The Nifty Thrifty Dentists

Latest Episodes:

Evan Lazarus- Simple Impact Media Nov 17, 2019

Show notes

Even Lazarus SEO expert, at Simple Impact Media If you are not in the first few options of a local search, you might as well be invisible. There are3 sections of Google. The top section is ads, the second it's based on a local map. The third part of the page is your general search. Google has changed to be based on who pays the most. If you are getting lots of reviews but no one sees them, what is the point? You need to be found, be visible, and reputable. At that point, we can convert them. Google's algorithm is hard to understand. The three elements you need to understand are relevance, distance, and prominence. A good SEO company helps you build your prominence. A search of 3 miles in any direction. Google keyword search may give an entirely different result .5 mile away East vs West. Being in the 3 pack doesn't for8 out of 10 dentists. An indirect search should also be able to find your practice. Results can differ based on multiple factors such as population, number of competitors. Google my business listing is a simple report that can compare your SEO results month over month. Indirect queries show how often your listing is being seen in relation to noon specific searches. Why would conversions not be as high as we want? Google is moving real estate. You have to keep up with the momentum. It is a moving target that you have to continue to address. If you purchase AdWords does it increase your SEO ranking? No, as soon as you stop paying you go back. He does recommend paid advertising as well as trying to get the 3 pack. The algorithm used for maps and websites is different. You bet to hit all of them if possible to increase reliability. If you are looking at a market that is a competitive space, it gets more important to develop your ranking. What are some things you are looking for during an audit? He looks for ranking, keywords, competitors, and searches by whatever procedures you are most interested in. It comes down to whether the reviews and engagement are working to convert the new patients. Being able to address patients 24 hours a day connects you beyond business hours. Video, especially time-stamped video is important so that people can get directly to the information they want.. The more videos you have the more info they can gain. What if our website isn't working well for us? The audit can tell some of the information, and he can build them if needed because it is the central hub of your marketing. You are so far behind the game. Nifty Deal: The typical $1500/ month is 30% OFF for the maps package The second package is to help build prominence by including maps and websites. SEO and website package is usually $3000/ month but offering 30% off as well.

Nifty Deals: Dr. Jim Downs- Arrowhead Dental Lab Nov 14, 2019

Show notes

Dr. Jim Downs is an educator at Arrowhead Dental Labs. Their courses are some of the best CE at a fantastic price. Dr. Downs got into dentistry after playing goalie in soccer and broke his jaw. After wiring his jaw shut, he became interested in dentistry and TMJ. He is still a practicing dentist, which allows him to relate to the dentists he teaches. Communicating with patients to discover the real need and how they arrived at the current situation and finding a way for them to afford it is incredibly important. Don’t aim for a patient’s approval, give them what you would tell your own parent. Remember that you are a doctor of the oral cavity, not a mouth mechanic. Honor your abilities. The course is interactive and deals directly with a patient case. Cameras, observation, and talking through the procedure make the learning truly immersive. Everyday Occlusion courses are condensed to 2 days. Learning to communicate with labs and learning from the lab directly on what you need for a successful case saves time, money, and contributes to patient success. Improving your own skills will improve your lab cases. The idea is not to find fault between dentist or lab, but to work together to improve your cases in general. Courses are kept small so that there is an opportunity to learn from each other and to make it more personable. Small groups keep the heart of dental education alive. The full arch course is limited to 6 people. Repeating the course to learn more is encouraged. The lab has seen improvement in the work submitted to the lab after the course, and they also address improving case acceptance. These cases aren’t just for new grads or less experienced doctors, they are for anyone who wants to grow and improve their skills. Nifty Deal: 10 Year and Under New dentist program, or full arch and back to the basics courses. $350 off, just mention you are a Nifty Thrifty member (Some courses excluded) Arrowhead 800-995-7243- Peggy https://www.arrowheaddental.com/education/

Dr. Emily Letran- High Performance Course Nov 10, 2019

Show notes

Dr. Emily Letran has proven you can have it all. She talks about work-life balance, prioritizing, and of course a Nifty Deal.

Nifty Deals- Jay Glazer -Crazy Dental Nov 10, 2019

Show notes

Crazy Dental is bringing lots of new products such as luxacrown, which is a high-end temporary material, Nifty Price $276.30. Young Infinity Cordless Handpiece with Bluetooth with the Nifty Discount is $643.36. It comes with foot pedal, handpiece cradle, 3 nosecones, and 25 disposable sleeves. It can also accept any prophy angle, which will save you time and money! FujiSEM Evolve is a new product that can be seen even better under a curing light. Itenna composite and temp are on special for Buy One Get One Free! When you order for the first time, you will get the monthly newsletter with the latest products and promotions. Want tickets to a bowl game? Ask them what it would take to get tickets with your deal. Now that’s crazy. They have a 110% guarantee that their prices are the lowest in the industry. The winner is Missouri City Dentistry in Missouri City, Texas and Dr. Natalie Hun! Congratulations on your $1000 reward toward travel. Gobble Gobble Deal: Any $1000 order and above placed from now through the end of Nov 19th will be entered to win a $500 Thanksgiving dinner and/or entertainment package. We will pick two winners at $500 each. It can be used for your yummy Thanksgiving dinner or a brand-new TV so you can watch your Football in style. Do not forget to enter your Nifty Thrifty codes when you order at www.crazydental.com. This deal does not exclude your always 10% discount and free curing light for orders over 1k. Coupon code "Platinum10" gets you 10% off and code "Platinumlight" gets you your free light for you 1k order, nor does this affect our 110% match for authorized dealers guarantee.

Nifty Deals: Dr. Stanley Malamed- Onset Buffering System Nov 03, 2019

Show notes

In our poll we asked about different anesthetic options and suggestions included going slow, distraction, single tooth anesthetic, and buffering. Going slowly is the key to painless injections. Dr. Malamed was contacted to partner with OnParma to research and improve buffering. The day after an injection they are sore due to the pH level of the injection. Buffering raises the pH to 7.3 to mimic the pH of the body. This allows the anesthetic to work more rapidly and lessen the post effects. Buffering is done with sodium bicarbonate. In medicine, the most common local is lidocaine. In sodium bicarbonate bottles, the pH can range broadly. A pH off balance can create edema, but that is the only risk of DIY buffering. Anutra medical has been doing buffering for medical and branched to dentistry. The doctors he has spoken with were unhappy with that option because it was a foreign syringe and process, and it was limited to lidocaine. Single tooth devices can be a good option as well. The Wand is a good device to use, vibraject is okay, but emulates something we can do ourselves. Prescription grade topical is questionable because it is not standardized. With DIY multidose vials, you can use them over and over again. Dr. Malumed did research for OnSet but is not a paid consultant for OnPharma. Using the system, the buffer quickly mixes. Wait 2 minutes to test, retreat if needed. There is no need to wait 10 minutes in between. This allows you to be more productive and better experience for the patient. For a “hot tooth”, especially mandibular molars, they can be especially difficult to numb. Buffering is especially valuable in the mandible. Prilocaine has shown there is a higher case of paresthesia in the mandible. What about using articaine with children? The study only used children over age 4, but it is safer and a better option than lidocaine. The half-life is 27 minutes, so it is much less likely to create an overdose. For a “hot tooth” would buffering help more? Yes, it is much more effective. One of the biggest reasons a person likes and recommends their dentist is painless injections and procedures. Buffering meets both of these criteria. There are also other options for nasal spray anesthetic or medicines to reverse anesthesia to increase the patient experience. Craig of OnSet system- They have been in the market since 2012. The cartridge of sodium bicarbonate can be used within 7 days. There is both the sodium bicarbonate cartridge and a mixing connector. The system mixes the solutions, put it in the syringe and deliver as normal. An unused cartridge is good for 3 years. Once activated, you have 5 days to use it. This means it is half the cost as when it came out and could only be used for one day. Nifty deal: Onset $499- 80 injections worth of sodium bicarbonate and delivery system. $449 with guarantee of 120 days with a 15-minute call about using the product and a 5 minute follow up call will allow you to be refunded the unit. They also offer free shipping with this deal. 877-336-6738 prompt #2 Tell them you want the Nifty Thrifty Deal

Nifty Deals: Dr. Gregg May- Core Group Oct 30, 2019

Show notes

Gregg May – No matter how dentistry is changing, it still comes down to building relationships. One thing that can help in case presentation is to use the 80/20 rule. Spend 80% on personal questions and 20% on presentation. Dr. May dealt with Hurricane Katrina and after rebuilding, his practice caught on fire. He rented a few ops from a friend while rebuilding. In 2008 he was hit on his bike and injured himself. He tore his C4, started using pain meds, went through a divorce, and yet he persevered. Learning communication was necessary for case acceptance. By realizing how necessary it was for him to get cases so he could get paid, he learned the importance of building rapport with patients. You can’t field this out because patients look to you as the expert and leader in the office. Marketing is expensive and you become susceptible to the need for new patients when you can focus on getting treatment rates increased from the ones who do. How much time should we take with a patient when you have a busy practice? New patients need 90 minutes because it should be the doctor who goes through their medical history. Money, time, fear, and value are the main objections to treatment. Get the objections out of the way before presenting treatment. Leave money issues for last because you need to identify why the treatment is important to them due to quality of life, pain, etc. People buy from emotion and justify with logic unless they are in pain. Give patients options for financing to overcome the financial hurdle. If your skills are that great and you aren’t trying to help as many people as you can, you shouldn’t be in dentistry. He is part of a core group that focuses first on unscheduled treatment. That aspect alone pays for the fee. Consulting dentist to dentist gives a relational aspect that other consultants may not have. Training your hygienists to build rapport and keep presenting treatment can be beneficial to your practice as well. If you aren’t getting patients to accept treatment, you need to learn how to present care with compassion. Doing the same thing will get you the same results. Nifty deal: First 2 months of a 12-month commitment are free. To get the deal: www.tcgroup.io for info and tell them you saw the FB live in Nifty Thrifty.

Episode 85: Nifty Deals: Jeff Guidie- 4G Dental Labs Oct 26, 2019

Show notes

Jeff Guidie is the CEO of 4G Dental Labs 4G doesn’t charge a model fee for a nightguard, a nightguard will run between $59-$79 dollars with no additional cost for scans vs impressions. Implant packages make it clear on your costs with no hidden fees. While they do not do sleep apnea advices, he does have several labs he recommends. Their newest improvements include a customer portal to look into your cases. Check for shipping and receiving information, case details, online bill payments, etc. It will go live October 28th, with a link on their website. First time users will need their account number for setup. What is the 4G Learning Center? It is a new space coming in early 2020 for CE events and training for approximately 50 doctors. He will make a great deal for current customers. Host your meeting free as a customer! A full zirconia crown is $54, but you can take $5 for a submitted scan. High translucent zircona is excellent for premolars and anteriors for $69. Emax crowns are $85. Layered zirconia is $79 for a midgrade option. Shipping charges are included on fixed cases. Removables have a $7 shipping charge. All cases have a 2 week turnaround time. To start with 4G, go to the website and request a starter kit from the “contact us” 833-682-6301 or email admin@4Gdentallab. They accept multiple platforms for scans if converted to an stl file and put in Dropbox. Nifty Deal: New customers- 10 crowns and the 9th and 10th crown will be free! No need to track anything, the deal is automatic. Current customers- any referrals you send, you will get your next 2 crowns free when they order their 10th crown. Thank you to the Nifty Community for the relationships and growth you have helped them experience in the last year.

Episode 83: Nifty Deals: Kenzie Hess Broxson- Cracking the Dental Insurance Code Oct 26, 2019

Show notes

Kenzie Hess Broxson is an expert in dental insurance claims and co-founder of PK Performance Solutions. Her new Facebook group Cracking the Dental Insurance Code has amassed over 3000 members in the first few days. Outsourcing insurance can be kicking the can down the road, but having an in-office specialist. Training someone in your office will help your local economy, be self-reliant, and serve your patients best. PK Performance offers an E-learning program that is interactive rather than a video system. By starting with foundations of dentistry to learn treatments and technical aspects of dentistry, you gain a greater understanding of what a procedure entail. Comprehension checks along the way help to identify weaknesses or things to review, and the learned is not allowed to move on until a percentage of comprehension is reached. The doctor can see the review results to oversee their training. If you have a potential new hire that says they have experience, you can have them take only the exams to assess their skills. The dentistry basics module works through the processes of different procedures, then they learn the basics of insurance, followed by narratives and submitting claims. If you are still having difficulties, PK has a portal to help with complicated claims or possible issues that you may get stuck on. Where can you find their site? www.PKPerformancesolutions.com It is a platform rather than a class that you go through once. Kenzie began in the banking industry, but was recruited by a customer who was a dentist. She was fortunate enough to have an excellent mentor to learn from, and now they are partners. The dental industry needs more successful onboarding for new hires, and this fills that serious need in regards to insurance. How long would it take for a new hire to get through the program? It is self-paced, but it should take a few weeks. It is not something to binge watch. Taking it in smaller sections will help with retention. One of the most important things to remember is to have good notes and clear narratives, preop xrays, photos during and after, doing buildup and crown on the same day, and make sure your attachments are included. Claims reviewers have a quota and will deny it immediately if they don’t have anything they need at submission. What is a scaling vs. SRP- you need perio charting, narratives noting bleeding and calculus location, and FMX. Some clearinghouses require formatting of UL,UR,LL,LR or 1020,30,40 etc. What is the goal for your group? I was inspired to help people with my expertise because it is an area with a lot of questions and need. The platform has an automated or customizable track to design the program specifically to your office. They are also partnering with Dr. Raghunath Puttaiah to offer HIPAA and OSHA training/certification as well. The fee for Basic Standard Package is $2900 for the first year, then $2400. Customized is $5,100 the first year then $3,600 per year after that. Nifty Deal: Standard Training Program: $2,700/year ($200 off), $2,400 year 2+ Customized Training Program: $4,700/year ($400 off), $3,600 year 2+ 5 Day Free Trial Go to https://pkperformancesolutions.com/nifty/ to see the Nifty Deal and schedule a time to talk!

Episode 82: Nifty Deals: Dr. Casey Culberson- Molar Media Mount Oct 20, 2019

Show notes

Dr. Casey Culberson, creator of the Molar Media Mount He went to University of Washington for undergrad and dental school. After starting out covering for his childhood dentist, he then bought into a partnership. The molar media mount is an attachment to a dental light to allow patients to see a video screen simply. He finds it’s helpful in guiding a patient’s head in the direction that you need. The design is lightweight and can be easily removed. That makes it safe and simple to use in the office. The distraction makes a patient easier to work on, less anxious, and less worried about the time spent in the chair. The tape is the same used for GoPro cameras to keep it secure. It is easy to install due to the adjustable part and 4 screw construction. There are no cables or wires to deal with, just take the Ipad off to charge it at night. They also sell Bluetooth headphones direct from the manufacturer. The device is easy to clean and use. Use a matte screen protector to prevent reflection. You can incorporate the tablets you use for other office services. Can you legally stream Netflix in a business? Get a motion picture license through the ADA for $300. Nifty Deal: Buy 2 get one FREE Bonus: Use code DRVO for 15% off of your order. Large scale orders, contact Casey directly for even better deals.

Episode 81: Nifty Deals: Dr. Paul Etchison- The Dental Business Mentor Oct 15, 2019

Show notes

Dr. Paul Etchison, Dental Practice Heroes Podcast owner, practice owner, and writer Did a startup 7 years ago in the suburbs of Chicago as a PPO practice with an expansion to 11 ops. What mistakes did you make? We didn’t look at metrics because the patient flow looked good and didn’t focus on reappointment as they should. We check for additional family members to incorporate and make sure they understand what is happening and the time constraints of the appointment. They also do recaps regularly to see how they can improve. With 26 team members, it is important to have team leads to help with decisions. We also need to recognize that people make mistakes. If not, we risk people hiding things or avoiding conflict to prevent getting in trouble. In 7.5 years, no one has left because they are unhappy. He works 6 days a month seeing patients doing only ortho and uses one day a week for administration. They are very full days to maximize the dollar per hour. Have you ever fired anyone on the spot? Yes, but only when they had worked for them only a few weeks. How do you handle raises? Cap your salaries at a solid percentage and employ a bonus system. As the production improves, they can adjust for increased pay. How do you create a good culture? Make mistakes okay. Let your team know it is a part of the process. Communicate with your team and ask for honesty and really listen. Do the right thing before people ask for it. Dental Business Mentors is an online group of CE courses to learn how to better yourself as a business owner. Monthly membership is $500/ month or $3000 per year. The Nifty Deal is $350 off. This includes the videos and all documents in their programs.

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