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Kiera takes listeners behind the scenes of Dental A-Team, sharing what exactly happens in Doctor Mastermind conversations. This includes unfiltered Kiera and consultants sharing top-level expertise, elite doctors sharing secrets of the trade, wealth diversification conversations, and so much more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners, this is Kiera and I hope today's just a great day. I really do hope that you're thriving and not just surviving right now. I hope that you're fulfilled and you're not just living there, going along and really disliking your life because I believe we get one life. So let's make it the most fun that we possibly can. You guys today, I wanna take you behind the scenes of Dental A Team. Like let's take you behind the curtain and just kinda let you see what goes on behind the scenes. There's some really awesome things that Dental A Team is doing and I feel like it's really fun to just know like, okay, what does consulting look like behind the scenes? What things do you have in place? And I wanted you to see like what happens behind the scenes. We have Dr. Masterminds, ⁓ what happens in there, what happens with your team meetings? What does it look like? And so if you've ever been curious of what's behind the scenes in consulting, well, welcome. I wanted to take you behind the scenes. So just so you know, Dental A Team was created to help doctors and practice owners ⁓ not just survive, but thrive. to help teams not just survive but thrive, to be able to say yes to more things in your life by being focused on what you as a person want to achieve, improving your leadership, improving your life and like truly your personal life, making sure your business is working for you and not the other way around. We also do it on profitability, making sure you're profitable, that the cash flow is there, that it's predictable, that you understand where your numbers are at and then having systems and team development. We call that the yes model so you can say yes to more in your life. So you, earnings, system and team development. And that's really what our. the whole thing about consulting is. So what we do is we literally take you and we have an introductory call and we look to see what your practice is like, where your gaps are, and basically build a game plan with you of what is this gonna look like over the next 12 months together. And we decide, hey, where are you at? you a practice where we're gonna fly into your practice? Is this a practice where we're going to just do virtual calls with you? What's going to be the best option? And I will say our most popular and what most people want is someone to fly to the practice. ⁓ And so behind the scenes, what happens from there is once we decide what... what type of consulting is going to be best for you and your practice. From there, then you get paired with a consultant. You're like, how do you know the consultants? I'm like, well, my background needs to be marriage and family therapy. Like literally, I'm really good at reading people and 90 % of the time we get a perfect match. And what we're looking for is your practice needs the consultant skills and what they've done because all of our consultants have a clinical and front office experience and they've all had to grow multiple practices. So some come from DSO. All of them have had to come from private practice. They literally have been there, done that, done it successfully. And we're looking for personality types. Are you going to jive? Some consultants are very high energy and some are a little more lower energy, more calm. ⁓ What's going to pair well with your team? What's going to be like, I remember there was one office and they said, Kiera, my team. There I was like, wow, Kiera comes in with a lot of energy. We get. along better with no BS Brit, which is true. Brit doesn't come in looking like she's a hummingbird on Monster. She walks in a calm, cool, collected. She's chill. Some offices need a hummingbird on Monster. Others need a Brit who's more calm, cool, collected. So we're looking at experience, personality fit, and then also what's going to truly drive and get the results you're looking for. So that's really how we match you with your consultant. Then after that, your consultant, you and them, get on calls. We get on calls every other week. So we're really working with you to make sure that there's accountability, but it's not too often and you're not depending on us, but you have time to actually make some headway in between those. So it's set calls. So you always know perfect. I've got my set calls. They're also really good accountability check-ins. So I have a personal trainer and we used to do only virtual and I had a call with her all the time and I actually did better on my workouts than I do when I see her in person because I knew we had a set call and I had to show up with my results because she was going to ask me about them. And that's actually why we have these set calls. So you always follow through on the accountability because we're really big on making sure that what we commit to, what we put into place, we're truly driving results forward. You do not need to be perfect. We just need to make sure that we're getting the results we want. We're tracking our numbers. We're looking at the P &Ls. We're looking at your KPIs. We're looking at your team. And we're also talking about the issues and the growth of where you want to go in your practice. So we've got those two calls. And then in between those two calls, you literally get to texts, calls, emails, whatever you need. At any time you have a consultant in your pocket, any moment. So whatever comes up, because business does not happen on set cadences. at the most random times. So you always have a consultant at your fingertips. And then I think the part that I really wanted to show you behind the scenes is every single month we have a doctor mastermind. It's the first Tuesday of the month and we call it think tank Tuesday. And this is where I ⁓ tell all of our doctors, this is where you're basically hanging out in Kiera's living room, virtually. Right? Like I want you to just like let your hair down. I don't care if you're making dinner. I don't care if your kids are there. I want you as a human. I don't care if you're driving home. I don't care if you're at the swim meet. We have doctors. all over the place because this is your real life. And I want you to just pretend like we're hanging out in a living room, let your hair down. There are no team members allowed at these think tanks because I want doctors to fill a safe space where they can talk about it they can talk about with other doctors of what's going on. What do they suggest? On here we have guest speakers that come in. We also, a lot of times this is my mastermind. This is my billion dollar club group where I just want to hang out and I want to talk about things that aren't talked about all the time. So for example, last month we went through and we did one on a P &L deep dive. And these are things that I do not share on the podcast. These are things that are not shared publicly. These are things that I reserved specifically. So it's the 10 % that's reserved for only our Dr. Mastermind. And I'm really digging deep with them and I'm showing them things that we specifically do in our company. So things that I'm not going to necessarily publicly announce on the podcast. I share a lot of our life here, but we actually went through an entire P &L deep dive and we showed them exactly what we do in our company and how we do it how you can get your office managers there. and how you're able to look for the profitability, how we set up projections, how we're able to grow and scale, how we're able to get right people, right seats. We did another one with org charts and we broke it down. We brought in ⁓ Prosperity and Brian Harris talking about embezzlement, things that we will never share publicly, but specifically for our doctors. We bring in different guest speakers. ⁓ bring in, we have them like work on different business models. I did one where we worked on a lemonade stand to show them how they can in crisis mode on their business, pivot, shift and adjust. We often will do like an issues list of what's going on, what are the hot topics people are dealing with, and then let's collectively work on it. So we have a doctor who's going through some interesting things with legal within their practice and using the whole team. We have another practice that's struggling with their finances and using collectively the whole team will sometimes hot seat our offices and let them work together. So really it's, I would say it's my most high level material that ever comes forward. And I think when you see behind behind the curtain of what's happening in the Stockroom Master Room. Like I said, you get to attend, parts of it are recorded, but then I always do what's called the after party. The after party is where I feel like it's ⁓ Kiera unfiltered. ⁓ There are no cameras going, there's nothing being recorded, there's no AI bots allowed to be in there. It is literally Kiera unfiltered. And we will talk about where we think the world's going, what we think we need to be prepared for, what we think about political pieces. These are things that honestly I will not publicly ever speak about and I only reserve them for our doctor mastermind. And the rules of it are there is no recording. And if I ever find out that people are recording, they will be immediately dismissed because we need a space in this world as business owners and as colleagues and as entrepreneurs to be able to speak freely, to be able to speak safely, to be able to share what's on our hearts, to be able to talk about team members without our team members being there. Team members don't worry, it's not in a negative way. It's truly like, hey, I'm struggling. I don't know what to do with this and I need help. Because what I found is in business ownership, it can be so lonely. can be so just ⁓ sad, if you will. It can be like, gosh, I feel like I just need help. And so what we wanted is to create this space. Like I said, you're hanging out in my living room. We're having these ⁓ dinner conversations, if you will, of whatever's on your mind. And it's just, it's really fun. And I feel like it's, people have told me that they absolutely love being a part of Think Tank, because it's a space where people come and they, They just, I feel like it's something where they just are able to be themselves. It's the first time you're not expected to be a doctor. You're not expected to be the one who knows everything. You're not expected to do X, Y, or Z. None of those things are an expectation. You're able to just show up and be. You're able to show up and feel safe. You're able to show up and just hang out. And so a lot of the pieces that we've been doing are, we also have like doctors. We have some of our elite doctors share secrets that they do in their practice. So. people on how they do branding, other people on DSO conversations. We literally had a very ⁓ controversial think tank where we brought in and we talked to pros and cons of DSOs and should I sell to DSOs and what do people think and what are people navigating because it's so hard. It's hard to find out ⁓ like, what are we going to do and how are we going to do this? And like, what are the different pieces and what should I do and how do I navigate through this of people that truly are like-minded? that are just like you. And so other things that we have are like wealth diversification. We're talking a lot about wealth and where we're going to go with wealth and how we're going to be able to do these things and multi practices. Should we do it or should we not do it? Should we, ⁓ how do we create one through 10 year plans? ⁓ Team conversations. Tiffany does an amazing job of talking leadership and hard conversations and ⁓ strategies like billing strategies again that we're not sharing on the podcast. And so really just showing you like behind the scenes we bring in. We had a really awesome guest come in and talk to us about how to use resources and tools to hire better and get right people right seats. Talking about like, we have some authors that come and speak to us. We have some clinical dentistry. We have offices talk about how they're able to scale and grow and real talk. Like, what are we really afraid of? Like, what's really going on in our world? Let's talk about identity loss. Like, what happens when you stop having your practice? Like, what are you going to do there? And just different zones, different areas. ⁓ Doctors who are really smart, we had a doctor come and chat with us about associate onboarding and how they're able to get their associates producing over a hundred grand like six to eight months into practice, like to hiring them. Like that's a huge feat that most aren't able to do. And this is straight out of school. And so sharing those tips, sharing those resources, ⁓ I think is one of the most valuable pieces of our consulting because... ⁓ business owner. attend Tony Robbins. I'm in Tony Robbins elite coaching where I literally have been to his house. There's about 40, 50 of us that go and I put myself in those circles to be able to bring back information to our group of things that like I'm working with multi-million billionaires across the board, rubbing shoulders with them, asking them of things, getting resources, figuring out like what are their VA companies that they're using for virtual assistants? How are they growing? How are they scaling? There's people in medical, there's people in real estate learning from Ray Dalio speaking to us on wealth diversification, talking to really brilliant people to find out to make sure that I am living my best, highest self to then also bring back to our doctors. Our teams are bringing back things that they're hearing from offices to be able to bring their best pieces to help them create org charts and clarity and whatever it is, those are the pieces that we're bringing into our think tank. And like I said, being an owner. Seeing this, I wanted people to truly figure out how can I do this? Like, can I, how can we create this? How can we build this? How can we sustain this? And so having that as a space every single month for our doctors. And some months I think we have better topics than others, but always the after party is a place where I feel like people really truly come to unite, to help each other, to grow. And I think it's just a really special place. So we have our, your specific practice consulting, then we have where we'll fly to your practice. And in that day and a half, had a really awesome testimonial from a client. said, Kiera, Tiff, Britt, Dental A Team, what you guys are able to accomplish in a day and a half visit is what it usually takes me six to 12 months to accomplish. And I feel like that is something of just huge appreciation and gratitude because our consultants really do drive value. This is not an office that I consult, it's another consultant on our team. And I feel like just knowing that that…
Full show notes at the publisherTiff and Dana discuss how dental practices are being innovative in 2025, including A.I., apps, and other technologies that will streamline the busy work and help teams focus on being human. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:02) Hello, Dental A Team listeners. Dana and I are back here today. We are really excited. We just did actually a really fun podcast. think that was probably, I think Dana, I don't know. I think that was one of my favorite podcasts we probably ever recorded. I love that stuff. So Dana, thanks for being here. How are you today? Dana (00:22) doing good excited to get you know I always I know I say this a lot but I truly am just excited to have some time. The Dental A Team (00:29) Thank you. Thank you. I know I actually I still have it on my mind. I need to put it in my click up click up organizer. You guys shout out to that. I need to get the soft skills training on there. So I was thinking about that a lot. So you make you make my day Dana. Thank you. I appreciate that. ⁓ You guys virtual teams are weird and they were like It's just weird. But I think the weirdest part to me or the oddest part is how sincerely close I feel to everyone. Like Dana, I feel like we're best friends and we never get time together. Like the last time we had time together, truly the last time we had time together, I guess, was when we did the December, we did the shopping for the kids in December, the give back. Prior to that was like, Disneyland last, that was two years ago, right? Two years ago, I think he's time flies, time freaking flies. So, but I feel like we were just together last weekend. Like it's weird. It's a weird thing that has come really far. So on that note, anyone who's considering a virtual team member, it can work really well. I mean, we've got Josh who's in the Philippines and I feel like I know that man. Like we've hung out together. Dana (01:45) Thank The Dental A Team (01:47) That's so weird. He's in the Philippines you guys it's nighttime when he's working for us And I'm like groggy just starting my day And he's already lived an entire day and his family sleeping like wild and I feel like I know Dana (02:01) We know things about his baby girl. We know things about his wife, his band. And it's like he's not even in the country on the same time zone. It's just virtually over the computer. It's crazy. Yeah. The Dental A Team (02:12) Yeah, it is really crazy. It's insane to me how far things have come. I think it's really cool. think 2020, we're going to call it 2020, not the other word we could call it, did a lot for us in a lot of ways. There is a lot of bad, I will never just credit that, but I think it forced innovation. 2020 forced human innovation. I think it was things that were already like in the works in the background or whatever, but it just pushed it to the forefront. And the innovation that has come in the last five years has been insane to me and the amount and what we've been able to handle and what we've been able to consume as humans is wild to me and working remotely and working on a virtual team is definitely something that came out of that. I remember, I remember Karen and I when everything first started happening. We were like, shoot, okay, it is time to innovate or die, quite literally, innovate or die as a company, because things are drastically changing. Dana, we were in offices constantly, constantly. And then all of a sudden we were like, guess what? You're not allowed to leave the state. Actually, you can't even leave your house. Like don't breathe on anyone. Don't look at anyone. Like it was wild. And that was when, Dana (03:22) Yes. The Dental A Team (03:30) Kiera and I got on a call and we were like, what the heck? How do we continue to help offices? And that was when we switched and started doing so much virtual. And it really spun, like it worked really well. We had so many offices that during shutdown, we're doing a ton of training with us. We were building operations manuals and really prepping for reopening. But it also brought a space of like, holy cow, Tiff and Kiera cannot do this alone. Like it brought on so much. And I think it just like speaks to the spiral of innovation that we've had in the last five years in our company and just in the country as a whole in the world realistically. But Dana, I'm so excited. You came not too far after our 2020 whirlwind of guess what? We're going to do everything by video now. And I was like, ⁓ crikey, here we go. This is going to be fun. And you came on board with us. So thank you for being here. You have changed the game for us. And I know changed the game for so many of your clients. ⁓ And Dana continues to help us innovate constantly. It is something that she is really, really good at. is brilliant and just constantly thinking of another way, like, and then the, the, and then theory, like, yes, you can do that, but then also you could do this. I'm like, dang it. Thank you. So Dana, thank you for being here. ⁓ I don't know if you guys know this or not, a lot of our topics, we choose our topics, a lot of them, or we decide like, what are we gonna talk about today or what practice do we wanna highlight or chat about? then there are topics that are given to us that I can't really say that I don't have a lot of control on that because they're given to me at the beginning of the year, well, the end of the year for the beginning of the year. And I go through them and I'm like, yes, these are fantastic topics. These are going to be great newsletters. Doctors are going to find a ton of value in this. And then as discussed about 15 minutes ago with Dana, I need to layer on top of that. This is the and then and say, how are we going to make a podcast about this? Because we have, we have run into that today. ⁓ but I'm really actually excited. We did our research, we did our due diligence and we've chatted about this a few times and Speaking of innovations, there's been so many innovations everywhere that have helped dentistry just really take a new foothold in the scene of medical. And I think that you guys can all agree with that. Dentistry is one of the top survivors of 2020. And we're really thriving in this world. It's just never, never going away. So tons of innovations. We've talked about the tech. We talk about the tech a lot. actually did one, um, Dana, I did a podcast. not too long ago with Christy about really getting dental assistants involved in the tech and the innovations there. And that was fun. And this one kind of, guess, is dental assistants too, but we really wanted to highlight some infection control innovations and not just like look at, oh, this is so cool. And, know, I don't know, when I started in 2003, we were doing this and now we're doing this. Like, I don't want to just dive into those, but I really want to talk about some things that are up and coming on the scene. But with that said Dana thinking of my past and aging aging us both here. You're welcome Do you remember? Do you remember go walking into the room? No masks sometimes I had gloves like it was like whatever and dirty tray in one spot and just like spraying everything Everywhere to where you could barely breathe in that room. I remember I remember gosh This must have been like 2006, 2007. I don't remember what happened, but something changed, right? With infection control. Do you remember stocking up on the Lysol cans? And like your whole office was like a cloud of Lysol. You couldn't even breathe. And now I'm, you know, curious to see what my lungs are gonna look like in the future and what Lysol really does to your lungs. But like, it's just so fun to look at. Dana (07:30) Yep. The Dental A Team (07:42) These are the things we used to do. I used to walk into an operatory with what was it called? What is it? It starts with a B. It's a Birex. I can see the bottle, the clear bottle with the green writing, yellow, you know, squirt, and just like squirting every surface I could possibly see. And then aerosoling with Lysol, walking away, coming back. Dana (07:43) Hmm. Pyrex, yeah. Yeah. Yeah. This is... Yep. Everything. Yeah. The Dental A Team (08:11) wiping it down with calvicide wipes, spraying it again, and then walking away and then walking in with a patient and being like, oh, let me dry that. And I'm drying the chair because there's still byracks on the chair or Lysol in the air and the patient's coughing. Dana, do you remember those days? I hope some of us do. Dana (08:15) Yeah. I do and honestly too because I grew up like I was a child in a dental office a lot and I actually even remember when like gloves were optional. The Dental A Team (08:35) That's right. Yeah, I was like, I know what you're gonna say. I know what you're gonna say. Yeah. Dana (08:45) Yep, yeah, we're even gloves. We're just kind of like an option for something. The Dental A Team (08:50) Yeah. Do you remember when they would say, well, this is more to protect me than it is to protect you. So that's why I don't wear them. I remember that too. I'm like, Dana (08:56) Yeah. ⁓ I wash my hands. we're gonna like, I just think about it now all the time. I'm like, ⁓ my like, the places we have come. The Dental A Team (09:05) ⁓ what we did. places we have come, the things we have done not knowing. hope there are so many of you out there laughing. I know that there are a lot of you out there that are like, what are they even talking about? Because you may not have even been born yet. So welcome to Jenna String. We're glad you're here. Just be happier. Be happier coming out of the scene now. ⁓ Anyways, some of the things that I have Well, we looked up some things today, Dana, and some of the things that one thing I was really excited about something that you mentioned when we were chatting earlier. I want you to kind of talk about what you think, how you think ⁓ practices could really utilize this was one there's like up and coming on the scene. I don't think that there's anything really out there yet that's solid, but up and coming on the scene like automated ⁓ knowing automatically if a sterilizer needs to be ran or what. write the sterilization pieces. So that's, that's looking really cool, the AI side of automating those types of things to keep a good schedule. But Dana, one thing that was on there that we were looking at was really like tracking those things and making it so that it is digitized. And I think that's massive, because these checklists that we create with practices, right, I have so many dentists that are like, well, cool, we've got like an end to day sheet, but like, what about their monthly? What about their weekly? What about the stereo? strips. And as a dental assistant, I never remember to do those dang things. And when I did, I never looked at them, right? And I'm like, just having shine, take it, take it away. Tell me if it's good or not. Like, but these automated tools, I think will be super helpful. So Dana, what do you think? How do you think that innovation is really going to benefit practices? And how can they implement something like that right away, that they could truly automate some of these things? Dana (10:53) Yeah, and I think it's really just doing some research and finding things that are definitely our companies out there who that have started and even in the AI platform where they're just automatically tracking your sterilization. They're automatically making sure that all of your sterilization batches that come out are. are good and it's logging it for you with dates and paths and fail and, and all those pieces, which I think is just really, really super cool. I know that oftentimes when I get new offices, you know, they're like, well, how do I get my OSHA pieces in place? And how do I and having things like this that are just automated that like, what, what a cool tool and what cool things that I think we're seeing coming for dentistry in that area. The Dental A Team (11:34) Yeah. Where do you feel like practices could ⁓ ramp up what they're doing now to automate it? Like, I feel like I'm thinking we use ClickUp for everything, which I mean, we have spent, I'm not going to lie. We spent a couple of years getting really good at ClickUp and we have a whole team working on it behind us, but something like that even, right? Where it's like sending these automated email reminders or there's apps out there. Dana (11:45) Mm-hmm. No. The Dental A Team (12:01) with the Remind apps. I know the schools use a Remind app even, but there's like those ⁓ family calendar apps that text you when things are coming up. Like how can we be innovative without waiting for AI to get better or waiting for, you know, Elon Musk or someone to think of something incredibly crazy that no one's ever thought of, but how can we be innovative with the tools that we already have? that maybe we're seeing people are just aren't really doing these things and they easily could. Dana (12:31) Yeah, and think some of it comes down to like that saying, know, know thyself and be free, right? Well, if you're somebody that needs automated reminders, find a way to do it. There's boomerang on your email that you can, you can simply just email yourself and say, sterilization test strip, right? And then you boomerang it to yourself every 10 days or every number of days that it's required for you in your area. And so I think just like finding ways things that are hard don't typically have to be hard. You just have to find a way to make it easier. And there are so many. things out there, software, resources, and oftentimes too, like they're even cost effective or there's no cost, right, for some of these too. And so I think it is finding the pieces that are hard for you to keep track of, and then find something, whether it is a management tool or whether it is just a reminder system or whether it is one of these AI ⁓ pieces that are coming or are here. I think it really just is looking and figuring out how you can pivot. and how you can use the technology that is around you because man, just, the things that are at our fingertips to make things easy and to help with the things that we kind of like just hit our heads on the wall against every single day, they're here and even more is coming and it's really cool. The Dental A Team (13:54) I couldn't agree more. I have so many systems set up. I tell my practices constantly. Like I my memory, I my memory has never been super fantastic. I remember the things I want to remember, I suppose. Right. But I have so many like I have it down to like, in my calendar, it'll say like, don't forget to leave for your hair appointment. Last Friday, like you've got to drive, right? You got so many pop ups and reminders, then I'll set. I'll just set simple alarms with a label on my phone sometimes that we'll make sure that I remember to do that off the wall thing. I think you're right, Dana, that we, I think we tend to overcomplicate things. And we try, we try to tell ourselves that we don't, we're not smart enough, or we don't know the thing, or that's not my space, right? I'm not a tech person. I'm not a techie person, but I can tell you, there are plenty of techie people out there that have created systems that I can use. as a template to create it to be and work…
Full show notes at the publisherGrowing your practice can be incredibly exciting, but incredibly intimidating. Kiera tells listeners how they can scale with confidence by giving specific questions to ask yourself. These include: Are your systems running smoothly? Are your teams aligned and accountable? Do you have a clear data back-growth plan? And more! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners, this is Kiera. And today I'm super jazzed because I feel like this is such a great question that so many offices ask me of like, okay, Kiera, how do I know that my practice is ready for the next level? How do know I'm ready to add in more team members? How do I know I'm ready to add an associate? How do know if I'm ready to add another location? And I feel like so many of these things sit in our brains and we're always wondering like, how do you know? It's like, how do you know when you're ready for the next baby? but instead of like babies, which like really, how do you really know? There are certain things to know or how do you know if you're ready to get married? Well, there are certain things actually. So let's take some of that guesswork out, make this a little bit more fun and have a great time on today's podcast. I'm excited and I hope you're excited. The Dental A Team was built for doctors. It's built for team members. That's why it's called Dental A Team. It's consulting for dentists and teams. I hate as a business owner where people just teach me and I have go try and take it back to my team. but I love being taught, I love being focused and I love having high level and then I love having implementable things for my team, but from someone who's been there, done that and done that successfully. So that's what we've created. We have a space for doctors and CEOs and entrepreneurs to come and get together like-minded where we're talking high level. This is where I come into play. We have fun, we have business freaking tactics. We call it Think Tank Tuesday and we literally get all together and have a great time. And then we have our in-person mastermind where we're doing the same thing as business and life on purpose. And then we have our consultants, including myself, our consultants then work with your team. We're going to be teaching your team members how to make your vision a reality, how to scale, how to have the conversations. I say we're like little fairy godmothers for your team members, where we literally are hanging out with them to help them know the resources and the easiest path to get the results they're looking for. That's what we're obsessed about. That's what we do for offices. And I hope that we're a part of your office. And if not, I hope we're apart really, really soon. All right, you guys, let's dig into how do we scale with confidence? Because growth is super freaking exciting. Like, oh my gosh, we're growing. But back to me, when I first started, we were 500,000 to 2.4 million in nine months in my first location. We bought our second location and you better believe it was fire. And fire is exciting, but it burns hot. And it got hotter and hotter and hotter. And it was because I didn't have a plan. We just were like, sweet, we're at this amount. So let's buy our second location. And it became mayhem and it became crazy. And so it's one of those things of like fires can be beautiful and we can sit there and roast s'mores. But fires can also be very, very volatile. They can destroy, they can burn fast and they can burn hot. And so this is a zone where if we have a plan, we're going to do really well. If not, we get burnout, we get turnover, we get stalled progress. We actually get sloppy. We actually could fall into really scary things. Like for us, it was full blown burnout. I was on burnout or my owner was on burnout. We were working from 2 a.m. till 10 p.m. every single day. ⁓ Our marriages were falling apart. Like everything was bad. Everything. It was not good. and we would show up to work just to feel like we were like barely, like nose barely above water, but you better believe there's water getting into that. And so this is something where I really wanted to come on today of how do you know and how can we scale with strategy? How can we scale and know that we're ready for the next level? Because if I would have known this, I would not have bought my second practice. I would have optimized my first practice. I would have put a few more things into place and then bought the second location. But you know, I was young, dumb, I was reckless. We were just like. We can do this. did the first one, but the first one wasn't like barely hanging on. We had two pending lawsuits on us. Like there were wild things going on, but yet shoot. I think that sometimes it's good to have a little bit of naive, ⁓ but I think it's more important to have a good plan and a good process. So this is the goal. It's not about adding ops and team members. It's truly about making sure our foundation's awesome, making sure that we know what we're doing, making sure we've got a good plan and then executing it. And that does not mean it needs to take a long time. You can scale very quickly, just making sure you have a few key places. And I like to tell people our goal is to get flagship practice number one solid. We stamp it out and then we just stamp it out, map it out. We have a few nuances that we change based on location and demographics, but generally speaking, it's about the same thing. ⁓ $1 million, one practices versus multi millions, multi practices, multi ops, two very different models of business. So on that, this is what we love to do today. This episode is really for owners and offices asking the question of what's next, but scaling smart. not fast and also looking at like the DSO landscape of where we headed. Do I DSO? Do I grow? I have a practice and what they were thinking about doing is they're thinking of selling out to a DSO. And I said, cool, but like, what's your plan? I'm like, I still want to keep doing dentistry. And I said, all right, let's look at the numbers. And what was wild is a DSO is going to pay this practice 5 million. And right now you might be like, dude, that's so much. Like I'd sell in a second, like one more bad day and like give me the DSO's number. calling them. But we looked at and I said, all right, let's expand out a couple more ops, which you've already been thinking about doing. And realistically in the next one to two years, like that's what the DSO is going to do. They're going to come in, they're going to expand this out. So either you can sell to them and live here and do it with them, or you can do it before that. And literally we did that. And this practice in two years is making 5 million net profit. And I think about that because it seems so tempting to sell to the DSO and how it's like, but you're giving up all of this. And if we just had a quick plan. This doctor now is working about two days a week. They have associate doctors in place. They have this beautiful building and they're looking for the next expansion piece. Beyond Happy, this is their plan. And they're literally making more than they would have with the DSO. And so just be careful, because I think sometimes DSOs can seem so sexy and alluring when we're having bad days. You better believe it. There have been days when I'm like, someone walks by and offers me a buck for Dental A Team. They get it, right? We all have those days as business owners. That's not a joke. It's real life. But I think this is where we can like, not make reactive decisions, but actually figure out how we wanna scale. And what I will always say is when we scale and what's next, I want you to always ask the question of what do I want in my life and what do I want my life to look like? Because we can scale. You can have 10 practices and say, only wanna work one day a week. That's totally allowed. It's just a different strategy. Or you can say, wanna be a clinician. I love doing the dentistry. Again, different strategy. I was on an on-call yesterday with a potential client and they were like, Garrett, we need systems. We need to have help with our finances. our financials and we also need help training our team. And I was like, rock on, that's right up our alley. And at the very end of the call, I said, Hey, is there anything else you feel like I should, I need to know? they're like, well, yeah, we're considering selling in a year. And I was like, wow, that changes the entire plan of what I would do because I would not be building all the systems if we're planning to sell in a year. I'm going to be cranking your EBITDA. We're going to be working on case acceptance, adding production to this practice to make sure we're getting top dollar for the sale while also making it easy and enjoyable to live there at the same time. So one of those things of where you want to go and what your North Star is, radically changes your question of what's next. It's what's next based on what you want to do. So when we look at this, I really want you to think about and look at these pieces of what's next. And again, some of these things might change depending upon what your next is. If we're selling to a DSO, it looks very different than if we're building a legacy practice. So just know a lot of these pieces might be dependent upon where you want to go. So number one, I think this is a great thing. If you want to grow, you want to add another practice, you want to add more ops, you want to add more team members, you want to grow to the next level financially, is make sure your systems are truly running without you. So you don't need to be there in every single decision. Doctor, you don't have to be answering, signing off on what are we ordering? We don't want to be signing off on payroll. We literally have built this delegation ladder. We have team leads in place. The systems are running where the team can execute daily. We have end of day checklists. We're not having to look over every single thing. We have checklists of what people need to be doing. It's very clean. People are in the right seats. They know what they're doing. We have clear operations manual built out for scheduling, billing, case acceptance, hygiene, all these different areas of our practice. It's clear. We have it mapped. We have documented systems that are followed by all. So not just documented, but truly followed by all. ⁓ And honestly, it's something where doctors, would recommend, a fun thing. You're welcome. I'm giving you a vacation. You leave for two weeks. I want you to leave the practice for two weeks. And when you're gone, I want you to see that practice thrive while you were gone. Did it barely survive? Was the team able to make decisions without you? What systems fell apart and let's fix that. This is something where doctors are always a little nervous to take time off for production. Yes. But I say it is absolutely essential and crucial doctors that you take time, you leave the practice so you can actually find out what's breaking down. Same thing with office managers and leads. We need them to leave. We need you out. And what's wild is when offices, I see them. So for example, I have a doctor. They usually take about two to three weeks up in the summer. They usually take two to three weeks off in the early spring. And it's awesome. And what happens is on those months, production doesn't The practice doesn't fall apart. The office manager is able to execute the way the doctor would execute. Team culture runs the exact same, whether the doctor's there or not. And that to me is a sign of your systems are not dependent upon you. So if you want to do a stress test, rock on. Prep your team. don't just like spring it on them. That doesn't usually go well. but stress test and go for two weeks and see what happens to your practice. And then also look to see when you go around and you're doing your CEO time, let's rate every single department in our practice on a one to 10 of how are they doing? Could they run this without you? Do they know what they need to do? Are we hitting the KPIs that we need to hit? And if not, do we need to put some systems into place that can run independent of you? So that would really be a good stress test of go on vacation and also rate your departments and see where maybe our system is lacking. Now. I will also put a word of caution because a lot of times doctors, are very meticulous. That's why you're dentists. That's why you're working on that little box on the MO and you do so well with your very, very, very, very fine skills because that's what you do day in and day out. A lot of offices are actually ready to scale with their systems. Being systematized where it runs without you does not mean perfect. And I really want you to hear me loud and clear. It is not about being perfect. It's about being scalable and that this can run without you and that you're really able to move things forward. So. A lot of people get stuck and they don't grow because like, don't have every system in place. No, we're talking that like the bulk of your KPIs are able to be hit. The bulk of our systems are able to follow. The culture doesn't dip when you're gone. Production doesn't dip when you're gone. ⁓ But you might be more ready than you think you are. So be careful. There's a second side to it. Make sure that we're good on that rather than just being like, ⁓ my systems will never be perfect. Cause honestly, systems will never be done. Your practice will never, ever, ever, ever, ever be done. But that doesn't mean it's not time to scale. So that's your system's text. Number two. Teams aligned and super accountable. So this is different than the top one because it's about systems running. But when the teams align, this is us hitting our KPIs. So we have leads in place. They own their area. They own their numbers. They hit their metrics consistently. We literally have a weekly leadership meeting. Even if that's just your whole team, we're hitting our metrics. We're reviewing our wins and we're all staying accountable to it. So this is what we're looking for is team high level accountability. If we say we're going to do it, we follow through. If we say we're going to get this KPI, we do it. If we say we set this goal, we hit this goal. And honestly, a big piece of that is we're not having a ton of turnover. So that's helping me know that your practice is stable. Your team is stable. We're hitting these KPIs. So if you're not tracking your data, you're not tracking your numbers, you have no clue. I would strongly advise not growing and adding more ops because all it does is it just makes the chaos even bigger. Trust me, I did it. I had no numbers. I had no KPIs. I had no accountability. I had no team members reporting up. And then all of sudden my problems doubled because now I had a second location and none of this was in place. I will tell you, it is a train wreck. You can get through it. but it is not fun and I almost didn't get through it. So for this is just make sure that we have our leads, make sure that they're reporting. And I have a practice who started d…
Full show notes at the publisherKiera and Tiff discuss chipping away at your goals and problems in small pieces, and how this can stack habits in a way that's not completely overwhelming. This can be applied to your personal life or your practice life! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera and it's a special day. Spiffy, Tiffy and I are back together on the podcast. You know Tiff, you love Tiff, you hear her with or without me, but today's a special day. You get both of us, one podcast. Tiff, how you doing today? The Dental A Team (00:15) No, I'm so good. I just love when we podcast together, first of all, and I love that we really well. We roll with the punches well, and this morning has proven that. And this whole week has been a pivot and roll with the punches, and I'm excited for everyone to hear all of the wonderful words we have to say today. Kiera Dent (00:25) you Me too. And it is fun because it's funny when Tiffanie started the company, I feel like we talked to each other all the time. And this morning I was getting ready at 530 a.m. because I was like, sweet, I got a lot of podcasts. We're going to start at 6 a.m. today. It's going to be a great day. And I'm like, you know, I used to call Tiff during this time and we just like chat and talk shop. And now it's like, hey, let's catch up on the podcast. OK, it's like, how's life? How you doing over there? Even though we work together all the time, but. The Dental A Team (00:58) Yeah Kiera Dent (01:04) I think that that just shows the growth that we've been able to have. And it's interesting, something I will say is as you grow and evolve, make sure that you still stay connected to your key players. think Tiff and I have to now be very intentional. Like we call each other or we'll FaceTime each other or like I'll just randomly FaceTime Tiff while I'm driving with Jason, just so we stay as friends in a relationship because work I think can sometimes accidentally, we're so busy ships in the night, even though we're in the same company. So Tiff, good time to reconnect on the podcast. Hi. The Dental A Team (01:17) Thank Good Kiera Dent (01:33) It's been a hot minute, great to see you. I think I haven't seen you all The Dental A Team (01:35) to see you. Kiera Dent (01:36) week, so it's great to see you. The Dental A Team (01:37) That is so true, we haven't, not since our leadership meeting on Monday. Kiera Dent (01:41) and we had like one client call together, which I'm like, hey, it's real fun to be with you here. I'm like, see you later. ⁓ But no, it's truly so fun. And today, and I wanted to just, I think we're seeing it, it's actually one thing that I will say Tiff and I are doing really well that we haven't done is we actually are coaching mutual clients together. We only have a couple and it's been really fun. think Tiff, I feel like it's like our shake and bake, like stocked into Malo, like Tiff to Kiera, like let's just have a good time on it because it's not often other than events that we get to do this. But I think in, The Dental A Team (01:44) yeah, straight. Thank you. Kiera Dent (02:11) coaching clients more together. I think you and I are starting to see this like really awesome pattern that you brought up of a topic of like this 1%. And I know you're obsessed in it and working out, which thank you because every day I think about you and I'm like, yeah, Kieran, just go move your body 1 % more today, like just 1 % today. And so I think in life, but let's also take it to practices and billing. Tiff kind of riffed us on the topic I did and we're just gonna riff for you guys today. Kieran, Tiff, stocked into Malone. If you don't know the jazz, well, you missed out, but. The Dental A Team (02:25) Thank you. Kiera Dent (02:38) Basically we're the glory days. That's what this is. It's a glory. It's a dream team back together doing our shake and bake, rattle and roll, talking all things dentistry. So Tiff, take it away. The Dental A Team (02:48) Yeah, I actually, I think we all know the 1 % rule and we know the compound effect and we know like, we know arbitrarily that these things and these ideas are something we're supposed to do and that they work. And last year, I found myself in this space where I was like, trying to octopus arms a lot of different things in my life that I wanted improvement on. And I had like three, four or five, whatever it was things that I'm like, okay, I'll do a little bit here, I'll do a little bit here, I'll do a little bit here. And it's kind of like, I was just talking to Erin the other day about like paying down debt, right? So like you're paying down debt and you're like, okay, I'll put a little extra on this card, a little extra on this card, a little extra on this card. And that little bit of extra actually isn't making any progress because the percentages, right? The interest on it is actually eating it alive. And you just get to the spot where you're like, my God, I'm not making any progress in anything. And I'm spreading myself so thin, I'm exhausted. And I found myself there with debt and, but with these areas of my life that I was like, I just want to feel 50%, 100 % better in these areas. And I was giving a little bit to all these spaces and Aaron and I had a conversation. I was just like, I'm so exhausted. Something's got to give, something's got to change. And he's like, let's pick one. And so I was thinking, and then we did. Kiera Dent (04:03) I think about your plate overfilling. From the day I met you, had this image of like, you know how people say like their plate's really full? Tiff's like, no, my plate's full and I have like food. I don't know why it is, but it's like cauliflower, broccoli, carrots is what I've envisioned for you. Just sitting on the side of her plate. So it's like there, then she's got like her sweet potato and it's like on the place map, but it's off the plate. And I think that that's like a really good visual of who Tiff's been since I've met you and how I think. All of us live our life. This isn't just a Tiffanie, but like whether it's the octopus arms or the plate over like literally, if it's been like cauliflower broccoli, like I just see like a big like hunk of broccoli on the side of your plate. I don't come with it all. The Dental A Team (04:35) Yeah. Yes, and I actually had somebody in my life, I had a friend years ago, gosh, this was like, I remember the stop sign we were sitting at and I remember being like crying, like, gosh dang it, one more thing and I'm like, I can do it, it's fine, because I'm the person that's like, yeah, I can totally do it, I know I can do it, but what cost is it at is not something I always think of and he looked at me he said, You are like the person at Thanksgiving, that you're just so excited to have some of everything, that you have your plate and you filled it with everything. So you've got your turkey, your mashed potatoes and gravy, and your roll and your sweet potatoes. And then you sat down and you're like, oh, shoot, I forgot. Like this plate, he's like, it's a mounds of food because it's Thanksgiving, right? Which is fair. We all do that at Thanksgiving. He goes, but then you forgot. about like the pie and somebody else put other rolls out. And so then you like started shoving it under your plate. And he's like, that's your one, you just took a piece of apple pie when you already had pumpkin pie. And you said yes to this, which means you said no to the pumpkin pie because you can't eat both. And I was like, holy cow, I love Thanksgiving, that works. Like I get it. And so yes, that was me. And so again, I don't know how long ago was that? Seven, eight years later, nine years. Kiera Dent (05:53) No. Five, six, seven, years later. The Dental A Team (05:56) Like, Holly, are you kidding me? It came up again. And then somebody else just said it in different terms. And he said, you know, like, if you could do 1 % better every single day in one area, that's your compound effect. If you do 1 % better in five areas, but you only had 1 % to give, you're trying to give 5%, you're going to go backwards in areas. Like, you can't, it just doesn't work. The math isn't there. He does math. Math is his jam. So he's like, the math doesn't, it's not math-ing. So if you choose one area that is going to bring the most like happiness and joy out of all the other areas that you could easily give 1 % improvement, it's gonna snowball. And what happened, what I found, right, is that that 1 % in my health and my fitness, which is what I chose to focus on, did snowball. And so all of a sudden the habit stacking that I had going on in my health and fitness snowballed. into those other areas that I was trying to octopus arms into. So I saw slight improvements in those other areas and I was like, okay, everyone, they're both right. It's fine. Thank you. But I started thinking about it today. It popped up today for me actually really strong. I don't remember this morning why it popped up, but it did. And so then when, know, Kara, you and I got on here and like, my gosh, like this is what practices do. This is what owners, business owners do this constantly. Right? We go into something and we're like, gosh, I've got to be best at marketing. I've got to make money and have great profitability. I've got to be a great leader and I have to have an awesome team and I've got to train people to be leaders. And then we're octopus arms and like Thanksgiving plates say yes to everything, which in turn makes us say no to something else. And so I thought the most you've got octopus arms, you've got your plate. Like what's the most important thing you've got your, you've got your dinner plate overflowing and you look at it and you're like, I'm probably not gonna eat all of this, right? I would love to be able to eat all of this and not like get the calories from it and not like feel like I'm gonna throw up. Like I want it all, but if I have to go by what's most important and start there, I'm gonna start with the protein and the vegetables. So when you look at your business, right? The protein and the vegetables are going to help my health. It's going to promote. my muscle build, it's going to like positively impact the goals that I'm working for. If I start with the pumpkin pie, which is where I want to start because I want room for the pumpkin pie, it's a negative. I want it, right? I want the sugar, but like, I know that I feel like crap after eating the sugar. So if I am a business owner and I'm focusing solely on, I don't know, new patients, I only want new patients, but I haven't focused on making sure my team knows how to collect. I'm over here crying to my consultant that Kiera Dent (08:21) Me Me too. The Dental A Team (08:43) I don't have any money in the bank and I can't afford my consultant, but my, even my new patients, I've got 62 new patients who also aren't scheduling treatment. Right? So that's like the pumpkin pie. Whereas the protein is making sure we're making sure we're like focusing on the money. Right. And not to the point that we lose the patient experience. That's not my point. My point is what, how can we be 1 % better in our collections? Like, what are we missing? And I had a revelation finally with a practice this week and I love her to death and I'm just like, yay, we got there because I'm like something's not happening. Something that should be happening is not happening because your insurance AR is beautiful. But over here, we still have almost $200,000 in AR. ⁓ How is it possible when your insurance AR is showing up as like $44,000? Right. And so like getting there, getting there, getting there. But the 1 % is what's something that we can do today to collect part of what we're missing, right? What's one phone call, one extra phone call we can make? What's one person coming in the door that has a past due balance that we can collect today? Like how can we take that theory of that 1 % better that is so easy to implement when it comes to health, fitness and nutrition? We get it. Our brains are like, yeah, that makes total sense. Eat the protein before the sugar. I get it. I don't want to, but I can do that. But we have such a hard time implementing that in like the other structures of our lives because it's just not, it doesn't feel as clean and as clear. And I think, Kiera, it doesn't feel as fun, right? Like eating the pumpkin pie is more fun. Marketing is way more fun than billing. ⁓ Hands down, I don't want to do billing. I want to do marketing. Kiera Dent (10:18) Yeah. Exactly what I was thinking. What are you saying? was like, the reason we don't go for the turkey is because turkey is freaking dry and pumpkin pie is sweet and fun, which is why people don't like to look at their numbers because numbers are like protein and it's not as fun. And I'm sitting here like shoveling down this nasty turkey that I know is like super lean, no fat in it. And I'm able to get my protein in. And yet when you talked about a tip of like, I think those business owners, this is where you cut out the noise and the elite business owners are able to cut out the noise, not go over the sexy and go for the things that are actually going to build the foundation. And when you can figure that out, because like Tiff, you and I, it makes me wild when clients come through and they're like, I can't afford this. And I'm like, what do you mean you can't afford this? You have like 300,000 sitting in AR, like bada bing, bada boom, it's right there. And if we just collect before they leave, ⁓ my gosh, a revelation, you actually get paid for the work you did. And we're not like, hey Tiff, you want to pay me like six months later? Like, no, I did the work, let's get this paid. Why are we living in the 1900s? Like we don't have tabs, get rid of it. The Dental A Team (11:02) you Mm-hmm. Kiera Dent (11:23) but it's something so interesting that you're like, we're right. Like I want to do new patients. Like there's so much more fun and also it's a flex. Like when you go to a conference, like, here's my production, here's my new patient number. And I'm like, cool, here's my profit. Like it's not as fun and it's awkward. And you're like, cause also I don't want to tell people my profit. Cause I don't like, is that good? Is that bad? I don't know. So it's this weird zone of it's not safe to share publicly. It's a weird thing to talk about, but at the end of the day, it's the number one thing you're stressing about all day long. And so I think like you said, Tiff, The Dental A Team (11:36) Yeah. Kiera Dent (11:53) When you were talking, also thought like every team member could have their 1 % better. So doctors, if you want octopus arms, amazing. You can actually have it through your team members. Like right now, Tiff actually has her one thing in her department that she's focused on. has her one thing in her department she's focused on. Shelby has her one…
Full show notes at the publisherTiff and Dana discuss the impacts mental health has on the dental industry, including how to take a step back and re-center yourself, maintaining a positive mindset, setting up a team of delegation and accountability, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. I am so excited to be here today with Miss Dana. She is a favorite on the team. Gosh, she is a favorite of so many of our clients. I know so many of you listening have personally worked with Dana and you've gotten to experience the amazing human that she is. We get to hear from you guys constantly. I just, I have to say kudos Dana. You have the biggest raving fans of our company. I just, gosh, I couldn't agree with them more. You seriously changed lives. So I'm excited to be here with you today, Dana. And I'm excited to do this subject with you that we're talking about today, because I just think it's so perfect for where you come into play with your clients. So how are you today, Miss Dana? Dana (00:44) Doing good, thank you for all that Tiff. As you know, my clients mean the world to me. And so the fact that they give love back is always appreciated. The Dental A Team (00:49) Yeah. Yeah, yeah, they do. You guys, if you are one of her prized clients or you are about to be and you're a future client, you are in the right hands and she really does have so much, so much love for all of you. So Dana and I are coming off of a whirlwind right now. Like we just spent 20 minutes trying to figure out how to get in here to record podcasts. You'd think it was our first day on the job, but luckily we have. a non-millennial on our team who knows how to use technology and clear out all the pieces that we needed. So Dana, I feel like it's also appropriate. mean, it leads right into what we're talking about today. I'm like, I've got a little headache like right here now and like, does this happen? And I think Eve calls it difficulties, but I mean, gosh dang it, technology and the world, there's so much going on. constantly, there's so much chaos and it literally led into this subject so well today. Dana (01:55) Yeah, I always say technology is great when it works. It's super frustrating when it doesn't. The Dental A Team (01:58) Yes. my gosh. It's so, it's so crazy. So just FYI, know that there's a lot of love and chaos sometimes that goes into recording these podcasts. And we do love what we do. We do love recording them. love seeing them on Instagram when they pop up and listening to what everybody has to say. And I love listening to them on my own. We know there's some huge, huge raving fans out there. So thank you. But it led into today so well. I wanted to take time today to talk about mental health and dentistry. I think it's definitely, I think it's talked about more now than it ever has been because I do think mental health and suicide and all of those, all of those different avenues and pieces are more widely like accepted to be talked about. and more widely known. So I do think that it is talked about more in dentistry and the awareness, you know, they say awareness is key. The awareness is there, but I really, you guys know we get tactical. We get super tactical no matter what we do. And I think that there are some really tactical ways that we can go about mental health and dentistry. And I wanted to take some time with Dana today to really chat through some of that and really look at what can we do? every day to make sure that we are considering our mental health within the career choice, whether you're dentistry or not, whatever career choice you've taken that has led you here to us today. I think this is going to be super beneficial. And I have personally experienced mental health issues in my personal life, in childhood and with my mother and suicide. And it's still here. It's still relevant. It's still It's everywhere. think everyone I know and everyone I come in contact with has had some sort of mental health disturbance touch their lives in some way, whether it's them personally or someone near them, family or friend. And I just, I reach out to all of you guys and I wrap you up in a huge hug because whether it's super personal or gosh, it was, you know, three times removed, but you still heard about it. It still impacts us and it still becomes a part of who we are. sending massive amounts of love out to everyone today and Dana, you are a master at coordinating chaos is what I will call it today. You are a stress and chaos coordinator extraordinaire. And I think that many, many of the spaces of stress that a lot of people deal with, and I think a lot of our clients that we talk to really actually deal with is the stress of Dana (04:22) you The Dental A Team (04:38) personal life and work life, the stresses of both sides trying not to take one into the other and trying to create this like ever seeked after work life balance and not understanding that compartmentalizing all of those pieces actually harms us in the end when they really just need to be addressed and they really just need to be, I don't know, divvied out, figured out. But Dana, you have you have a very active personal life and you have a very active work life. You have a lot of clients and a lot of responsibilities and you help me a ton constantly. And how do you, how do you feel on the day to day? Actually, we're going to, we're going to go emotional first and then we'll go super tactical, but how do you feel in your life? Like some days, do you just have days where you're just like, I can't do it anymore. And then other days you're like, dang, I'm totally killing it. Like, what does that look like in your life? Dana (05:34) Yeah, I mean, I am super blessed in the fact that I feel like I am a person that thrives a little bit more in chaos. I like to stay busy. I like to keep myself talk full. I know that isn't everyone. So for sure, that is a blessing, like just with my personality type and everything that I have going on. But definitely there are days where at the end of the day, I have to take a few minutes and just breathe. I have to prioritize myself and I have to do it very intentionally. I can't just expect it to kind of fall that way. It has to be organized that way for me to be able to keep it consistent. And so just realizing that like years ago as my family continued to grow and I wanted to still have a professional life, I had to be super intentional about... setting aside time for those things, making myself aware when I am starting to feel like I just need a breather and be super intentional on how I build my schedule and how I build out the pieces that are truly important to me. The Dental A Team (06:33) Yeah, yeah. And you used a really special word to me, intentional. That is something that is drastically more and more important the older I get in life. And intentionality, I think, is huge. Personal intentionality on, like you said, the way that you're spending your time, the things that you're doing, the attention you're giving yourself, the attention you're giving other people, and then the intentionality behind the things that you're doing, I think plays a massive role as well. So thank you for sharing that. I do think One of the reasons that you and I are drawn together in life is the fact that we are both insanely intentional and intentional in reaching out intentional and everything that we do. So that piece for us definitely makes us stick and keeps us sticky to one another. So I appreciate and value that about you. I think within that statement, that intentionality is something that you can pull out tactically. You guys from what Dana is saying is number one, she checks in with herself. Right? You've got to check in with yourself. And I have been listening to this new book and it's amazing, right? We'll talk about it at another time. But something that really struck me there was the idea of upsets in life coming out of a space of lack of control. So us being angry, frustrated, exhausted, tired, upset with how work is flowing into personal life. Like if we really take a step back and we look at it from that bird's eye perspective, we probably can find something within our day or our work life or whatever it is that's quote unquote upsetting us that actually it's something that we feel like we have no control over. within the dental industry and within your guys's positions as owners and doctors and leaders and mentors and all of the hats that you're wearing, a lot of that could really feel like everything's happening to you and like I have to do this and this is, you know, this happened to me today and I can't believe that this happened. But looking at it from a space of how did I allow this not to guilt ourselves, right? Cause that's the opposite of what we want to do here. But to be able to say, okay, could I have said or done something differently that would have led to more control over the out. come up the situation. So for Dana, what you said was the end of the day, sometimes you just need a breather and you're just like, I need to take a step back. That's really, really looking at how can I regain control over my emotions before I step into life with my family so that we're quote unquote, not carrying work with us, but really saying, you know what, I'm going to complete this day. I'm going to complete this workday. I'm going to center myself. and I'm gonna move on with the rest of my day. So you're not, it's almost like you're not carrying things with you because you finished it. And when we carry things, it's because things feel incomplete, or we're still trying to figure out where it is that we're lacking that control. So you take a step back and you say, okay, this is what today looks like. Great, it's done, that's over. It's behind me and I can no longer change anything about it. But what I can do is reset myself. be present and go be with my family or go do my workout by myself, go read a book, go take a bath, go jump through the shower to reset my mind. Like whatever it is that next step you're taking forward, Danim, you've closed the book, finished that chapter on the rest of the day that's behind you, closed that book, and now you're reopening your journal. to like go start the rest of your day. And I think that's really, really cool and actually like super tactical to really almost like now we're positively compartmentalizing, but we're not compartmentalizing to forget about it or not feel the feelings or not finish it. You're compartmentalizing as in like this piece is done. I can no longer change what's happened. All I can do is take the next step forward and then tomorrow. reset myself again and not let it happen to me again, but be like, how can I make life happen instead of letting life happen? Dana (10:42) Yeah, yeah, you're exactly right. And I think that takes so many different shapes in my day. even I know, you know, yes, I have a lot of clients who I absolutely love, but I have a lot of other responsibilities within the late team, like project time and podcasting and writing newsletters and you know, all sorts of client projects too. And so I have learned that I really have to kind of chunk and compartment my day too, because it's really hard to go from like content pieces into calls then back into content. then into calls again. So I've had to really design my schedule to Even make it more so that like my day can flow and I don't have to flip Mindsets all the time and you know, I've worked with doctors who knew doctors right who started they come in they're doing all the re-cares and they're doing all the restorative and they're and I'm like, hey Let's just make sure right when you can it's it's really hard to jump back and forth into those things So just even even taking compartments of your day in dentistry or your day as a consultant and really looking at how can I keep my mindset with everything that I have to do, how can I keep my mindset and how can I shift in my responsibilities even within work life to be able to have a little bit more control or a little bit more focus. The Dental A Team (11:56) No, I think that was beautifully beautifully stated and so tactical because there's so many different spaces that you can apply that to. I apply it to my personal life as well. But I think about a doctor going from like a second molar root canal, you're gonna do a second molar root canal first of all, you're nuts, right? Don't do those. anyway, second molar root canal. And then you go from that second molar root canal into a cosmetic consultation. my gosh, one you're exhausted. it's like, when we're done podcasting, I don't know about you, but my brain's exhausted. so knowing that like, we try to schedule these today was not super ideal, but in many facets, but we'll get through it. But we try to schedule them on days when we know it's like where this is just like a content creation day. This is a meeting day. This isn't like a full heavy client day, which I don't think either one of us have super heavy client days today. So it worked out well in that capacity, but you're exactly right. It's really about how can I make the best of what I have for me first? Because if I struggle, I have so many people that struggle with this, and I think this comes down to a mental health space as well. If you're not your best self, if you're not creating a life that works the best for you, It's impossible to create a life that works the best for everyone around you because you can't give anything else. You have to be full, I go crazy on this one. You have to be full in order to be able to give people a piece of you. Otherwise, they're only getting a piece of what's left. so it's so like counterintuitive because we think I'm a people pleaser and I want to give to other people and I want to do for other people. And if I do for me, it's selfish. But realistically, your cup is getting drained constantly. And if you're not refilling that cup, you're only able to give them a piece of what's left of your cup. So if you gave 50 % of your cup today, you do not reset. don't give back to yourself in any way. You wake up tomorrow, maybe a little bit more refreshed, and you've got 60%, we'll say. You left with 50, and you gave yourself 10 % while you slept. So now you come into tomorrow, 60 % full and then you give again 50%. You've only got 30 % left and you go to bed, you wake up the next day, maybe not as refreshed, 35 % rather than giving back to yourself and getting yourself up to that like 80 to 100 % refreshed and refueled. Now I can give more to the people around me because I am whole. And so the reality is if you're not ensuring that your whole, that your mental health is a priority for you, you're doing a disservice not only to yourself, but to the people around you. So in turn, you being the people pleaser, you trying to give everything you can to other people and thinking it's selfish to give back to yourself is actually hurting the entire goal. So taking that moment and being like, okay, how can I? take that control, because realistically, that's what it all, it comes down to. And I believe it's okay to be selfish. And I believe it's okay to like control. We a…
Full show notes at the publisherIn this part 2 of his conversation with Kiera, Morgan Hamon, co-founder and president of EAG Dental Advisors, talks about the action items doctors must commit to to stay financially savvy. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners, this is Kiera, and this is part two with me and Morgan Hamon as part of EAG Dentist Advisors, where we're actually gonna talk into the tax psychology and the tax strategies and the tax tips. And I really just feel like this episode is so powerful. And as always, thanks for listening, and I'll catch you next time on the Dental A Team Podcast. Morgan Hamon (00:22) But no, you got to do the stuff. So if your accountant tells you, look, take a board meeting, document it properly, there's a proper way to do it, you got to do it. That's how we say the proper legal avoidance. your account comes to you and says, look, it's time to be an S-Corp, Kiera Dent (00:30) Mm-hmm. Morgan Hamon (00:39) because the profit is appropriate, you gotta follow the instruction. There's a procedure there and it's gonna save a lot of money on self-employment payroll tax if it's done correctly. You gotta listen, but you gotta engage. There's action items. And so we, ⁓ every September, I made a checklist. You know, again, Navy guy, right? I got a checklist. Log in, do the checklist. I call it our business tax savings maximizer. That's the flashiest, catchiest name I could think of. But like, log in and do it. That's the secret. Kiera Dent (00:58) I love it. you Morgan Hamon (01:08) So, you know, for those listeners that waiting for the secret, that's it, right? We got to capture expenses as business deductions and there is action items for the doctor. It requires that engagement. And to circle back to where what you said earlier, like you can't come into the office and just fix it for them. They've got responsibilities on things to do too and that's the same with tax policy. Kiera Dent (01:31) I thought that was such a beautiful way. And as you were going through the phases of grief, I'm like, oh yeah, I definitely lived all of those. And I think it does feel like a kick in the gut. like, this is worse than finding out like coal in your stocking Christmas morning. Like it's way worse. Like it feels awful. And you're in total denial that like, how is this even real? Like I live in America. Like, how is this real? I didn't know. And I mean, then you put on your state tax on there. And I'm like, for people who are in California, Morgan Hamon (01:39) Mm-hmm. Mm-hmm. Mm-hmm. Mm-hmm Mm-hmm. Kiera Dent (02:00) Like more than 50 % of your income could be going to tax pending upon your tax bracket. But I think Morgan is one of those things of also seeing, I know people don't want to hear, I'm going to be very unpopular right here and it's okay. It will like, you'll be in denial, you'll hate it. And then you'll be like, yeah, that's actually a really good point. Cause that's how I did it. Like taxes are a blessing though. Like we, we are so blessed to live in the country we are to be able to set the pricing that we want, to be able to do the work that we want to do that. like, I don't want to pay more taxes. Morgan Hamon (02:12) you Mm-hmm. Kiera Dent (02:28) but I can see me paying taxes as like my opportunity to be here and to be a business owner. And I think that's an amazing thing that we do get to have access to. But like you said, shoot guys, this is where the discipline comes in. This is where the engagement comes in. This is where the ownership comes in. I remember where I should like, I'll send you a picture. My husband and made this like vision board together, cause every December I would cry over taxes. And one of my goals, literally has like, it's a sign that says tax expert ahead. Morgan Hamon (02:33) Mm-hmm. Mm-hmm. Mm-hmm. Kiera Dent (02:57) And I put that on my vision board because I'm I'm sick of this stupid stuff. I'm sick of Morgan telling me I owe this much money when I'm like, how is it even possible? I was like, I'm going to freaking figure this out. And I realized like, it's actually not that hard of a math equation. It's like, what is my profit that I get that month? What's my tax bracket? And let me go save that. Morgan Hamon (03:00) Thank you. Mm-hmm. Kiera Dent (03:16) pay your quarterly tax payments. And then what I love is when, cause I put myself in the highest tax bracket, some years I'm going to be a little bit higher, some years I'm going be a little bit lower, like it's going to flush out. But if I'm saving my max amount that I would be having to pay in taxes every single month, I'm like, it's not that hard. Like you literally just take it, put it in a savings account, I put it in a high yield, so I'm even making money on it there. What's amazing is at the end of the year, I get my W2, Morgan Hamon (03:32) Mm-hmm. Kiera Dent (03:41) like refund, if you will, because we realize I have over-saved throughout the year. I also put in there like buckets, because I realized for me, Morgan, it wasn't just the tax that was hitting me. It was the SEP IRA that I had to pay. It was charitable contributions I was paying. It was end of year bonuses. And all of that, it's not taxes. I think you get hit with all of those at the end of the year. It's like you're trying to put these, then you've got your Roth IRA that you're trying to like put those in. And it's like all these things are money and it's all accumulating at one time. Morgan Hamon (03:43) Mm-hmm. Okay. Kiera Dent (04:11) versus figuring out how much you really are gonna pay, breaking it down into buckets, saving for it, and then I love it. My money at the end of the year, whatever I don't pay in taxes, because yeah, it's a big number, whatever, you're just going to pay it. That's part of having an amazing, thriving business. But then my slush because I over-saved, that becomes my refund, that becomes Keira's money of like, sweet, what are we gonna do on this because I've already paid tax. Now I can take that. Morgan Hamon (04:14) Mm-hmm. Mm-hmm. Mm-hmm. Mm-hmm. Kiera Dent (04:37) Now I can go buy the things I want to buy. can put it in retire. I can put it wherever I want it to go. ⁓ but I have it to our peace of mind. When I get my, like this year, my CPA can be like, wow, Kara, you like, you have this. And I was like, rock on. Like you're not stressed about it, but that takes discipline every month. I'm literally like, Hey, how much do we have put that profit over in our savings every quarter? You're making those quarterly payments. ⁓ it is being strategic. is like. Morgan Hamon (04:52) Mm-hmm. Mm-hmm. Kiera Dent (05:06) You were on a call the other day with some of our doctors and like, so Kiera, how like there are you when you do your meetings at your house? And I'm like, I crossed my T's down my eyes. I don't like this game. Like I do Airbnb. I look at all my rental comps around me. I saved that every year. It's in a folder. All the things are in the calendar with me and the other people. I have an agenda. I send that over to my CPA. I just don't like to play in the game of gray. But I think those are the pieces that help you. And then you just maximize. Morgan Hamon (05:16) Thank you. Mm-hmm. Kiera Dent (05:34) But Morgan, I don't know. think I've just learned that's also part of the success tax of being successful. Like this is what it is. And I think that being a business owner, the discipline of saving your money and not spending it all because we think like, should get this cause I'm a high earner. No, like there's still tax games that we play. There's different ways to minimize it. But realizing like I need to be disciplined here. I think if you can be disciplined there, it also stems to your team. It stems to your leadership. It stems to your physical health. Morgan Hamon (05:39) It is. Mm-hmm. Mm-hmm. Kiera Dent (06:04) It stems through so many other areas in your life that I think like talk about a blessing of taxes that we actually get this benefit. Morgan Hamon (06:07) Yes. It, I agree. And you do have to be, you do have to be disciplined. I know. I know. I also, I'll share a personal, I'll share a personal experience and kind of how I view tax because I very happily write those checks. You know, I write the same ones as our doctors do, but so back when I got out of the Navy, my family and I, so my parents, my brother and myself, we all chipped in and bought a real estate company. Kiera Dent (06:13) Even though I hate it, Morgan, don't take me wrong. I still hate taxes. Morgan, tell me the secrets. Morgan Hamon (06:36) back in 2005, real estate was happening. It was all in, all chips on the table. Well, guess what? 2009, everyone remember what happened in 2009? So, I mean, it was bad. It was horrific. 2009, my tax bill was zero. Zero. But do you think I was coming home saying, honey, look at this, zero, woohoo, check this out. I got no tax. Kiera Dent (07:04) day. Morgan Hamon (07:05) No, I'm sitting in a room and looking at the wall like how am going to face my kids telling them dad can't keep a roof over their head? How did my life get this screwed up? I paid no income tax, but those are not good times. That's not a period. And so right after that is when my dad and I started HD Accounting Group. But those days were like not my fondest memories even though I had zero tax liability. Fast forward a bunch of years, I've enjoyed a lot of success and I write some big checks to the government and I don't care. My life is so much better. got kids college paid for, no debt. My life is good. And yeah, they are some big checks. I mean, let's face it, they're not my favorite things to write. Nobody likes it. But my life is just exponentially better. So when you're paying tax, you're making good money. I don't know, maybe boil it down to that. Kiera Dent (07:55) I would agree with you. which thank you for sharing because I think we, I agree. I don't want to have a year where I'm paying $0 to taxes. Cause that means that when you said zero and I'm like, we had a bad year. That's like a real bad year. Like as a business owner, you start to realize like that actually is not a good year. ⁓ But I think for that, ⁓ it's the discipline. And I found for me what's cut the stress out as an employer and as a business owner, not CPA, that's Morgan the world. That's not my world is when I have Morgan Hamon (08:09) That's... ⁓ And now... Kiera Dent (08:28) money and I'm disciplined and I save it because you still have profit afterwards. So it's not like you're not taking anything home every month. You're just being disciplined that that money for tax you save then I have the money and I'm like the pain I think comes from not having the money and the fear of where am I going to come up with the six figures when I've already spent it. I think that's more of why people hate taxes just like people hate root canals. They don't actually hate the root canal. They hate the pain leading up to it. We hate the pain of not having the money set aside. Morgan Hamon (08:33) Mm-hmm. Mm-hmm. Yeah. Yes Well. Exactly. And let's tie this real specifically to the world you and I serve, our dentists. What really creates a lot of confusion and adds to the emotion is that, most of our clients have a practice note, a big one. And they don't always realize, look, when you make your loan payment, that is not a tax deduction, right? Kiera Dent (09:22) not just Morgan Hamon (09:22) When you borrow the money, we deduct everything you're going to buy, but then over time when you pay that back, you don't get it deducted again. So if your debt service on your practice loan is $100,000 a year, which we see often, you're paying income tax on it. So if you made $500,000 and $100,000 went back to the bank, you're living on $400,000 but paying tax on $500,000. And that is That can be shocking and that's why you'll hear, and that applies to just both financial accounting and tax, that question of, my accountant said I made this much money. That can't possibly be the case. I just logged into the bank. What are they talking about? It's that debt service. That money's gone, but it's not a deduction. The other thing that makes it, any tax planning for dentist challenging is just the volatility in the month to month profit. And I think there's a misperception out there, hey, look, my accountant is keeping my books up to date every month, right? And so if we get to the end of, let's say the end of September, and we can, hey, September 30, this is the exact profit, that does not equate to a granular, precise tax calculation because we have to, all your tax rate is dependent on total annual household income. If there's four months in the year that haven't happened yet, we gotta, Kiera Dent (10:16) Amen. Morgan Hamon (10:46) We got to estimate and it's subject to change. Maybe they were struggling in May and they said, you know, I'm calling Kiera, fine, I'm going to do it. We're going to get this thing figured out. And so then by November, they're killing it and everything's up 30%, 40%. Well, guess what's also going to be up? Your estimated payments are going to be higher, right? And so it's volatile. and it's not an exact science. with any tax planning, those quarter estimated payments are trying to keep you in the hunt. And you alluded to that by having your buckets. Just realize there will be a settle up at the end of the year when it all fleshes out, because all we can do is estimate along the way. Try to keep it as close as we can. But I'm with you. I make those payments quarterly. I don't put my head in the sand because it'll just get bigger. Kiera Dent (11:33) Well, I'm curious, Morgan, this is like Kara's nerdy side of me that I don't understand. So help me. And I hope this comes across respectful of the CPA world. To me, I feel like why don't CPAs at the end of every month, you know my profit, you know what I did that month. So yes, there's the estimated, but why not just give me like, the only thing I've thought of is maybe my tax bracket could change, but I'm like, why not estimate every month approximately what I need to save for taxes? Morgan Hamon (11:43) Mm-hmm. Mm-hmm. Mm-hmm. Mm-hmm. Mm-hmm. Kiera Dent (12:03) So I can at least put that away monthly. Help me understand the psychology of that, because I don't. Morgan Hamon (12:06) So, oh, trust me, we've thought about this every which way. And I'm never done. I tweak our tax planning process every year. So to your point, like you could look at last year's tax return. So there's two figures to look at. There's your marginal tax rate, which is your whatever bracket, your highest, so the highest of 37. But then there's what's called an effective, and that's just the average, right? If you look at total income and total tax, what's the average? So you could look at your last year's tax return and maybe your combined federal and state income tax was, call it 30%. So you could say, whatever my profit is times 0.3 is what I had to put away. So you could do that, but that's inherently going to be inaccurate. because you will not have the same eff…
Full show notes at the publisherMorgan Hamon, co-founder and president of EAG Dental Advisors, returns to the podcast to talk about dentistry financials. As a CPA, Morgan pulls from his experience to talk with Kiera about what it takes to be profitable (beyond revenue and expenses). Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am so jazzed. I have one of my absolute favorite guests back on the podcast, Morgan Hamon. He used to be with HDA. They have now upgraded their name to EAG Dental Advisors. Super excited. He's an incredible CPA, does all things dental, loves airplanes. He's been on the podcast so many times. We've had some good chats. Dear friend to me, Morgan, welcome back to the show. How are you? Morgan Hamon (00:20) Ha ha. Kiera, I'm doing good. It is so great to be with you and looking forward to our conversation today. Kiera Dent (00:31) to you and me both. So I have to know since you love airplanes and it's in your background, are you a fan or not a fan of Top Gun? I just need to know. Morgan Hamon (00:35) Mm-hmm. You know, I have a soft spot for that movie because when it came out in 1986, I was 15. And I, you know, I sort of set my sight. That definitely influenced me. said, that's what I want to do. So I went out and did it. And so. Kiera Dent (00:46) Mmm. So then how did you like Top Gun Maverick? was the second? Tell me, are you fan? Morgan Hamon (00:56) That one, the purpose of that movie was entertainment and it was entertaining, but it was a little, you gotta suspend disbelief a little bit. It was a little nostalgic because that was set in Naval Air Station, Lamar, which is where I was for eight years. So it was pretty cool seeing that and the flying scenes were real. And so they were all filmed out. It's called restricted area 2508, which is where we always used to fly. So it was pretty nostalgic seeing some of the flying scenes back where we used to go fly. Kiera Dent (01:17) Mm-hmm. Morgan Hamon (01:26) But technically, there's a little, like any movie, there's a little Hollywood going on there. But it was entertaining. Kiera Dent (01:26) No. can't How cool though that they like made a spot for Iceman with him having throat cancer. I thought that was incredible. Like way to go Tom Hanks. So I know you guys didn't come to the podcast to hear Morgan and I talk about top men, but we're going to segue now because Morgan does all things. We love to talk profit. We love to talk taxes. We love to talk all things nerding out on CPA land, which I have really truly fallen in love with like understanding my numbers. So this is a soft spot for me, but Morgan Hamon (01:39) Yes Yep. Hahaha Mm-hmm. Kiera Dent (02:01) Morgan said he won the topic today, which I think is a sexy topic and I cannot wait where he said leadership relates to profitability. And I said, Morgan, sign me up. Here we go. So Morgan, this is our time. This is our topic because I absolutely agree with you that leadership does relate to profitability, but take it away. And then we're to dig into tax savings. We're going to dig into all this stuff and who knows where else we're going to go, but ⁓ it'll be a great one. It always is. Morgan Hamon (02:16) Mm-hmm. Yes. Well, think this topic has evolved with me a little bit, because we've been doing this 15 years and going now. And so a lot of conversations over the years. And I've always thought about profitability, which let's face it, that's why we own businesses. We don't own businesses to pay tax. We own businesses to make a nice living and have some control over our lives. So you've to have profit, and it's hard owning a business. So if we don't have adequate profit, why bother? ⁓ Our mission has always been to really focus on profit, give our doctors feedback on what that profit is, and diagnose if things are, you know, if there's something that could put more money in their pocket. Now, with my CPA hat on, right, there's two parts of that profit equation. There's the expense side of the equation and the revenue side of the equation. And so for a lot of years, I mean, that's where our focus has been. But I've recently, last year or two, I've really come to the conclusion, look, there's a third component there, right? And it's not math, I can't point to the P &L. But where this comes from is I get asked all the time about, and it's from the clients either considering a startup or purchasing a practice, and they'll say, okay, Morgan, you got clients all 50 states, like where's the great area? Where should I go where folks are doing well? Kiera Dent (03:27) Ooh, I can't wait. Morgan Hamon (03:47) I that question. I get asked, hey, do you have a special report for pediatric dentists? Because I'm going to be pediatric, so I'm going to be making more money kind of thing. Or I'll hear a report. Or I'll get a question that, do you have a report just for your clients in California? Because it's like way different out here. And I say, look, the answer is no. We have one report. In geography and specialty, I think they may influence profitability, but that's not the deal breaker. We have plenty of clients who are specialists. The struggle, we have plenty of clients, like one of our longest term clients is in Nob Hill, San Francisco. She recently moved across the bay, but it's like the most expensive city on the planet. She killed a 55 % profit margin for like 10 years. So geography isn't, that's not how we connect the dots. I think we connect the dots with leadership. Kiera Dent (04:33) Yeah. Mm-hmm. Morgan Hamon (04:43) You know, we have a lot of clients I've known for a long time. I've been with them along with their journey as I've been on my journey, which has been very rewarding. And I've come to the opinion that if we quantify success for a doctor and let's, and we'll talk a little bit more about this when we get to tax, but you know, is it money? Is it time? Is it all the above? If we look at, who's crossed the finish line? Who has the full deal? ⁓ It's the doctor that runs a tight. Plain and simple. Like you can tell in me talking with them, I know them real well. You can tell by their numbers. Look, they're an amazing clinician, but they're also an amazing business leader. They know how to inspire their team. Their patients feel comfortable. They lead from the front. They just, they do it all. Those are the doctors that have the high profit margin and the high quality of life. It's not geography. It's not specialty, although that can have an influence. That's the full package. So it is, yes, revenue, expenses, and how well do you lead your practice, in my opinion. Kiera Dent (05:50) Morgan, I was so happy when I read that and when we were talking about what to bring on because I see it as well. I tell everybody, I can tell walking into a practice even before I walk into the practice, if I've met the leader of the practice, I usually can tell if this practice will be successful or not, truly based on the leader at the helm. And it's interesting because we did, I recently did this at our summit. So people were there, awesome. Morgan Hamon (05:52) you Kiera Dent (06:16) If they weren't, that's okay too. But we actually broke down and me and the consultants, we went through all of our clients. Like we looked at the clients, we looked at past clients, we looked at future clients, we looked at different pieces, what were our best clients, what were our worst clients. And I actually broke down, I'm trying to pull it up here, of like common themes of great practices and like great leadership and common themes of the not so good. And so some of the things I've seen in... Morgan, I'm super curious to hear like what you'd add to our list. Cause I, you see it from a different perspective than we see it. So on my not so good list, these are the ones that like really they always are floundering is they don't trust their office manager. They're sometimes poor clinicians. Like they need to hire somebody else or get some training for that. ⁓ Poor leaders, they have team turnover constantly. They don't implement strategies. They're highly driven by emotion. They don't look at their numbers or their results. Morgan Hamon (06:45) Mm-hmm. Mm-hmm. you you Kiera Dent (07:11) They do a lot of CE, but they never like implement. They have lots of coaches, but they don't trust and execute. They're half in on everything. So they're not like solid on anything. They want to pay to fix the problem with no self-realization identification that maybe they are the issue. They have ego fear with no accountability. And there's a lot of blame. Like everybody else is the problem. Are some of the things that I've seen and I don't know, like I know I'm putting you on the spot. didn't, I have my nice list over here, but is there anything else you see of patterns? I'm, you and I can both like, Morgan Hamon (07:30) Mm-hmm. ⁓ Kiera Dent (07:41) in our Rolodex of humans we know are not so good leaders or the practices who aren't as profitable, are there any other things you've noticed in their leadership that maybe isn't as strong? Morgan Hamon (07:41) No. Right. Well, that was a very comprehensive list. Once we're done, I'm going to write all those down because I that's very good. If I were to summarize that, if we talk about leadership, it's really about ownership and engagement. You have to own it. Everything's your problem when you're the owner. There's another podcast I like. Kiera Dent (07:58) Yeah, of course. I'll happily share. I will happily share. And if you get anything else, share back our way too. Morgan Hamon (08:20) and it's nothing to do with dental, it's all about leadership. And there's a saying, and it's really stuck with me, and I swear I think about this every day, Kiera, when I think about my business and how do we keep doing a good job, is that if there's a problem in your organization, it's a leadership problem. You can trace it all the way back, go any direction you want, it's going to tie back to a leadership problem. So, if something is going sideways, it ultimately comes back to your leadership as a business owner. So, maybe the staff, maybe there was a bad patient experience, something went sideways with the patient. Was that staff trained? Maybe they were trained, maybe they were not held accountable. Do you have a bad procedure? Maybe the procedure needs adapted. mean, we think about that all the time, constantly adapting, constantly tweaking, and I think you have to do that in any business. If, like you said, in your list there if people don't want that accountability, there's always making excuses or they don't want to engage. They say, you know, and maybe they are a good clinician. They say, I'd rather just be in the operatory but my staff's a mess. Kiera, come on in here and whip them into shape and let me know when it's all good. You know, that's not how it works. That's not how it works. Kiera Dent (09:32) Exactly. No, not only they're part time. I'm not your manager. I'm not your leader. I'm not your boss. Morgan Hamon (09:38) Right, or you know what, I'm going to have an hour meeting with my accountant and that should solve it. Like, no, we're going to come up with some action items and then you need to execute those. So you have to own it. Everything's your problem when you own a business. ⁓ And if you own it and you engage, then I think we're on the right path to not be on that extensive list that you gave, which I just love. Kiera Dent (10:03) right? Yeah, no, and I love it. And it just made me actually think of something I heard a financial conference and they said EBITDA equals engagement. And I've thought about that a lot because the more engaged your team is, the more engaged you are, honestly, a lot of higher EBITDA there is, I won't leave our audience hanging. I do have the good list and maybe you can add to this to see. So the ones that I found like, that truly just knock it out of the park, these are our most successful right? I'm like, what is their DNA makeup that makes them this great leader? Morgan Hamon (10:22) Mm-hmm. Mm-hmm. Kiera Dent (10:32) and it's their great implementers. They allow the teams to be free, like within the parameters. So they've got a great team culture. They're great at decision-making. They execute, they're consistent. They roll with the punches. They have long-term teams. They make their decisions based on numbers. They're great visionaries. And they know what they're working towards. They don't get distracted. So there's this laser focus that they have. ⁓ And on here, I would also say that they have massive ownership. And they also are not afraid to have the uncomfortable conversations with their team. Morgan Hamon (10:52) Mm-hmm. Thank Mm-hmm. Kiera Dent (11:02) So like they truly do, they're excellent at it. They might not be excellent communicators, but they're excellent at like tidying it up, driving their team for success. Those are some of the things I see, but I'm curious if there's anything else you'd want to add to that list because I think you're right. But I think that's a DNA makeup, right? It's people who are disciplined. If I go into the gym, they probably have like strong work ethic. They are laser focused. It's just like, it's who they are in all the aspects of our life, but I don't think they're necessarily born that way. Morgan Hamon (11:10) Mm-hmm. Kiera Dent (11:30) I think a lot of them can be, but I think a lot of them create that over time as well. Like it's an evolution of them, not necessarily like, if I'm just born a great leader, like, no, they're constantly working on it, but I'm curious your thoughts. Morgan Hamon (11:34) Mm-hmm. Thanks Yeah, no, I think that's a good list. If I were to try to tie that together, I would say it's you lead from the front. you know, like all just a personal example for me, like responsiveness is a huge part of our culture. Like, you know, if clients reach out to us, they need to hear back like in a few hours, like today. Lead from the front. is not do what I say. It is do what I do and keep up. Keep up with me. Kiera Dent (12:03) Yeah. Morgan Hamon (12:12) Let me show you what I expect. You follow my example and let's go where I'm leading us. I think is when you own a dental practice, you have to do the same thing, whether that's in the daily huddle. You lead by example. If there's a certain patient experience you want your office to have, you have to lead that. They have to be emulating you and say, I sure hope I can do this as well as the doctor. ⁓ Lead from the front. I think you also have to make sure your team understands why their work is important. Kiera Dent (12:42) cream. Morgan Hamon (12:42) And I do that all the time. Why is our work important as well? Because our clients are these dentists. They're drowning in debt. They don't necessarily learn how to run a dental practice in dental school. They're trying to put it all together to make a nice living. And they have probably eight or 10 employees that are accounting on them for their jobs. So our work matters. We're working with people's li…
Full show notes at the publisherTiff and Dana perform a practice autopsy of sorts — one of Dana's star students, and what's been put in place to help them thrive. The two discuss key systems, metrics, leadership, and how to stay committed to all of it. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are back live today it feels like you know it's so weird Dana to still be like on video it still weirds me out but whatever we don't do as many as Miss Cara Dutt does. So we are here today to chat with you guys we are so excited I've got Dana here and I have just like shocked her with reality today that I actually I want to hear about one of her incredible offices that she's been working with. And before we dive in, I want you guys to just know that we love what we do. We love helping you guys. We love consulting. We love helping you guys when you're not actually clients yet. And we want you to know that we're always here for you guys. Reach out. Hello@TheDentalATeam.com. always here. Our social medias. Dana, she does this incredible video, live video. I think it's live. I don't even know anymore. On Mondays, it used to be Fridays, it used to be Donuts with Dana. Now it's Motivational Monday or something to that effect. you guys, legitimately Dana is there, just like ready to answer questions. She takes ideas. So if there's things you guys are working on or... things you guys are trying to work through, send them in to us. Dana's always looking for more ideas on hot topics. We take them from things that we're talking to practices about and then what we're implementing so that you guys always have the best, most useful information, but we love suggestions. Same as topics for these suckers. We're always looking for suggestions for these and if you're not a part of our newsletter crew yet, you better go subscribe because we've got a ton of newsletters that come out as well. all the ways that you guys can reach out to us. If you're clients, guys, gosh, I don't, Dana, I don't even. I don't even get suggestions from my clients on things they want to hear from us. And my clients, and I know yours do too, they listen to all of these suckers. So all of my clients out there, all Dana's clients out there, thank you for listening. But hey guys, we're here for the suggestions. We're just always thinking of everything. Dana, do you ever get suggestions? Dana (01:54) No, no, ⁓ no, I get asked about what we're going to talk about today The Dental A Team (01:58) Yeah, I was like, as I'm sitting here like asking a whole slew of people for suggestions, I'm like, hey, I've got a handful of people out there that aren't even suggesting. So I need to be, I need to be more open about that. But today, I'm really excited to hear about this. Dana has been working her tail off with all of her practices. She works really, really hard. Dana, you are the grit to the fullest in so many ways and solution oriented. For those of you who don't know, those are two of our seven core values. And honestly, you embody all of them. But today is really about grit, solution-oriented, passion for excellence, and results-focused. These are some of the key pieces of what I think you did really, really well, with these results that this client has exceeded. And I'm just excited to hear about them. I threw Dana for a loop today, reminding her that today is her practice I wanted to hear about and that I'm gonna let her kind of take the floor for for a lot of today I have a lot of questions to ask and and kind of chime in but Dina I really just am so excited to hear about them, but Really, how are you doing? And how are how are your clients doing overall? Like how are you doing in the world of consulting? We're about halfway through the year now, which is well a little over I guess which is wild to me It's crazy that 2025 is almost gone, but how are you doing over there and how are your clients doing? Dana (03:24) I'm doing pretty good. Thanks for asking. feel like 2025 has been like a wild year, a little bit different for some practices, but I feel like they're all digging in. Everybody is willing to like do the things, work really hard, talk to their team, build in leadership. I'm super proud of my clients and their perseverance throughout this year and their ability to just kind of like pivot and push where is needed. And I think a lot of that is getting clients to look a little bit more at their numbers, to look a little bit more at what they tell them. I think it's really made a huge difference for a lot of practices this year. And so I'm just, yeah, always super proud of my clients. They're just really blessed to be able to be a part of their lives, a part of their practice and their journeys. The Dental A Team (04:06) Yeah, I agree. think coming off of December of 2024 was a wild ride for a lot of practices, November and December rolling into January. And I feel like it's just been this kind of like ebbs and flows, ups and downs, the whole, you know, almost seven months now for a lot of practices. But I know on our, on our doctor only mastermind for our clients, our internal, you know, clients are non-shared when Last night, there were just so many questions around that as well. And I remember somebody asked like, it normal to have had bad months? And is everybody experiencing last month, bad months or last couple? And I remember a couple of the consultants were like, well, actually, like, haven't really seen that the last couple of months. But when I sat back and I thought about it, I'm like, it has ebbed and flow, you know, flowed quite a bit for practices in general. But I think what we're starting to see is that I'll use the word again, the grit. that a lot of our clients really persevered through January through March. They started reaping those benefits April to current. And so when the question was asked, was a newer client of ours who had asked like, this, are you guys seeing this across the country? really, most of us consultants were like, no, actually not really. We're seeing some of the highest months we've ever seen in our clients. But I think that had something to do with it was really that they had the accountability. of their systems and of their numbers. Like you said, we really dug in deep and forced our clients to really truly learn their numbers better than we ever have this year. And really always looking back at them and always applying the information to the next steps. And I think it made a massive difference within our client base because I think overall we've seen a massive increase from end of year last year to mid year so far this year. Dana (05:56) Yeah, yeah, I agree. And I feel like even clients who maybe they escaped the like November, December, January, then they had like the February, March, right. And but I do feel like April, it's like everybody kind of really dug in and kind of climbed out of that little bit of that. The Dental A Team (06:05) Totally. Dana (06:14) dip that we had there for the beginning of the year or the end of last year. And so yeah, I am just really, it was interesting to hear on the doctor mastermind and just that like clients really did dig in and they've had so much grit because there was a little bit of a rocky end of start of 2024, 25. The Dental A Team (06:30) Yeah, yeah, I totally agree. I totally agree. ⁓ I love it. And I have so much fun on those meetings and hearing all the doctors and I think we had Moola on recently and we get to have, you know, just so many really cool things for them. So it was just awesome. That was something though that kind of reminded me of what you're going to talk about today with your client. And I wanted you guys to... not just here, like we're not just here to brag, like, of course, I want to brag on our clients and how great they're doing and what they're able to accomplish with the tools that they're given, but also to talk about the tools that they're given. So Dana, like really take us through, I want to hear how this practice is doing. What are their accomplishments? What are their, you know, increases in revenue and everything? then on the flip side of that, really, what did they dig in and implement really well this year that has gotten gotten them there these these changes and actually might not even be just this year like you've been working with this specific client for a little bit now so let me all the things I want to hear about it I'm excited Dana (07:30) Yeah. Yeah, this plan is really near and dear to my heart because they were one of my very first solo clients. And so it's just been fun over the years to really see them dig in grit like no other. I know on their end, it hasn't always been easy. We've had to some tough conversations. We've had to look at some tough numbers. We've had to set some really tight budgets that maybe they didn't love, but they did it and have just been massively successful ⁓ because of it. ⁓ And so I am just really, really proud of them. They've brought in a ton of leadership, a lot of team accountability. so, you know, starting out as just kind of a baby practice really with not a ton of systems. ⁓ So first year we spent heavy, heavy building systems, really getting them to talk as a team, to work as a team, to be accountable to each other. You know, so things like morning huddles and actually setting goals that they actually talked about and starting to look at numbers. And I remember know that first conversation of like, I can't really talk about numbers, right? That's just profit. They look at that as like take home and like, now to the point of where like, not necessarily obsess over numbers, but a little bit right there, the tracking tons of things and even department metrics and the team is really involved in setting goals and setting quarterly focuses and she's, you know, brought in an office manager and just grown even the leadership in the practice we're talking about here soon. ⁓ building more of a leadership team. And so it's just really, really cool to see someone come in and evolve from systems to just like massive growth ⁓ and a lot of change. And so, yeah, we focus on systems very heavily. Then we started to focus on leadership. Then we started to focus on growth. So we've got, you know, went from a part-time associate to now a full-time associate to now like ⁓ a buying of a space. The Dental A Team (09:13) Yeah. Dana (09:31) And a build out. it's just been really, really fun to see that when we focus in on the things that are really important, that like the push and the magic that happens from it. ⁓ And so this has just been a practice. It's just been so fun to be a part of. ⁓ And we've had to do a lot of, because of the amount of growth that they came in wanting, right? We always talk about vision with clients and like, do you want to be three years and where do you want to be five years from The Dental A Team (09:33) Mm-hmm. Dana (10:01) now so like hearing that hey I want to be an owner of a building and I want to pretty much double the size of my practice in that time frame and and I also want to do a little bit less dentistry that takes a lot of intentional movement, a lot of projections, a lot of even, you know, I know we've even talked about where you want to go knowing when you have to hire people and when you have to bring people on and when is the right time to add an associate. And then on the flip side of that, like, how do we keep expenses in line so that we can make this dream happen? How do we keep expenses so that we've got the profit to be able to expand and to be able to purchase a property? And sometimes those conversations are uncomfortable, right? Because like we want all the this is this is a doctor who really appreciates team whose love language a little bit is like giving and showing appreciation and you know having to like home that in and be like hey I want you to celebrate your team when they go above and beyond and they crush these milestones we can't do that just for doing jobs though because again remember this vision right we want this we want this building we want this expanded team we want to be able to like be a part of more people's lives in the community so it's just been so fun but I will say the biggest thing that like having to push on my end especially is just the intentionality that like the things that we put into place are to truly get them to where they ultimately want to be and and I feel like sometimes that's why we're brought in is because like they know what the vision is they know where they want to be but like they have no idea the path The Dental A Team (11:25) Yeah. Dana (11:43) to get them there. And so this has just been like a uniquely fun ⁓ client to be a part of. The Dental A Team (11:50) That's awesome. So it's been about, I want to say like two years, little two years ish, or is it three now? my gosh, I'm a year behind you guys, it's fine. Time evades me, so three years. So when this specific client came on, I'm just gonna summarize a little bit. So it sounds like this client came on and they had one and a half doctors including themselves. They probably had what, three hygiene? Dana (11:57) It's three going on four. At the time it was just her, single doctor. Just her, single doctor, two hygiene, you know, two assistants, one front office. Yeah. The Dental A Team (12:17) Trust her. Single doctor. Perfect. So we have a very small team ⁓ from the outside looking in and a vision of owning their own building, ⁓ like literally the building. And what would you say their yearly production collections was? Probably right under a million. Dana (12:39) At the time around, I'd say between $7,5800. The Dental A Team (12:43) Yeah, 7, 5800. So you guys, you can imagine owning a building on that, right, that's a stretch that's going to take a little bit of time. then fast forward, you know, now three years going on board, we've got a full-time associate in place. And how many hygienists? Four hygienists. Two dentists would mean at least probably four assistants, if not five. Dana (13:00) There's four. The Dental A Team (13:08) Four assistants, so three, four front office, probably including an office manager. So we've more than doubled, right? Or right at doubled our entire team, which means also, right? That we've doubled cost. So I think, Dana, what you did really, really well is that you were able to take from the beginning this client's initial goals. She said, this is my dream. And you said, How are we gonna get there? So what you've been able to do with her is really take the financial aspect of this client and say, okay, this is where we're at, but this is what we need. And so everyone listening, something that I really want you to understand is that when you have a goal in mind, right, I talk about vision boards a lot and I talk about vision boards because I think that they're really cool. If you don't know what a vision board is, dang it, you're too young, go Google it, it's fine. If you're a millennial, you know what a vision board is, go get your magazines. But I always say like, we do these vision boards and we're like, you know, we're gonna put an airplane on there and a picture of Mickey Mouse and I'm gonna take my kid to Disneyland. And we just put it on there and we put it on the wall and eventually we f…
Full show notes at the publisherKiera gives advice to those practices stuck in the $1 to $2 million range (because the same problems tend to apply). These hurdles can often be addressed in the leadership, systems, and mindset arenas, and Kiera spells out specific steps your practice can implement today to burst through the barriers. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A team listeners. This is Kiera and I am so happy to be podcasting with you today. I hope that you are just loving your life. I hope you remember that we are so blessed and so lucky to be able to do dentistry. I mean, talk about it. So many people dream of this world. So many people want this world and yet you get to live the dream. You get to live the freaking dream. This is your life. And so today I thought it would just be fun to tackle into this of, you know what? Why are you still stuck at 1 million? and how to break through, or maybe while you're still stuck at 2 million and how to break through. I feel like there's very similar problems from zero to 2 million. So I thought, hey, let's talk about it. Yes, it might seem like, okay, no, they're not quite the same. Actually, they're pretty darn the same. And I thought, hey, why not tell you why you're still stuck here and how to break through that ceiling? I remember once I was told about like the wifi symbol, and I feel like every one of those layers is just your next layer. And it's like, how can I burst through that next layer and actually make my life easier? I remember I also had a friend and I was working towards my first million. I remember when I hit our first million in the company and my friend texted me and he said, Kara, now that you've hit your first million, the rest are easy from here. And I will say getting to that first million mark is tricky, but then getting beyond it. So from really, it's like zero to 2 million. Honestly, a lot of these things are going to apply. So you're still stuck at 1 million. Let's break through that plateau. You guys, this is the Dental A Team and we freaking love helping practices break through limiting beliefs. Create the impossible into the possible. Make your life easy. Make your practice experience amazing and truly give you the life and practice that you deserve. I'm obsessed with having your life and business on purpose. Truly, why not? Like why? Why be a business owner? Why do all these hard things if we don't get to do the life that we wanted to have all the things that we wished for and to give our teams the same type of life and experience as well? So the reality is when we look at this, it's not clinical skills typically. Sometimes it is. Sometimes you do need to take some courses. If it's clinical and you're struggling clinically, think Coice and Spear and a lot of those will be really great for you clinically. So typically though, it's not clinical. It's systems, leadership and mindset. Like literally that's what it is. It's the systems, it's the leadership, it's the mindset. Systems do tie into our numbers and knowing that. And so I just want to break through like these three little hidden barriers that oftentimes keep practices stuck and some ways to get around that. So you can plateau through that one million, that two million mark. and really be on your way to great success, but doing it not harder. How about that? Like, I don't want to work harder here. I don't want to have to do more. Don't worry. When you actually put these things into place, you get more time back. You get more happiness back. It's not like, let's do this and have less happiness, less time, but you can if you do it your hard way. But we're going to teach you, today I want to teach you how to do this easy. Are you on board for that? If so, welcome. I'm super happy. I'm Kiera. This is the Dental A Team. We created it to help hundreds and thousands of offices scale beyond that 1 million mark to get to the 2 million, the 3 million, the 5 million. We have offices doing 500,000. We have offices doing 1.5. We have offices doing 3 million, 5 million, 10 million, 20 million. The reality is these things apply across the board. There's different layers and different ways to fine tune and refine based on the size of practice you are. But at the end of the day, these are really easy areas to help you see where your gap is and to break through. This truly is an episode that's for practice owners who know that they're capable of more, but honestly don't know where to go. I hear all the time when people talk to us about joining dental hygiene, they're like, Kiera, I don't know what I don't know. I'm like, you're right. So let's help you. Let's like peel off the mask, give you the resources and make it to where life is so much easier for you. So number one, the first block that I want to break down for you is you are wearing too many hats. This happens all the time. It's called the bottleneck. Like think about it. We're like squeezing it because we're wearing too many hats as business owners. And oftentimes what happens is as the founder, you are so used to coming in, being the person who does all the pieces because that's what you had to do when you started it. But that's also a falsehood. And also what it does is it creates chokeholds because what we're doing is we're micromanaging lack of delegation, lack of trust. This is where it gets like really stuck. And the offices were able to break through and evolve. put systems into place, they realize that they need to have a delegation ladder at our summit, if you were able to attend, awesome. If you weren't, you missed out on our amazing delegation ladder where we literally show you how to go in order of the tasks to be delegating and in what order based on the size and the growth of your practice. So when we get overwhelmed owner or stagnant teams or reactive decision-making, what we need to do is we need to build a leadership depth. So we're training our office manager, we're empowering our leads and we're letting go of low ROI tasks. Like literally Dan Martell has a book called Buy Back Your Time and it was shocking to look at that. And that's where we came up with our delegation ladder of, wow, like if we could honestly help you all see that we could shift it and these are the tasks to go in order of, and we're delegating out. If you're producing 200, 300, 400, $500 an hour, get rid of those low tasks that truly are not serving you. So on our delegation ladder, the way we started it is we have at the bottom layer, your number one thing to delegate out first is going to be administrative tasks. After that, it's going to be patient experience and case acceptance. After that, it's treatment coordinator. And that's going to be our case acceptance heavily. So we've got patient experience, making sure you're not the star of the show. Then we move into treatment coordinating and case acceptance. Then we move into marketing and branding. And then we move into leadership. And then beyond that, we move into overseeing. So if you're stuck in the administrative tasks, well, awesome. Let's wait till we need to delegate that and empower that out. If you're stuck in being the patient experience, The practice runs because Dr. Smith is in the practice and everybody loves Dr. Smith and Dr. Smith, if they're not there, no one wants to come. No, it should be the whole team experience. This isn't Kiera Dent. This isn't the Kiera Dent show. This is the Dental A Team show. There are so many great consultants. They're such a great team experience, but I don't run it. Yes, I have an influence and I started at the beginning and the core values as to why I started the company, that exists as our culture, but I'm not the one responsible for our client experience. Literally, I am here to podcast. I'm here to do our doctor think tank and I'm here to go speak at events. That's literally what I do now. And I get to see all of you, but I get to influence and train our consultants. I get to help and train in different areas. I get to influence the company because I'm clear at the top in the leadership spot because we have great consultants that take care of our client experience. You should have great team members that take care of your patient experience. Then you need treatment coordinators. You should not be the one doing all the cases and closing all the cases. And if you're not there, we can't close. It should be that your team can close cases without you. Then we move into marketing and branding and then it's into leadership. So when you're looking at this, what hats are you wearing and how can you shift this and which level of the tier are you on to be able to buy back your time to make it to where you're super focused on those own that you're really great at in your zone of genius. Now I still enjoy some administrative tasks. There's still some things that I'm like, gosh, I really enjoy this. I feel really good checking off a checklist. When you move from administrative into leadership, it's actually awesome and un-awesome. because you feel like, well, gosh, like I'm just doing all these things, but there's no progress. Like leadership tasks take way longer. There's not as fast of progress, unlike administrative tasks have to do. This is where you grow and you expand. So when a practice, like we have a doctor and they let go of the administrative tasks, so you hired out a virtual assistant or their office manager or team members. And I will say, Office managers should not be personal assistants. So let's make sure like office managers, you should also be going through this delegation to your levels. Like look at yourself too. So you're able to scale leads in practices need to look at this as well. What are we doing in these tasks? And could we delegate to our other incredible team members and empower them to be great? answer is yes. So when doctors let go of this, usually like when I've seen offices empower their team, stop doing it all. They grow by 10, 20, 30%, a hundred grand, 400 grand, 500 grand. to their practice because the breadth and depth of their expansion, now they're able to focus on high level dentistry. If you're not sitting there busying your time with answering emails and signing off on payroll and all these other things, you then have time to focus in on your dentistry to give better treatment plans, to give better case acceptance, to refine that skill set for yourself to where you're pushing that out there and that's what you're focused on. You're taking CE on that. Think of the ROI of that time spent. versus sending emails out that really are not moving the needle forward. So I want you to look at everything on your plate today and I want you to see what things are in administrative, what things are in patient experience, what things are in treatment plans and case acceptance, what things are in marketing and what things are in leadership. And of that, figure out who could I delegate to? How could I get less hats? Who do I maybe need to hire? It's who, not how? There's a book about this, it's really great. And I want you to see, because when you are, everyone's working at the top of their, a license, that's how I like to put it. So doctors, would mean you're only doing dentistry stuff and CEO stuff. That's it. Everything else is delegated out. You will be amazed at the growth that it adds. So that's number one. Are you wearing too many hats and where can you delegate? Number two, your systems don't scale. So a $1 million systems break down at higher value. Like they truly do. So it's like scheduling strategy and poor case presentation and inconsistent team accountability and not tracking our numbers, not having a great treatment plan ⁓ presentation, not having great hygiene processes in place, these little things break down and it's like, gosh, like we don't know how to handle this. We don't know how to schedule. don't know how to take these phone calls. So on this, we want to implement scalable systems. like block scheduling. So it's not just dependent upon who's up there scheduling. We know if it's Kiera, if it's Tiffany, if it's Brittany, our schedule will be consistent every single time. That's a true system. I get the exact same result no matter who's sitting in that chair. Our treatment, like, ⁓ Case acceptance using the NDTR handoff. That's literally a system that allows your case acceptance to scale We have a billing protocol where we literally like pull it all down We have a system of how we follow up with all of our claims We have a system of when we look at our money instead of like, shoot. We don't have money. Let's go look at AR We have a set system of we send claims out on these days. We send out our insurance We follow up on insurance. We follow up on patient balances on set cadences and dates doctors You have a set system of when you look at your bank account when you reconcile your pieces with your office manager. This is where it is our AR follow-up. Like all of those are scalable systems rather than reactive systems. And the $1 million practices are often like playing whack-a-mole. It's like, here's a hot fire here, fix that. here's a hot fire here, let's fix that. Rather than like, okay, what needs to happen so we can consistently get the results. I'm obsessed with Disney. I love their model. I think they're an incredible company. And I love something that they said is that we're able to create predictable magic with the systems behind the scenes. So for you, we're able to create predictable million dollars with the systems behind the scenes. Also, sometimes when you're in startup mode, you actually have this identity, which is going to move into our next block. You have an identity of I'm a startup practice. So you actually act as a startup practice rather than thinking like, what does a $5 million practice do? Well, you better believe they're not like just willy-nillying their schedule. They're not willy-nillying their case acceptance. They're not willy-nillying their billing. They don't willy-nilly that stuff. And it's not that they have more time than you. It's just that they have more scalable systems and they actually have systems in place that work. So when we've implemented block scheduling, you've heard me say it so many times, literally in small practices, we've been able to add 500,000, 1 million. Like it is not something that's hard. These are not fluffy numbers. They're not like, my gosh, I'm exaggerating. They're literally like, I can show you what they were producing, what the block schedule created and how they're able to have consistent days like that. When we implement treatment trackers, we're able to boost case acceptance exponentially because we're tracking and we're looking at patterns. When we're able to fix AR, we're able to reduce your billing and we're able to increase your collections, reducing your overhead. When we teach you how to look at your numbers, we're able to decrease your overhead, increase your profit, and you're able to like literally sleep at night because you're not stressed out about it. These are the simple scalable systems tha…
Full show notes at the publisherKiera is joined by Ted Osterer of Synergy Dental Partners to talk about the money field of dentistry in this moment of 2025, including tariffs, negotiating and raising fees, finding supplies, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am jazzed. I have a super fun guest on the podcast today. We're going to talk about the tariff sheriff, how that's impacting dentistry, the rise of dental supply costs, and honestly what to do because I'm so annoyed by all these pieces. What's the economic outlook? How do dentists freaking survive? Like, gosh, it just seems like a funny world out there. But we have Ted Osterer. He is with Synergy. I love this buying group. I think they're Absolutely incredible. We're gonna shed some light for you guys. So Ted, welcome to the show today. How are you? Ted Osterer (00:32) I am doing very, very well. Thank you so, so much for having me. Congratulations on your thousandth episode recently. I'm happy to be a part of this and any value I could bring to your listeners, hey, we're all better for it. Kiera Dent (00:39) Thank you. Well, thanks, Ted. And yes, ⁓ I'm still in utter awe that we hit a thousand episodes. Like when I started this, it was just a whim, a pipe dream. Jason and I were hiking. It's not a joke. I literally was hiking half-dome. Mind you, Jason had said, hey, let's go down to Yosemite. I'd love a nice relaxing weekend down there. And I had learned that you could go get, like, this is prior. You can't do this anymore. That you could get these like day passes, like these day camping passes. And if you just went and sat at this little lodge for a few hours. So I was like, Jay, yeah, of course we'll go down there for this very calm, welcoming, welcome, like very easy, relaxing weekend. Little did he know I had full plans to try and get half dome tickets and like hike half dome. I even brought the gloves, like I was ready to go. And sure enough, I got the lottery, got the tickets. Jason was like, what the heck? We're going to freaking hike half dome. Like, Kiera, we haven't even prepped for this. We haven't done any of this. We don't even have a hotel. We got a hotel an hour away. We had to drive an hour outside of town. It was the nastiest hotel. They were like, I'm not even joking. There was like hair and like this little pill on the pillow that were not ours. Jason's like had the worst sleep of his night and I'm like listen there's no hotels around me of 70. Like we're filing so we had a place. We went back super early the next morning to hike Half Dome and lo and behold on our hike I said Jay I think we need to build a podcast. This is where it all started. It was like one of those things that I never imagined a thousand episodes would hit and here we are. Ted, you're hanging out with me a thousand in. And I think it's just fun because of all the value, all the stories, all the people. And like you and I were talking about pre-show, the podcast is really just a place where I get to selfishly hang out and just have a good conversation with people that I like. I get to meet new people in the industry. And as a byproduct of my nerdiness and excitement of meeting people, all of our listeners get benefited by this. So Ted, I'm so happy you're a part of this. Thank you for that. ⁓ Outside of Yosemite, let's talk about the rising cost of dental supplies, the tariffs, how this is going to impact. Because I know people are really nervous about it. I see in lots of dental groups out there, and you guys are really great. That's why I had you come on, because I think you're a huge solution to these problems. So take it away, Ted also, so the listener know how on earth did you even get into dentistry? Let's talk about that first, and then let's talk about what this even looks like for dental practices long-term. Ted Osterer (03:00) How did I get into dentistry? ⁓ It was fate, it was just destiny. Growing up, I had 13 teeth pulled. I had braces for five years and it was like, well, I'm here for life, I guess. And this is just how we can all grow as a unit. ⁓ I've been in dentistry for about 15 years now. I started out as a dental supply rep. I was going door to door for over five years and... funny enough that, you know, this isn't the, I grew up in the New York area. This is the major metropolitan New York area. And I had a really good buddy and he was like, I think you'd be a really good fit actually managing anal practices. And I can actually introduce you to someone. And it was like a small like eight practice group. I can introduce you to somebody, the practice on the Upper East Side of Manhattan. Go see if you'd be a good fit. And I'm just kind of like, sure, guess. know, it's like always like have a conversation. And I had a conversation and sure enough, I got along really well with a particular office manager ⁓ from this group and I went to go work for this office manager. ⁓ Within three months, I had my own practice. I was a practice manager. You know, it's so funny going from a supply rep to an office manager, right? I learned the first and I'm not saying this is everybody, but I learned the first day of being in a dental office that I knew nothing. Kiera Dent (03:59) Yeah. Ted Osterer (04:29) about what happens in a dental office, right? Like I'm like, could, God, it's gonna be a piece of cake. I've been in dentistry for five years. And so I could tell you how strong and impressive material was. That does not help with insurance codes or posture downgrade or presenting treatment or creating a schedule or reading a schedule, anything like that. So, much respect to everyone that manages offices that's listening right now that my goodness, you're fighting the good fight. Keep up the good work. ⁓ Kiera Dent (04:40) does not. Agreed. Ted Osterer (04:57) I did that for some time. I was recruited to work for care credit. I oversaw New England for a few years where then they moved me to South Florida. And then a few months after that, I was recruited by Synergy. I've been here since 2021. And this is really, really cool. You know, I came to Synergy because the message was, do you want to make an impact in the dental world? You know, like you love what you do, but do you really want to make an impact? Do you want to help independent dentistry? And I was like, man, what a line, right? Like I was suckered in and I really wanted to make a difference. And sure enough, almost four years later, we're still here at, you know, we're the largest dental buying club in the country. We are the fastest growing dental buying club in the country. And we're just trying to preserve independent dentistry by giving them the same supply and overhead cost at a 20 plus practice DSO would get. that, know, we were founded by dentists. It was as black and white as, Hey, If enough of us order from the same places, they'll give us a discount. And now we have people in charge of negotiating pricing. You know, we have a dedicated team to each member to make sure that they're getting the values worth here at Synergy and they're not ordering more than they have to. And you you asked about tariffs, the rising overhead costs, all of that really, really fun stuff, right? Let's dive into that, right? You know, the perceived economic uncertainty of everything. Are prices going to go up? Yes, of course. Does that mean you need to buy everything right now at the same time to save money in like six months? No, you probably shouldn't do that either. You know, the waiting game generally always pays off, be it in dentistry or outside of dentistry when it comes to money, you know, you're better off just kind of, you know, hold the chips, hold down the fort, you know, you're, it's not, you do not sound the alarms, of course, right? You know, the price of your crowns is not going to go up 10,000 % like. Kiera Dent (06:21) Yeah. Ted Osterer (06:50) Calm down, chill out, right? It's what we've monitored. Have tariffs affected some prices? Yes. ⁓ Many have already gone down. Many have plateaued with that price increase and we kind of have a safe, what, just gauge on what those actually are, right? The percentages have been minimal. It's a few dollars here and there. Kiera Dent (06:52) Yes, I agree. Ted Osterer (07:17) Again, the industry is not belly up. really should not be your ⁓ primary concern. Providing optimal quality ⁓ of treatment should be your number one concern still to this day. I don't think it's going to make a difference whether you're getting a new sensor or not. If your sensor goes, you're OK. Kiera Dent (07:36) It's It's really true. Well, Ted, I love that. And I love your story. And I love that you have the real life experience in dental practices, because that's something that we pride ourselves on at Dental A Team. It's like, we've been there, done that, and done it successfully. And you're right. Being in a practice is no small task. It's no small feat. And ⁓ I think the supply costs, I do agree with you. think certain people were getting a little bit, maybe extra on this, of how concerned we are of cost. And I don't think it's a wrong thing. to look at, to project down and to forecast forward to make sure that you keep in line with your overhead. Like people who are looking at this, I'm high-fiving you because you actually are looking at your numbers and you understand the cost of your supplies. But at the same time, I remember I was at a, I have a friend who's very wealthy. We're talking like this person brings in 28, 30 million annually a year. And like, I just giggle because it is a great friend. Ted Osterer (08:25) Sounds like a great friend. There you go. All right. Kiera Dent (08:29) I thought he said he was a cosmetic dentist when I met him and he's surely not a cosmetic dentist. He's a cosmetic chemist. So skincare, things like that. And I remember we were talking and he was like, yeah, I just got so freaked out about the stocks. I pulled everything out of the stock market. This was two years ago. And I'm like, bro, like the amount of gains because you got so scared is incredible. And I had another friend, we were sitting at a wealth conference and we had like Ray Dalio there and Paul Tudor Jones and gosh. Marks, Howard Marks, like so many of the big players in wealth and they weren't talking. And this guy named Harry Dent came in and Harry Dent has been known for being right and wrong on predictions of the market. And I remember like, I'm not kidding you. We talked in this conference of do not make rash decisions. Like we're here to gather all the information, synthesize it out and then make best decisions. And I kid you not, we are two days into this five day conference and I met this guy and he's like, Harry Dent just freaked me out. I went and sold all my... like sold everything like that night pulled everything out of the stock market. I was like, dude, you're the reason people talk about what not to do because you should never be this radical. And so I feel like while those are extremes, I feel like dentistry can kind of be that way with the supply. Like we feel it's the stock market plummeting on us within our supply chain because we've got tariffs on there. When the reality is let's remember dentistry by default, a lot of our products already have very high margins on them. Like I'm not going to say it to the world in case there are people who are not dentists listening. but you can just think about fluoride for one second. So fluoride has insane margins on it, which are very profitable for you. The bulk of dentistry is very profitable. So these small rises, agreed, let's take a look at that. But like you said, Ted, it's not the end of the world. So I am curious though, from my like nerdy side, what things have gone up the most? What are you guys seeing across the board that the tariffs or the uncertainties, like the economy's gone up you guys. Bread, I'm shocked. or gasoline, you want to talk about gas prices? Like I don't know, in Florida it's way cheap. Here I'm in Reno in California. I kid you not in Truckee it was $7 a gallon and I like wanted to throw up the gases that much money, but I'm like if gas for a gallon is $7, bread prices, I mean you're paying five bucks, six bucks a loaf for bread, like supplies are going to be higher. It's not something that I'm like, oh my gosh, my cotton rolls went up. Well yeah, of course they went up. does like everything in the world has gone up. Home prices have gone up, but I am curious, what have you guys seen that the tariffs hit the most? Like what are some of those supplies? But we're ashricking this. Everyone listening, you have to promise you will not be either of my two friends who go radical. So when Ted tells you which one's worth a little bit higher, do not go out and give me like your prepping situation where you go buy all this because you're freaking out about it. Like steady the course, stay consistent, and just like watch the scene because most things will level out just like in stocks, just like in investments. But if we're radical and being wild on it, that's where you get. Like it just does not benefit. So I think Ted, everyone has promised. I made them just promise like everybody. Yes, you promise. Don't be radical. Ted, what are some of the ones that are seeing the highest hits? Like what, what products, what things are you guys seeing? Ted Osterer (11:33) Since you all promised ⁓ not to be radical, I will go ahead and share. Yeah, unbreakable. We know that's unbreakable. Kiera Dent (11:36) You promised. It's unbreakable. You did that, you like kissed the thumb, something like that. And then you like do a dance. All of them have done that, right? Nobody better lie. Don't be radical. Okay. They're good. Ted Osterer (11:52) Excellent. So for those listening at home, I did a very, very impressive interpretive dance, but for those watching, you saw it, it's all good. ⁓ So with a lot of the terrorists I've seen, and look, it's so volatile, you know, and for those, again, listening, I'm doing that thing with your finger, you go up and down a lot about how much it goes up and down. You know, look, I mean, you saw a lot of the anesthetics made in Canada go up a significant percent. You saw a lot of lab cases sent from overseas or, you know, it's funny enough, for those that don't know what the gray market is in terms of the supplies in the industry, Products are made overseas, totally fine, right? There's nothing wrong with products that are made overseas. However, sometimes they're made in factories that are only authorized in certain countries, even though it could be big name, know, supply partners, major manufacturers. I won't name drop, you know what I mean? I'm not trying to, you can Google it, you have access to the internet, congrats. When it comes to, these products that are made overseas are only regulated to be in select countries, they still have to be refrigerated certain ways, they still could have, they could have been made a long time ago, they're set to expire. They are mailed here and then they are sold to the United States, they're unregulated. You'll see their costs are... Insanely low to the point where it's too good to be true sp…
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