tips of how can you guys get your employees engaged. So my husband, actually is overseeing several, several, several physicians and people within his hospital. And we were talking about employee engagement and I feel like there's a space of like, we, do we survey our teams? Do we not survey our teams? What do we do with this? And he mentioned that at the location that he's at that they actually hide.
four questions within their survey to find out how employees are engaged. And so I will read them to you. Number one is, my work gives me a sense of personal accomplishment. Number two is, and you guys, I'm definitely looking and I'm reading this right now. I would recommend your company as a good place to work. I intend to stay with your company for at least the next 12 months, and I am proud to work at your company.
Kiera Dent (02:21.742)
So those four questions, my work gives me a sense of accomplishment. I would recommend this place is a good place to work. I intend to stay here for the next 12 months and I'm proud to work at this dental office. And as we were talking about this engagement, my husband has, with all of his team members, he has several, several team members and he just came in getting tens across the board of his employee engagement. And so I was asking him about it I said, what is it? And he said, these are the four questions that at their hospital that they're the most concerned about knowing.
How are they at? And so I asked my husband, said, okay, tell me more. I want to like do some information research outside of dentistry. What are people doing in other healthcare professions? What is that? And he said, I asked him, said, what are the things that really helped for your organization? And he gave me a pretty good list of as a manager, as a leader, what is he doing for his team to make sure that they're taken care of? And one of the things that I thought was crazy interesting is he said, the first one was that they're never alone.
that everybody helps each other out, that they feel like that they're a part of a team. He said that all of them actually talk about getting a lunch break and being able to have that time away from patient care and that they are fulfilled by their patient care and that they're like what they're doing is something they're very passionate and fulfilled by. They're compensated well. They have great hours that they're working and we're talking, this is a hospital setting. So it's stressful. It's hard. They have a lot of cases there and patients that they're responsible for. They see patients every 15 to 30 minutes. like
Just think about dentistry, we're not seeing them that often, at least we're hopefully, unless we're pediatric or ortho. But just thinking about how can we get our employees more engaged? And I've kind of had this like weird space of, we've always done two times that we would actually, send out surveys to our team and something, I was talking to a friend and they have done a lot of studies on, on surveys and your employees actually will rate themselves higher.
than how they actually are because we had some surveys and people were giving us tens across the board and then like a month later they were giving us a notice and I thought, gosh, like how is this even real? And so I'm in this weird, conflicted space of, here's the four questions but how do we actually get that information? Because there have been a lot of studies that have been done that actually show that employees actually want to show up the way they think that their employer wants them to be. So they're going to maybe give higher numbers and higher ratings than how they really feel.
Kiera Dent (04:44.396)
because as human beings, always want to be seen better than we actually are. so thinking about that and how do we build that and how do we build this space? But really, how can we get our employees engaged and excited about what we're doing? I think those four questions, if I were to go back and to look at offices that we consult and work with practices and looking at my practices, like I have several practices that have some of the best engagement. And I think about them that their work does give them a sense of fulfillment.
that they do plan to stay with that office for the next 12 months. And I think that comes from leadership giving a great vision of where they want to go and really having it be something that these people are passionate about. think them feeling like that they would recommend your office as a great place to work and that they are proud to work at your location. And maybe today your team's not that way. And maybe we need to flush some people out and bring on people that really are aligned with that vision.
I know it feels scary because the world has been tricky to hire and the world has been harder to find and retain team members. But I do believe that when we have those four things core and we have our employees bought into it, we have our leadership team in place with that. And we really are working towards that. I do believe that we have stronger engagement. I also think I'm working on really, really speaking the truth and encouraging your team to do so as well.
At the end of the day, you should be able to put your vision out and your team should be buying. And if they're the correct team and the best team, and if not, then it's okay to let people go and find a location that they really are satisfied with and you can keep driving it forward. It's always interesting when I consult practices and I see offices that have right people, right seat. And we were actually just on a meeting. I'll pull up some notes for you guys. We were just on a meeting and we're super excited to be working with this guy. And he was talking about.
If you guys haven't read the book, it's called the EOS life and I really really really loved the EOS life because there's a great definition where they talk about that people are compensated correctly, that people feel like they are having a sense of fulfillment and excitement and engagement, that they feel like they have time for their other hobbies and their lives and that they're just truly truly fulfilled within what they're doing.
Kiera Dent (07:04.844)
and that they have time and the bandwidth to do it. And I thought, how often are we kind of scraping things together, myself included within our companies, because right now it feels like, it's hard to get people hired. It's hard to get people engaged. But if we can think about, all right, these are the four questions that we want for our employees. But in addition to that, we do want people to be really engaged in the work that they're doing. They find it meaningful. We want them to feel like they're compensated very well and that they're giving back and contributing to the growth of the organization and that they have the time.
to have passions outside of work and they feel fulfilled by that. And like we have them in the right seat so much that we almost have to tell them to stop working because they have such a love and a passion for what they're doing. And so maybe today you might be looking and thinking, my gosh, there's no way my team's that way. Or you might be looking and thinking, wow, my team really is more engaged than I give them credit for. But what is a small one or 2 % shifts that you can make that would actually make your team more bought in and more engaged to it. And this is what I think I am the most passionate about within consulting.
is being able to help offices get their teams aligned to be rowing in the same direction where, like this coach told us, they said, the greatest thing is getting all the human capital rowing in the same direction. That's gonna create the momentum with ease. But if we're not there, we need to figure out is our vision wrong, is where we're headed wrong, are people wrong? Do we not have people engaged? Is this a place where culture is wrong, where leadership's wrong? Like what is the piece that needs to be fixed? Because oftentimes we try to like,
throw out so many great things when really it's just one small change that if we were able to make that change, things would actually move forward a lot faster. So really looking at those four questions, really looking to see what is our culture, what is our vision, and do we have all of our human capital rowing together? And if not, it might be time, like myself, where I hired a mediator coach to come in and help us set the vision of our company, to help get our team realigned and reinvigorated on where we wanna go. You guys, I am a consultant and you would think that I would,
always know how to do it the best. And that I would like to dispel any falsehoods around that because, yes, I'm an incredible leader and yes, I have it credible. I also can run out of like, where am I going? And was this vision the right vision? And I need some clarity around it. And so knowing when it's time to pull in a coach or a guide or a consultant to help you get aligned because they can hear things and they're not in the weeds.
Kiera Dent (09:26.602)
I realized I was in the weeds and I can't see clearly myself. You guys, I do this for a living. I coach other practices. I'm able to get their visions, but when you're in it, you're so close to it that you can't see it. And I realized to get my engagement scores higher, to get our team bought into things higher. I needed to hire somebody outside of our organization who can say the things that maybe I can't say, or who can say the same things that I say, but my team hears it differently because it's coming from someone else. And it's crazy because I believe as leaders.
When we can realize that we need that help and that guidance for ourselves and also for our team. That's the greatest thing a leader can do. Our job as leaders is not to know all the answers. Our job is to find the answers. Our job is to guide them on a compelling vision. Our job is to make sure this is a place that's, that's fair. That's incredible that people are proud to work here, but that doesn't mean that we need to enable. That means that we need to empower with accountability and ensure that where we're going, our human capital, AKA our entire team.
is bought in and driving. Now we won't have all A players and that's okay. We might have some B players, but the reality is we want everybody passionate driving towards that same goal with vigor and vim and excitement. Otherwise we've got people pulling us back and that's where things get very hard. That's when we start to have a lot of the team turnover, but truly when we can set our goal and our vision and our sights in the same direction, our entire team will be more aligned. So.
I would love to help you guys. I'd love our team to be able to help you guys guide you, help your team get that vision and that guidance, help give you doctors that vision and guidance, because oftentimes we're on our own isolated islands thinking we have to figure this out ourselves. But I realized that's our own ego speaking, not what's real. There is so much help out there around you to give the guidance, to bring your team, to get them bought in. and I'm so grateful that Dental A Team.
I truly believe is the best consulting company out there to do this for you and for your practice. So let's get your team bought in. Let's get you guys excited. Let's get that energy back. So everybody's rowing in the same direction and we can truly have that incredible definition of an incredible life where we're so fulfilled. We're so passionate. We're compensated well. The business is thriving. We have time for hobbies and family and other things extracurricular. And we do it with so much ease because we love what we do so much and getting people in those right seats, right places with the correct deliverables around it.
Kiera Dent (11:45.408)
is really the greatest way. So reach out, [email protected] There's no reason to wrap up this year and have it be hard for you when the easy answer is right in front of you. You just have to reach out. And I promise you that if you're not the right fit, we'll let you know. We'll let you know if you are the right fit. But generally speaking, when you come, we probably have a solution that you haven't thought of. And we always do everything with ease, simplicity, and making sure it's fun for you and for your team. So reach out, [email protected]
And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.
Tiff and Dana discuss the importance of coding accuracy in dental practices. That includes universal codes everyone can understand, how to stay up-to-date on resources, the best way to know team members are getting paid for all their work, different codes across specialties, and more.
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Transcript:
The Dental A Team (00:01.11)
Hello Dental A Team listeners, we are back at you today. I have the one and only Miss Dana here with me to podcast. I love pulling Dana in. I love pulling all the consultants in, but I truly love pulling in Dana. think I shouted you out this morning. do. Wednesday core value shout out in our.
I know that we've done some podcasts on that. So if you're not already doing a core value shout out every day or every week, please by all means go listen to those podcasts because it's freaking incredible and Dana you truly are the epitome of ease within our company and for your clients and I just think you need to publicly shout it from the rooftops be Just recognized for that aspect of your personality. You truly do make life easier I know a lot of your clients feel the same way you are
so good at finding the easiest path for the systems implementation for whatever it is that needs to be done for us as a company. So Dana, welcome today. I'm so excited to have you here with me. Thank you for joining me on this beautiful Wednesday. I don't know what day this is gonna air, but it's a Wednesday today. And it's absolutely gorgeous here in Arizona. How are you, Dana?
Dana (01:08.193)
doing good, Tim, doing good. love days like today.
The Dental A Team (01:11.629)
I do too, I do too. It's starting to get fallish in Arizona, which means 85 degrees instead of the 105 that we had last week, least up in Phoenix. I know you get a little bit more fall down where you're at, but I'll take the 85 over the 105 for sure. Today, Dina, I wanted to pick your brain.
I've got some information today I wanna share with the doctors. It's also for billing departments, for treatment coordinators, for whomever wants to listen to this. But I really wanted us to shout out our doctors for really, really just knowing everything about their businesses. I know that you guys are all here listening. I know you're watching, whatever it might be, to really learn more about the business side and about what the team is doing to help support your practice. So I wanna shout you out for that. And I just think it's a really incredible tool.
and resource to have to truly know what it is that's going on, the inner workings behind the scenes of your practice, aside from just the dentistry that you're performing. So shout out to you guys for being here, for listening. Team members, if your doctor's not listening yet, please share it with them. Dana, today I really wanted to pick your brain and go over some coding information. I know it sounds super boring, you guys, but stick with us. We've got some great tips and tricks and some tools, especially for you doctors who are out there to really
focus in and pay attention to the things that are being input into the system and sent off to insurance companies, or if you're fee for service, you still need to be insanely accurate within your system and making sure that we're using the right tools. So doctors, again, this one's for you as well. Billing representatives, treatment coordinators, front office representatives, office managers, whoever you might be, whoever might be touching a ledger or an account or a code in general dental assistance, hi, Genes, you guys.
This is all gonna be really great information for all of you. Coding with Accuracy happens to be a book, by the way, you can purchase that. But honestly, coding with accuracy is incredibly important and valuable to your system, not only for the billing portion to ensure that we're accurately sending things off to insurance companies, accurately getting paid, but realistically to show super accurately what you've actually done with your patients to your patients. That way, if anything were to ever come about and anyone needed to look into it or
The Dental A Team (03:28.327)
your patients had questions and they asked for the account, it makes sense to the next person who's looking at it. And you can say, yes, I did that, that was me. I did that filling, I did that crown, I did that crown seat, I did those pieces. I know a lot of practices, and Dana, I think you've probably seen this too, a lot of practices will overuse, in my opinion, an office visit or a palliative treatment, to certain codes like that and unspecified, because they're just not sure.
what to use. And so they throw one of those, especially office visits, and I'm like, what is this office visit? How many, this patient's been in for 20 office visits. They're like, most of those are crown seats or like if a filling needed to be adjusted or like, and I'm like, wow, so we don't have any documentation right here that we ever sat any of these crowns.
That's an issue. looking at those pieces and making sure that we're super accurate with what we're calling things is something I really, really want to talk about today, Dana. Have you noticed that as well? I know you see a lot of clients, you do a lot of virtual clients, but you see a lot of ledgers, you get a lot of things sent to you, and you have been traveling a ton this year in office to practices as well. So what are you seeing when you're out there when it comes to coding and just kind of like randomness that you're seeing thrown around?
Dana (04:40.983)
Yeah, I agree with you on just like the miscellaneous codes. I delivery. What did we deliver? Because we need to know exactly what we delivered today. And then a lot of just like 999 things and sometimes a 999 code you absolutely
The Dental A Team (04:47.133)
Yeah.
Dana (04:55.967)
can utilize it, should be utilizing it, but oftentimes too, it's like, no, there's actually a code for that. Like we don't have to send a 999 with documentation and notes, there's a code specific for that. So making sure that offices really are up to date, also to like when things change because they do change occasionally. And so just having somebody who knows those things in and out has resources to spot check and that we are billing what we're doing and coding exactly what we're doing.
The Dental A Team (05:25.511)
Yeah, I totally agree. The 999 code, I love that one. It is thrown in there for everything and I am guilty of the 999 code because I'm like, don't know what he's even talking about. 999, that sucker. And I'll explain, I'll say exactly what he just said to me. I have no idea what he said, but I've got this. So I'm surely, surely guilty of that one. I do love the staying up to date and doctors, I really want you to know and understand within dentistry.
There's not, like we have a course for billing that will review billing for you and will go over the basics of billing, what it needs to look like, how to send a claim, how to input an EOB and a payment and all of those pieces. But there's really not a good school for billing where it's like, gosh, I'm gonna send them to a billing school and now they've got this accredited school has shown them this kind of like medical billing, right? You can go to medical billing school and now you're a medical biller.
to be a dental biller, you just needed someone ahead of you to show you how to do it. So within this world, it's just super important, like Dana said, that we stay on top of it as best we can. So making sure that we're getting ADA emails sent to us and that we're watching for any codes that change, because they will let us know. Whatever your state's dental association is, I know here it's the AZDA, the California Dental Association.
Whatever it is, make sure that you're signed up for those auto emails, because that's going to be the best resource. And then as those yearly conventions come around that we all love to go to, that we hate taking boring classes, look for any updates. I wouldn't say you've got to hit the billing courses yourself, or you have to send your billing rep to the billing courses. Sometimes they're a bust. Sometimes they're super insurance prone or driven. I don't love that. But if there's anything that's like coding updates or
New laws things like that. It's always a good idea. So I do want to preface it with that Just know always staying up to date just getting those resources sent to you is going to be super super important And now aside from that there are things like coding with confidence coding with accuracy All of those different books that you can get I believe coding with confidence you can order from Amazon or ADA I think both of them have it. I think it probably comes from the ADA when you do it from Amazon, whatever you choose
The Dental A Team (07:37.7)
It's a fantastic book and having that resource, there's a companion book that goes with it as well. I always had that resource with me. It was literally in a drawer behind my desk and as soon as I had something pop up for an implant or gosh, when we were doing over dentures and there's just so many parts and pieces and little things that need to be accurately coded.
There's no way I'm gonna remember all of these things or intuitively know it. So I would pull those books out constantly and I would go through it with my doctor and I'd say, okay, does this describe, is this what you're saying? Is this describing it? Because even just for regular dentures, there's different codes that can be used. And if you use one that's a maxillary but you're doing a mandibular denture, you're not gonna get paid, right? And even if you put upper denture in the thing and you did a mandibular code, they're still not gonna pay it because it doesn't match.
So just making sure that those codes are super accurate. Now from a doctor's standpoint, why is this important? Super important because you need to be paid, right? So my owner doctors, you need to be sure that your practice is being paid, that you're being paid for what you're doing, your hygiene team's being paid for what they're doing, and that if, again, anything were ever to have been and come about, somebody looking at the ledger, looking at the account, looking at the chart, can accurately and confidently see exactly what you performed. So not only do you need to get paid,
you need to cover your tail. For my associate doctors and even my hygienist who might be listening, you really, really wanna watch your production and your collections, because typically, especially my associates, you guys are gonna be paid off of that in some form or fashion. So making sure that the coding is correct and that it accurately, actually reflects what you've done is key. Otherwise, you might get paid for a filling when you did an onlay.
Right, and the billing representative, has, or he has no idea, they were not chair side with you. So if it's not fixed chair side, or if you, gosh, Dina, how many times have you seen this one, where chair side, you know, we were scheduled for an MO, chair side, doctor's like, this went into the distal, we've gotta update that. So we update it, we tell the patient, we're like, got another service added, get the treatment plan going, lay them back, finish the filling, and then they go up front, and then they get paid on an MO.
The Dental A Team (09:51.99)
because the MOD was never switched out and the appointment went before it was set complete. again, the billing representative, he's not chair side. They have no idea that that billing changed. The dental assistant needed to update and change it. So making sure that that's accurate in there. Now, Dina, I know you have a lot of practices and a lot of associates. You've got a lot of big practices that have a lot of associates. How do you make sure at the end of the day, at the end of the month, at the end of everything, that these guys are knowing exactly what their
being paid on? Like how do you make sure that they know with confidence that they're getting paid for everything that they did?
Dana (10:28.329)
Yeah, I have them usually daily check their provider production and check their individual provider day sheet just to make sure that everything was accounted for. If there were changes, if something was walked out inaccurately, catching that from the very beginning is super important because honestly, like you pointed out, the difference in some of these codes is hundreds of dollars worth of production. And that can be even within implant parts, even with indentures, like a difference in that
that coding can majorly impact production. So making sure that everything is accounted for, everything that they did is on there and everything is walked out and ready to submit. So that whether it's insurance based or we've got to call a patient and say, hey, you know, we under collected that service did change, we had added. whether it is patient portion that we've got to update or insurance portion, just making sure that we're catching that. And I like to do it daily because
Claims are submitted daily. We're reaching out to patients and we don't want a patient to go till the end of the month before we're like, hey, by the way, you missed a thing, right? So I like my, especially my associates and hygiene to just look and make sure everything's accounted for each and every day.
The Dental A Team (11:34.98)
Yeah. Yes.
The Dental A Team (11:47.01)
Yeah, I agree. think that's perfect because pulling that sheet, especially like Dentrix and Eagle Soft and OpenDone, like all of these programs have a super easy sheet to print at the end of the day or even like print screen and then just look at it. So we're not using all the paper all the time. I've definitely had it where a doctor will come back like a week later and be like, we didn't actually do a buildup because we just, you you treat and plan a crown and we should plan a buildup just in case, or you have your doctors who treat and plan only a crown and then add a buildup.
if we needed a buildup and so vice versa. A week later, we're like, I didn't build up on that crown. I'm like, well, bro, she gone, she lost. There's no way, it's so uncomfortable to call a patient and be like, by the way, we forgot to charge you for that billing that's underneath the crown that's to build the tooth back up because of the K. And now I'm in this whole conversation of like, why didn't this just get done the first time? So I totally agree. I think that's brilliant. And doctors also, looking ahead at your schedule,
Dana (12:21.687)
It was true.
The Dental A Team (12:43.172)
Prepping your schedule in conjunction with that is gonna be huge. We get really comfortable. Our dental assistants are incredible. I was a dental assistant near and dear to my heart. It's my favorite position. If I were ever to like quit everything in life and go back to in-office dentistry, it would have to be as a dental assistant. I would not do anything else. It's my favorite space. But you guys, I messed up sometimes. Like it happens. I would get forgetful.
Like how many times did I forget to grab the bond? And I'm like, you can't do a filling without a bond. How did you forget that? And then expecting me to change it every single time in the chart or make sure that it was accurate ahead of time. Things flip through the cracks. So we've gotta have checks and balances. We can't just rely on one person to get it right every single time. So your dental assistants prepping the charts, prepping your schedule for the next day is huge, but I really wanna implore that you guys, you doctors,
You are looking at your schedules as well. You know what's coming up and you know that it's accurate. I had a dentist that worked in our practice. He's fantastic. He's gone to all of this oral surgery, like extracurricular. He's just, it's insane. I watch his videos on Instagram and I'm like, that's so gross. I always must do him. Like I remember the first time I did a bone flap with you and I was like, what? I can't do this, but he's so good. He did all of these like perio surgeries, oral surgeries. He did so many things in our practice and holy cow.
A GP girl over here, learning how to code for all of these extensive procedures that he was doing. He was doing, you know, he's doing the blood draws before it was even a thing. I am like, are we allowed to do that? Like I'm in my practice, like what the heck? This is crazy. And now I'm having to code things that to me are like outlandish.
and I'm sitting there Googling things. Like, this doesn't make sense. So I'm pulling out my little code book and like, gosh, it is in here. This is a dental thing. We can do this, but there's no way those added procedures would have been accurately coded if I didn't take those extra steps to ensure it. And if he didn't, bless his heart, come to me every day.
The Dental A Team (14:47.322)
with a list of the things that needed to be added to tomorrow that wasn't accurate or things that we missed today. He would double check his treatment plans just because they were so extensive. And honestly, there were times, like he did GP work in our practice as well. So there were times too where he would catch a filling surface was missed or an onlay surface was missed. And I'm like, dang, not only are, you know, did we miss something on your giant surgery over here that I literally cannot assist with, cause I will pass out.
But we also miss like a surface on an online, like, goodness gracious, right? But he is my example because he was so diligent about making sure that the charting was accurate. Like, of course he wanted to get paid for the things he was doing, but he's like, I need to make sure that whatever it is that I'm doing, it's all here. It's all accounted for. And when he went to go do all of the accrediting with the oral surgery boards and implant boards and like, he's got all this crazy stuff behind him now. He needed all of those things. He called me from Texas years later.
And I was like, remember that patient that we did that thing? And I'm like, my gosh, yeah. So I'm like looking for this patient. He's like, I need all of their notes and I need all of their ledger and I need everything to submit to the implant board. And I was like, my gosh, thank goodness we went through and did all of those things. So you guys, it doesn't matter what you're doing. You don't have to be doing crazy dentistry or crazy oral surgery within your practice. Those minor things need to get caught as well. And Dana, earlier you mentioned like the 999 code.
And I know we have to go in or have the auto updates done and make sure that the codes are being updated. But I did notice there are more and more systems that even have as simple as broken appointment code already in there, Crown Seat Code, Denture Seat Code, all of these pieces. So when you're working with practices and you're seeing this, or they ask us, we'll get text messages from office managers that are like, this is what he said, what do I code that as?
I don't know, right? But what are you doing? How are you helping them to figure out, this is probably not a pallet over 999 or what an office visit, this is probably X, Y, or Z.
Dana (16:52.117)
Yeah, I mean, I'll be honest, if a lot of times I am pulling like a coding with confidence, or I'm googling things and, I'm trying to piece it together or I'm asking, you know, okay, well, like, walk with what does that look like? Walk me through like, can you explain the process to me? So maybe I can find it in here or send me a picture of the part that maybe I can look it up. But it's really just doing due diligence and combing through the codes that are available. And then determining
The Dental A Team (16:58.797)
Yeah.
The Dental A Team (17:10.987)
Yes.
Dana (17:20.083)
If there is a specific code for that procedure and if there's not, then yeah, you do a 999 code with lots of documentation, IOPs, all the things, so that once it gets to insurance, they can determine if it's something that they're covering.
The Dental A Team (17:35.266)
I agree, yeah, I love that. I do love Google, I have Googled so many times. I've been in office trying to help them come up with cheat sheets, which is the next little topic here, but that I'm like, what is this? Or give me a picture of this so that I can put it on their cheat sheet. And doctors who are doing things like implants or dentures even, crowns, anything you're doing, having those cheat sheets is super helpful.
I have a lot of my practices throw those into their operations manual. So with the crown setup or whatever, it'll also have the steps and the codes that would be used. We have to update it when they update, but have all of those available there side by side with it. So it'll be like, crown seed, and it'll be the setup, and then it'll be all of the codes. The ones that get wild are our implants, right? Our All-On-X denture cases. Those ones get wildly insane.
dentures, right, start to finish because what happens is in the treatment planning mode, let's use denture, right, as a treatment planner, right, so I'm a dental assistant and the doctor says we need to do a full denture. Cool, maxillary denture. And then I'm like, treatment coordinator, here you go. And they're like, cool. And then they schedule a denture. There's like 16 steps sometimes to a denture.
Right, so having that and being able to break it down and break it apart shows that all the steps and processes were done and then having a cheat sheet that goes along with it helps not only your treatment coordinator and your scheduler, but it helps your biller and your dental assistant, even your hygienist. I've had so many hygienists come to me and say, what step are we on? And I'm like, well, I'm not sure, let's look. Like, let's look at our checklist and see where we're at. So even within that denture, having the denture treatment plan for pricing.
Dana (18:56.011)
Yes.
The Dental A Team (19:24.294)
Obviously, right, any extractions, any bone grafts that need to be done. If you're doing a temporary denture before the final is done, if you're doing, gosh, if you're doing a scan and a final delivery, like they're getting much faster. But before, remember, we had to have a wax rim, we had to have teeth and wax, we had to have the color shade, we had to have a try-in, then we had to have a realign. Like all of these pieces needed to be segregated out in there so that we treatment plan.
the one thing, but we have those steps readily available so that it can be scheduled correctly and in order. And then having those cheat sheets with those codes lined up is super helpful. I have a practice in Wisconsin that was just getting so confused on the implant process and an ortho process. And I was like, easy peasy, let's just like section this out. And now every single time they've got it laminated and they just pull it out. They're like, I've got my implant sheet. I've got my ortho sheet or whatever. So I always have them add that as well. So Dana.
Wrap it up for us. So we've got coding, checking, all the pieces. What could an office do, a doctor do to ensure maybe even adding it to their operations manual? What's the process they should make sure that is being followed and updated yearly within all of these pieces that we've talked about today?
Dana (20:42.627)
Yeah, I think it's added to your yearly calendars that you make sure that you do know the updates you have the codes every year and just like we get Insurance fee schedules and we do all of our insurance updates just add that to that list one So add and make sure we've got do we have the resource for it? And do we know what they are? I think to any time that you are adding a new service just checking and double-checking that you know what the codes are So if you're bringing in a CBC team, make sure that those codes are in there and you've got fees attached to them
and all of those pieces. I love your cheat sheet idea as far as especially where there's a there's a lot of nitty-gritty things that need to get built out for specific things like ortho-like implants making sure that you've got cheat sheets and you make it really really easy and then make sure you've got a very clear communication system for when treatment changes so that it gets changed all the way okay and then I think daily having people look at them and just one
Final tip I guess in in with your cheat sheets oftentimes we call things things that like are not in the code, right? The description of the code is not that and then we're constantly like, what are they actually? What do they actually call right? A lot of your systems will allow you to add notes to like those procedure codes put in what you call it in the office so that it's easy to find it will still put the actual code definition on your piece going on your claims go out, but if you call something something specific
just update it in your system so it's easy for the team to buy.
The Dental A Team (22:12.623)
That was brilliant. I know my dentist had like five different terms for a hater bar and I never, was like, I don't know what you're talking about. And the Ribon, he would call the, you know, the Perio procedure by the name of the material he needed. And I was like, so, and he only do this once every, I don't know, 10 years. Like this procedure is never done. He's like, we've got to do a Ribon. Where's the Ribon? I'm like, I don't even remember what this is.
I don't know what that says. So yes, I agree. I love that idea, the descriptions and making sure too then I would transfer. We do this in our Google Drive, you guys. Whatever you might call it, also probably put that on your cheat sheet, maybe in parentheses. Like this is what it is. These are the five different terms that any of our doctors may call it so that it is easy to find and easy to figure out. I think that's brilliant. Awesome, thank you for wrapping us, Dana. I think this was insanely beneficial for all of our doctors out there and our team members again.
Doctors, if you're here listening, congrats. I think that's so huge. It's really important for you to know and understand these things. Share it with your team, because they can use these pieces too, especially anyone who's doing your billing and your practice. And then team members who are out there whose doctors haven't heard this one yet, share it with them. Make sure that they understand what they're getting into as well, and that they're supporting you in your position as a team member to be super accurate, because you're depending on them.
to get things right so that you can do your job. So share it with them. Make sure you guys are all up to date and as always, reach out for any questions you might have. [email protected]. We are not code masters, but you guys, we are solution masters and we will find the answers or find the way and we can help you with just about anything you can think of. [email protected]. We can't wait to catch you next time.
Josh Scott of Studio EightyEight is back for more! He joins Kiera to talk about the marriage of creativity with performance marketing for dental practices, how to pull meaning from conversations when talking about dentistry, why putting yourself out there actually helps your patients, and more.
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Transcript:
The Dental A Team (00:00.526)
Hello, Dental A Team listeners. This is Kiera And today I am so jazzed. have one of my dearest friends and I don't mean that like as a podcast intro, like truly this person is someone that I just count as one of my greatest friends. And I'm so excited to welcome Josh Scott, CEO, founder, Studio EightyEight Marketing. They have the best swag. I was just telling Josh, I wore their sweatshirt all summer long. I am a terrible ambassador. I don't take pictures and post, but I love your swag. So Josh, welcome to the podcast. How are you today?
Hey, I'm great. It's always good to be here. looking forward to this all week when I see it show up on my calendar. And yeah, you know, I don't know that I believe you, Kiera. You say you wear the flag, but I've never seen proof of it. So we can talk like that on a podcast, but just saying I've never seen it. You know, I should like stop this podcast right now and run upstairs and go grab it. So then we have the, all the social proof, which I think I'm going to do. So we're just going to hit stop. All right, Josh. So, like I said, we were going to hit stop and
for the world to see. All right. It exists. It exists. All right. I love this sweatshirt so much, truly. And I love you guys so much, but like your swag this year was my favorite swag of all because the sweatshirt just feels like a nice hug and I appreciate that it's your company, but it doesn't feel like I'm just wearing like swag, like EightyEight You've got the nice like sports attire to it. So it felt good that I wasn't like.
Studio EightyEight I need to work on our Dental A Team. Cause I'm like, when I send you swag, it's like be Dental A Team today. Of letting me still be a human, but also that. So it does exist. I hope that my marketing team takes this crops it. It's on here. We'll tag you. We're going to use this clip for like the next three years. That's what's going to happen. Yeah. No, it's fun. Our team, they, so, so first off with swag, it's like, try to give people stuff that they would actually wear. So it's not just like,
blatant, you like you look like a team member of ours when you're wearing our stuff because you're just all EightyEight out. But, and they have a theme every year. So this year was this whole athletic company kind of vibe, which was a ton of fun next year. We're already like in concepts for, we do it in Q1 every year. So already in concepts, this whole like camping, kind of like modern camping theme. It's kind of fun. Like, they're, they're all geeked out about the videos. They're going to shoot around it. The, know, we're looking at like little tin mugs and things like that.
The Dental A Team (02:22.413)
So it's fun, but I always encourage, this is a good segue, because I encourage dental practices, like when they do swag, sometimes it's just like their logo, really big on the shirt or the hat or whatever. It's like nobody wants to wear a hat that says XYZ dental. But dentistry is so easy. If you just put, get a trucker hat, put smile on the front of it, put your logo on the back, smile more, smile bigger, let's all smile. That message is so...
awesome to like wear out in the world. And people love that. I've got this one sweatshirt from a dental practice to smile more on the back. And what's funny is when I wear it's a really cool hoodie. When I wear it, like people talk to me. They're like, yeah, I love that. You know, like, yeah, the world needs a smile more. And sometimes like when I'm traveling, I'm pretty introverted. And I had this on one time. It was like eight people kept talking to me and I was like, okay, I remember to never wear this again when I'm traveling because it actually creates conversation. And I'm trying to like check out from.
So I love it. And I think like good call to that because it can be so easy. And that's what I actually love about you guys with your marketing is your marketing is so very intentional. And I think dental practices can have it be very intentional, but it's very easy and it's fun. And I think you guys make it fun. And that's actually why I love you guys as marketing people that I recommend you guys do so many great things, your rebrands, your websites, your marketing. So
Josh, we were talking before about how there's kind of like these two parts to marketing that practices have really struggled with up until now within marketing. let's kind of like just do some chit chat on marketing. We'll probably like morph into CEO. Like I don't even know where we're going to go today, but we're just going to have a good time. Cause when Josh and I podcast, it's since the first podcast we ever did together, it's been a comical, like comedy show, either pre post or in the middle. And I think that's why we both love to podcast.
Yeah. Awesome. No, I think in dentistry, it's what's really interesting is up until this point, like historically from a dental marketing standpoint, if we go 10 years ago when the 15, whenever when digital started to come around, everybody got real focused on what we call the marketing services. like SEO, digital ads, some social media and, and dental marketing companies on the whole have been really bad at what they've put out. And so they almost kind of do this, like what's this minimum viable product we can put out.
The Dental A Team (04:43.819)
at a recurring retainer rate, like 500 bucks a month, a thousand bucks a month, 250, whatever, and just do enough to get by. Lots of stock content, how can we replicate it, how can we scale it, do it at an MVP, and just get it done and collect revenue. And so that was the state of dental marketing for a while. When we came around, I kind of had this different vision of, it felt like nobody was doing creative work. So I kind of came in with this whole creative agency approach of.
let's make beautiful brands and websites and photography and video. Cause I felt like all things being equal. If you're just looking at a bunch of stock websites, the first one that's kind of waves your hand and says, Hey, we're different. Look at us. It's just going to win. Like the Gary V says, the creative is the variable. And I've always believed that. But now, so, so then it kind of led us to this point where people were having to choose and they would say like, okay, like our competitors, their biggest knock against us was okay. Beautiful websites. Like they would actually concede that like,
beautiful websites, but they're not going to score good on Google. If you come with us, they're going to score better on Google. And so we almost had this war of, okay, you can speak to humans and do something that's designed really well, but Google doesn't like it. Or you do something that Google is going to score well, but like it just is not connecting with humans. And so maybe we get a lot of traffic to it, but we're not converting at a high rate. And so it just becomes this kind of cycle.
And what we've been able to do the last couple of years is I really challenged that belief within our agency and just said like, guys, can we do something that's still gonna connect with humans? Like you're still gonna feel something, but can we also build amazing SEO into it? Can we build amazing ad strategies that get that same traffic, but now they're gonna convert higher. And so for me, it almost became this like custom story-driven creative meets performance marketing.
And that's really like the most ideal growth strategy out there. And so we spend the last two years really, mean, we've hired SEO specialists, ad specialists. I honestly think right now, mean, our two SEO specialists, I would probably put them up against any dental marketing SEO in the country at this point. And it's kind of led us in this whole reorganization because now our marketing services are starting to take off and
The Dental A Team (06:57.801)
internally, we're trying to actually marry that too. Like, okay, we've got a creative agency on one side and a performance marketing agency on the other. And it's, you know, it starts breaking stuff and then you're like, okay, these systems don't work. And so that's been a ton of fun. is, yeah. of fun, like air quotes. I that's the CEO fun, right? Like, it's so fun. I know. And this is what happens. It's like you, as a company, as a business, you find a better way to serve clients and you're like, yes, let's do that.
and you get a year or so into and you're like, this is like breaking a lot of stuff that we have to now go back and rebuild. This is the fun when they're like, hey, start your own business, your freedom and you know, then you get into and you're like, this is a lot of work and energy. But we're having a ton of fun with it. And I think that that's really where the so kind of a history of dental marketing and where it's at today is I think being able to bring the both, both of those together, like this best of both worlds. If we're talking about growing a practice, it's
custom creative storytelling content with performance marketing. Man, if you can put those together, like you can grow a practice. And I think something I really love about you guys is I think as dentists who are a bit more introvert, like you say, you're introverted traveling. I think they feel very similar that way too. And it's like, my gosh, but I have to now be all online or in order for me to have this, have to be this like very bubbly. Like, I mean, there's some amazing doctors out there that have actually done it.
But I really love that you guys don't make them be anything that they're not. And that's like your whole premise of what you guys do for marketing is like, no, you be authentic to you. So if you're outgoing and extroverted, like let's do that and let's build your marketing message around that. But if you're more introverted and more person, like you want to, you want to keep that close to you, that's also fine. And so really just giving people the playground of be who you want to be and tell your story the way you want to tell it and run your practice the way you want to.
And you're ultimately going to attract patients who jive with that. Like you don't have to be a one size fits all to be successful. And that's something I've just always loved about your guys' style, your approach, and the way you operate. Yeah, it's probably the biggest pushback we get when we talk to potential clients. And to be honest, I would imagine people don't reach out to us because of this as well. But they're like, Josh, I don't really have a story. Or I don't know what my story is.
The Dental A Team (09:15.495)
or I saw these clients that you showed in this speech, but like I'm not them, you know, cause sometimes we tend to show the more sexy work, the work that we're really proud of and people like, yeah, but that's a brand new startup and that space looks amazing. And my space just does not look like that. And so there's this barrier to it. And what I would say is there's a couple of things is number one, like everybody has a story and that's part of our job and our discovery is to really pull that out, you know, with questions like, why did you even go into dentistry? Like why choose this profession?
why this location, why this path of CE that you've decided to commit to. Those types of things really help us put together, okay, here's the why behind it. The other part of it is it doesn't have to be entirely like your personal story either. It's really more the story of the practice. And some people are real okay with those intertwining and it kind of meshing into the gray. And then some people are like, nope, they compartmentalize it. Here's my business, here's my personal life. They are completely separate.
And so like, get that too. I'm like, well, then the storyline becomes the practice. Like, why is this practice here? Why should patients choose you? Why is your team better? If given the choice of any practice in the community, you say patients should come here first. Why? Like, let's explore some of that. So it's a little intimidating to approach it. And I mean, need to hear the doctors right now. mean, with video, it's, nobody likes being on video and watching themselves. And so that's, that's also, they're like, so I need video.
I'm like, well, your site's gonna perform way better with a video. Okay, I'm trusting, I'm like, trust me, our team's gonna be great, it's gonna be interview style, you're really gonna feel at ease, but that's another big hurdle to overcome sometimes. And I just have to say, as someone, I mean, I had to learn video pretty early on in my career of Dental A Team, and I remember there was a company called...
drive and we hired a marketing company. I $80,000 in three months with zero ROI and I made probably I kid you not 200 videos. Like I literally pulled our operations manual. I should have the team pull some of these videos from the archive for you. Like there's one where I buy into cake and I ate so much frosting that it actually hit my uvula and I started gagging, but I was so committed to finishing this video, not redoing it that I like. And then I like,
The Dental A Team (11:38.079)
I'm crying and laughing and keep going like commercial. Another one I'm pulling the operations manual out of the oven as like a turkey dinner like I'm dressed like like the amount of video nonsense that I did was ridiculous. But I think it was really great because it taught me like nothing's perfect. And I think even now you don't have to be perfect to get this. But what I love is I actually use you guys if you go on to Denali teams website, I love I always say if you want to feel like a million bucks.
Like even better than going to the spa or getting your hair done or anything like that. Like men, I don't know what you guys do to feel like posh and luxurious. Like maybe it's like getting a like well tailored suit. Like Josh, what is it for men? Like for girls it's like we go get our hair done, we get our lashes down, we get a makeover. What's like the equivalent for men? You know, I can get down with a good, you know, massage and a manicure. Like I'm not gonna lie, but I'm not talking about most.
man, you know, maybe a football game with a beer. can, I can go that way too. So whatever it is where it makes you feel the most posh. always say, if you want to feel that way in photography and video studio, EightyEight will make you feel that way. And that's something I have always loved about you. say like my best photos, my best photo shoots, my best video shoots always are studio EightyEight can tell without a doubt. Like you guys have this, you must have set presets. Like honestly, all the photos look the same. Like you can tell that they're just as incredible and I always feel my best. And so
We actually had you guys come out this year. Our team did our company retreat in Disneyland and you guys were so nice to accommodate because that's where I flew my whole team in. all virtual and we actually did a photo shoot in our hotel. Like I kid you not the things Studio EightyEight can do and make look incredible is off the charts. We went over to an office and they were so kind and accommodating for us and then we came back and they actually interviewed me and I was so nervous about this interview and I do this for a living.
and I've worked with you guys before I've gone through your brand pieces and I love that through your brand exercise. It's actually not hard. you just answer questions that are very simple. And then you guys, Studio EightyEight like delivers what I have inside of me that I don't know how to explain in a, creative artistic way, which I think is beyond magic that you were able to do. but to the interview in the video part, they did just ask me questions and I just rifted.
The Dental A Team (13:56.201)
And I rifted for quite some time and they're so nice. I love people on the other side of the camera that are giving like the head nod, like very intentional. They're so good at it. They're so nice. Like that's something I think you guys do incredibly well. And, I saw the final product. was interesting. I was out for a little while this year and I came back and I saw this final part. I didn't even know it was on the website and I happened to be looking at our website and it was so incredible to see my, my story and my life.
You guys were able to parse it together. I like it super emotional about it because you don't realize it's in you. You don't realize that that's a part of you. And I think you guys are just like, that's why I love Josh. I think you just see people for who they really are and you bring that to light in a way that's so safe and so accommodating and so just special. I think is probably the best way. feel like the way you present our photography and the way you present our websites and the way you present brands and the way you present video.
Is you take someone who doesn't know how to express themselves like so many of us feel like we're alone or people don't get it like I was just watching Survivor last night and every single person on the show is saying like you just feel so alone you feel like people don't get you you feel like you've been an outcast your whole life or you feel like you know, why am I the one doing this and I'm like every single freaking person on this planet feels that way and yet working with you guys you just it's like it's almost like the way I'm envisioning it is almost like you
pull out this like little green sprig of life that I didn't even know was a part of me. And I feel like I'm pretty confident. I know who I am and like I can tell my story, but it's just magic how you pull that together. So doctors or teams or any company worried about it. One, you guys are just so good at it. But like I said, I feel like you're able to take who we are and create masterpieces that we didn't even know were a part of us. And you're welcome to use that as like a testimonial, because honestly, I didn't intend to any of this.
I'm just going keep letting you talk. don't even. But it really is. It's just like the little glitter moments that you don't realize are a part of you is what I think you guys bring, which is probably why I rep your swag all the time. Like, because I think it's just magical of what you're able to create for people. And again, like I've done how many sessions with you guys, like Josh, you and I have gone through so many rounds of my brand and my life and my story. And I feel like you guys know me, but you weren't even there this time. It was your team.
The Dental A Team (16:19.245)
And they were able to bring this out of me. And I just watched it and I was like, yeah, that's exactly how I want Dennis to feel. That's exactly how I want people to feel. That is my life. That's why I freaking built this company to serve people on that level. And I just think mad kudos to you. And yeah, it's a testimony that I didn't mean on a podcast, but I just think it is magic to watch you guys like spring to life stories that people don't even realize. So if you're questioning, like I don't even feel like I've got a story.
You probably have this story. You just don't know how to put the pieces together. And if you don't think about it and you just interview, you guys are very creative and talented at pulling it all together. Yeah. Well, thank you so much. I mean, that's, and I know it's obviously very heartfelt. David was out with you guys recently and he's, he's one of our full-time photographers. He just is on the West coast. He used to actually live here in Columbus and that's how we got to meet him. He came to me and said, Hey, I want to move to LA. And I was like, fine, just handle everything, you know, like West of the Rockies. And so
he's an amazing guy. And I'll tell you, part of our process is like with those content creators, the talent has to be there for sure. But what a lot of people don't realize is the missing piece is the human component. like it isn't anything, but they have to be able to, mean, we, go through training on like interview skills. We go through training on, you know, walking into a room of, of, like a dental practice and you've got, you know, six to eight females there and they've got some anxiety about what's happening. And they were just told.
24 hours before that they're gonna have their photos taken and you gotta be able to go in and like manage a room and manage people. I mean, we train on posing because you can't just like put people together and expect a great team photo either. There's a lot of like science and intentionality that goes around that. And so we've worked really hard on that stuff. But like you're right. mean, we, it's, we had a client recently and what I, what I loved what she said was we delivered the photography and video and, and,
And she, I think she was texting Joanna and I and she just said, this is who I thought I was, but I wasn't sure. And when your stuff came back, it was like that person I thought I was, like I am that person, you know? And she saw that on the other side. It's almost like you get to see how the world sees you. And I think so much of it is like, we're just in it day to day. like,
The Dental A Team (18:37.111)
Having a grip on that story and even like your impact on the world on the day to day is so hard, I mean, because we just like, we get up, see like the starts and the stops. We see the times we just like failed or said something we shouldn't have and had to go back and fix it. We see we're dealing with a client that's not working well or a patient or a team member's attitude and every day can just be like that. And you get to the end of it you're like.
I don't know, man. feel like I'm surviving. I feel like I'm trying to build something, but it's just like, we're going against gravity. Just trying to make it happen. And when somebody else comes along and they go, they almost step back and get this 30,000 foot view. It's almost like the, like the movie screen view. Like they, they force you to almost like sit up towards the back of the movie theater and zoom out on your life. And now you're seeing it play in this like feature film. And yeah, you have these moments where you're like, this is amazing. Like this is worth it. This is.
actually, like this is actually beautiful, like it's actually moving me. And that's an amazing thing to be able to do. I think we all, so going back, I think we all have that in us. It just takes somebody to come along and go, no, this is practice you're building. Like the world needs this. Like this is beautiful. And I love like when I get to talk to entrepreneurs and CEOs and dental owners, cause I'm like, you guys are actively, like here's what you don't realize. You're actively participating in creation. Like you're building something that did not exist there before.
So like that's, that's this amazing thing and you're doing it for the better of the world. Like what, what better story? Let's just take that. What better story is there out there than that? It's just not. So entrepreneurs, I'm like, yeah, like this is what you're doing. of course you have moments when you're tired. Of course you feel exhausted. Of course you feel drained. You're like putting your energy out there to actually create something that has never existed before for the better of humanity. Like,
it's going to drain you, it's going to zap you day to day. You're going to be like, there's nothing special happening here. And so I had to come along and go, but there is, and here's what we see is so powerful. And as you were saying that I couldn't help but think about, there's this company called story worth, like not a plug for them whatsoever. I just happened to, my husband's parents are quite a bit older and, my parents are like, my husband, I are both very fortunate that both of our parents are still alive.
The Dental A Team (20:59.781)
And I decided this year I was going to have maybe make like a little competition between his parents and mine, just as I, my thought of how I could get these stories done. but I'm having his parents and my parents write stories every single week and we're going to compile it and put together books for, all of my siblings, all my husband's siblings. And I know like the grandchildren and everybody just kind of wants these stories. And it's interesting because his parents and my parents both were like, I don't want to write these stories. There's really nothing to say.
Because I think we minimize our stories and our lives. And we're like, but I'm not Walt Disney, or I'm not Gandhi, or I'm not Mother Teresa. But we don't realize that 99 % of the population is not them. We're all just average day people. But those average day people are the people that impact and change. And so for my in-laws, them writing their story, no, this isn't going to be a best seller. I'm not going to go put it out there. But it's not meant to be. It's meant to serve our family and the people that are connected to my in-laws and to my parents.
just like in your practice, your story and your practice and why you even built this is not meant to be for every single patient in the United States or across the globe. It's meant to be in your niche of the people that you're meant to serve and that you're there to serve. And so I really just love that you said like you bring it to the forefront and it's been really fun to watch my in-laws and my parents this year see that they actually do have a story. And again, it's through prompts. Like you said, it's like very simple things that they didn't even realize.
But it's been so magical to learn about them in an easy way. And that's, think, what you guys do really well. so, but I did the same thing with my mom. This whole thing, know, story worth Joanna did with her mom and for Mother's Day and I did it for my mom. And it's like she's not as consistent as I would like her to be with them. But competition Josh, got both parents going against each other and it's great. They've all done it. We're consistent.
That's a great idea. But it's like every now and then, and because she's just up earlier than me, like I get up and I get my email and it sends them to me. And so I get this and a couple of times I've been like, I'm so busy, my email box is full, but I forced myself to stop and I read it. And sometimes I'm just like, this is fascinating. Like, you know, even thinking about like what she came out of and how she raised us and you're right. And then when they all get kind of stitched together, it's going to create this like, you know, amazing story.
The Dental A Team (23:21.227)
I was at the ODA two weeks ago, Ohio dental association, and I was walking the trade show floor. We usually actually don't support it, but there were some speakers there and we did a reception and all that. So we had a team on the floor and I'm walking and I just know a lot of people. So it's just like, you're stopping every so often, but notice this new marketing company on the floor. And I forget what their name was, but their display was kind of modern and minimal. And I was like, okay. Like it kind of caught my eye. All the guys have like the Nike dunk pandas on.
which is what my team wears at conferences. so immediately I get into this like, dude, they're knocking us off. They're stealing our shoes. We wear these shoes. So I was like, I'm going to go have some fun with them. So I just walked up. I said, hey man, I like the kicks. And he was like, thanks, thanks. I said, yeah. I said, my team wears those at conferences. We've been doing that for a little while now. And he's like, your team? I was like, yeah. I said, we're just over a couple rows. I said, Studio EightyEight And he's like, Studio EightyEight And I'm like, yeah, I'm Josh. I was like, Gavin, I read his name title. Nice to meet you.
And he goes, you're Josh with studio EightyEight I'm like, at this point, like, yeah. So a couple of his team members come over and he was like, dude, you, he tells his team members, he's like, guys, we've learned everything we know from this guy and their company. I'm like, then I'm like, great. Because I get agencies that come up to us and they're like, do we follow your stuff? We're building an agency. We're doing the exact same thing. I'm like, amazing. Yeah. Copy our stuff and build another business. so that's a whole nother conversation, but.
He goes, he's like, were the first one to bring custom photography and video into dental. And I'm like, I was like, bro, I don't know about that. I'm sure people did custom photography before that. And he was like, no, but you were the original disruptor of that whole thing. And I was like, we were probably the first one to create a business model around it and be able to take it nationwide in a way that was profitable and that served the profession. So was like,
Yeah, but it was like that. So he's repeating the storyline back. It was actually, it was very like, kind of, I don't know, was like sincere and it was cool. It was like this, you know, interaction, but I was like, I've never thought of myself like that. But when somebody says it and then you're kind like, well, I mean, maybe, I don't know. I'm a disruptor, who knows? But yeah. I love it. I love it. And I think like, as you were saying that, I think so many of us don't realize how impactful what we're doing.
The Dental A Team (25:43.946)
is I was just reading an article this morning and they said, what's the most impactful book you've ever read? And they said, shoe dog. And shoe dog came up at another conference and another conference. And that's literally just a story about Nike. And I guarantee you that person when they're and I don't know their name. I have not read it. It's on my queue because I saw it again of like reading the most impactful book. But I just think most of the things that impact us the most are people's stories.
The things that we remember our people stories the things like and even if it's a small thing and it's not some person like Walt Disney or Gandhi or Nike So many of those stories just need to be told and I think we're in a day and age like you look at social media like people watch videos because it's telling stories and they're entertaining and it's fun for us and yet if I go on Jason's Social versus mine. We have two very different algorithms Like Jason has a little bit of dark humor on there and I'm like, my gosh, you watch this like I'm laughing but I feel like
a little embarrassed that I'm laughing at it. Like Jason and he, like, he just thinks it's hilarious. Whereas he comes on mine and it's like all Taylor Swift. So like very different algorithms, but yet people are building content for different people. And so that's the whole point of like these practices. Like you're not meant to serve every person. You're meant to serve the people that you were like truly destined to serve. And I think that's what I love about dentistry is the lives that we get to change and the magic we get to create. Like you create that magic for these owners of being able to see like
their work come to life, like you said, the masterpiece while dentists are being able to create those smiles for all these patients and let their life become a masterpiece as well. So I just think it's lovely. I really do. And I think, I think we downplay how incredible we are. And I think I'm here to propose like there might be a better way, obviously not in the egotistical way, but in the way of like, I did do some good things and I did take some hard risks and I did it because I want to serve these people. Yeah.
Like there's nothing like we should be sharing that more. And obviously people know my mission is to positively impact the world of dental. And I'm like, the way you do that is by showing up as you and you do that by, doing these things day in and day out. So I think it's just, it's a lovely thing that you guys do. And I would say if you haven't gone through the brand exercise or had your photography or had the videos, like try it. Because like you said, I think you get a zoom out from someone else's perspective and see your life and not in an egotistical way, just in a like, dang.
The Dental A Team (28:09.002)
Like I have done a few things in this world and I think it makes the suck days of success not as hard. because you're like, wow, there has been something that's been made. So again, this wasn't the intent of the podcast. just naturally came probably cause I put the sweatshirt on. feel more in studio EightyEight mode. Well, I think here's kind of one of my, my recent thesis because I was reworking a keynote recently and for next year. And I was like, we're
If marketing is all just about data and KPIs and analytics and all this stuff, we just, we just end up with this kind of like empty thing of just literally trying to drive traffic to get this knowing like, okay, for every thousand people we convert at like 2%. So like, let's, let's get 10,000 people in and a hundred thousand people. And we're, driving traffic for the sake of this like minimal possible conversion. And I think just in our world, and it's going to have to be like this as we move forward, people need to feel some.
And that's the side of marketing we don't talk a lot about. And I'm actually very empathetic to it because on one side we've got ROI and KPIs and data and we can prove something's working. And to be honest, it's easier to throw a couple thousand dollars at Google and end up with new patients in the chair than it is to go, how do I build a brand? Because that's so subjective and it feels like it's all like feeling and things and the way photography makes people feel and the way they connected with this video and.
the user experience on the website, like how many clicks do they have to go? It's all that very subjective, like subtle stuff and building a brand is hard. Like there's, there's not a lot of checkpoints along the way. Like, I doing a good job? You know, our son recently left for college about six weeks ago. He went to university Cincinnati, which is about two hours away. So he's not so far, but I remember that whole thing of, as soon as he decides he's going to Cincinnati, it starts this clock like,
as a parent, you're just like on the clock. It's like, there's okay, 45 days till he's gone and start shrinking. And what I probably wasn't prepared for is it really smacks you in the face with this one major question, which is, did we do enough? Because now the time is, it almost is like the time is shrinking. You've got 45 days left. Did you do enough the last 18 years? Cause now he's leaving and, that's, it's a, it's a tough question. Like were we enough? And especially on Joanna's side, it was, it was very
The Dental A Team (30:31.018)
You know, there's a lot of emotion to it. Like I got 45 days. had these 12 conversations I need to have with them. And, but you're also like, but I can't shove them in that time either. You just have to trust. And I go back to like, okay, so how would I know that I was a good parent? There's no data. There's no KPIs. There's no like ROI on this along the way. But I remember things like there was this moment, like when he was eight and I watched him interact with some adults and he used some manners and you're like, okay, like
I actually can't believe he learned that, you I remember his very last volleyball game as a varsity in high school, they went to the regional finals and they ended up losing. And so it was like this emotional night, but one of the dads came up to us and said, hey, I just need to tell you, like, Kaden's been a great leader on this team. His son was a freshman. And he said, they were very intentional about, this is not just the seniors team, this is all their team.
taking what they learned and pouring it into the freshmen. said, you may or may not hear that all the time, but he said, your son is not only a great leader, but he's a great man. And my son just looks up to him so much. And it's moments like those where you're like, okay, I might've done enough, you know? But it's in building a brand is a lot like that. It's just, hard to get your hands around. And so I think that's sometimes why we skew the other way of just give me data, let me throw money at it, give me data, give me KPIs. And then it's either it's working or it's not working. And we move on to the next thing.
where building a brand is like, it's two years, five years, 10 years, it's a lifetime, but it's harder. Yeah. And I think it's important for doctors to realize in teams that what you're building is a legacy for as long as you're doing it for. It doesn't have to be a lifetime forever, but you are building a brand and you are a brand and what you're doing is changing lives. so recognizing that, and I think like,
not to add so much weight to it that it feels daunting, but to add enough weight where you realize like what you're doing is important and what you're creating in those patients. Like I don't think I was on a podcast earlier and I said in dentistry, we're not heart surgeons, but we are smile surgeons and giving that confidence to our patients. I think that we undermine possibly the incredible work that we're doing for society and the confidence we're able to give all these patients.
The Dental A Team (32:51.942)
is something that I do think is worthwhile. like the patients need to find out, they need to find you because otherwise they're gonna go to someone else and not to say another dentist isn't as good, but I guarantee you the doctors that are listening to this podcast and the ones that are working with companies like Studio EightyEight you're the ones that I would want my patients to go to and my family to go to. so it's like when we're in a world where anybody can be found, we need to have our best doctors standing out. And I believe that that's our moral obligation to serve patients at the highest level.
Just like I believe the best doctors need to be out there and the best surgeons need to be out there because like we only have one set of teeth. And so if you can help save more teeth and more smiles, I think it's like it's a no brainer that you need to have your brand and your business very, very readily available. So Josh, I just love this podcast. I felt all the feels. I feel like so many doctors just need to share their stories. And so people are interested. How do they work with Studio EightyEight? How do they connect with you? Like I said, you guys, I have gone through, I think everything Studio EightyEight does.
I've done their brand, I've done their photography, I've done their websites. It's an incredible experience and it's very easy. So how can people even just dip their toe into this if they're interested? Yeah, for sure. A couple of best ways to reach out. Number one, I'm on Instagram at Joshua Scott. So I'm still in my accounts and DMs. So just send me a message if you heard this podcast. Just even say, hey, I heard the Dental A Team podcast. You'll get a response from me. Ask me anything.
I'm more or less, I'm like, I'll offer you advice all day long. I'll take a look at your stuff and just give you my professional opinion on it. and then if you want to reach out to studio EightyEight or get specifics there, it's, go to the website, s8e8.com letter S number 8 letter E number 8.com. there's a bunch of buttons there. can submit to get in touch with somebody and they can walk you through our packages and what we do and see if it's potentially a good fit for you. I love it. I would say if nothing else.
Just make sure that you are, you're sharing your story like the little story worth of our parents because that's so important for people to see you you don't have to be the video. You don't have to be all the different things. You do it on your level and your terms of what you are. But I do believe that the world needs you. Patients need you. So in the most loving way, don't be selfish and like hide yourself away, share yourself because this world needs you. Josh, thanks for being on the podcast today. It was such a good time with you. Of course. I always enjoy it. Appreciate it.
The Dental A Team (35:14.154)
Yeah, none of this was scripted, which is a ton of fun. You just kind of get on and, you know, when you can talk to a friend and it just goes wherever it's, it's always a lot of fun. It's a good time. And for all of you listening, thanks for listening and I'll catch you next time on the Dental A Team Podcast.
Kiera is a guest on Dr. Gallagher’s Podcast in this crossover episode! There is a lot of important ground covered here, including how to establish the ideal practice flow, the differences in consulting between speciality and general practices, why being a human being feels like a lost art, how to hire the best people, and more.
Episode resources:
Listen to Dr. Gallagher’s Podcast: Apple, Spotify, YouTube
Reach out to Tiff, Britt, and Dana
Tune Into DAT’s Monthly Webinar
Practice Momentum Group Consulting
Subscribe to The Dental A-Team podcast
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Transcript:
Brendan (00:02.346)
Of the Dental A Team, this is Kiera Dent, right? So this is, I love that it's dent because there's dental dentin, part of the tooth and stuff. So it's just perfect. It really worked well. And you have a consulting agency, right? Dental A Team. And how many years have you been in around?
Kiera Dent (00:16.95)
Yeah.
Kiera Dent (00:25.494)
Thank you.
Kiera Dent (00:30.976)
Yeah, so we've, the company is almost eight years old. She's about to have her eighth birthday in November, but yeah, it's been fun. It was a complete random idea that I came up with to start it, honestly, to help a bunch of dental students and here we are. So it's been a really fun place to be.
Brendan (00:49.738)
Two more months and eight years, congrats!
Kiera Dent (00:51.796)
I know. Thank you. Thank you. It came from, I worked at Midwestern University's Dental College for three years while my husband did pharmacy school. And one of the students straight out of school said, hey, Kiera, I want you to come help me start my practice. And I said, my gosh, like, absolutely. I've always wanted to be a practice owner. I was a dental assistant and a treatment coordinator and an office manager prior. And so I went and I helped her start her practice and
We took our practice from 500,000 to 2.4 million in nine months and opened our second location. And then I thought, my gosh, like if I could help her do this, there's all my other like favorite dental students. Like I'm sure I could probably be a resource and a help for them. And so that's really what spurred the consulting company. I had never worked with a consultant before. And then I started helping practices and adding, you know, 25,000 of production to their schedules very quickly. I was adding, increasing case acceptance to a hundred percent.
within one day and I just thought, okay, there's something about this and it doesn't have to be hard, but I'm gonna be a resource for all those dentists in school because you guys go to school and you're so passionate about what you're doing, but then there's the business side of it. And so if I could be a resource, a trusted resource, knowing what you're learning in school, so that way you guys can be so successful, positively impact your world, help your community, help your team, help your patients, and you guys are living your best lives.
That really is what spurred me into being a consultant. So here we are all with the love. have no clue what consultants should do. I just keep making up what I believe my students from Midwestern would want to have and just keep coming from love of you guys, just doing the best to support dentistry and us supporting you in that vision.
Brendan (02:30.004)
Excellent. And so you're not at Midwestern anymore. That was only in the beginning for those years. So roughly eight years ago.
Kiera Dent (02:33.068)
Mm -mm. Yep. Yep. I worked there for three years. No, so three years. And then I went and I worked in Colorado for two years. And then I started the company in 2016. Yeah, 2016. So it was great. It was a good time. And here we are now, eight years later.
Brendan (02:48.904)
And in Colorado, that was the practice that you brought them from X to that would be roughly five X. Wow. Well done. Well done. So they started for a year there. You knew them. You had a good rapport, good relationship with them over a year or two. You grew it from that. then you're like, and that's when you decided, OK, let's scale. How did you take that next step from there? So it was just you working at her practice. Right. And then from there, you said.
Kiera Dent (02:55.008)
Mm -hmm. Yeah. Thanks.
you
Kiera Dent (03:08.384)
Totally.
Kiera Dent (03:13.344)
Mm -hmm. Yep.
Brendan (03:16.136)
So you don't work with her anymore. was like a see you later. I'm going to figure it better.
Kiera Dent (03:18.072)
No. It was incredible. And we had such a good run. And I have to give mad kudos to her as a dentist, because I think we were really a dynamic duo. I came in with amazing like management and TC skills. We both didn't know what we were doing. And I think that that's part of doctors opening practices. But kudos to her for bringing me on because she knew I knew pieces she didn't know how to do.
but yeah, it was, I think more her vision. We both were very gung -ho. We wanted to serve more. We wanted to have a bigger impact and footprint. And so it was, we got this practice going and then we bought our second location and then there ended up getting like seven practices all together. But things I learned from that was, it was over the course of like five, six, I ended up leaving. She continued. and it was something very interesting that those are like sexy numbers to put up on a scoreboard and.
Brendan (04:00.019)
In two years?
Kiera Dent (04:12.268)
Everybody always has the bright eyes of like, my gosh, like how did you do that? But I think my obsession has come, like her and I were both on like death row. Like we were working 2 a to 10 p It was insanity to try and get that success. And while yes, there's sexy numbers on the board, we both realized that there's more to life than what we were doing. And are we gonna just like slay and try and drive this through or is there maybe something more to this? so yes, it was, we did part ways and I'm just so proud of everything that she created.
But I, like one, my marriage, my life, all of those things were falling apart. And I realized me traveling back and forth from Reno Tahoe area to Colorado all the time was just really hard on my marriage. I wasn't seeing my husband. I was completely anorexic. I was like 98 pounds and I'm 5 '8". And it was just, everything felt like it was deteriorating. And so that was where it had to be like, let's do a step back. Her life was deteriorating. And I thought...
there has to be a better way to success than what we've done. Like, yes, we've got sexy numbers to throw up on the board. Yes, we've got all these cool things, but is there not a better way that we can do this where you can have an incredible family and you can have incredible numbers and you can have a thriving business. And that really has become my passion and obsession is helping more dentists live a fulfilled life, hitting up those sexy big numbers or whatever they want to do, but still maintain their life, their identity, their freedom is really what I'm obsessed with within our company and our culture.
and really helping dentists get that life.
Brendan (05:41.89)
yeah, and that's such a great pitch to where it's let's let's seize that life that we dreamed of again. love that now in where it started to get a little rocky there speaking of Colorado, but while it started to happen was that the first two years when you were there was that within the five six years when she scaled to seven or so practices first two
Kiera Dent (05:47.68)
Yeah.
Kiera Dent (05:51.634)
Hahaha
Kiera Dent (05:55.564)
Mm
Kiera Dent (05:59.692)
No, so that was my first two years. Yeah, absolutely. And both of us were there. And I think that that happens, right? You've got all the student debt. I used to call her 2.5, like when she's hunched over, not like good ergonomics. I'm like, hey, 2.5, we're 2.5 million debt. Like with student loans, the practice acquisition, within our first couple of months of owning the practice, our building was being torn down. So we had to move our patient base to another location, build up another practice. So
And I think oftentimes it's how people come out, right? Like you've got a lot of debt, you've been sitting in residency for so long, or you've been in school for so long or whatever it is, or you're an associate and you feel like, okay, I bought this practice. I think there's this like innate desire to just hit the ground running, but we forget that that can only sustain for so long. Like we are human bodies, we are not human robots. And realizing that there's...
so much that can happen. We also were very naive. We did not have systems in place and we just kept adding more fuel to our fire that was already burning and blazing bigger than we were. And so we got to a good place. We were hiring other doctors, but I think that that's where my obsession has come of, like, let's give systems. And I just got off a podcast with one of our doctors that we work with and her and her husband are kind of thriving and jamming the same way I was.
But what they've done differently is we like, we're really specific of let's get all these systems in place before we buy our second location. And like, let's slow to grow rather than like fly to die. Like it was a very different model and they're thriving and they're happy and their marriage is incredible. There's different, like both are available to us. I think I'd prefer, let's take the, take the sustainable route that's very doable that keeps your passion alive rather than killing you off at the beginning.
Brendan (07:46.548)
Yeah, yeah. So when you translate into systems and processes, I, so coming from a clinician, a provider background system and processes, I have an idea, you know, like the system I'm thinking of is like the computer or no, but really in a practice setting, if I could just have some insight to what you mean behind that developing systems and processes before you buy that second practice, what were some of those systems, if I can, if I can know.
Kiera Dent (07:51.178)
Of course.
Kiera Dent (08:01.321)
Yeah.
Kiera Dent (08:06.102)
Sure.
Kiera Dent (08:16.015)
Of course, yeah. And this is what I just geek out on. This is why we have the podcast. It's like tactical, practical with ease. So it's like, do you have a process for how you're doing our billing process? And in Dental A Team, I actually made 12 categories that kind of fall within the 12 months of systems to have. So there's your office management. You've got your practice profitability and your numbers. We have our dental assistants and how we set up our rooms and our operatories. We have our handoffs. We have our
like how we hire and onboard people. We have our operations manual completed. We have our treatment tracker and case acceptance. We have our hygiene protocols to put those into play to make sure our hygiene teams diagnosing and we're treating patients the same way. We have our doctor optimization where we're really working on like, what are the clinical skill sets of our doctors and are we maximizing their skills within? And so those are what I mean by systems. And I'll be completely honest. We were like just two girls flying by the seat of our pants.
So like we did not have a process for billing. We did not have a process for scheduling. It was just like dump it in and we'll figure out how to do it versus like you can have, I mean, I've added multiple millions to people's schedules just by having block scheduling with ease and they're out by four o 'clock, they're out by three o 'clock. We're putting up really hard, like great numbers. The patients are happy, the team is happy. Like literally I have a practice that I took from 2 million to 4 .5 million just by changing their block scheduling.
And so it's like, these are the simple systems that maybe you don't have to go buy another practice unless a DSO or something like that is what you're trying to do. But let's make sure that we have those, because I've also gone to offices and they're like, we're completely maxed out on our space and I find an operatory there. We don't actually have to go buy a bigger building. We can keep it here. We can systematize it here. We can maximize, like, are we doing our handoffs? Are we collecting before they leave? Are we having proper treatment plans?
Are we tracking our case acceptance? Are we watching the things that like our hygiene teams doing? What's our hygienists producing per hour? Are there ways that we can help our patients more? What's our morning huddle? Those systems in place make it clockwork where it's very predictable magic behind the scenes. Like we know we will have magic in our practice because we have systems in place. And maybe we don't have to go for the multi -practices unless that's our drive and our desire, then by all means, let's do it.
Kiera Dent (10:37.408)
but let's make it to where we can stamp it out. I promise you, like you look at McDonald's, think that's the easiest one. They were the crowning jewel of systems. They were not stamping this out haphazardly. They were looking for the efficiency and making it to where each new place would have the same exact experience just in a different location. What's your experience and your practice and how can you go replicate that with ease is really what I mean by systems behind the scenes.
Brendan (10:43.572)
Mmm.
Brendan (11:01.556)
Yeah, and were you doing all this at Midwestern?
Kiera Dent (11:05.67)
No. So at Midwestern, if you recall, I feel like I was your tooth lunch lady. I handed out all the teeth, the composite, the like all the things I don't know in the simulation center. So I worked with the first and second year students and helped with the radiology and all of that. But prior to that, I was a dental assistant, a treatment coordinator, a scheduler, a biller. I just wanted to get a discount on my husband's tuition. I'll be fully honest. And it just had to work out. So then I became this cute little tooth lunch lady. Like, here's your teeth, here's your composite, here's your bands.
Brendan (11:32.958)
Hahaha
Kiera Dent (11:34.99)
And then went and helped her in Colorado and then started helping other dentists just really.
Brendan (11:40.084)
Yeah. And Midwestern, because there are two Midwesterns, there's Arizona and Illinois, right? You were in Arizona, was going to say, because Reno, Nevada. Are you still in Reno, Nevada?
Kiera Dent (11:43.262)
Arizona. We are. Yep. So we still live here. My husband ditches residency here because my family lives over in California. So it was the closest location without paying California tax. Yeah.
Brendan (11:57.16)
Wonderful wonderful and just just just step back to being at Midwestern have you ever seen it like a show or a movie or something where The guy or girl moves the plant that's in the shade into the light and then all of a sudden the flower blooms I Feel like that's where you moved yourself out of the shade into the light not to make the old figurative But I literally see like because because now you're killing it you're consulting with all these practices and stuff doing so no, that's a really
Kiera Dent (12:11.338)
Yes.
Kiera Dent (12:22.262)
Thank you.
Brendan (12:25.662)
First of all, the story is incredible because you've to appreciate someone who takes that hop, skip and a jump gets into the environment. That's a maybe it's a risk and it just they blossom. that's, you know, I don't want to, I don't want to be like a radio show here, but I, know, I really seek for the optimism in people's lives. There's a lot of fear going on these days. There's a lot of skepticism, a lot of conspiracies, and it's really nice to find let's let's hone back in together and let's really get into the nitty gritty of the good things.
Kiera Dent (12:37.568)
Thank you.
Brendan (12:54.898)
and success stories. yeah, so that's just, wanted to touch that really there because I really appreciate that. You know, we need, we need risk takers and we need to admire those and understand how they did it. Okay. So moving on, can you just shout out your podcast on, so everyone knows?
Kiera Dent (12:55.308)
Totally.
Kiera Dent (12:58.7)
Thank you.
Kiera Dent (13:07.916)
Yeah, of course. Yeah, we have the Dental A Team podcast. Gosh, I think I'm about up to, we might have surpassed our 900 mark and headed towards our 1000 mark of episodes. So definitely try to have a ton of resources for free out there. And for any dentists out there listening or students, like I love the students. Clearly I have a very soft spot in my heart for students and residents, people who want to grow. But if you go to our website, TheDentalATeam.com, we have our podcast link.
And literally you go and you type in anything, treatment planning, scheduling, verbiage for dropping insurance, like you name it. I probably have a podcast or two on them and all of our databases there for you. So trying really hard just to give back. and like you said, my goal is to positively impact the world of dentistry in the greatest way possible and just remind us of how like blessed we are to be able to change people's lives through dentistry. And, I truly believe that owning a practice should not be hard. It does not need to be hard. You can still have everything you want. So yeah.
Our podcast, The Dental A Team, love to have you there. Thank you for that shout out.
Brendan (14:10.314)
Yeah, thank you. Thank you. Now continuing, if you can do me a favor and on your Instagram, the bio, if you can just change, I think you changed the name of your handle, your organization, the company, the podcast, that handle changed in your bio. I think it's, might've been an older handle, but you can't click it is what I mean. We just got to fix that. That'll help out your followers so that they can make the link between you and you know, and your consulting group. Just something I noticed, but yeah. So, so moving on for there.
Kiera Dent (14:12.897)
Yes.
Kiera Dent (14:19.965)
Mm
Kiera Dent (14:26.842)
sure.
Kiera Dent (14:32.118)
Yeah.
Thank you.
Brendan (14:37.852)
So you have the pockets you have on providers and stuff. You just had Dr. Jason Auer back on. I just saw him last week at the Amos conference, which is pretty cool. And I had him on the podcast last year. That's a lot of fun. How often do you meet with providers, owners, DSOs versus private practices? I'm curious what the percentages are there. And then the percentages of providers versus do you ever talk with other
Kiera Dent (14:43.36)
Okay.
Brendan (15:06.74)
people that consult for practices.
Kiera Dent (15:09.022)
Yeah, for sure. So hopefully I understood your question. I'll answer and if I missed it, please, I'm here for it. But our consulting primarily focuses on GP practices. We have a really strong pediatric following as well. Some OS, some ortho. We kind of dabble in all of the specialties a little bit, but really GP and our niche is to work with the practice owners. We sometimes will work with their associates, so the doctors and then also the team. As I found,
Like we put so much out there for the doctors. Like everybody is targeting the doctors. Why would they not? The doctors are the buyer, the doctors are the ones running the practice. But I realized if we can elevate the team as well and we can teach the team to think like owners and we can get the team inspired and excited, that's 90 % of the battle of having a successful practice. So we coach both. We raise up office managers. We build leadership teams. We do quarterlies. I do work with startup practices all the way up to multi -level DSOs.
And so really kind of everything in between my sweet spots, usually the two, three, four, five locations is really what I love to do or practice owners who are wanting to grow and possibly sell to a DSO. I love the startups. love to give them the system so they really do well. Exponentially, we have an entire CE online database that's got operations manual and all those pieces, but really my body has physically been in over 250 dental practices. I used to travel about
265 days a year. And so I now have cut that back and I don't travel as much as I used to for work. I do more for fun, but that's really kind of our nutshell. And then we bring all of our doctors together and I love to get doctors to just share. from the brand new owner to the experienced owner, having them collaborate together in mastermind settings where there's so much knowledge, I get to see it. Most people don't get to be in 200 offices. They don't get to work with 200 teams.
But to bring all these teams together and bring all these doctors together, that's where we elevate and lift everybody up. And so it's really fun. So hopefully that answered your question, but if not, ask any other ones about that.
Brendan (17:15.124)
Yeah, yeah, yeah. No, that definitely answers it. And what kind of percentages are you at now versus in the beginning working with DSOs versus smaller private practices? I'm curious.
Kiera Dent (17:23.66)
Gotcha. So we're more like, I would say 90 % are our private practices and 10 % are the DSOs. However, a lot of our practices do sell to those larger DSOs, which I think is just a common piece right now. But I am very pro not, I don't have a one size fits all. Our consulting is very much, what does that doctor want to do? And some doctors are like, Kiera, I get emails from DSOs every other day, but that's not what I want to do.
And my job's not to say like, let's build it to sell to a DSO. My job is to say, Brendan, what life do you want to have? What do we want to do? Where do you want to be? Like, what do you want your financial retirements to be? How much time do you want off from the practice? And let's build your practice to suit your life and fulfill your life. Because if you are happy and thriving, everything else will fall into place.
Brendan (18:10.516)
Yeah, I would like everything else to fall into place one day. Hopefully nine months after graduating, that's the goal. I did already sign with a practice. It's a multi -practice out on Long Island. How many practices have you worked with on Long Island?
Kiera Dent (18:12.492)
It will.
Kiera Dent (18:20.351)
Amazing.
Long Island, I've actually had two over there. So I've definitely been up in that area. I had a practice in the Bronx, definitely not dental 365. I used to work with an office named Brian Stimler. He was out there and then there was another office in there just slipping. This was, mean, we're talking six years ago that was in Long Island. I like, I could see them. I just cannot remember their name. I'll look it up post show and let you know.
Brendan (18:27.786)
10 .0365, who, who, can I know?
Kiera Dent (18:46.829)
But yeah, I'm flying out to Canadaigua on Sunday to go and work with a practice up there. So I still come out that way, but I don't have any more on Long Island.
Brendan (18:56.02)
That's all right. Wow. Okay. So you're all over the U S Canada at all. Cause you mentioned.
Kiera Dent (18:59.198)
Mm -hmm. So I have consulted in Canada. I've consulted in Australia and New Zealand as well. I was trying to do the whole international thing. We have lots of listeners international, which is super fun. But I almost got deported from Canada on one of my visits. after that, which I thought Canada of all the places. So almost the client told me just to say I was going for fun. so I did. They like searched my phone.
Brendan (19:15.546)
What? How did that happen?
Kiera Dent (19:27.722)
They were like, what are your clients? What do you do? Like, what do these friends do? They're dentists and they told me, technically I'm allowed to go over there to collect data without a visa, but if not, that they could deport me. I was so scared. I've never been that scared in my entire life. I was shaking. I definitely went and visited by Niagara Falls. Like I literally was a whole complete tourist. I told my clients like, I'm sorry, we'll not be doing anything. We still have a good giggle from that time. But yeah, after that, I just stopped.
Traveling International for development.
Brendan (19:57.802)
Is that by plane, car? Like what?
Kiera Dent (20:00.308)
It was in the airport. I should have. So it's funny. I was actually in Canandaigua and their practice was in Toronto and it was like a two, maybe a two hour drive across the border. And I should have done that. But my assistant at the time, like we were just new, we were young and I had someone booking travel for me. And so she flew me back to Newark and then flew me to Toronto. And when I did that going through Toronto customs, I was rookie.
The things I did wrong one I was dressed like a business professional on a Saturday Two I was trying to be so super ultra honest and put that I had peanuts like I had nuts in my bag Which was so dumb like I wasn't eating it there like I don't know what my thought process was on it And I remember getting a pink line across my little document going into Canada Which sent me to the right not to the left. I was sitting there waiting forever then I started to wonder like
Why am I in this line? Like usually this is a faster thing. Then I started to get nervous. like I have contracts and things like that in my email. Luckily when I got up there, the lady was not having any, anything like we were not getting onto good terms. Like they're very strict at border control. And luckily my, they're so mean.
Brendan (21:14.794)
They are like for like it's good to be strict, but you're there for business. What's wrong with I don't like why are they stopping? I don't know what and the peanuts. What's wrong with peanuts?
Kiera Dent (21:22.152)
So they say, are you bringing any nuts with you? And I was like, why did I say yes to that? Just don't eat them while you're over there if you accidentally, or throw them away. I don't know what my deal was. yeah, but then on my flight back, my client was like, you're fine. You got over. And I said, I don't think I'm fine. And truth be told, when I went back to the airport, there's a code that they'll put on some tickets. I couldn't check in. So when I was flying back, I wasn't allowed to check in on.
line said go to the airport. I printed my ticket and I got four S's on my boarding pass, which then meant I got searched up and down left and right. The really cool thing is because I do work in dental offices, my bag and my shoes actually flagged that I had bomb making materials on me. They asked what I do for work and what my husband does for work, found out we were in healthcare, which I mean, there are some things that we do have in dental offices that probably could contribute.
Brendan (21:56.554)
no, yeah.
Kiera Dent (22:20.214)
So when they found out I worked in healthcare, I was allowed to go, everything was fine. I got to the gate, I got searched again at the gate, and then finally I was able to fly back home. So I have never been so excited to see the US flag flying after. So that was my end of international consulting. I've still consulted people in Canada, but they have to come over to the US. I'll meet them right at the border, but we do it all in the US now. So that was a good lesson learned early on.
Brendan (22:46.665)
Okay.
Yeah, yeah, fair enough. And you could probably do a bit virtual. Why do you need to meet in person? I'm curious.
Kiera Dent (22:54.74)
Yeah. So that was like really what I built the company on and we've since shifted and whatnot. But what I found was like going to people's offices, like I went to one office, I'd been consulting them for about six months and I walked in and they had paper charts. Never once did paper charts come up on any of our calls. And I'm like, excuse me, we have paper charts in this office. Like how was that never a conversation? And what I realized is what me as a consultant might see that maybe isn't like
a good flow or good things, a dentist who's been doing this for years might not even know that that's abnormal. And so sometimes being able to see the practice can really help. It can really help us evaluate. We can get the team on board. So that's been something that's been really fun. But we've also now learned that, like, I think after seeing so many practices myself, we know a lot more of the questions to ask of the team pieces of the flow. There's different ways. mean, COVID really helped exponentially grow that virtual piece. And honestly, we can get, I would say,
We're like 98 % as good of results virtually as we were getting in person. So the only thing I think people miss is just like us being with their teams. So now we're flying all of our doctors and teams together. So we're still able to influence. And we learned through COVID, we did virtual team events and teams love it. Like we ship swag boxes and we really learned how to have this like fun, engaging experience virtually that teams get bought into. And then it's cheaper for the doctors not to have to fly an entire team.
Brendan (23:58.548)
if could.
Kiera Dent (24:22.092)
to a location as well.
Brendan (24:23.956)
Right, right, right, right. I just thought of a couple things to ask you really quickly. Have you ever met Paul Vigario of SurfCT? No, okay, they're an IT company. They do a bunch of things, but you were mentioning kind of, I forget the exact word you used, but you were saying like building up and motivating the team of the dental office. He uses the word empower, which I thought was interesting. I didn't know if you guys had crossed paths or something, but he would be a good person to connections in the network. The other thing is I could,
Kiera Dent (24:31.658)
I have not. That'd be a one.
Kiera Dent (24:42.221)
Mm
Kiera Dent (24:50.944)
Yeah.
Brendan (24:53.8)
I wanted to ask you because you like to go your at least you started the business by going in person to these offices. Do you have any recommendations that you make as far as the flow? Because you have the waiting room and then you have the operatories and all double chairs. Maybe if consult consulting group, consult rooms and follow up rooms next to them. And then towards the end on the way out, it's different from the entrance because people got dental treatment and they got to make that payment. Hopefully before they leave the office. Is that anything that you evaluate and make better or
Kiera Dent (25:19.717)
Mm -hmm.
Kiera Dent (25:23.564)
Totally. Yeah. One of my offices, they're a very big booming practice. They do over 14 million a year in one location. And I went up to their office and it's kind of my running joke. said, you guys, I don't even want to put this on my resume that I did this for your practice. We're talking big booming practice, huge practice. They've been doing amazing for years. What I implemented in their practice were flowers that I went and bought from the store.
and put in vases at their checkout location because what I noticed is they were not getting a high of cases closed because there was no privacy. It was too big of a thing. And I also noticed the flow was really confusing because people were coming from both directions and they were actually running into each other. Patients were backing up, patients were leaving. And I'm I'm kind of embarrassed that like, Kiera Dent came in, Dental A Team, and I put flowers on your checkout.
But what happened was their case acceptance skyrocketed. The patient flow I practiced with the entire team. Because what's crazy is those little things we don't think about, but the patient experience exponentially increases and our case acceptance goes up exponentially. So I'm like a miracle girl in practices. Case acceptance is my jam. Having really smooth flows for practices is really what I love to do. And so yes, in my perfect world, if I get to see your blueprints before you build the practice,
Always having an in and an out because it really helps but if like the practice is how it is Let's figure out flows Sometimes I'll just add a little bench by the checkout where people can actually seat their patients so the patient's not leaving the door Little different things where you can hand like a route slip or anything of communication like the baton passing between the front and the back office so that way everything is just so clean and what's going on between the front to the back and having that flow very
very easy. But yeah, that's something I really love to see. Because just one small little thing or in big offices, I do like a direction and a flow of traffic. So that way we're getting all patients going through one door, getting them to check out, there's a set process. I call it like the HOV lane or the like, so they're just a quick checkout, like a speedy checkout, send them to this person. If they're a longer one, put them here, have different people that are better with different skill sets at those two seats.
Brendan (27:16.394)
Interesting.
Brendan (27:30.378)
I like that.
Kiera Dent (27:41.61)
Sometimes on the check -in, I'll have people take payments, so we're not backing them up. In really large practices, when they start to get bigger and bigger, I will start to have the clinical team, like very easy. If they just need a fluoride payment, just swipe that card in the back, very easy. We can get credit cards on file. And then there's checks and balances to make sure none of it gets missed because more hands in pots can oftentimes lead to chaos. But if it's a systematized way, you can do so much with a flow and make everybody's life so much easier.
Brendan (28:09.738)
Absolutely. So then at least to my next question and right on that, virtually, how do you assess someone's patient flow and the routes and finding that HOV lane?
Kiera Dent (28:18.348)
So, oftentimes we will still go to practices, but if I'm not in a practice, it's really simple. Like do a little FaceTime video with me, like walk me through your practice, show me what your patients are doing. and what's really fun about our consulting is when you've seen so many offices, you can like within 10 minutes of being in a practice, I already know what they could do to improve very quickly. Cause you just see it. It's like we're playing a game and I spot it. And so just do a fast, easy FaceTime. I've got an office right now and
We work through their entire flow virtually and everything's moving really well. So just an easy FaceTime or a Zoom will take me around the whole office and we can just pick up a small little change here or there.
Brendan (28:59.998)
that a lot. Are you only working with general dentistry? Can you come over and work in oral surgery at least a little bit? Maybe.
Kiera Dent (29:05.782)
course. Yeah, we have three OS offices right now. So yes, we do branch out to other specialties. OS is fun. I like working with GPs that did implants and things which I get there's a world of like OS you're more trained. GPs love to dabble. I think like I'm not here for that debate but I am here for I love OS. I think OS is so awesome the things that we can do for patients I think.
being able to give people confidence back, being able to do it with so much ease. I love surgery, I love surgery cases, I love implants, I love bone grafting. We did a ramus and we harvested the ramus for an implant and it did not go well. So I have a lot of respect for MaxoFacial who do it well because ours was not a good experience. But it's just fascinating the thing. So yes, we definitely work in OS and help with that.
Brendan (29:43.08)
A lot of fun, yeah.
Kiera Dent (30:04.202)
And they're just different things.
Brendan (30:04.532)
You said, yeah, you said three office. Is it three different offices or like one organization or the three different organizations? Okay. Okay. It is one of the max. I'm curious, max, Dr. Iraq's.
Kiera Dent (30:09.652)
Mm -hmm. Mm -hmm. Yeah. Yep. Yeah. No, no. I would love to just go see how they do it because I think I'd learn so much. And that's the other fun thing. I am always, I tell offices, I'm like, I'm here to teach you any tip and piece that can make your life easier, but I'm also here to learn from you too. So much of what we do in our consulting, yes, came from experiences and things we brought to it.
But there's so many great ideas that I see in offices that I'm obsessed with. I've seen really awesome ways to cut down supply costs just with tip -out bins. I've seen awesome ways with flow. I've seen really awesome things with things you do in the waiting room. There's just so many cool things when you go and see offices. So I would love to go see Mac's offices. What are they doing? What's their patient experience like? What's their team experience like? Because offices...
Brendan (30:45.567)
Mm.
Brendan (31:01.587)
Yeah.
Kiera Dent (31:05.164)
It's usually dependent upon the owner doctor. I'm like, you can easily, I usually within like five or 10 minutes of meeting a team, I can tell, will they be successful or not? And most of it is due to the owner doctor and how they are. Dr. Jason, he's incredible. He has such a heart of gold. He's very committed to where he's going. I'm like, he, he like plants success everywhere he goes because of who he is. like, his team of course is thriving. know they're thriving without even seeing his office. So yeah, it'd be really fun to go see him.
Brendan (31:14.452)
Hmm
Brendan (31:34.132)
They are, they really are. And you need to meet Megan Dwyer too. She's like his go -to, maybe you know of her though. Yeah, they are, their organization is pretty incredible. Of the DSOs, I would put them at the top of the list, I think. Moving forward, I'm very curious to see, because they're fairly new. They've been in it for a bit, but they're fairly new. I'm curious to see where they go. I still have a couple more questions if you have some more time. What's, so here's a quick one. What's something you like to spot the,
Kiera Dent (31:34.986)
Thank
Kiera Dent (31:47.104)
Mm
Kiera Dent (31:57.546)
Yeah, of course I do. Yeah, absolutely.
Brendan (32:03.838)
The gaps, I love that. What's one difference you see in oral surgery offices that's different from the general dentist office?
Kiera Dent (32:11.3)
Wes is just big treatment plans most of the time. Like it's a, we're not, we're there to build a relationship. We're there to love them, but we're not there. Like you're not there Dennis forever. Like you guys are there for very much a specialty. And so like the way you schedule an OS practice compared to how I schedule a GP practice, the relationship building with an OS practice, a lot of it's going to be relationship building with all your GPS in the area where GPs.
are more about just attracting patients in. So that's something I see a lot, but OS is, I think OS is helping the doctors. OS has a reputation of like, pop that anesthetic in, take the teeth out and off they go. It's kind of a little bit more, it is a little more rash. And so just helping those doctors realize like that experience is getting you the reputation all the way out. Like you're an incredible surgeon.
Brendan (32:59.06)
more rash. Yeah.
Kiera Dent (33:08.372)
Make sure the bedside manners match your expertise. Make sure that patient feels your love for them because dentistry is such an intimate experience. Like nowhere do you let a stranger put their fingers in your mouth. Like it's just, weird. Like we literally let these strangers do it. It's very weird. And so helping those, is. And then a lot of OS, I noticed that they're such brilliant surgeons that they struggle with team dynamics a lot.
Brendan (33:19.388)
It is. It's your mouth. Yeah.
Very vulnerable, yeah.
Kiera Dent (33:35.424)
That's something I noticed more so in OS than I noticed in GP. so helping them see like you are this incredible surgeon and I want you to be the expert there. And I also want you to be a human to your team. Like Dr. Jason is, he is a very different OS. He doesn't have that chip. He doesn't have the, which I mean, my husband's in medicine too. And there's some surgeons who have that chip on their shoulder and they're total jerks. And like I watched even in the healthcare, some doctors are such
Brendan (33:36.088)
Kiera Dent (34:03.67)
jerks to their team. And I'm like, you get so much more further if your team's behind you than you do by like barking orders at them or telling them. And I understand surgery is stressful. Like if we mess up, the surgery has some not so great side effects to it. And so I understand the need for that perfection, but I'm like, teach your team with those perfect systems that you want it perfect every time and then love on them when they do great things too is something I noticed. Now that's not like
Brendan (34:13.524)
Mm -hmm.
Kiera Dent (34:32.006)
blanket statement because there's GP doctors that have that need that exact same advice. But that is something I think it's just OS is it's fast. It's like shucking teeth all day long and
Brendan (34:42.046)
Yeah, no, it's so it's so disappointing though. And I completely connected with that. I'm surrounded by such brilliant people. Some of the people that have gotten just at my program, don't want to mention the program, but at my program surrounded by other oral surgery surgeons and residents that have gotten the top scores in the country. And but there's just such a disconnect where they're like, they just think it's taken out teeth. And I get made fun of for taking a long, I like to take a long time at the consult. I'll ask you three times before you walk out. Are there any questions that I can answer for you? You know, I don't care if that's annoying.
or if I'm taking too long and the assistants are bugging me or making fun of me from the hallway and stuff. But it's that patient experience. It's exactly what you said. And I make a lot of content on the side, make fun of that too. But no, I'm really connecting with you on that. It's such an important thing. And I cannot stand that ego. I don't care if you have a DDS and an MD. We are human beings. And outside of the clinic, you're Josh. You're just Peter. You know, I'm just Brendan, right?
Kiera Dent (35:38.956)
Thank
Brendan (35:41.066)
You're not talking to this and that. And you know, obviously there's so many amazing people out there and you know, those are some of my friends. So I'm not talking about them, but it's an interesting thing. It's so weird to find such a predominance of that ego and elevated mindset. And I've found dentists who are just the same exact thing too. For another time though, but yeah, feel like we're going on to that. But it does, comes down to the patient experience. And I really do appreciate that.
Kiera Dent (36:02.861)
you
Kiera Dent (36:09.398)
for sharing.
Brendan (36:11.074)
man, I just missed there were another two things that I had lined up ready to go. shouldn't have said anything.
Kiera Dent (36:18.49)
No, you're good. I think though, as you said that, I think the greatest thing that doctors can do is build that confidence in your patient. I tell all my treatment coordinators and consultors and doctors, I'm like, they are not here buying dentistry. They are buying your confidence. They are buying your, that you're going to get the best results because I'm like, people forget that like we live in dental Tinder.
Like there is another dentist, there's another maxofacial somewhere else that can get like, they can do the same thing. And I'm like, they're buying you, they're buying your confidence, they're buying what you can give them of the dream and the hope. And so yes, like I love to ask what questions do you have for me? I want you to be rock solid leaving here. That helps that patient know one, what questions do you have for me is great. It's open -ended. I'm getting them to say yes to me rather than no to me.
Two, I'm telling them how I want them to feel. I want them to feel rock solid, confident, moving forward. What questions do you have for me? If they tell me they want to check with their spouse, absolutely, I want you to check with your spouse. What questions do think your spouse will ask you? That way I can make sure you're fully prepared for it. That's my way I can get past it and find out what's really taking this patient back. When they're like, hey, I need to check my work schedule, absolutely no problem.
Let's add you to the schedule. So me, Kiera Dent, who's ditzy over here, doesn't forget about you, Brendan. I never want to let you slip through the cracks. I'll just pop you on the schedule. You give me a call when you get to work, if that doesn't work for you, because I would hate to let you slip through the cracks. So many little things where we're making that patient the VIP. I feel like in today's world, it's funny because we think that there's so much competition out there, but I'm like, it's actually really easy to stand out and it's called being kind. I think the world has gone through the COVID crank.
I think we've become very self -centered in a lot of ways in the world. And I'm like, the greatest way for us to give incredible patient experience is to be kind, to show up as a human being, to sit knee to knee with them on their level. Like you said, what questions do you have for me? I think we've kind of forgotten how to be human beings. We've become human robots. And that's how you can actually stand out in today's world. I'm like, it's such an easy way to get an edge is to just be kind and to treat them.
Kiera Dent (38:27.828)
and make sure that they're rock solid confident is going to be the way to win those patients. And then like, I don't care whatever you do have great bedside manners. but I remember my ER doctor when I had an appendix burst, I loved my ER doctor, I loved him and he was so busy, but he made me feel so taken care of. And my husband went out to while I was waiting in the room and he's like, our doctor is literally running between rooms, but as soon as he gets the door, he like walks in so slow and like, Kiera I'm here, whatever questions you have.
and then would like book it as soon as he left the room. I never felt that rush. I felt like he was taking great care of me. And I think that's a great way for all dentists to have an edge and to win the patients that need to be served by you.
Brendan (39:11.21)
Yeah, you need to have that humanistic quality to you it and just back to you were saying how it's like tinder There's always another it's like there's always gonna be another oral surgeon who's taller. There's always gonna be on their dentists That's better looking That's that's so funny And just just a few more questions. I I got back to it by the way the Within those first two years, I'm curious I want to just just if we could touch into the secret sauce a little bit here
Kiera Dent (39:23.628)
Sure.
Kiera Dent (39:28.768)
Yep. Good.
Brendan (39:40.884)
Cause I'm going to start in this practice next August, August 15th. And I am, I want to, I want you to come over and do a whole revamp and we figure out what's going on. The offices, the practices, I'll pay for it. However we got to do it. But within those first two years, I'll be working for someone, but you were with someone who had started her own practice or was working in.
Kiera Dent (39:59.724)
Nope, we started it. We bought it from a retiring doctor. Yep.
Brendan (40:01.61)
Start from there. What were some of those key things, maybe two or three things, if you could touch on them that got her from the, regardless of the numbers, but what got really the scaling going? You said systems and processes, so you got those going. Is there another one or two things that I should be looking for in my first two years? I got a two -year contract, that's where I signed. I want to be a partner there one day. What's something I should be looking into to find or bring to the table to be that missing piece, if you can share something, one or two things.
Kiera Dent (40:19.724)
Thank
Mm
Kiera Dent (40:29.78)
Yeah, of course. So I think I'd find out where are the gaps in that practice right now. What are the things that the owner doctor maybe doesn't enjoy doing? Are they really amazing with numbers? Are they really amazing with the team? Are they really amazing clinicians? Because usually people have a natural gravitation to something. And so when I look at practices and partnerships, I work a lot with partners and helping doctors come together.
Brendan (40:40.36)
you
Kiera Dent (40:55.94)
is what's the complimentary piece? So like when I have a husband wife duo in a practice, I'm like, all right, one of you is probably naturally gifted with the team and one of you is probably naturally gifted with numbers. That usually tends to be the dynamic I see with partners. When there's multiple partners in there, we obviously bring different skill sets to the table. But I would say go find out as a partner, if your skill sets the team or if it's numbers, I also say that that can't be your crutch either.
You still need to go learn the other side of it. So that way you can be a resource for them. So just because you might not like numbers, go figure it out, figure out how they do the billing, go talk to the front office, have them like you sit in the chair and physically send the bill. So you understand what that process is like. So you know how you can help support your team as well. And also how you can check and audit the numbers in the books. I really love when doctors come in with an owner mindset and there's also gotta be a level of appreciation.
while there's also confidence. So recognizing that that doctor took all the risk to build this practice for you, I think goes a long way. But then at the same time, you need to come in with something that they don't have that you're going to bring in. really being observant of what don't they like or what are the gaps? How's the team doing? Are we doing team meetings, listening to podcasts? And then also remembering that you're a leader. So I think you leading, no matter if you care to do it or not.
as a doctor, you're just a natural leader to your team. We are always going to follow you. We're always going to respect you because you're our doctor. And so I think those are the pieces, but I feel pretend this was your practice. What things would you have to know? You'd have to know the numbers. You'd have to know what profitability is. You'd have to know what your EBITDA is. You'd have to know the billing processes. You'd have to know how to hire and fire. You'd have to know the HR portion of it. You also have to be a great clinician. And so as you like, usually I say your first six -ish months, you got to be a bang of
clinician. Like I need you to come in, I need you to produce, I want you to do all these things and really learn that mentorship piece and then like start to take on those little pieces of the practice ownership. So when you come to the table, you're not just bringing a check to buy into the practice, you're bringing skills that are very valuable to this practice that's complimentary to what they have already.
Brendan (43:05.994)
Excellent and thank you for that. We actually are doing some stuff on the marketing side so I'm very glad that you mentioned those things. Okay great so we'll be touching base throughout next year. I start August 15th so we'll be doing that. We'll be touching base. Is your work expensive?
Kiera Dent (43:18.355)
I'm caught.
Kiera Dent (43:28.199)
Yeah, of course. So we do online and we do in person and really we try to customize it to your practice. And so all of our fees have always been covered by either the amount we reduce in your overhead or the production we add to your practice. I've never once not had our consulting paid for and we range anywhere from like ,600 a month all the way up to $4 ,500 a month, depending upon the amount that we would be doing, whether we're coming to your practice, whether we're coming out here.
what different pieces we're doing and how much hands -on. But really, my goal is how can we help people succeed and flourish is what I love to do.
Brendan (44:00.468)
next one.
Brendan (44:06.354)
Excellent. And you have a team, I'm sure you have other people who's Shelby, by the way, she's just, she helps coordinates things or.
Kiera Dent (44:12.441)
Yes, Shelby is my executive assistant and our customer success. And she really so she does all of my scheduling and coordinating, which is incredible. And then she also takes care of all of our clients, too. So she's beautiful. She's incredible. I hired her. She was my next door neighbor, actually. And I was like, I was like, this girl takes care of my plants when I'm on the road. She just noticed my plants were dying and started watering them for me. She just like randomly check in on me. She was a waitress. And I'm like,
Brendan (44:28.468)
Amazing! That's great!
Kiera Dent (44:40.138)
This girl loves people so much. want her in my life and on my team. so, yeah, we've worked together for almost four years now and she's just truly incredible.
Brendan (44:50.922)
That's amazing. that's so nice that it's like a family business. Yeah!
Kiera Dent (44:53.44)
So look for good talent. I know, look for good talent everywhere. I've hired people from my next door neighbor. I've hired people from friends of friends. I've hired people from church. You always gotta be on the lookout for incredible talent because those people are the people you want in your life.
Brendan (45:09.428)
How do you find the roles for them in your company? I'm curious, because with one of my marketing startups right now, with the co -founders, that's what we're looking for. We need this and this done. But then finding the right people, you know, on top of the day -to -day, the nine -to -five, you found people at church, neighbor. And they just happened to fit that thing that was missing at that one time, or they molded, you trained them. I'm curious.
Kiera Dent (45:23.98)
Sure.
Kiera Dent (45:31.168)
Thank
both. So I think it's important, like whenever I tell people like, hey, we're going to try and find a role. And we don't know, I just say, great, like, let's write down everything, like, just dump it all on a list of everything that you are either doing, or you need to delegate out or things you'd like to not be doing. And then let's see if we can cluster it. So can we lump tasks together? Like for me, I need someone to book my travel, I need someone to do my emails, check the mail, like take care of my clients when I was on the road.
All that really falls into an assistant role. And then I was able to go find that person. And when I first did it, just dumped everything on a list. I went back with a pink highlighter, my favorite color. And I'm like, these are things that truly only I can do. And it's a good ego test because 90 % of that list is not only you can do. They're probably like 5 or 10%. That truly are tasks that only you can do. And then I looked at the ones that took me the most amount of time. And then I was like, OK.
Who could I hire for this? And that's how I started hiring these different positions. Now, a lot of times, you kind of know an assistant role or an executive assistant role or a manager role or a marketing person. And then I'll either put posts out there, job postings out there. I write my posts. I hate jobs to where I'm like, I don't know. I make them very fun because I really love that person and I want them to come be with us and realize how great of a position this will be for them. But no, there's so much that can be done.
with freelancers, like my first personal assistant I hired for 500 bucks a month. like, I don't even know what I'm having you do, but like, know I need you. So like more tasks will come as you take on more things and I'll just like keep paying you. And so then they just morph. And usually those personal assistants or those assistants that are kind of at random, like jack of all trades, master of nothing, they really just... So I found my first one on Indeed. I hired her. I just put an ad out.
Brendan (47:20.446)
Yeah. Where did you find that person, by the way?
Brendan (47:27.518)
Thank you.
Kiera Dent (47:28.876)
Viva HR is a great resource too, that I love. I'm happy to share a link with all the listeners. It's $99 a month and you can post on all the platforms, unlimited ads. And I was like spending $15 ,000 a year on job postings for a while. This has cut down a huge expense for us. So I do post there. but I write mine very fun. So I like talk about how fun our company is. I talk about our Disneyland retreats. go on, I talk about like, what's your favorite cupcake flavor. So that way it's just very intentional. And then for them to come back to me.
I do tell them they have to respond back with certain things. And if people don't do it, I just weed through. But yeah, the first personal assistant I hired, she was a college student. She came from a great company in the area. And she just loved me from day one. For personal assistants, I have a really good process that I'm happy to share with anyone trying to hire this role, where we make them do certain things like book a trip for me, schedule this dinner thing. And I look to see their thought processes and how long it takes them. So I kind of test them through the interview process.
So she was hired from Indeed. Another one was hired. Shelby was my next door neighbor. But yeah, they just come from all over random. But I found the best people for that role are usually from hospitality. So waitresses, servers, Starbucks. Anyone in that service tanning anything in that world where you've got to really be high end nice. I love a waitress or a waiter because they've got to watch so many people.
Brendan (48:26.388)
Mmm.
Kiera Dent (48:53.376)
They serve a bunch of people. They're very fast paced. Like that's a good person who matches me. I love to bring those people in. but yeah, that's, so that's where I find those people. But indeed, honestly, college towns, a lot of people in college town just want like, I don't need them full time. So they're really good role to bring in part time. But I found the ones that are in college usually are the best ones for that personal assistant. And then
Brendan (48:56.67)
Yes.
Brendan (49:01.642)
Speaking of tanning, yeah, this light isn't doing me any good. But all right, anyways, start, keep going, keep going. I'm very worried.
Kiera Dent (49:21.036)
depending on what they're going into school for. Shelby was going to school for business administration, so it was a perfect match for her. My other one was going to school for teaching, so she was with me through the time she got her degree, and now we're still really good friends after that too.
Brendan (49:34.026)
Amazing. You're brilliant. This is one system in process to another. I really appreciate this. I really do. Excellent.
Kiera Dent (49:38.73)
Thank you. Thank you. I want to make your life easy. So whatever we can do to like simplify and ease people's lives. That's what we're here for.
Brendan (49:47.046)
Yeah, absolutely. Thank you so much for coming on. No, I'm just now you're we're hitting the cap where there's there's a lot to take in here. Can you do me a favor and please go and take a look at Max's offices and everything like within this year so that afterwards that we can talk stealing double things.
Kiera Dent (50:04.46)
Right. Exactly. Well, he's so great because he's been on your podcast earlier today. He just mentioned he was like, everybody thinks they're competitors. And the reality is we're not competitors. There's enough teeth to go around. There's enough like all, all ships rise, like all tides rise all ships. And I love that perspective. I'm like, we need more people like him. I guarantee you if you went and saw his offices, he'd take you around. And that's the type of doctors. Like, we attract these doctors.
Brendan (50:28.84)
I did actually, yeah.
Kiera Dent (50:32.32)
who want to give to others, who want to lift each other up, that want to share their best ideas. And that's what I'm committed to just creating more of because the more we celebrate, the more we share, the more we lift each other up and we give all these ideas, like I will happily give anything I can for you because the more you can succeed, the more you're going to rise other people up with you as well. So why not? The world needs more goodness and more positivity. So let's create it.
Brendan (50:56.21)
It does. does. The one thing because he has a corporation now. It's a big organization. They're amazing. They're beautiful. But then there's going to be certain ceilings and walls and what you can and can't do. Unfortunately. And I was very I saw his offices and he is outstanding and his team is great. They're lot of fun. They're a lot of fun. And I I love that. But I just saw the path to kind of I don't know where I'm going to make it. And I want to try to go towards administrative in addition to
taking out teeth and doing the oral surgery. And I felt that in a DSO, there would be certain boundaries that might prevent that growth. And I'm sure you understand that, right? Especially with your story of the blossoming, right? So yeah, I could do, and then there was one person that their organization hired that I knew of that probably wouldn't work well, but butting heads kind of stuff. So you have to make decisions as you move on. So I'd be very curious if I was to work there.
Kiera Dent (51:47.148)
Sure.
Brendan (51:52.126)
We wouldn't have a future of a project together of building, creating systems and processes. So you know what I mean? Like, and this is kind of like how I like to connect. had a great conversation today. I can't thank you for not coming on. You have such a busy schedule. Shelby's great, by the way. I'm all over the place. It's only me here right now. And one day learning from you, maybe I could scale, but thank you so much for coming on. I'm going to, I'm going to be posting this on whatever platforms we can. I'm sorry that you're recording this with the backwards Riverside. Thanks.
Kiera Dent (51:57.299)
Sure.
Kiera Dent (52:06.41)
Thank you.
Brendan (52:21.78)
for Shelby to putting that together though. Yeah, thank you. I know we're hitting that hour mark. So I want to be conscious of your time. Maybe we could do part two sometime in the future. Or maybe when you come through, if you can. Can I, I know you have a team now, in the future, revamping the practice and stuff. Is there a different price from getting you versus a team member, a delegate? How does that work?
Kiera Dent (52:22.841)
Yeah, of course. Thank you.
Kiera Dent (52:31.18)
Thank
Kiera Dent (52:34.516)
Yeah.
Kiera Dent (52:45.453)
Yeah, great question. I have always tried to make sure that whomever I hire is just as good as me, if not better. I even tell other people, I'm like, honestly, my consultants are usually better than me due to the fact that all they do is consulting. And so they're truly incredible for it. So I have never wanted to have a different fee for myself or for consultants. And so currently, it's the same fee. I just don't take on as many clients. However, with that said,
certain people that we've connected with and if I'm in the area and it works out, by all means, I'm happy to come. And even sometimes it's me plus a consultant because I just, my biggest expectation of ourselves is I feel like we have got to be there for clients. Like when I need my coach, I need her. And so we are so on top of it that I would never want to have it where I am busy, I'm on podcasts, the clients can't get in touch. So I always, if I even am on an office,
I pair myself with another consultant just so you guys always have support and you're never left due to the fact that I am busy and I do travel. absolutely, there's no extra fee if it's me or someone else. So yeah, that would be, but honestly, our consultants, I only bring on consultants in our company that have my experience or better, that they've had to grow multiple practices, that they have the dental experience, that they've got the passion for dentistry, that they've grown multiple practices.
because I don't feel like if you haven't been in their shoes, it's very hard to convince people of what to do or to even have that empathy. yeah, so that's how we operate. But now if I didn't bring on people that were just as good as me, if not better, I think that'd be a flaw of myself as well.
Brendan (54:23.924)
That's such a good idea. Do you ever get all your teams, the consultants together on the podcast all at once? How often do you do that?
Kiera Dent (54:29.482)
We do. actually did one. It was actually really weird to have all of us on there because like virtually you don't know who's going next. So was kind of this like weird dynamic. But we all do get together. It was one of those like, it's always like, there's a little bit of a delay and then like we're all consultants. So we're kind of like sharks. No one wants to like sit back. So it was just like really weird. I'm like, guys, like it'd be so fun with podcasts together. And then we were like, that was really, really weird. So Maxis3.
Brendan (54:51.155)
Yeah.
Kiera Dent (54:58.538)
But usually two of us will get together. But yeah, the consultants are truly magical. And I'm just so lucky to have such a great team of people who just have the passion and the love for their clients and their patients and their team that they're just really, really amazing people.
Brendan (55:14.363)
Have you seen that meme of the Spider -Man where they're like in a square and they're all pointing at each other and they all look exactly like feel like that where it's like, are you gonna go? Are you gonna go next on the?
Kiera Dent (55:17.994)
Yeah.
Kiera Dent (55:23.702)
Well, and it's hard because like everybody's screen, like if you're on Google meet or on Riverside, like all the boxes for each screen are in different spots. So it's not like we can be like the top, the bottom, like all of us are different. so, yeah, but our team does get together every day. We've, I've just found in a virtual company, you've got to keep that team morale and have fun. And so it's so fun that we like, when we see each other in person, it's like, nothing has passed by, which I really am so proud of our team for doing. So it's been fun.
Brendan (55:50.826)
You got a powerful team then that you guys all respect each other. You guys are friends. That's a group that's hard to find. You must, I mean, you're the leader in the organization that must have been, it's just, it's probably another testament to you that you know how to pick the right team members. You have a feel for people. That's interesting. I've learned a lot about you today and I appreciate it was a slow start to the conversation, but I feel like we got to a really good place and I can't think of her coming on. This is, I've been very impressed. Thank you for doing what you do. I'm looking forward to seeing where we can go in the future.
Kiera Dent (56:14.751)
Thank you.
Brendan (56:19.006)
when I finally, I gotta get out of this residency program and start practicing, hopefully.
Kiera Dent (56:22.325)
Enjoy it. Learn as much as you can through residency. That's why I tell all my doctors, I'm like, go through it through residency. Learn everything you can. Get your bedside manners up. Get your speed up. Get your skillset up. Get so confident in that. Get your treatment planning up because then you're going to walk in and now people are paying you as the doctor, as this private practice. They're not coming to you because they have to. So like take this as the most beautiful, amazing, like couple of months and just soak in everything you possibly can.
Because private practice is not like residency or dental school or anything like that. Now you have to be the one that like is really the magician that turns it on and gets people to follow you because they love you, not because they have to come to it.
Brendan (57:03.732)
Yes. Yes, that's going to be lesson one. You'll have to teach me how to empower the team. I want everyone on the same playing field.
Brendan (57:32.478)
Anyway, so thank you. won't take up any of your night. I know you got the family to get to, but thank you so much.
Kiera Dent (57:38.547)
Absolutely, thank you so much as well.
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