Nifty Thrifty Dentists

March 14, 2018 | 0

 Nifty Thrifty Dentists

The Nifty Thrifty Dentists is a podcast like no other.  We like to save money, we like to joke around, and we love to bring out the very best side of all our guests.  People say a lot of things about our podcast but there is one thing that they will never say  — that our podcast is boring.  So join Dr. Glenn Vo and Dr. Vinh Nguyen, Dentistry’s ultimate odd couple, for a short adventure of laughs, positivity, and Dental Discounts.  And for a listing of all our Dental Discounts visit – www.niftythriftydentists.com


Episode 98: Nifty Deals: Carl Nofuente, MaCa Financial Planning

Listen to Episode 98: Nifty Deals: Carl Nofuente, MaCa Financial PlanningCarl Nofuente is an estate planner and a certified financial educator. What is the difference between a will and a trust? If you die or become incapacitated without a will, it will enter something called probate. It takes time and money to get an estate out of probate to release the estate. A will does not keep it out of probate but does designate specifics of how to divide up the assets. A typical fee to release an estate from probate is approximately 5% of the estate’s value. This amount can be as high as 15%. A trust avoids probate and keeps the record of transferred assets private. It is important to not just have a trust but to fund the trust with your assets. It is very common that the trusts are set up, but unfunded. Many people are unaware of this most critical step. Are there age limits to a trust? No, anything that you want to give to your family can be placed in a trust. You can set the rules for specifics of payouts based on percentages, milestones, or other requirements. Protecting your legacy generationally or keeping your children’s family assets in the event they divorce is an important way a trust can be enacted. A trust becomes effective as soon as it is signed while a will is only enacted upon death. Should you become incapacitated, a trust will protect you. If a practice is in a will, your family cannot sell it until it is released from probate. At that point all assets are frozen and anyone can make claims on the estate. The courts have to hear them out. In addition, a court can overturn your wishes in your will regarding who is in charge of your children. A trust will designate that person as a guardian, but financial decisions can be designated to another person or group of people. A trust can be set up to protect you from legal recourse. Setup can be both revocable or able to be changed and irrevocable trusts which cannot. It is also a great tool for remarriage and children from a previous marriage. A bonus tidbit for you: planning ahead for your children’s careers can allow them to receive merit-based financial aid, so start planning early. Nifty Deal: reach out for a FREE one-on-one assessment to identify steps you can take to plan your estate. info is as follows: (240)888-9019 or cnofuente@msn.com

Episode 97: Episode 97- Dentistry Live Summit

Listen to Episode 97: Episode 97- Dentistry Live SummitDr. Glenn Vo and Dr. Chris Hoffpauir are joining their Facebook groups, as well as many others to create the ultimate dental summit. They initially met through social media and realized how valuable it is to have support and answers to questions. While it’s great to build those relationships online, there is still something special about being face to face. They have chosen to create an event to network with other groups and bring a fresh perspective to dentistry. By keeping the attendees to only 500, there is an opportunity to build real relationships and experiences together. Alyssa Keefer, Dr. Eric Roman, and many more speakers were selected specifically to teach not only the doctors but your team as well. All of the speakers can be found on www.dentistrylivesummit.com Dr. Jared Van Ittersum will be speaking about practice growth, Dr. Robert Pick will speak on practice culture. Dr. Joe Maio, Dr. Janice Doan, and Dr. Josh Cochran are also sharing their knowledge and experience to benefit their peers. Want to know how to find and train up associates? There’s a course for that! Elijah Desmond and Dr. Anissa Holmes, Dr. Nathan Ho bring everything from tech talks to marketing. Sandy Lee, Heather Kirby, and Carlos Rodriguez show up big for your hygiene team too. Kenzie Broxson will be talking about insurance and Dr. Grace Yum Zimmerman will represent multiple practice owners. The event will be June 26-27 at the Golden Nugget in Las Vegas. Friday night there will be a Whitening Ball, and Saturday will be Carlos Rodriguez. And don’t forget about all of the Facebook groups representing at their booth. But of course, there’s a Nifty Deal! 12 hours of CE for the doctor is $400, team members are $250. Team deal to come!

Episode 96: Episode 96: Dr. Anissa Holmes- Delivering Wow Marketing

Listen to Episode 96: Episode 96: Dr. Anissa Holmes- Delivering Wow MarketingDr. Anissa Holmes is the brains behind Delivering Wow. They are now releasing the Delivering Wow marketing content. It began from a difficulty for her own office to come up with ideas and campaigns to help keep content fresh. They have spent the past year developing copy and content in addition to specialty campaigns for 12 different high value services. Each one includes images, social media content, and even blog posts. There are also share funnels for each one. Why was it important to try it in her own practice first? She realizes that if her own office was having the issue, they weren’t the only ones. Google is expensive because Google realizes that people are typing in to find things, so they charge a premium to advertise to those looking for specifics. Social media uses some of the same concepts from old school marketing, just updated to the current climate. The point is to get people talking about your practice. Consistency will be the key. Just copy the image, paste you applied information, and post your campaign. The campaign is about an idea and is aimed to get patients involved and sometimes your team as well. If your worried about getting stuck, there is an active community to share ideas and help you with your campaigns. Project Smile is a great campaign that gives away your own skills in dentistry to someone in need. The campaign only costs about $100. Engagement upwards of 5000 people have been noted, and it is the kind of campaign people will talk about and share. People submit their stories and photos about why they should be the recipient of Project Smile. It is a great way to make a direct impact in their community. The marketing campaigns are usually $297/ month. Nifty deal is $197/ month the first month. Go to https://www.deliveringwowmarketing.com/monthlymarketing paying yearly will save you about $1500. Use the code: niftythrifty The Delivering Wow Summit is March 12-14th 2020 in New Orleans. The VIP day before is specifically for doctor leadership. Excellent speakers on everything for your team and docs, a Whitening Ball set in Mardi Gras World, and great opportunities for personal growth. Go to https://www.deliveringwowsummit.com/ and enter code: Nifty Thrifty for $100 off

Episode 95: Episode 95: Dr. Michael Sernick and Jordan Sernick- Channel D

Listen to Episode 95: Episode 95: Dr. Michael Sernick and Jordan Sernick- Channel DChannel D Dr. Michael Sernick and Jordan Sernick are the masterminds behind Channel D. Dr. Sernick loved crown and bridge work and could gain the skills, but needed to gain the patients. Most of the courses on case acceptance were focused on sales, and he didn’t feel like patients build trust and want to accept treatment if they feel they are being given an “upsell”. In Australia, he was legally not allowed to advertise his practice beyond a sign, so he was forced to think within the confines of his office. He wanted to engage the patient and educate them simply before they are seen. At that point, the patient has a better understanding and can recognize issues in their own mouth. Preparing the patient improves the chance of getting a yes. Humor and creativity is a big part of the Channel D videos. It engages the patient, makes them laugh, and helps the information to stick. A customized product allows your office culture to be represented, bring a level of familiarity, and show that you invest in your practice. Other programs are out there that can be very clinical and hard to understand. What kind of impact did you find when you initially released Channel D in Australia? They initially tried different ideas and developments in offices in Australia, and because Dr. Sernick had a good doctor following, the product quickly caught on. After using the product in our office, we find that people are more easily engaged in conversation, and feel more comfortable and engaged. When they mention the videos, instead of just saying thank you, use it as an opportunity about conversations. Asking what video they liked or were interested in can raise questions for patients as well as their families. Patients who are more educated will also tell their friends and become a great referral source. Currently, they have over 120 videos that are both educational and informative. New videos are created every 2 weeks and are often based on suggestions or needs of the offices they serve. This means your videos don’t remain stagnant. By staying on top of changes and procedures in dentistry, they can make videos to be on the leading edge of what patients are looking for. The videos do not have sound because it is intrusive. The idea is not to enforce viewing, it’s to catch their attention. Education is through the short clips that hold their attention. Older people enjoy them as well as younger patients because they are fun. The playlists can be changed, but the idea is to broadly educate on aspects of dentistry that may be affecting the patient or people they know, but may not be the primary reason for their visit. The Nifty Deal: Channel D Media Stick is usually $140 and fully customized videos for free along with 2 months of free service. Additionally, the regular price is $190 per month, but they are offering 20% off the first 6 months. That makes the cost about $150/month. Use code nifty19

Episode 94: Episode 94: Jonathan Karren- Mango Voice

Listen to Episode 94: Episode 94: Jonathan Karren- Mango VoiceJonathan Karren is with Mango Voice. After some rough spots, in which they were very upfront, they opened more data centers and built more redundancy to prevent service interruption. When there are issues, they are members of the group and work to resolve the issues for customers. What is the connection with Modento? They have developed screen pops that bring up the patient’s immediate information on their account. By collaborating as the best in their respective fields, they can work harder for you. You get the typical VoIP features, and they also have Mango Plus for in-office chat, two-way texting, and many other features. One particular new feature is the ability to text directly from your business number. SMS notifications can do an automated text message before pushing it to voicemail. The message can even be customized to include a link to online or third party scheduling such as LocalMed. Call recording is important as well as using multiple numbers to track marketing campaigns. It’s included with your basic service. The standard package includes one phone number per telephone in your office. Additional lines can be purchased for $5.99/ month local or $9.99 toll-free. This is generally less than half the cost. While they do not have data mining and such, the number of calls, specific line reviews, as well as the call recording and analytics on the number of calls, answered. That feature alone can save people several hundred dollars per month. Changing to VoIP increases productivity. The SMS feature alone could bring one patient in that would be worth more than the “savings” you see. The difference between a landline and VoIP reliability is so negligible that the additional features far outweigh what small difference you may experience. Upcoming features will allow you to text and call from the app but show that it is coming from your business line. They also have the ability to call from the website or use the phones from any internet connection. The Nifty Deal Free month of service or 3 months of free Mango Plus https://mangovoice.com/upgrade/ Free phones with annual payments Free mobile apps Free Hipaa eFax Free Integrations https://mangovoice.com/nifty/ No contract until the end of the month for Black Friday! To get this deal: Message Jonathan Karren Contact Mango and Mention Nifty Thrifty https://mangovoice.com/upgrade/

Episode 93: Episode 93: Drew Dickinson- Modento

Listen to Episode 93: Episode 93: Drew Dickinson- ModentoDrew Dangerman is the co-owner of Modento. It’s a permutation of the words “modern dentistry”. As someone who worked in dentistry for over 15 years, she recognized where a lot of pain points in a dental office. She partnered with her husband to tackle some of these problems, and Modento was born. Modento is designed to deal with the minutiae of patient interaction. The ability to accept insurance over the app and other simple tools to make your office life easier. The app is cloud-based and simple to interact with from anywhere. It is easy to act enmasse for things such as messaging or searching for patients. Everything is added live with your dental software, so your current patient and treatment list is always accurate. Voicemail drop is an effective way to leave a postop message or other care calls to your patients. A prerecorded message saved to a file can drop directly to their voicemail after a single phone ring. A simple generic but applicable message is a great time saver that connects to the patient. Online paperwork is another wonderful option. All of the forms for your office can be submitted through the app and is imported directly into your patient management software. Treatment plans and paperless statements are another great option. They can receive it via the app, which is HIPPA compliant. The app is not required for the patient, but there are a lot of useful functions. Sending a statement or payment request to patients can be done through the app as well. Searches based on amount due, aging report, etc. can be filtered in the app. A payment request can be sent covering some or all of the balance, and the outstanding insurance information is easy to find. The system will automatically attach the last statement if you are using open dental, otherwise you can save each statement to a file from other software and load the file from there, keeping you paperless. Over 95% of the payments are collected, and many are done same day. In addition, they receive reward points for paying same day. A quick button for posting to ledger will import it directly into open dental. Eaglesoft will integrate as well, but not as extensively as Open dental. They can read the information in Dentrix and are working to be writable with the program in the next few weeks. Demos are available, and there are two trainings set for your team. The first is to introduce them to the capabilities, the second is to answer questions and dive in to specifics. Online reviews, recall reminders and other great features can integrate with other platforms such as LocalMed and Mango Voice. The Deal: $ 50 off per month Regular price $ 299/month Nifty Price: $ 249 Even if they raise their prices, you will get $ 50 off your package as long as you are a customer. To get this deal: Message Karol Jasik or Drew Danger -OR- Click here - https://modento.typeform.com/to/ERK4Nx?fbclid=IwAR3WZ1bDz4b0Ri0N73S7capXIL-zfuAARyILbIP2eCW9oF8mWK3clg8-B2k

Episode 92: Episode 92: Dr. Jose-Luis Ruiz- Kettenbach

Listen to Episode 92: Episode 92: Dr. Jose-Luis Ruiz- KettenbachDr. Jose-Luis Ramirez is the founder and director of the Los Angeles Institute of clinical dentistry.  Tonight we are discussing using porcelain veneers to treat severe wear cases. Treating these patients is not only aesthetic, but it is also treating pain, headaches, and other secondary issues.   Cutting a tooth for a crown weakens the tooth structure and will not prolong the life of the tooth because the patient is still grinding.  While veneers are not the only way, it does help to bring a positive aesthetic that plays out in their lives. There is a lack of guidance from anterior teeth and can help improve the mechanics of the bite.  Zircona crowns force margins below the gum. Occlusion is a mechanical system.   The 3 golden rules: 1. All our teeth need to hit at the same time with the mandible centered. People do not always realize they shift.  Anteriorand canine guidance is imperative.  Overjet is necessary. The jaw needs to open and close without rubbing.  Getting the bite seems to be one of the most difficult parts. While there are different approaches, the principles are the same.   You would not build a house without a design and engineer, but we immediately start cutting in the mouth. To address this, we need good quality photos and casts. Futar is a great product for a quick set. Alginate will not work because you need to pour the cast multiple times. Silginat is hydrophilic and works well in the mouth. Calibration and wax-ups can help us guide best practices.   Once wax-ups are done and the plan is in place, you begin prepping with minimal structure loss by using a supragingival approach. This is a case where digital is not the best approach. A scanner is amazingly accurate, it is the printing process that has error because it cannot currently reproduce the margins with the level of accuracy you can get with impressions. You risk sacrificing tooth structure to improve your scan.   Why is being minimally invasive important? When we do a regular crown, we cut as much as 75% of the tooth structure. The risk of coming in contact with the pulp risks the chance of a root canal. It is also better for periodontal health and is ultimately faster. He feels that the science behind the method supports the approach and is ultimately healthier for the patient. Every time you go below the gum, there is inflammation.   Dr.Ruiz is still practicing dentistry and used the techniques he teaches in his courses every day.  This strategy will change and simplify the way you do dentistry.   The Nifty Deal: Buy 5 boxes of Futar bite registration for only $150  Silginat and Panacil are 30% off  This deal expires 11/16/2019   

Episode 91: Episode 91: Evan Lazarus- Simple Impact Media

Listen to Episode 91: Episode 91: Evan Lazarus- Simple Impact MediaEven 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. 

Episode 90: Episode 90: Nifty Deals: Dr. Jim Downs- Arrowhead Dental Lab

Listen to Episode 90: Episode 90: Nifty Deals: Dr. Jim Downs- Arrowhead Dental LabDr. 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/

Episode 89: Episode 89: Dr. Emily Letran- High Performance Course

Listen to Episode 89: Episode 89: Dr. Emily Letran- High Performance CourseDr. Emily Letran was born in Vietnam during the Vietnam war. She came to the U.S. with her aunt and cousin and entered dentistry by the process of elimination. She enjoys building relationships with patients and staff to help keep her life fulfilled. As a calling, she knows she can make a difference for other people through dentistry. What is some advice you can give us for people who are exhausted? Focus on family first. In the day to day, focus on the biggest or most important task first. Taking care of it early in the day will help you accomplish your goal and gain clarity. Don’t worry about the rest, and know that you did what you set out to do. Have undisturbed family time by putting your phone away and not feeling like you have to jump up and take action the moment the phone rings. Draw the line by prioritizing yourself and picking and choosing what you need to do. Secondly, be clear in what will help you get your results. Only do those things that get you to that goal and don’t worry about the rest You will find that you get things done with the results you want. And don’t care what people say. You can have it all if you set your mind to it and commit to it. Recharge yourself before you walk into the house. Walk in present and refreshed. Be genuinely interested in what is going on with your family. Make promises to yourself and keep them. Be intentional with high-performance habits every day. You shouldn’t be experiencing Monday Blues. You need to recharge and reset. Feel gratitude and release it so you can make the changes you need and get better the next week. If you can’t care for yourself, you can’t care for others. Don’t let others dictate what you are supposed to be doing. Give your family the same attention and the best version of yourself to your family, not just your patients. “No Nonsense Dentistry for Dental Peeps” is a book co-authored by Dr. Letran and Dr. Mauty full of sarcasm and wit aimed at dentists. It is currently in print and she will notify the group when it is ready for distribution. She also has a high-performance course aimed at making you into your personal best. Important aspects to look at include family, employees, and patients. Get rid of the things that cause you to stress, people too. 20% of your patients give you 80% of your production. Find those and work with those. The other 80% you help if you can. Busy should not be equated to income or success. Nifty Deal: Dr. Letran’s course is comprised of 12 segments you can go at your own pace The first part of the course is High-Performance Leadership, focusing on the core pillars of High Performance Clarity: knowing what you want, setting goals, how to achieve goals Energy: maintain high energy and recharge energy to avoid burnout Productivity: how to maximize potential by leveraging team, colleagues, experts Courage: how to step up and overcome challenges, from difficult conversations with staff, patients to making grand decisions like expanding business, acquisition or exit by design Influence: how to create influence and persuasion so patients and staff and spouse and even kids will listen to you, how to create a significant impact in the community The second part of the course is on business growth strategies These include internal referral, patient appreciation events, community service event, authority positioning, magnetic marketing and metrics The course provides significant insights and offers proven nuggets that work in my practices for the past 26+ years and also in building my High-Performance coaching and Business Growth consulting practice Guarantee: after going through the course you will be able to increase your income by at least 3x the course investment NIFTY Bonuses One hour 1:1 consulting with me ( value $1000) Ticket to LIVE ACTION To WIN event ( value $497) 3 months FREE online coaching ( value $120) Private Facebook group where I will answer questions (priceless) https://emily-letran.mykajabi.com/offers/EBPo7YVV/checkout?coupon_code=GLENN

Episode 88: Episode 88 Nifty Deals- Jay Glazer -Crazy Dental

Listen to Episode 88: Episode 88 Nifty Deals- Jay Glazer -Crazy DentalCrazy 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. 

Episode 87: Episode 87: Nifty Deals: Dr. Stanley Malamed- Onset Buffering System

Listen to Episode 87: Episode 87: Nifty Deals: Dr. Stanley Malamed- Onset Buffering SystemIn 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

Episode 86: Episode 86: Nifty Deals: Dr. Gregg May- Core Group

Listen to Episode 86: Episode 86: Nifty Deals: Dr. Gregg May- Core GroupGregg 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: Episode 85: Nifty Deals: Jeff Guidie- 4G Dental Labs

Listen to Episode 85: Episode 85: Nifty Deals: Jeff Guidie- 4G Dental LabsJeff 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 84: Episode 84: Nifty Deals: Brandon Bomar of Professional Dental Services

Listen to Episode 84: Episode 84: Nifty Deals: Brandon Bomar of Professional Dental ServicesBrandon Bomar of Professional Dental Services talks Prexion CBCT. Let’s start with the facts: #1 PDS is the #1 dealer of Prexion 2 PDS is a dealer all over the country that can support 3 Prexion has a complete 10 year warranty from day of purchase 4 Excelsior Pro has 5 fields of view 5X5 to 15X13 5 .3mm focal spot for exceptional image quality The Excelsior provides excellent view of the airway for sleep, ceph arm for ortho, and many more. Standard scan has over 500 slices up to 1000. There are never additional fees for service or calibration, unless your state requires as such. It self-calibrates each day. When looking for the best CBCT, is it a good value, what do the numbers say, and is it best for your practice. Liability in getting rid of your old unit can be an issue. Few reps will uninstall your unit and reinstall somewhere else. PDS will be guaranteed to give you the best price. Direct contact information - Cell - 602-733-4688 -- Email - brandon@pdsaz.net -- Feel free to send Brandon Bomar a message through facebook messenger as well for those "apples to apples" quotes!

Episode 83: Episode 83: Nifty Deals: Kenzie Hess Broxson- Cracking the Dental Insurance Code

Listen to Episode 83: Episode 83: Nifty Deals: Kenzie Hess Broxson- Cracking the Dental Insurance CodeKenzie 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: Episode 82: Nifty Deals: Dr. Casey Culberson- Molar Media Mount

Listen to Episode 82: Episode 82: Nifty Deals: Dr. Casey Culberson- Molar Media MountDr. 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: Episode 81: Nifty Deals: Dr. Paul Etchison- The Dental Business Mentor

Listen to Episode 81: Episode 81: Nifty Deals: Dr. Paul Etchison- The Dental Business MentorDr. 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.

Episode 80: Episode 80: Nifty Deals: Dr. Robert Pick- The Pick Group

Listen to Episode 80: Episode 80: Nifty Deals: Dr. Robert Pick- The Pick GroupDr. Robert Pick of the Pick Group. Life changes quickly. One moment in 1997 he thought he had a stomachache which turned into a ruptured appendix and rapidly spreading cancer without missing work. He pioneered using lasers in dentistry. This opened many opportunities for him to work with Fortune 500 companies and gain insight into business practices. He started the Pick group to help build stronger dental practices with business ideology in mind. What helped you get through that tough time? He loves what he does as a periodontist, as well as teaching and helping others. What’s up with the purple cow? It is from a book. If you saw a field full of black and white cows and one purple cow, it would stand out. Stand out for all the rights reasons, but stand out. Purple cow wows are things that make you stand out from the competition. If you figure out your why, you develop your business as well as your mission and culture. Build a relationship with your patient and you will have 100% treatment acceptance. He meets every new patient in a separate room and the assistant will help while you do the exam. It builds trust in what you say. How do we find out where you are speaking? Go to the www.thepickgroup.com What is your advice for dealing with today’s team members? Learning the DISC profiles and hospitality quotient, which is the natural curiosity about people. How do I deal with staff? Staff is an infection, you need a team. Wait until the end of the day and bring your office manager in to handle it. You need to balance the clinical and CEO hats. Be careful in setting your tone at a morning huddle. Issues should have been done the night before. Don’t shy away from your team knowing your numbers. Your team will be able to help rally around you. Get 4 half-hour calls for 50% off by emailing The Pick Group with the word Glenn. Regular price is $1,100

Episode 79: Episode 79: Nifty Deals: Aaron R Boone- MVP Mailhouse

Listen to Episode 79: Episode 79: Nifty Deals: Aaron R Boone- MVP MailhouseAaron R Boone, CEO of MVP Mailhouse PPO practices are entering the end of the year where benefits are used of lost. Now is the perfect time to meet the deadlines to get mailings out before the end of the year. By getting in early enough, you get the chance to find them and their family members available spots on your schedule. Don’t turn away potential patients, be prepared! When is a good time to mail? August is typically a great month for everyone, but then Sucktember hits. October sees a bounce back, but you can finish strong with new patients and procedures. They look at neighborhoods within a distance from your office that are targeted based on everything from family demographics to media preferences. Using their Map IQ system, they input the locations from your last three years of patients and look at the trends and barriers to new patients. An analysis of the area and demographics helps customize the most effective marketing plan, whether it is EDDM or other marketing methods. No more mailing blindly. MVP will do the Map IQ for anyone for FREE! The mailings have customized phone numbers to track which mailings are effective. They can still get mailings out by the end of the month. Mail in November needs to be the first 2 weeks. December will need to be the first week of December. If budget is a concern, 2 mailings can still be successful. New practices can still use EDDM, but working from the inside out rather than a blanket campaign to the city. The MapIQ will target not only routes, but specific homes on the routes. Eliminating your current patients may help you spread your mailer budget to previously untapped neighborhoods. He has been in the direct mail business for 8 years and only focuses on the dental industry. To get started, schedule a 20-minute demo with a heat map (places where your patient base is coming from the past 3 years), links to the best mail routes as well as a starter or mare aggressive plan. What kinds of deals work best? Call tracking and analytics as well as listening to the calls to find out who is responding to what. Using metrics from previous mailings will allow the successive mailings to focus on the most successful responses. They educate your front desk on how to answer the calls. After the 3 mailings they do an audit against new patients and response calls to let you know the results of your campaign. Nifty Deal: Free Heat Map Analysis, Complete a 20 minute demo and get 250 designed referral cards for free, Sign up and get another 250 referral cards free ($400 value) Discount off a 5,000 mailer of $250, 10,000 mailers gives $500 off, 15,000 mailers or more $750 off