WSDA News Issue 1 · October 2017

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Issu

WSDA 7 201 er · tob · oc e1

The voice of the Washington State Dental Association

WSDA PRESIDENT

DR. CYNTHIA PAULEY

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news

Also in this issue: SPECIAL DELTA MEETING INFORMATION HOUSE OF DELEGATES WRAP-UP


BEFORE...

YOUR VISION DELIVERED

DR. ALICE CHEN, INSPIRED DENTISTRY

C O N S TA N T I N E B U I L D E R S . C O M

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a day in the life

Mr. Alan Wicks, former General Counsel for the WSDA was bestowed an honorary membership in the WSDA for his many years of service

WSDA news Cover story by Rob Bahnsen Cover story images by Craig Mitchelldyer

issue 1 · october 2017

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editorial

5

guest editorial

31, 33

volunteer news

delta meeting recap

34-35

ce around the state

6-9 10-17

house of delegates recap

18-25

cover story

27

wdia news · medical open enrollment

28, 29

tech news

30

37

in memoriam

39, 41, 43, 45

classifieds

46

clinical corner

54

first person: dr. julie kellogg

compliance news

Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings

Dr. Ashley L. Ulmer Dr. Amy M. Winston

Continuing Education and Events Coordinator Sarah Quigley

Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn

WSDA Staff:

Membership Ser vices Coordinator Rachel Gunderson

Washington State Dental Association Dr. Bernard J. Larson, President Dr. Cynthia R. Pauley, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bryan C. Edgar, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Christopher Delecki Dr. Linda J. Edgar Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Eric J. Kvinsland Dr. Randall H. Ogata Dr. James W. Reid

Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Controller Peter Aaron Director of Government Affairs Mellani McAleenan Director of Operations Brenda Berlin

Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Administration and Financial Coordinator Tom Harshbarger Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org

Ar t Director/Managing Editor Robert Bahnsen Director of Continuing Education and Events Emily Rademacher, CMP Government Affairs Associate Emily Lovell

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In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com. The WSDA N ews is pub lishe d 8 time s ye arl y by t he Washington State Dental Association. Copyright © 2017 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2017: Leadership Article, Division 1, Honorable Mention, 2016: Platinum Pencil Award, 2015: Golden Pen Award Honorable Mention, 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversit y and Inclusion, 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists

table of contents issue 1, october 2017

26


editorial dr. mar y jennings

We stand our ground

Dr. Mary Jennings Editor, WSDA News

“Our story must be truthfully told. I offer no apologies for standing our ground. I am proud of the work we do and our longstanding commitment to improving oral health care for all of the people we serve”

Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address: mjenningsdds@gmail.com. The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

Pulitzer Prize-winning correspondent Mary Jordan recently wrote an article for The Washington Post entitled “The unexpected political power of dentists.” In short, she says, dentists are wealthy, have a “Norman Rockwell appeal,” have a remarkably unified voice, and aggressively lobby to “scuttle” competition that could lower costs and improve access to dental care for many people both in and out of poverty. She says lawmakers describe “a political force so unified, so relentless and so thoroughly woven into American communities that its clout rivals that of the gun lobby.” She says that dentistry is a male-dominated field (but that is quickly changing) and there is a “gender factor” that plays into the midlevel provider problem. I didn’t make it through all 611 comments, but I was thrilled to see quite a few dentists, and the occasional nondentist, actually sticking up for us. The commenters explained, point by point, how insurance/Medicaid, safety, cost of delivery differences between physicians and dentists, education, student loans, safety, and yes, even the occasional greedy dentist, all play into the state of dental care in America. WSDA member Dr. Steven Kirkpatrick recently shared an email he sent to Mary Otto, the author of “Teeth - The Story of Beauty, Inequality, and the Struggle for Oral Health in America.” In it he explained the differences between the funding of a Federally Qualified Health Center and a private practitioner. He discussed why he cannot accept Medicaid patients and what it means to have insurance companies cut fees. It was beautifully written. Mary Otto quickly responded that she “will spend some more time thinking about the points you have made.” Good for you Dr. Kirkpatrick! You caught Ms. Otto’s attention. And good for you, Mary Otto. At least you are willing to listen. I recently discovered the Association of Health Care Journalists. I didn’t know it existed. One of its goals is “to support the highest standards of reporting, writing, editing and broadcasting in health care journalism for the general public and trade publications.” Yet, there is a pejorative tone to many of the books, articles and comments made about dentists these days. In a country that historically has admired hard work, success, and Kardashians, I am surprised to be called out so harshly and so aggressively by the media, insurance companies, and patients about our wealth and perceived selfishness in the light of human suffering. I think Dr. Kirkpatrick and the other dentists who commented on Mary Jordan’s article nailed the problem. I think we need to open up and explain the science and business of dentistry. We know how expensive it is to deliver care. We know what sound treatment is. They do not. How many people besides upper-tier professionals truly understand the term “evidence-based care”? Even if they grasp the concept, I am not sure that they understand how strongly most of us live and breathe doing things the absolutely right way for all of our patients. This passion and yes, compassion, is where our unified voice is born. I have spent thousands of hours in dental association meetings. I don’t hear dentists talk about self-serving greed and turf protection. I hear dentists discussing fairness. That goes equally for insurance companies and poverty care. Dentists are not against care for low-income people because we will lose money. Charitable care is not a fair or sustainable health system. We are against disorganized, poor healthcare for poor people. In the public health arena that is called health equity and it is revered. It’s called cost of delivery by the legislative system and dentistry has been sorely neglected. That seems too fine a point for many healthcare journalists. The Washington Post motto says “Democracy Dies in Darkness.” It also dies when only a sliver of biased light is allowed to shine on a subject. I think dentists are tired of being cast in a negative light and are personally taking action. We have always relied on our dental societies and the ADA inform the public about how we work. Now we are personally commenting back. In this era of dentistry, media is fast paced and literally in our face. We have to actively and personally respond to solve problems. Our “power,” Ms. Jordan, comes from the fact that we see the whole problem, not just a part of it. What you are uncomfortable with is that we cannot and will not bear the blame and the burden alone, and we will not tolerate underfunded, irrational, and unsafe solutions. Our story must be truthfully told. I offer no apologies for standing our ground. I am proud of the work we do and our longstanding commitment to improving oral health care for all of the people we serve.

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Healthcare reform has been in the news again and serves to remind us how much medical insurance has transformed in the past several years. Although we are in a time of changing benefits and increasing premium costs, we still would not want to be without coverage. As 2018 will bring many changes to the individual market in Washington (see WDIA article page 27), group medical coverage for your office appears to be remaining relatively stable by comparison. While most individual carriers are moving to only selling plans on the Exchange, you can still purchase your group medical insurance directly though the carrier. And while some carriers have pulled out of selling individual insurance in most Washington counties (if not out of the state entirely), small group medical carriers continue to sell products in our state. Starting or maintaining a group medical plan for your office is now the best option you have to insure your family and your staff. Group plans offer more options than individual coverage. Carriers offer plans with varied deductibles and out-of-pocket maximums, so finding a plan to match your needs while still being within your budget is more likely. Some carriers also offer multiple plans options for your office, so your employees can decide which plan is right for them. For group medical plans, the provider networks that carriers offer are still strong. On the individual medical side, carriers have had to limit network size, which means smaller in-network provider options and no out-of-network or out-of-state care. Luckily, most group carriers still offer PPO (Preferred Provider Organization) networks, which have a large network of contracted providers. You receive lower contracted provider rates, and do not need to see a primary provider before seeing a specialist. Carriers also offer out-ofnetwork coverage for seeing providers that are not part of the PPO network, and will cover care while out of Washington state. Don’t rule out an HMO (Health Maintenance Organization). Although some people do not like to have to see their primary doctor before seeing a specialist, HMOs still have a lot to offer small groups. Their networks extend beyond their organization to independent contracted providers and major hospitals in the state, giving them a broader network than most people realize. Being smaller companies, they can be more efficient with group paperwork and claim processing than larger carriers. They are also competitive on price, and their annual premium increases tend not to be as high as other carriers. As individual coverage becomes less appealing, providing a group plan for your office is a great way to attract and retain quality staff. They will appreciate not having to apply for new individual coverage every year. Most carriers will allow employers to pass up to 50 percent of the premium cost to employees (depending on group size), which for some staff is still lower in cost than an individual plan. Also, group size can be as low as one person, so depending on how you set the eligibility for your office, you will have some control over who is eligible for the plan. WSDA owns 100 percent of WDIA, and WDIA was created to be a member service to Washington’s dentists. WDIA’s staff is paid to do what’s best for our dentists and their staffs. Dru Romero, Paddy Moran, Matt French, Kerri Seims, and other members of the WDIA team are available to talk with you about your medical insurance needs. Our team is not here to pressure you into a product with the highest commission. Instead they are here to help you find an insurance solution that is right for you. Think you of them as I do: trusted advisors that help navigate through the complexities of the insurance policies that I need for my piece of mind. WDIA would be happy to help you obtain a group medical plan for your office or assist you with any of your other insurance needs. Please contact Washington Dentists Insurance Agency (WDIA) at 800-282-9342 or visit www.wdiains.com to start the quoting process.

Dr. Amir Ganji President, WDIA Board

“Group plans offer more plan options than individual coverage. Carriers offer plans with varied deductibles and out of pocket maximums, so finding a plan to match your needs while still being within your budget is more likely.”

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

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guest editorial dr. amir ganji

The merits of group Medical Coverage


member news delta meeting follow-up

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On September 6 at the Lynnwood Convention Center more than 500 dentists (with more than 2,000 proxies) arrived eager to challenge the status quo at the WDS Special Meetings. Delta Dental appeared caught off guard by the large crowd, which quickly filled the center’s hallway and snaked around into the lobby. WSDA members came well-prepared to hold Delta’s feet to the flame by forcing it to adhere strictly to its own bylaws throughout the three-hour meeting. In the end, the work done by WDS members statewide was well worth it, with more than 91 percent voting to change amendments so that Delta would be more transparent, and would return its focus to patients instead of profits.

WDS Special Meetings images by Rob Bahnsen

Buried in proxies

The independent verifiers hired by Delta could not keep up with the deluge of proxies provided on site. And while people weren’t happy about the lack of coordination and preparation by Delta, hardly anyone was surprised, and those navigating the lines kept their cool. The verification process took nearly two weeks, something Delta initially asserted had to be completed before the end of the special meetings.

What’s next?

WDS member dentists on the WSDA Board of Directors are talking with outside counsel about potential next steps. Stay tuned for more information.

Photos this page, from top: There was no need for the police presence, everyone kept their cool, stacks of proxies. Opposite page: Dr. BJ Larson chats with a dentist about the meetings

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member news delta meeting follow-up

WDS SPECIAL MEETING · SHOW OF FORCE


member news delta meeting follow-up

Though lines soon swelled and the facility became quite warm, WDS members kept their cool

Lines soon wrapped throughout the long hallway and around the corner, as those charged with counting proxies were quickly overwhelmed.

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WSDA Board member Dr. Denny Bradshaw (right) waits his turn in line with Dr. Karen Homitz

Attorneys representing WSDA members and WDS confer with a representative from the company charged with tallying the proxy votes

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WDS Special Meetings images by Rob Bahnsen

Visiting before the start of the meeting

member news delta meeting follow-up

WSDA Board of Directors member Dr. Linda Edgar (left) and former Board member Dr. Laura Williams discuss proxies.


hod news & pictures 2017 house of delegates

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Smoke on the water

Opposite page, clockwise from top left: Dr. Tyler Shoemaker, chair of the Committee on Budget and Finance reviews budget items for the House, Dr. Cindy Pauley (left) visits with Dr. Mark Walker, Dr. Nhi Pham, Citizen of the Year, accepts the award from Dr. BJ Larson, the full group at the House. This page, clockwise from top: Dentists listen intently at the new delegate meeting, President Dr. Cindy Pauley presents Immediate Past President Dr. BJ Larson with a token of the WSDA’s thanks for his work over the past year.

Where there’s smoke, there’s fire, so the saying goes, and at the 2017 House of Delegates, the fires were outside, not inside. As the day approached, WSDA staff was constantly monitoring the situation in Skamania, where earlier in the week the Eagle Creek Fire jumped the Columbia River, threatening homes and land on the Washington side. Cancellation or postponement were options being considered, but thankfully, firefighters were able to contain the fires in Washington. As smoke and ash clouded the air outside (and eventually, even inside the complex), members rallied to work through the resolutions in front of them, and elect new officers, board members, ADA Delegates, and the 11th District Trustee. Congratulations to all who were elected (see all results on pages 16-17)!

Citizen of the Year Banquet

At the annual citizen of the year fete, Dr. Nhi Pham told her engrossing story of coming to the United States as a youngster. Her revelation about the depth of her volunteer service left the crowd rapt and in awe of her energy and her commitment to those less fortunate.

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2017 HOUSE OF DELEGATES


hod news & pictures 2017 house of delegates

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Happy “Phamily”: 2017 Citizen of the Year winner Dr. Nhi Pham with her family. Left to right: Catherine Tuyet Mai Gaston, Thuy Bui, Dr. Nhi Pham, Elizabeth Nghia Pham, Tina Thanh Phuong Luu, Dr. Tiffany Luu-Tran

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hod news & pictures 2017 house of delegates This page, clockwise from top left: Dr. Ashley Ulmer places a rose during the Ceremony of Roses, Assistant Executive Director Kainoa Trotter collects his President’s Award from Dr. Larson, attendees listen to a speaker. Opposite page, clockwise from top left: Poised to vote, Past President Dr. Vic Barry makes a point, Past President Greg Ogata introduces himself to new delegate Dr. Nathan O’Conner, Dr. Silvia De La Rosa makes her move during the Jenga game, Dr. Danny Tremblay listens intently.

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hod news & pictures election & resolution results

2017 House of Delegates resolution results

HD-01-2017 — ADOPTED

HD-09-2017 — ADOPTED

Rules for the House of Delegates – September 2017

Staff Recognition

HD-02-2017 — ADOPTED AS AMENDED

Committees and Parliamentarian for Annual Meeting of House of Delegates - September 2017 Amended as follows: Replaced candidate Dr. Amy Cook with Dr. Mandy Alamwala on Credentials Committee

HD-03-2017 — ADOPTED Acceptance of WSDA Audit For the Year Ending September 30, 2016

HD-04-2017 — ADOPTED

HD-10-2017 — ADOPTED

Nomination for Honorary Membership

HD-11-2017 — ADOPTED Enhancing the Association’s Legislative and Regulatory Advocacy (Bylaws Amendment)

HD-12-2017 — ADOPTED Concerning the Committee on Pacific Northwest Dental Conference (Bylaw Amendment)

HD-13-2017 — ADOPTED Financial Audit Requirement (Bylaw Amendment)

WSDA website. They can also refer dentists to the AADD website at disableddentists. org. 2. Develop a list of Disability Support Dentists who are willing to aid dentists who are disabled. The list should be updated semi-annually. Include volunteer sign up information in routine print and electronic communications. 3. Include a detailed list of disability recommendations on the WSDA website that can be used as guidelines by disabled dentists and their spouses when they encounter a disabling illness or injury. 4. The WSDA will supply a phone number that would be answered only during working hours. The WSDA will make this number known to all membership in routine print and electronic communications.

HD-16-2017 — ADOPTED Sugar Education Program

WSDA 2017/2018 Budget

HD-14-2017 — ADOPTED

HD-05-2017 — ADOPTED

Mandatory Dues Contribution to DentPAC (Bylaw Amendment)

NEW BUSINESS

HD-15-2017 — ADOPTED AS AMENDED BY SUBSTITUTION

House Support of WDS Members on the WSDA Board of Directors

WSDA Disability Support Program

ADOPTED;

RESOLVED, that the WSDA develop Disability Support Protocol by implementing the following four recommendations on a one-year trial basis:

Be it RESOLVED, that the 2017 House of Delegates commends and supports the actions undertaken by the WDS members on the WSDA Board of Directors regarding the WDS Initiative.

1. The WSDA will assign the duty of Disability Coordinator to an existing staff member who can refer disabled dentists and their spouses to a Disability Support Dentist (DSD) for help. They will be knowledgeable on information on the ADA/

Be it further RESOLVED, that the 2017 House of Delegates supports continued advocacy on behalf of our members and their patients regarding third party benefit issues.

WSDA Dues for 2018 (Bylaw Amendment)

HD-06-2017 — ADOPTED Nominations for Elective Office Additionally, Dr. Pat Sharkey was nominated from the floor for Committee on Budget and Finance.

HD-07-2017 — ADOPTED Location of the 2019 House of Delegates

HD-08-2017 — ADOPTED

WSDA Legislative Agenda for 2018

HD-17-2017 — ADOPTED

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House of Delegates images by Rob Bahnsen Your WSDA Board of Directors, left to right, front row: Drs. Christine Kirchner, Chris Dorow, Amy Winston, Cindy Pauley, Linda Edgar, Chris Delecki, Marissa Bender, Ashley Ulmer, Randy Ogata. Back row, left to right: Drs. Nathan Russell, Todd Irwin, Denny Bradshaw, Eric Kvinsland, John Gibbons, and BJ Larson. Back row: Mr. Bracken Killpack, WSDA Executive Director.

2017 HOUSE OF DELEGATES

ELECTION RESULTS

The WSDA would like to thank everyone who ran for positions this year at the House of Delegates! We appreciate the effort and time it takes to be involved in organized dentistry.

President-elect Dr. Chris Delecki

Board of Directors

Dr. Marissa Bender Dr. Chris Dorow Dr. John Gibbons Dr. Christine Kirchner Dr. I. Blake McKinley (1 year term)

Committee on Budget and Finance Dr. Pat Sharkey

ADA Delegates

Dr. Ted Baer Dr. Marissa Bender (2-year term) Dr. Amy Cook Dr. Mary Krempasky Smith

11th District Trustee Dr. Linda Edgar

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hod news & pictures election & resolution results

Your new Board of Directors and Officers


cover stor y dr. cindy pauley · 2018 president

WSDA PRESIDENT

DR. CINDY PAULEY Newly elected WSDA President Dr. Cindy Pauley is a force of nature. She is outspoken and fearless in her passion for the profession of dentistry, according to those who know her best. Since joining the WSDA Board of Directors in 2014, she has proven to be all that and more. With a keen intellect, engaging sense of humor, and the innate ability to quickly break down issues and get to the heart of the matter, she has demonstrated that she’s not afraid to roll up her sleeves and work hard to get things done. Her steely determination to effect change is as evident today as it was two decades before, when she first made her presence known in organized dentistry.

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cover stor y dr. cindy pauley · 2018 president

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cover stor y dr. cindy pauley · 2018 president

Pauley and husband Dr. Brian Cave have two boys, Tyler, 13, and Jordan, 12. They’re an active family that enjoys skiing, Scuba diving, wakeboarding, and tennis. The boys are active in several other sports including lacrosse and nearing their black belt certification in Tae Kwon Do.

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Just as importantly, she’s an engaging team player who shares the spotlight freely. During our interview, she reminded us several times that without the help of colleagues, board members, and WSDA staff, the work could not have gotten done. And while all those superlatives apply to Pauley in their own way, none tell the whole story. Colleagues, friends, and legislators were happy to sing her praises and share stories about her. Dr. Amy Winston said, “Cindy has many great qualities, so it is impossible to pick just one. I would say her ability to strategize is unparalleled. I’m impressed with her ability to play out every scenario with contingency plans. This enables her to create thoughtful, well-organized plans. She makes decisions rationally, rather than impulsively. She’d make a great political strategist!” Likewise, Pauley’s friend Rep. Michelle Caldier was eager to talk about her, saying, “Cindy is one of the kindest, most brilliant people I know, and she’s a fantastic mom to her two boys. She doesn’t take credit when she deserves it, preferring to remain behind the scenes. I think that is one of her leadership styles. Some people like to be in the limelight, but she’s more of a team builder. She wants to make sure that the credit is distributed equally. As she often says, ‘A high tide raises all boats.’ There are other people who might put people down so that they can get ahead, and she’s the exact opposite. She’s great at relationship building. She can make friends with anyone, from any walk of life. I really believe that quality is something that helps with team building, with her ability to be a great leader.”

Getting started

After graduating from the University of Washington, Pauley attended dental school at the University of the Pacific (now the Arthur A. Dugoni School of Dentistry) in San Francisco, and began practicing dentistry in 1992. She loves interacting with patients, watching families grow, and being an important part of people’s lives. “Every day you get to mix and mingle with 20 to 25 people, and most of those relationships are very positive and fulfilling,” she explained. “Recently, one of my patients told me, ‘I’ve been through two wives, four dogs, and five jobs, but only one dentist.’ I feel like there is a certain tie-in to both the community and to my friends. I see patients who were friends in high school, and even some from my elementary school days! I have patients who have been my friends since the fourth grade, and now I’m seeing their kids off to college. I love dentistry and doing good work, cosmetic dentistry being my favorite. But the most meaningful part of my job, and without a doubt the thing that I would miss the most, is my relationship with my patients.”

Hitting the ground running at the WSDA

Since joining the Board of Directors, Pauley has been a vocal proponent of key issues facing the WSDA, including challenging Delta Dental’s governance issues, honing its relationships with key legislators in Olympia, and fine-tuning the work of the Board to include strategic objectives that will better the organization, all while being open to new ideas and different perspectives. As her friend and colleague Dr. Bill Hooe said, “She is unflinching and not easily intimidated, and she’s going to need that as we move forward with our challenges with Delta. She has the fortitude and intellect, and I think she’ll do really well. She is one of the smartest people I have met, her powers of deduction are superb, and all of that is tempered by her compassion. She really cares about the person at the other end. Whether it’s the dentist being jerked around by the insurance provider, or the patient in the chair,

her priorities are set wonderfully. Her best qualities are that she’s smart and driven, but even with all of the stress, she always has a sense of humor about it, and is generous with her laugh, which is infectious.” Pauley has been involved in organized dentistry since she first graduated from dental school. She has been a delegate to WSDA for over 20 years. She served on the Seattle-King County Dental Society’s Executive Council for more than a decade, and on the board of the Seattle-King County Dental Society Foundation, eventually serving as President of both. She was also on the WSDA’s Committee on PNDC, and helped found the Washington Oral Health Foundation. When she made the decision to run for the WSDA Board, she knew it would be a commitment of both time and energy. The Board was active and had done a lot of good work. Pauley saw it was the right time for teamwork that included fresh ideas, strong collaboration, and some new approaches. She knew she could help with these changes, support them, and work hard to see them through. You see, since she was a very young girl, dentistry has literally been her life. Her mother and uncle were dentists, she married a dentist, and now her two children hope to become dentists. She decided to run for the Board, she said, to help preserve the future of dentistry for them.

Growing up in dentistry

Pauley grew up in Irvine, Calif., and Medina, Wash. The family was in Irvine while her father, Gil, got his PhD. (He later became a UW professor and worked for the U.S. Fish and Wildlife Service.) Early in her father’s career, they moved often to accommodate his ascent with the federal government. Her parents were from Washington and had attended UW, where her mother, Pat, earned a degree in home economics. When they moved back to Washington, her mother couldn’t find a teaching job (most schools were cutting out home economics programs). Her father saw an article in the UW newsletter that said the dental school was making a concerted effort to recruit women. They both thought that sounded like a career fit for her. With his and their daughter’s support, she went for it. Soon after, her mother returned to school to fulfill her science requirements. The following year she was accepted into the UW School of Dentistry. “She was in the second class that fully accepted women to the school,” Pauley explained. “It’s kind of shocking that when I was 7 years old, there was really no place for women in the UWSoD, and now they make up 50 percent of the school. My mom retired seven years ago after practicing for more than 30 years, 18 of which were really great times together with me.” They were the first mother-daughter practice in Washington state in 1992.

Time in the lab

Pauley was 9 years old when her mother started dental school. She was an only child, and resources were limited. “It seemed like our life was centered around her education and dental school. I would hang out with her in the lab,” Pauley said. “I got all of my dental work done at the dental school, of course, so those were the earliest times that I felt as though dentistry could be something that I would be interested in pursuing. My mother lived and breathed it, and we became committed to her education as a family.” When Pauley was 13, her mother graduated from dental school and started her own practice. She often worked side-byside with her mother, helping in the office and performing sterilization tasks. “I always knew that I enjoyed it. That and being a lawyer. Those were the two careers I saw that interested me,”

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cover stor y dr. cindy pauley · 2018 president


Top photo courtesy Dr. Pauley, bottom photo: Rob Bahnsen

cover stor y dr. cindy pauley · 2018 president Above: The couple’s boys are both PADI (Professional Association of Diving Instructors) certified divers. Below: Drs. Pauley and Cave practice together in a building once owned by her parents, who both lend a hand on a regular basis. Shown here with their staff and Pauley’s mom and dad.

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then, the boys were 6 and 7, and I needed help with their schooling and after-school activities. When he took over my mother’s practice and could help out more, it was phenomenal in terms of raising our kids.”

Ensuring the future

Mother as mentor

After practicing in rented space across from Overlake Hospital in Bellevue, Wash., for 15 years, her mother’s lease was not renewed when the owners decided to rent to only physicians. Determined to ensure that would never happen again, she found a vacant building on Bel-Red Road in Bellevue that hadn’t been utilized for years. Her parents purchased, gutted, and remodeled it. This was a leap of faith at the time (before Microsoft) because the area was largely undeveloped for professional businesses. “Of course, now the Bel-Red corridor is thriving, and everything is happening around us,” said Pauley, “but at the time that wasn’t so clear. It was a huge step financially for them, but so forward thinking. My mother had a one-woman show. Later, I was able to grow my practice next to hers because the building they purchased was huge, and the area was growing fast. When she retired, the combined practice was too much for one dentist, so my husband, Brian, who had his own lovely practice in Edmonds (Wash.), sold his practice and took over my mother’s. I feel like I have been able to stand on the shoulders of people who took some risks, and it has afforded me a really stable situation. Now my boys come into the office with us because we have a space downstairs where they can study, hang out, or get ready to be ferried to the next activity, usually by my dad.” In a way, life has come full circle for Pauley, as her children are now growing up inside the practice of dentistry, just as she did. “Both my boys want to be dentists, and I think that’s where I derive my passion for making sure that dentistry is still a positive and rewarding profession,” she explained. “I feel like I’m providing for their future. It makes sense since it’s the only career they’ve known their family to be part of. Even my father is involved in the practice and has been throughout the boys’ lives. He took early retirement from professorship at the University of Washington and has helped out in the business for the last 17 years, doing the deposits, dealing with vendors, and handling social media. Mom still comes in to visit and create beautiful flower arrangements every week. My dad was the one who first recognized early on the development and importance of social media for our practice. He was the first to say to my mom and I so long ago, ‘Hey, you guys need a website!’ We both looked at each other and asked him, ‘What’s a website?’” People often ask Pauley how it is working so closely with her husband, wondering if it ever seems too close. “Let’s face it,” she said with a laugh, “we’re not the Waltons. There are times when we all think this is a lot, but for the most part, it’s absolutely wonderful. Remember, I practiced with my mom for 18 years, my dad is there every day, so having my husband there every day was a no-brainer for me. The real question is how does my husband handle it? My mom, dad, and I were already a unit. All I had ever known was being in practice with my parents. My husband left his quiet existence in Edmonds and came into our world. He’s done an amazing job of that. From my perspective, things got easier. My mom is easy to get along with, and my husband is easier. Back

“My mother is one of the most amazing women I have ever personally known,” Pauley said. “She never looks backward, only focuses on what she’s going to do in the future. It’s quite amazing.” Though her mom was her mentor, Pauley said they’re very different, explaining, “My brain isn’t like hers. I wish it was. She’s probably the most singularly healthy-brained individual I have ever known in my life. I’m fortunate that I can look to her for guidance and as a resource. She approaches life with such gusto, always changing, always looking forward. These days my mom has moved on and hosts her own radio show every week, focused on the art scene in the Northwest. I’m much more like my dad, a bit of a worrier, someone who examines things from multiple angles before making a decision. While those are good traits to have, I do hope that some of her adventurous outlook on life has rubbed off on me.” Time and again, Pauley’s friends told the WSDA News that she is much more like her mother than she knows. Dr. Craig Neal, who has known her for 25 years, said, “Cindy’s knowledge and understanding of the issues facing the practice of dentistry in the state of Washington is unsurpassed, and we are so lucky as dentists to have her leading our state association as president. She has devoted an enormous amount of time away from her family and practice to travel the state.”

Getting involved in dental politics

Pauley has always loved politics — the strategy, relationship building, and complexity of it. She has always been willing to go to the mat for organized dentistry. It helps that she’s a critical thinker who can easily assess a situation. Said Hooe, “Cindy can break down an issue quickly and get to the heart of the matter, and is able to explain it to others. We were working on understanding an issue the other day, and she was able to distill it down beautifully. As they say, if you can’t break something down so that you could explain it to a second-grader, then you don’t know the subject well

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cover stor y dr. cindy pauley · 2018 president

Pauley said. “I contemplated taking the LSAT, but at the end of the day, dentistry was the family business, and that had the bigger draw. My parents had continued to establish a base for me, and I decided to go into dentistry.”


cover stor y dr. cindy pauley · 2018 president

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When she came to serve on the WSDA Board, Pauley knew that she wanted to affect change by applying the same principles of hard work and coalition building that had brought her so much success in Olympia. According to Neal, she is a one-woman recruitment powerhouse. “Cindy’s passion and enthusiasm have single-handedly inspired many otherwise uninvolved dentists to become active in organized dentistry,” he said. And while Pauley takes pride in knowing that she helped lead the way to affecting change at the WSDA, she wholly acknowledges that it has been a total team effort. “Change had to come from within, including the WSDA staff,” she explained. “Everyone had to be involved. We had the good fortune of Bracken Killpack coming on board as Executive Director. He saw the need for change, too, and decided that it was not only possible, it was advantageous. A lot of good things happened around me that opened the door for a renewed look at things. We have an absolutely fantastic hardworking Board, and we’re making changes in the WSDA’s strategic direction, and I’m working with a lot of really smart people. Had it just been me wanting to do more, nothing would have changed. I feel like I was just a part of all of us taking courageous steps in a positive direction. I keep moving forward and hoping for the bright future. There is so much more to get done. I have days of tremendous optimism, and I have days when I feel like I just need a hug from my kids.”

Changes at the state level

Already, Pauley has served as the catalyst for many positive changes within the organization. From going full throttle with Delta Dental, holding it accountable to patients and trying to affect change within the insurance behemoth, to working with Killpack, key Board members, consultants, and staff to create an ambitious wireframe for change in the form of a strategic plan for the WSDA,

she has helped create a lasting legacy. But Pauley isn’t finished, not by a long shot. And the truth is, the Delta fight is far from over. Once again, her supporters rally to sing her praises. Good friend Dr. Franco Audia said, “Cindy is one of the most focused individuals I know. She has grit and determination, and perseveres through even the toughest challenges.”

The year ahead

We wondered, does Pauley have goals for the coming year, and if so, what are they? She said, “Bringing Delta back to its patientcentered focus would be a huge goal. I also want to support the big vision for the WSDA Foundation to be a major player in supporting the underserved around the state. I want to address workforce issues. With the shortages of dental auxiliary personnel, we have opportunities to come up with creative ways to address this problem. As a member of the DentPAC Board, I will continue my efforts to help make it one of the strongest PACs in Olympia. Along with that comes a continued push to make sure our interface with lawmakers is the strongest it can be. From Dental Action Day to every day in-between, we want legislators and regulators to know that no one in this state cares more about the dental health of the people of this state than the dentists of this state.” Pauley continued: “From the volunteer efforts we’re making to coordinate the work of the WSDA Foundation, to the sometimes grueling work of the strategic plan, we are doing a lot for the organization and our members. I think we are all comfortable with the idea that everything doesn’t have to happen at once. If we need to jump in with help on something like the Delta initiative, things may have to be put aside for a bit, but with the strategic plan in place, things will be picked up later. I could not be more proud of the WSDA Board and staff for diving in and working as hard as any board in the country to do great things for the membership.”

A future in politics?

After practicing for 26 years, Pauley is investigating a future outside of dentistry, and she admitted that politics would be in contention. She was a commissioner for the city of Redmond and thought about serving on the city council as well, but it takes a lot of time to be a public servant. “My boys are still young, my practice is still in full swing, and with my current commitments in organized dentistry, there are not enough hours in the day for it,” Pauley said. “In the future, however, my life is shaping up for that to be a real option. I do see it as something that I would enjoy very much.” As an organization, the WSDA would welcome and encourage a political dynamo like Dr. Cindy Pauley to serve and watch out for the interests of dentists in Washington state, and perhaps across the country.

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Photo this page: Rob Bahnsen

Applying the same principles at the WSDA

cover stor y dr. cindy pauley · 2018 president

enough. She’s been studying and learning some really heady concepts to get it down to that level, and I really appreciate that about her. Cindy’s not afraid to study and be humble, which is a great skill.” While Pauley has long been active on the political scene, things really took root about eight years ago, when she first realized that there were outside forces driving the profession that had no knowledge of how dentists work internally. Choices were being made about dentistry that affected patients by people who were not in the profession, nor had they ever been. “When I realized how powerful policymakers in Olympia were, that they could forever alter our profession and affect our patients’ health, that’s when I realized I had to look into it, and I had to be of help,” she said. Pauley began an organic outreach to legislators, making contacts and developing friendships in Olympia. Caldier, herself a dentist, knows first-hand about Pauley’s influence on the hill. She said, “When I ran for office and began meeting other legislators and lobbyists, Cindy was already a legend in Olympia because of the advocacy work she had done there. I heard ‘Cindy the dentist’ quite a lot. Early on, people were a little puzzled when I would show up because they were expecting Cindy. I can’t tell you how many times I had to say, ‘Nope, I’m not Cindy. There’s more than one passionate dentist out there.’” In part, because of Pauley’s trailblazing in Olympia, there are many key WSDA members with close and important relationships with state legislators. “We have relationships that are so well-developed and robust that you can’t even look back to the way things were,” Pauley said. “We have our own resources, and they’re varied and cross party lines.”


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WHAT YOU NEED TO KNOW · WHAT HAS CHANGED

wdia news

The Individual Medical Annual Open Enrollment Period (OEP) begins in November and, unfortunately, will most likely bring rate increases and, for many people with individual coverage, the need to select new coverage. Open enrollment is Nov. 1, 2017 to Jan. 15, 2018. But to have coverage on Jan.1, 2018, you must enroll by Dec. 15, 2017. During the OEP, you can switch to a new plan with your current carrier or change to a new carrier altogether. Outside the OEP, you can only enroll in an individual insurance plan if you qualify for a Special Enrollment Period (SEP). Certain life changes or special circumstances may qualify you for this. If you fail to enroll in a plan during the OEP and do not qualify for an SEP, you will not be able to obtain individual coverage until next year’s OEP. For this OEP, many people who have purchased their individual coverage directly from a carrier in previous years will need to use the Exchange to purchase their insurance. The Exchange is a health insurance marketplace that helps individuals and families shop for and enroll in medical insurance. Depending on household income, people may qualify for premium reductions, as well as lower out-of-pocket costs, if they apply for coverage through the Exchange. However, a household income for a family of three must be under $80,000 to qualify for any subsidies. The Washington State Exchange is called the Washington Healthplanfinder at www.wahealthplanfinder.org. When looking for coverage on the Exchange, you would: create a profile including household income information; compare plans; apply for the chosen plan; and pay for your plan.

group medical information

PREPARING FOR THE 2018 MEDICAL

OPEN ENROLLMENT

Medical plan catagories

Medical plans now come in categories called “metal levels”: Bronze (lower coverage); Silver (middle coverage); Gold and Platinum (higher coverages). Metal levels differ based on how you and your plan share the costs of your care. Often, if your monthly premium payment is low, the cost of getting care when you go to the doctor will be higher. A higher premium means you will pay lower costs out of your own pocket for things such as drugs or hospital stays. Before choosing a plan, start by looking at the midlevel Silver plans. If you need more coverage or lower out-of-pocket costs, check out the Gold or Platinum plans. If you would like a lower premium, consider the Bronze plans. In choosing a medical plan, you must also consider the provider network that the carrier offers. Some carriers have been reducing their provider networks, and most are no longer covering out-of-network providers (out-of-network means that the provider or facility providing your care does not have a contract with the insurance carrier). Many carriers have also eliminated out-of-state providers, except in emergencies. An emergency means if you do not receive help right away, you could die or put your health at serious risk.

Provider network options for Washington are PPOs, EPOs, and HMOs.

agreed to lower their rates for plan members. Depending on the plan, some out-of-network coverage may exist and, generally, you can see the doctor or specialist without having to see a primary care physician first.

Exclusive Provider Organization (EPO):

This network has a limited number of providers, and you cannot go outside it for care. There are no out-of-network benefits. Depending on the carrier, you can see the doctor or specialist without first seeing a primary care physician.

Health Maintenance Organization (HMO):

This network offers a limited number of providers, and you cannot go outside it for care. There are no out-of-network benefits. You usually need a referral from your primary care physician before you can see a specialist or have a special test done. Although many people shy away from HMOs, they are becoming a more viable option, as the provider networks can be stronger than that of an EPO and the rates can be highly competitive.

WDIA’s Advice for the 2018 Open Enrollment Period Prioritize your needs and determine: What the plan covers The provider network Premium costs Out-of-pocket costs

Start looking early:

Expect processing delays both on and off of the Exchange. Also, expect delays for new group approvals.

Consider a small group plan for your office. These plans offer: · Great employee benefits · More stability in plans and provider networks. · A group medical plan can have one or more members. For a one-member group, the member must be an employee, it cannot be the business owner or their spouse. · The employer is required to pay a minimum of 50 percent of all premium costs (some carriers require 100 percent, depending on group size). · Rates are based on the plan you choose, and the ages of those on the plan.

WDIA is here to help you make a decision on your medical coverage

Please visit www.wdiains.com, where we will provide plan, rate, and network information once it is made available from the medical carriers in late October. Please call WDIA at (206) 441-6824 or 800-282-9342 if you are interested in quotes for small group plans for 2018.

Preferred Provider Organization (PPO):

This network is made up of independent providers that have

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opthalamic procedures warning tech news WHAT YOU NEED TO KNOW:

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tech news

WSDA News: Why are gas bubbles placed? Dr. Birnbach: We use gas bubbles to help with the therapeutic

process of retinal reattachment surgery. There are a couple of other less-common procedures where we place them, as well. They can be composed of air, which last between five and seven days in the eyes, or sulphur hexafluoride (SF6), which lasts about two weeks. The other gas we use is C3F8, which is perfluoropropane, and that lasts about two months in the eye. WSDA News: How would a dentist know if patients had undergone a procedure that could put them in danger?

Dr. Birnbach: Following surgery, we put a bracelet on the pa-

tient that says the patient has an intraocular gas bubble and nitrous oxide should not be administered, and that they should avoid going to altitudes in planes or mountain passes. Truthfully, most dental patients will be conscious, aware of the situation, and will alert the dentist in advance. The bracelet protects patients who are rendered unconscious and have to be taken to the hospital, for instance, where they might use nitrous oxide for the induction anesthetic. If the anesthesiologist doesn’t know about the gas bubble, there could be a danger to the patient. However, we’d like to see dentists who are considering administering nitrous oxide to confirm with patients that they haven’t had a recent ophthalmic procedure that would put them at risk.

WSDA News: What is the danger to the patient, how common are these surgeries, and how long is it dangerous?

Dr. Birnbach: When you use nitrous oxide, the nitrogen in the

bloodstream can then seep into the bubble. The nitrogen mol-

ecules are attracted by the gas, so they essentially increase the size of the gas bubble, and an acute increase in the size of the gas bubble will cause an increase in pressure in the eye and could impede circulation to the eye. The effect could be similar to a tourniquet on the eyeball, which could lead to blindness.

WSDA News: What can and should dentists do? Dr. Birnbach: The bottom line is, asking your patients if

they’ve had a recent eye surgery before you administer nitrous is a reasonable question. And if they say yes, ask if they have a gas bubble. If they do, don’t administer nitrous unless you’re certain the patient is safe to receive it. How do you know? A recent article said if you have the two-week bubble, you can use nitrous after one week. If you have the two-month bubble, you can use nitrous after one month. The bubble will gradually diminish over time, and once it is past the 50 percent point, they should be safe to use nitrous. However, if I were the dentist and I knew that a patient had a gas bubble in the eye, I wouldn’t use nitrous until the bubble had completely dissipated. It’s going to be pretty rare that a patient will have eye surgery and then be in the dentist office shortly after, but it can happen. The other issue with a gas bubble is that we typically don’t want patients lying on their back because the bubble can push up against the lens of the eye, which can worsen cataracts damage a lens implant. And while we know that patients can end up on their back while sleeping, we want to minimize that as much as we can, so being prone in a dental chair should be avoided. Obviously, emergencies supersede a lot of these recommendations. I tell my patients “life before vision,” but I would say the hierarchy is life, vision, tooth decay.

WSDA News: How common are these surgeries? Dr. Birnbach: Retina surgery is relatively uncommon. We’re

probably the busiest retina practice in the state and we do 2,000 surgeries a year, and that’s between eight people, and only a fraction of those have gas bubbles – possibly 25 percent or 500 a year. In all, there are probably a few thousand surgeries a year with gas bubbles statewide in a population of 7.2 million.

WSDA News: Can you recommend any good resources? Dr. Birnbach: I don’t know that there are any good resources,

but if you Google “nitrous oxide and gas bubble after retina surgery,” about 10 articles come up. I think this is mostly about being aware of the possible complications, and asking your patients if they’re had retinal surgery. One simple question can alleviate any concern you may have.

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opthalamic procedures warning

Resources can surprise you. At the WSDA, we’re lucky to have retained great attorneys (so helpful recently) and lobbyists, who help guide us through the labyrinth of legislation, litigation, and regulations that threaten to bog down organized dentistry. And so it was interesting recently when one of our attorneys asked us a question: Did we know that some dental procedures could be quite dangerous to patients who had recently undergone certain ophthalmic surgeries? It turns out we did not. And to our chagrin, not many dentists we queried were aware, either. Thankfully, our attorney thought to share the information with us, and a story idea was born. We reached out to Dr. Charles Birnbach, a Bellevue ophthalmologist who works in one of the state’s largest surgical practices, to find out what the dangers are, and what dentists should know.


is your website accessible?

WSDA members and dentists across the nation recently received letters from attorneys or service providers alleging their websites violate the Americans with Disabilities Act. They were told their websites are not accessible to people with disabilities such as blindness or hearing impairment. Because such claims appear to be on the increase, WSDA reached out to healthcare attorneys Emily Studebaker and Katie Miller at Hall Render for their perspective.

Digital Access for All: Is Your Website Accessible Under the Americans with Disabilities Act?

In 2010, the Department of Health and Human Services (HHS) issued antidiscrimination requirements under Section 1557 of the Patient Protection and Affordable Care Act (ACA). In May 2016, HHS issued a “final rule” implementing the Section 1557 requirements, with the expectation that covered entities would come into compliance with the requirements by October 2016. Under Section 1557, providers of healthcare programs and services that receive federal financial assistance, which includes Medicare and Medicaid payments, must comply with specific requirements to ensure equal access to healthcare services by all, including individuals with disabilities protected by Section 1557 and the Americans with Disabilities Act (ADA).

Background: Requirements of the ACA and the ADA

compliance

Section 1557 of the ACA requires that healthcare providers comply with Title II of the ADA by mandating that providers ensure electronic information technology (EIT) is accessible to individuals with disabilities, unless doing so would result in undue financial and administrative burdens or a fundamental alteration in the nature of the health program or activities. Many healthcare providers are generally subject to Title III of the ADA as places of public accommodation. However, Section 1557 requires that all providers subject to Section 1557 comply with the more stringent Title II requirements that normally apply to state and governmental entities. How and when a healthcare provider is supposed to comply with these provisions of the ADA is not entirely clear. While HHS recommends providers comply with the Web Content Accessibility Guidelines (WCAG 2.0), compliance with these standards is not mandated and does not guarantee that a provider will be in compliance with Section 1557 or the ADA. While we expect further guidance from the Department of Justice (DOJ), there is currently no standard or way to ensure a website is “ADA compliant.”

Enforcement Actions

There has been an influx of lawsuits stemming from plaintiffs’ claims that companies have violated the ADA because their websites are not sufficiently accessible to individuals with disabilities — mainly individuals with vision impairments and hearing impairments. Specifically, in 2013, the National Federation of the Blind brought an action against two tax preparation websites for failing to be ADA-compliant. The DOJ intervened in the case, stating that the United States had a significant interest in the pending litigation because it would help define the application of the ADA to websites. Additionally, providers, particularly dentists, have noticed an upswing in letters from plaintiffs’ attorneys warning of potential noncompliance and demanding such providers comply with the ADA.

Practical Takeaways

Providers can expect increased correspondence from attorneys regarding ADA compliance as it relates to websites. If correspondence regarding website compliance is received, an attorney should be consulted because updating a provider’s website to comply with WCAG 2.0 AA may not be necessary or sufficient to comply with applicable sections of the ACA and the ADA. However, these demand letters should not be ignored or taken lightly. Affirmative action should be taken to respond to such an inquiry. Emily Studebaker and Katie Miller are attorneys with Hall, Render, Killian, Heath & Lyman, P.C., the largest healthcare-focused law firm in the country. Please visit the Hall Render blog at blogs.hallrender.com for more information on topics related to healthcare law.

ADA COMPLIANCE:

WEBSITE ACCESSIBILITY

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The Wingman program

everyoneforveterans.org/be-a-wingman.html People signing up for the Wingman volunteer program will be assigned a veteran with a “Mission Possible.” Their job to help the veteran accomplish the mission, and you’re encouraged to be as creative as you like to get it done. An example of a typical mission would be a qualified veteran has asked for a fishing rod because fishing brings him peace of mind. The mission is to equip him to go fishing. There are many ways to accomplish the goal — you could get a sporting goods store to donate the appropriate equipment, you could buy all the equipment and give it to the veteran, you could rally friends or study club members to chip in to buy the equipment, you could encourage your child to fundraise at school for the project, or you could poll your friends to see if they have equipment they could donate. The program will only connect you with one veteran a year, so you won’t be overwhelmed. As part of the Wingman program, you can also sign up to donate goods and services needed for various missions.

Veterans Open Mic Town Hall

2 to 4:30 p.m. Nov. 11 Washington Hall, 153 14th Ave., Seattle Please RSVP to jennifers@everyoneforveterans.org. Come to the Veterans Town Hall to hear veterans talk about their lives and experiences. It’s a powerful way to connect with them and hear their personal stories of war, sacrifice, redemption, and freedom. According to bestselling author, filmmaker, and Peabody Award winner Sebastian Junger, the purpose of the Veterans Town Hall Events is to “give vets of all wars a chance to address their community directly and without intermediaries. As a veteran speaking at a town hall event, you will be addressing a crowd that includes everything from close friends and family to complete strangers. But these are the people you risked your life for; these are the people you went to war for. No one goes to war and returns home unaffected. It’s not fair - or healthy – for veterans to be left alone with these burdens. They belong to all of us.”

Providing dental care - still a great option

everyoneforveterans.org/for-dentists.html If you prefer to donate dental care to a veteran, Cheng’s website can connect you. Everyone For Veterans typically refers just one veteran a year per volunteer (and not every year), but if you can take more, Cheng and her staff would love it. Providing dental care in your office allows you to work in the comfort of your practice with skilled associates to help you.

NEW WAYS TO SUPPORT WASHINGTON VETS

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become a wingman

Dr. Theresa Cheng

Never one to rest on her laurels, Cheng and her organization, Everyone For Veterans, are currently working on some really interesting projects aimed at providing more than just dental care. They’re hoping to bring calm and hope to this oft-forgotten group of American heroes. From supplying a veteran with services or goods necessary for a specific event or activity, to listening to veterans’ stories at a town hall event, to yes, providing dentistry, Everyone For Veterans offers ways for anyone to get involved.

volunteer news

Longtime veterans advocate Dr. Theresa Cheng is always looking for ways to give back to the state’s veterans community. She started in 2008, when she was inspired by the story of a local veteran and decided to provide free dental care to veterans, and to the spouses and mothers who care for them. It was an ambitious project that has continued to grow. Now there are close to 300 dentists, dozens of specialists, and dental labs across the United States who have provided volunteer services to low-income veterans.


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Project Homeless Connect

Seattle/King County Clinic

For the fourth year in a row, the Seattle/ King County Clinic will bring together healthcare organizations, civic agencies, nonprofits, private businesses, and volunteers from across Washington to produce a giant free health clinic in Key Arena at

Seattle Center. The four-day volunteerdriven clinic provides a full range of free dental, vision, and medical care to underserved and vulnerable populations in the region. The 2017 Seattle/King County Clinic will be held Oct. 26 to 29. Volunteer registration, preparation, and wrap-up events are now open. To volunteer, visit volunteers.seattlecenter.org/default.aspx.

Dental volunteers needed for the Tacoma AMEN Clinic

The Adventist Medical Evangelism Network (AMEN) will hold a free clinic at the Boys & Girls Clubs of South Puget Sound on Friday, Nov. 10 and Saturday, Nov. 12 at 3875 S. 66th St., suite 101 in Tacoma, Wash. The clinic will provide free medical, dental, optical, and other healthcare services to the area’s underserved population. AMEN is in need of volunteer dentists, hygienists, and dental assistants to staff its 40 dental chairs. If you or your staff would like to volunteer your time and expertise at this event,

Since 1968

We are pleased to announce... Melissa A. Johnson, D.D.S. has acquired the practice of David G. Petersen, D.D.S. Spokane, Washington Robert L. Woodbury, D.D.S. has merged into the practice of Light Dental Studios Lakewood, Washington Call today for a FREE PRACTICE APPRAISAL

We are pleased to have helped in the process of these transitions. 1-800-232-3826

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Practice Sales & Purchases Over $3.2 Billion

th e wsda ne w s · issue 1, october · 2017 · www.wsda.org · 33

please visit www.amentacoma.com or contact AMEN at admin@amensda.org or 530-883-8061.

Dental volunteers needed for veterans’ care

Want to donate dental care to a veteran in the comfort of your office? Let everyoneforveterans.org connect you with a veteran in need. Visit the site today. (See page 33 for other volunteer opportunities with the organization.)

Is your organization looking for dental volunteers?

Contact the WSDA News Managing Editor Rob Bahnsen and we’ll post your volunteer content. Call or email today for more information: rob@wsda.org or (206) 9735220.

issue 1, october 2017

Project Homeless Connect is coming back to the Tacoma Dome and needs dental volunteers! The event will take place from 9 a.m. to 2 p.m., Oct. 25. Project Homeless Connect provides a starting place on the journey back to safety, stability, health, and hope. The event reduces the duration of homelessness by providing services that address basic medical and dental care needs and offer information on access to education, employment, and benefits, chemical dependency assessments, flu shots, haircuts, and much more – all under one roof.” Please share news of the upcoming event. To volunteer in the dental services area, email pcds@pcdentists.org.

volunteer news

Volunteer opportunities


ce news component continuing education

Lewis County Dental Society

All Lewis County Dental Society Meetings are held at the Sweet Inspirations Restaurant from 6:00 - 7:30 p.m.

Monday, November 6th, 2017 Medical emergency preparedness

Upcoming Meetings

Register Online At: www.pcdentists.org

Tuesday, November 21, 2017 Periodontics

Shay Goff

Speaker: Dr. Minou Karbakhsch General Membership Meeting Tacoma Country & Golf Club 5:30 p.m., $41.00, includes dinner To register: www.pcdentists.org Credits: 2

Monday, January 8, 2018 Anterior crown esthetics

Rafael Clark (Puyallup Dental Lab)

Monday, February 5, 2018 WSDA update

Friday & Saturday, December 1-2, 2017 Esthetic dentistry - redefine the cliché 2-Day Hands on Workshop

Dr. Cindy Pauley, WSDA President

Monday, March 5, 2018 TMD – surgical management

Drs. Marc Geissberger and Foroud Hakim PCDS, WAGD Joint Meeting 8:00 AM – 5:00 PM Washington AGD Educational Center 19415 International Blvd., Suite 410 SeaTac, WA 98188 Credits: 14

Dr. Mike Werner

Monday, April 9, 2018 TMD – non-surgical management Dr. van der Ven/Nakhjiri

Monday, May 7th, 2018 Oral and parenteral sedation

Saturday, January 16, 2018 To save or not to save: How do I decide?

Dr. Charles Weber

Dr. John West, and Dr. Jordan West General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Mount Baker Dental Society Tuesday, November 14, 2017 Dental trauma and other dental pearls Dr. Chris Piper Bellingham Golf and Country Club

Tuesday, February 27, 2018 Customer service excellence

Tuesday, January 9, 2018 Dentistry in the Third World

Robert Spector, author of “The Nordstrom Way” General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Dr Frank Repanich Max Dale’s, Mt. Vernon

Friday, February 2, 2018 Simplifying and selling the case and moving past insurance entitlement

Tuesday, March 20, 2018 Head and neck cancer

Dr Mark Murphy, Pankey Institute Midwinter Meeting Four Points by Sheraton, Bellingham

Dr. Dean Mastras General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Mar 13, 2018 Interdisciplinary dentistry: The key to success! Dr Alan Yassin Bellingham Golf and Country Club

Tuesday, April 17, 2018 Craniofacial development and pediatric sleep apnea

Tuesday, April 10, 2018 Preservation and reconstruction of the alveolar ridge through biotechnology Dr. Ashoka Subedar Max Dale’s, Mt Vernon

Tuesday, May 8, 2018 Diagnosis and decision makers - The great pretenders Dr. Ryan Wynne Bellingham Golf and Country Club

Pierce County Dental Society

Dr. Soliel Roberts General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Friday, May 11, 2018

Judy Kay Mausolf Spring Meeting · Location TBD To learn more about Judy Kay visit her website at: practicesolutionsinc.net

3 4 · th e wsda ne w s · issue 1, october · 2017 · www.wsda.org


Tuesday, January 30, 2018 Transition planning for mid-life dentists Speaker: Verlin Frickel, AFTCO consultant 6:00 – 9:00 pm The DoubleTree Southcenter Hotel Credits: 2

Tuesday, February 27, 2018 Top 15 mistakes employers make that lead to litigation Speaker: Bob Howie, attorney 6:00 – 9:00 pm The Bellevue Sheraton Hotel Credits: 2

Friday, March 9, 2018 Methods, materials and madness · Stuff that matters

Wednesday, March 21 Infection control and maintenance of dental handpieces and related instruments Doug Mayer SCDS General Meeting Credits: 1

Wednesday, April 18

Speaker and topic TBD Joint meeting with Snohomish Co. Dental Hygiene Society SCDS General Meeting Credits: 1

Friday, April 27 BLS for healthcare providers & first aid courses

Presented by I Know CPR in Everett BLS is 8:30 a.m. - 11:30 a.m., First Aid is Noon - 3:00 p.m. Advance registration required · Contact the SCDS office.

Speaker: Dr. Michael C. Fling 8:30 am – 4:30 pm Lynnwood Convention Centerter Credits: 7

Wednesday, May 16 WSDA President & special recognition award

Tuesday, April 24, 2018 Annual officer installation and member recognition event

Spokane District Dental Society

6:00 – 9:00 pm Salty’s on Alki Credits: 2

Friday, May 18, 2018 Green dentistry: marijuana, opioids and the effects on oral health

Speakers: Dr. Barry Taylor and Dr. Caroline DeVincenzi 8:30 am – 4:30 pm Marriott – Seattle Airport Credits: 7

SCDS General Meeting Credits: 1

Friday and Saturday, February 9 and 10 Ski/CE event Schweitzer Ski Resort

Thursday-Saturday, April 19-21, 2018 Inland Northwest Dental Conference Northern Quest Resort www.indc-spokane.com

Snohomish County Dental Society

Visit our website for more details and contact the SCDS office to register. All SCDS General Membership meetings are held at the Mill Creek Country Club starting at 6:00 p.m with a social hour, followed by dinner at 6:45 p.m. and a one hour CE program at 7:30 p.m. Guests are welcome to attend.

Thursday, November 16

Annual Social & Foundation Fundraiser Entertainment—The Coats! Lynnwood Convention Center Advance Registration Required. Contact the SCDS office.

Wednesday, February 21 Periodontal surgical procedures to facilitate orthodontic outcomes Pamela Nicoara, DDS, MSD SCDS General Meeting Credits: 1

CE AROUND THE STATE

Friday, March 9 Methods, materials & madness · The stuff that matters Dr. Michael Fling Annual Seminar co-sponsored with SKCDS & UWSOD. Save $$ with Early-Bird registration by Oct. 31st. For details & registration go to: www.skcds.org Lynnwood Convention Center Credits: 7

th e wsda ne w s · issue 1, october · 2017 · www.wsda.org · 35

ce news component continuing education

Seattle-King County Dental Society


Pacific Dental Conference

Savee

thes s! Date

March 8-10, 2018 Join us in Vancouver, Canada

Featured Speakers

Three days of varied and contemporary continuing dental education sessions are offered (something for your whole team) Fees in Lunches and Exhibit Hall Receptions included in the Canadian Funds registration fee for all three days Over 140 speakers and 150 open sessions and hands-on courses to choose from, as well as the Live Dentistry Stage in the Exhibit Hall Over 300 exhibiting companies in the spacious PDC Exhibit Hall (Thurs/Fri) PDC Lab Expo on Saturday – One day of exhibits area and lectures for Denturists, Dental Technicians and all Dental team (lunch included)

Peter Jacobsen Pharmacology

Amber Riley Forensics

Juan F. Yepes Pediatrics

David Hornbrook Restorative/Operative

Alan M. Atlas Cathia Bergeron Hardy Limeback Rodrigo Sanches Cunha Mark Lin Kristina Perschbacher William Nudera Susanne Perschbacher Timothy Donley Jo-Anne Jones Katherine Eitel Warren Karp Larry Emmott Lois Banta Gary Zelesky Jeff Coil Complete speaker roster available for viewing at pdconf.com

Online registration and hotel information at...

www.pdconf.com

Save money and register before January 12th, 2018! 3 6 · th e wsda ne w s

Official conference of the:

March 10

· issue 1, october · 2017 · www.wsda.org


Dr. Neil E. Beasley

Dr. Neil E. Beasley, 95, died on July 21, 2017 in Arlington, Wash, He was a life member of the WSDA. Beasley was born on Jan. 27, 1922 in Wenatchee, Wash., to Alvin E. and Zella S. Beasley. He had a happy childhood and often spoke of it, fondly telling stories about Soap Lake, Wash., and the apple orchard ranch his family lived on in Hiawatha Valley, near Moses Lake, Wash. His grade school was a one-room schoolhouse. He and his brother, Bruce, walked to school, and they often joked that it was 1 mile there and 2 miles back, as they took detours to play and visit with friends. After graduating from Moses Lake High School as valedictorian of his class of 10 students, Beasley spent two and a half years at Washington State University in Pullman, majoring in chemical engineering. He spent the summer of 1941 working on the construction of Grand Coulee Dam. While at WSU in 1942, Beasley enlisted in the Army Air Corps. During World War II, he was sent to UCLA Meteorological School for one year, commissioned as a Second Lieutenant, then served as a weather forecaster at McChord Air Force Base (Washington), Wendover Field Air Force Base (Utah), and Chengtu Air Force Base (western China), before being honorably discharged as a First Lieutenant in 1946. He served an additional six years in the Air Force and Navy Reserves. In 1951, he graduated from the University of Washington School of Dentistry and practiced in the Northgate Hospital Building for 45 years. He retired in 1996 at the age of 74. He volunteered one day a month at the 45th St. Community Clinic for three years and provided free dental care to children of missionaries. In 1997, Beasley received the David B. Law Award in recognition of excellence in the clinical management of his pediatric patients. He was a member of Alpha Chi Sigma Chemistry Fraternity, Delta Sigma Delta Dental Fraternity, and Washington State Academy of Pediatric Dentists, and past President of the Washington Society of Dentistry for children Puget Sound Continuing Dental Education Group (an operative study club), and the Seattle Pediatric Dental Society. His fascination with clouds, the sky, and weather patterns was useful when he acquired his private pilot’s license. He first learned to fly float planes on Lake Washington in the late 1950s, then joined “Caper’s Flying Club” at Boeing Field in Seattle. He became a safe pilot flying single-engine Cessnas, and took friends and family on many cherished airplane trips. His guiding force throughout his life was faith, and he passed this on to his children.

Beasley is survived by his loving wife, Betty Ann; children Marilyn-Jane Overman, Douglas, Kathleen Raan, and Timothy; 10 grandchildren; and three greatgrandchildren, plus one on the way. He was preceded in death by his son Kent, brother Bruce (a dentist in Mt. Vernon, Wash., and also a life member of the WSDA); and sister Lois Becklund.

Dr. Robert P. Campbell

Dr. Robert P. “Bob” Campbell, 88, passed away on May 28, 2017 at his home in Spokane, Wash. Campbell was born on July 15, 1928 in Fargo, ND. His family moved to the Moise Valley in Mont., which always remained home to him, even though his family relocated many times across the Pacific Northwest. Campbell’s family returned to the Moise Valley, where he attended Charlo High School. In 1946, after obtaining his high school diploma, he enlisted in the U.S. Navy and trained as a hospital corpsman. He served aboard the first troop transport vessel to Korea. Later, he was accepted into the Clinical Laboratory Technician Program at the Naval Hospital in Bethesda, MD., where he completed further naval medical training. In his final years in the military, he served at the Naval Hospital Blood Bank in Bremerton, Wash., until he was honorably discharged in 1953. Campbell was married to Sharon Spiers of Idaho Falls, Idaho for 27 years, until her death in 1979. He attended Idaho State College and the UWSoD, graduating in 1961. He established a private practice in Shelley, Idaho. In 1966, he moved to Spokane, Wash., where he worked for the Veterans Administration Medical Center and later became the Chief of Dental Services. In 1990, he retired after 24 years of service. In 1981, Campbell met and married his wife of 35 years, Susanne. Together they enjoyed traveling, boating, camping, gardening, and capturing life’s adventures in photography. He loved the game of golf, and always looked forward to mornings on the course with his buddies. A lifelong Huskies fan, he never missed watching their football games. Campbell is survived by his wife, Susanne (Sue); stepdaughters Ann (Chris) Klobucher and Cathy (Stuart) Bedell; stepson Mike (Linda) Crocker; and grandchildren Scott and Brad Bedell, Katie, Ellie, and Leslie Crocker, and Courtney Klobucher. He was preceded in death by his parents and brother Dale F. Lott.

Dr. Clifton O. Caldwell

Dr. Clifton O. Caldwell, Capt. USN (Retired), died on Oct. 23, 2016 in Spokane,

th e wsda ne w s · issue 1, october · 2017 · www.wsda.org · 37

Wash. He was 78. Caldwell was born on March 10, 1938 in Ephrata, Wash., to Clifton O. Sr. and Carol B. (Gamon) Caldwell. His early childhood years were spent in Spokane, where his father had a dental practice. When he was in high school, the family went to Okinawa, Japan, after his father was drafted into the Army for the Korean War. They returned to Spokane in time for him to graduate from North Central High School in 1956 with many of his childhood friends. Caldwell attended Eastern Washington University, the University of Washington and the UW School of Dentistry. After graduation, he entered the Navy and was stationed in southern California. Upon leaving active service, he and his first wife, Carol (Shanks), returned to Spokane, where he served dental patients for 37 years. He remained in the Navy Reserve for 30 years, proudly serving his country. He was a member of the American Dental Association, Washington State Dental Association, Spokane District Dental Society, International College of Dentists, Delta Sigma Delta, Masonic Lodge, Elks, Spokane Camera Club, and Barbershop Harmonizers in Coeur d’Alene, Idaho and Hemet, Calif. He enjoyed skiing, golfing, boating, photography, and singing. Caldwell is survived by his wife of 26 years, Vonda; sons Rob (James Jaxxa), Scott (Tawnya), and Mark; daughters Alla Dalton and Debra (Cal) McKee; grandchildren Jaime Neel, Aaron (Erin) Neel, and Amelia, Ben, and Holly Caldwell; greatgranddaughters Peighton Neel and Averi Neel-Hayes; sister Caryn Alley; brothersin-law Deni Linhart and Tom Shanks; sisters-in-law Kathy Welsh and Jeannie Shanks; and numerous cousins, nieces, nephews, great nieces and great nephews. He was preceded in death by his parents.

Dr. James S. Johnson

Dr. James Stanley Johnson, 81, passed away on May 6, 2017. In lieu of flowers, donations may be made to Mary Bridge Children’s Hospital in Tacoma, Wash. Editor’s note: The WSDA News would prefer to run complete obituaries of deceased members. However, in some instances, only brief obituaries are available.

in memoriam beasley, campbell, cadwell, johnson

In memoriam


After more than 30 years of coaching Doctors, Blatchford Solutions is excited to announce a new, full-service brokerage business, Blatchford Transitions, Inc. Blatchford Transitions will offer services nationwide, helping dentists to buy and sell dental practices. We are here to help Doctors prepare for and make rewarding transitions by expanding their thinking beyond what is presently being offered by other brokerage firms.

Dr. Bill Blatchford

We look forward to working with you when it is your time to buy, sell or merge a practice. Please visit our website blatchfordtransitions.com or call us toll-free at (844) 735-7600 to discuss your transition needs.

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3 8 · th e wsda ne w s · issue 1, october · 2017 · www.wsda.org


OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

ASSOCIATE WANTED — Established Bothell general practice seeking associate for MondaysThursdays for three weeks out of every month. Potential for purchasing in the future, after a 6 - 12 month trial period to establish compatibility and alignment of goals. Bothell is a wonderful community with good middle-class families, bike trails, restaurants, and some of the best schools in the state. Please send your resume to : dr.mep012@ hotmail.com along with a cover letter introducing yourself, and we look forward to meeting you!

HYGIENIST WANTED — Established downtown Seattle, two-dentist practice. Work with long term, dedicated staff. We are a patient centered office with patient needs placed first looking for someone with the same philosophy. Experience preferred but everyone will be considered. Two to three days per week. Retirement benefits, end of year bonus, free dental & others open to negotiation. Access to in house workout facility, close to transportation hubs, retail (i.e. Nordstrom, Pacific Place, etc.). Reply to 206-623-6263, ask for Paula or Vickie or email langohrdds@gmail.com. We look forward to hearing from you.

ASSOCIATE NEEDED — Established Seattle dental office looking for an Associate Dentist to work 3-4 days a week. Clinical staff consists of two dental assistants and a licensed denturist. Please e-mail your Resume to HealthySmilesDDC@comcast.net if interested. New graduates welcome to apply.

DENTIST NEEDED — General dentist wanted to join our experienced compassionate dental team 2-3 days a week in Zillah, WA. Serving diverse people of all ages with quality, comprehensive, gentle dental care. Contact Andrea: (509) 8954066 drstafforddental@gmail.com. GENERAL DENTIST — Spokane’s Dental Providers is looking for a driven, dedicated, and skilled General Dentist to join our Maple Street Family Dentistry location in beautiful Eastern Washington. We have multiple privately held practices in the Spokane WA area that specialize in patient focused dentistry. Full schedule immediately in a family friendly environment. There are no management headaches with this well managed private practice. This practice has all the systems and pieces put together for an associate to have tremendous success. All aspects of dentistry here from same day crowns Cerac, restorative, cosmetics, endo, and implants and more. Future partnership and buy out opportunity here if we find the right fit for owner and associate. Generous Compensation Package depending on experience. Send Resume or Contact us! roxie@libertylakefamilydentistry. com. Visit our locations: www.libertylakefamilydentistry.com, www.latahcreekfamilydentisty. com, www.northpointefamilydentistry.com, www.maplestreetfamilydentistry.com. FOR SALE — Periodontal practice for sale in Washington state. Realize your dream and tax advantages of practice ownership. South Puget Sound well established periodontal practice. Established in 1975 with large hygiene following. New office location designed by owner in 2013 with new Adec equipment, multiple implant systems, Piezo surgery units, Waterlase Express hard tissue and Picasso diode lasers. Experienced delightful staff. Owner willing to stay on to assist with transition. Respond to helmstetter.barbara@ gmail.com or 503-799-4743. GENERAL DENTIST — Thriving high tech dental practice in healthy, growing community has a position for part-time general dentist. We desire to bring on a younger practitioner who wishes to associate in anticipation of a buy out or a mature dentist who would like to keep his or her skills up by working two or three days per week in an environment on the Olympics Peninsula that includes diverse recreational opportunities and a relaxed pace of life. Email: dentalpracticeopportunity2@ gmail.com. DENTIST NEEDED Puyallup-seeking FT General Dentist to join established family, cosmetic and implant dental practice. Dentist should be skilled and personable and willing to be an integral part of the practice and community. It would be ideal to find a dentist who wants a long term opportunity and a practice to call home. Partnership buy-in is desired and will be part of the discussion. Please email resume and inquiries to: docvan99@aol.com.

DENTIST — Pedodontist, FT Associate, Eagle River, Alaska. Permanent position, 4-5 day work week, immediately available for an Alaska Licensed pediatric dentist. Discovery Dental Kids is looking for a compassionate, pediatric dentist who will deliver excellent care to children of all ages from infants to teens. We provide a range of preventive and restorative services, oral sedation and GA with an onsite anesthesiologist. All in a beautifully custom designed practice located 15 miles from Anchorage and surrounded by mountain views and Eagle River. Competitive compensation. Contact Leanne 907-351-3459 for more details. DENTIST - Genera FT Assoc. Eagle River, AK. Fantastic career opportunity! Permanent position 4 to 5 days per week immediately available for an Alaska licensed general dentist. Legacy Dental Arts is looking for a compassionate, general dentist who will deliver excellent care to mainly our adult patients. Our office is staffed by a group of dedicated team members committed to proving a wide range of preventive, restorative services, cosmetic and implant services with Sedation options available, all in a relaxing atmosphere providing the best experience for each and every patient. Located 15 miles from Anchorage, our beautiful practice is designed specifically with adults in mind, is surrounded by scenic mountain views and breathtaking Eagle River. Competitive compensation and benefits. Contact Leanne 907-3513459 for more details. DENTIST OPPORTUNITY IN CENTRAL WASHINGTON — Seeking experienced dentist for a busy, well established successful multi-specialty group dental practice to work full time with part time options. Come join our professional, modern office and become a part of our wonderful team. Please send resume and direct any inquiries to felixzario509@yahoo.com. PEDIATRIC DENTIST — Excellent opportunity for an enthusiastic pediatric dentist to join our well-established Pediatric practice in Kent area. Our office has state of the art facilities with top of line fully digital equipment, in office general anesthesia service and awesome staff for associates to perform outstanding dental care. We offer associates with generous guarantee salary with production based bonus and potential partnership. Please check us at www.childrensdentalcare.com and send your CV to cwang1031@aol.com or call (253)334-8986. DENTIST NEEDED — Family Health Center, Longview WA is looking for a DDS or DMD with at least 1 yr experience. NonProfit Community Health Center. WA State DEA license. Apply to jobs@cfamhc.org.

th e wsda ne w s · issue 1, october · 2017 · www.wsda.org · 39

GENERAL DENTIST — A rare opportunity in beautiful Bellingham Washington for a general dentist. Piper Family Dentistry is seeking a 2-3 day per week associate to join our successful, thriving dental practice. The ideal candidate has a desire to work in team environment, is highly skilled, and is dedicated to providing unmatched patient care. Bellingham Washington is ideal for enjoying outdoor activities of every kind, just 90 minutes away from the traffic and congestion of Seattle. Ski in Mt. Baker’s record setting snowfall; paddle, wakeboard or fish in magnificent Lake Whatcom; or bike/hike on endless interurban trails or world class Galbraith Mountain. Bellingham also enjoys excellent public schools and Western Washington University making this beautiful waterfront college town an ideal place for starting a career and/ or raising a family. Julie@trgcoaching.com. GENERAL DENTIST — This is a fantastic opportunity in beautiful Eastern Washington for a general dentist. We are seeking a part-time 1-2 days a week, flexible schedule associate to be apart of our growing family dental practice in north Spokane Washington. Dr. Robb Heinrich and the team are seeking an associate that is experienced in all aspects of general dentistry, enjoys implant and minor oral surgery types of procedures as well, feels comfortable working independently. Eastern Washington is ideal for enjoying outdoor activities from snow skiing, water skiing, hiking, and fishing. Please email your CV to Julie@trgcoaching.com. DENTIST NEEDED — Seeking skilled dental associate with 2+ years experience. 3-4 days/week for a general practice. Offices in Lynnwood/North Seattle. Must be able to work on Saturdays. Please send resumes to dentaladsml@gmail.com. GENERAL DENTIST ASSOCIATE POSITION — Option to buy. Existing DDS with is looking to be retired within the next year or sooner. This private practice (30+ year patient base) is open Mon-Thurs (Mon-Wed 8-5, and Thurs 9-3). Prefers someone with at least five years of experience. Part time to start, (3 days) building into full time. Substantial patient base! Salary DOQ. Email: lori.leonarddds@outlook.com. SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com. DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.

classifieds issue 1, october 2017

OPPORTUNITIES AVAILABLE


clinical corner issue 1, october 2017

CLINICAL CORNER Expansile, mixed RL/RO lesion associated with impacted tooth #18

Figure 1

Contributed by:

Drs. Ross Beirne and William Alvarez Oral & Maxillofacial Surgery, UWSOD, Seattle, WA

Figure 2

History of present illness

This is a 26-year-old female who in 2011 had a panoramic radiograph taken that showed an impacted tooth #18 associated with a mixed radiolucent (RL) radiopaque (RO) lesion (Figure 1). The patient did not followup on this lesion until January 2017 where she felt occasional pain in the area. A second panoramic radiograph (Figure 2) showed that the lesion has increased in size. Extra-orally the jaw lines were symmetrical with no evidence of expansion while intra-orally lingual expansion was noted at the left body of the mandible. All third molars were impacted so was tooth #18. There was supra-eruption of tooth #15. The past medical history was not contributory.

Test your knowledge!

Visit https://dental.washington.edu/oral-pathology/case-of-the-month/ and see if your assessment of the case is correct.

4 0 路 th e wsda ne w s 路 issue 1, october 路 2017 路 www.wsda.org


OPPORTUNITIES AVAILABLE

OFFICES FOR SALE OR LEASE

GENERAL DENTIST NEEDED — We are interviewing for a general dentist position in our growing practice.
The dentist should have at least five years of experience and should feel comfortable doing molar root canals and surgical extractions. We have clinics in South Seattle and Kent. We need a dentist that can work 2 to 4 days in a week.
Please send us your Resume to jobs@buriendentalcare.com or call 425-647-4318.

ORTHODONTIST NEEDED — We are looking for an orthodontist for 1 to 2 days a week in our Kent clinic. The orthodontist needs to bring his/her team and supplies. We get 10 new ortho patients per week. We provide excellent compensation based on collection. Please send us your resume to jobs@buriendentalcare.com or call 425-647-4318.

BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/ visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail. com.

MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for General Dentists, Endodontists, Oral Surgeons, Pediatric Dentists, and Locum Tenens Dentists. As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program. Please contact Kelly Musick at kmusick@willamettedental.com and visit www.willamettedental. com/careers to learn more! FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team. Fully digital. Must be highly skilled and experienced. Ready to learn and be a part of the team. Outstanding earning potential. Please email resume to bellevuedentists@gmail.com. GENERAL DENTIST NEEDED — For busy Community Health Center in Yakima County. Dentist will see all ages, children and adults. Support staff include bilingual dental assistants, Registered Hygienists, and connection to a strong integrated team of medical and behavioral health, nutrition, optical, and essential needs providers. Clinic has integrated Electronic Health Records, and state of the art equipment. Looking for compassionate individual interested in serving low income individuals, including agricultural works and homeless. Dentist works four 10-hour days, competitive compensation package. YNHS is an eligible site for National Health Service Corps scholars, loan repayment, and Washington Health Loan Repayment. Contact rhonda.hauff@ynhs.org. DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

GENERAL DENTIST REQUESTED, MAPLE VALLEY — Our multi-doctor, family practice is looking for an outgoing, professional doctor skilled in all aspects of dentistry to join our team. 
Our beautiful, modern office has been providing excellent dental care to our ever growing community for over 10 years. We offer a generous compensation package along with the opportunity to work with an established, efficient and personable team. Please email your resume to wendyloconnell@yahoo.com or you may fax it to 425-413-8599. OPPORTUNITIES WANTED OPPORTUNITY WANTED — 2015 Graduate of Rutgers University, School of Dental Medicine, seeks periodontics and dental implant surgery position in greater Seattle area. View my CV here: http://drive.google.com/ f i l e /d / 0 Bz G C 8 0 f B f j s l a H Y 5 djN6 a DF n R m s / view?usp=sharing. OPPORTUNITY WANTED — 2017 University of Washington SoD graduate looking for a general dentist position in the Tri Cities area. View my CV here: http://docs.google.com/ document/d/1oABbEGKJsaW-X9jzY7bFDbbfHGwfnswRDPX0juWzhE0/edit OPPORTUNITY WANTED — 2107 Graduate of Midwestern University College of Dental Medicine - Illinois, seeks general dentistry position in northwest Washington. View my CV here: http://drive. google.com/file/d/0B-NJym6Wa0I1N3lxU1lwT2pUNmM/view?usp=sharing OFFICES FOR SALE OR LEASE CLE ELUM — Well established, general practice for sale, located in a fast growing area. 4 complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@msn.com or 509-674-1389. FOR SALE — RIDE participants - Interested in keeping your obligations to practice in a Washington state rural community, but have a desire to return to the West side of the state for your career? I have a turnkey practice for sale in rural Whatcom County. directly on the Puget Sound waterfront community of Blaine. We are a designated under served rural community that should meet the needs of your Ride obligations, Search blaineharbordental. com then email me at blaineharbordental49@gmail. com or call me (360) 961-2598 to learn more. FOR LEASE — New construction in South-Everett, Silver Lake area. We will be opening a GP office and will have approx.1800-2000 sq feet suite for lease come next spring. Only one! This is an excellent opportunity for a specialist to be a part of the design of a new space and save on TI costs. The demographics are fantastic for ortho-perio and happy to share our research. Very busy street and exposure and will be next to a new reputable/local/proven GP office. Parking and visibility abundant. Please inquire at everettsmiles@gmail.com.

th e wsda ne w s · issue 1, october · 2017 · www.wsda.org · 41

FOR SALE — Lynnwood established general dental practice available for purchase. Five ops, collections in the mid $800’s consistently for past three yrs. Please call (206) 455-5388. FOR SALE, WENATCHEE — Roomy dental office, four chairs, modern downtown office, all fee for service patient, Last 12 month, grossed $600K, net over $300k as an owner dentist. working three days a week.doing basic general dentistry Sale by owner, Asking $450K..Doctor wants to retire and move. Please email parkbus@live.com. SE KING COUNTY PRACTICE FOR SALE — WOW! GP doctor retiring, loyal staff and patients. Five ops approx. 2,000 sq. ft. 45 minutes to skiing or Seattle. Growing family community. Collecting approx. $500K. mortsgreb2aol.com. FOR LEASE — Sammamish Plateau medical/dental Suite, 3300 SF. Growing demographics. Class-A building, good street visibility. Eastlake, Skyline, Eastside Catholic High Schools nearby. 22603 NE Inglewood Hill Road, Sammamish, 98074. Contact Dr. Greg Ogata 425-829-4858. FOR SALE — New practices for sale, located in Bellevue, Burien, Tukwila, Olympia, Tacoma. Also numerous pre-existing dental spaces for lease. Call today. New office development consultants for over 35 years. Annie Miller at REMAX (206) 715-1444. FOR LEASE — Specialist to sub-Lease/rent: General Dental office in North Spokane seeking a Specialist 2-3 days week. Modern 2,800 square foot, six operatory office. Prime location, busy corner with high traffic. Handicap parking and great visibility. Contact Dr. Call @ (509) 590-5322, or e-mail mydentist@calldds.com. PRACTICE FOR SALE — Disability forces sale of this family practice in NE King County. To meet the seller and visit the practice please call AFTCO (425) 450-1010 ext 1. FOR LEASE — 2,400 sq ft excellent visibility and high traffic space available for lease in fast growing and desirable part of Richland, WA. Brand new building on a hard corner next to a Panera Bread. Neighboring anchors include Walmart and Target. Please call (509) 554-2133 or email dkdhillon85@ yahoo.com to inquire for more information. GENERAL PRACTICE FOR SALE, Whidbey Island — Well-producing practice in a premier, waterfront community of Whidbey Island. Five fully-equipped operatories w/an additional consultation op. Collecting over $1M. Dentrix. Paperless. Digital xray. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com. GENERAL PRACTICE FOR SALE, Redmond — Outstanding Eastside practice. Collecting $592K. three operatories w/4th plumbed. Approx 1,573 sq/ ft. Dentrix. Fully-digital. Current doctor is parttime only. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com

classifieds issue 1, october 2017

OPPORTUNITIES AVAILABLE


Our Commitment is to YOUR success

Over 65 years of expertise, offering short and long-term individual detail practice management, as well as transitions and associateships.

Congratulations on our recent transitions: Dr. John Hoag and Dr. Michelle Dotsch to Dr. Jordan Brenner Shoreline, WA

Dr. Anna Spencer to Dr. Melinda Bell Lakewood, WA

Western WA:

Eastern WA:

Kitsap Peninsula Perio/Restorative

Bellingham (Adult Restorative) Re-Listed

NE Seattle Modified Start-Up New

Central WA General Practice

New

Mukilteo Kirkland

Sale!

New Reduced for Quick

Grays Harbor County Reduced Price

Updated North Seattle Re-Listed Bellingham

find us on

New Liberty Lake New North Spokane New Lincoln County New Yakima Updated Spokane

San Juan Islands

Pending Longview Pending Federal Way Pending Auburn

Dr. LaRae Van Derschelden to Dr. Steve Hwang Bothell, WA

Dr. Richard Nash to Dr. David Gage Burlington, WA

Dr. Thomas Hilliard to Dr. Kasey Coulson Moses Lake, WA

Dr. Rockwell Hammond to Dr. Steven Kim Fall City, WA

Lake Chelan Richland (Dental Space Only - Lease)

Oregon:

Moses Lake (Space Only)

NE Oregon Associate to Purchase Opportunity

knutzenmcvaygroup.com

(800) 953-7296

Todd McVay

Dave Knutzen

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GENERAL PRACTICE FOR SALE, South King County — Large, profitable multi-disciplinary practice. Digital radiography. I-V Sedation. Separate digital pan/lateral ceph. CBCT. CEREC. Approximately 5,000 sq/feet. For more information contact: Jennifer Paine: (425) 216-1612 or Jennifer@ cpa4dds.com. GENERAL PRACTICE FOR SALE, South Snohomish County — Fantastic visibility within close proximity to aerospace giant. Collecting $625K. Three fully-equipped operatories. Lab. 1,000 sq/ft (approximate). For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com. GENERAL PRACTICE FOR SALE/Merger Opportunity, Eastside — State-of-the-art office located in a prime medical-dental area of the Eastside. Three fully-equipped operatories w/room for one additional. 1,685 sq/ft (approximate). Collecting 516K. Nitrous. Digital X-Rays. Soft-Tissue Laser. Intra-Oral Camera. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com. MAPLE VALLEY DENTAL OFFICE FOR LEASE — Start-up or move your existing practice. Fully built out with five operatories, Plenty of parking in plaza. Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis - steve@omni-pg.com. BELLEVUE OFFICE SPACE FOR LEASE — Fully built out For Lease – four ops, high end finishes, 1,250 sq. ft. Plenty of Parking. Contact steve@omnipg.com. MARYSVILLE DENTAL BUILDING FOR SALE — 6,065 sq. ft. three tenant medical dental building + additional 12,870 sq. ft. for sale. One dental office available to occupy – great user/owner potential. Contact steve@omni-pg.com. MAPLE VALLEY DENTAL BUILDING — Building for Sale with existing dental office space for lease. Building is 6,400 sq. ft on .95 acres. Dental space is 4 operatories. Growing area. Contact steve@omnipg.com. BELLEVUE MEDICAL/DENTAL OFFICE SPACE FOR LEASE — Bellevue Medical/Dental Office Space for Lease – 2,890 sq ft. of space. Prime location on the future light rail corridor. Contact steve@omnipg.com. LYNNWOOD MEDICAL/DENTAL OFFICE SPACE FOR LEASE — Lynnwood Medical/Dental Office Space for Lease – 1,400 sq ft. with four ops. Located within the City Center. Contact steve@omni-pg.com. LIST OF MEDICAL/DENTAL BUILDINGS FOR SALE OR SPACE TO LEASE — Looking to purchase a medical/dental building or lease existing space? We have an updated list of medical/dental buildings for sale in the State of Washington. Building sizes range from 2,000 sq. ft. up to 20,000 sq. ft. Some buildings have existing dental space already plumbed. Contact Steve Kikikis at steve@omni-pg.com. PARTNERSHIP OPPORTUNITY DOWNTOWN SEATTLE — Brand new build-out, located on busy street in Amazon territory. Contact rod@omni-pg. com. GRAYS HARBOR FEE FOR SERVICE PRACTICE FOR SALE — General Dental practice for sale. Annual collections over $200,000, four operatories, lots of parking on busy street. Contact rod@omni-pg. com.

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

WHATCOM COUNTY LIFESTYLE FOR SALE — General Dental Practice for sale in an easy-paced family oriented community in Whatcom County. Annual collections of $400,000. Located next to Starbucks on busy street. Newer equipment, pano, etc. Beautiful city on the Canadian border. E-mail rod@omnipg.com.

FIRST HILL PRACTICE FOR SALE — Annual collections of $600,000. Practice is in the middle of growing First Hill on the east side of Seattle and poised to expand. Four operatories, great staff, built in patient base from within the building. Contact frank@omni-pg.com.

WHATCOM COUNTY PRACTICE AND BUILDING FOR SALE — NEW LISTING! General dental practice and building for sale. Annual collections of approximately $250,000. Located on a busy street with traffic count of 25,000 cars per day. Nice building also for sale with another space for rental income. Area of growth with views of Mt. Baker. Email rod@ omni-pg.com. PEDIATRIC PRACTICE FOR SALE — Pediatric Practice for sale located in the South Sound. $500,000+ per year on three days per week. Great location and referral sources. Contact rod@omni-pg.com. TACOMA ORTHO PRACTICE FOR SALE — Tacoma ORTHO practice for sale – Annual collections over $600,000, six chairs, real estate also may be for sale. Contact rod@omni-pg.com. NORTH KING COUNTY PRACTICE FOR SALE — NEW LISTING! Annual collections of $180,000, three operatories on busy corner lot. 1,000 sq. ft. Building is for sale at $650,000. Email rod@omnipg.com. WEST SKAGIT COUNTY PRACTICE FOR SALE — Annual collections of $350,000, downtown location, four operatories in large space. Contact frank@omnipg.com. SKAGIT COUNTY GENERAL DENTAL PRACTICE FOR SALE — Enjoy a relaxed lifestyle in this practice. Annual collections over $350,000. Four operatories. Only dentist in town. Contact frank@ omni-pg.com. FEDERAL WAY PRACTICE FOR SALE — General Dental Practice – Annual collections over $1 million. Very nice design and well-kept modern office. Four operatories with room to grow. Contact frank@ omni-pg.com. SOUTH KING COUNTY PRACTICE FOR SALE — Great location in newer office. Annual collections over $600,000. Four operatories with room to grow. Fully digital. Contact frank@omni-pg.com. NEAR UNIVERSITY OF WASHINGTON PRACTICE FOR SALE — Three operatories with annual collections of $350,000 on 3.5 days per week. Area of gentrification with new restaurants, active construction and growth. Contact frank@omni-pg.com. NORTH SEATTLE PRACTICE AND CONDO FOR SALE — Annual collections over $300,000. Great corner location. Grow the practice, or merge with your existing practice. Contact frank@omni-pg.com. GROWING DOWNTOWN SEATTLE PRACTICE FOR SALE — 2017 Collections will exceed $1 million. Four newer operatories. Room to grow in the space next door. Digital x-rays, complete remodel 4 years ago. In the heart of Amazon territory. Contact frank@omni-pg.com.

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LYNNWOOD BOUTIQUE PRACTICE AND MEDICAL CONDO FOR SALE — Three operatories. Great merger opportunity, or small solo practice. Contact frank@omni-pg.com. EAST OF LAKE WASHINGTON PRACTICE FOR SALE — NEW LISTING! Just off of I-90. Annual collections over $400,000. Great location. Two ops with possible room to grow. Email frank@omni-pg. com. NORTH SNOHOMISH COUNTY PRACTICE FOR SALE — NEW LISTING! Annual collections over $800,000. Great visibility with awesome signage. Located 40 miles north of Seattle. Email frank@ omni-pg.com PERIODONTAL, IMPLANT, RESTORATIVE PRACTICE for Sale. Poulsbo, WA. Turn-Key. $683K Production. Digital, Piezo, Nobel/Straumann Systems. Active Periodontal/Restorative Patients. Build Practice starting with Immediate Income Patients. Todd McVay at todd@knutzenmcvaygroup.com or (800) 953-7296. FOR SALE — Well-established (40 years) dental office for sale in stand alone building. Othello, Washington. Call (509) 989-1143 for details. SPACE FOR LEASE, WENATCHEE — Dentist moving to new location. 3,504 sq.ft + 300 sf basement. Presently 10 ops can be split-up call 509421-4914 or email drharveyopenwide@gmail. com. FOR SALE — Bellevue practice for sale, close to Microsoft. Digital rad, panoramic, 1700 sq ft with 4 ops, 600k+ collections on 3 day week reply to Bel.Red.Dental@gmail.com. FOR SALE — Modern general dental practice in downtown Bellevue. One to two years association with sale price to be determined at today’s value plus one half of earned equity at the time of transition. Six chair office, built out in 2008, chartless, digital pano and xrays. Email inquiries and resumes to: office@dentistryinbellevue.com. EASTERN WASHINGTON CHELAN — Practice for sale. Established 1978. New building and equipment 2006. Four complete ops, 1500 sq.ft building, digital x-rays and pano.
By owner/ dentist. Doctor wishes to retire. Will stay to transition new doctor. Reply: crgav523@aol.com. FOR SALE, BELLEVUE —
Ideal for a specialist or a general dentist start-up. 
Beautiful turn-key dental space for sale in Bellevue, top quality construction, DanNix design. Located on the growing Bel-Red corridor close to Microsoft, 520, new multi-family development, and the new REI corporate headquarters. 
Fully equipped with three operatories, all ADEC, Pano, plumbed nitrous, and separate storage space with compressor.
The lease term is excellent and structured simply with base monthly rent. There is no triple NNN pass through for expenses.
Please contact financial@ belmoddental.com for more details.

classifieds issue 1, october 2017

OFFICES FOR SALE OR LEASE


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Now Hiring General Dentists – Oregon & Washington Locum Tenens Dentists – Oregon & Washington Endodontists – Oregon Oral Surgeons – Oregon & Washington Orthodontists – Oregon & Washington

willamettedental.com/careers AAOMS | October 9 – 14 | Booth #1605 ORHC | October 18 – 20 ADA | October 19 - 23 | Booth #2725 Kelly Musick, Dentist Recruiter kmusick@willamettedental.com Tel: 503.952.2535 Mark Van Dusen, DMD, Orthodontist

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OFFICES FOR SALE OR LEASE

G/P PRACTICE FOR SALE IN NORTH KING COUNTY — Annual collections almost $900,000. Five operatories, Dexis Digital X-rays w/ two sensors. Office located in the prime location in town. Practice has been in same location since 1975. Well trained and tenured staff will assist with the transition and stay on with the practice. Seller is a Delta Premier Provider. Seller does no endo, oral surgery, or pedo. Low overhead and hi net practice with great cash flow. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

FOR SALE — General practice in Battle Ground WA. Three fully equipped operatories, busy main street location. Contact Vicki at (360) 521-8057 or lyledkelstrom@gmail.com.

FOR LEASE — Downtown Redmond medical/ dental office space for lease. Up to 2,800 sq ft. of space on the 2nd floor, floor to ceiling windows on all sides. Prime location in City Center Building across the street from City Hall, Library, School, and Bus Stop. Perfect for high visibility. Building currently occupied by two GPs, an Endodontist, Chiropractor, and Physical Therapy Clinic. Please email redmonddds@gmail.com. FOR LEASE — BELLEVUE/FACTORIA general dentistry/specialist office for lease. 1,249 sq. ft. 3-ops. Winner location. Easy I-90/I-405 fwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd. Available in November, 2017. 206-915-2263 Mark. FOR LEASE – Brand new and modern pediatric practice located in professional medical/dental building in Bothell. Completely built out with equipment and furniture. Ready to see patients immediately! 2900 sq/feet, Eight operatories, including a surgical suite. Perfect set-up for pedodonist or pedodontist/orthodonist combination. Contact Sonal @ dmgdentalsp@gmail.com. AVAILABLE, SOUTHCENTER — Just available. 1200 square foot fully equipped 4 operatory dental space. Cerec , Panoral, 4 chairs, lights, nitrous, air and vacuum all available and in place. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551. OFFICE FOR SALE OR SUBLEASE — Health issue forces sale of “Turnkey” office. Six months of free rent offered and excellent pre-negotiated lease terms for nine years. Attractive, fully equipped, five operatory dental office in developed UW/Laurelhurst area. Excellent, contemporary design -1850 sf with separate consultation op, sterilization room, private office for two DDS, handicap bathroom, full laboratory for technician and staff room. Attractive 3rd floor location provides excellent natural lighting in every operatory. Sale includes all dental and office equipment - NO Patients. (dental chairs, lights, units, handpieces, instruments, x-ray equipment, office furniture and built-in cabinetry throughout.) Office appraised above $200,000; listing for $120,000 plus 6 month free rent offer. Excellent value and location for established DDS or perio startup. Email rleemfp@ gmail.com for photos and additional information or call/text 206 949 2958. FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

FOR SALE — General practice in beautiful Central Washington, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3400 sq. ft., five ops, asking $546,000. FOR LEASE — Quality professional office space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/ or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100. SERVICES INTRAORAL X-RAY SENSOR REPAIR — We specialize in repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700. Repair & save thousands over replacement cost. We also buy & sell dental sensors. www.RepairSensor.com / 919-924-8559. DENTAL EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http:// cascade-dental.net. DENTAL EQUIPMENT FROM REMODEL — Rolling chairs, valves, compression gauges, tools, towel and glove dispensers, computer, grinding equipment, pluming parts, loads of cabinets with formica interiors. Make offer. Chris 206 595-5791. FOR SALE, LOWER PRICE!!­— Gently used 2 yr-old Digital Pano (Instrumentarium OP30)$13k 
This unit has the Extra-Oral Bitewing program as well as TMJ Projection. The images are brilliant and easy to diagnose from. Buyer responsible for cost of moving, installing and insurance for the move. admin@UptownDentalGigHarbor. com. OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.

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OFFICES FOR SALE OR LEASE

classifieds issue 1, october 2017

OFFICES FOR SALE OR LEASE


first person dr. julie kellogg

First Person: Tonight we closed our hospital Written July 24, 2017, the closure date of Walla Walla General Hospital

Dr. Julie Kellogg Editorial Advisory Board

“Rural hospitals provide essential care. They are a center point for local services and a link to outside specialty services. They provide many jobs in the community and attract supporting businesses. Rural hospitals are uniquely able to provide patient-centered care.”

This was the hospital where both of my parents were born, and the hospital where I was born. This was the hospital where my grandmother comfortably passed away. This was a place where I was mentored as a leader, encouraged as a female professional, and loved as a human. This was a place with 119 years of human stories in our little town. I am of the stoic sort. My public face of strength at the hospital legacy celebration masked my tumultuous thoughts. My tears were shed later over Monday night chores, taking out the garbage, sweeping the garage, picking up the dog waste, harvesting the tomatoes. I cried for the leaders who have risen in grace to an unpleasant task, for the caregivers whose home of delivering loving care is closed, for the patients who placed their trust in this institution, and for the sense of letting the community down. I cried because I both strive and struggle to see the beauty and opportunity in change and in pain. As I drive down Second Avenue in Walla Walla, I worry for the small businesses whose revenues will be affected by the closure: the small cafés and grocery who serve fresh and delicious food; the gas stations who keep our cars fueled; and the florist shop strategically built next to the hospital many years ago. Many of us with dental offices in the area will see a shift in our insurance reimbursements with an unwelcome increase in Delta Dental. Rural hospitals provide essential care. They are a center point for local services, and a link to outside specialty services. They provide many jobs in the community and attract supporting businesses. Rural hospitals are uniquely able to provide patient-centered care. According to the Washington State Hospital Association (WSHA), “Blanket policies in healthcare payment and regulation at the federal and state levels have put rural healthcare systems in a tenuous situation where adapting to the change may limit access to healthcare for their communities.” As a member of the hospital governing board, whose primary responsibility was toward quality improvement and patient safety, I observed firsthand the challenges of legislation and regulation on our hospital’s ability to deliver patientcentered care in a fiscally sustainable manner. WSHA goes on to say, “Current economic pressures, delivery, and payment-system reforms, and the shift from a volume-based business model to a value-based model, will necessitate that the hospital field consider redefining the ‘hospital’ of the future.” Dentistry’s unique delivery and payment systems will inevitably shift in similar directions. Dental insurance will be increasingly integrated with medical insurance. And insurance companies combined with technology will be key drivers in the shift to valuebased models. Prevention and wellness will form the foundation of the value-based model. The June 2017 issue of the Harvard Business Review says, “What makes prevention today different from past efforts is how it can be done. First, a wide range of new technologies and data analytics allows tracking of who and what is changing, making it possible to establish individualized targets, remedies, and incentives. Second, a systems approach helps companies go beyond single interventions to engage the entire insurance value chain - including local businesses, communities, and government—in the pursuit of these prevention gains. Third, with measurement linking risk-reduction milestones to improved business results, customers can be rewarded dynamically with behavior-based pricing that encourages positive behaviors and leads to a virtuous shared-value cycle between risk reduction and profit.” Here is the opportunity I envision. Research has proven, and dentists well understand, the link between oral health and chronic diseases and systemic wellness. As dentists and dental hygienists, we often see our patients more frequently, and for a much longer period of time than primary care physicians. We must become a valuable member of the primary care team. We must leverage technology to develop individualized treatment and better outcomes. We must continue to develop effective and efficient systems of prevention and wellness in our dental practices, rather than only performing damage restoration. When gaps in care appear - the closing of a hospital, for example - we can step in and emerge as key leaders and innovators in the larger space of our healthcare system. Let us seize the opportunity.

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

4 6 · th e wsda ne w s · issue 1, october · 2017 · www.wsda.org


trust

The WDIA Team to find you the right coverage

When Dr. Steven Stanley’s wife Jeanne faced a health crisis, Matt French of WDIA was there to guide him and go to bat for him with the insurance company and the state Insurance Commissioner. Can you say the same about your insurance broker?

Steven M Stanley, DDS

I have had the pleasure of working with Matt French at WDIA for the last 15 years. He has always proven to be both knowledgeable and helpful with our insurance needs. With the constantly changing and confusing array of insurance products out there, Matt has always been very helpful and straight forward in deciphering all these options.

ley ne Stan n a e J d an Steven

I want to provide very good medical insurance for both my family and my staff, and the resources at WDIA assist me in doing so. Three years ago my wife was diagnosed with Multiple Myeloma and given but 1 to 3 years to live. This diagnosis came at the same time as the renewal of our group medical plan for my office. Just hours before signing on to a new plan, Matt called me to let me know that the plan we were considering did not cover treatment at Seattle Cancer Care Alliance, which was where we were seeking treatment for my wife. Due to Matt’s diligence and foresight, we were able to sign on to a different plan which not only saved me tens of thousands of dollars, but has saved my wife’s life. When the insurance company denied treatment to which my wife was entitled, Matt went to bat for us contacting the Washington State Insurance Commissioner and the insurance company. With his assistance, we were able to get the insurance company to agree that they were responsible to assist paying for the proposed treatment. In addition to assisting me with my office policies, Matt and his staff have always been both gracious and extremely helpful in assisting our kids and former employees as their insurance needs have changed. My wife and I both highly recommended Matt French and his wonderful staff at WDIA. We will always be indebted for the service he provides us. He always exceeds our expectations and for that we will be eternally grateful.

Sincerely,

Steven M. Stanley DDS

The Obvious Matt French · Kerri Seims Choice for 206.441.6824 · 800.282.9342 Washington www.wdiains.com th e A wsda ne w s · issue 1, october · 2017 · www.wsda.org · 47 Dentists WSDA Company

YOUR WDIA TEAM:


Washington State Dental Association 126 NW Canal Street Seattle, WA 98107

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We're not the norm… Anytime we discover exposures our doctors are facing beyond professional liability, we work to develop and offer exceptional dentist-specific products. For instance, NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage. Can the big box companies say that? For more information about cyber coverage, call …… NORDIC – the Gold Standard

800-662-4075 nordicins.com melissa.sanchez@nordicins.com

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