Dental Start Up Unscripted

Dr. Jarod W. Johnson is Board Certified by The American Board of Pediatric Dentistry. The ABPD defines a diplomate as, “a pediatric dentist whose credentials have been verified, who has successfully completed voluntary examinations, and who demonstrates specialized knowledge and skill. A Diplomate is dedicated to providing exceptional patient care through a voluntary commitment to lifelong learning.”

Board Certified Pediatric Dentists undergo a rigorous examination process, and spend numerous hours preparing through study and clinical practice. Dr. Jarod enjoyed reviewing the basics of pediatric dentistry as well as studying challenging cases.

Dr. Jarod’s goals after becoming a Diplomate include maintaining high standard of care through attending continuing education course, teaching in academia at The University of Iowa College of Dentistry and Dental Clinics, and authoring articles for publication through multiple outlets. He looks forward to sharing his knowledge and expertise with his patients at Arctic Dental.

Dr. Jarod has works as a pediatric dentist in Muscatine, IA, and is excited to serve the community for years to come. Dr. Jarod is a graduate of The University Nevada, Las Vegas School of Dental Medicine and The University of Iowa College of Dentistry and Dental Clinics. He is an active member of the American Dental Association, American Academy of Pediatric Dentistry, and the Iowa Dental Association.

Checkout SuperMouth
https://www.supermouthpro.com/pro/nxlevelconsultants
They are a great sponsor of this week's series of EPISODES for Kid's Teeth Week! They offer Pro Accounts where you can sell their products in your dental practice and receive residual income from ongoing sales. 

0:00 Intro Music
0:32 Episode Introduction w/ SuperMouth
4:42 Meet Dr. Johnson
6:45 Finding a Start Up Location
9:46 The Challenges of Starting Up
16:55 The Anxiety of Starting Up
21:26 Recall, Production, Efficiency
26:50 PPO, Insurance, Credentialing
29:40 Scheduling Days as a Start Up
32:00 Master the Art of Being a Business Owner

SHOW HOST:
As always Michael Dinsio your host Michael Dinsio is available to you as a Dental Practice Start Up Consultant. You can reach Michael at: https://www.nxlevelconsultants.com/start-up-practice-consulting.html

You can learn more about what he does by scheduling a One-on-One call as well:
https://calendly.com/nxlevelconsultants-michael/30-minute-new-client

#dentalstartup #dentalpodcast #startupunscripted #dentalconsultant #dentalcoach 
Intro Music: Do The Math: by SLPSTRM from Artlist https://artlist.io/artist/503/slpstrm

What is Dental Start Up Unscripted?

This Dental Specific Podcast is dedicated to the Dental "Entrepreneur" Michael Dinsio, Founder of Next Level Consultants, delivers #TRUTH when starting up a dental practice. From the very first step to getting the keys of a dental practice, Michael shares his raw & unscripted playbook with you. Not only does this podcast provide you with "What To Do" but more importantly "What Not To Do". With over over 15 years of experience & over 150 past clients, Michael delivers an educational and informative program in a real and genuine way. Start w/ Episode 01 - as we go through a STEP by STEP process.

Startup Unscripted.

The questions you have with

the truths you need to hear.

And now your host, Michael D'Incio.

what up what up guys hey

welcome back to another

episode of startup

unscripted this is mike

dinsia as you guys know

founder of next level

consultants and we are in

the midst of kids week uh

kids week we do shark week

this is kids week

I'm super excited about the

guest we have today because

very rarely do we have an

opportunity to talk to

someone that's been through

the startup journey is a

pediatric dentist.

His name is Dr. Jared Johnson.

He's the owner of Arctic Dental,

a professor at Iowa University.

I met him at the AAPD.

Uh,

while I was there this year in Toronto

and, um, uh,

I'm super excited to interview you doc,

but before we get into you

and your story and your journey,

I do want to do a shout out

to the sponsor of kid week, uh, which is,

uh, as you guys already know,

it's a super mouth.

It's a fantastic system to

incorporate into any dental office.

I'm a big fan of SuperMouth, you guys know,

and you've seen it in other episodes.

My kids are absolutely

obsessed with this stuff.

And my most favorite thing

about the SuperMouth system

is that it creates a

residual business within your business

Not very often.

You guys are always talking

about how difficult and how

grinding dentistry can be.

Well,

start creating a residual business

within your business so

that you don't have to work

so hard for your revenue

and forget the business side of it.

The kids love it.

They're brushing.

They're obsessed with brushing.

If I tell them, oh,

don't worry about just go to bed.

It's late.

They're like, no, you know,

the superheroes are telling

me that I'm going to get the bugs.

So I just I just really endorse it,

which is why they're the

sponsor of this particular week.

So check it out real quick.

Another special announcement.

If you guys have been following,

we are going to.

merge and rebrand our

podcast into one brand.

It's going to be called

Dental Unscripted soon.

So today it's Startup Unscripted.

If you guys are going down

or thinking about going

down the startup path,

we also have Dental

Acquisition Unscripted.

Of course,

that's buying a practice and all

about buying.

it started getting a little crazy guys,

managing two podcasts, two things,

two YouTube channels, all of the things.

So we're just gonna bring it

all into one hub called

Dental Unscripted.

And the other cool thing is,

is I've helped a lot of you

guys get into ownership.

And now you're looking for

practice management tips.

And so you're going to get a lot of those.

I'm going to be splashing in

the eight to ten coaches

that Next Level has to

start giving you guys tips

on AR and team management

and culture and leadership

and billing and all the things.

And so that's going to be a

really good resource for you guys.

So Dental Unscripted,

go subscribe to it now.

We're going to get that set up.

But anyways, without further ado, sorry,

Doc, I had to get all that out.

You have a podcast, you understand.

Welcome to the show, Dr. Jared Johnson.

Yeah, Michael, thanks for having me.

And just piggybacking on

what you're talking about,

the residual business with

inside of your business,

I kind of felt guilty selling toothpaste,

but I don't anymore.

It's a benefit for your patient.

When I looked at the facts,

if you're going to write a prescription,

less than half of your

patients are going to pick that up.

where they can go ahead and

take the toothpaste that

you already have at your office.

They take it home.

And if you've got a program

where they're excited about it, I mean,

it just makes sense.

I don't feel guilty.

And it's a benefit to the patient.

If they're going to use it

and have fewer cavities,

that's a win for them, a win for you,

and a win for everyone on your team.

It's definitely a win.

And the SuperMouth system,

they have non-fluoride and fluoride.

They got all kinds of options.

So whatever your patient base is,

they're going to have a

product that fits.

SuperMouth did not pay Dr.

Johnson to say that.

So that's great.

It just makes sense.

I don't bring people on if I

don't feel like it makes sense.

And so that's a great program.

But

Doc, tell me a little bit about you,

my friend.

So I already kind of gave

everybody the heads up here.

You've been in the game for a minute,

nine years in dentistry.

You did a startup,

and we're going to get into all of that.

But just kind of give me your background.

Let's get to know Dr. Johnson real quick.

Yeah, so I'm a pediatric dentist.

I went out to University of Nevada,

Las Vegas.

I had a great experience out there.

And during my first year is

when I decided I wanted to do a startup.

And my family's from Iowa,

and we knew we wanted to

come back to Iowa.

And when you're looking for a place to go,

it's about location.

And I personally, I didn't want to be

where everyone's going now.

I didn't want to be in the

big city and have to

compete with everyone.

So we looked at communities

that had a need in the

state of Iowa and we located four.

And one of them happened to

be pretty close to where my

wife and my family are from.

And so we decided to pick Muscatine, Iowa.

It's about forty minutes

from where we're from.

And we started looking for

buildings and we were off from there.

So I was planning in my

first year residency,

planning layouts and build

outs and financing and- All the things.

All the things.

I think my camera's having problems here.

You're okay.

We can still hear you great though.

So it records separate.

So we're good.

Let's just keep rolling with it.

So one thing that you just said,

I'd love to dig into, Dr. Johnson,

and that is how you picked your location.

But big picture, guys,

why you might want to

consider listening to Dr. Johnson.

He is now at a place where

he's got over four thousand patients.

He's trying to figure out

how to cut down on infections.

insurance so he's in a

really good place he's

going to share his woes I'm

sure but um he did this and

you guys can do it too and

so um let's get let's get

into some of that if you don't mind um so

doc when you chose your

location just because you

said it you just keyed in

on something that I really

uh appreciate and liked and

that is you reverse

engineered where the need

for dentistry was is that

what I heard yeah I mean

it's if you look at where

all the grads are going the

pediatric grads now they're

all going to the biggest

city in iowa and it's like

you're gonna be fine,

but you're gonna be

fighting for those new patients.

And I think there's also

something to be said about

giving back to the community.

And then also, in a smaller community,

you're gonna have more

opportunity if you're

interested to serve on

boards and be a part of

other things that can

really bring a well-rounded

and balanced life to you.

With the location,

I actually was in Las Vegas

when we were trying to find it.

So I ended up hiring a

company that worked with

Build Outs for Dental to

actually go in and they

didn't know it was a

dentist that was coming in

to negotiate the price of

the building with them.

But we were able to look at

a few different sites and we found one.

I was very lucky.

I got one right next to a supermarket.

So great visibility from an

aspect of marketing.

First few years,

I just had a tin sign on

the wall before we put the

big one out there.

Just pediatric dentist.

That's it, right?

I took the sign off the

building that was there

from the previous owner and

painted it and had a local

company put my logo on it.

And that was about it for a while.

What you just said was

interesting because a lot of my clients,

they want to be where everybody else is.

And so what you just said is

exactly what I try to get

my clients to think about.

And that's really just

reverse engineering.

Where's the need in an area

and be willing to go there?

And you're going to have a

fantastic lifestyle,

a fantastic business.

And I think if you look at perspective,

where do you spend most of your time?

You spend it at work and

then probably during the week,

you're probably at home most of the time.

You're not out.

doing all these things that

you want to be doing on the weekend.

And you still have that

opportunity if you're close

enough to travel and be

there on the weekend if you want to.

Yeah, I mean, it one thousand percent.

And I think the key is,

is are you willing to are

you willing to live pretty

much anywhere or any maybe

more in a rural area?

And I think it has just some major,

major benefits.

And by the way, when we say rural,

it doesn't mean like in the

middle of nowhere where

there's like no nothing to do.

Like like there's a lot of

like what I would call

fringe fringe markets or, you

uh areas where uh they're

emerging and that might be

like twenty thirty forty

minutes even into the the

major the major cities and

you can kind of have both

so if you're willing to

kind of stretch those

limits that's that's that's

awesome um let's pivot though doc um

Let's pivot because I want

to get back before we kind

of get into the mechanics

of the startup itself.

That's what this whole program is about.

I really want to tap into

you and like how you felt

and all the things that you went through.

Uh, and, and then,

and then now kind of where you're at.

So like, there's like,

there is a light at the end

of the tunnel.

You have a successful business,

you're kicking butt,

but let's get back to like

some of those challenges.

If you can take yourself

back at almost a decade now,

and let's talk about like

some of the things that you

thought about after you opened,

because startups are hard and scary.

And, um, like what are, what's,

what are a few things that

you can remember that were extremely like,

um, uh,

just extremely difficult or

scary for yourself.

Do you remember?

Can you take yourself back to that?

Yeah, I think just getting patience.

I mean, you're obviously new.

You don't have the

reputation that you may

have had at a previous job

or maybe you're just coming

out of school and you have no reputation.

And that can be a challenge

coming into a new community

to try to build that base

because a lot of it's word of mouth.

People say...

had they had a good experience with you.

And I think that's really picks up,

but that's going to take

time because you have to build that.

So I remember we were,

when we first started,

my assistants and I were

out at the mall and Walmart

putting flyers on the

windshields of cars.

I mean,

we were doing everything we could

to hustle,

to try to get the word out that, Hey,

we're here,

here are the services we offer.

And we can really give your

child a great experience.

Yeah.

So did you find that like,

did you find like the grassroots efforts,

the ground marketing, as they say,

worked the best or it was a

combination of all of it, but like,

Like what works the best for you?

I mean,

I don't want to make it a marketing

episode, but at the same time,

I don't feel like my

clients give the grassroots

and ground marketing efforts enough,

like enough juice.

They really rely on external marketing.

And I think you have some

ideas and comments about that,

but they just don't give it enough.

Yeah, I think, I mean, it's work, right?

It's definitely not easy to go out and do,

you know, an event and have a booth.

I remember we had, when we came,

we went to the farmer's

market and just had

information and we were

putting tattoos on the kids.

And lo and behold, you know,

we come back and some of our patients,

that's where they came.

We find that out eight years later that,

oh yeah,

we met you at the farmer's market.

And it's like,

Well, I guess it did work.

Maybe you don't,

maybe you don't track it as well,

but I think it's super simple.

Um, when we do,

if we go to like a Halloween thing,

we take an iPad and sign

people up for give away something.

You give me your email.

Hey, by the way,

now we shoot you one a week or two later.

with just a promotional or, Hey,

here we are.

You just created a lead there.

And I don't know if Dennis

realized how hard it is to, you know,

get those leads,

but it's definitely an

opportunity for you to give

away something nice.

Maybe it's a Bluetooth

speaker and just collect

their email and follow up with them.

It's super simple.

And you'd be surprised how

many people would be

willing to give you their

email for a chance to win something.

Yeah,

any tips on the verbal skills of that?

Because it sounds like

you're the type of guy that

just goes and gets it done.

A lot of my clients are just like,

what do I say when someone walks up?

Or they almost make it a

little bit too complicated.

And to me, that...

Those conversations just come natural.

It's like, oh, you know, whatever.

How what is she about six years old?

That's great.

Like, what is she into?

Like, I just start talking.

It comes so natural from a

dentist to to the audience,

dentist to dentist.

Like,

how do you even start those

conversations?

And like you said,

it sounds like it is easy

just to get information from folks.

Yeah, I think, I mean,

obviously you can start

with what you're giving

away and you're probably

gonna have something kid friendly.

I would say probably

balloons are one of the

biggest hits that you could get.

you could do for a kid kids

love balloons a balloon on

a stick with your logo

super simple super cost

effective yeah great way to

start the conversation

temporary tattoos are

another hit that we've done

kids love those we just had

the state fair in iowa and

all the kids are coming to

my office now and they're

just it's like they've got

their own sleeve on of

tattoo these businesses are

they branded for you

No, these are from like the fair,

but we have ones,

we have Arctic dental ones

that we did too.

And I love that.

He doesn't even care what

that farm thing is.

They just got the tattoo and they love it.

It's not even,

it's like the idea behind it.

So just having like something like that,

you can even do it, you know,

something as simple as a sticker,

but something to,

give to the kid to engage

that conversation.

And I'm guessing if you're a

pediatric dentist,

you're probably going to be

able to have a conversation with the kid,

maybe about something they're wearing,

their shoes.

You can pick up anything on

a kid and give them a compliment.

And that's a great way.

And if you're not comfortable,

you can have one of your

assistants do it that's comfortable.

It doesn't have to be you.

And then after you do that conversation,

say, oh, hey, by the way,

we were giving away this

Bluetooth speaker if you'd like to enter.

fill out this simple ipad

form that's I I love that I

love that you've at you're

asking because again having

conversation being there

being part of the

experience is one thing and

it's good for branding but

but the key there uh there

there's no surprise doctor

has over four thousand

patients the key is is

asking asking people hey do

you have a pediatrician I'd

love to love to be it if not and and

please sign up and get on

our VIP list because when a

lot of these startups are

doing a lot of these

activities before they even open.

And the best case scenario

would be you have like, you know,

a hundred,

two hundred kids on the list

before you've even opened.

There's Halloween coming up.

There's all kinds of fun things.

But so you actually have an

iPad and you have people

just go for it right there.

Yeah.

Just set up a Google form.

If you wanted to not even have that,

you could have a QR code

they scan on their form

that goes to the Google form.

You don't even have to have

the iPad anymore.

I guess that's just what

I've done in the past.

Maybe I need to update things a little bit,

but it's super simple.

It's just to say name, email.

I love it.

I think that's great advice.

It is simple.

It is simple.

It's not overcomplicated.

And let's just get out and

start shaking hands and

quote unquote kissing babies.

I think that's great.

So clearly that was a big thing for you.

Of course,

the normal direct mail and

pay-per-click and all the

things that the marketing companies,

we have a whole shark week on that.

But organic and ground marketing,

we're just not talking

enough about and doing enough.

It's blood, sweat, and tears.

Let's take it back even more

before something that you

said before we even started this episode.

And that was that feeling, Doctor, of...

Am I going to make it?

What is this supposed to feel like?

How busy should I be?

I find that a lot of my

clients have this expectation of just,

you know,

ten kids a day right out of the gate.

And that's just not how startups work.

Did you have a lot of those expectations?

feelings when you started like, oh,

my gosh,

I'm super slow or we're not going

to make it kind of think

about those first six months,

because I just think

there's a lot of those panic attacks.

You usually come from like a

really busy office like

yours as an associate.

And then you do a startup and you're like,

whoa, what is going on?

Any tips there or thoughts

about mindset or grit that

you can think about that

you can say or give give the audience?

Yeah,

I don't know what the situation is

now with the banks,

but less than two percent

of dental practices fail.

So you're a pretty good bet

for these bankers.

When I opened up,

I joke with my my

colleagues that I was a

reverse millionaire when I

opened my office.

I had four hundred thousand

dollars in student debt and

about one million in practice.

Yeah, that sounds right.

And I put no money down.

Yeah, no, that's the same money down.

That's the same.

It's the same million dollars.

So

That is kind of a good thing

to have in your back of your mind.

You're going to get some working capital.

I was lucky I didn't have to

dip into any working

capital with my startup.

But you're going to start out.

You're probably going to be

maybe two patients a day.

I mean, on a good day, maybe six.

And, you know, I was lean.

I was doing the cleanings

myself at that time because

we had one assistant that

was helping out with the

phone and the front desk.

And if they had a sibling in,

I'd do a cleaning next to them.

We'd do the treatment on

another time off until we started –

to grow the needs and it can be scary,

but every patient that

comes in your office is

another opportunity to get

that word of mouth going.

It's so simple.

We don't do it enough.

It's just, just have your assistant,

your front desk after

they're done with the appointment,

how did things go for you today?

And they rave about it.

That's the time to ask for the review.

That's the time to ask for, Oh,

who else do you know that

could use our help?

Yeah, no, I don't have an answer.

Well,

then just who specifically came to

mind that you thought of?

We would love to have you reach out.

Here's a card.

Here's our information.

We'd love to have you reach

out to to have them have

the experience that your kid had with us.

That's super, super, super simple.

But too many people are

afraid to ask for that.

And that is.

on top of getting the patient,

they know so many people.

They get involved in the community.

They do.

If you make that wow moment

and a kid's experience and

parents appreciate that

you're really trying to

help that kiddo have a good

experience and all the

things are clicking and it works.

Of course,

we always have those one

patients that just

everything goes wrong on,

but that's not normal, right?

And so when you have those

incredible experiences,

I think you're right.

Like parents and moms and dads,

they wanna almost share and

tell other moms and dads.

It's like a thing with kids

and parents is like,

that's all we know how to

talk about because we work

and take care of our kids.

That's all we do all day.

And so when you're with friends and family,

like that's the best,

they're the easiest ones to

start talking.

Do you have some internal

marketing programs that,

that um that entice or

inspire people to to refer

refer into your practice

yeah we don't have one

going on right now we have

in the past we um would

give away starbucks gift

card with a nice thermal

insulated mug with our logo

on it um that was something

that we did for a while um

kind of hard to

Kind of hard to track,

but you got to have a good

system down to make sure

you're getting people when

they do refer the credit

that they deserve.

But that's one thing that

we've done in the past.

Right now, we're trying to cut back.

We're trying to get to be

less busy and more

profitable with the fewer

patients that we're going to see.

So we're not really trying

to grow in that sense right

now until I can get the

schedule back under control

where I'm comfortable.

Yeah, let's let's hit that in a second,

because they're at about that.

Like you said,

that that a seven to ten

year mark doctors are

looking to scale or become

more profitable.

It's you're starting to have

more options to to to do that.

And you start playing with

the puzzle pieces and and all of that.

Yeah.

but, but real quick, um,

when was it in your experience?

Again, you went rural, you,

you did it right.

You waterfalled upwards.

You started with an area

that need needed a pediatric dentist and,

and built it from there.

So you probably had a really fast start.

A lot of people that go

right downtown Seattle,

right downtown Denver,

they're just going to grind

a little bit more, but in your

In your mind,

when did things start feeling like, gosh,

I'm going to be okay.

I'm breaking even.

How quickly did you hit that mark?

I think probably year two

was when it finally got to

be comfortable.

And then, I mean, four and five,

I was getting one hundred

seventy two new patients a month.

What?

It was just again, demographics matter.

If that's not the theme of

today's to today's episode

is demographics matter.

But but you also you did a

lot of really good things.

So I can't take that away from you.

Yeah.

But one hundred and seventy

five new patients a month.

That's crazy.

But but you said after about a year,

things started really feeling good.

Did you quit your did you

keep an associate job

before you quit totally?

Or yeah, no,

I went in and I think what you

got to also keep in mind is

your recall system is going to hit.

So every six months, it's a huge jump up.

Yeah.

And you've got to keep that in mind.

So it's not like you have

that recall bill.

You're starting from nothing.

Yes, that's right.

So every six months,

you're going to essentially

have double the patients on

your schedule.

That's a good job.

If you've got a ninety percent recall.

Well, even if you don't,

I love that you said ninety percent.

That's that's our target.

But even if you had seventy

five or sixty percent,

which I would be terribly

disappointed in that.

But still, to that point in six months,

you should have double the patients.

And then I love that you said that, Doc.

I literally just got off the

phone with a GP, not a pedo.

I'm not supposed to talk

about GP's kids week,

but a GP that that was kind

of hovering at the twenty

thousand a month mark in production.

He's actually just hit thirty.

So let's just say he hit thirty.

He's in month five and he's

just kind of like bummed a little bit.

And rental rates are so

expensive in downtown

Phoenix where he's at again,

downtown Phoenix.

But I just remind them, like, dude,

you're about to hit your sixth month.

And then all of a sudden,

your schedule is going to feel full.

And then you're right, Doc.

It does it again in the next six months.

So I love that you said that.

You said a year in.

So technically, that's two hygiene cycles.

So now you almost kind of

have like that triple

patient count in a day, give or take,

right?

Yeah.

Yeah, absolutely.

And I think that mindset

will help give you a little

more confidence too,

that you can look at your

schedule and know it's

going to essentially for the first one,

double,

and then maybe a quarter size that

the next time it's just,

it gives you a peace of

mind and they're going to

keep coming back if you're

doing the right thing.

What was, um, I love this.

This is like speed round.

Let's just tap into everything.

Have you had a coach before

you're saying all the right things?

You had a consultant in your,

in your career?

Yeah, so we have a consultant right now.

Awesome.

So what do you get out of a consultant?

You're really hitting all

the points that a consultant would say.

What have you seen the benefits of that?

Or maybe you haven't.

Maybe you're working with a

terrible consultant.

I'm joking.

Totally joking.

Yeah,

so I think you go to school to learn

dentistry.

You don't go to learn the business stuff.

And I think...

It's nice to have someone

helping you to know what you don't know.

And you're a smart person.

You may not need the consultant forever.

And you may want it just to

have someone there to help

out with your team.

Because they can do other things,

not just the business side of stuff.

They can help with team and relationships.

But I think that really

helps you build relationships.

a profitable office where

you're not having a ton of

money that's not being

collected you're being

profitable you're able to

pay the overhead I mean

you've got a a practice

note and maybe you have

rent I mean you gotta you

gotta pay the bills a lot a

lot of expenses there's a

lot of expenses yeah if I

mean if you look at what my

office costs to run a month I mean it's

it's most people drop their job.

They knew.

Right.

Right.

And it's all keeping that

all in a balance and making

sure you get yours.

Accountability is a really

big thing that I hear.

You know, even if it's just, you know,

you know, all the answers,

but you just need somebody to,

to hold you accountable.

Oftentimes I hear that.

So that's the, thank you for,

for sharing that.

Kind of as we,

land or pivot to the last

kind of segment of this episode,

what are some things that

you're thinking about today

that is going to help you

take your practice to another level?

I think you mentioned

earlier when we were

talking that you're going

to consider cutting insurance.

I think it's really important to note that

almost every one of our startups,

if not all,

start with a full PPO

credentialed with all

because you need that volume.

Would you agree?

Did you regret that decision?

I'm assuming that's what you did.

Yeah, we took everything.

I mean, it's like, you're at the point,

get one of my assistants was saying,

get the bodies in the chair.

I mean, get them, get them,

get them in the chair.

And then, you know, once you,

there's so many different

types of software out there,

we've got practice by the

numbers and you can get

into dial down and see what

each insurance is paying

per month and what percent of write-offs,

what your plan analysis mixes.

You can have companies solutions.

One-on-one will come in and

analyze all your EOBs.

There's just so much data out there,

but we're, I mean,

I was at the point here and,

And we'd have a patient call

that has good insurance

that has an emergency and

we can't get them in for three months.

And how is that going to go for you get,

I mean, four thousands too much.

I'd like to get down to

around two thousand,

but we got to have room to,

to be able to take care of

the people that we have.

It's not a service to them

if they have to wait three

months to be able to come and get,

get their toothache fixed.

So the analysis we're doing

with the practice by

numbers really helped.

And,

know what we're finding

michael is that a lot of

the right now it's mainly

the medicaid plans we're

getting rid of a lot of

them are going out and

becoming self-pay patients

so they're actually staying

with us because they want

because they want to be

with you and and and you

can do that because you

have a great relationship and

your, your, your,

your experience in customer

services on another level.

And so I, we do find that when,

when offices are really in

tuned to that customer

experience that we're looking for,

insurance becomes less of a,

less of a barrier.

So that, so that's awesome.

I, I believe it or not,

folks going all in with the PPOs,

building your practice, building it out,

filling out,

Hit your, you know,

find that those break even points,

find that profitability

that you want to want to hit.

And then you get to do these

analysis is that Dr.

Johnson speaking of where, hey, look,

maybe this year doesn't

make sense to have these three carriers.

The next year,

these three carriers and so

on and so forth.

And to some point,

you might end up with just a handful,

if not two or three or none.

and you're running the most

profitable practice you can.

And I always have the

conversation and actually

walk me through this with you.

I think one of the biggest

pitfalls is opening days too soon.

What did you start with?

I mean, you had some quick success,

it sounds like,

but three days was what

most of our clients start at.

And then I don't want them

to move off of three days

until they hit some pretty big numbers.

What are your thoughts about all that?

Yeah, I think I mean,

it probably depends on your

your family situation.

I was open five just because

I didn't want to commute

and go work at another

office somewhere else.

I mean,

that's I think that's a great

option for you to be

profitable and have some

sanity if you're coming out of school.

But I was lucky my wife had

a job that we were able to

support where we were at the time.

And I think it's it's

definitely a good idea to

make sure that you when you

take that leap,

that you are ready for it.

And you're going to have

your days filled because if you're,

I mean,

if you're not working in another office,

I mean,

that may be a thousand to fifteen

hundred dollars that you're

not guaranteed a day.

And you only have one

patient on your schedules

and you're paying a team

member to be there.

Probably not not the best move.

That's that's exactly it.

Right.

That's exactly it right

there is the team member.

You know,

once you give a team member four

or five days,

you can't you kind of can't

retract that back to three.

So you got to be ready to to

to doctor's point.

Again,

it sounds like you had quick success

and had a lot of patients fairly quickly.

You can do that with that

volume and yet a support partner.

I I talked to a lot of

doctors and they hear

things like this podcast or

another podcast or

something they read and.

Be careful about following

Dr. Johnson's path or

following somebody on

Facebook or whatever.

Everybody has a different situation,

a unique situation.

If you're the breadwinner,

you got to be a lot more calculated.

If you've got someone to share the load,

you can take a little bit more risk,

but every single person has

a different situation.

Um, well,

anything else to add as it

relates to startups or kind

of like your journey,

anything you'd like to

share to the audience that

you feel like would be pertinent?

I mean, think about, I mean,

our audience mainly is

think doctors thinking

about taking the ownership leap,

whether it's startup or acquisition,

any tidbits.

I mean,

you talking to yourself nine years ago,

what would you say?

Any last tips?

I would just say that you

need to be open to doing

every single job and

learning every single

responsibility at your office.

Nothing's below you.

Once you master and learn the system,

then delegate it.

But you should know how to

do every single thing at

your office because there's

going to be a time where a

team member is going to be

gone and there's going to

be a breakdown in the

system and you're going to

have to step in and do that.

And

having done it before for a

little bit is great,

but definitely learn it,

but then don't be afraid to delegate it.

I think I kind of hung on to

too many things too long and, um,

delegating things to your

team will make it a little

bit easier for you to go on and,

and look at the other stuff.

I mean, when I was starting out,

I wasn't looking at this

practice by numbers, right?

We're on the other end now.

So now I'm learning that.

Yeah.

Um,

did you find that you were a better

manager or you were able to monitor, um,

the activities better by

knowing each of those

functions that you just mentioned?

I mean, for example, front office duties,

did you immerse yourself in

the front office doc?

Yeah.

I mean, I was entering the EOBs,

entering the write-offs, the adjustments,

figuring out the numbers

when things didn't come

back and look right.

I mean,

that's a great skill to be able to know.

I mean, where, if there's,

if someone's writing off

something they shouldn't be, I mean,

you're going to get EOBs back and,

You may have signed up for a

leased network and you got

to know which if that is an

actual write off for the

patient or if it's not.

And if the lease network's not on there,

that's not an adjustment

that you're going to write

off at the office.

That's going to be billed to the patient.

So knowing those things,

that might be a small nuance.

But think of if you've got a

lot of patients on that plan,

you're out of network and

all of a sudden some Susie

at the front desk is

writing off all the adjustments.

You got to be careful.

But knowing that and how to monitor that,

it just makes you smarter.

You look better with your team.

You can make sure things are

being done right and have

accountability at your office.

I bet with that that that

great great tip uh I bet

when someone isn't doing

something appropriately

you're not afraid to let

them go in any in any uh

position is that a true

story yeah we've only had

to let one person go and I

think it's it helps to be a

coach to them and help them improve and

Point that out and do it in

a constructive manner where

you can have your team

members not feel belittled.

My team knows I don't yell at them.

We work together.

And if something's not done right,

we correct it and do it in

a way that's compassionate

for them and explain why

things are done in a

certain way so that we can

all be successful.

I love it.

I think I think a lot of docs,

they don't learn all the aspects.

And so then they're

therefore they feel held to that person,

even though they might not

be performing to standard,

but they don't know better.

So they feel kind of hostage

in some situations.

So learning each one of

those duties and actually

doing some of that insurance stuff

does pay dividends.

So great tip.

Doc,

I just want to say thank you so much

for being on the show today.

I had a little technical

difficulties this morning,

but we got through and I

thought it was an excellent content.

Doc, if you're willing to,

we'll put some contact

information below in case

someone has any questions.

If you want to mentor somebody,

my audience, whatever.

But if you're willing,

we'll do that down in the description.

But

Other than that,

thank you for investing

your time and giving back

to the community that you're a part of.

I appreciate you.

Yeah,

it's been a pleasure to be on the show,

and I'm thankful that you invited me,

and I hope your listeners enjoyed today.

It was great, man.

It was great.

All right, thanks,

and have a great rest of your year, okay?

SuperMouth is whole mouth health.