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Got questions? Send Ericka a Text!
If your perio percentage hovers around 15% while half your hygiene notes mention bleeding, you don’t have a production problem—you have a calibration problem. We sit down with Ed, a clinician-turned-hygiene coach with a billing background, to unpack how teams move from prophy habit to complete health care without losing trust or momentum. The through-line is simple: document what you see, code what you do, and speak with one voice so patients understand why it matters.
We start with measurement. Ed breaks down perio performance percentage and why healthy practices often land between 30 and 40 percent depending on demographics. From there, we map practical calibration: agreeing on diagnostic thresholds, choosing plain language that patients can repeat back, and separating clinical conversations from benefits talk. You’ll hear how co-diagnosis works when the dentist frames whole-body health and the hygienist details the treatment sequence, intervals, and home protocols.
Technology becomes a teaching tool rather than a crutch. CBCT helps illustrate bone changes, intraoral photos make bleeding undeniable, and saliva testing like OralDNA turns bacteria into a color-coded story patients can follow. We also explore Perio Protect and how reducing inflammatory load lets the body “recharge,” improving healing and even sleep. The hardest part—converting long-time prophy patients—gets easier with “show, do, tell” scripts, honest framing about updated standards of care, and seed planting that respects patient pace while protecting outcomes.
If you’re ready to raise perio performance with integrity, this conversation gives you the metrics, scripts, and workflows to get there. Subscribe, share with your hygiene lead, and leave a review telling us which change you’ll implement first.
Download "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:
https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=header
Register for the free one-hour webinar on Wednesday, April 29, 2026, here:
https://us06web.zoom.us/meeting/register/ABKZUAxNQEynSqUET8SwAg
Schedule a billing chat with Ericka:
https://calendly.com/ericka-dentalbillingdoneright/30min
DM Ericka on Instagram to join the wait list for Elevate Billing & Coding:
@dental_billing_coach
Email Ericka:
[email protected]
Email Jen:
Grab the Hygiene Billing and Coding Playbook Here:
https://stan.store/hygieneunlocked
Email Ed:
[email protected]
Schedule a demo with MaxAssist to unlock scheduleing potential here:
https://maxassist.com/book-a-demo-fortune-billing/
Perio performance formula:
(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D...
By Ericka Aguilar4.6
2525 ratings
Got questions? Send Ericka a Text!
If your perio percentage hovers around 15% while half your hygiene notes mention bleeding, you don’t have a production problem—you have a calibration problem. We sit down with Ed, a clinician-turned-hygiene coach with a billing background, to unpack how teams move from prophy habit to complete health care without losing trust or momentum. The through-line is simple: document what you see, code what you do, and speak with one voice so patients understand why it matters.
We start with measurement. Ed breaks down perio performance percentage and why healthy practices often land between 30 and 40 percent depending on demographics. From there, we map practical calibration: agreeing on diagnostic thresholds, choosing plain language that patients can repeat back, and separating clinical conversations from benefits talk. You’ll hear how co-diagnosis works when the dentist frames whole-body health and the hygienist details the treatment sequence, intervals, and home protocols.
Technology becomes a teaching tool rather than a crutch. CBCT helps illustrate bone changes, intraoral photos make bleeding undeniable, and saliva testing like OralDNA turns bacteria into a color-coded story patients can follow. We also explore Perio Protect and how reducing inflammatory load lets the body “recharge,” improving healing and even sleep. The hardest part—converting long-time prophy patients—gets easier with “show, do, tell” scripts, honest framing about updated standards of care, and seed planting that respects patient pace while protecting outcomes.
If you’re ready to raise perio performance with integrity, this conversation gives you the metrics, scripts, and workflows to get there. Subscribe, share with your hygiene lead, and leave a review telling us which change you’ll implement first.
Download "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:
https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=header
Register for the free one-hour webinar on Wednesday, April 29, 2026, here:
https://us06web.zoom.us/meeting/register/ABKZUAxNQEynSqUET8SwAg
Schedule a billing chat with Ericka:
https://calendly.com/ericka-dentalbillingdoneright/30min
DM Ericka on Instagram to join the wait list for Elevate Billing & Coding:
@dental_billing_coach
Email Ericka:
[email protected]
Email Jen:
Grab the Hygiene Billing and Coding Playbook Here:
https://stan.store/hygieneunlocked
Email Ed:
[email protected]
Schedule a demo with MaxAssist to unlock scheduleing potential here:
https://maxassist.com/book-a-demo-fortune-billing/
Perio performance formula:
(D4341+D4342+D4346+D4355+D4910)/(D4341+D4342+D...

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