Your team just finished a great appointment. The patient’s happy, the work went well, and then the bib comes off… and so does everything else. They grab their jacket, check their phone, and suddenly they’re halfway out the door with a vague promise to call back about scheduling.
We work with dentists all over the country, and there’s a common problem we run into over and over: “I know my practice is profitable, but there’s no money in my bank account.” The underlying problem is that there’s a great deal of confusion around cash flow, and in order to have a Better Practice and a Better
Somewhere in your supply closet, there’s a box of something that expires in 2047. Right next to it: nothing. Because you’re completely out of the thing you actually needed this morning. And if your first instinct is to order triple so this doesn’t happen again, you’ve got an even bigger problem. You need a better system.
Between 40% and 50% of adults over 30 have some form of periodontal disease, and that rate increases as patients age, so it’s more important than ever to ensure we’re serving our patients well by providing better hygiene care. To do so, there are two metrics you need to track: Perio Diagnostic Percentage
There’s a moment that hits a lot of practice owners somewhere in the middle of their career. You’ve built something real. The practice is running. The income is there. And yet something shifts—quietly, almost without warning—and you start asking questions you never had time for before. Why am I doing this? Is this what I want? Is there more to it?
In your practice, culture is everything, but it may be more fragile than you realize. You’re only as strong as your weakest link, so a single bad hire can erode that culture, frustrate your team, and cost your practice far more than the time it would have taken to hire right the first time. It may sound
Most practice owners don’t see the breakdown coming. Not because the signs weren’t there—but because they were easy to explain away. Cash flow’s a little tight? Busy month, it’ll sort itself out. Overhead climbing? We’re growing, that’s normal.
It’s important to understand how many patients are connected to your practice, and today I’m going to break down two metrics that will help you get a handle on that: Active Patient and Active Hygiene Patient Count.
If it feels like patients don’t respect your time, your fees, or your team, you’re not alone. The late arrivals who expect to be seen anyway. The "I’ll pay next time" that somehow never comes. The pushback on fees that were clearly communicated and agreed to.
Having a full team and a busy schedule is amazing, but if there’s constant friction and miscommunication, you’re going to struggle. You need a team that works well together, and that means they need to be aligned around a series of shared expectations. Without that alignment, culture becomes inconsistent
