Busy Practice Conundrum – Drop Delta or Hire an Associate?

By Bill Rossi, President of Advanced Practice Management Sometimes dentists are at a crossroads when art capacity. They are as busy or busier than they want to be, it is hard to fit in new patients, and hygiene help is tough to come by, etc. At the same time, the doctor may be writing off […]

Hire An Associate Or Drop Delta?

By Bill Rossi Sometimes dentists will be at a crossroads where they are at capacity. They are as busy or busier than they want to be. Their schedule is jammed up. It can be hard to fit in new patients. Hygiene help is hard to come by. And so on. At the same time, the […]

Can Vanity Be a Virtue in Dentistry?

Vanity: “An excessive pride in or admiration of one’s own appearance or achievements.” While some people might sneer at vanity, I agree with Winston Churchill when he called it, “That vice that promotes so many virtues.” The National Research University Higher School of Economics found that people spend 1/6th of their lifetimes enhancing their appearance. […]

Top Errors In Dealing With PPOs

APRIL 2023 ISSUE APRIL 1, 2023 Source | By Bill Rossi With inflation running rampant, doctors have been hard-pressed to maintain their profitability. Unfortunately, the most commonly overlooked strategy is also the most lucrative—decreasing your practice’s participation in reduced-fee PPO plans. Below, practice management expert Bill Rossi* discusses six profit-robbing mistakes doctors routinely make and […]

What year is your PPO in?

All of us are aware that over the years, PPOs rarely give increases and those that do are rather meager. Meanwhile, reality marches on in dental offices where, especially post Covid, expenses like PPE, wages, etc. have gone up. But even before Covid, clearly PPO fee increases were not at all keeping up with the […]


This code was created, in part, to give periodontists an exam/evaluation code. General Dentists are held to the same standard of care as Periodontists, and since a complete periodontal exam (CPE) for all adult patients is recommended annually, utilizing code D0180 (Comprehensive Periodontal Evaluation) can and should be utilized in general dental practices. It is […]

WHAT IS YOUR JOB? What is it that you do?

You’re not just a dentist, therapist, assistant, hygienist or administrative team member. You are in the business of creating longer, healthier and happier lives. And you get to do that every day! What a privilege. Sometimes it is easy to overlook the difference you are making while dealing with the challenges of practice ownership and […]


Prior to beginning the assessment portion of the hygiene appointment, it is essential to explain to the patient what you will be doing and why. This allows the patient to be a part of the decision-making process and will aid in treatment acceptance. “I’m measuring the natural space between your tooth and gums in millimeters […]

YOUR HYGIENE BACKLOG – A Serious and Expensive Problem:

We are seeing this all the time in our office visits; New patients may have to wait months to get in for a check-up and it’s very difficult to schedule Perio patients in a timely manner that represents the urgency and necessity of treating their infection. Also, recall is backlogged with little or no pursuit […]

8 Things You Need to Know About You and PPOs By Bill Rossi

1. You have more power than you think. 2. Practices with little or no PPO participation generally do get fewer new patients. However, practices deep into PPO participation do not get proportionally more new patients as they take on more and more programs and more discounts. 3. Each practice has to find the “right balance” […]