

Practice Under Water with George – Alejandro Part 1
5 snips Jul 28, 2025
Dr. Alejandro shares his journey transitioning from a Delta network to a fee-for-service model in dentistry. He discusses the challenges of staffing and patient expectations, particularly during COVID-19. The conversation delves into strategies for sustainable growth and managing a solo practice in a competitive market. Key performance metrics, patient retention, and financial planning for long-term success are highlighted. The dynamic nature of dental scheduling and team optimization is examined, offering insights into enhancing overall productivity.
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Transitioning Fully Fee-for-Service
- Alejandro transitioned his practice to fully fee-for-service about four years ago, dropping Delta Dental despite challenges.
- This transition led to staffing difficulties and adjusting patient payment methods, especially post-COVID.
Value of Extra Patients
- Adding one extra patient to your practice can significantly boost revenue due to high lifetime value.
- New patients and retained patients create distinct growth opportunities, emphasizing patient flow management.
Manageable Patient Load Per Hygienist
- For a single hygienist working four days per week, aim to maintain around 800 active patients for ideal patient flow.
- This balance helps ensure the schedule stays full and manageable without overwhelming the team.