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April 20, 2015

The Concept of Shrinkage

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 5:47 am

Whenever a bank considers the merits of a commercial real estate property–whether an apartment building or a mall with stores–they make their financing decision and loan allocation based on expected revenue. That revenue is always reduced by some kind of historical metric that accounts for shrinkage, because there will always be periods of time when an apartment is not rented or some store suddenly goes out of business.

Dentists tend to go ballistic when a gap opens up in their schedule affecting their expected revenue. Especially when it is because of a last-minute cancellation for a large block of time reserved for some profitable comprehensive dental treatment. Unfortunately, these kinds of situations go with the territory. People will always disappoint you, and there is no way to totally eliminate this behavior. The trick is how to reduce it. I have been around long enough to realize that success is how you deal with plan B.

I have never been a fan of charging for broken appointments. People always rationalize their actions and will not accept responsibility. The negative ramifications and publicity from someone bad mouthing your office for the charge is simply not worth it. And the amount of money you charge can never come close to replacing the revenue that was lost. Another strategy that doesn’t work is having people leave a significant nonrefundable deposit on a credit card to guarantee the appointment. This, in my opinion, seems unusually harsh and severe.

I have found success in reducing last minute cancellations by using a concept I call “the power of the doctor”. When the diagnosis is made and the patient agrees to treatment, the doctor–looking the patient directly in the eye–says the following to prepare the patient for any crown and bridge appointment:

“Mrs. Jones–I’m excited to be able to perform this treatment for you. But I want to let you know that we only schedule these appointments on certain days and at certain times of the day. You probably are not aware that there are many people involved in this appointment: I have a lab technician on call, I have a delivery person standing by to be sure the impression gets to the lab on time, and I have a ceramist all set to make sure that the color is perfect. So since so many other people are involved with this procedure, when you schedule this appointment with Jane, please be sure to do so at a time when you will absolutely have no conflicts in your personal schedule. Is that okay?”

When the patient answers in the affirmative, the patient has in fact made a promise to their doctor. This is very different from giving the impression that you are going to lose a lot of money if the person doesn’t show up. I have found this technique to be extremely successful in reducing last-minute cancellations and no-shows in the doctor schedule. But it has to be the doctor -not anyone else–delivering this message.



April 6, 2015

Changing the Rules – Again!

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 2:35 am

imagesWhen Google says jump, we all say “how high?” Google is the king of search.  The world searches for everything on Google – including where to find a dentist. Having your website position high up on your local Google Business Map is thus a major important marketing strategy. To be successful in this day and age, you simply have to be prepared to play in the Internet world. Warning – the rules as we know them are about to change dramatically!

On April 21, 2015, Google will begin using mobile-friendly compliance of your website as a ranking factor in searches performed on mobile devices. It is critical to their business that their searches – on all devices – lead to useful information. According to a recent Forbes article,  mobile devices currently make up approximately 60% of all Internet searches, and that number is increasing every year.

So if your website is not written with responsive design technology that allows it to be properly and seamlessly displayed on any smart phone or tablet, Google is going to penalize you severely. Your website will still be listed if you are not mobile friendly, but it will be positioned below sites that are mobile friendly. You take the risk of being pushed so far down on the page that you likely will not be seen. It is no consolation that the mobile friendly update only affects mobile search results and not searches conducted on desktop or laptop computers.

I would encourage you to run your site through Google’s Mobile Friendly test.  It takes less than a minute to find out the results. If your site fails the test, I implore you to call your website company and take immediate action. If you have any doubts about your webmaster’s ability to help you make the necessary upgrade to your site, I feel very comfortable encouraging you to call my good friend Tim Healy at TNT. His company has been making me look good since 2008!


March 23, 2015

Better to be Safe than Sorry

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 2:38 am

I have often written  about the importance of assembling a quality staff. Surrounding yourself with a talented, caring and loyal team is the key to success in any business. Creating and keeping that team intact is probably our biggest challenge as dentists. We live in an increasingly mobile society. It is the rule rather than the exception today that there are two wage earners in the family. So a great staff member may have to leave town because her husband was offered a new position. Or someone is having a third child and finally needs to be able to spend more time at home. Just when you finally have the perfect group in place, something unfortunate or unforeseen always seems to happen and you are back in the labor market again.

I want to write today about the importance of doing background checks and carefully following up on references for potential new employees. Knowledge of human resources (HR) goes hand in hand with proper staff development. Over the years I have witnessed some very damaging and messy situations that undoubtedly could have been prevented with better due diligence.

At the initial interview, you need to disclose to the applicant that it is the policy of your office to do a background check. And it requires a signed form that is separate from the application for employment. Listed below  are four companies that I know of that provide background checks. The cost is about $20, and you need to furnish the applicant’s Social Security number and date of birth.





It is absolutely amazing what these reports provide. Actually pretty scary that all of this information about our lives is out there and so readily accessible. You will see credit history, past employment, professional licenses, criminal record, education, workers comp history, driving record and medical history. When someone comes up squeaky clean, you will now have the necessary peace of mind if you are truly considering this person for a job in your practice.

Be sure to read the applicant’s resume very carefully. Check for lapses in employment or short job durations. Moving around a lot in a relatively short time period is a major red flag. When you do speak to references, you should ask “if the situation arose, would you rehire this person back to work in your practice?”

The bottom line is that it is very expensive to stumble and realize that you have hired the wrong person. Training takes a big investment of time and effort. It is important to do everything you can to be successful the first time around.


March 9, 2015

I Continue to be Impressed – No Pun Intended!

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 2:01 am

Screen shot 2015-02-19 at 8.02.30 PMThirty months ago, I wrote a post about a company called Six Month Smiles. At that time, I was very enthused after attending a two-day course for general dentists that provided hands on learning for short-term orthodontics. STO is defined as cosmetically focused orthodontic treatment performed in less than nine months with aesthetic brackets and wires.

Five of my clients at that time attended the seminar with me and all of them were thrilled. Since then, another 10 clients have attended the course, and three more are signed up to attend the course in the Boston area scheduled for this coming April. I continue to hear rave reviews about the information taught at the course and the online continuous support and mentoring that is provided by experienced instructors to all attendees.  I felt then–and continue to feel now–that Six Month Smiles is often a better, quicker, and always less expensive option to Invisalign. Having options and the ability to present choices to your patients greatly enhances case acceptance.

Six Month Smiles has grown dramatically since I attended my course in 2012. They actually started offering courses in 2011, and as of today, over 6000 dentists in the United States have been trained and have completed 80,000 cases. A terrific and new updated feature is that you will very soon be able to use an intra oral scanner to send digital scans instead of traditional impressions. The company has also made major strides in progressive advertising and enhanced social media presence to make the general public aware of their name and what they do. I was told that in the last 30 days, over 5 million potential patients viewed their advertising, 2.5 million potential patients viewed social media posts, and 30 thousand potential patients visited the patient education section of the Six Month Smiles website looking for a provider in their area.

So as I said in my original post, if you are a restorative dentist who loves to create beautiful smiles and has an ability to visualize cases, this ortho technology can and will be a fabulous addition to your armamentarium. You will quickly be able to move teeth into proper position so that bonding, veneers, and more traditional crown and bridge or implants can now be performed. Click here for more information – you will not regret it!



February 23, 2015

There is a Telephone – And There is Weave!

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 7:52 am

Phone and Computer 3For a while now, I have been hearing great things about a company called Weave. I did some research, and I would like to share my findings with my readers.

Weave has been in business for six and a half years. For the first four years of its existence, Weave served as a recall solution for dental practices, contracting with the practice to schedule overdue patients for continuing care. Two and a half years ago, Weave totally reinvented itself into a patient communication platform that syncs with all major dental practice software to combine calling, texting, and e-mailing into one system. Their growth has been explosive with over 1000 dental offices signing on in the last 12 months.

Weave is a VoIP (Voice over Internet Protocol) telephone system dependent on a reasonably fast Internet connection. There are dozens of VoIP companies out there. I think that VoIP has many advantages over a land based telephone company such as AT&T or Verizon: unlimited lines, unlimited long distance, unlimited local calling, plus the ability to record multiple messages.

But Weave has them all beat because nobody else can do what they do. Weave leases you special telephones that have been pre-loaded with their software. These are high-tech phones that deliver crystal-clear communication. The Weave app is installed on your desktop computer. Now when a patient calls the practice, everything about the patient and the patient’s family will automatically pop up on your computer screen. Your staff will know if the patient on the other end of the line has a birthday coming up, when their next appointment is, if any of their family members are overdue, or if there is an unpaid balance on the account – all without putting the patient on hold. Information that was once inaccessible because it was buried within multiple pages of practice management software is now available on every call the moment the phone starts ringing.

Weave provides true two-way text messaging just as you send and receive texts with your cell phone. It is wonderfully timesaving and efficient to be able to click to dial, thus controlling your telephone from the desktop. Weave also allows call recording, call tracking, advanced voicemail, and coming soon–a mobile app for your cell phone.

The bottom line is that Weave software helps you make more meaningful connections with your patients. It works seamlessly with your practice management software, pulling relevant data and presenting it in a beautifully simple way. Instant prompts give you everything you need to know about your patients to make them feel important and appreciated. And that leads to better outcomes for your patients and your practice.

Weave does not require a contract. They truly want and expect to earn your business every month. They provide 24/7 email customer support along with very comprehensive and detailed staff training that is included in the monthly charge.

In gathering information for this post, I spoke with five or six people in the Weave organization –at all different levels – and each one was more passionate than the other about their technology, the growth of the company and its future. I truly feel that Weave has the potential to become the dominant player – similar to what Care Credit did with outsourced patient financing. I would encourage you to call and schedule a demo of this amazing technology. And I would love your feedback.



February 9, 2015

The Best Pastrami Sandwich in the World!

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 3:27 am

Screen shot 2015-02-01 at 12.30.15 PMI recently read an article that totally captivated my attention. It was all about a world-class Midwestern delicatessen called Zingermans. Zingermans is a  local independently owned business in Ann Arbor, Michigan that was started in 1982. Zingermans was mentioned in a book written by Bo Burlingham who is editor at large for Inc. Magazine. Burlingham’s book is titled Small Giants: Companies That Choose to be Great Instead of Big. The book talks about successful companies that have rejected growth for growth’s sake in favor of adopting a passionate dedication to be the absolute best you can be.

In Zingerman’s case, they developed a four step formula for success: serve great food, provide great service, give back to the community, and create an environment where the employees love their work. That formula is closely aligned with the concept of servant leadership. Servant leadership suggests that you, the business owner, treat your employees like your customers, consistently say thank-you to employees and customers, help your staff to succeed, and provide an inspiring vision that is clearly articulated.

Zingerman’s published mission statement is “complete devotion to a great product and great service while taking good care of your employees, suppliers, and customers”. What a great model and inspiration for your dental practice!

As your dental practice gets bigger and busier, you simply can’t lose sight of your core principles and culture which was undoubtedly responsible for your initial success. I hope those principles would include:

•Treating each customer as if he or she is the only person in the world that matters.

• Taking an extra minute or two to give someone your total undivided attention and respect.

• Owning the problem. Admitting when you stumbled. Click on this link and this one as well and read two amazing blog posts written by Seth Godin that illustrate this point.

I hope that you will read this information carefully and share it with your staff. Then you should all sign on and agree to try to become the absolute best that you can be.


January 26, 2015

Stop With the Gloom and Doom

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 12:33 am

I don’t know about you, but I am getting so sick and tired of everything I’m reading about the imminent demise of dentistry as we know it. Corporate dental practices will be expanding into your neighborhood and will be stealing all of your patients. Your overhead is increasing because of higher technology costs and the steady upward pressure on staff wages and benefits. Then add to that the newer costs associated with the compliance to government mandates. We all know that dental insurance plans are continuing to aggressively deny treatment while at the same time decreasing benefits to pay for treatment. And how about your future–the huge debt load of recent dental school graduates is making it challenging for them to buy a dental practice.

The list goes on and on. My philosophy, however, has always been that it is wasted energy and totally unproductive to ever worry about what you can’t control. And in this instance, you shouldn’t either. The above list of problems is to some extent all true, and won’t be going away anytime soon. Here are my thoughts, suggestions, and solutions.

1. There will always be a place in every community for a well-managed, clinically excellent general practice, delivering exquisite customer service. This practice should include itinerant specialists to provide the opportunity for in-house referrals thereby offering easy one-stop shopping to your patients and increased revenue. I guarantee that such a practice will provide levels of care that cannot be approached or duplicated by corporate dentistry. A good proportion of dentists working in corporate dental settings have minimum experience, under developed diagnostic skills, and limited communication skills. Not where I would want to be treated.

2. You don’t want to be–and physically can’t be–all things to all people. Pick your niche–whether that be Ritz-Carlton or Motel Six. Just be terrific at what you do and you will continue to separate yourself from your competition. But whatever model you pursue, you absolutely need room to expand. In my experience, the greatest impediment to the growth and success of a practice is the lack of a proper facility.

3. New technology is expensive, but the return on investment, and the marketing WOW that it creates, will ultimately work in your favor.

4. Dentists must realize that staff costs, which are the biggest expense in any practice, have to be controlled. I am a strong believer in paying a fair and representative hourly wage and supplementing that wage with bonuses and incentives that are tied to increased practice revenue. I strongly believe that the dentists’ share of health insurance benefits must be capped. I just finished a very interesting book on controlling health care coststhat is a must read for every small business owner.

5. We fight with dental insurance companies every day. The message must be sent to your patients that dental insurance is merely a stipend. If you continue to belong to the “one crown every year” club, and let insurance companies dictate your treatment, then you indeed will be suffering and going in the wrong direction. If you can learn to effectively present comprehensive and elective dentistry, then welcome the fact that insurance is useful for getting patients in your door.

6. Nobody to buy your practice? I simply don’t find this to be true. I believe that we are still very much in a sellers market with more doctors looking to buy than looking to sell. Yes–recent graduates often have high debt loads. But I have helped countless young dentists with two or three years of associate experience and with education debt of 250K or more, obtain 100% bank financing on just their signature provided the collections of the practice they are buying supports the practice valuation.

In 2014, I worked as a consultant with 36 separate dental practices. Some were new relationships, but mostly were existing relationships. 25 of the 36 practices increased revenue and profitability in 2014 compared to 2013. Seven practices stayed constant, and four were slightly lower. I quote these numbers not to brag, but merely as proof of what I see on a daily basis. The sky is not falling!

If you work hard, pay attention to details, and continuously deliver a quality product and strive for always improving ways to maintain excellence, your future is bright. Nobody ever said this was easy. Every business has its own set of challenges. Dentistry is no different. So please stop listening to the gloom and doom predictions. These people are only trying to sell you something you probably don’t need to buy!


January 14, 2015

Another Compliance Issue to Consider

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 9:52 pm

Screen shot 2015-01-14 at 10.23.45 AMThe beat goes on and the costs keep going up for dental providers. Costs in terms of time as well as money. OSHA training and recertification needs to happen every 18 months at an approximate cost of $900. HIPAA Compliance programs average $2500 to initiate and complete and around $1500-$2000 annually to stay current. And now, there is another cumbersome requirement that needs your attention.

By June 1, 2015, dentists who treat Medicare beneficiaries (any patient 65 or older) need to be enrolled with Medicare so that these patients can be reimbursed for their prescriptions that you write for them with Part D drug plans. You can’t just ignore this requirement. The law says you must make a choice and either opt in or opt out. And whatever choice you make is binding for two years.

There are two kinds of enrollment. Most of you should enroll strictly for the purpose of prescribing and referring. If, however, you treat obstructive sleep apnea and want Medicare to cover the cost of oral appliances, then you should consider enrolling as a billing provider for Medicare Part B.

Of course, anytime you are dealing with the Federal government, they don’t make things easy. The application process for something so essentially simple turns out to be extremely confusing, illogical, and cumbersome.You could try to do this yourself, but I think you’ll be opening a bottomless can of worms. Instead, I would suggest calling David Wester. He is the Director of Medicare Enrollment at StatDDS.  His direct line is 800-693-9076. StatDDS will simplify the process by gathering all of the pertinent information about your practice, fill out all of the paperwork, file all relevant material with insurance carriers, and keep up with the status of the application. The company charges a one time fee of $697.

I am strongly advising my clients to opt in. Patients over age 65 are an important demographic. Their dental needs are often extensive, they do lots more elective procedures, and they are usually more financially secure. I would not want any one of these people leaving my practice – and telling their friends – because they couldn’t get their Medicare prescriptions filled. No question that this new requirement by the government is another irritant and a big nuisance. But don’t be penny wise and pound foolish and try to enroll on your own. Take care of this today.


December 30, 2014

The Year is Changing – Will You?

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 9:32 pm

Screen Shot 2014-12-29 at 8.50.42 PMAnother year is about to wind down. 2014 is a few days away from being history. Hopefully it was a good one for you and your dental practice. If it wasn’t, what do you plan to do about it? This is the time of year for making resolutions–promising ourselves that we will in fact have the strength, the willpower, and perhaps the courage to make positive changes.

My job as a coach and advisor to dentists is to strategize with them about their practice and support and facilitate the changes we have  identified. These changes are critical and necessary to help them fulfill resolutions made with the greatest of intent. Two years ago, I offered comments on this very topic. One year ago,  I began a 10 part series of posts where I identified the reasons–in my experience–that separated eminently successful dentists from the majority of their peers. All of those posts are archived on the Blog Page of my website.

So here we are again. A fresh start awaits you. But as I have said so often and truly believe, “Hope and prayer is not a strategy”.  One of my most influential mentors and motivators is Seth Godin. Earlier this month, he penned the most prophetic statement: “If you hesitate to map out your future, to make a big plan or to set a goal, you’ve just gone ahead and mapped your future anyway.” That is flat out brilliant!

Change is hard and change is rarely easy to accomplish. John Wooden, the legendary basketball coach of UCLA, whose teams amazingly won 10 NCAA championships between 1964 and 1975, realized the difficulty of change. When asked the reason for his success, he said it was his ability to get his players to do what they didn’t want to do in order to get the results they wanted.

I would imagine that all of you desire to improve. So my message today is not a sermon or a lecture, but rather a gentle reminder and a challenge to actually make that plan to reach the potential you deserve and of which you are capable. Every one of us can identify three or four areas where we can improve. Take the time–it may take hours or it may take days–but force yourself to sit down and write down your goals. That often is the most difficult part – identifying the goals. But once the goals have been articulated, figuring out how to reach them  becomes infinitely easier.

Good luck! I wish all of my loyal readers a healthy and happy and prosperous New Year.


December 15, 2014

Instant Gratification

Filed under: Uncategorized — Mayer A. Levitt, DMD @ 9:24 am

Those of you who read my blog posts know that I am a big fan of using the iPad as an extremely effective tool for presenting dentistry to your patients. A few weeks ago, I suggested downloading the DDS GP app to your iPad in order to take advantage of the beautifully designed drawings and graphics that illustrate dental problems and the solutions to those problems.

Another great enhancement for your iPad is Shuttersnitch. Shuttersnitch is an app (the cost is a mere $19.99) that receives and displays pictures wirelessly on an iPad moments after they are shot. Instead of taking digital photos and then plugging the memory card into a laptop in order to upload the photos, there now is a much simpler and less cumbersome way to accomplish the task.

As long as you are using a digital SLR wi-fi enabled camera to take your photos, Shuttersnitch is the perfect partner for the wireless image transfer system in your camera. It takes in the photos and almost instantly displays them on the iPad’s 9.7 inch screen. Shuttersnitch has specific support of wireless SD memory cards from Eye-Fi, but can also accept pictures from any camera transmitter that is capable of an FTP transfer. Shuttersnitch provides a detailed set up guide, and I am told that you don’t have to be a computer whiz to figure this all out.

I firmly believe that high tech equals high reward. Once you take the time to get comfortable with the mechanics, your case acceptance should skyrocket.


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