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The Best Practices Show with Kirk Behrendt

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Apr 2, 2025 • 53min

869: The Future of Private Practice: Debra’s Top Tips from the APDP Meeting – Debra Engelhardt-Nash

We've all heard that private practice dentistry is dying. But now is the best time to own and grow your practice! In this episode of Practical Solutions Day, Kirk Behrendt brings back Debra Engelhardt-Nash, co-founder of The Nash Institute, to share highlights from the latest APDP meeting that will empower you and your team to create a better practice and a better life. To hear Debra’s top tips from the top dentists, listen to Episode 869 of The Best Practices Show!Learn More About Debra:Give Debra a call: (704) 904-3459Send Debra an email: debraengelhardtnash@gmail.com Follow Debra on Instagram: https://www.instagram.com/debraengnashBook Debra for speaking or consulting: https://debraengelhardtnash.comRegister for Debra’s Dental Business School course: https://www.thenashinstitute.com/upcoming-events/dental-business-schoolRegister for Debra’s Team Communication Skills course: https://www.thenashinstitute.com/upcoming-events/team-communication-skillsRegister for the Academy for Private Dental Practice event (February 26-28, 2026): https://apdp.regfox.com/apdp-2026More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 869: https://www.youtube.com/@actdental/videosMain Takeaways:Focus on your team culture.See your team as an asset, not a liability.Identify and remove the “arsonists” on your team.Gratitude is intentional. Reflect on how you choose to express it.Allow your team to “coach up”. Be open to receiving their feedback.Overcommunicate with your team. Don't serve them just an “empty bowl”.Don't be a chair. Exceed expectations rather than doing only what's expected.Snippets:0:00 Introduction.0:59 Why this is an important topic.7:48 About APDP and their partnership with the Nash Institute.15:03 Highlights from the APDP: Walk the talk.17:21 Highlights from the APDP: Overcommunicate.18:53 Highlights from the APDP: Don't be a chair.21:46 Highlights from the APDP: Fireproofing versus firefighting.24:39 Highlights from the APDP: Do you have arsonists on your team?26:52 Highlights from the APDP: Coaching up.29:32 Highlights from the APDP: The strength of the wolf and the pack.30:30 Highlights from the APDP: Gratitude is intentional.33:31 Highlights from the APDP: Solutions to the hygienist shortage.36:51 Highlights from the APDP: See your team as an asset.38:36 Highlights from the APDP: Explaining the why is important.40:37 Highlights from the APDP: Engagement versus retention.41:38 Future APDP events.44:36 Final thoughts.46:00 More about Debra’s courses.Debra Engelhardt-Nash Bio:Debra is a trainer, author, presenter, and consultant. Having been in dentistry for over 30 years, she engages organizations and study groups nationally and internationally. She is a continual presenter for the American Dental Association, the American Academy of Cosmetic Dentistry, and the Chicago Dental Society Midwinter Meeting. Debra is a founding member of The Nash Institute and past president of the National Academy of Dental Management Consultants. She is an active member of the American Dental Assistants Association, the American Academy of Dental Practice Administration, and the Speakers Consulting Network. She has been repeatedly recognized by Dentistry Today as a leader in continuing dental education and as a leader in dental consulting. She is also a member of the American Dental Association’s Dental Practice Management Advisory Board, and recently became the president of the Academy for Private Dental Practice.Debra is married to cosmetic dentist and dental educator, Dr. Ross Nash, of The Nash Institute for Dental Learning. She continues to work in his busy practice, doing exactly what she preaches. 
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Mar 31, 2025 • 26min

868: Metric Mondays: Understanding Overhead Percentage: The Silent Profit Killer – Dr. Barrett Straub

Something is quietly killing your profit — and it’s not what you think! In this episode of Metric Mondays, Kirk Behrendt brings back Dr. Barrett Straub, ACT’s CEO, to break down one of the most misunderstood numbers in dentistry. They explain the myths of overhead percentage, what a healthy overhead percentage looks like, and ways for you to lower it if it’s too high. To better understand where your money is going, listen to Episode 868 of The Best Practices Show!Learn More About Dr. Straub:Send Dr. Straub an email: barrett@actdental.com Join Dr. Straub on Facebook: https://www.facebook.com/barrett.d.straubSend Gina an email: gina@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 868: https://www.youtube.com/@actdental/videosRegister for ACT’s To The Top Study Club (April 11, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-april-11-2025-ttt-study-club-tickets-1012966789937Register for ACT’s To The Top Study Club (July 25, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-july-25-2025-ttt-study-club-tickets-1205497959849Main Takeaways:Understand what it costs to run your business.Healthy practices have overhead between 55% and 65%.Your expenses should not grow at the rate of your revenue.When your overhead is too high, that means there is less money.Is your overhead too high due to overspending or a tight profit margin?If you're unhappy with your overhead, don't get emotional. Get educated.Snippets:0:00 Introduction.1:42 Overhead percentage, explained.3:55 Why doctor compensation isn't included in overhead.6:16 Why you need to worry about overhead.8:11 Overhead expenses, simplified.10:32 How to lower your overhead percentage: Spend less.16:19 How to lower your overhead percentage: Increase your profit margin.20:10 Last thoughts.Dr. Barrett Straub Bio:Dr. Barrett Straub practices general and sedation dentistry in Port Washington, Wisconsin. He has worked hard to develop his practice into a top-performing, fee-for-service practice that focuses on improving the lives of patients through dentistry.A graduate of Marquette Dental School, Dr. Straub’s advanced training and CE includes work at the Spear Institute, LVI, DOCS, and as a member of the Milwaukee Study Club. He is a past member of the Wisconsin Dental Association Board of Trustees and was awarded the Marquette Dental School 2017 Young Alumnus of the Year. As a former ACT coaching client that experienced first-hand the transformation that coaching can provide, he is passionate about helping other dentists create the practice they’ve always wanted.Dr. Straub loves to hunt, golf, and spend winter on the ice, curling. He is married to Katie, with two daughters, Abby and Elizabeth. (Video) (Need to update timestamps)867: From Artist to Technician: Unlocking the Power of Whole-Brain Dentistry – Dr. Charlie Ward & Joshua PolanskyAre you a dentist who is an artist, scientist, or maybe even a therapist? In this episode of Clinical Edge Fridays, Kirk Behrendt brings back Dr. Charlie Ward, visiting faculty member from The Pankey Institute, and Joshua Polansky, owner of Niche Dental Studio, to share how success in dentistry requires both hemispheres of your brain. Dentistry isn't just fixing teeth! To learn why both sides matter and how to develop the different skill sets you need, listen to Episode 867 of The Best Practices Show!Learn More About Dr. Ward & Joshua:Send Dr. Ward an email: charlie@bmoredentalarts.com Follow Dr. Ward on Instagram: https://www.instagram.com/drcwardddsLearn more about Dr. Ward’s practice: https://www.baltimoredentalarts.comWatch Dr. Ward’s webinars: https://restorativenation.comFollow Joshua on Instagram: https://www.instagram.com/nichedentalstudioLearn more about Joshua’s dental lab: https://nichedentalstudio.comRegister for Dr. Mazzola & Dr. Ward’s Mastering Treatment Planning course (October 2-4, 2025): https://pankey.org/registration/?courseId=17004&tuition=0&lodging=trueRegister for Dr. Ward’s Mastering Aesthetic Restorative Dentistry course (June 17-20, 2026): https://pankey.org/course-category/mardRegister for Dr. Mazzola & Dr. Ward’s Mastering Dental Photography course (July 30, 2026 to August 1, 2026): https://pankey.org/registration/?courseId=17781&tuition=0&lodging=trueLearn More About ACT Dental:ACT’s webinars: https://www.actdental.com/135ACT’s website: https://www.actdental.comACT’s Instagram: https://www.instagram.com/actdentalACT’s YouTube: https://www.youtube.com/actdentalACT’s Facebook: https://www.facebook.com/actdentalACT’s LinkedIn: https://www.linkedin.com/company/3137520/admin/feed/posts/ACT’s Twitter: https://twitter.com/actdentalMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Main Takeaways:Don't just tap into the analytical and technical side of your brain.Dentistry also requires a high level of artistry and creativity.Develop the emotional maturity to not strive for perfection.In working with patients, you need emotional intelligence.Look within to identify your strengths and weaknesses.Quotes:“My buddy Mike, years ago, told me — let's call it a midlife crisis that I was having at 39, or whatever it was. I was telling him, ‘I really want to do more aesthetic dentistry. This is where I enjoy my work the most.’ He was like, ‘Yeah, that makes sense. You're an artist and a teacher.’ I was like, ‘That doesn't sound like me. What?’ Then, I thought about it. I was like, ‘I do the aesthetic things so that I can photograph them so I can show other people how to do it. It's exactly what I am.’ I didn't realize that until then. So, am I more of one than the other? I think I was artistic before I was systematic.” (6:18—7:02) -Dr. Ward“I also used to strive for perfection. The only thing that it did for me was lead me to burnout, smoking, and drinking. Perfection is deadly. I would actually say striving for perfection is dangerous.” (13:11—13:31) -Joshua“I'm a very open-minded person. When I see good work, I don't shit on it. I say, ‘Oh my God, that's amazing.’ So, I keep taking in what I think is perfect, and then I keep trying to make subtle changes to try to make it better. But I'm not striving for what I used to deem as perfection because, in all honesty — this isn't like a cliché thing — it does not exist. It does not exist. It just doesn't exist, and you have to be mature enough to understand that it doesn't exist.” (13:50—14:23) -Joshua“I don't want to say this, but for a doctor, I think striving for perfection is a little easier because their prep gets covered by [the dental tech’s] work. Our work is out there for the world. Like, when we look at our work, it's hard. You're naked to the world. If you see something is off, it's off. That's why I see what Charlie sees in this case. I do. But I think it looks good. I just think it looks good. And I think once you start sacrificing “excellent” for “perfection”, that's when you make mistakes. He'll go to [“fix”] it. He'll make it worse. The patient will say, ‘Oh, I used to like how it was.’ Now, you go down a rabbit hole of you have to remake them. Now, I get angry. So, it gets crazy. I think we have to be mature and know where to draw the line. The problem, I think, for young dentists is they haven't understood where that line is yet. That's where that chaos evolves. So, when I say that perfection is dangerous, I would follow that by saying you should probably go through a period of — not torture, but you should feel pain until you understand where your bar is. You should set a bar for yourself.” (14:25—15:41) -Joshua“I always saw Josh as an artist that became a technician through, I'll say necessity, exactly as he described it. I like the way he put it. Like, we see things a certain way. We see things through a certain lens or a certain perspective. So, when I'm taking a photo of something, I think Josh sees things similar to the way I see them. I think just as I became more technical to make my systems better, he had to become more technical to deal with the type of cases that he was doing. It wasn't all single centrals anymore, that he was hand-layering 15 single centrals to get the right one. He was trying to figure out how to deal with a hybrid that was fracturing. We need to know technical information about thicknesses of materials and torques and screw sizes. Like, all of these things are not artistic anymore.” (15:55—16:51) -Dr. Ward“I think that we both have to be technical because we both own businesses. I think that running a business from a creative side only could become very detrimental because our artistics have a lot of feelings. We always feel a certain way. In running a company, I think that that would be a problem. I know a lot of technicians who run their businesses off their feelings. Unfortunately, they don't really work out. So, at some point, the analytical side has to kick over and take over. Charlie and I, as we worked together over the last however many years, we both went into business also at the same time together. Charlie has grown into a bigger practice with more associates. I've grown into a bigger lab with more employees. So, I think that that's another reason our left side kind of built out of necessity. That was a survival thing. Like, ‘Sink or swim. If I don't think like this, I will probably go out of business.’” (17:12—18:18) -Joshua“I think I'm more creative because I enjoy creativity. I don't enjoy analytical stuff. I don't enjoy Newton Centimeters. I know it all, but it doesn’t get my juices flowing, whereas creativity still gets me excited. Not just in the dental world, but I love art. I love creativity. I love seeing things differently. So, I think I'm more creative. However, I think I used to be way more creative. I think that the adult may have entered the room with me and kind of keeps me — there's a dialogue, and I think there's an adult that now keeps me on a leash, where he knows I used to be free. I know now that people depend on me. I have a team. I have a lot of people that look at me. They look — not up to me, but I mentor people. I have to take it more seriously. So, although I enjoy being more creative and saying what I want, doing what I want, and acting like I want, I think the left brain kicks in and tells me like, ‘Calm it down a little bit.’” (18:34—19:46) -Joshua“It's interesting why we would become more technical. I think as I'm hearing Josh say that, I'm sure I became more technical the longer I owned my business and the more I wanted that to grow and be successful. I think that from a chairside dentist's perspective, I wanted to be better. I think I realized two things. I wasn't going to do the things to the level that I wanted to do them unless I became more systematic — that I would have the most control if I could be more systematic. That also allowed me to be able to teach it to other people because I can then conceptualize what I was doing.” (19:49—20:46) -Dr. Ward“It's not just a creative and a technical. There's also, I think, a very big emotional component to this on how to actually have this inner dialogue and then extrapolate that to the public that's your patient, that's your team member.” (22:23—22:40) -Joshua“One of the reasons why we became so technical out of necessity is we are not artists by nature. It's what we want to be when we make teeth or when we’re a dentist. But by definition of our job, we are problem solvers. People only come to us with problems. Making teeth is a problem. That patient went to Charlie because it's a problem. And we have to solve these problems. So, when these problems arise, I feel like our right and left have this crazy fight inside, and it's like a nanosecond. But then, our emotional intelligence kicks in on how to explain this to somebody to — not only get what we want, because that sounds very manipulative, but we can explain it in a way to guide it towards what our decision was. Where I think if you're . . . an emotional person, you just yell something out, it might be what is reality, but now we're not on a path to solving the problem because now you scared the patient. Or you yelled at the technician, and now . . . So, you have to have an emotional component that I think is the glue between the right and the left to be able to move with the world in order to solve the problems that you're tasked with every day.” (23:03—24:15) -Joshua“Most of us in dentistry are very technical people. But that emotional component — that you have to work with people — is part of that. The fact that you're dealing with such an emotional part of the body, not just what it shows when you smile, but also that people are very vulnerable, and they have to allow us to work on them. So, if we're not using that right side of our brain that is creative and emotional and we're only using the left side of our brain, at some point, we're going to have issues that are difficult for us to deal with. So, we've got to tap into both.” (28:15—28:57) -Dr. Ward“Look inside of yourself. Everyone has their strengths and weaknesses. I would say look to other people to help define what your strengths and weaknesses are, which is pretty hard because you have to be vulnerable and take some criticism. But you don't really see yourself. Like we were talking about our wives earlier, my wife has definitely pointed out things to me that I can work on. I think that once you hear them, you have to...
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Mar 28, 2025 • 35min

867: From Artist to Technician: Unlocking the Power of Whole-Brain Dentistry – Dr. Charlie Ward & Joshua Polansky

Are you a dentist who is an artist, scientist, or maybe even a therapist? In this episode of Clinical Edge Fridays, Kirk Behrendt brings back Dr. Charlie Ward, visiting faculty member from The Pankey Institute, and Joshua Polansky, owner of Niche Dental Studio, to share how success in dentistry requires both hemispheres of your brain. Dentistry isn't just fixing teeth! To learn why both sides matter and how to develop the different skill sets you need, listen to Episode 867 of The Best Practices Show!Learn More About Dr. Ward & Joshua:Send Dr. Ward an email: charlie@bmoredentalarts.com Follow Dr. Ward on Instagram: https://www.instagram.com/drcwardddsLearn more about Dr. Ward’s practice: https://www.baltimoredentalarts.comWatch Dr. Ward’s webinars: https://restorativenation.comFollow Joshua on Instagram: https://www.instagram.com/nichedentalstudioLearn more about Joshua’s dental lab: https://nichedentalstudio.comRegister for Dr. Mazzola & Dr. Ward’s Mastering Treatment Planning course (October 2-4, 2025): https://pankey.org/registration/?courseId=17004&tuition=0&lodging=trueRegister for Dr. Ward’s Mastering Aesthetic Restorative Dentistry course (June 17-20, 2026): https://pankey.org/course-category/mardRegister for Dr. Mazzola & Dr. Ward’s Mastering Dental Photography course (July 30, 2026 to August 1, 2026): https://pankey.org/registration/?courseId=17781&tuition=0&lodging=trueLearn More About ACT Dental:ACT’s webinars: https://www.actdental.com/135ACT’s website: https://www.actdental.comACT’s Instagram: https://www.instagram.com/actdentalACT’s YouTube: https://www.youtube.com/actdentalACT’s Facebook: https://www.facebook.com/actdentalACT’s LinkedIn: https://www.linkedin.com/company/3137520/admin/feed/posts/ACT’s Twitter: https://twitter.com/actdentalMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Main Takeaways:Don't just tap into the analytical and technical side of your brain.Dentistry also requires a high level of artistry and creativity.Develop the emotional maturity to not strive for perfection.In working with patients, you need emotional intelligence.Look within to identify your strengths and weaknesses.Quotes:“My buddy Mike, years ago, told me — let's call it a midlife crisis that I was having at 39, or whatever it was. I was telling him, ‘I really want to do more aesthetic dentistry. This is where I enjoy my work the most.’ He was like, ‘Yeah, that makes sense. You're an artist and a teacher.’ I was like, ‘That doesn't sound like me. What?’ Then, I thought about it. I was like, ‘I do the aesthetic things so that I can photograph them so I can show other people how to do it. It's exactly what I am.’ I didn't realize that until then. So, am I more of one than the other? I think I was artistic before I was systematic.” (6:18—7:02) -Dr. Ward“I also used to strive for perfection. The only thing that it did for me was lead me to burnout, smoking, and drinking. Perfection is deadly. I would actually say striving for perfection is dangerous.” (13:11—13:31) -Joshua“I'm a very open-minded person. When I see good work, I don't shit on it. I say, ‘Oh my God, that's amazing.’ So, I keep taking in what I think is perfect, and then I keep trying to make subtle changes to try to make it better. But I'm not striving for what I used to deem as perfection because, in all honesty — this isn't like a cliché thing — it does not exist. It does not exist. It just doesn't exist, and you have to be mature enough to understand that it doesn't exist.” (13:50—14:23) -Joshua“I don't want to say this, but for a doctor, I think striving for perfection is a little easier because their prep gets covered by [the dental tech’s] work. Our work is out there for the world. Like, when we look at our work, it's hard. You're naked to the world. If you see something is off, it's off. That's why I see what Charlie sees in this case. I do. But I think it looks good. I just think it looks good. And I think once you start sacrificing “excellent” for “perfection”, that's when you make mistakes. He'll go to [“fix”] it. He'll make it worse. The patient will say, ‘Oh, I used to like how it was.’ Now, you go down a rabbit hole of you have to remake them. Now, I get angry. So, it gets crazy. I think we have to be mature and know where to draw the line. The problem, I think, for young dentists is they haven't understood where that line is yet. That's where that chaos evolves. So, when I say that perfection is dangerous, I would follow that by saying you should probably go through a period of — not torture, but you should feel pain until you understand where your bar is. You should set a bar for yourself.” (14:25—15:41) -Joshua“I always saw Josh as an artist that became a technician through, I'll say necessity, exactly as he described it. I like the way he put it. Like, we see things a certain way. We see things through a certain lens or a certain perspective. So, when I'm taking a photo of something, I think Josh sees things similar to the way I see them. I think just as I became more technical to make my systems better, he had to become more technical to deal with the type of cases that he was doing. It wasn't all single centrals anymore, that he was hand-layering 15 single centrals to get the right one. He was trying to figure out how to deal with a hybrid that was fracturing. We need to know technical information about thicknesses of materials and torques and screw sizes. Like, all of these things are not artistic anymore.” (15:55—16:51) -Dr. Ward“I think that we both have to be technical because we both own businesses. I think that running a business from a creative side only could become very detrimental because our artistics have a lot of feelings. We always feel a certain way. In running a company, I think that that would be a problem. I know a lot of technicians who run their businesses off their feelings. Unfortunately, they don't really work out. So, at some point, the analytical side has to kick over and take over. Charlie and I, as we worked together over the last however many years, we both went into business also at the same time together. Charlie has grown into a bigger practice with more associates. I've grown into a bigger lab with more employees. So, I think that that's another reason our left side kind of built out of necessity. That was a survival thing. Like, ‘Sink or swim. If I don't think like this, I will probably go out of business.’” (17:12—18:18) -Joshua“I think I'm more creative because I enjoy creativity. I don't enjoy analytical stuff. I don't enjoy Newton Centimeters. I know it all, but it doesn’t get my juices flowing, whereas creativity still gets me excited. Not just in the dental world, but I love art. I love creativity. I love seeing things differently. So, I think I'm more creative. However, I think I used to be way more creative. I think that the adult may have entered the room with me and kind of keeps me — there's a dialogue, and I think there's an adult that now keeps me on a leash, where he knows I used to be free. I know now that people depend on me. I have a team. I have a lot of people that look at me. They look — not up to me, but I mentor people. I have to take it more seriously. So, although I enjoy being more creative and saying what I want, doing what I want, and acting like I want, I think the left brain kicks in and tells me like, ‘Calm it down a little bit.’” (18:34—19:46) -Joshua“It's interesting why we would become more technical. I think as I'm hearing Josh say that, I'm sure I became more technical the longer I owned my business and the more I wanted that to grow and be successful. I think that from a chairside dentist's perspective, I wanted to be better. I think I realized two things. I wasn't going to do the things to the level that I wanted to do them unless I became more systematic — that I would have the most control if I could be more systematic. That also allowed me to be able to teach it to other people because I can then conceptualize what I was doing.” (19:49—20:46) -Dr. Ward“It's not just a creative and a technical. There's also, I think, a very big emotional component to this on how to actually have this inner dialogue and then extrapolate that to the public that's your patient, that's your team member.” (22:23—22:40) -Joshua“One of the reasons why we became so technical out of necessity is we are not artists by nature. It's what we want to be when we make teeth or when we’re a dentist. But by definition of our job, we are problem solvers. People only come to us with problems. Making teeth is a problem. That patient went to Charlie because it's a problem. And we have to solve these problems. So, when these problems arise, I feel like our right and left have this crazy fight inside, and it's like a nanosecond. But then, our emotional intelligence kicks in on how to explain this to somebody to — not only get what we want, because that sounds very manipulative, but we can explain it in a way to guide it towards what our decision was. Where I think if you're . . . an emotional person, you just yell something out, it might be what is reality, but now we're not on a path to solving the problem because now you scared the patient. Or you yelled at the technician, and now . . . So, you have to have an emotional component that I think is the glue between the right and the left to be able to move with the world in order to solve the problems that you're tasked with every day.” (23:03—24:15) -Joshua“Most of us in dentistry are very technical people. But that emotional component — that you have to work with people — is part of that. The fact that you're dealing with such an emotional part of the body, not just what it shows when you smile, but also that people are very vulnerable, and they have to allow us to work on them. So, if we're not using that right side of our brain that is creative and emotional and we're only using the left side of our brain, at some point, we're going to have issues that are difficult for us to deal with. So, we've got to tap into both.” (28:15—28:57) -Dr. Ward“Look inside of yourself. Everyone has their strengths and weaknesses. I would say look to other people to help define what your strengths and weaknesses are, which is pretty hard because you have to be vulnerable and take some criticism. But you don't really see yourself. Like we were talking about our wives earlier, my wife has definitely pointed out things to me that I can work on. I think that once you hear them, you have to look and say, ‘Okay, creativity is my strength, so I don't need to work on that. But I do have issues with frustrations when it comes to solving problems. So, look into working on that.’ That's how I think I changed, was recognizing where my weaknesses were and being open enough to work on my weaknesses.” (29:09—29:55) -JoshuaSnippets:0:00 Introduction.0:49 Are you a right or left-brained dentist?5:53 Being a technician versus being an artist: Dr. Ward.10:03 Why perfection is dangerous.15:46 Being a technician versus being an artist: Joshua.21:57 Incorporating the emotional component.25:59 Final thoughts.31:06 More about Joshua and Dr. Ward and how to get in touch.Dr. Charlie Ward Bio:After graduating from the University of Maryland with a Bachelor of Science degree in 2004, he went straight into the University of Maryland School of Dentistry. He earned his DDS degree in 2008, and since then he has completed the Essentials courses and many others at the esteemed Pankey Institute, where he now serves as visiting faculty. He is currently a member of the Maryland State Dental Association and the Academy of General Dentistry.Joshua Polansky Bio:Joshua Polansky earned his Bachelor of Arts degree, Summa Cum Laude, from Rutgers University in 2004. While working part-time at a dental laboratory, he took advantage of an opportunity to apprentice with distinguished master technician, Olivier Tric, of Oral Design Chicago. His eyes were opened to a whole new world of possibilities, and he made the decision to become a master dental technician following the path that Tric had forged.Joshua continued to acquire technical skills by studying in Europe with other mentors and experts in the field, such as Klaus Mutertheis. He earned his master’s degree in dental ceramics at the UCLA Center for Esthetic Dentistry under Dr. Edward Mclaren, and continued his training under Jungo Endo and Hiroaki Okabe at UCLA’s Advanced Prosthodontics and Maxillofacial Program working on faculty and residents cases.Joshua currently resides in Cherry Hill, New Jersey, where he is the owner and operator of Niche Dental Studio.
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Mar 26, 2025 • 53min

866: Hourly vs. Salary: The Legal Do’s and Don’ts Every Dentist Must Know – Alan Twigg

Should you pay your team hourly or salary? Before you decide, there are some important things to know and consider! In this episode of Practical Solutions Day, Kirk Behrendt brings in Alan Twigg, co-owner of Bent Ericksen & Associates, to demystify the key differences and explain the most surprising misconceptions of paying a salary. To find out which one is right for your practice, listen to Episode 866 of The Best Practices Show!Learn More About Alan:Give Alan a call: (800) 679-2760Send Alan an email: alan@bentericksen.com Join Bent Ericksen on Facebook: https://www.facebook.com/BentEricksenAssociatesLearn more about Bent Ericksen: https://bentericksen.comMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 866: https://www.youtube.com/@actdental/videosStudy the Department of Labor’s exemption categories: https://www.dol.gov/agencies/whd/fact-sheets/17a-overtimeMain Takeaways:Think about your intention with salary. Who will benefit?Don't assume that paying a salary will make your life easier.Paying a salary does not mean you can do whatever you want.Understand common salary misconceptions to stay out of trouble.Be aware of the administrative burdens that come with going salary.Know the difference between exempt and non-exempt classifications.Laws and requirements differ by state. Know which ones apply to you.Snippets:0:00 Introduction.2:29 Alan’s background.3:40 The biggest misconceptions about salary.13:20 Do you pay extra for CE, team meetings, and other special events?15:03 Time off with pay, explained.19:23 Does your team have to take vacations when you do?23:22 Utilize a vacation request form.25:43 Daily salary, explained.28:03 Trends and best practices for new associates.30:42 Working interviews, explained.33:58 Skills assessments, explained.37:03 Should everyone be hourly or salary?40:07 Misconceptions about breaks, lunches, huddles, and staying over.45:59 Final thoughts.47:39 About Bent Ericksen and how to get in touch.Alan Twigg Bio:Alan Twigg is the co-owner of Bent Ericksen & Associates. For over 10 years, he has guided thousands of clients and consultants through the ever-changing world of HR and employment compliance. He is a speaker, consultant, and author who is passionate about bringing education and peace of mind to such a confusing topic.As a strong proponent of symbiotic employer-employee relations, Alan is passionate about teamwork and positive work cultures, with an emphasis on long-term personnel retention and employment compliance, where his solutions-oriented outlook excels.
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Mar 24, 2025 • 16min

865: Metric Mondays: How Many Days Do You Work for Free? – Dr. Barrett Straub

How many days do you work for free? You're probably thinking, “I don't!” But you may be shocked after doing the math. In this episode of Metric Mondays, Kirk Behrendt brings back Dr. Barrett Straub, ACT’s CEO, to break down a new important KPI: days worked for free. They explain why it happens, how to calculate this number, and what you can do after knowing the data. Stop working too many days for too little money! To learn how, listen to Episode 865 of The Best Practices Show!Learn More About Dr. Straub:Send Dr. Straub an email: barrett@actdental.com Join Dr. Straub on Facebook: https://www.facebook.com/barrett.d.straubSend Gina an email: gina@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 865: https://www.youtube.com/@actdental/videosRegister for ACT’s To The Top Study Club (April 11, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-april-11-2025-ttt-study-club-tickets-1012966789937Register for ACT’s To The Top Study Club (July 25, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-july-25-2025-ttt-study-club-tickets-1205497959849Main Takeaways:Time is the new rich. Control over time is more valuable than money.To start collecting revenue, you need to work fewer days for free.Learn how to calculate the number of days you worked for free.Figure out how many days you are willing to work for free.Work requires energy and effort. Don't do it for no pay!Snippets:0:00 Introduction.1:59 How many days are you working for free?2:45 Days worked for free, explained.3:54 The simple math.9:01 Last thoughts.12:33 Why you need to join the BPA.Dr. Barrett Straub Bio:Dr. Barrett Straub practices general and sedation dentistry in Port Washington, Wisconsin. He has worked hard to develop his practice into a top-performing, fee-for-service practice that focuses on improving the lives of patients through dentistry.A graduate of Marquette Dental School, Dr. Straub’s advanced training and CE includes work at the Spear Institute, LVI, DOCS, and as a member of the Milwaukee Study Club. He is a past member of the Wisconsin Dental Association Board of Trustees and was awarded the Marquette Dental School 2017 Young Alumnus of the Year. As a former ACT coaching client that experienced first-hand the transformation that coaching can provide, he is passionate about helping other dentists create the practice they’ve always wanted.Dr. Straub loves to hunt, golf, and spend winter on the ice, curling. He is married to Katie, with two daughters, Abby and Elizabeth.
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Mar 21, 2025 • 37min

864: Why Your Patients Are in Perio Purgatory – Rachel Wall

Your patients aren't truly healthy, but they're also not losing teeth. This “gray area” is keeping them in perio purgatory! In this episode of Clinical Edge Fridays, Kirk Behrendt brings back Rachel Wall, CEO and founder of Inspired Hygiene, to explain what perio purgatory is, why it’s dangerous, and how to pull patients out of it to improve their health. To learn how to put an end to your perio blindness, listen to Episode 864 of The Best Practices Show!Learn More About Rachel:Follow Rachel on Instagram: https://www.instagram.com/inspiredhygieneJoin Rachel on Facebook: https://www.facebook.com/InspiredHygieneBook your discovery meeting with Inspired Hygiene: https://www.inspiredhygiene.comMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 864: https://www.youtube.com/@actdental/videosRead Beat the Heart Attack Gene by Dr. Bradley Bale and Dr. Amy Doneen: https://baledoneen.com/bdm-booksRead Healthy Heart, Healthy Brain by Dr. Bradley Bale and Dr. Amy Doneen: https://baledoneen.com/bdm-booksWatch Dr. Amy Doneen’s Women’s Heart Health Webinar: https://www.youtube.com/watch?v=iKo-4sSo7wMGet Inspired Hygiene’s Standard of Care Worksheet: https://inspiredhygiene.com/standard-of-care-worksheetMain Takeaways:There is a connection between periodontal disease and other fatal health conditions.Recognize the red flags for diseases such as heart attack, stroke, type 2 diabetes.Collaborate with your team to develop a very clearly written standard of care.Your patients trust you. Always tell them if they have periodontal disease.Find ways to overcome the lack of capacity for your hygiene patients.Chronic inflammation is not healthy! Don't develop perio blindness.Practice your verbal skills and make perio matter to your patients.Snippets:0:00 Introduction.0:44 Rachel’s background.2:56 Why this is an important topic.6:14 The link between periodontal disease and fatal diseases.9:06 Why patients fall into perio purgatory.11:12 Migraines can be red flags.14:23 Overcome lack of capacity in your hygiene schedule.16:55 Get off the prophy hamster wheel.19:20 Use a collaborative approach to diagnosis.20:30 The importance of verbal skills.24:21 Bleeding blindness, explained.26:32 Everything revolves around your standard of care.30:10 Final thoughts.33:22 More about Inspired Hygiene.Rachel Wall, RDH, Bio: Rachel Wall, RDH, BS, coaches dental teams to build highly productive hygiene departments by implementing systems for high-quality periodontal care, enrolling restorative care through hygiene and letting go of negative mindsets and old beliefs while managing the logistics of a high-performance hygiene department.Drawing from her 20-plus years of experience as a hygienist and practice administrator, Rachel delivers to-the-point clinical speaking presentations around the country. Her interactive teaching style coupled with a workshop environment creates a learning space where dentists and team members are compelled to get to the heart of what’s held them back, and inspire them to reach for more for themselves and their practices. 
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Mar 19, 2025 • 49min

863: Want to Drop a Few PPOs? Here is What You Should Consider – Sandi Hudson

Are you overwhelmed trying to navigate PPOs? Then keep listening! In this episode of Practical Solutions Day, Kirk Behrendt brings back Sandi Hudson, founder of Unlock the PPO, to decode some of the biggest challenges when dropping PPOs. You didn't go to dental school to deal with insurance. Let the experts do it for you! To learn more about Sandi’s company and the key things to consider before dropping PPOs, listen to Episode 863 of The Best Practices Show!Learn More About Sandi:Join Sandi on Facebook: https://www.facebook.com/UnlockThePPOFollow Sandi on Instagram: https://www.instagram.com/unlocktheppoLearn more about Unlock the PPO: https://unlocktheppo.comLearn More About ACT Dental:ACT’s webinars: https://www.actdental.com/135ACT’s website: https://www.actdental.comACT’s Instagram: https://www.instagram.com/actdentalACT’s YouTube: https://www.youtube.com/actdentalACT’s Facebook: https://www.facebook.com/actdentalACT’s LinkedIn: https://www.linkedin.com/company/3137520/admin/feed/posts/ACT’s Twitter: https://twitter.com/actdentalMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Main Takeaways:Fee-for-service dentistry is more alive than ever.Understand how shared network agreements work.It’s not just you — this topic is overwhelming for all practices.Think about the direction of your practice before dropping PPOs.Don't be passive when signing contracts. Know what you're agreeing to.Audit your EOBs at least once a month and know what should be coming in.Be patient when trying to negotiate with reps. It may take months for a response.Pay attention to letters from insurance, even when they don't seem relevant to you.Quotes:“Delta is the only major company left where it's a standalone contract. But pretty much everybody else has multiple shared network agreements with other companies. So, it's no longer just who do you sign a contract with, or who do you want to be in-network with? It's understanding for whatever I signed, what else comes along with that? What else am I agreeing to? And the way this all should be said is, there should have to be permission given for a dentist to be opted into these shared network agreements. Unfortunately, it's the reverse. You're automatically opted in, and the burden is on you to opt out. So, you can't really be passive about it and assume that, ‘Well, I didn't know about that. I never signed anything, so it must not affect me.’ It's the opposite. Nobody is asking your permission anymore. It's, here's this new agreement. You can probably opt out of it if you want to, but you're going to have to be the one that takes the initiative to opt out if it's not the right fit for your office.” (6:36—7:39) -Sandi“I say to a lot of offices it's kind of like Jenga. You're plugging in this game of, what does this all mean? What things affect me in a good way versus a bad way? How do I agree to the things that might actually be beneficial for me, and how do I get myself out of the things that are not? That part has all changed. Five years ago, we still saw a lot of shared network agreement changes coming. But ten years ago was completely different than what we're looking at now. So, for offices who are actually trying to see patients, they didn't go to dental school to deal with all of these intricacies of contracting. So, to have the time to map this all out where you're trying to take care of patients and actually deliver dentistry, this has become its own subset to such a degree that it's very difficult to manage alongside of patient care. It's a lot.” (7:41—8:41) -Sandi“The reality is it's overwhelming for everybody, these shared network agreements. Not just the dentist’s side, but the reps on the other side who work for the insurance companies are dealing with it all on their end of things. And honestly, we've had great relationships with a lot of insurance company reps for a long time. There really are some great people on the other side of the table. But one of the things that I think has come along with some of these changes is the individual reps who used to have a lot of discretion in their market no longer have that discretion the same way. So, they're having to go up the ladder. An extra one or two percent is going to require somebody else to approve it. It's going to have to go to management. There are more layers as opposed to just being able to go directly to a person and have some resolution in a couple of weeks. We've got multiple companies right now where it's three or four months that it's taking us to get negotiations wrapped up. So, this is not a thing where you call, and if they don't call you back, you throw up your hands. You've got to be persistent and know it's going to take a few months to even get a response sometimes, to get somebody who can do the negotiation piece. It really is an ongoing project now. So, there is some agreeableness out there. It's just staying at it and being very persistent until you hear back.” (10:03—11:29) -Sandi“A lot of it will depend on your market. Sometimes, I know it's frustrating. Somebody will say, ‘Hey, I know this company is non-negotiable, but I got a great deal,’ which is awesome, and we love to hear that. The reality is that — and I speak for us on this too — it's not necessarily that we're all amazing negotiators in that. Of course, we know what we're going after. We know the market and we know what the top codes are. We're going after very targeted negotiations. But the reality is also, how much do they need you in your market? If it happens to be a time where maybe a new employer group has jumped on board and they don't have enough providers in your area, that might open up some opportunity. So, there is a piece of it that really is specific to the demographic that you're in, and do they need you more than you need them, kind of a situation. But we are seeing it loosen a bit in some markets.” (11:31—12:25) -Sandi“What's the direction of your practice? There are a lot of ways to do dentistry successfully in terms of business models. So, there's not a one-size-fits-all approach by any means. But I do think it's important for each dentist to think about things like — some dentists don't like marketing at all. They don't want to market. They don't want to think about marketing. So, PPOs may fill a little bit more of a gap for those practices where they're thinking, ‘I'd rather have a flow of patients coming in continually, even if I'm taking a little bit less for it. It takes the burden off of me for marketing externally more.’ Other practices, dentists really like that, and they are going after a different business model. We're seeing more where not everything is hygiene driven — dentists who are marketing more to say, ‘I'm not going to rely on the new patient flow coming through hygiene to feed my schedule. I'm going to go after more specialty procedures as the end result.’ So, hygiene is maybe not quite the same piece of the practice the way it has been in a more traditional business model.” (12:54—14:02) -Sandi“You spend so many years trying to build a practice, do everything right, treat people great, give good customer service, hire great staff, all those things. And then, you get to a point where you might actually need to be thinking, ‘Maybe I need to shrink the practice a little bit. If I lose a few patients, but for the 90% who stay I collect X dollars more, does that really check the boxes of what I want to be doing right now anyway, with quality-of-life kind of stuff?’ But it's hard. It's hard to think about shrinking a little bit when your whole business model has been making everybody happy and growing for so many years. So, I think just learning, when is it time to look at the business model a little bit differently, and being okay with that, and making sure your staff is trained and on board with changes that you want to make. Nobody wants to be blindsided by, all of a sudden, we're making changes and they don't know what that entails. So, I think real good communication with staff is a big piece.” (14:56—16:03) -Sandi“I'm sure you've heard many offices saying, ‘I burned through two or three front office people for a few years while things were resettling after COVID-19.’ A lot of times, that means they've all lost track of, ‘I don't even know who signed what for insurance contracts. We don't even know who we're in-network with and who's paying on what.’ We get offices all the time who are, I think, kind of embarrassed because they feel like we've never heard that before. We'll ask for a list of, ‘Who do you have contracts with, and how are you participating?’ And they're like, ‘We have no idea. We know we're in-network, but we just don't know.’ So, regrouping on that really has to be first, because you can't strategically eliminate things in a good way if you don't even know what you're starting with. So, you really do have to get a good baseline.” (16:04—16:52) -Sandi“In terms of the dropping piece, there are some good initial things to do as far as getting a handle on what you've got now, and then really deciding when is it time to make some hard changes and go with a small company where you're not at risk. If you've got a company that you're doing $30,000 of production with a year, and you drop it, and it doesn't go as well as you intended, this is not a make-it-or-break-it kind of thing. So, stepping into that on a small scale and then working your way up, I think, is a great way to approach it for most offices.” (16:56—17:35) -Sandi“I will, a lot of times, ask, ‘How far are you booking out on the hygiene side and the operative side?’ So, let's say a dentist says, ‘I'm booking out four to six weeks on operative. We're super busy.’ Well, that does you no good. All you're doing is taking an entire four to six weeks of production — you can only see the eight hours a day that's on your calendar. So, continuing to book out further and further, it might mentally give you some assurances that we're always going to be busy. But busy, and now you're booking out seven weeks. Now, you're booking out eight weeks. That doesn't do you any good. All that means is that you could have gotten a higher paying patient in the chair, but you don't have room for them because you're accommodating all of the lower paying PPO patients.” (19:12—20:00) -Sandi“You said about the ops, the thought of, ‘Do I build more ops?’ Because once they're in place, then I have to feed that. Another similar thing in that same line is dentists who are thinking about adding an associate. They're too busy, and they're thinking about adding an associate. One of the things I always recommend is, if you are with PPOs now, before you add the associate, get your PPO house in order. Otherwise, if you have overflow that could feed an associate right now, but let's say if that overflow is coming because you're taking a whole bunch of PPOs and you're writing off half of your fee, as soon as you hire an associate dentist to see that overflow, you're still only getting 50% of your full fee, but now you're paying somebody else on top of it to see that pool of patients. So, another good thought with that is, if you are too busy and you take PPOs, go through and get the whole analysis side of your PPOs figured out first, and then get those reimbursement rates to where they're healthy. That way, if it means dropping a couple, you're doing that while you're still going solo. Then, you get that all in order, and if you're still too busy, then it makes sense to add an associate because the PPO fees then will support you being able to pay somebody to see those patients.” (21:12—22:32) -Sandi“For an office, even if they're just saying, ‘Hey, I'm going to try to tackle this on my own,’ I would definitely say look at the top 30 codes. Based on that, and also your volume, how much volume are you doing with each contract? This is actually where it gets harder for a lot of offices because one side of it is just numbers, what your cash fees are and all that. You can dig that up with your reports. But the amount of production you have tied to each fee schedule, that's where offices, a lot of times, are really like, ‘We've lost track,’ because a company like — pick any insurance company — probably have five or six shared network agreements with other companies. So, they know they're in-network, but they don't even know where to assign that production to. So, you don't know the impact of — you might have a low paying fee schedule, but you've only got $5,000 of production with them. So, it's like, ‘Eh, it's a low fee schedule. It's not really hurting us.’ But it turns out that low fee schedule has ten other companies that can attach to their fee schedule, and your impact is really $200,000 a year, not $5,000 a year. So, you really have to understand what insurance company is attaching to somebody else's fee schedule so that you really know the impact.” (27:33—28:52) -Sandi“[A shared network agreement is] when one insurance company has an agreement with another insurance company. There are lots and lots of those out there now. So, what you have to be aware of is, let's say that you're a completely fee-for-service office, you have no PPO contracts, and you get an offer from — I'm just pulling names out of a hat. They're all very similar. There's not necessarily bad guys, good guys in all of this. It's just, be aware. I'm not picking on anybody, just grabbing a name. But let's say you have an agreement that you decide to sign with Guardian. So, if you have a contract with Guardian and you don't have anybody else's contract, there are a lot of other companies that can be in-network through Guardian: Aetna, UnitedHealthcare, Emeritus — lots of other companies. So, if you decide to sign up with Guardian, you need to be thinking, ‘Do I just want this contract to apply to Guardian itself?’ because that's who you're signing up with. So, your first thought is going to be, ‘Well, I'm just signing with Guardian,’ without necessarily being aware or understanding that a lot of other insurance companies can come along with that. Now, you can opt out of those other agreements, and you can say, ‘I just want this contract to apply only to Guardian.’ But again, the burden is on you. You have to say, ‘I only want this to apply to Guardian.’” (34:37—35:54) -Sandi“What we find, as you add more and more contracts, is that pretty much all of the insurance companies have agreements with other companies. So, the thought process has to be, what's best for you? Well, it's best for you if you take some high-end companies or contracts, and if a few other companies tack onto those, you might not mind that because if it's a fee schedule you're happy with, you might think, ‘Well, if we get a few more patients and it's a great fee schedule, I don't mind if more people jump on board.’ But where the insurance companies have not added these agreements to find ways to pay you more, what they have done with these is use them to network more dentists through these agreements. But then you also have to remember, if there are multiple agreements, most likely, we're going to assume they're going to choose the lower paying path to pay on. So, you want to be careful.” (35:55—36:48) -Sandi“You have to be really careful about how these shared network agreements impact you. It's not to say that they're always bad — it's just to say that they work both directions. So, you want to be really careful about allowing them in your practice if it works to your benefit. But if they don't, you need to understand how to wall those off. That's what we mean by an opt-out. An opt-out is not the same as a termination. A termination would be eliminating an entire contract. An opt-out is really telling one insurance company you don't want to participate with their agreement with another company. So, again, most of those are optional, and you can just do a letter or form. There's various paperwork to get yourself out of those. But you can't get yourself out of something that you're not even aware of. That's the biggest thing, is that there is no grid out there that you can just look at and say, ‘Okay, how does this all apply to my area?’ Because of all the shared network agreements, it's very messy. It's not clear. It's not a transparent system at all. So, you really do have to do some research.” (36:57—38:10) -Sandi“Once a month, grab a stack of EOBs and look to see, ‘Okay, if I thought that Guardian was paying on the Aetna fee schedule, is it paying on the Aetna fee schedule?’ I'm sure a lot of your listeners will remember, there was a letter that went out last summer that MetLife entered a couple of new shared network agreements. That was a big one because MetLife really had not allowed other insurance companies to use their fees in the past. So, that was a pretty big one. And unfortunately, sometimes there's this letter that goes out but either somebody doesn't...
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Mar 17, 2025 • 17min

862: Metric Mondays: What You Don't Know About Net Collections Percentage – Dr. Barrett Straub

Collecting 95% sounds great. But there's a big problem: you're leaving 5% on the table! In this episode of Metric Mondays, Kirk Behrendt brings back Dr. Barrett Straub, ACT’s CEO, to break down net collections percentage. You'll learn why 95% isn't as great as it sounds, how it’s killing your practice, and what you can do to raise this KPI. To learn what you need to know about net collections, listen to Episode 862 of The Best Practices Show!Learn More About Dr. Straub:Send Dr. Straub an email: barrett@actdental.com Join Dr. Straub on Facebook: https://www.facebook.com/barrett.d.straubSend Gina an email: gina@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 862: https://www.youtube.com/@actdental/videosRegister for ACT’s To The Top Study Club (April 11, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-april-11-2025-ttt-study-club-tickets-1012966789937Register for ACT’s To The Top Study Club (July 25, 2025): https://www.eventbrite.com/e/climb-with-us-register-for-july-25-2025-ttt-study-club-tickets-1205497959849Main Takeaways:Your goal is to collect 100% or more.If you're not collecting 100%, understand why.Make sure your team is aligned with your expectations.97% is great on a chemistry exam. It’s not great for net collections.Pre-collect from patients. When you owe dentistry, you have less stress.Whoever collects money needs to be confident in the value of your dentistry.Snippets:0:00 Introduction.0:38 Net collections, explained.2:07 Why net collections is so important.2:33 The problem with 95%.4:49 Pre-collect from patients.6:16 What it means when you’re collecting less than 100%.7:21 The mindset of the person collecting money.8:42 The importance of right person, right seat.10:45 Action items you can start today.12:59 Last thoughts.Dr. Barrett Straub Bio:Dr. Barrett Straub practices general and sedation dentistry in Port Washington, Wisconsin. He has worked hard to develop his practice into a top-performing, fee-for-service practice that focuses on improving the lives of patients through dentistry.A graduate of Marquette Dental School, Dr. Straub’s advanced training and CE includes work at the Spear Institute, LVI, DOCS, and as a member of the Milwaukee Study Club. He is a past member of the Wisconsin Dental Association Board of Trustees and was awarded the Marquette Dental School 2017 Young Alumnus of the Year. As a former ACT coaching client that experienced first-hand the transformation that coaching can provide, he is passionate about helping other dentists create the practice they’ve always wanted.Dr. Straub loves to hunt, golf, and spend winter on the ice, curling. He is married to Katie, with two daughters, Abby and Elizabeth.
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Mar 14, 2025 • 1h 14min

861: Dental Lab Secrets Exposed: What You Really Should Know About the Best Dentist & Lab Tech Relationships – Dr. Christopher Mazzola, Dr. Charlie Ward, & Joshua Polansky

Do you ever wonder what your dental techs really think about you? In this episode of Clinical Edge Fridays, Kirk Behrendt brings back Dr. Christopher Mazzola and Dr. Charlie Ward to pick the brain of Joshua Polansky, owner of Niche Dental Studio, to answer your burning questions and to reveal the secret to a great relationship and partnership with your dental techs. To hear one dental tech’s advice for becoming a better dentist, listen to Episode 861 of The Best Practices Show!Learn More About Dr. Mazzola, Dr. Ward, & Joshua:Join Dr. Mazzola on Facebook: https://www.facebook.com/christopher.d.mazzolaFollow Dr. Mazzola on Instagram: https://www.instagram.com/christopherdmazzoladdsSend Dr. Ward an email: charlie@bmoredentalarts.com Follow Dr. Ward on Instagram: https://www.instagram.com/drcwardddsFollow Joshua on Instagram: https://www.instagram.com/nichedentalstudioRegister for Dr. Mazzola & Dr. Ward’s Mastering Treatment Planning course (October 2-4, 2025): https://pankey.org/registration/?courseId=17004&tuition=0&lodging=trueRegister for Dr. Ward’s Mastering Aesthetic Restorative Dentistry course (June 17-20, 2026): https://pankey.org/course-category/mardRegister for Dr. Mazzola & Dr. Ward’s Mastering Dental Photography course (July 30, 2026 to August 1, 2026): https://pankey.org/registration/?courseId=17781&tuition=0&lodging=trueLearn More About ACT Dental:ACT’s webinars: https://www.actdental.com/134ACT’s website: https://www.actdental.comACT’s Instagram: https://www.instagram.com/actdentalACT’s YouTube: https://www.youtube.com/actdentalACT’s Facebook: https://www.facebook.com/actdentalACT’s LinkedIn: https://www.linkedin.com/company/3137520/admin/feed/posts/ACT’s Twitter: https://twitter.com/actdentalMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Main Takeaways:Don't be an asshole or an “ask hole”.Stop making the job harder for dental techs.Communication is key. Be open and receptive to feedback.Manage your expectations. A great lab doesn't mean perfection.Every dentist needs to go through the pain of developing their own style.Set realistic expectations for yourself, your dental techs, and your patients.For the best possible outcome, dentists and dental techs need to work together.Social media is a highlight reel. Don't compare yourself to something that isn't real.Quotes:“When we think about planning complex cases and interdisciplinary treatment planning, the ceramist gets left out of that. The technician gets left out of that. I don't do any complicated cases or treatment planning without talking to Josh. I have to know, in order to finalize the plan — we had this conversation yesterday. We had two conversations. We had the implant conversation on something, that the design was off, and then we had a conversation about a complex plan that I'm presenting on Monday that, ‘Hey, what's this going to look like? We have to open vertical. I need to do ortho. I need to do these things. What sequence would make sense for you guys to make sure I get the design back that I want to?’ So that, to me, is a piece that's missing. We teach it at Pankey in the aesthetics class, which Josh teaches with me, that you need to find a ceramist that can deliver the type of work that you want and that you can have a relationship with to have these conversations, because they're going to have to deliver that case at the end for you. So, just like you're going to talk to perio and you're going to talk to ortho in these complex cases, the ceramist is 100% a part of your specialty team.” (7:21—8:37) -Dr. Ward“People treatment plan in a silo. So, they're by themselves. One thing that we see quite a bit of is a lot of people have this knowledge. They can rattle off the facts to you. But when it comes to treatment planning and then setting up a plan and executing it, the confidence disappears. I think it's because, a lot of times, they don't know how good they are — and it's because they don't have working relationships with specialists like dental technicians. I know I've worked with Josh and I've spitballed some things. It's never like, ‘Hey, man. That's a terrible idea.’ It's like, ‘Okay, I see how that would work. I've also seen it fail this way, this way, and this way,’ because for every one case I do in my career, he's got 50 that have come across his desk — at the minimum. So, I think building that rapport with someone, whether it's another dentist, or your ceramist, or whomever, to be able to find that conversation is what's important. Josh knows we know what we're doing. But I know that he really appreciates it when we pick up the phone and he can put his input in to say like, ‘That's a great idea. But turn this way just a hair, and it's going to be so much smoother for me, you, and the patient.’” (8:53—10:22) -Dr. Mazzola“A dental technician wants nothing more than to have dentists that “know what they're doing”. But I think, as a technician, what I appreciate the most is that I know these guys know that I know what I'm talking about. Meaning, I think dental technicians have a really big fear to voice their opinion because, on the totem pole, we're down here. We're at the bottom. I've definitely, I guess through hard work, punched my way up to the top to get their respect. But once I've gotten here, I appreciate the fact that I have dentists — and man, if you had access to my email, you would really see, I don't want to say how insecure, but the questions I get are very basic. But at the same time, I think from a maturity standpoint, I can step back and look at them with no judgment, that maybe I am their only resource because they're embarrassed to ask their colleagues or they're embarrassed to ask specialists. So, you'd be surprised at what I'm asked on a daily basis from dentists. I don't judge them because, at the end, they should grow and evolve and get better. But I think that I've appreciated, as a technician, that I am reached out to a lot. Before, it used to be a lot of pride. Now, I think it's better for the patient and better for the outcome because, in the end, the treatment plans are usually a combination of something the doctor wanted to do and something I wanted to do kind of melded together.” (10:30—12:00) -Joshua“We work in an incredibly stressful environment. Technicians do behind the scenes, so you guys don't see our stress. So, you automatically think what we do is so easy — I just open a drawer, take teeth out, and close it. It's not that easy. But at the same time, I have to respect that you guys work in an incredibly intimate environment where it's very stressful. So, both of us have our own stresses. And I'm not going to work with somebody that — you know that whole thing of the abusive husband who comes home and kicks the dog? I'm not going to be the dog because I'm only here to help. If you make my job harder, you're an asshole, and I don't want to work with you. And here's the issue, and a whole other rant. That is the problem with dentistry, is because there are tons of labs that will work with the assholes, so they never change to become better, which in turn doesn't allow better dentistry to be done because that's just the way they do it.” (13:08—14:07) -Joshua“I can't work with people that really make our job harder because, at the end, it doesn't give a good result from us. When we pick up a case at the lab, we want to feel good. When I pick up a case for Chris or Charlie, I want me and my team — not to smile, because I don't want to get cliché. But I can tell you my team likes Charlie Ward. He comes to the lab, and he sends us cookies and stuff. They like him. Never going to name names on a podcast, but there is definitely a group that when they see their case pan on the bench for the day, they're like, ‘Pfft. I hate this guy.’ I think you don't want to be that. For the young dentist listening to this podcast, you don't want to be that to the laboratory that is, in turn, the person who wants to make you look good.” (14:07—15:00) -Joshua“My closing remarks on what an asshole is is that one of my old lab buddies owned a pretty successful lab in Georgia. Terry Fohey, he's a good guy. He's retired now, but I always went to him for business advice. He's from the South. He told me, ‘You want to work “foxhole dentistry”.’ He says when we're at war, and we're in the foxhole, and people are shooting at us, you want somebody that's going to look at you — and I don't want to say that, but there are situations in dentistry where the shit has hit the fan. You understand? Like, the hybrid cracked, and the patient is in the chair. It's not “war”. Let's not get crazy. But we're in the shit together. I need somebody that's going to look at me when the shit is going down and say, ‘Hey, man. Let's regroup. How do we get out of this?’ I don't need somebody yelling at me. Because if I was in the foxhole, and I was in that situation, and I had some guy yelling at me, I would take the gun, shoot him real quick, and then go back to war. That's hypothetically what I’d do with some of the doctors, is boom, boom, boom, and then we keep going.” (15:01—16:08) -Joshua“What Chris did, we take that for granted. It is very complex, what he just said, transferring all that data from Michigan to a bench in New Jersey, and then back, and have it all fit, and using digital. I'm amazed all this stuff even works, sometimes. It is extremely complex. So, when working in such a complex situation, we've got to be on the same team, to emphasize what I was just saying. We have to be friendly. We must, or else we're working against each other, not with each other.” (17:23—17:56) -Joshua“The expectation seems to be that if I work with a great lab, I'm going to get something back and never have to adjust it. It's impossible. It's a miracle any of this stuff fits to the degree that it fits. I don't even understand how it happens. But we get it back, and you can't take it from the digital world or the analog world on an articulator and then expect to put it in a mouth with soft tissue and muscle and bone and expect it to fit exactly how it did on the articulator or in the digital design. It's not going to happen. You have to do some work in the mouth.” . . . It's an unrealistic expectation that we have, as a profession, that things are going to come back, and they're going to drop into place.” (18:00—18:52) -Dr. Ward“What you guys do is extremely hard. Dentists have very high expectations. And again, that puts those expectations on us. But we have to really determine, what are realistic expectations? I think sometimes we forget that we're making human body parts that have to function. A lot of people refer to lab technicians and ceramists as artists. I am not an artist. What we do is very technical. There are real things involved. It has to work. Art has no rules. Like, this behind me is art. There are no rules to this. If you want to take a picture of a heavy metal guy with no shirt on — it's art. The teeth I make have to work. They must function. Especially working with the caliber of dentists, either Kois, Pankey, or Spear, these people are on a different caliber, and they're checking things a lot differently than like a Medicaid office. They're really checking our work, so it has to work.” (19:06—20:09) -Joshua“As an owner of a lab, I would say almost 100% of new clients, it's always the same. ‘I'm totally open. If you see anything wrong, call me. Please tell me if I could do anything better.’ It's always the same. I've become so numb to it because we do reach out, and a lot of them are saying, ‘No, it's fine. No, it's good.’ And you're going like, ‘What?’ So, that's not an asshole. That's what we would call an “ask hole”. They ask us questions. And then, when we answer them, they ignore everything. That's also difficult to work with.” (21:04—21:43) -Joshua“There's been a doctor that we work with, and we're doing a lot of single central matches. We explained, ‘This is how we can get you the best match. Please don't use the filters on your camera because the filters are more for like “after” glamorous pictures. It's not good for us to read color. And they say, ‘Everything is okay. No problem, no problem. Everything is all good.’ We get the central. What is the picture? It has the [filter]. That's where it gets a little frustrating because, long term, I don't see this working. We're not even giving you criticism. We're just giving you general like, ‘Hey, this is going to make it better.’ When that's ignored, that's no good. So, I think that a lot of clients say they're open. The advice I would give is, really be open. Just listen. And you have the right to disagree. That's fine. But you should be receptive to . . . Like, I'm not going to tell the tailor how to make my clothes. Could you imagine if when I was getting my car fixed, I was like, ‘I don't like those screws. You should use those screws.’” (21:44—22:48) -Joshua“Most lab owners have very thick skin because — I'm very fortunate. When we do a great job, they call me. When we do a poor job, they call me. They communicate all that. But I would say the majority of lab owners are only getting the problem calls. So, they develop thick skin over time. The issue is, it’s not that we don't care, but we hang up the phone and we move on to the next problem. But for you, as a dentist, that's still a problem. And you're beating yourself up. I see a lot of dentists wind up beating themselves up, and that's where the burnout comes from. That's where the depression comes from. It comes from them thinking it's their fault, they stink, they fail. And I think it's because they're not open. They're not receptive. That's my opinion. I don't know if I'm right or wrong, but that's what I see, from an outsider's perspective.” (24:36—25:21) -Joshua“There are expectations that we need to set with the patient, and there are expectations that we need to set with the lab. We were talking a little bit about shade matches and colors, especially for doing single anterior teeth. That's difficult. I mean, it's my job as a dentist to prepare the patient for the fact that, ‘Hey, we're going to try this in next time. There's no guarantee this is going in. This is one of the most difficult things that we do.’ So, if I don't do that properly and the patient is not prepared, then nobody is happy when we try it and have to send it back to the lab. Josh is expecting to get that back. It's so hard to do it on the first try that it's probably going to need to be adjusted if you want it to match the way that we're trying to do the dentistry. So, there's an expectation that he would set with me that, ‘Hey, we're going to try this in. We've done everything. You sent me everything that I need. I've set the patient up for that so that they know, ‘Hey, we're going to try this in. I want it to be as perfect as possible.’ So, there are expectations on both ends that need to be discussed and then followed through with. Then, afterwards, we figure out, ‘Hey, was there something different either one of us could have done to make this better?’ That's why Josh gets a call, whether it went great or whether it went poorly. ‘Hey, why did it go so great?’ Let's have that conversation.” (25:22—26:43) -Dr. Ward“[Social media] sets unreasonable expectations, in my opinion. They're unreasonable. And what I mean is this — I can tell you this firsthand. I work with a ton of dentists, and I work with very talented dentists who have young associates. Those young associates are in very good places. They can learn so much there. They get the right patients, fee-for-service, all that. Those guys and girls follow my Instagram and see the stuff we're doing because I'm pretty active being out there, lecturing and whatnot. And for some reason, I think it always comes to the grass is always greener, where they pull me aside and they're like, ‘Hey, man. We don't do that here. It kind of stinks here. What are you doing? Why are you doing that?’ And I just want to kind of [slap some sense into them]. Like, ‘You're doing that here. You just have to focus on here. You're looking outside too much. Everything I'm showing is what I do, actually, with your bosses. It's here. You're just not looking here.’ So, I think it affects...
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Mar 12, 2025 • 1h 8min

860: Proven Retention Strategies for Dental Teams – Miranda Beeson

You want great people in your practice. But it’s a challenge to find them, and an even bigger challenge to keep them! In this episode of Practical Solutions Day, Kirk Behrendt brings back Miranda Beeson, ACT’s director of education, to share their proven strategies to keep great team members engaged and wanting to stay. To learn how to build and retain a strong and dedicated team, listen to Episode 860 of The Best Practices Show!Learn More About Miranda:Send Miranda an email: miranda@actdental.com Follow Miranda on ACT’s Instagram: https://www.instagram.com/actdentalSend Gina an email for your Golden Ticket: gina@actdental.com More Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT’s BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT’s BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT’s To The Top Study Club: https://www.actdental.com/tttSee the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/eventGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 860: https://www.youtube.com/@actdental/videosRead The 5 Love Languages by Dr. Gary Chapman: https://5lovelanguages.com/store/the-5-love-languagesRead The 5 Languages of Appreciation in the Workplace by Dr. Gary Chapman: https://5lovelanguages.com/store/the-5-languages-of-appreciation-in-the-workplaceMain Takeaways:Engaged employees stay.Build your team around your core values.Establish a consistent rhythm of communication.Provide feedback consistently using the Right People Scorecard.Understand different appreciation styles and consistently demonstrate it.Empower and elevate your team by understanding what drives and excites them.Your small but consistent efforts is what will lead to big, lasting impact in your practice.Retention isn't about keeping people — it’s about knowing how to keep the right people.You don't need to implement all five retention strategies at once. Lean into one at a time.Snippets:0:00 Introduction.1:33 ACT’s TTT, BPA/BPA app, and Pro Coaching.6:25 Why this is an important topic.13:57 Strategy 1) Build a team around core values.19:57 Strategy 2) Establish a consistent rhythm of communication.27:48 Strategy 3) Provide feedback consistently.32:06 Hire people who GWC (Get it, Want it, and have the Capacity for it).41:46 Strategy 4) Demonstrate workplace appreciation.54:40 Strategy 5) Empower and elevate your team.1:00:31 Final takeaways.Miranda Beeson, MS, BSDH Bio:Miranda Beeson has over 25 years of clinical dental hygiene, front office, practice administration, and speaking experience. She is enthusiastic about communication and loves helping others find the power that words can bring to their patient interactions and practice dynamics. As a Lead Practice Coach, she is driven to create opportunities to find value in experiences and cultivate new approaches.Miranda graduated from Old Dominion University, and enjoys spending time with her husband, Chuck, and her children, Trent, Mallory, and Cassidy. Family time is the best time, and is often spent on a golf course, a volleyball court, or spending the day boating at the beach.

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