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Transcript of WMDDS%20Summer%20Bulletin%202012
SUMMER ISSUE 2012VOL. 44, NO. 4
Bulletin
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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 1
Contents
President’s Message ..................................................................................................... 2
Editor’s Thoughts ........................................................................................................ 4
ADA World Leadership Conference ........................................................................... 5
Trustee Report ............................................................................................................. 6
WMDDS Legislative Committee Update ................................................................... 9
Attracting (and Retaining) Top Talent in Tight Times ............................................10
2012-13 WMDDS Continuing Education Programs ................................................15
Technically Speaking ...................................................................................................16
Dental X-Rays Important to Detect and Treat Dental Problems .............................19
30 Questions to Ask Your CPA ...................................................................................20
West Michigan Dental Foundation Golf Outing .......................................................21
Classified Ads ...............................................................................................................22
Advertiser Index ...........................................................................................................23
WMDDS Member Spotlight .......................................................................................24
About the Cover
ADA World Leadership Conference in Washington, DC.
Left to right: Mr. Bill Sullivan, Dr. Norm Palm, Dr. Steve Dater, Congressman Justin
Amash, and Dr. Chuck Burling.
Mission StatementThe Bulletin is the newsletter of the WMDDS and its mission is to inform the membership of
upcoming and recent events, state & local issues related to dentistry, and as a forum for its officers,
representatives, and members to discuss appropriate topics of interest to the membership.
Communication & Advertising PolicyThe Bulletin will publish submitted articles from members and others that relate to the practice of
dentistry, small business, social, or political issues affecting dentists, or other subjects of interest to
the membership. All published items are subject to space restrictions and the community standards
of the WMDDS. The editors reserve the right to reject any article or advertisement deemed
inappropriate and to edit submissions as they see fit.
Submission & Publication Policy: Articles and advertisements must be submitted no later
than the 1st of the month preceding publication date. The Bulletin has six publications: the
directory issue, fall issue, holiday issue, winter issue, spring issue, and summer issue. Direct
submissions or correspondences to:
Dr. James C. Papp • 4880 Cascade Road SE, Suite B • Grand Rapids, MI 49546
Phone: 616.940.9872 FAX 616.940.2854 • Email: [email protected]
Include “Newsletter” in the subject line
Editor James Papp
Associate Editors Seth Vruggink Jeff Smith Aric Smith Larrisa Bishop
Advertising Editor Elaine Fleming Executive Secretary WMDDS 511-F Waters Building Grand Rapids, MI 49503 (616) 234-5605 [email protected]
West Michigan District Dental Society Executive Board 2011-2012 President Larissa Bishop President-Elect Tyler Wolf Vice President Margaret Gingrich Secretary-Treasurer Kathleen Ellsworth Editor James Papp Immediate Past President
Seth Vruggink
Directors Samuel Bander Steve Conlon Leonard BartoszewiczArea Representatives
Kent County Norman Wilhelmsen Ionia-Montcalm
Kirkwood Faber
County Mecosta County Erick Perroud Ottawa County Meredith Smedley
MDA IV District Brian Cilla Trustees Colette Smiley
Big Rapids Dental Study Club OfficersPresident Erick Perroud Vice President Christa SternSecretary Christa SternTreasurer Erick Perroud
Holland-Zeeland Dental Society OfficersPresident Meredith Smedley Treasurer Robert Ankerman Secretary Immediate Past President
Ionia-Montcalm Dental Study Club OfficersPresident Treasurer Kirkwood Faber
Kent County Dental Society OfficersPresident Lathe Miller Vice President Norman Wilhelmsen Secretary Michael PalaszekTreasurer Kathryn Swan
West Michigan Dental Foundation OfficersPresident Devin Norman Vice President John Marshall Secretary Carol Klein Treasurer Joe VanLaan
The Bulletin of the West Michigan Dental Society is published six times a year (the directory issue, fall issue, holiday issue, winter issue, spring issue, and summer issue). The opinions expressed in The Bulletin are not necessarily the opinions of the West Michigan District Dental Society.
Contributions to The Bulletin are welcome and should be addressed to The Bulletin Editor, 4880 Cascade Road SE, Ste. B, Grand Rapids, MI 49546. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, (616) 234-5605. The deadline is the 1st of the month prior to publication.
© 2011-2012 West Michigan District Dental Society Bulletin
id that get your attention, soldiers? I hope so,
because that was my intent. I gave that line much
thought, as it is not my desire to offend any of you
with my first foray into presidential
messages. It is rather my wish to in-
cite and inspire you to a call of duty.
At the risk of being too melo-
dramatic, our profession is being
attacked from all sides and on all
fronts. Our message is resolute. Our
defense is steadfast… but only too
few. You’ve heard it before, but it is
only too true… There is strength in
numbers.
We have a strong contingent
of member-dentists here in West
Michigan, but unfortunately we
have not heard or seen much of you
when it comes to dealing with the
number of issues that threaten our
very ability to provide the best care
for our patients and make a fair compensation doing it. Not
to mention, being allowed to meet the high demand of need
in the safest and most effective manner – or at least have a
say in how that is managed. After all, we are the experts, the
professionals, right?
Part of the responsibility lies with us, we, me, the Board,
your representation… to make sure that you are informed of
exactly what is going on; i.e. what the threat(s) is (are). While
being humble, I feel that we have provided you with plenty of
information and suggested avenues to avail yourselves with
more. I’m just not sure if you have paid proper attention. Or
maybe we have not been clear as to how this affects you.
Maybe you’ve noticed a bit more pulling at your practice
bottom line, or your wallets? Or more and more hoops to
jump through with insurance? Or more governmental intru-
sion into your office? Or more patients reading the media and
asking why you aren’t doing more to help those in need? Or
maybe they are just more worried about why you are charg-
ing more when really it is their insurance paying less… or
even these same insurances (even non-profit ones) having the
audacity to tell them that you should not be charging what
you are charging for that particular procedure because it is
neither “usual” nor “customary.” What’s more is that it is not
even a benefit covered under their plan anyway?
Sound familiar?
Yep. These are just a few of the
things that we are dealing with and
discussing every time we meet as
a Board. And every time we get
together as a caucus or a delegation
to vote on how the Michigan Dental
Association should be spending your
hard-earned dues dollars and PAC
Funds. AND every time that we, the
proud and the few, meet with local
legislators to discuss our position as
dentists on these issues.
Ah yes…. Here is where you
soldiers come in. (You knew I was
coming back to that, right?)
Let’s just say that we had an
opportunity to meet with our local
and state lawmakers in a non-pressure setting… say maybe
over breakfast or something… and tell them right to their
listening and attentive faces, what it is that is on our minds.
That would be great right!
It just so happens that we do have that opportunity…. It
happened on April 27 just past. Only 22 out of our 600-plus
dentists in West Michigan took the time to take advantage of
it. The word pitiful comes to mind. What must these lawmak-
ers think about us if this was the extent of our turnout? Are
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 20122
P R E S I D E N T ’ S M E S S A G E
We Want You...(to get off your ass and fight!)By Tyler A. Wolf, DDS, WMDDS President
D“ My first act as president
of the WMDDS is to
recruit as many of you
as I possibly can to
do more to help your
profession, and in turn,
yourself.”
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 3
P R E S I D E N T ’ S M E S S A G E
they apt to listen and be influenced? I hope so, but I think
that our position and influence was proven to be a little weak
if that poor showing is the indication. We have a great lobby-
ing team at the MDA, but they can only do so much without
our help. The legislators want to hear from potential voters….
And larger numbers drive them. This is why the teachers’
unions, for example, are so successful. Their members are
constantly in the lawmakers’ ears – bombarding them with
their concerns.
We need more from you, plain and simple.
If you have any concern to protect our great profession, we
need you to get up and do more. It doesn’t even have to hurt.
A forty-five minute breakfast with people just like you and me
is only one example of this.
Member FDIC
LocationsCascade Rd at Spaulding - SE
Northland Dr at Plainfi eld - NE
Monroe Ave at Louis - Downtown
Wilson Ave at 56th - SW
(616) 956-9030foundersbt.com
Born here.
Staying here.Growing here.
Our local bank proudly supports the
dedicated West Michigan Dental Community.
My first act as president of the WMDDS is to recruit as
many of you as I possibly can to do more to help your pro-
fession, and in turn, yourself. Call or email me personally to
find out what you can do to help yourself. I would be more
than happy to inform you as to what the issues are that we
face. If I can’t answer your questions or get you the informa-
tion that you need, I will put you in contact with the person
who can. My email is [email protected]. My office number
is 457.4600.
Thank you for listening. We are always here ready to listen
to you, our members.
At ease. Dismissed.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 20124
he last two issues I have been talking about evidence-
based dentistry and the importance of practicing with
evidence-based decisions. In review, evidence- based
dentistry is the integration and interpretation of the available
current research evidence combined
with personal experiences. It allows
us to make decisions to improve
our clinical practice and better treat
our patients based on sound clinical
research. In my opinion, this is what
we as professional clinicians should
strive to incorporate into our daily
practice. With a steady dose of prod-
ucts and techniques being thrown
our way on a daily basis from various
companies, vendors, and/or speak-
ers slating it as the next best thing
can easily cloud the air, so to speak.
Compounding things are viewpoints
and so-called “studies” being pushed
to the public and our profession
(with a lot of money behind it) that
may easily mislead the general public on some issues pertain-
ing to dentistry. Mid-level provider (or low-lever provider
as our president Jeff Johnston refers to the issue) and dental
radiographs are two topics that quickly come to mind. But
by “keeping our eye on the ball,” focusing on evidence-based
dentistry, we can make intelligent evidenced-based decisions
to sift through the various options available to us. Utilizing
evidence-based dentistry to make sound clinical decisions
builds confidence. Confidence from a personal, professional
Evidence-Based Dentistry: Final ThoughtsBy Dr. James C. Papp, WMDDS Editor
E D I T O R ’ S T H O U G H T S
and patient-oriented perspective. By definition, confidence is
generally described as a state of being certain either a hypoth-
esis or prediction is correct or that a chosen course of action
is the best or most effective. From the personal perspective,
evidence-based dentistry gives us confidence that we per-
sonally are “doing the right thing” for our patients. Derived
from evidence-based research, recommending products and
particular techniques into proposed treatment plans gives
us confidence that we personally are doing all we can in our
daily practice. An evidence-based decision also breeds con-
fidence on a professional level. Interacting with one another
within our profession often involves questions, debates and
inquiries on various topics in our daily practice. Exchanging
viewpoints that are derived from sound research builds
confidence in our profession and what we can do for our
patients. It often can shed some
clarity on particular issues, tech-
niques and products that may be the
topic at hand. Loosely exchanging
viewpoints based solely on personal
experience without sound proven
evidence can be dangerous, and fur-
ther clouds the air in respect to
what is best for our patients. When
I read various commentaries and
hear viewpoints from dental profes-
sionals and/or professional groups
related to dentistry that seemingly
swerve from evidence-based conclu-
sions, I often wonder what’s hap-
pening here? From a clinical stand-
point, why is this person or people
clinically rejecting what’s been gen-
erally accepted as a “standard” or equal to the standard? Is it
ignorance? Is it arrogance? Are there financial implications/
influences? Unfortunately, I think it’s any and/or all of these.
For a comprehensive look at evidence-based dentistry and
a practical resource for scientific evidence related to den-
tistry, visit the ADA Center For Evidence-Based Dentistry at
http://ebd.ada.org/.
T“ Utilizing evidence-based
dentistry to make sound
clinical decisions builds
confidence. Confidence
from a personal,
professional and patient-
oriented perspective.”
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 5
r. Norm Palm and I represented West Michigan
at the ADA’s World Leadership Conference in
Washington, DC, May 7–9. The conference gives
dentists the opportunity to do some networking about what is
going on around the country, and there is also a coordinated
effort to lobby our members of Congress and our Senators.
The main issues we were lobbying on were the following:
Repeal of the Medical Device Tax. Under Obama Care,
there will be a 2.3% tax on medical devices. The big unknown
is there is nothing spelled out to what exactly that means
for dentistry, it has not been determined (I know you are all
shocked something would pass and nobody has a clue). This
ADA World Leadership ConferenceBy Dr. Steve Dater, DDS
A D A N E W S
bill has been sponsored by our local congressman. Both state
Senators are opposed to the repeal. If this is not repealed, the
cost of equipment will be increasing and it could even include
supplies, dentures, crowns, etc.
Coordination of Pro Bono Medically Recommended Dental Care Act. This bill would provide funds to coordi-
nate treatment of medically-compromised patients that need
dental treatment to get the medical treatment they need to
survive. We asked all of our representatives to sponsor, but so
far none have signed up to do so.
The Dental Insurance Fairness Act of 2012. This Bill
would do two things:
1. All health plans that offer benefits will provide coordination
of benefits. Basically, a secondary insurance would have to
cover the amount left over from the primary up to 100%.
2. All health plans that offer dental benefits will permit assign-
ment of benefits to the provider, regardless of whether or
not they participate with the plan.
I think we have a better chance with one vs. two, but we
shall see. This bill was introduced by Dr. Paul Gozar, a dentist
representing Arizona.
Besides that, the food was overpriced as were the hotels. I
think the country may be run by the 25 to 35-year-old staff of
our elected officials (might not be a bad thing).
D
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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 20126
T R U S T E E R E P O R T
his year the MDA annual session was held in
Lansing. Attendance by member dentists and their
staff made the meeting a success. The volunteers
and MDA staff are to be congratulated for putting on such a
big event and making everything run so smoothly (except for
the buses, but that’s another story). We can appreciate that
our Speaker, Dr. Deb Peters, has made the MDA House of
Delegates (HOD) a model of efficiency. I would like to thank
the MDDS and WMDDS delegate and alternate delegates for
getting the job done at this year’s HOD. Dr. Connie VerHagen
is now past-president and her husband, Dr. Mike Cerminaro,
is elated. Dr. Jeff “Give ’em Hell” Johnston has become our
new MDA president. I look forward to an interesting year as
an MDA trustee.
MDA Board of Trustee Topics of InterestGovernance – The MDA by-laws stipulate that we must
review governance on a periodic basis (at least every twelve
years). The ADA is also going through this process at the
present time. The MDA Board has reviewed four requests for
proposals related to the MDA’s governance structure. It was
resolved, that the OPIS consulting firm will be retained in
Summer 2012 Trustee Report By Dr. Brian Cilla, MDA Trustee
T
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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 7
order to evaluate and provide recommendations to the MDA
on its governance structure. We will begin this process at our
June Board meeting.
Botox – The Board reviewed the recently released Botox
Statement by the Michigan Board of Dentistry. The MDA
Board believes there are numerous questions regarding this
issue. The committees on peer review/dental care and ethics
have been asked to collect questions and submit them to the
State Board of Dentistry for further response.
University of Detroit Mercy (UDM): A Mid-Level Provider Study Proposal – The Board heard a presentation from the
UDM Dean, Dr. Mert Aksu, regarding a proposal for a three-
year pilot program, which would train dental hygienists to
perform limited restorative procedures. These individuals
would be placed in existing public dental health care settings,
under the supervision of a dentist, for the purpose of provid-
ing restorative care to “underserved patient populations.”
Quantitative and qualitative assessments would be taken dur-
ing the clinical trial phase of the study. According to Dr. Aksu,
there is much speculation and/or opinions regarding the
viability and/or sustainability for mid-level dental care pro-
viders in the USA. However, very little real data exists which
directly addresses the question of whether or not a mid-level
dental provider would have any significant impact in address-
ing the access to dental care issue. Currently, UDM is in the
preliminary stage of seeking funding for this study.
Actions of the 2012 MDA House of Delegates (HOD)MDA Dues Decrease – The 2013 annual dues for the
Michigan Dental Association active members will be reduced
to $641. The decrease in dues is related to a balanced MDA
budget and paying off the MDA headquarters mortgage
earlier than previously anticipated.
Public Education Campaign Assessment – The HOD
approved continuation of the MDA Public Education
Campaign. This program will be funded by renewal of a
special assessment for the next three years.
Loss of Membership for Nonpayment of Dues – This
HOD action clarifies the timelines and status for delinquent
dues paying members versus those that are to be considered as
non-members. A member whose dues have not been received
by January 1 shall be granted a grace period, after which time
the member shall be declared a delinquent non-member. A
member whose dues have not been received by March 31 shall
cease to be a member of this association. If a nonmember’s
membership has lapsed for more than one administrative
year, the dentist must submit a new membership application.
Dental Patients’ Rights and Responsibilities – The MDA
has adopted the ADA document titled “ADA Statement on
Dental Patient Rights and Responsibilities” as its own state-
ment and encourages all MDA members to distribute it to their
patients. This document can be viewed on the ADA website.
Payment Accountability and Audit Time Limits for Insurers – The MDA will support the Michigan State Medical
Society initiative to address payment accountability and audit
time limits for insurers. Additionally, the MDA will seek to
add those carriers covered by the Non Profit Corporation
Dental Act (Delta) to this legislation.
Explanation of Benefits Requirement – The MDA will
seek to require that any individual making the final decision
regarding accepting or rejecting a dental claim for a dental
benefit plan/company must be a licensed dentist in the United
States, preferably within the jurisdiction of the dentist treating
the patient in accordance with applicable state law.
Healthy Kids Dental – The MDA will continue to advo-
cate for increased funding and expansion for Healthy Kids
Dental to include all 83 Michigan counties. Additionally, we
would like to see inclusion of any willing Michigan licensed
dentist in the Healthy Kids Dental Program, regardless of
their participation status in any other programs by the pro-
gram administrator. As of this writing, Governor Snyder has
been listening to the MDA. His preliminary budget proposal
includes increased funding for the program.
Dental CT Requirements – The MDA will work to stream-
line or eliminate the actions of the Certificate of Need
Commission with regard to the practice of dentistry.
Non-Covered Services Legislation – The HOD has resolved
that the MDA should pursue all available avenues to prohibit
the practice of allowing insurance companies to set fees on
services they do not cover.
Mandated Oral Health Program – The MDA will continue
to advocate that the Michigan Department of Community
Health (MDCH) maintain a statewide oral health program
and that a dental officer should supervise this program. This
T R U S T E E R E P O R T
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 20128
dental officer should be a resident of Michigan; hold a current
Michigan license to practice dentistry or dental hygiene; and
be appointed on the basis of education, training, experience
and interest in public dental health. It is desired that this
individual should help determine the public dental health
needs for the residents of Michigan; provide the MDCH with
advice regarding public dental health; serve as the guardian of
any comprehensive oral health plan; act to further the plan’s
ongoing implementation, effectiveness, and oversight; and
supervise the activities of dental services rendered in a public
health setting within the state. It is desired that MDCH, and
the dental officer, solicit and accept grants to fund oral health
programs and the position of the state dental health officer.
Workforce – When addressing dental workforce issues, the
following four principles are to be advocated and followed by
the Michigan Dental Association:
1. The MDA maintains that only a dentist provides the
responsibility for all dental care rendered under his/her
direction and supervision. The MDA recognizes the den-
tist as the leader of the dental team and is responsible for
maintaining one standard of care for all patients.
2. The MDA supports the current dental team members to
improve the efficiency of delivering oral health care ser-
vices. These current team members should be used to their
maximum effectiveness with team member duties being
expanded when it is appropriate to improve the efficiency
of delivering care.
3. The MDA maintains that only a dentist can diagnose oral
conditions, prescribes treatment and medications, per-
forms irreversible procedures, supervise patient care, and
engage in the responsibilities that require the education
and training of a dentist.
4. The MDA believes that the creation of a new member of
the dental team must be based upon need. The new team
member must be supervised by a dentist, have sufficient
education and training through a CODA-accredited pro-
gram, have oversight by the Michigan Board of Dentistry,
and a scope of practice that ensures the protection of the
public’s oral health.
PA161 – The MDA will continue to pursue further changes,
including the possibility of legislation, to improve PA161
T R U S T E E R E P O R T
which will be consistent with our core values of providing
dental care.
School-Based Care Guidelines – The MDA supports and
approves distribution of the School-Based Care Guidelines as
stated in the following documents:
• Selecting a School-Based Oral Health Program: Questions
and Answers for School Staff
• School-Based Oral Health Care: A Choice for Michigan
Children
• Best Practices for the Application of Dental Sealants
• Guidelines for School-Based Oral Health Care
Miscellaneous MusingsThere are very few opportunities for us to directly interact
with our elected officials regarding issues that impact the
dental profession. One such way was evident at the WMDDS
sponsored legislative breakfast in April. This meeting was
well attended by member dentists and our local politicians. A
format like this allows us to garner support for dental topics
of importance, such as expansion of the Healthy Kids Dental
Program. We can thank Dr. Steve Dater for his efforts in
making sure that this event was a success. It is important to
note that WMDDS is a statewide role model for these types of
endeavors. Without political activism, the voice of the dental
profession will not be heard. Please make an effort to attend
the next breakfast meeting when it is scheduled in our area.
Access to dental care issues will not be going away anytime
soon. PEW and Kellogg seem to be the primary advocates for
pursuing the utilization of mid-level providers as a means of
“solving” the dental access problem. Funding for treatment
and prevention have been of secondary concern to these
politically influential organizations. This is a national issue
and Michigan is not immune to their efforts. We need to be
active and not reactive. It is important to stay informed and
to get involved. Every voice counts.
Your input is valuable. Do not hesitate to call or write
[email protected] if you have any questions, concerns or com-
mentary regarding MDA issues or activities. I hope that every-
one has an enjoyable summer. Have fun in the sun!
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 9
riday, April 27th was the day planned for the WMDDS
Legislative Breakfast. We met at the Holiday Inn
located in Downtown Grand Rapids. This year, we
had twenty-two dentists out of the almost 600 members of the
WMDDS. Now while that is well below what I was hoping for,
it was an increase of 57% from last year, so we must be head-
ing in the right direction (or you could say last year was really,
really poor!) We also had ten of our elected officials and a staff
person from Congressman Amash’s staff in attendance. The
MDA was also represented this year by our MDA Executive
Director, Drew Eason and Bill Sullivan, MDA Director,
Legislative/Insurance Affairs. This year, we also were fortu-
nate to have members of a workgroup headed by First
Steps that is bringing professionals from different areas to
the table to address the oral health care needs of children in
our area.
Having the group from First Steps was very positive. It
showed the legislators that this is not just a dental issue, but
a health issue. The message that getting Healthy Kids Dental
into all the counties of the state would greatly improve the
situation was heard loud and clear, and, when it comes from
non-dentists I believe it means even more. I want to thank
WMDDS Legislative Committee UpdateBy Dr. Steve Dater, DDS
L E G I S L A T I V E B R E A K F A S T
those individuals who took time out of their schedule to
attend our breakfast and deliver the message to our legisla-
tors, and to Colette Smiley for thinking to invite this group.
Thanks!
The other message that was delivered was that the dentist
must remain the head of the dental team and that we have the
best model to deliver care. With the mid-level provider debate
surfacing everywhere around the country and in Michigan, it
is more important than ever that this message gets through to
our elected officials. It can’t be delivered by paid lobbyists that
don’t vote for these legislators, it has to be delivered by the
grass roots dentists. That is why it is so important to establish
relationships with our legislators and get to know them and
have them know us. I encourage all of you to look up your
elected official and see when they are having a coffee or town
hall meeting. Go introduce yourself and get to know them. If
you do that, I am sure I will see another increase at next year’s
legislative breakfast!
Finally, this could not have happened if not for all the work
Elaine Fleming put into organizing the breakfast (I really did
write this. Elaine did not edit this in!). Thanks, Elaine, for all
your hard work.
F
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201210
f all the practice-management issues, staffing is one
of the most challenging – and most critical. After all,
your hygienists, dental assistants and office manager
are often the face of the practice … and your greatest assets
in providing the quality care you need to grow your practice.
The goal is to make yours the practice where top-notch
talent wants to work. Here are a few suggestions to help
attract and retain good employees.
Salary StrategyIf you underpay quality team members, you may run the
risk of losing them. Overpay them and you can endanger the
financial viability of the practice. One idea is to aim for the
75th to 90th percentile. That means that staff in your office
will be paid more than 75 to 90 percent of the workers in your
community doing the same job.
The thought is if you pay slightly more than the average,
you’ll save money in the long run because you’ll hopefully
have less staff turnover. On the other hand, if your office is
considered a better-than-average place to work you may not
need to lead the pack in salaries.
A wage survey of your community will tell you what
others are paying for similar job titles. Good sources include
other dentists, your county or state dental society, as well as
employment and temporary help agencies.
Incentivizing EmployeesBonus and incentive plans tend to be a good idea because they
are based on a timeless management principle: “By reward-
ing the behavior you want to receive, you’ll receive more of
that behavior.” The idea here is to help team members think
and work more like entrepreneurs, understanding that more
money in the pot means more money to take home.
And it doesn’t have to be all about money. Some ideas are
a visit to a local spa for a massage or manicure, a health club
membership, or even travel.
Just remember that any incentive plan needs to protect
the practice’s cash flow and overhead. Checking with your
accountant for guidance on any tax liability that may arise is
also a good idea.
Don’t Forget Low-Cost Perks Benefits don’t have to equal big bucks to make a big impact.
Here are some suggestions on low-cost perks to reward and
motivate your hardworking staff:
• Help with their development – Consider reimbursing
staffers for workshops, seminars, books, tapes, and other
training and self-improvement activities. Smaller practices
might simply offer paid time off for continuing education
on the employee’s dime.
• More time off for long-term employees – Reward loyal
staffers with more generous vacation benefits. One exam-
ple: 1 to 3 years = two weeks off; 4 to 6 years = three weeks
off; 7+ years = four weeks off.
• Pats on the back – Make sure to let employees know – early
and often – that they’re a valued and respected part of your
practice. The old management adage to “praise publicly
and reprimand privately” really applies here.
• Vendor discounts – Take advantage of any perks and dis-
counts that your vendors may provide (e.g., free employee
checking and direct deposit from your bank) and pass
them on to employees.
• The little things – Never underestimate the power of a
heartfelt gesture, no matter how small. Some ideas are
meals brought in during a hectic day, even a $50 gift card
to a favorite restaurant or store.
Know What Doesn’t WorkConsistently, the top three reasons given by dissatisfied
employees are:
1) Lack of training
2) No growth opportunity
3) No feedback from supervisors
Often, what staff want most is simply positive reinforcement
from the dentist they work for.
At PNC, we understand that generic financial services
aren’t always the right solution for the unique needs of den-
tists. To learn more about the solutions offered at PNC, please
contact Scott Hoag at 616.771.8810 or [email protected].
Attracting (and Retaining) Top Talent in Tight TimesSubmitted by Scott Hoag, Vice President, PNC Healthcare Business Banking
S T A F F I N G S T R A T E G I E S
O
FIRST PRINT 100% PRINT 100% ADDITIONAL PRINTSCOLORS/SWATCHES SAVED TO PRODUCTION
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CLIENT: PNC Bank
PUB: W Michigan Dental
PUBDATE: December 2011
PROJ. MGR: Renee Coltrane
PROD: Melissa Betancur
DATE CREATED: 3-16-2011 11:00 AM
DATE MODIFIED: 11-7-2011 3:21 PM
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CW: Scott Higgins
JOB#: PNC_BBK_M01306SAP#: 10031306-1040-A0WORK ORDER #: 44284-77.5FILE NAME: PNC_BBK_M01306_MS_32.R1TOOLKIT #: N/AARTIST: napoleon.nicdao
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The person pictured is an actual PNC customer, who agreed to participate in this advertisement. Moore Smiles Family & Cosmetic Dentistry’s success was due to a number of factors, and PNC is proud of its role in helping the company achieve its goals. All loans are subject to credit approval and may require automatic payment deduction from a PNC Bank Business Checking account. Origination and/or other fees may apply.
PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”). BBK-6817 ©2011 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. Member FDIC
CHALLENGE: Dr. Moore always dreamed of having a cutting-edge dental practice. And with a growing patient list, he was eager to expand. But his cash flow challenges were limiting his growth potential.
SOLUTION: Dr. Moore had the Cash Flow Conversation with his PNC Healthcare Business Banker, who used his detailed knowledge of the industry to help Dr. Moore tackle key business issues. They consolidated his equipment leases into one monthly payment, which lowered expenses and freed up working capital — and tailored a real estate loan that helped open the door to bigger opportunities.
ACHIEVEMENT: Moore Smiles Family & Cosmetic Dentistry now has a beautiful, modern space to call home. And Dr. Moore has turned his dream into a reality.
WATCH DR. MOORE’S FULL STORY at pnc.com/cfo andsee how The PNC Advantage for Healthcare Professionals can help solve your practice’s challenges, too. Or call PNC Healthcare Business Banker Scott Hoag at 616-771-8810 to start your own Cash Flow Conversation today.
SHAWN L. MOORE, DMD / OWNERMOORE SMILES
FAMILY & COSMETIC DENTISTRYLOUISVILLE, KY
SINCE 1999 10 EMPLOYEES
DREAMINGBIGGER
ACCELERATE RECEIVABLES
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INVEST EXCESS CASH
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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201212
* Malpractice insurance is underwritten by Professional Solutions Insurance Company, 14001 University Ave., Clive, IA 50325. Professional Solutions Insurance Company is rated “A” (Excellent) by A.M. Best for financial strength and operating performance. A.M. Best ratings range from A++ to S. ©2012 PSIC NFL 9191 ALL
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Get competitive dental malpractice insurance coverage with protection you can trust
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PLATINUM SPONSORS
DSG Davis Dental LaboratoryRepresented by Amy Stump, Rick Calkins,
& Heather Brooks 5830 Crossroads Commerce Parkway
Wyoming, MI 49519616.261.9191
Great Lakes Financial Insurance CompanyMolly T. Murray
4930 Cascade Road SEGrand Rapids MI 49546
616.301.2599, ext. 3
DDS IntegrationGreg Feutz, President
PO Box 150633Grand Rapids, MI 49515
616.914.4479
Henry Schein Dental265 Leonard Street NWGrand Rapids, MI 49504
616.454.1223
PNC BankScott Hoag, Vice President, and Matt Uhl, Vice President, Business Banking
PNC Healthcare Business Banking171 Monroe Avenue NW, Mail Stop: Z2-B700-03-1
Grand Rapids, MI 49503616.771.8810
[email protected] | [email protected]
MDA Insurance MDA Services3657 Okemos Road Suite 100
Okemos, MI 48864517.346.9446
SUPPORTING SPONSOR
THANK YOU TO OUR SPONSORS WHO SUPPORTED OUR WMDDS CONTINUING EDUCATION SEMINARS IN 2011-2012
Aspen DentalRepresented by Lisa Weber,
Recruitment Manager315.350.8795
Hungerford, Aldrin, Nichols & Carter, PCCPAs and Consultants
Rick Chrisman, Peggy Murphy, Suyong Hazlett, Sam DeMarco, Lesa Petrucci, Jon Sytsma
2910 Lucerne Drive SEGrand Rapids, MI 49546
616.949.3200
GOLD SPONSOR SILVER SPONSOR
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201214
56 Grandville Avenue sw . Suite 100Grand Rapids, Michigan 49503 . 616 235 5200
Your practice depends on the individualized service you provide each and every client. So does ours.With extensive hands-on experience in the healthcare industry, our team focuses on the financial and operational challenges you face everyday. We are committed to providing industry-specific expertise relevant to you, without compromising your patient focus.
For more information please visit BeeneGarter.com or contact Brian LaFrenier at (616) 235-5200.
Evolving your practice today for a healthier tomorrow.
Tax Planning and Preparation
Sales and Use Tax
Accounting Software Installation and Support
Bookkeeping and Assistance
Start-Up Consulting
Choice of Entity Analysis
Cash Flow Projections
Overhead Analysis
IRS Representation
Payroll Processing
Retirement Plan Design and Administration
Human Resources
Succession Planning
Business Valuation
Estate Planning and Wealth Management
Copyright © B
eene Garter LLP An independent m
ember of M
oore Stephens International Limited
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 15
Watch for the 2012-2013 WMDDS Program Overview to be sent out this summer.
Registration forms will be mailed 2 months prior to each course and will also be available online
at www.wmdds.org.
2 0 1 2 – 2 0 1 3 W M D D S C O N T I N U I N G E D U C A T I O N P R O G R A M S
O C T O B E R 2 6 , 2 0 1 2
MeDICINe, DeNtIStry AND DruGS (tHe CHeAtSHeetS LeCture)Presented by Dr. Robert Fazio
Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s
For information, call Elaine Fleming at 616.234.5605 or email at [email protected]
J A N U A R Y 1 1 , 2 0 1 3
your FANtAStIC DeNtAL teAM, wHAt MAkeS It work?Presented by Dr. Rhonda Savage
Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s
For information, call Elaine Fleming at 616.234.5605 or email at [email protected]
D E C E M B E R 1 3 , 2 0 1 2
weSt MICHIGAN DIStrICt DeNtAL SoCIety HoLIDAy DINNer AND AwArDS NIGHt
Cascade Hills Country Club | Grand Rapids, MI | Business Attire
Socialize with friends: 6:30pm | Dinner and Program: 7:30pm
WMDDS Award Presentations
2012 MDA & ADA Life Members
2013 Silent Bell Recipients – Dr. Chase Klinesteker and Dr. Thomas Sommerdyke
M A R C H 2 2 , 2 0 1 3
wHAt GooD IS A DeAD PAtIeNt wItH PerFeCt teetH?Presented by David Meinz
Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s
For information, call Elaine Fleming at 616.234.5605 or email at [email protected]
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201216
T E C H N I C A L L Y S P E A K I N G
n each WMDDS Bulletin, I will be fielding your questions about technology, its place in the dental practice, and beyond. Send your questions to [email protected]
and I’ll answer them on my blog, facebook, and in each Bulletin. Here’s a topic that many of you have questioned.
Why are servers so expensive? Besides running my Practice Management, what is it doing?Sure we’ve all received the ads from Dell or Best Buy for a
$300 desktop or laptop, so what is it about servers that are so
expensive?
Let me start by saying this: Don’t buy a $300 desktop or
laptop for your office. Or do so and then proceed to pay your
tech person a lot of money to upgrade it to a professional ver-
sion of Windows, buy and install Microsoft Office, buy and
add memory, extend the warranty, and uninstall the 50 junk
programs it comes loaded with. Or 49 if you consider “My HP
Games” a necessary program.
Back to part one of the original question. Here is why servers
are expensive.
All components are built to last. A server is designed to be
up and running all the time. More components are built from
metal vs. plastic, and they undergo more strenuous testing
before making it onto the market. All in all, they can with-
stand heat, physical abuse, software abuse, and everything else
better than a workstation.
Everything is faster than your workstations. Consider that
your server is processing requests from every computer in
your office, often concurrently. Imagine (maybe you don’t
have to imagine) every one of your staff members demanding
your attention at the same time. It takes some serious process-
ing power to handle this.
Processors in servers have long been quad core while workstations are mostly still dual core, though quad are becoming more common.
Memory in servers is always dual ranked and operates at a much higher frequency than what we usually find in workstations.
Hard drives are found in pairs or sets of three in your server, assuming it was set up right. This is so a hard drive
failure does not cause any downtime. Additionally, they spin
at more than twice the speed of a typical desktop hard drive,
which means they can serve up those digital x-rays you’re
requesting 100 times a day quickly.
They have redundancy. Along with the two or three hard
drives, they often come with two or four network cards and two
power supplies.
Microsoft licensing is more expensive. Windows server
software is more robust, more reliable, and requires licensing
for every computer that connects to it. If you have 20 comput-
ers in your office, you have to pay for 20 client access licenses
from Microsoft.
The warranty is better. When I call Dell regarding a server,
I get pro support, which is much better and much faster. For
many of my clients, Dell can have a new part to us in four hours.
Part two, what is my server really doing?
Let’s talk instead about what your server is probably not
doing. Once you consider all it could and should do, the price
starts to become more justified.
Storing your company documents. It’s great that Dentrix
or Eaglesoft or other Practice Management is sitting on your
server, but with all that extra storage space and all the money
you paid for redundancy, doesn’t it make sense to store
everything else there too? Every document your staff creates,
whether it is recall letters, birthday cards, referral letters, etc…
should be stored on the server. Then there is QuickBooks
and Quicken. I don’t know about you, but my QuickBooks
company file has a lot of data in it that I don’t want to have
to recreate. Mine sits safely on my server where it’s backed
up. More often than not, all these documents sit locally on
each workstation. If and when that workstation crashes, it’s
all gone. Additionally, how much easier would it be if every-
Tech Q & ASubmitted by Greg Feutz, President, DDS Integration
Greg Feutz is President of
DDS Integration, a
Grand Rapids based dental
technology company.
I
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 17
T E C H N I C A L L Y S P E A K I N G
one had access to the same files? So again, the fact that your
server has redundant hard drives and is backed up (hopefully)
makes it a no brainer to store these files on it.
Backing up once a day and continuously. Your server should
be equipped with sophisticated backup software that can back-
up open files (who forgot to close out of Dentrix last night?)
and make images or clones of itself. It should also be backing
up continuously to an offsite location. If you’re not into sleep-
ing at night, these things are of course completely optional.
Managing your antivirus settings throughout the whole office. Your servers’ job is to be the boss in the office. What
it says goes. If you have ten or more computers you should
absolutely have a business class, centrally-managed antivirus.
Otherwise any changes need to be made on each individual
workstation. This leaves potential for inconsistency and
higher cost as you pay your tech person hourly to change the
same setting ten times.
Managing your connections within your network and out to the internet. Set up properly, a server is your computers’
communication gateway. Often an $80 cable modem is doing
all of this. I’d rather my server, which I paid a lot for, do this
important work.
Greg’s 2 cents on computer costs in general.Can you get away with spending less and getting budget
computers in your office? Technically yes. As long as you
meet the minimum requirements specified by your Practice
Management System (they all have these requirements) you
will be ok. Here is what I would invite you to consider: Each
time you have a computer set up in your office, you have to
pay your tech person (or invest the time yourself) to config-
ure everything and install all the necessary programs on it. A
budget computer is going to last you probably one to two
years, whereas the right computer will last you three to five.
Now I am all about supporting your local tech person (I know
a good one!), but if you are also interested in a lower overall
investment, I would argue that it makes sense to get the right
computers in place so you don’t have a revolving door of
technology. Also, you and your staff will be a lot happier with
computers built to do the job you are asking them to do.
Whether it’s our computers, our cars, or our teeth, we’re
often reminded that we should be taking better care. As a
dentist, it makes perfect sense to you why your patients
should come see you every six months. Some patients may see
this as a device for you to get more of their money, but I’m
with you. I think it’s necessary. I personally subscribe to the
idea of preventative maintenance in all aspects of life because
I don’t have the time to deal with a slow computer, broken
down car, or problematic tooth.
So which camp are you in? Are you religious with your oil
changes? Do you get tech help before it’s an SOS?
As you know with your patients, a big part of effectively
treating them and keeping their smiles healthy is proper edu-
cation. An uninformed patient is unlikely to sign up for treat-
ments they don’t see as necessary. This is why you make such
an effort to make sure they know and understand the why’s
and how’s of regular dental visits. In that spirit, let’s look at
the how’s and why’s of computer maintenance.
VirusesWhy: If you’ve ever had a virus, you know why. They are
nasty, they steal information (usually without you knowing),
and they are a royal pain.
How: Assuming you already have antivirus (that’s not a
big assumption right?) it is important to check antivirus logs
to see if anything has been detected. If so, was it successfully
cleaned or does it require further action? Is one particular
computer getting large numbers of viruses? If so, let’s take a
look at internet usage.
Disk CleanupWhy: You know how when your desk or house or closet gets
really cluttered it becomes impossible to find anything? Just as
we store paper, shoes, keys, etc… your computer stores docu-
ments, pictures, temp files, etc.… Over time these become
cluttered, and it takes the computer a lot longer to find the
files you are looking for. The end result is a much slower
computer.
How: Quite simple, really. Windows Disk defragmenter.
The more often you run this (once a month is plenty) the less
likely your computer is to slow down due to a cluttered hard
drive. Windows 7 schedules this automatically, but if you still
have XP it needs to be manually run (or manually scheduled
if you know what you’re doing).
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201218
Software updates and patchesWhy: Because there are hackers, malicious coders, iden-
tity thefts, and other mean people out there on the internet.
Here’s what happens: Microsoft comes out with Windows
7 with increased security so current malicious code cannot
infiltrate it. Hackers figure out another way into your system.
Microsoft releases an update that blocks this new way into
your system. Hackers find another way in. Microsoft patches
that way in. Suffice to say, it’s a constant cycle. And it’s more
than just Microsoft, too. Hackers can find their way in via
Adobe reader (pdfs that we open every day), Adobe flash
player (youtube and other videos), and lots of other software
that you use on your computer.
How: On your personal computer, I would suggest you
do updates as soon as they become available. On your office
computers, however, I would suggest they be done on a
scheduled basis for two reasons. First, it’s important to keep
all computers as similar as possible. If Frontdesk1 is on
Windows 7 Service Pack1, and Operatory3 has Windows 7
with no Service Pack, it can be very difficult to troubleshoot
why Frontdesk1 works differently than Operatory3. The second
reason is that with your Practice Management software, there
are some updates and patches that can actually cause issues.
For example, in Dolphin Management (for you orthos out
there) there are Microsoft.Net updates that will kill your abili-
ty to open jpg files in Dolphin Document Organizer. If you do
your updates on a schedule and have a tech person do them,
who knows about these conflicts, you will not have issues.
Test your backupWhy: Why not? How sure are you that your backup is really
running? Sure, the email notifications (you do have this with
your backup solution, right?) are telling you that the backup
is completing successfully, but isn’t it a good idea to test it
once in a while?
How: Do an actual test restore of your data to another
computer (not your server please). Once restored, see if you
can actually open up files and see your data.
Get rid of unnecessary startup and background programsWhy: Ever shop for a TV and end up with $200 monster
cables, a 30 year warranty, and a 30 day trial of DirecTV? Well
me neither, but when you buy a TV they try to get you to get
all of the add-ons. Next time you go to install Adobe Flash
Player pay attention, because if you don’t uncheck certain
boxes you are going to also end up with McAfee Security Scan
or some other product you don’t want. Guess what? That’s a
program that will run all the time, and you don’t need it to.
More and more software comes complete with add-ons and
things you don’t need. Don’t get me started on iTunes. This
add-ons phenomenon is becoming a leading reason for slow
computers.
How: Under the start menu there is a folder called “start-
up”. Anything listed in there starts when your computers
start. Secondly, using the msconfig utility there are more
programs and services that can be turned off. Just make sure
you know what they are.
Test battery backupsWhy: Hopefully you have these to better protect your com-
puters, and like any battery they have a limited life cycle. I
think we’ve all had a laptop a few years old that lasts 15 sec-
onds on battery.
How: Most have a ten-second test that can either be run
through the computer’s software or by the button on the bat-
tery itself. This will tell you if the battery can at least support
the load that’s plugged into it.
Check event logsWhy: This is where the computer tells us what it’s been doing,
and more importantly, what problems it’s having. Most of the
time you won’t find anything too serious, but certain errors
like ftdisk can indicate a hard drive is on its last leg.
How: In computer management, you can look through
event logs for System, Applications, Security, and others. If
and when you see errors and warnings, google can be a good
place to start to see what it means.
Take care of your to do listWhy: If you have your tech people doing the maintenance,
you might as well have them take care of any items that need
fixing or upgrading. If they’re like us, they will love to multitask!
How: Call your techs (or us) and ask about scheduling a
time for maintenance. This is a good time to discuss any prob-
lems you are having or any projects you’d like done.
What are your thoughts? Are you a maintainer or a “if it ain’t broke yet don’t fix it” type? Comment on our blog or facebook article. We’d love to hear
your opinions on Maintenance or any other topic.
Facebook: facebook.com/ddsintegration
Blog: ddsintegration.com/blog
T E C H N I C A L L Y S P E A K I N G
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 19
organization, the ADA fully supports continuing research that
helps dentists deliver high-quality oral health care safely and
effectively.
The benefits of dental x-raysSince many diseases of the teeth and surrounding tissues can-
not be seen when your dentist examines your mouth, an x-ray
can help reveal: small areas of decay between the teeth or
existing fillings; infections in the bone; gum disease; abscesses
or cysts; developmental abnormalities; some types of tumors.
Finding and treating dental problems early can save time,
money and unnecessary discomfort.
Dental x-rays vs. other radiation sources The amount of radiation that we are exposed to from dental
x-rays is very small compared to our daily exposure from cos-
mic radiation and naturally occurring radioactive elements.
Radiation exposure is measured in millisieverts (mSv), a
unit of measure that allows for some comparison between
radiation sources that exposure the entire body (natural back-
ground radiation) and those that only expose a portion of the
body (dental x-ray).
For example, a dental bitewing x-ray yields 0.038 mSv,
compared to radiation from outer space yielding 0.510 mSv
per year. In addition, the average radiation in the U.S. from
natural sources each year is 3.0.
Pregnancy and dental x-raysIn some cases, a dental x-ray may be needed for dental treatment
that can’t wait until after the baby is born. Because untreated
dental infections can pose a risk to the fetus, dental treatment
may be necessary to maintain the health of the mother and
child. The use of a leaded apron minimizes exposure to the
abdomen and should be used when any dental radiograph is
taken. The use of a leaded thyroid collar is recommended for
women of childbearing age, pregnancy women and children.
Dental x-ray exams do not need to be delayed if you are trying
to become pregnancy or are breast feeding.
Talk to your dentistBe sure to talk to your West Michigan District Dental Society
Dentist during your next six-month checkup if you have
questions about dental x-rays.
ince many oral diseases cannot be spotted by just a
visual or physical examination x-rays are a valuable
preventive tool to help your dentist identify oral health
problems early. X-rays provide information about your oral
health, such as early-stage cavities, gum disease, infections
or some types of tumors. How often dental x-rays should be
taken depends on your overall oral health condition, age, risk
for disease and any signs of oral disease that might be present.
While a recent study suggests that yearly or more frequent
x-rays may increase the risk of developing meningioma, the
most commonly diagnosed brain tumor, the American Dental
Association reiterates its professional opinion that dentists
should continue to order x-rays when necessary for proper
diagnosis and treatment.
It is important to note that this latest “study” relied on
patients’ memories of having x-rays taken years earlier.
Studies of this type have shown that the ability to accurately
recall information is often difficult. Therefore, the results of
studies that use this design can be unreliable because they are
affected by what scientists call “recall bias.”
Further, the study acknowledges that some of the subjects
received dental x-rays decades ago when radiation exposure
was greater. Radiation rates were higher in the past due to the
use of old x-ray technology and slower speed film.
The West Michigan Dental Society urges you to continue
to see your dentist regularly and to talk with your dentist
about the importance of x-rays and what standard safety pre-
cautions are used in the dental office.
How do dental x-rays work? As x-rays pass through your mouth they are mostly absorbed
by teeth and bone because these tissues are thicker than
cheeks and gums. When x-rays strike the film or a digital
sensor, an image called a radiograph is created. Radiographs
allow your dentist to see hidden problems, like tooth decay,
infections and signs of gum disease.
Patient safety The American Dental Association recommends the use of
protective aprons and thyroid collars on all patients. In addi-
tion, the ADA recommends that dentists use E or F speed
film, the two fastest film speeds available, or a digital x-ray.
Patients are encouraged to talk to their dentist if they have
questions about their dental treatment. As a science-based
T H E G R A N D R A P I D S P R E S S H E A L T H S E C T I O N A R T I C L E
Dental X-Rays Important to Detect and Treat Dental Problems Reprinted from The Grand Rapids Press, June 3, 2012
S
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201220
ne of the reasons to own your own practice is
that if you make good business decisions, you are
positioned to benefit from those decisions. The
challenge is determining what a “good” decision is and what
a “not-so-good” decision is. One of the secrets to making
“good” business decisions is getting advice from those that
are knowledgeable. Surround yourself with advisors that are
trustworthy, smart, and are sincerely interested in your suc-
cess. Ask questions and listen. Then make informed decisions.
Your CPA is in a unique position. He works with many
practices that are similar to yours. He sees what works and
what doesn’t work. Your challenge is to use that knowledge
to your benefit. If your CPA does not regularly offer ideas and
suggestions that benefit your practice, then it’s your responsi-
bility to request that he do so. Even if you pay for this advice,
it will be worth it.
Following are some questions that you might want to ask
your CPA. The answers might surprise you and give you some
ideas to improve your practice.
1. When is a good time to refinance the mortgage on my
building?
2. Should I structure my business as a corporation, a part-
nership or a proprietorship? What are the advantages and
disadvantages of each?
3. What is an S corporation? What is a limited liability company?
4. What kinds of check-writing controls should I have in place
to prevent employees from misusing company funds?
5. How can I protect myself from embezzlement or other
unauthorized use of funds?
6. Should I have a buy-sell agreement with my partners/
shareholders? Should the agreement be funded with life
insurance?
7. If I buy a building, should I put it in my name, my
spouse’s name or my company’s name? What are the
advantages and disadvantages of each?
8. How can I establish a succession plan that ensures contin-
uation of my practice when I retire, or if I die or become
disabled?
9. How do I know when it’s time to upgrade my computer
system?
10. Do I need to take special precautions with my computers
to prevent tampering or loss due to accidents or viruses?
11. Does it make sense to own business equipment personally
and lease them to my company?
12. When does an independent contractor become an
employee for whom I have to withhold payroll taxes?
13. How can I minimize my estimated tax payments without
making myself vulnerable to penalties?
14. For tax purposes, do I have to run my company on a
calendar year basis?
15. What are the most common mistakes that companies
make in attempting to reduce their tax liabilities?
16. Am I pricing my services correctly?
17. Which indicators of my company’s financial performance
should I be tracking on a weekly, monthly, or annual basis?
18. How do my financial ratios and percentages compare
with the averages of other practices?
19. How much is my practice worth? Can you help me with a
professional valuation?
20. What can I do to maximize the interest income from my
business bank accounts?
21. What are five good ways to reduce my operating expenses?
22. Should my practice be on the cash or accrual basis of
accounting?
23. How long do I need to keep cancelled checks and paid
invoices? Can you give me guidelines for the retention of
all major business records?
24. What steps can I take to deal with the rising cost of
employee health insurance?
25. Should I establish a 401k plan? Should it be funded
entirely by my employees or by a mix of employee and
company contributions?
26. Do I need a credit policy? What should it cover and how
do I set it up?
27. What is the difference between a “defined contribution”
and a “defined benefit” pension plan? Which one is the
best for me?
28. How and when should I take deferred compensation?
29. Should I set up a trust to accumulate funds for my
children’s education?
30. How much money do I need to set aside to retire?
30 Questions to Ask Your CPASubmitted by Richard L. Chrisman, CPA MSTHungerford, Aldrin, Nichols & Carter, PC
F I N A N C I A L N E W S
O
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 21
iehard golfers contended with inclement weather
for this year’s West Michigan Dental Foundation
golf outing at Egypt Valley Country Club on June
1, 2012. In spite of the weather, rain and temperatures in the
50’s, those that attended had an enjoyable day.
The outing was organized by the West Michigan Dental
Foundation’s golf outing committee chaired by Dr. Devin
Norman. Also serving on the committee were Dr. Larissa
Bishop, Mr. Jim Ditta, Mr. Hal Henkel, Dr. Tim Meade, Dr.
Ken Mulder, Dr. Mike Palaszek, Dr. Mark Powell and Dr.
Ryan Zolman.
Also braving the weather were some very dedicated volun-
teers. This outing would not have run smoothly without them:
GRCC dental assisting students
Carol Klein – OMSA
Betsy Hall – The Bank of Holland
Sara Van Horn, Renee Biggs – OMSA
Nicole Baltutat, recent grad, GRCC dental hygiene program
Ashley and Sharon from VanderLugt, Mulder, DeVries
and Elders
Wendy McGinnis and others from Founders Bank
Matt Uhl and Scott Hoag from PNC Bank
Mike DeSmyter and others from Midwest Capital Advisors
This year’s sponsors were a huge part of making the outing a
great success. Thank you to the following sponsors:
Dinner Sponsor - $2,000Davis Dental Laboratory
Eagle Sponsors - $1,000Grand River Endodontics – Dr. Sarah Lennan
Grandville Endodontics – Dr. Brian Licari
Great Lakes Insurance and Financial Agency
Hungerford, Aldrin, Carter & Nichols, PC
Henry Schein Dental
Meade and Zolman Family Dentistry
OMSA of Western Michigan, P.L.C.
Oral Surgery Associates
Patterson Dental Supply
Swan Orthodontics – Dr. Kathryn Swan
West Michigan Oral and Maxillofacial Surgery PC
Birdie Sponsors - $500Bank of Holland
Drs. Caldwell and Christopherson
Chase Bank
DDS Integration
First Companies, Inc.
Founders Bank & Trust
Grand River Endodontics – Dr. Sarah Lennan
Huyser Orthodontics – Dr. David Huyser
Dr. Bruce Jackson
Dr. Jacob Lueder
MDA Insurance MDA Services
Midwest Capital Advisors
Norman Family Dentistry
Dr. Thomas Nykamp
Partners in Dental Care, PC
PNC Bank
Dr. Mark Powell
Professional Consulting and Accounting Group, Inc.
Vander Lugt, Mulder, DeVries and Elders
Major Patron Sponsors - $250Dental Art Laboratory
Doctors Palm, Panek and Billups
Dr. Ralp Rader
Valleau and Van Deven Pediatric Dentistry
Contest WinnersMen’s Scramble (with a score of 60)
Kevin Kross, Ray Ribitch, Kurt Van Dyken, Tim Alles
Play Your Own Ball (best of 4 with a score of 68)
Kim Jones, Dan White, Gary Mancewicz, Steve Mancewicz
Men’s Medalist - Scott Brady
Men’s Longest Drive – Tom Winquist
Women’s Longest Drive – Karen Pierre
Closest to the Pin – #3 – Dan White, #6 – Bill Reminga,
#15 – Scott Brady, #17 – Bob Mac Tavish
Putting Challenge Winner – Pete Zwier
Watch for an announcement in the next issue of the Bulletin
on how much was raised at the outing.
West Michigan Dental Foundation Golf Outing
W M D F N E W S
D
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201222
Established Dental Office Space – 2003 Burton SE (between Breton and Plymouth). End unit with 720 sq. ft. and a full basement, on-site parking, adjacent 3 spaces occupied by estab-lished dentists. Great traffic counts on Burton in an established residential area. Call Bruce at 942.9492.
General Dentist Seeking Associate Position in Grand Rapids area – General dentist residing in the Grand Rapids area is seeking an associate position for 1-2 days per week in the Grand Rapids and surrounding area. If you are looking for an associate for your practice, please call 616.975.2870. REF # GR Associate.
Office Space for Lease – Up to 6900 S.F. available; will divide. Basement storage available. Newer class A building. Great visibility! Located at 1151 East Paris Ave SE (across from Bonefish Grill). Owner occupied. Call Dr. Sam Bander 616.949.5980 or e-mail [email protected]. Visit www.drsambander.com to take a look.
Associate Position/Practice for Sale Wanted: General dentist with 13 years experience looking for a place to prac- tice in the Grand Rapids and surround- ing east areas. Open to all options. Please email to [email protected].
For Sale – Several items from ortho-dontic office. Siemens 10E Pan/Ceph x-ray, Ritter PA x-ray, treatment chairs and stools. Call 616.538.3545 anytime for more information.
Northwest Michigan – Modern fee-
for-service, general dental office averaging over $600K/yr with solid net on 3.5 days/wk. Beautiful Lake Michigan resort town. Digital Radiology and laser included. Building with recent remodel also available. Call Phil Stark 888.477.7325 or visit www.peakdental.com
Dental Office for Lease – Why spend $250,000 in dental build-out costs? Beautiful dental suite is now available for lease in Class A contemporary three-story brick and glass building located off of East Beltline Avenue in Grand Rapids Township. This ten-year old modern dental office includes 3 private ops, 4 chair open bay area, is plumbed for nitrous, air, water, power, CAT-5, vacuum, wet/dry lab and x-ray. The building is a contemporary 3 level with ample parking, 4 bathrooms, staff lunch area, private doctor’s office with restroom and shower, reception desk for check-in and out, and has a heated storage area if needed. Immediate oc-cupancy. $16.25 per square foot, triple net. Please contact Scott Morgan at Colliers International at 616.292.3455 to schedule your visit.
Current student at the University of Michigan School of Dentistry – graduating May 2011, looking for full-time or part-time position in a private practice as an associate in the Grand Rapids and surrounding areas. Please contact 954.562.1122 or [email protected].
Associate position wanted – Newly graduated dentist from UDM looking for full time position as an associate
C L A S S I F I E D A D S
The classified ad rate is $10.00 up to and including 30 words; additional words 15¢ each. Space permitting, WMDDS members may
place ads free of charge as a membership service. Ads should be submitted in writing and sent with payment to Elaine Fleming,
WMDDS, 511-F Waters Building, Grand Rapids, MI 49503. Telephone numbers and hyphenations count as two words, abbrevia-
tions count as one word. Ads received after the first of the month prior to publication may appear in the following issue.
of progressive dental practice in Grand Rapids and surrounding areas. Please call 616.617.9725 or email [email protected].
Dental Office for Lease – Time to move up? Busy northeast area dental suite at 1750 Grand Ridge Ct. NE, 3295 SF, ten-year old modern dental office available. 3 pvt ops, 4 chair bay area, plumbed for nitrous, air, water, power and vacuum, lab, x-ray, staff area, pvt. office, reception, storage available. Former pedo practice obtainable Jan. 1st 2011. Contact Dr. John Monticello 616.364.1700 or [email protected]
General Dentist – Looking to pur-chase a practice along the lakeshore (Grand Haven, Holland, Saugatuck area) or Grand Rapids area. Please contact [email protected].
For Sale – Sirona Cerec 3D Acquisition unit 3.8 updated software, MCXL Mill-ing Machine with wireless interface. Excellent used condition. Less than 100 units milled. Transfer owner with Patterson, includes vita blocks and wall mount block board, $40,000/obo.Other used dental equipment for sale: 2 Royal and 3 Dental Eze chairs, 5 Pelton Crane pole mounted chair lights, 2 Adec and 2 Marus dental units, 1 Biotec unit, 1 Panorex J Morita Versa View, 5 ceiling mount arms and 3 wall mount arms for computer mon-itors, 1 Porter portable nitrous delivery system, 1 Aribex Nomad Handheld X-ray. Please call for more info, prices, or photos 616.634.0605.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012 23
C L A S S I F I E D A D S
Dental Office for Lease – with imme-diate availability. Near the “medical mile” on primary road with high traffic count and super visibility. Has been a dental office for over 40 years. Very good lease terms/rates. Would make awesome start-up or satellite. For more info, email [email protected].
General Dental Practice in Grand Rapids Area – Established practice with gross receipts in excess of $600,000 with a healthy recall pro-gram, paperless office, 6 fully equipped operatories. For additional informa-tion please call 616.975.2870 or email [email protected].
For Sale – Panoramic Corporation PC-1000. Works great, but is not making the move to our new office. $1000 OBO. Please email [email protected] if interested.
Seeking Employment – General dentist with several years of experi-ence seeking part-time employment in the West Michigan and surrounding areas. Proficient in all areas of general dentistry. A team player. Please reply to [email protected].
Equipment for Sale – Two Belmont Pro II patient chairs, wing back style for sale. Model 037S. Better than good condition. Two casting units for sale and a porcelain oven for sale. Call 616.633.8132.
Associate Position Wanted – University of Michigan School of Dentistry May 2012 graduate, and West Michigan native, seeking full/part-time associate-
ship in the West Michigan area. Please contact for resume: 616.970.5289 or [email protected].
For Rent – An upstairs air-conditioned
dental office, approximately 1440
square feet in downtown Greenville,
Michigan, 40 miles northeast of Grand
Rapids. The office consists of 3 opera-
tories, a private office, 2 laboratories,
and a reception area. The office build-
ing has ample free parking.
$800 per month.
For Sale – Lab Master Foster Model
Trimmer, Model # MT115, like new
$600. ESPE Pentamix 2, $100. Contact
616.949.7510.
The Bulletin wishes to thank our valued
advertisers who support organized
dentistry by helping to defray the cost
of printing and mailing.
Advertising in the Bulletin is seen
by over 90% of the dentists in the
West Michigan District. This includes
five of the fastest growing counties
in the state: Kent, Ottawa, Ionia,
Montcalm and Mecosta.
For information on advertising rates,
call Elaine Fleming, WMDDS Executive
Secretary at 234-5605. Target your Market
– advertise in the Bulletin!
Aspen Dental .......................................6
Beene Garter ......................................14
DDS Integration .... outside back cover
Davis Dental
Laboratory ............... inside front cover
Founders Bank & Trust ......................3
Great Lakes Financial Insurance ........9
Henry Schein ............inside back cover
Hungerford, Aldrin, Nichols &
Carter, PC ............................................5
MDA IFG ...........................................14
PNC Bank ..........................................11
Professional Solutions ......................12
A D V E R T I S E R I N D E X
WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 201224
W M D D S E X E C U T I V E B O A R D
Dr. Scott Hodges was awarded the MDA Public Service Award for his long time commitment to volunteering and
sharing his knowledge with dental and dental hygiene stu-
dents. Dr. Hodges’ first mission trip to Guyana in 2001 has
turned into a yearly event. Dr. Hodges recruits other dentists,
dental assistants, and dental hygiene students to be part of
the Guyana experience. He was also instrumental in organiz-
ing and implementing Project Homeless Connect in Grand
Rapids back in 2009. This one-day event helped many home-
less individuals in Grand Rapids receive dental care. An article
in the June 2012 MDA Journal notes, “His (Dr. Hodges’)
charisma, faith and good works have been an inspiration for
all who come in contact with him or have had the honor to
serve on a mission with him.”
West Michigan Members Honored at 2012 MDA Annual Session
est Michigan District Dental Society is proud
to have two of its members recognized as MDA
award-winners at the MDA House of Delegates
meeting on Thursday, April 19, 2012.
W
W M D D S M E M B E R S P O T L I G H T
Dr. Seth Vruggink was awarded the MDA Matt Uday New Dentist Leadership Award for his long time involvement in
organized dentistry, starting back when he was still in dental
school serving on the MDA’s Special Committee on Annual
Session. He eventually chaired this committee in 2006 and
continues to be an actively involved committee member. On
the local level, Dr. Vruggink has served on many WMDDS
committees and served on the Board going through the
chairs, eventually serving as president in 2010-2011. In 2012,
he chaired the Western Michigan Steering Committee. As the
article in the June 2012 MDA Journal noted, “Anyone who’s
met Dr. Seth Vruggink knows he has a quick wit and a keen
sense of humor. But behind the jokes stands a devoted dentist
and proven leader.”
Congratulations to Dr. Scott Hodges and Dr. Seth Vruggink!
MDA President, Dr. Connie Verhagen and Dr. Scott Hodges
Dr. Seth Vruggink, MDA Matt Uday New Dentist Leadership Award
recipient.
WEST MICHIGAN DENTAL SOCIETY
511-F Waters Building
Grand Rapids, MI 49503
PRSRT STDUS POSTAGE
PAIDGRAND RAPIDS, MI
PERMIT # 657