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Kent Harlan
Kent Harlan

Guest Column: Interview sheds light on dental practice operations

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Editor’s Note: SBJ Guest Columnist Kent Harlan recently interviewed Dr. Scott Olson, a Springfield dentist and the owner of Premier Dental, to learn how he operates his practice. Harlan, a CPA, notes that he and Olson are both biking enthusiasts, but they have no professional association.

On staffing

Kent Harlan: What methods do you use to find competent staff members?

Scott Olson: A strategy that has worked well for me is to hire students from local colleges that require students to complete an internship program at a dental office as a part of their education. The intern program not only gives the students hands-on experience, but it also gives me the opportunity to assess their skill level and passion for dentistry.

KH: How do you get your staff acclimated to your business philosophy after they’ve been hired?

SO: We provide all new staff members with a detailed employee manual, which they are required to read and sign. The manual specifically outlines our policies, best practices, and procedures for treating patients with care.

KH: How often do you perform periodic reviews of your staff?

SO: I am a firm believer in maintaining a dialogue with my staff. That’s why I not only conduct an annual review with my staff, I also ask them to evaluate me and how I can improve. The feedback from the two-way review … has helped bring our practice to a higher level of care.

On finances

KH: You’ve made the decision to keep your overhead low by leasing a space in a strip center (at 1722 S. Glenstone Ave.). … Do you think you’ve come out ahead by adopting this strategy, and have you thought about relocating or adding another location?

SO: Although I’ve considered relocating the practice to a high-profile location, I’m glad I made the initial decision to keep my overhead to a minimum while still providing a comfortable environment for my patients. It has allowed me to save money and alleviates a lot of stress during lower volume periods. Dentists with high overhead usually feel the pinch during slower economic times.

KH: There are many ratios that dentists use to gauge the effectiveness of their practices. Which ones are most important to you?

SO: The most important statistic to me is the number of new patients we treat each month, because that is the foundation of our future growth. I always monitor our results to determine the age, sex and location of the new patients, which helps me better target my marketing efforts. Collections to total production is another ratio I keep my eye on. When that number is greater than one, I find out why.

KH: For those patients who are on a strict budget, do you offer some type of self-pay financing plan that will allow them to make monthly payments for large balances?

SO: We offer a self-pay financing program through Care Credit. One feature of this program is that the balance is interest-free if paid within one year. The payments can be stretched out to five years. We also offer an in-house 90-day same-as-cash option. We can usually find a way to make the financing work for our patients.

KH: Do you typically lease or buy your equipment? How often do you upgrade?

SO: To this point, I have purchased all of the equipment I use in the practice. However, there are some exciting new technologies on the horizon that I’m considering, such as a new generation of digital X-ray equipment and crown fabrication. I’ll likely lease the new equipment I acquire.

KH: How do you set your fee schedule, and how does it compare with other practices in the area?

SO: Our prices are not the cheapest in town, nor are they the most expensive. When I set prices, I look at the amount of time it takes me to complete each procedure as well as the associated labor, supplies, and overhead costs. I then set the price to achieve what I believe to be an equitable return on investment.

On patient care

KH: There is a wide variance in the quality of dental supplies and solutions. How do you decide which products to use?

SO: I am very particular about which products I use, and it’s important to make sure an adequate amount of independent research has been performed. I’m bombarded with solicitations for all kinds of products and most of the “research” is from the company. That’s not good enough. I only use what has been proven to work.

KH: When a patient checks in, are they brought in to the exam room quickly?

SO: Our goal is to bring a patient to the exam room within five minutes after check in. Needless to say, there are situations that arise which cause delays, but most of the time we achieve that goal because we value our patient’s time.

KH: When a patient comes in for a checkup and you’ve found a problem outside the normal realm … how do you articulate the problem to the patient without using a lot of jargon?

SO: The phrase “a picture is worth a thousand words” definitely applies here. When I show a patient pictures of how a cavity that is left untreated causes damage to the nerve, they get it. I do my best to make them understand what will likely happen if they do nothing, as opposed to the outcome if they choose treatment.

Kent Harlan, CPA, is owner of Ozarks Capital Funding. He can be reached at kenth@ocflink.com.[[In-content Ad]]

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