GDA Action December 2016

Page 1

December 2016

Journal of the Georgia Dental Association

It's Here!

... and it's time to save you some cash! Say "Hi" to GDA Plus+ Supplies!

Renew your GDA membership! See why it’s a great investment: Page 18


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GDACONTENTS

december 2016 • volume 35, no. 10

features 18 YEAR-END GDA REPORT

Executive Director Frank J. Capaldo on promises delivered to members.

22 GDA PLUS+ SUPPLIES

Details on the newest moneysaving GDA member benefit.

25 MOBILE DEVICE POLICIES

The risk management implications of personal devices in the practice.

27 BUILD PATIENT LOYALTY Resolve to build your patient base through loyalty in 2017.

28 REFLECTIONS FROM 2016

Members who made a difference talk about their year in dentistry.

departments 11 THE PRACTICE

Tools and tips to help you manage your business.

13 FINDING SUCCESS

Helping you achieve personal and professional growth.

14 SEEN & HEARD

Members making news and news for GDA members.

in every issue 4 5 5 7 9 37 42

Calendar of Events GDA Plus+ Savings Contact GDA Staff Editorial Guest Commentary Classifieds Member Profile

KEEPING OUR PROMISES TO OUR MEMBERS Your GDA committed to delivering more value for members in 2016, and that’s what we did! We pledged to launch a dental supply buying program, roll out a public relations program, and improve our health plan program and rates. The GDA delivered on all these promises and more. In addition, your government affairs team protected your patients and practices and helped reinstate the Rural Dental Student Loan Repayment Program. (See how some program participants are making a difference on page 28.) We have an exciting 2017 in store. Read more in the GDA yearend report on page 18. Don't miss out! Renew your membership at gadental.org/ renew. (Pictured: GDA government affairs consultant Mo Thrash, GDA Executive Director Frank J. Capaldo, consultant John Haliburton, and GDA Director of Government Affairs Scott Lofranco.)

Bonus content! Get your exclusive year-end tax planning checklist from GDA Plus+ partner Wile Consulting Group/UBS Financial Services, Inc., on page 6.

December 2016 • 3


GDA ACTION (ISSN 0273-5989; USPS PE-590290) The official Journal of the Georgia Dental Association is published 10 times per year. POSTMASTER: Send address changes to GDA Action, 7000 Peachtree Dunwoody Road N.E., Suite 200, Building 17, Atlanta, GA 30328.

GDAEVENTS 2016 Fri, Dec 16:

GDA Dental Buyers Group Open for Business!

Fri, Dec 23:

GDA Office Closed at Noon for Holiday.

Dr. Kumar Patel, GDA Editor 3417 Canton Road, Suite 401 Marietta, GA 30066 drkay71@gmail.com

Mon, Dec 26:

GDA Office Closed for Holiday.

Fri, Dec 30:

GDA Office Closed at Noon for Holiday.

Ms. Delaine Hall GDA Managing Editor 7000 Peachtree Dunwoody Rd NE Suite 200 Bldg 17, Atlanta, GA 30328 delaine@gadental.org

2017

Dr. Ben Jernigan, GDA President 315 West Ponce De Leon Avenue, Suite 340, Atlanta, GA 30030 president@gadental.org. Mr. Frank Capaldo, GDA Executive Director 7000 Peachtree Dunwoody Rd NE Suite 200 Bldg 17, Atlanta, GA 30328 frank@gadental.org ______________________________ GDA ACTION seeks to be an issuesdriven journal focusing on current matters affecting Georgia dentists and patients accomplished by disseminating information and providing a forum for commentary.

___________________________________________________________

Mon, Jan 2:

GDA Office Closed for Holiday.

Mon, Jan 9:

Opening Day of 2017 Georgia Legislative Session. GDA and Alliance Distribute Legislative Dental Kits.

Wed, Jan 18:

LAW Day: Northern, Eastern, GDA Alliance.

Fri, Jan 20:

Southwestern GDA Officer Visit & CE, Tifton.

Fri, Jan 20:

Northern District Diversity in Dentistry CE, Brio Atlanta.

___________________________________________________________ Wed, Feb 1:

LAW Day: Southwestern, Western, NDDS Hall Co. Branch.

Fri, Feb 3:

Give Kids A Smile Day, Statewide.

Wed, Feb 8:

LAW Day: Northwestern.

Wed, Feb 15:

GDA Presenting at ASDA Vendor Fair, Augusta.

Thur, Feb 23:

LAW Day: Southeastern, Georgia Dental Society.

___________________________________________________________ Fri, Mar 3:

GDA and Alliance Dental Spouse Social, Augusta.

Sat, Mar 4:

GDA Board of Trustees Meeting, DCG, Augusta.

Wed, Mar 8:

LAW Day: Central.

Closing date for all editorial and advertising materials: Six weeks prior to publication.

Wed, Mar 22:

LAW Day: Open to All Members.

Mar 23-25:

Hinman Dental Meeting, Atlanta.

Mar 27-29:

ADA Washington Leadership Conference, DC.

Subscriptions: $17 of GDA membership dues is for the journal; all others, $75 per year. Periodicals postage paid at Atlanta, GA.

___________________________________________________________

Š Copyright 2016 by the Georgia Dental Association. All rights reserved. No part of this publication may be reproduced without written permission. Publication of any article or advertisement should not be deemed an endorsement of the opinions expressed or products advertised. The GDA expressly reserves the right to refuse publication of any article, photograph, or advertisement, and illustrate, reduce, or revise any article submitted.

May 25-June 1:

4 • December 2016

Apr 20-21:

ADA Membership Conference, Chicago.

___________________________________________________________ GDA President's Trip to Greece and Amalfi Coast.

___________________________________________________________ June 1-4:

Hinman Dental Society Annual Meeting.

___________________________________________________________ Wed, July 19:

GDA Board of Trustees Meeting, Amelia Island, FL.

Thur, July 20:

GDA House of Delegates Meeting, Amelia Island, FL.

July 20-23:

GDA Convention & Expo, Amelia Island, FL.

Get more in 2017! Renew your GDA membership at gadental.org/renew


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GUARDIAN:

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THE HARTFORD:

Property and casualty.

THE HARTFORD:

Workers’ compensation.

FRANK CAPALDO, EXECUTIVE DIRECTOR > Amy Kuhn, Chief of Staff x-131 or amy@gadental.org > Patrice Williams, Administrative Assistant x-125 or patrice@gadental.org

JOHN HANCOCK:

Long term care.

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LANDS END OUTFITTERS:

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OFFICITE:

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SURE PAYROLL:

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TRANSWORLD SYSTEMS: Debt recovery services. UPS:

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PLUS+ PERSONAL SERVICES AHI TRAVEL:

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MERCEDES-BENZ:

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UBS:

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GDA Plus+ Supplies/IDBG? > Rogers Beasley, x-106 or rogers@gadental.org Plus+ Partners, Website, or Social Media? > Laura Kuechenmeister x-190 or laura@gadental.org GDA Plus+ Business Insurance? > Michele Amatulli, x-127 or michele@gadental.org GDA Plus+ Health Insurance? > Christy Biddy, x-113 or christy@gadental.org GDA Convention & Expo? > Amy Kuhn, x-131 or amy@gadental.org Exhibit Booths, Sponsorships, or Endorsed Products and Services? > Rogers Beasley, x-106 or rogers@gadental.org “Because I Saw My Dentist” or Media/PR? > Carol Galbreath, x-119 or carol@gadental.org Continuing Education or Leadership GDA? > Joanne Singletary x-128 or joanne@gadental.org Dues or Membership Status? > Katherine Torbush x-126 or katherine@gadental.org GDA Action? > Delaine Hall, x-104 or delaine@gadental.org Give Kids A Smile Day, Alliance, or NDDS? > Megan Capaldo, x-101 or megan@gadental.org Government affairs/LAW Day? > Scott Lofranco, x-103 or scott@gadental.org > Sheila Watson, x-189, sheila@gadental.org > Stephanie Lotti, x-108, stephanie@gadental.org Medicaid, PeachCare, or Third Party Issues? > Stephanie Lotti, x-108 or stephanie@gadental.org

December 2016 • 5


2016 Year-End Planning Checklist Wile Consulting Group UBS Financial Services, Inc.

The end of the year presents unique tax and estate planning opportunities that may be useful along the way toward your short and long-term financial goals. In today's world, pursuing your life's goals is being challenged in new ways- which makes now the perfect time to review your goals in terms of "advice, beyond investing". As we approach the end of 2016, it is a good time to take stock of the past year and plan for the future. On the one hand, the economy seems to be improving—the U.S. stock market is at or near an all-time high, wages are rising, unemployment is low, and consumers are spending money. On the other hand, we are in year seven of a sluggish economic recovery, and we are emerging from an election year that featured the two most controversial candidates in recent history. Investment in businesses is shrinking, worker productivity is down, and some Wall Street insiders believe that stocks and bonds are overvalued. In light of our country’s current state of affairs, it’s not surprising that some Americans feel unsure about the future. However, as Benjamin Franklin famously said that there are just two certainties in life—death and taxes. We are well-equipped to help you plan for the latter. Year-end tax planning includes a review of gains and losses and the active management of your portfolio to help minimize income tax consequences of this year’s market activity. It is also a good time to position your holdings for next year and, where appropriate, realize gains, harvest losses, and make family and philanthropic gifts. You may wish to consider transferring interests in family-owned businesses using valuation discounts, which may not be an option for long. Taking some of these steps now may help add value to your portfolio and increase your family’s wealth.

Business owners, employees and retirees High income earners Monitor AMT liability Review your deductions from a timing perspective Analyze mutual fund capital gain distribution estimates Assess a Roth IRA conversion Consider timing of charitable gifts, particularly if your income in 2016 and/or anticipated income in future years is (or will be) particularly high Review liquidity available for estimated tax payments, if required

Maximize contributions to retirement plans Withdraw RMDs Think about making gifts of interests in family entities in advance of finalization of proposed regulations

Wealth transferors Consider using the $5.45 million gift tax exemption Make annual exclusion ($14,000) gifts, and consider various gifting vehicles (e.g., 529 plan account, IRAs or Roth IRAs for children and grandchildren) Consider funding IRAs for family members

Investors Net short- and long-term gains and losses Time loss recognition, remaining aware of the wash-sale rule Analyze concentrated stock positions to determine if diversification of hedging is desired If you plan to make charitable gifts, consider contributing highly-appreciated securities instead of cash Review portfolio for current risk level and circumstances

Philanthropists Review optimal timing of charitable gifts with respect to year of deductions as well as AMT Select optimal assets to give to charity Consider utilizing the charitable rollover to grant up to $100,000 of your RMD directly to charity (if you are over age 70 ½) Consider charitable vehicles such as donor advised funds or private foundations. Be sure to leave sufficient time for year-end gifts to be implemented properly

For the full year-end guide or to learn more about our endorsed services please visit our website www.ubs.com/team/wile or contact the Wile Consulting Group at WileConsultingGroup@ubs.com

6 • December 2016


EDITORIAL: TESTAMENT TO TEAMWORK

By Dr. Kumar Patel GDA Editor

“This [GDA Plus+ Supplies] program is unique in our history, and a true example of how teamwork can translate an idea into reality."

DR. KUMAR PATEL GDA Editor Phone (770) 429-1545 drkay71@gmail.com

We all need to reflect from time to time on our paths and accomplishments. Doing so connects the dots from the past to the present and the future. This connection sets the tone for our future. The year 2016 has been in many ways an upbeat and positive year for us. As an organization we truly came together and displayed tremendous teamwork. The list of our accomplishments is sizable. What satisfies me is the smooth and cordial framework set up by our executive director and agenda set by our executive body. Each committee has an accomplishment to be proud of. We achieved measurable success in each aspect of our central mission of “helping members succeed.” All areas of member interest—governance, public relations, advocacy, practice success, and management support—worked in synergy to yield a successful year. GDA Plus+ Supplies, our dental buyers’ group, went online December 16th. This is a result of the hard work of many people who looked for strategic competitive advantages for our members. GDA Plus+ Supplies offers an average of a 30% discount on supplies and a 10% discount on equipment servicing. Members of GDA Plus+ Supplies could potentially get dividends at the end of the year based on our financial success. This program's creation has been a landmark accomplishment which will improve the bottom line for both members and the organization in more than one way. This program is unique in our history, and a true example of how teamwork can translate an idea into reality. Also this year, our Governance Task Force created a framework for restructuring our organization. The House of Delegates approved this restructuring proposal earlier this month. This effort has been nothing short of hundreds of hours of hard work by many who have given their careers to the service of organized dentistry. This is a stellar example of experience and service creating change which is aimed at streamlining our operations while trying to maintain our basic representative structure.

While the dental buyers group is a wonderful story, what I feel is the bigger story this year has been the turnaround of Georgia Dental Insurances Services (GDIS). In our organization, non-dues revenue allows us to provide important benefits to members. GDIS was recently named a Top 5 small business agency by The Hartford. Quotes and new business are up by double digits. Our health plan is growing and priced reasonably. Our staff is outstanding. Public perception of our profession is always an ongoing battle. Our “Because I Saw My Dentist” campaign continues to receive positive attention and awards. The Illinois State Dental Society will license this campaign from the GDA next year. The new ADA public education campaign rolling out next year drew inspiration from our state. The GDA will feature new campaign stories in 2017 as well as debut some new advertising, and continue to drive patients to find dental homes with GDA dentists. Lastly, it has been a busy year for our government affairs team. They spent hundreds of hours in 2016 and saw great success fighting for legislation that would protect patient safety, keep water fluoridation available, and fund a valuable Rural Dental Student Loan Repayment Program. Our Contact Dentist program is revitalized and the turnout at the fall district legislative receptions has been very encouraging. Now, we need everyone to come to a LAW Day next year to talk to legislators. Teamwork is needed at the Capitol! In short, it has been a busy, rewarding, and encouraging year. Challenges still lie ahead, but what is clear from this year is that our ability to work as a team results in rewards. May you all have a blessed holiday season and a happy new year.

December 2016 • 7


SAVE 30%

+

AN AVG OF

ON

DENTAL SUPPLIES

Get more at GDASupplies.com. Leverage the group buying power of more than 3,300 GDA members. GDA Plus+ Supplies is projected to save GDA members an average of 30%+ on dental supplies. It lists over 50,000 products from more than 300 dental brands. GDA Plus+ Supplies members can also access product lines of more than 60 direct manufacturers not available through dealers.

WHAT YOU SHOULD KNOW ABOUT GDA PLUS+ SUPPLIES u

GDA Plus+ Supplies only offers products from direct manufacturers or authorized distributors. No gray market, expired or counterfeit items.

v

GDA Plus+ Supplies vendors must sell products pursuant to manufacturer guidelines.

w

Vendors ship exactly what a dentist orders—no alternative brands.

x

ALL of GDA Plus+ Supplies vendors offer FREE two-day delivery on most items.

Get a price estimate by sending a list of items using SKU or distributor item numbers via email, phone or fax. All current GDA Plus+ Supplies members have pre-activated accounts available December 16th.

GDA PLUS SUPPLIES

Your GDA Plus+ member number is required to access GDASupplies.com or customer sevice. Sign up at gadental.org/GetMore.

gadental.org/GetMore

E: Support@GDASupplies.com | Fax: 844-852-4049

844.852.5899 Customer support M-F, 8 AM to 7 PM Available after Dec. 16th launch.

8 • December 2016


THE IMPORTANCE OF GDA PLUS+ SUPPLIES

By Dr. Paul Trotter IDBG Board Member

"So, a 35-year-old dentist who plans to work 25 more years and saves $24,000 per year would save a total of $600,000 that goes straight to the bottom line—the doctor’s earnings!" DR. PAUL TROTTER GDA IDBG Board Member Phone (706) 860-2442 paul.g.trotter@gmail.com

Corporate dentistry and its practice model is challenging the small private practice dentist model. This is exacerbated by the rising cost of education—both undergraduate and dental. Many dental students graduate with $250,000 or more in education debt and feel they have no other option than to take a job at a corporate dental practice with a high guaranteed salary plus an impressive benefits package. This becomes a competitive business problem for the solo or small private practice office, because corporate dental practices have economies of scale on their side. They are negotiating supply purchasing contracts for 400+ practices. Supply prices are lower, so overhead and fees are lower, and the playing field becomes uneven. GDA Plus+ Supplies/Integrity Dental Buyers Group was established for the purpose of creating “competitive balance.” The buying group now has over 450 Georgia practices as members and can leverage those numbers to get deep discounts on dental supplies. This now means that small private practices can, at least in one aspect of practice, level the playing field and compete with corporate practices. For a $1,200 total “initiation fee" paid over two years, the benefits of your lifetime membership to the buying group are many: 1. An average of a 30% discount on supplies 2. Free ground shipping on everything, always! (Most items ship to Georgia in two days for free) 3. A service contract with a 10% discount on hourly service rates 4. One invoice for all of your supply purchases 5. No gray market supplies 6. Live phone support for ordering 7. A patronage dividend back to buying group members The last point is one that is commonly overlooked. I am often asked, “What if my supply sales representative offers to match the buying group prices?” My response is this: even if a dentist’s supply sales

representative offered to match the GDA Plus+ Supplies prices, the GDA member dentist still saves more money by buying through the GDA program because of the patronage dividend. Such a "price match" offer makes me wonder why we have not been offered these discounts until now! Another common question asked is about the ease of ordering supplies. All GDA Plus+ Supplies ordering, starting December 16th, is completed through a secure, online portal at www.GDAsupplies.com that is extremely easy to use. Buying group members can even create a pre-populated shopping list with all of the supplies they are used to buying just by submitting invoices from the last three months. Our practice has been beta testing the GDA Plus+ Supplies program for several months. The dental assistant in our office who handles our ordering remarked how easy the website makes it and how much she loves using one website to place all of our orders. Being cost-conscious, I used to encourage her to shop around for the best price. Now, I have her order everything through the www.GDAsupplies.com website—no more price comparing. It is rare that we find a product that is more expensive through the website than through our traditional suppliers, but when that does happen, I know that my patronage dividend and the time saved by not shopping around will make up for the price difference. I often try to provide a real-world example of the amount of money that can be saved through the buying group. Say that for a particular $1,000,000 dental practice, the supply cost is 8%, or $80,000. If you cut that cost by 30%, that is a savings of $24,000. This would be an annual savings and does not factor in the patronage dividend. So, a 35-year-old dentist who plans to work 25 more years and saves $24,000 per year would save a total of $600,000 that goes straight to the bottom line—the doctor’s earnings! You can receive all of that for a one-time cost of $1,200. That is a sound investment.

December 2016 • 9


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10 • December 2016


THE

PRACTICE Payroll 101 for Dentists By Stefan Schumacher

Running a successful dental practice is easier said than done. Fortunately, there are steps you can take and tools you can use to stay on track. While patient care is job No. 1, don’t overlook the importance of managing your staff. When your workers are happy, they’re motivated to provide top-notch care. Along with this, you know they’ll do whatever it takes to help the practice reach its many goals. A big part of keeping your staff happy is paying them fairly, providing quality benefits, and always issuing paychecks in full and on time. In the past, this meant cutting checks, wading through spreadsheets, and navigating complicated tax laws. However, thanks to the popularity of online payroll service providers, this has all changed. Now, if you work with a payroll company, for a relatively marginal cost, you don’t have to worry about things such as: • Withholding the appropriate amount in taxes. • Contributing the correct amount in Social Security and Medicare. • Paying federal and state unemployment taxes. • Tracking bonuses and vacation time. • Issuing paychecks. Get this: a recent survey conducted by SurePayroll shows that more than 50% of small business owners, including dentists, use a payroll service. More Benefits of Using an Online Payroll Service You have the right to handle all payroll tasks in-house. If you have the time and manpower, this may be something to consider. Before you continue down this path, however, you’ll want to learn more about the benefits of using a payroll service. Consider the following: • You can pass all tasks off to a professional service provider, thus saving you time. • You no longer have to concern yourself as much with

making potentially costly mistakes, such as neglecting to pay the necessary taxes. • The process is more or less automated. All you have to do is enter salary and hour numbers, double check that you have the money to cover the payment, and execute the payroll. Also, keep in mind that an online provider should allow you to run payroll from anywhere, at any time, from any device. The Cost of a Payroll Service The amount you pay for a payroll service depends on a few different factors, including the number of employees and the company you turn to for assistance. Thanks to the many benefits of using a payroll company, there are more providers than ever before. This means you should be cautious about using a company with minimal experience in the industry. You also don’t want to pay for more or less than what you need. Questions to Answer Answer the following questions as you compare payroll service providers: • How long has the company been in business? • What types of services are offered? • What is the cost of using the service? • Are they accredited with the Better Business Bureau? • Do they have experience servicing dental practices? Once you answer these questions, you’ll have a better idea of how to find a dependable service that you can lean on for many years to come. Stefan Schumacher is the editor of SurePayroll’s Payroll Blog. Stefan has 10 years of experience as a journalist, newspaper reporter and editor, and trade magazine writer and editor. SurePayroll provides online payroll services for dentists and small businesses nationwide.

Do you need help addressing a practice challenge? Please email the GDA office at communications@gadental.org. Your topic may be featured in a future issue. December 2016 • 11


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Join the nearly 6,000 Medicaid providers that have already received incentive payments. Must apply before the end of 2016 to participate. Visit dch.georgia.gov/ehr for details. 12 • December 2016


FINDING

SUCCESS

Stress Relief Strategies for the New Dentist By ADA New Dentist Now Blog Between finding a job, handling student debt loads, and then managing a practice or learning the ropes as a staff dentist, new dentists can face an ocean of stress. For Dr. Adam Shisler, a pediatric dentist in Houston, the “No. 1 stressor” is repaying dental student debt and facing down other financial decisions “that will set myself and my family up for long-term stability and success,” he said. Dr. Tricia Quartey, who started a solo practice in Brooklyn after finishing a residency, said the tension she feels often relates to her patients’ welfare (Will that crown fall off? Will he or she experience pain?) and staff issues (Will someone call in sick today? Will everyone get along?) For Dr. Drew Byrnes, a University of Florida College of Dentistry graduate, stress came in the form of starting his career as an associate. There were times he had to navigate conflicts with his employer, he said. “We would sometimes disagree on the best way to treat patients,” he said. Dr. Byrnes, who now runs his own practice in Winter Park, Florida, said the career transition introduced new stressors, including paperwork, billing, and marketing of his practice, which he took over from a dentist who wanted to retire. “Running the business side of things is an area they do not spend much time on in dental school — there is already enough to learn in dental school about dentistry,” Dr. Byrnes said. Dr. Quartey said taking dance classes is one way she copes with worries related to running her dental practice. The ADA Center for Professional Success is one resource new dentists can use to find expert information and advice regarding dental practice management. The website also offers resources on mental health, featuring interviews and tips from experts on topics including how to recognize the physical and mental impact of stress and how to manage negative stress; general well being in the

dental profession, and how to reduce stress, among other topics. Furthermore, the ADA provides information on dental student loan repayment programs and resources that offer student loan repayment assistance. Dr. Quartey said the challenges of day-to-day dentistry come into context when she surrounds herself with friends. “I try to live in the moment and not worry about things I can’t change,” said Dr. Quartey, who graduated from the University of Medicine and Dentistry of New Jersey, adding that she turns to friends to whom she can “vent” frustrations. She also spends a lot of her free time running or taking dance classes to burn off steam. Dr. Byrnes also said that exercise, and especially running, is a way he copes with anxious feeling. In March, he ran a marathon. And don’t forget the value and power of social support, new dentists said. Dr. Byrnes turned to other dentists, mentors, and dental podcasts to help him navigate answers to business questions he had when he first opened his practice, he said. The same goes for Dr. Shisler, who said finding a reliable mentor has been crucial to his professional success. “Sometimes you feel like you’re isolated [or] you’re the only one who’s ever failed on some sort of filling or crown,” said Dr. Shisler. “Many people have the same challenges. Experienced dentists can help offer some perspective on that from someone who’s been there.” Dr. Shisler said he encourages new dentists who lack mentorship try attending a local study group or other event associated with their local or state dental association to meet others. For more information about ADA resources regarding mental or physical health issues, email Alison Bramhall, ADA manager of dentist health and wellness, at bramhalla@ada.org.

Have an idea to share about achieving personal and professional growth? Email communications@gadental.org. Your idea may be featured in a future journal.

December 2016 • 13


SEEN&HEARD

GDA Commits to Support Donated Dental Services Program The GDA has made a three-year commitment to Donated Dental Services (DDS), a year-round charitable program that provides free, comprehensive dental treatment to the most vulnerable people with disabilities or who are elderly or medically fragile. Among other goals, the GDA will house a DDS program coordinator hired and administered by Dental Lifeline Network and help to find volunteer dentists. You are invited to volunteer and help Donated Dental Services patients! As a dentist, you review patient cases in advance, choose to see or decline any patient, and determine your own treatment plan. You see patients in your own 14 • December 2016

office and never pay lab costs— there are 50 volunteer dental labs in Georgia ready to assist you. You treat the patient. DDS does everything else. Since its inception in 1985, the DDS program has surpassed $330 million in donated dental care nationwide, transforming the lives of 117,000 people. DDS is a significant program that reaches individuals in dire need and allies with our Georgia Action for Dental Health plan. The GDA developed Action for Dental Health to improve oral health and the overall health of all Georgians by promoting quality attainable dental care for the uninsured and underserved in Georgia, promoting

oral health education and literacy to mitigate potential barriers to a dental home, and optimizing the use and availability of publicly supported dental facilities. To volunteer, visit www. gadental.org and search for Donated Dental Services. You can complete the individual volunteer sign-up form on the site. Or, you visit dentallifeline.org and complete the inquiry form there. Fort Wayne, Indiana, dentist Dr. Roger Valliere, a volunteer in the DDS program, is shown above with a DDS patient. Dr. Valliere extracted Ron’s teeth and a volunteer lab donated a partial denture. (From the New Haven Bulletin, 11/11/16.)


Coweta Samaritan Clinic in Spotlight The Newnan Times-Herald newspaper recently featured the Coweta Samaritan Clinic for five years of providing care for uninsured and medically underserved residents of Coweta County. Since opening in October 2011, the clinic has treated 1,180 individuals through more than 12,000 patient visits, all free of charge to the patients. The paper highlighted the work of the volunteer dentists who provide restorative care two to three evenings each month to clinic patients in the West Georgia Technical College dental laboratory located at Central Educational Center. The paper stated: "This unique collaboration enables clinic patients to get extractions and fillings they could not otherwise afford while dental assisting students receive valuable practical experience working alongside dentists who may one day employee them." If you would like to know more about the clinic, check out their website: www.cowetasamaritanclinic.org. Kudos to the dentist volunteers who make a difference in Coweta County: Drs. Jelana Bryan, Nancy Carson, Charley Cheney, Todd Cox, Meredith Gardner, Frank Huff, Tom Moynahan, Rima Patel, Ben Popple, Mike Rayburn, Brent Stiehl, Patrick Yancey III, and Patrick Yancey IV.

GDA Endorses HHS Nomination of U.S. Rep. Tom Price, M.D. The GDA endorses the nomination of U.S. Rep. Tom Price, M.D., as secretary of the U.S. Department of Health and Human Services (HHS). “Congressman Price shares our commitment to patient care and improving health here in Georgia and across the nation,” said GDA President Dr. Ben Jernigan Jr. “Congressman Price has extensive budget experience and as a health care provider, has put forth alternatives to the Affordable Care Act. While there is much work to be done, the Georgia Dental Association supports his efforts to create a health care system that works for patients, families, and doctors.” The Georgia Dental Association supports efforts to work together with all stakeholders to remove barriers to care and make optimal oral health and overall health a reality for all people.

CDT 2017: Code Changes Effective January 1 CDT 2017 is the newest version of the American Dental Association's code on dental procedures and nomenclature. Dentists will need to prepare for the dental code changes that are effective Jan. 1, 2017. This edition of the CDT features 16 code changes, including 11 new procedure codes, five revisions, and one deletion. One addition, D4346, now provides dentists with a way to accurately document and report therapeutic treatment for generalized moderate to severe gingival inflammation with or without pockets but exhibiting no bone loss. Members should look for updates from their dental benefit plans on the processing and policy guidelines for these code changes. CDT 2017 is the most up-to-date coding resource and the only HIPAArecognized code set for dentistry. With the emergence of electronic health care records, coding for specific procedures is more important than ever.

December December2016 2016••15 15


SEEN&HEARD Texas Judge Issues Injunction on Fed Overtime Rule In November, a federal judge in Texas issued a preliminary, nationwide injunction against the federal overtime rule set to begin December. 1. The rule would have increased the salary cap for employees eligible for overtime pay to $47,476 from the current minimum level of $23,660 and required affected employers to pay eligible employees time-and-a-half for any time worked over 40 hours a week. In his ruling on Nov. 22, U.S. District Judge Amos Mazzant sided with 21 states and numerous business groups that had filed motions in opposition to the rule. Georgia and 20 other states had filed a lawsuit with the U.S. District Court in September in the Eastern District of Texas, charging that the Department of Labor (DOL) had overstepped its authority by making millions more employees potentially eligible for federally mandated overtime This is a temporary injunction, not a full repeal, so the rule could go through as written, it could be adjusted, or the entire rule could be dismissed. The DOL is considering its legal options in light of the injunction. However, due to the injunction, the rule did not take effect on its scheduled date of Dec. 1, 2016. The ADA and GDA are monitoring the situation with this injunction and will issue updates when they are available. 16 • December 2016

View from the Northwestern District Fish Fry

Attendees at the December Northwestern District Legislative "Fish Fry" Reception included Dr. Monicha Drew and Dr. Suzanna Aguilera (left) and GDA President Dr. Ben Jernigan Jr. and State Senator Donzella James (right). These individuals and dozens more enjoyed socializing and hearing about the upcoming state legislative session.

ADA Vote on Specialty Announcements Several members have had questions regarding a vote taken at the ADA House of Delegates in October to approve a resolution to change the Code of Ethics of the American Dental Association to permit dentists to announce as specialists even if it's not one of the nine dental specialties recognized by the ADA. "It's a fairly significant change," Dr. Michael Halasz, Ohio-based general practitioner and chair of the Council on Ethics, Bylaws and Judicial Affairs, told the ADA News. "The bottom line is that it keeps dentists in line with the Code of Ethics, which puts patients first." Dr. Halasz continued to say that the legal landscape concerning the recognition of specialties has gone through dramatic change in recent years. Compelled by court decisions, states have begun to recognize specialties beyond the nine dental specialties recognized by the ADA. The trend of states recognizing specialties in addition to those recognized by the ADA is expected to continue, he said. In addition, another part of the Code was amended in the resolution. Before the resolution passed, dentists could not ethically practice any aspect of dentistry except for the announced specialty. The amendment now specifies that a dentist holding specialty degrees should be permitted to practice to the full scope of the dental licenses that they hold so long as they maintain adequate expertise in the specialty.


New U.S. DOL Rule Revamps ERISA Fiduciary Definition Thank you to GDA Plus+ partner UBS Financial Services, Inc.,/Wile Consulting Group for providing this update on a rule that will now deem any financial advisor who gives investment advice for an ERISA-covered vehicle (401k, Profit Sharing Plan, etc.) to be a “fiduciary," including brokers, registered investment advisors, and insurance agents. Members with concerns regarding this rule and their retirement plans are invited to call our GDA partner at (404) 760-3000 or email wileconsultinggroup@ubs.com. The Department of Labor’s final Fiduciary Rule broadens ERISA’s fiduciary “investment advice“ definition, provides limited exceptions from fiduciary status, and substantially revises the ERISA prohibited transaction exemptions available for fiduciary investment advice. The U.S. Department of Labor (DOL) released in April its final rule, “Definition of the Term ’Fiduciary’; Conflict of Interest Rule—Investment Advice“ (the “Rule“). The Rule expands the scope of who becomes a fiduciary through giving “investment advice“ for purposes of the Employee Retirement Income Security Act (ERISA) standards of fiduciary conduct and prohibited transaction rules. Most parts of the Rule and related exemptions become effective on April 10, 2017. Once effective, the Rule will profoundly affect how members of the financial services industry provide services to ERISA plans and plan participants. Below is a summary of the Rule and its key features. Background The reason for the Rule is the DOL’s concern about the impact of conflicts

of interest on retirement investors. According to the DOL, the prior rule’s so-called “five-part test“ as to what constitutes fiduciary investment advice permitted too many firms providing investment-related advice to avoid fiduciary standards. DOL’s announcement of the Rule emphasized the goal of requiring those providing retirement investment advice to place their clients’ best interest before their own profits. For a person to become an “investment advice“ fiduciary under ERISA means that the person becomes subject to the ERISA fiduciary responsibility rules, including the duty to act prudently and the duty of loyalty, and—more importantly—the strict prohibitions on fiduciary self-dealing and conflicts of interest under the ERISA prohibited transaction rules. A fiduciary violating these rules can be personally liable for a plan’s resulting losses or the fiduciary’s illicit profits, and can also be subject to DOL civil penalties of up to 20% of the amount recovered if the DOL is involved in a lawsuit or settlement. In addition, the fiduciary engaging in a prohibited transaction is subject to excise taxes of 15% of the amount involved in the transaction per year until correction, and a possible 100% excise tax if the prohibited transaction is not corrected. Definition of Fiduciary Investment Advice The Rule revises the former five-part test into two prongs. First, the potential investment advice fiduciary must be providing a “recommendation.“ While this was also a factor under prior law, the Rule broadens the scope of what constitutes a recommendation in connection with rollovers and distributions—now including recommendations as to whether, in what amount, in what form, and to what destination a rollover or distribution should be made. In addition, the Rule now covers recommendations on the selection of investment account

arrangement types (e.g., brokerage versus advisory) and investment managers. Also, while the law previously did not define the term “recommendation,“ the Rule now broadly defines a “recommendation“ as a communication that would “reasonably be viewed as a suggestion“ that a person engage in or refrain from a particular course of action. It also states that “a series of actions“ may together amount to a “recommendation.“ Thus, a communication that, standing on its own, may not be viewed as a “recommendation“ could become a “recommendation“ when viewed in conjunction with other interactions, actions, and transactions with the client. The second part requires that the recommendation be made by a person who either (1) represents or acknowledges that he or she is acting as an ERISA or Code fiduciary, (2) provides the advice pursuant to a written or verbal agreement, arrangement or understanding that the advice is based on the particular investment needs of the retirement investor (no longer requiring a “mutual agreement“ as under prior law), or (3) directs to a specific recipient the advice regarding the advisability of a particular investment or management decision. The overall impact of these changes is to take conduct that was previously not viewed as fiduciary in nature— discussions of distributions, rollovers, and sales of particular investment products and services—and now subject that conduct to ERISA fiduciary standards. There is a so-called “hire me“ exception for selling one’s own services, but it is not clear how far that extends. The law also contains a third requirement for investment advice to result in fiduciary status—that the investment advice be for a direct or indirect fee or other compensation. The DOL has historically taken a broad view of what qualifies as a fee or other compensation for this purpose. December 2016 • 17


The GDA House of Delegates meets in July 2016.

GDA Delivers on Promises in 2016 by Frank J. Capaldo Executive Director Georgia Dental Association

18 • December 2016

What if all promises were kept? Well folks, we can’t speak for the rest of the country, but your Georgia Dental Association made a commitment to delivering more value for members in 2016, and that’s exactly what we did! You may recall we pledged to launch a dental supply buying program, roll out a public relations program, and improve the health plan program and rates. As you’ll read in this "2016 GDA Report," the GDA delivered on all these promises and more. Together we achieved significant accomplishments, including the rollout of GDA Plus+ Supplies this month. This new group buying program provides independent private practices with volume purchasing power formerly only available to corporate practices. On average, members save 30%+, making it a great value-add to your GDA membership.

But that’s not all! Your government affairs team, working in concert with GDA contact dentists, protected your patients and practices—advocating on issues from general supervision and water fluoridation to thirdparty rental networks. Your GDA also was successful pushing forward reinstatement of the Rural Dental Student Loan Repayment Program in the state budget. For the first time in many years, ongoing positive messages about dentistry spread across the state through a new public relations program that launched this spring that includes television and radio spots, digital ads, social media posts, a member toolkit, and a website, www. becauseisawmydentist.com. Also, many of our members found great value in GDA programs like Group Health Insurance. Facing rate increases as


high as 32% on the Georgia Health Care Marketplace, members turned to the GDA for help and found more robust coverage, unparalleled customer service, and modest single-digit increases for significant savings.

GDA 2016 Report: Delivering More Value for Members

Together with our members, the GDA achieved significant accomplishments in 2016, including the launch of several new programs and benefits to help our members succeed in their practices. We are pleased to provide the following report.

Membership Membership numbers remain strong in 2016 with over 3,300 total members, representing approximately 65% of the dentists in Georgia. Through a special membership promotion in the fourth quarter, the GDA welcomed back 76 dentists who had not been members for a few years. To better reach dental students, the GDA began monthly lunch and learns at The Dental College of Georgia, which included presentations from member dentists. GDA leadership is working to bring together and expand collaborations with the dental community in Georgia, participating in discussions and events with groups like the Georgia Dental Society and Hinman Dental Society. In addition, the GDA is exploring a potential allied membership category for office staff in 2017. In 2017 and beyond, GDA members can expect to see more tailored marketing messages directed toward dental students, graduate students, new dentists, mid-career dentists, faculty, and non-members.

Government Relations & Health Policy Your government affairs team works yearround to protect your patients and practices. During the 2016 legislative session, the GDA was successful in defeating HB 684, which would have allowed dental hygienists to provide services to the public without the direct supervision of a dentist. The GDA also defeated a dental hygiene therapy bill as well as legislation that would have allowed local governments to opt-in/opt-out of state water fluoridation requirements.

During the session, the association successfully lobbied for a $200,000 appropriation in the Fiscal Year 2016 budget to re-establish the very successful Rural Dental Student Loan Repayment Program. This program is an important mechanism to recruit and retain dentists in rural areas and ensure access to care for Georgia’s rural citizens. In 2017, the GDA will fight to maintain and increase this funding. The GDA also successfully lobbied for the passage of legislation regulating third party rental networks, as well as supported legislation creating a single administrator for Dental Medicaid, which currently has multiple dental administrators. The aim is for low-income children to continue to have access to the dental care they need and for the state to realize administrative and cost efficiencies. The GDA continuously monitors changes to the Medicaid policy manual and voices concerns. In 2016, two unfavorable changes were made to the Medicaid policy manual without announcement. Efforts of the GDA in collaboration with a legislator resulted in a rule being appealed. As a result of GDA interventions, part-time dentists can still be Medicaid providers and will not be disqualified from participating. Through GADPAC, the GDA supported campaigns of dental-friendly candidates running for office in 2016. The GDA hosted a GADPAC fundraiser at the 2016 Annual Convention that generated over $20,000 for the GDA’s political action committee. In addition, individual giving levels were developed, along with pins for each level. The GDA is active in developing partnerships to ensure dentistry is taken into account in state and local health planning and initiatives. GDA staff served on the Medical Association of Georgia's opioid task force, Department of Public Health strategic plan development advisory committee, and a CDC grant committee funding a study on oral health and systemic conditions. In addition, the GDA worked with the CDC to recruit dentists to test an infection control app and seeks to actively participate in the Department of Community Health's opioid task force. The GDA also created a GDA task force to discuss matters related to Medicaid and PeachCare and to interact with the Department of Community Health, as well as

2017 Initiatives This report lists just a few of the many highlights from 2016. In 2017, we’ll continue building a stronger GDA and making a difference for our members and their patients. Below is a preview of a few initiatives to come: • Membership survey to better understand members’ wants, needs and issues • New “Because I Saw My Dentist” digital billboards, shopping cart ads and creative, driving patients to see member dentists • New governance structure for broader and more diverse demographic representation • Expansion of insurance services offerings to include personal lines and Medicare supplement • Advocating for increased state funding for the Rural Dental Student Loan Repayment Program • Advocating for state funding to support the Donated Dental Services Program • Expanded CE at GDA Annual Convention in conjunction with licensure year • CE programs focused on compliance and business/ practice management issues • Rebranded district websites for better member experience and statewide consistency

2016 REPORT

Continued on page 20

December 2016 • 19


2016 REPORT

Continued from page 19 initiating a partnership with the Alzheimer's Association of Georgia. In 2017, the GDA will continue to move forward our initiatives in Georgia’s Action for Dental Health plan, as well as work to increase reimbursement rates for preventive services for dental Medicaid, especially children, and obtain additional codes for adult dental Medicaid.

Public Relations For the first time in many years, ongoing positive messages about dentistry spread across the state through a new public relations program that launched in the spring and includes television and radio spots, digital ads, social media posts, member toolkit, and a website, www. becauseisawmydentist.com. Although early in the implementation stage, the campaign has been recognized for excellence receiving a 2016 Phoenix Award from the Georgia Public Relations Society of America and a

worldwide Golin Bronze award. In addition, the Illinois State Dental Society will license the campaign from the GDA in 2017. Through a Georgia Broadcast Association partnership, 1,905 TV and radio spots ran in 2016, netting $127,524 of donated media. In addition, Because I Saw My Dentist campaign paid digital ads generated 428,956 impressions and 300,709 video views. The campaign microsite, www. becauseisawmydentist.com, also saw 15,038 visits by 12,783 unique visitors. Other public relations activities included proactive media outreach generating over 600 news stories and 41,000 online views, including a feature article on dentistry in Georgia Trend magazine, valued at $56,055. The association continues to respond to issues in the news, inserting the GDA’s position on a variety of topics. In July, the Georgia Dental Association introduced a new brand identity that helps local, state, and national dental societies achieve a more cohesive brand. Key to

its branding is a new logo and website, providing a consistent look and feel, while also giving members an easier to use online experience. Another focus in 2016 was growing digital channels. Facebook followers increased from 289 in January to 673 in December, continuing an upward trend. Twitter followers increased from 128 in January to 301 in December. LinkedIn was introduced in late 2016 and has 51 followers. The GDA provided free dental screenings and promoted good oral health at dozens of events in 2016 including U.S. Congressman David Scott’s annual health fair, Special Olympics Special Smiles, and Children’s Dental Health Month and Give Kids A Smile Day activities. The newest GDA initiative is through the Georgia Donated Dental Services Program, which aims to help some of the state’s most vulnerable people with disabilities or who are elderly or medically fragile and cannot afford dental treatment.

Your benefits It’s more than just investing.

Last year, UBS and GDA celebrated 13 years together. As a wealth management provider for the GDA, we have helped many members with leadership and advice beyond investing. GDA member benefits include – Complimentary financial planning (a $5k–10k value) – 401(k) retirement savings plan designed exclusively for GDA members at a group discount rate – Advisory and investment program offered at group discount rate – Retirement planning guidance, including a retirement income replacement system – Lending capabilities with competitive interest rates – Free access to UBS global investment research Wile Consulting Group UBS Financial Services Inc. Harris Gignilliat, CRPS®, CIMA® Senior Vice President–Wealth Management 3455 Peachtree Road NE, Suite 1700, Atlanta, GA 30326 404-760-3301 harris.gignilliat@ubs.com ubs.com/team/wile GDA and UBS Financial Services Inc. are not affiliated. Depending on your needs, we can help you implement your retirement strategies through both our brokerage and advisory capabilities. Financial Planning services are provided in our capacity as a registered investment adviser. As a firm providing wealth management services to clients in the U.S., we offer both investment advisory and brokerages services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor or visit our website at ubs.com/workingwithus. Chartered Retirement Plans SpecialistSM and CRPS® are registered service marks of the College for Financial Planning®. CIMA® is a registered certification mark of the Investment Management Consultants Association, Inc. in the United States of America and worldwide. ©UBS 2016. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. 7.00_Ad_7.5x4.875_AX0412_GigH IA1601691 Exp. 4/15/17

20 • December 2016


The GDA will seek a state appropriation to help fund the salary of a DDS program coordinator in 2017.

Education & Training Members who attended the GDA Annual Convention in July experienced improved and expanded continuing education. Improvements will continue in 2017 with concurrent courses and tracks focused on new dentists. The convention takes place at the Omni Amelia Island Plantation in Amelia Island, Florida, July 20-23, 2017. Registration will open early in 2017. The GDA is planning to launch continuing education programs in 2017 focused on compliance and business/ practice management issues in collaboration with GDA Plus+ partners and districts. An Education and Training Task Force has been appointed to provide further direction. Six expanded duties classes were held in 2016, with registration at or near capacity for the courses.

Member Services & Products A significant member benefit in 2016 included the rollout of GDA Plus+ Supplies in December. This new group buying program provides independent private practices with volume purchasing power formerly only available to corporate practices. On average, members save 30%+ on their purchases. Visit www.gadental.org/getmore for more information. The year also saw significant growth in new clients for business insurance coverage, as well as growth in health insurance participation which could be attributed to GDA plans’ robust coverage and modest single-digit increases for significant savings. New policies with The Hartford are up 92% and new policies with MedPro are up 20% with excellent client retention. Of note, the GDA’s subsidiary, Georgia Dental Insurance Services, was named a “Top 5 Small Business Agency” by The Hartford Insurance for September and October 2016. Also this year, a business development manager joined the association to grow penetration and value of existing products

and enhance relationships with our current endorsed service partners. Members can look for expansion of insurance services offerings to include personal lines and a Medicare supplement in the coming year.

Governance

In collaboration with the Governance Task Force, the GDA began work in 2016 to align the governance structure to reach a broader diverse demographic representation and to generate greater member participation. After presenting the proposed structure at districts and a town hall meeting prior to the December 2016 House of Delegates, the GDA Board of Trustees and House of Delegates approved the revised structure and referred it to the Constitution and Bylaws Committee to determine the necessary bylaws changes to incorporate the new structure. The GDA Foundation for Oral Health board held a planning session this year to work to establish the infrastructure required for the Foundation to reach its potential. A mission statement was established: "Promote the positive image of dentists." Work will continue in 2017. To better understand our members’ wants, needs, and issues, a membership survey will be emailed to GDA members in the first quarter of 2017. Members will be encouraged to complete the survey.

Financial Management & Organizational Sustainability Work began this year to meet many of the objectives in the strategic plan including aligning the internal organizational structure and directing staff resources to support the strategic plan, ensuring that GDA’s capacity is sufficient to meet members’ needs. Per the strategic plan, we are also rebuilding GDA’s financial reserves. We are beginning to set aside funds for reserves in 2016, and specific returns are budgeted for 2017 including capital and operating reserves for all entities. One of the key objectives from the strategic plan is rebuilding reserves to be

at least 30% of annual operating expenses by 2020. The GDA also is working to increase non-dues revenue to meet the strategic plan objective that by the year 2020 the amount of dues as a percentage of total revenue will not exceed 44%. Progress made toward increasing non-dues revenue includes: • Georgia Dental Insurance Services has seen significant growth in new business on business insurance programs and growth in health insurance program participation in 2016 • The GDA Plus+ Supplies/Integrity Dental Buyers Group launched a group buying program on December 16, 2016 • The GDA hired a business development manager in September 2016 to focus on exhibitor, sponsor, and ad sales; endorsed partnerships; and growing revenue from member services • Annual Convention: The GDA is growing exhibitor and sponsor sales and launching a marketing campaign to increase dentists’ attendance to maximize revenue for 2017 • GDA Plus+/Endorsed Services: The GDA added service offerings, strengthened relationships with existing partners, and developed a proactive marketing plan for member benefits in 2017 • Education & Training: A new continuing education plan will generate non-dues revenue starting in 2017 We value each of you, our members, and truly appreciate the opportunity to work on your behalf each and every day. We look forward to serving you in the coming year and wish you a very successful and prosperous New Year.

December 2016 • 21


GDA Members Get More Buying Power on Dental Supplies in 2017 by GDA Plus+ Supplies

GDA’s group buying program provides independent private practices with the volume purchasing power formerly only available to corporate practices. Ask dentists what their top three concerns are regarding the business of their practice, and one of the most common answers you’ll hear is “overhead.” For private-practice dentists, reducing the costs of dental supplies would mean a significant reduction in overhead, but lowering costs hasn’t been a simple task. No 22 • December 2016

matter the practice type, most overhead costs are relatively fixed. Relocating to reduce rent or mortgage costs, or decreasing staff or staff pay, is perilous. Another main contributor to overhead is the cost of the wide variety of supplies needed to operate a modern dental practice. The average practice spends an amount equal to 30% of net profit on consumable dental supplies. Dentists can decrease the cost of their supplies by using lower quality products, buying in bulk, or purchasing supplies directly from manufacturers instead of a one-stop-shop distributor. Dental manufacturers realized long ago

that selling directly to dentists was difficult because there were too many of them. They also saw it didn’t produce the best profit margins, because individually dentists don’t spend thousands of dollars on items like bibs, burs, or impression trays. As a result, about 80% of dental product manufacturers only sell their products though dealers. Though some manufacturers do sell directly—and offices could save money by purchasing from them—a practice would almost need a full-time staff person to place dozens or even hundreds of separate orders each month, since no one manufacturer makes everything a practice needs.


The overwhelming majority of dental-product sales are made through a handful of large dealers that purchase and resell thousands of products from a variety of manufacturers. Working with a distributor saves time and is convenient, because an office typically works with a single representative and only needs to place one order a month. But distributors rarely provide the best deal. Convenience comes with the cost of a middleman. For each sale generated, most distributors have to pay variable costs—sales representative salary and commissions and new-customer marketing costs to name just two. In addition, many dealers charge prices at or above MSRP, or Manufacturer Suggested Retail Price, and offer discounts of just a few percentage points on only certain items to attract new customers. Most practices end up buying from territory sales representatives. These practices could shop the few vendors available to them to try to negotiate discounts, but doing so usually amounts to no more than single-digit percent savings. The key point is, because private practices don’t purchase in bulk volume, they have little wiggle room in price negotiation with suppliers. This is an area where corporate practices have a major advantage over independent private practices: negotiating power with suppliers.

Cost-Plus vs. Retail-Minus Pricing A corporate practice with 500 dentists will use in excess of $25 million per year worth of consumable dental supplies, and millions more in equipment, office supplies, and other products. An independent private practice spends an average of about $55,000 on consumable supplies alone. Because corporate dental practices have the ability to purchase dental supplies on contracts worth tens of millions of dollars, they can negotiate prices on a cost-plus model (dealer cost plus a few percentage points) instead of having their discount potential limited to 10% off retail. Given the volume a dealer would receive by converting a corporate practice, a dealer could afford to earn a much smaller margin. After all, five percent of $10 million is quite a bit more than 45% of $55,000.

Volume-Purchasing Power for Private Practices On December 16th, GDA Plus+ launched a new program that leverages the group buying power of more than 3,300 GDA members,

who collectively spend more than $370 million annually on dental supplies. GDA Plus+ Supplies (GDAsupplies.com) enables members to save an average of 30% on dental supplies. More than 50,000 products are listed on the ordering website—including brands typically available only through dealers—as well as products from over 60 direct manufacturers (companies whose products are not available through dealers). This new program gives GDA-member independent private practices the volume purchasing power formerly only available to corporate dental practices. The program will add more manufacturers and further reduce prices regularly as the number of members joining GDA Plus+ Supplies grows. If you are already member of GDA Plus+ Supplies, see below for some tips on how to start taking advantage of the program. If you are not a member, visit www.gadental.org/ getmore to find out how to join.

Tips on Getting Started with GDA Plus+ Supplies • Get a price estimate by sending a list of items (using SKU or distributor item numbers) via email, phone, or fax: E: support@GDAsupplies.com P: (844) 852-5899 (toll free) F: (844) 852-4049 • Order online at GDAsupplies.com (or via email, phone, or fax). • GDA Plus+ Supplies membership numbers will be required, and assigned once a member joins the Integrity Dental Buyers Group (IDBG). All active IDBG members have pre-activated accounts. • Customer support is available Monday through Friday, 8 a.m.-7 p.m. • Contact GDA Plus+ Supplies at: E: support@GDAsupplies.com P: (844) 852-5899 (toll free) F: (844) 852-4049 For more information regarding other GDA Plus+ programs, please visit gadental. org/PracticeServices, or call the GDA office at (404) 636-7553 or (800) 432-4357.

Get more in 2017! Renew your GDA membership at gadental.org/renew

GDA Plus+ Supplies Member Benefits GDA Plus+ Supplies/Integrity Dental Buyers Group offers this array of benefits to members: • GDA Plus+ Supplies sells products from direct manufacturers or authorized distributors. There are no gray market, expired, or counterfeit items. • GDA Plus+ Supplies vendors must sell products pursuant to manufacturer guidelines. Vendors ship exactly what a dentist orders—no alternative brands. • ALL GDA Plus+ Supplies vendors offer FREE ground shipping on any order, regardless of size. • GDA Plus+ Supplies offers an average discount of 30%+ on all supplies. • Members can access a one-stop, easy-to-use online portal to order all dental supplies (fax or phone orders are also available). • Members will receive one invoice. • Orders will direct ship to members with free two-day delivery in most cases. • Members can take advantage of statewide equipment servicing by independent qualified and experienced service specialists, with a 10% discount on hourly service call charges. • Members' frequently ordered items can be pre-populated, and the system will remember the ordering history, enabling quick "just in time" delivery to preserve practice cash and storage space.

December 2016 • 23


24 • December 2016


Your Office can Benefit from a Portable Device Policy in 2017 by MedPro Group Patient Safety & Risk Solutions More than ever, people are using portable electronic devices (such as laptops, cell phones, tablets, e-readers, and other “smart” devices) as part of everyday life. This trend will no doubt continue to grow as a result of technological advances and consumer demand. Although these devices can be entertaining and convenient, they can also create challenges in the workplace, including health care settings. Let’s consider the risk management implications of this “age of instant access” for dental practices.

The Case for Use of Portable Electronic Devices Charlotte is a working mom who has a toddler in daycare. Typically, she checks in with her daycare provider once a day around 12:30 p.m. These “touch-base” calls generally take only a few minutes of Charlotte’s time. Calls like these are common in the workplace and were typical in many work environments before telephones became mobile. Charlotte isn’t taking advantage of her employer; rather, she is attempting to avoid workplace distractions by ensuring that things are going well with her child. Few employers object to this type of communication—whether on a work phone or a personal cell phone.

Compare and Contrast the Issue The same dentist who employs Charlotte hires another employee named Diane. Diane has two elementary school-aged children who are watched by a neighbor in the afternoons. Just as Charlotte calls to check in on her toddler at daycare, Diane calls her babysitter in the afternoon to check on her kids. However, Diane is good friends with the babysitter, so these calls are rarely brief. Typically, Diane multi-tasks while she talks to her children’s babysitter. She walks around the office speaking into her phone’s headset. At the same time, she completes various clerical tasks, and sometimes even interacts with patients. She may schedule

appointments or collect payments, all while chatting with the babysitter on the phone. Many times, Diane’s conversations with the babysitter include personal information, (e.g., details about arguments with friends or ongoing family issues). Further, Diane texts her husband throughout the day and checks in on her personal social media accounts frequently.

Inconsistency The dentist who employs Charlotte and Diane does not have a staff policy about portable electronic devices, personal calls, or personal use of social media. Without these policies in place, the dentist may find it difficult to ask Diane to alter her phone habits. After all, Diane continues to work while she’s on the phone—Charlotte doesn’t. Therefore, isn’t Diane actually the more dedicated employee? If Charlotte has always been allowed to make personal phone calls to her daycare provider, then isn’t Diane being discriminated against if she is forbidden to call her children’s babysitter? The accommodation of allowing employees such as Charlotte to make a reasonable number of personal phone calls during work hours shouldn’t be misinterpreted if another employee puts a different spin on the matter.

Additional Risks Multi-tasking and multiple distractions can increase the risk of errors. In any health care environment, errors may pose harm to patients. Errors may range from noting a patient’s appointment for the wrong day or time (an inconvenience) to misfiling a biopsy report (a potentially significant injury). Distractions caused by multi-tasking can also antagonize patients who, although unharmed, may perceive these interruptions as disrespectful or dangerous. Expanding on the issue of security, violations of personal privacy can occur if conversations are overheard—not just by individuals in the office, but by persons who are on the other end of a telephone conversation. Further, if telephone

conversations can occur anywhere within the office, inadvertent eavesdropping may increase. The use of portable electronic devices in the workplace may also tempt employees to engage in inappropriate activities. Reports of cyber security breaches proliferate on a nearly daily basis. Hospitals and other health care organizations have reported significant security breaches as a result of: (a) employees who use their cell phones to take pictures of patients’ Social Security numbers and credit cards; (b) illegal transmission of electronic patient files via mobile devices; and (c) numerous other types of criminal activity.

Policy Planning Every dental practice should be committed to providing safe, courteous, and efficient patient care. As part of this effort, practices should consider implementing an employee policy related to the use of portable electronic devices. The policy should note that, to the extent possible, personal phone calls should be taken care of during breaks or lunchtime. The policy should be broad enough to cover a variety of situations and to keep it as fair as possible. In Diane’s case, there is no reason why she can’t call her children’s babysitter during her afternoon break, and Charlotte can touch base with her daycare provider during her lunch break. On occasions when an employee is forced to make or receive personal calls outside of personal time (e.g., the daycare provider calls to report that Charlotte’s toddler has a fever, or the school calls because one of Diane’s children was hurt on the playground), then these infrequent calls can be promptly managed—or, if they are not emergencies, can be deferred until a more appropriate time. In addition, the presumption that friends or family can chitchat with an employee at work should be addressed, courteously but firmly.

PERSONAL DEVICES Continued on page 26

December 2016 • 25


PERSONAL DEVICES Continued from page 25

Employees should not be allowed to carry personal portable devices with them throughout the office. Rather, the devices should be turned off during business hours and kept in employees’ purses, bags, or desks. They can check and respond to personal calls during their break time. Also, the practice’s portable device policy should prohibit the photographic use of phones in the office; abuse of this policy might be cause for immediate termination of employment. Finally, employees should be educated about the dental practice’s portable device policy—and the consequences of violating the policy—as part of new staff orientation and periodic staff training.

Conclusion Every technological advance entails potential new opportunities, e.g., expanded services and enhanced income. At the same time, new technologies may pose challenges that won’t be identified unless risk assessment is part of the ongoing function of the dental practice. As part of an ongoing commitment to patient privacy and security, most practices already have in place policies and procedures that address security of computers, use of passwords, message encryption, and so on. The next step in security is making sure that employees understand the role—and necessary limitations—associated with the use of portable electronic equipment in the scope of dental practice. For more information about cyber security, dentists are urged to contact their MedPro Group patient safety and risk consultants or personal attorneys. Call a Georgia Dental Insurance Services team member at (800) 432-4357 for details on the risk management and other coverages offered by GDA Plus+ partner MedPro. The information provided in this document should not be construed as medical or legal advice. Because the facts applicable to your situation may vary, or the regulations applicable in your jurisdiction may be different, please contact your attorney or other professional advisors if you have any questions related to your legal or medical obligations or rights, state or federal statutes, contract interpretation, or legal questions. The Medical Protective Company and Princeton Insurance Company patient safety and risk consultants provide risk management services on behalf of MedPro Group members, including The Medical Protective Company, Princeton Insurance Company, and MedPro RRG Risk Retention Group. © MedPro Group.® All Rights Reserved.

26 • December 2016


How to Cultivate Loyal Dental Patients in 2017 by ADA Center for Professional Success Taking the time to get to know your patients on a personal level—and letting them get to know you—goes a long way when it comes to patient retention. Let’s face it, most people don’t like going to the dentist. If your chairside manner is impeccable and your dental team is friendly, your patients may actually look forward coming to your office, which means fewer canceled appointments and good reviews on social networking sites.

7 ways to improve dentistpatient communication • Don’t do all the talking—Ask your patients how they are, if they’re having any problems, and listen carefully to what they say. • Begin with an outline—Start your discussion with the big picture and work your way into more detail, asking your patient if they have any questions along the way. • Appeal to the patient’s values and priorities —If your patient mentions a preference for treatment, such as a longterm solution or a quicker, lower-cost solution, mention that in your discussion. For example, you might say, “You mentioned you preferred a long-term solution. That’s why I’m recommending a gold crown. It’s more durable than the other choices.” While reflecting their preference, do not ignore explaining other options. Dentists should disclose all options available to a patient in order to allow the patient to make an informed decision regarding treatment. • Don’t refer to teeth by number—Referring to teeth by number is a big no-no in dentistpatient etiquette. Call teeth by their names and reference their location: “The very back molar on your right side.” • Don’t tell patients what you would “like” to do—Be direct when explaining your treatment plan. "The ideal treatment is ..." or "The treatment I would recommend for my own family ..." is much better than saying, "What I’d like to do is ..."

• Use patient examples—Personalize your recommendation by referring to other patients who've had similar treatments. Do be mindful not to disclose identifying information when using their case as an illustration. • Mention the benefits—Describe the positive aspects of your suggested treatment plan: "By taking care of your gums, you’ll have a good chance at saving those two back teeth."

6 ways to impress your patients • Give the patient more than they expect— Work with your dental team to ensure that all communication with your patient is respectful and that every interaction is prompt and thorough. • Let the patient know if you’re running late—If you’re running behind, most patients will be impressed if you take a few seconds to poke your head into the waiting room and let them know when they can be expected to be called. • Stay informed so you know what oral health issues or treatments are popular— Keep up-to-date on the treatments that are being talked about in the media. Your patients may ask you about a treatment they read about or heard on television. The "Science in the News" section of the ADA website is a good place to start. • Read the local papers to find items relating to your patients—Are your patients experiencing big events in their lives like marriages, births, deaths, and notable anniversaries? These kinds of events are usually documented in the local newspaper. It would be a nice gesture on your part to send out cards to patients who have recently had a major event in their lives. • Provide children with a treat after (or before) treatment—Children are usually encouraged by the “treat” they will receive at the end of their appointment, such as a sticker, pencil, or other item, but stick to inexpensive items to avoid anti-kickback

statutes. If the procedure is particularly difficult, you may even consider letting them pick out a small stuffed animal to keep them company while they are in the dental chair. • Make short follow-up calls to your patients after a difficult procedure—When you call a patient at home after an invasive procedure, you’ll be seen as a caring doctor and they may be more likely to refer you to family and friends based on your one-minute phone call to see how they’re doing. Reprinted with permission from the Center for Professional Success. Copyright © 2016 American Dental Association. All rights reserved. The Center for Professional Success at Success.ADA.org provides world-class practice management content that helps GDA members practice successfully, learn conveniently, and live well. The Center delivers relevant and effective solutions to business problems dentists face every day. When you renew your membership, you can access this benefit every day!

www.gadental.org/RENEW December 2016 • 27


GDA Member Reflections from 2016 During the legislative session, the GDA successfully lobbied for a $200,000 appropriation in the 2016 state budget to reestablish the successful Rural Dental Student Loan Repayment Program. This program is an important mechanism to recruit and retain dentists in rural areas and ensure access to care for Georgia’s rural citizens. In 2017, the GDA will fight to maintain and increase this funding. We are happy to highlight how three program participants are helping Georgians obtain optimal oral health.

Dr. Gigi Kendrick Wins Fans for Dentistry in Cairo “… Being from around Atlanta, I never thought I would end up in South Georgia. And now I practice in Cairo, where deals are made by the shake of a hand and your word—where everyone knows your name. I work with Dr. Ken Leggett and we have 13 employees, whom we call family. Even though I have completed the service time stated in my loan agreement, I wouldn’t go anywhere else. I love my patients. They appreciate my work and have been so warm while welcoming me into their community. I have plans of buying in to this practice, so one day, this will be my home. And I’m excited.” “… Most of the children we see have Medicaid. I make teaching a priority. I see patients all the time who are in pain and not interested in saving even the most salvageable teeth. Unfortunately, these patients sometimes happen to be 9 to 16 years old. That is not a good day when you extract a barely-erupted molar. The loan program has given me incentive to help these patients and complete treatment at no cost to the patient. I feel that after educating the patient and parents, oral health and its priority improves. We do hospital dentistry for children with severe need and complete all treatment in one visit while the patient is under general anesthesia. The kids are so happy that they had a good experience and their teeth are fixed. They actually like to come see us after that! Before, they would not have wanted to be in the same room as a dentist.” “… The Dental College of Georgia told me about the loan repayment program the GDA helped push through. I got the application two days before the due date and figured it was a lost cause. My husband was adamant that I apply! Somehow, I found a notary on New Year’s Eve and

Dr. Gigi Kendrick with her "sweet patient" J'mere. 28 • December 2016

DR. KENDRICK Continued on page 31


Dr. Kris Frazier: The Only Dentist in Town Changes Whole Families' Lives "... I own Rochelle Family Dentistry in Rochelle, a Georgia town of 1,100 people with an estimated median household income of $33,185 and an estimated per capita income of $18,084. We are in a 100% rural area where the major industry is farming." "... Being the only dentist in the county, we see and treat everyone from dignitaries to the indigent (approximately 70% of our patients are on Medicaid) and we treat them all like the family they have become. We see the entire family from grandparents to grandchildren. I’ve seen firsthand how making a difference in one family member’s life can change the dental health perspective of the entire family." "... We currently have 8 staff and plan to increase to 10 after our renovation is finished next year. I also plan to add an associate to help me grow the practice. It would be an ideal situation for someone who wants to expand their skill set, enjoys helping people, and wants to qualify for the Rural Dental Student Loan Repayment Program, which I hope continues onward." "... My main focus to locate here was to pay down my student loan debt while helping an underserved population and this program has given me the opportunity to do that in a reasonable amount of time. By being in a small community, I have been given opportunities to become the best dentist I can be and to me that’s what it’s all about. I will never do anything half way. It’s either I’m going to strive to be the best or I might as well not do it." "... I started the “Dental Taxi” where we pick children up from school and bring them to their appointments and take them back to school so mom or dad doesn’t have to miss work. This year 361 students signed up for the taxi service, which has been a huge success in my community."

DR. FRAZIER

Continued on page 31

Dr. Kris and Jaimie Varnedore Frazier.

"I’ve seen firsthand how making a difference in one family member’s life can change the dental health perspective of the entire family." December 2016 • 29


GDA Member Reflections from 2016 Dr. Corey Woodard and Team: Sole InNetwork Dental Care for Thousands "... I grew up in North Georgia and graduated from the Dental College of Georgia in 2014. I currently serve as the dental director at TenderCare Clinic, a community health center offering medical, dental, and pharmacy services to a five-county service area in rural Georgia. Our patients, mostly adults, are primarily low-income. At least one-third of our patients have incomes below the federal poverty line (family of three with household income less than $20,000 per year)." "... As a Federally Qualified Health Center, TenderCare offers its services to residents regardless of their ability to pay. We provide a reduced fee program which can greatly reduce the out-of-pocket cost for services based on family size and income. We are also innetwork with all dental commercial insurances, discount cards, and Medicaid, which makes our

"Debt-relief programs offer tremendous incentives to graduating students. In comparison to a private practice start-up, these programs offer the chance to reduce total debt, build professional practice experience, and provide much-needed oral health to a portion of Georgia’s population facing significant barriers to care."

10-employee TenderCare dental office the sole in-network dental provider for thousands of patients in our service area."

repayment is amplified in the long run, especially compared to adding more debt with a practice start-up or buy-in."

"... The Rural Dental Student Loan Repayment Program absolutely influenced me to work here. Debtrelief programs offer tremendous incentives to graduating students. In comparison to a private practice start-up, these programs offer the chance to reduce total debt, build professional practice experience, and provide much-needed oral health to a portion of Georgia’s population facing significant barriers to care. In 2014, I graduated with a debt larger than a very nice house mortgage, and at a much worse interest rate; any accelerated

"... As a safety net dentist, I see the impact of our work every day. We give hope to the hopeless—people who have not seen a dentist in years or decades can be treated by us with little or no out-of-pocket cost. Because of the shame and stigma associated with poor oral health, we enable our patients to be confident in themselves again. With a healthy smile, we know their future prospects for employment, family life, and overall wellness are dramatically improved. Most exciting for me is treating our child patients, both at our clinic and with At left, back row (l to r): Trey Harwell, Dr. Corey Woodard, Dr. Matthew Carithers, and Ulesha Tirado. At left, front row (l to r): Cheryl Brown, Rhonda Mealor RDH, Carla Roberts, Nusette Jackson, and Angela Walker. Not pictured: Kathryn Purdy, Office Manager.

30 • December 2016


our portable equipment. Establishing the right habits and right understanding early on leads to a lifetime of productive self-care. We prioritize the treatment of children and pregnant women for that reason: to make a generational shift in the community toward better oral health."

The Biggest Dental Health Challenge in a Rural Area: Dr. Woodard's Perspective "Oral health IQ is our biggest challenge with the patients we serve. Patients unfamiliar with dental treatment often have many questions related to treatment and processes (from crowns to scheduling). Our patients may not appreciate the role that their daily choices have on their oral health. Many of our patients previously viewed dental health as a commodity—something they go somewhere and buy—rather than the outcome of daily diet choices, and regular care in a dental office. For these reasons we have dramatically changed our education materials and staff training to focus on “self-efficacy”—what can I do to have a positive impact on myself. These materials focus on key concepts and deliver the message clearly, mostly with pictures, and concentrate on self-management. All patients need to understand how essential and truly irreplaceable their natural teeth are, and be empowered to take care of themselves. We hope that by exposing children to these practices we can enable lifelong oral health."

DR. KENDRICK

Continued from page 28

submitted it on time! I consider the relationships and blessings I have received in return are just some of the perks of a fabulous opportunity. This program has helped me achieve my goal of paying down my student loans and I am forever grateful to the GDA!" ___________________________________________

DR. FRAZIER

Continued from page 29

"... Perhaps our most exciting program is the “No Cavity Club.” We implemented this program as a way to educate young patients of the importance of excellent oral health habits. If the kids are involved and excited it makes all the difference. I now have children telling me about how hard they have worked on brushing to be cavity free. Twice a year we host a "No Cavity Club” day with a bicycle giveaway and pizza. This outreach project has become the talk around town. Rochelle Family Dentistry has made a huge impact on this community and it is something that my staff and I are very proud of. If not for the Rural Dental Student Loan Repayment Program this would not have been possible so soon." "... Our biggest challenges are finances and getting patients to understand the importance of treatment options, the significance of oral health, and the technology that is available. My heart goes out to the children in the chair. I examined a child on Medicaid with rampant decay who has first permanent molars that are non-restorable without root canal therapy that Medicaid doesn’t cover. When consulting with the parents on the options available, they usually choose to extract the tooth instead of restoring the tooth. This scenario breaks my heart. I see it daily and this is why I spend a lot of time educating parents so as to prevent this scenario." "... Dr. Rafik Abdelsayed’s oral pathology class at the Dental College of Georgia has been the most practical for a rural area than any I’ve taken. I’ve diagnosed and recommended referrals for treatment of Stage 4 oral cancer to someone that I personally knew. In a small community you know these families and you suffer with them." December 2016 • 31


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32 • December 2016

Multiple procedures per visit Root Canals General Dentistry Implants Surgery Perio

“The doctor’s safety net.”


GDA Member Reflections from 2016 The GDA Community Service Award recognizes member dentists who distinguish themselves by extraordinary service to the quality of life and health of persons in their local, state, national, or international communities. The intent is to honor GDA members whose individual volunteer commitments reflect well on the Association and profession at large, and raise the profile of all dentists. This year, the GDA honored Dr. Amanda Merritt of the Southwestern District (at right, below) in light of her significant charitable contributions in the Albany area.

Dr. Amanda Merritt: Service Raises Profile of Profession "... I coordinated our area's GDA Give Kids A Smile Day event for two years. We reached out to children in the gap, who do not have Medicaid or private insurance. Our goal was to move them into dental homes, and we accomplished that in many instances. It was a pleasure to coordinate the event; my colleagues were always willing to volunteer." "... Ten months out of the year the Baptist Mobile Health Ministry travels throughout Georgia to give people free dental work. I have helped for nearly 10 years with their mobile dental unit efforts in the Albany area. We recently treated workers at the 70th Annual Southwest Georgia Regional Fair. I love it when the fair comes to town. We see some of the same workers from year to year, and hearing their stories is amazing. So many of them have been traveling all over the world since they were 18." "... I have worked with another faith-based group that assists homeless and battered women who have fallen into substance abuse. I have a soft place in my heart for those who suffer from addiction. It does not discriminate. We can facilitate helping these women get their lives back on track."

"We reached out to children in the gap, who do not have Medicaid or private insurance. Our goal was to move them into dental homes, and we accomplished that in many instances."

"... When I served on the Lee County Chamber of Commerce board, they held adult GED classes in the same building where we held our meetings. We learned that several excellent students were struggling with the increasing costs of their final tests. The board created a scholarship program to assist these students and the project became my passion. I am the liaison between the GED program and chamber and identify scholarship recipients. This program provides a stepping stone for individuals facing barriers to success, just like restoring a person's oral health can move them forward. So many of these students have admirable career goals, like nursing and law enforcement. It is very rewarding to me to help these people get their lives back on track." December 2016 • 33


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GDA Member Reflections from 2016 Dr. Chris Hasty: GDA Member at ADA Level Helps New Dentists "... As chair of the American Dental Association Council on the New Dentist this year, I found that new dentists—those 10 years or less out of dental school—were the most concerned about debt, licensure, and what organized dentistry was doing for them. Educational debt for senior dental students in 2015 averaged about $255,000, according to the American Dental Education Association. Concerns about debt led the ADA to create a new website, ADA.org/mydebt, dedicated to money-saving resources and tools to help member dentists achieve financial stability. It also led to the ADA-endorsed DRB student loan consolidation and financing program, which I consider a valuable benefit." "... We know that new dentists, and many dentists under age 40, move. Licensure is a state by state issue, but the ADA is planning a career center, with a job board and resources on interviewing and resumes, as a way to help dentists find work." "... As an ADA SUCCESS speaker, I talk at dental schools around the U.S. about the future of dentistry, business, and ethics. While new dentists are optimistic about the future, students are very optimistic. I think new dentists have seen a little more of the reality of the changing face of the profession, but they still feel like they are doing what

they are supposed to be doing. Most of them still want to own their own practice someday, and they are searching for the business knowledge and confidence to make that happen." "... We need to engage new dentists and make them feel like they are part of something special. No one wants to feel left out. If you see a new dentist standing in the corner at a meeting, talk to them. Introduce them to other people. If they leave without making a connection, that can ruin their perception right off the bat. We have to show our newest members the value we offer."

The GDA is engaging new members and dental students at the state level. The membership department began monthly lunch and learns this year at The Dental College of Georgia to better reach dental students. New dentists who attend the GDA Annual Convention in 2017 will benefit from tracks focused on their needs. To better understand our members’ wants, needs, and issues, including those of our new dentists, a membership survey will be emailed to GDA members in the first quarter of 2017. Members will be encouraged to complete the survey. The GDA is exploring new ways to connect with dental students and engage them in organized dentistry, including investigating member interest in a dentist mentor program that would match a GDA member with a recently graduated student. Interested? Contact Katherine Torbush at katherine@gadental.org.

December 2016 • 35


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GDACLASSIFIEDS DENTISTS AVAILABLE

POSITIONS AVAILABLE

Dentist available for long or short term temp fill in. I will fill in for illness, vacation, or CE. In practice for over 31 years. Recently sold private practice. Extensive solo, group, and government practice experience. Ga. License, DEA#, insured. General dentistry. I will treat your patients like my own! Call cell (678) 373-6286. pkwaters57@gmail. com. Paul Waters DDS.

We are looking for an associate to provide 8-12 weeks temporary coverage (with transition to possible long-term part-time position) in our successful private practice in Conyers/Rockdale County. Coverage to start March/April 2017. Fully digital office with a great staff! Candidate must be proficient in all areas of General Dentistry. Ideal candidate should be energetic, motivated and have excellent communication and leadership skills (with patients and staff). For more information, please email: staff@conyersdentist.com.

Temporary Dental Office Coverage: Cover Your Hygiene Department and Emergencies. Licensed, Insured, DEA Registered. Call Dr. Norman Busch at (678) 406-0555. GA Locum Tenens Dentist: Over 30 years' experience in solo, group, and military practice. I am available to take care of your hygiene and triage emergencies while you are away. FAGD eligible with Georgia license. DEA registered and insured.Call Kevin Mitchell, DDS, at (404) 808-7508 or email ksmdds26@hotmail.com. Dentist (Temp Fill In). Current GA, FL, AL licenses. Sold 22 year solo private practice. Also group and military practice experience. DEA# and insured. Email drglassdmd@yahoo.com or call cell (770) 656-5269 or (770) 380-7487. "Peace of mind while you're away!" Locum Tenens TLC Dentistry: Metro Atlanta and North Georgia. Sold solo practice of 31 years. GA license, DEA, insured. Lots of TLC with patients. Please contact Dr. Pam at: wdtroll1982@gmail.com or (770) 653-8412.

EQUIPMENT FOR SALE For Sale: Antique Dental Cabinets (2), Thwaites Xray Unit and framed Technique poster, SS White Diamond Patient Chair circa 1925-1935, GV Black's "Operative Dentistry" Vol I and II 6th edition published 1924, 1911 Huttinger Bros Mfg Co 1911 Dental Catalogue. We are moving to a new location and haven't a place for these treasures. Must sell by Jan 2017! Located in NE Atlanta. Please email toothmomcbe@gmail.com. Equipment from merger for sale. Multiple small items. (1) Carestream Size #1 digital. (2) Complete Analog X-Ray equipment (Dentex) Duplication Machine, supplies. (1) Dry Heat Sterilizer & accessories. (1) Polishing Machine (Baldor). (1) Prophy Jet plus tips. (1) Triad Machine with extras. (1) Zoom Light & supplies. (2) Mobile Cabinets. (4) Stationary Cabinets – Walnut color. (1) Dr. Operating Stool. All equipment great for startup dentist. Email WHBrinkm@icloud.com or call Dr. WH Brinkman, (404) 862-3795.

WOODSTOCK, GA - DENTIST NEEDED: Tired of the corporate rat race? Ready to find your dental home? Our well-established FFS/PPO general practice has an opening for a f/t associate. Our ideal candidate is a dentist who is ready to make his/ her mark in the community. An individual who enjoys patient and staff interactions, and possesses a passion for providing quality, comprehensive dentistry. Min. 2-5 years of experience. If this is the right opportunity for you, please email your CV and a short introduction. Ownership potential for the right individual. deborah@tldentalgroup.com. Opportunities Available: Pediatric dentist, general dentist, and orthodontist career opportunities in metro-Atlanta with Smiles for Life Network (parttime and full-time). Enjoy the dental career you love, with the freedom to live the life you’ve been working towards. Our practice provides all levels of care including oral sedation, IV sedation, and general anesthesia at hospitals. Please call (678) 923-4466 or email Brian.Friedman@SmilesForLifeNetwork.com. Website: www.SmilesforLifenetwork.com. Wanted: Dental Director at Community Health Center to provide all clinical dental services to all ages, including prosthetics and preventive care in beautiful mountain setting and new facility near Atlanta. Manage department, staff, and volunteer dentists. Provide community education, integrated care, and QI. Caring and respectful. Represents Center and needs of vulnerable. Works with administration. Unrestricted Georgia license. Current BLS and DEA. Contact executivedirector@ goodsamhwc.org. Orthodontist Needed: Our dynamic, growing dental group is seeking a part-time Orthodontist who will have the opportunity to expand his or her hours by commuting to our other office locations. Our doctors can expect competitive pay and benefits, a stable patient base, mentorship and training, residency-style doctor forums and panels to broaden his/her scope of dentistry, and long-term career growth opportunities. For more information, visit our website at www.TeboDental.com or contact us via phone (770-925-3300) or email (hr@ TeboDental.com).

Associate Dentist Needed Immediately in Marietta: Part time opportunity for a General Dentist in our outstanding, well respected, quality oriented private practice. If you are looking to work with a great team of professionals in an environment with emphasis on patient care and comprehensive treatment, please email your CV to: westcobb. professional@gmail.com. Associate Dentist Needed: Why work for a corporate office earning 25%-30% when you could earn 35% in a PRIVATE setting. General family practice (FFS and PPOs only; no Medicaid) with offices in Peachtree City/Newnan looking for a general dentist. Excellent opportunity for an energetic, motivated dentist with a great personality and excellent communication skills. Candidate must encompass ability to build good rapport with patients and staff and must practice all aspects of dentistry including extractions and root canals. Email your resume to dentalofficeptc@gmail.com. We are looking for a part time Orthodontist to provide care for our pediatric dental patients. We are a privately owned pediatric dental office that has been providing care for metro atlanta kids. We are offering a competitive compensation package. Call (678) 763-2600 for more information. Endodontic Associate with potential for buy-in. Beautiful Coastal Georgia. Thriving practice looking for a motivated & skilled practitioner. Excellent pay. Highly trained staff. Modern technology. Come join us! Email leaendo@yahoo.com. Great opportunity for a full-time position in the beautiful north Georgia Mountains! We are looking to hire an additional highly motivated, energetic, caring doctor to our team. We are a long standing, privately owned, large practice providing general dental care for the entire family in our updated paperless office using Digital Radiography and in-house lab tech. We have a healthy flow of new patients each month with a mixture of FFS, PPO and Medicaid. Office hours are Monday through Thursday 8:30-5:00. Must have a DDS/ DMD from an accredited University and an active Georgia Dental Board License. New grads welcome! Pay negotiable commensurate with experience with all lab fees paid, vacation, uniform and CE allowance. We are located 1.5 hours north of Atlanta and 1.5 hours away from the Great Smokey Mountains National Park. If you enjoy being outdoors, we have some of the best camping, fishing, hiking & white water rafting around! Send resumes to: anissa@cfdmd.com.

CLASSIFIEDS

Continued on page 39

December 2016 • 37


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Have your patients complained about any of these symptoms?

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© 2015 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. 15PT3680

Oral Appliance Therapy ... a solution for your snoring and non-compliant CPAP patients.

If your patients have any of these symptoms and are not responding to treatments, they may be suffering from a TMJ disorder. Problems within the jaw can produce a myriad of symptoms that at Þrst glance, might appear to be totally unrelated to the temporomandibular complex. We also provide Oral Appliance Therapy to manage obstructive sleep apnea. Dental Sleep Medicine and Craniofacial Pain are not recognized as specialty areas by the ADA.

HEADACHES

FACIAL PAIN

NECK PAIN

TMJ DISORDERS

SLEEP APNEA

Mayoor Patel DDS, MS

DAAPM, RPSGT, FAAOP, FICCMO, FAACP, FAGD

Diplomate American Board of Orofacial Pain Diplomate American Board of Craniofacial Pain Diplomate American Board of Dental Sleep Medicine Diplomate American Board of Craniofacial Dental Sleep Medicine

38 • December 2016

200 ASHFORD CENTER NORTH • SUITE 195 • ATLANTA, GA 30338 678.899.6076 • FAX 678.899.6075 • WWW.CPCGEORGIA.COM


CLASSIFIEDS

Continued from page 37 Associate needed in Glynn County – Georgia’s Golden Isles, a few miles from the beach, one hour from Savannah and Jacksonville. Excellent opportunity for motivated General Dentist with exceptional communication skills. Enjoy working with an experienced, supportive and fun loving team. Well established practice with a large patient base, all digital x-rays with a great recall, Hygiene program in place. Associate should have skills in all aspects of General Dentistry, with an emphases on Restorative, Removable and Crown and Bridge. Compensation is production based, with a guaranteed minimum and a future buy out option available. Why work under corporate pressure? Have clinical freedom, competitive rates, paid time-off and malpractice assistance while living on the Coast. Interested candidates please reply to jtwdmd44@ gmail.com. Georgia (Gwinnett): Fast growing Prosthodontic Practice in the Heart of Gwinnett is looking for a qualified provider to join our team. Candidate must possess Excellent clinical skills/Good bedside manners/Ability to grow professionally. Must be experienced and possess skill in developing a practice. Benefits Available. Competitive Salary. Partnership Opportunity. castrodds@gmail.com. Pediatric Dentistry & Orthodontics has an opening for a Pediatric Dentist and Orthodontist for our practice in Metro Atlanta, GA. We are a non corporate, fun, private practice with 6 locations in the Atlanta area. We are thoroughly modern with paperless/chartless offices, solid infrastructure, and in-house sedation center with MD pediatric anesthesiologist. The individual we hire may be an employee or general contractor. You will receive guaranteed per day pay with percentage of production. We also offer 401K, medical benefits, moving budget, and sign-up bonus. We love CE in all areas of pediatric dentistry to keep up with technology and new innovative procedures. You will receive mentorship directly from our pediatric dentist. If interested, please contact us at (678) 763 2600 or email us at vvishant@me.com. General Dentist Needed: We have a wonderful opportunity for a General Dentist to join our successful private practice in the Marietta/Acworth area. Prefer someone with a minimum of 1 year experience OR a GPR. Great working environment, high tech office, good systems in place, and a friendly and well-trained team. High income potential for the right person. Please email your resume to: lakepointe@gmail.com. Dentistry at Milton & Orthodontics has a wonderful opportunity for a part-time oral surgeon to practice in Metro Atlanta, GA. We are a non corporate, fun, private practice with 6 locations in the Atlanta area. We are thoroughly modern with paperless/chartless offices, solid infrastructure. If interested, please email me at vvishant@me.com.

AMAZING OPPORTUNITY! Ever feel like you could be doing more with your dental career? Here’s how to earn more, pay off debt and grow your skill set -- all while enjoying the lifestyle you deserve! Independently-owned private dental practice looking for an additional associate doctor to join its award-winning team. We take care of all practice operations, from billing to equipment, patient acquisition to outreach, so you can spend your time making a difference in the lives of patients. We are not Corporate Dentistry we are a growing private practice looking for another excellent dentist. Here’s what you can expect as an associate on our team: • Freedom to practice dentistry without the expenses or administrative headaches of running a practice. • A balanced workload that goes beyond just “routine” procedures. • Clinical autonomy in a fun, steady-paced environment that fosters mentorship, collaboration, and pride. • A base pay significantly higher than the industry average, with the opportunity to grow your income up to 33% of your monthly production. • Highly-trained and award-winning support staff and the best technology. • Highly-credentialed mentors, who are teachers at heart and excited to share knowledge to help talk you through those trickier cases. • Excellent training and continuing education opportunities to further grow your clinical skills. • Time off to relax and recharge in an area that boasts a 19,000-acre all-sports lake, a multitude of outdoor activities and a relaxed lifestyle. This is an ideal opportunity for you to become financially sound, work with a top-notch team, and achieve a new level of personal and professional success. If you are interested in learning more about this amazing opportunity, please call (706) 920-9077 to hear a personal message from Dr. David Bradley. You may also submit your resume to Lea Justice, our Office Manager, at OfficeManager@DrsBradley.com. We look forward to welcoming you to our team! Great Expressions Dental Centers has immediate openings for full-time Lead Dentist(s) in: North Atlanta (solo/established/digital); Forest Park, GA (digital/established/solo) and Douglasville, GA (established/solo office). Doctors can expect unlimited production based earnings, full benefits, CE, time-off, Invisalign training, malpractice coverage, stable patient base, and long-term practice career growth with possible investment opportunity. Aggressive Sign-On Bonus or Relocation Assistance possible as well! Please reach out to Ross Shoemaker @ (678) 836-2226 or ross.shoemaker@ greatexpressions.com to learn more! Associate North Georgia Dentist Needed: Part time or full time general dentist needed for our private practice over the lovely Coosawattee River. This is a 9 operatory office in Ellijay, GA, with a top-notch staff. This is an easy commute from North Atlanta. Please send resume/CV to lykinsfamilydentistry@yahoo.com or fax to (706) 698-3383.

Opportunity to join a thriving Private Practice in Central Gwinnett County. The Practice has been operating for 30+ years and has a diverse and extensive patient base. The office is fully digital with a strong PPO/FFS mix in an updated facility. Large treatment needs ensures extensive work is available for the right candidate. Proficiency in Restorative, Endo, and Surgery is preferred. Avoid the traps of Corporate Dentistry and join a practice you can call home by applying soon! Contact gadentaldocs@ gmail.com or (404)549-6967. General Dentists Needed: We would like to offer you a unique opportunity to do the work you love without having to worry about the non-clinical aspects of running a practice. We take pride in knowing that our experienced team of professionals offer the highest standard of care by enriching the lives of our patients and the community. In addition to offering top compensation, we offer a very competitive benefits package. Current opportunities available at our Hiram, McDonough, Alpharetta, Covington, Acworth, and Atlanta locations. Please contact us at (717) 590-1500 or email your CV to christa.barnett@blackforddental.com. Pediatric & General Dentists Needed: We are a dynamic, growing dental group seeking new graduates or seasoned professionals to join our team. Our offices are located conveniently throughout Metro-Atlanta in the Lilburn, Dacula, and Gainesville areas. Doctors can expect to work with innovative technology, have a stable patient base, have long-term career growth, and receive a full benefits package including an aggressive sign-on bonus, CE, and paid time-off. For more information, visit www.TeboDental.com or contact us via phone (770-925-3300) or email (hr@TeboDental.com). Full-time dental associate needed to join high quality, busy, long-standing general dentistry practice in the Buckhead area of Atlanta. We provide all types of dentistry including implants, endo, reconstructive, family, and cosmetic procedures. General practice residency a plus. Send CVs to piedmontdentists@yahoo.com.

POSITION OR SPACE WANTED Buckhead Dentist seeks office space in same general area as current office: Piedmont Road at Roswell Road in Chastain/Buckhead. Prefer to relocate from current retail shopping center to medical office building, free standing, or similar. Space-sharing or alternating days/times is possibility. Even a short-term situation for transition would remedy timing inflexibilities inherent to retail lease. Contact Charles Poole, DMD: Email atldentaloffice@gmail.com or call (404) 735-3233.

CLASSIFIEDS

Continued on page 40

December 2016 • 39


CLASSIFIEDS

Continued from page 39 Position Wanted: Permanent P/T General Dentist position wanted outside of Atlanta limits. Can work 1 or 2 day week. Email WHBrinkm@icloud.com or call Dr. WH Brinkman, (404) 862-3795.

PRACTICES OR SPACE AVAILABLE Practice for Sale. Modern, up-to-date practice in Marietta near Marietta Square. A great area to settle down with family. Close to well-established living community. The practice is located on a busy road with 4 equipped operatories and chairs, but we only use 3 rooms. Its a paperless practice with Digital X-rays and Digital PANO. The Practice is grossing over $500k + per year working 3 to 3 1/2 days per week. We are averaging 45 new patients/ month. Please only interested buyers, because this practice will sell fast. For more details please email mipdental@gmail.com and or call (678) 596-5073. General practice for sale in Stone Mountain, GA. Office has 4 operatories. In a strip mall with good visibility. Needs some updating, but has a lot of potential. Please contact Dr. Le at (404) 729-5195.

40 • December 2016

Dental Office Space Available: Busy Buckhead Location! See Your First Patient Tomorrow! Turnkey 4 Op Dental Office beautifully equipped with ADEC chairs and units. Fully digital with xray sensors, Pan, and Eaglesoft. Move in ready. Contact: atlantadentist2014@gmail.com. Practices for Sale: North Atlanta: $500K, 4 operatories, room to expand. Marietta: $550K, FFS office, modern facility. Metro Atlanta: $650K, 4 operatories, room to expand, low overhead/high profit. Metro Atlanta: $775K, beautiful office, 5 operatories, 100+ new patients monthly, 20 minutes from downtown. Metro Atlanta associateships. Richane Swedenburg, www.newsouthdental. com. Call/text (770) 630-0436. Call for new or unadvertised listings. Dental Space Available in Georgia! Dental space available for Dentist or Dental Specialist in Atlanta, Macon, Fayetteville, Savannah, Pooler, and Statesboro. Fully plumbed ops with ample waiting room & front/side office space. Perfect for a satellite location or a new practice. Save time and money! Please email all inquiries to: DentalJobsAtlanta@gmail.com.

FOR SALE: Thriving prosthetic/general dentistry practice in Publix Shopping Center (TUCKER), 1625 sqft, 2 operatories w/plumbed space for 2 additional, over $430k in revenue, strong cash flow, 20 yr referral network. Profitable Oral and Maxillofacial Surgery Practice in N. ATLANTA, 2500 sqft with 3 operatories, over $690k in revenue, strong cash flow. Ability to buy building. Established referral network. Email lynn@5thaavc.com for information. Practice for Sale Lake Oconee Area. 100% FFS with consistent 650K annual revenue. Practice offers a four day work week with low overhead and excellent profitability. Proforma and after tax cash flow analysis available. Contact: loganvilledentist2015@gmail.com. General Practice for Sale: Southeast Atlanta area. Steady revenue of 400K provides a great opportunity for a first time practice owner. Current owner is retiring and is flexible with a transition plan. Proforma and after tax cash flow analysis available. Contact: atlantadentist2014@gmail.com.


We are looking for full-time doctors.

We support your dental practice with a complete business support system, including the latest technology and a proven track record of operational success, enabling you to focus on providing the highest quality of care to your patients and build one of the most respected dental practices in the country. You’ll operate in an innovative, team-oriented atmosphere that is highly competitive financially and highly rewarding personally.

Responsibilities: • • • •

Exemplify excellent patient experience through patient education Foster a positive attitude with patients and office team Perform, diagnose, prevent and treat conditions to help patients overall dental health Regularly educate themselves on the latest new dental discoveries and treatment techniques as well as attend seminars and classes

DEC2016 ADS South..........................................................40 Atlanta Age Management Medicine/ Ana Casas, MD..............................................10

Requirements:

Bank of America................................................43

Bridgeway Practice Transitions......................12

DDS/DMD from an accredited University Current Georgia State Board Dental license

Benefits:

Center for TMJ Therapy...................................41

Craniofacial Pain Center of Georgia..............38

• • •

We offer a very competitive compensation package & more! Hours conducive to a work/life balance Dental and health benefits Positive working atmosphere Clinical autonomy

Dental Care Alliance.........................................34 Dr. Mark Padolsky—TMD Dentist..................26 Frances Cullen, P.C............................................26

Stephanie Greenlee • National Director of Talent Acquisition 949.415.9793 • Fax 949.607.4267 • sgreenlee@onsitedental.com

GDA Dental Recovery Network......................34 GDA Plus+ Supplies.............................................8

Do your patients suffer from any of these symptoms? Head Pain

Forehead • Temples Migraine-type Sinus-type

Ear Ear pain • Ringing in ears Dizziness • Vertigo

Eyes

Jaw

Pain behind eye Blood-shot eyes Sensitive to light

Clicking, popping jaw joints Pain in cheek • Limited opening

Teeth

Neck

Clenching/grinding at night Looseness and soreness of back teeth

Lack of mobility/stiffness Neck pain • Tired/sore muscles Arm/finger numbness

Visit us online at w w w.tmdatlanta.com to download a referral form and learn more about our services! Manoj Maggan DDS, DABDSM, DABCP, DAAPM, FICCMO, FAACP

3590 Old Milton Parkway, Alpharetta, GA 30005

Center for TMJ Therapy

770.521.1978 phone • 770.521.9936 fax www.tmdatlanta.com • office@tmdatlanta.com

If your patients have any of these symptoms and are not responding to treatments, they may be suffering from a TMJ disorder. Problems within the jaw can produce a myriad of symptoms that, at first glance, might appear to be totally unrelated to the temporomandibular complex. Our dedicated team of professionals have years of training and are happy to assist you in the diagnosis and treatment of possible craniomandibular/ temporomandibular disorders.

Georgia Academy of Cosmetic Dentistry.....36 Georgia Dental Insurance Services...............44 Georgia Dept of Community Health.............12 Henry Schein.....................................................38 Hospital Dentistry—Dr. Kurtzman................32 iMedicor.............................................................24 Oberman Law Firm.............................................2 Onsite Dental....................................................41 Paragon Practice Transitions..........................32 Renasant Bank..................................................10 Total Medical Compliance...............................34 UBS Financial Services.....................................20

December 2016 • 41


GDAMEMBERVALUE This column features members talking about their path to dentistry and the value they find in membership. This month, we hear from Dr. Marianna Kovitch in the Northern District, pictured at right with her husband Sam, son Benny, and daughter Maya. Q: How did you become a member of the GDA? A: I first learned about the GDA in dental school at MCG. LAW Day was always an exciting event and the importance of organized dentistry was very well explained and featured throughout dental school. Being a member was thought to be the norm. I believe it is every dentist's duty to be informed as well as participate within their local and national branch in order to maintain and better the business and legal side of our profession. Q: What was your first job? A: I worked at Chick-fil-A at age 14 as a cashier.

Q: Why did you become a dentist? A: My senior year at Roswell High School, I did a co-op program where I was allowed to work from 1-5 p.m. instead of sitting in classes. There was a dental office close to my parents' house so I figured that would be a great desk job. Dr. Bob Smith welcomed me into his office and my job was to file all the letters and insurance claims into paper charts. I quickly became more interested in the back of the office than the front. I observed the dental hygienist and saw the dental assistants making bleach trays (an extremely new procedure at that time), but I was most interested in seeing Dr. Smith work. I became efficient at my front desk job so I could jump back and observe daily. I quickly gained a passion for dentistry. Q: Can you talk about someone who was a mentor for you? A: I attended Georgia State University for my Bachelors of Science Degree in Chemistry. I was in the pre-dental club,

Honors program, and conducting research in biochemistry. I was working nights and weekends bartending at a family entertainment facility. One evening at the bar, a lady asked for a chardonnay, followed by “Why do you have an organic chemistry book under the register?� After an evening of talking, Dr. Laura Braswell became a great friend and mentor. I spent many days at her office observing and learning about periodontics. She shared her passion for animal dentistry with me, and brought me to do dental procedures on a sea lion, tiger and chimpanzee. Q: What do you enjoy doing outside of dentistry? A: I used to do competitive ballroom dancing, and miss it all the time. I would go out dancing every weekend now if I had the time. With a 3-year-old and 6-month-old, my typical weekend includes activities with my kids and house chores. I enjoy traveling and once my kids get a little older, my family will hopefully start to travel again. Q: What is your all time dream vacation? A: I don't have a dream vacation yet. At this time in my life going on any long vacation is a dream. I am looking forward to taking the family to Disney World. I never went as a child due to finances and have always loved the Disney Magic!

42 • December 2016



Journal of the Georgia Dental Association 7000 Peachtree Dunwoody Road NE Suite 200, Building 17, Atlanta, GA 30328

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Professional Liability

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