RE: [ACEsthetics] Profit per hour

Rose is very expensive.  She does not offer guidance…she offers to get you a number for 1500 bucks and says Medicare charges 500.  I checked with the hospital and Medicare charges nothing for the number.  We would get a number for the office…NPI number…and not just me.  I might can bill through the hospital if I affiliate with the hospital sleep lab but will still need a Medicare number here.  The hospital is looking into it for me to see what they can do.  My senior partner laid an egg at two grand to Rose.  Remember I’m not the boss any longer.  I’d get it.  He won’t.  God help my other partner.

 

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

 

 

 

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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of arunnayyardmd@gmail.com
Sent: Friday, February 22, 2013 11:02 AM
To: rcarter@elmcreekdental.com; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Profit per hour

 

U need to look into medical insurance for sleep apnea and tmd mgmt. Call Rose Nierman for guidance

Sent via BlackBerry from T-Mobile

From: "Rick Carter" <RCarter@elmcreekdental.com>

Date: Fri, 22 Feb 2013 09:23:42 -0600

Subject: RE: [ACEsthetics] Profit per hour

 

Sleep appliances are great but since we are signed with delta and they lock us into BC/BS fees (they are BC administrators here) that would be $800 for a $550 appliance. I told my staff to start working on what we need to do to eek out a profit in sleep dentistry. We do get to do the dentistry and that makes up for some of the loss.

 

Similar thing happens with 6 month smiles where delta pays 750. We just refer those cases out now if they have insurance coverage that doesn’t cover costs.  The problem is DELTA!

 

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Tony Soileau
Sent: Thursday, February 21, 2013 11:43 AM
To: riccoker@gmail.com
Cc: Ace
Subject: Re: [ACEsthetics] Profit per hour

 

I started looking at profit per hour when we built a new office last year. I have been in my new office for 14 months now. We we started looking a building and designing 2 years ago I sat down and looked at total profit from all my procedures. I took the emotion out of it and ignored the traditional way of looking at profit for a dental practice. I got advice from my accountant and relatives that have multimillion dollar businesses. As an example I learned that I am much more profitable doing 2 quadrants of posterior crowns than 8 anterior veneers when you look at total overhead for both cases. My crown and veneer fees are the same. For 2 quadrants of 4 crowns each it takes me a lot less time than to make an 8 unit anterior veneer/crown case. But also the total cost is less. It takes very little marketing to do posterior teeth. But I was spending a lot on marketing to do anterior cases. All marketing, lab fees, doctor time, assistant time, total chair time, everything associated with the case was evaluated as one cost then subtracted from collection. When you factor in marketing cost, consultation time, fabrication time, lab cost, everything associated with getting the case done 4 posterior teeth are way more profitable than 8 anterior teeth. At least in my office. So I started looking at all my procedures  from a total cost and not just from a production gain. I truly believe it is better to make 1 million and keep $500,000 than it is to make 2.5 million and keep $100,000. Now I am like everyone else and my ego would really like me to only do anterior cases on the pretty people and talk about my production numbers only. But once I am not around a bunch of dentists I prefer to do low stress procedures that generate the most total profit and give me more family time. For my practice that is Lava Ultimate veneers to replace bonding. Posterior quadrants. Six Month Smiles. Endo. Sleep Apnea. I still do all the other stuff but don't focus on it. I am shooting TV commercials tomorrow. We are updating my Six Month Smile commercial and my sleep apnea commercial. And now after one year and I get two more free commercials shoots we are shooting a veneer commercial. But it will run far less than the other commercials. Its a different way of working and not great for the ego but really good for the family life. And remember I dont have the luxury most of you have. I MUST buy lots of shotguns shells every year. And a new 4 wheeler every other year. And dont get me started on tractor hitches as those damn things break for no reason and I have to keep replacing them! So I have over head many of you dont so I must be profitable.

Tony


On 2/20/2013 7:58 PM, Rick Coker wrote:

I know that a lot of us have gone to hear Bruce Baird and PDA, where the production per hour is featured, but how many have gone further and monitored the gross profit per hour on a regular basis? That would essentially mean subtracting out the lab fees for all your treatment, I guess. Seems like a simple thing, but the more I talk to Tony Soileau, the more I realize that gross profit per hour is where it is at! And Net profit per hour isn't far behind!

 

Anybody doing it?

 

Rick

 

--
Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777

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Unknown ● Saturday, February 23, 2013

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