Issu
WSDA 015 ly 2 · ju e7
The voice of the Washington State Dental Association
THE PNDC IN PICTURES th e wsda ne w s · issue 7, july · 2015 · www.wsda.org · 1
news
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Speaker Judy Kay Mausolf addresses a group at the PNDC
WSDA news
3 editorial 4
guest editorial
6-7
Cover story by Rob Bahnsen Cover story imagers by Scott Eklund and Stephen Breshear for RedBox Pictures Additional cover story images by Rob Bahnsen
issue 7 · july 2015
35
in memoriam
37
membership marketplace
medicare update
8-15
cover story 39 newsflash
16-17
grassroots news
18-19
middaugh award
21, 23
source news
24-27
wdia news
29
wohf news
41, 43, 45 46
classifieds parrish or perish
Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Gregory Y. Ogata, President Dr. Bryan C. Edgar, President-elect Dr. D. Michael Buehler, Secretary-Treasurer Dr. David M. Minahan, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Gary E. Heyamoto Dr. Eric J. Kvinsland
Dr. Dr. Dr. Dr. Dr.
Bernard J. Larson Cynthia R. Pauley Lorin D. Peterson James W. Reid Ashley L. Ulmer
WSDA Staff: Executive Director Bracken Killpack Senior Vice President/ Assistant Executive Director Amanda Tran
Vice President of Government Affairs Anne Burkland
Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail: info@ wsda.org/w w w.wsda.org
Art Director/Managing Editor Robert Bahnsen
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.
Manager of Continuing Education and Speaker Ser vices Craig Mathews Government Affairs Coordinator Michael Walsh
Vice President/Chief Financial Officer Peter Aaron
Public Policy Coordinator Emily Lovell
General Counsel Alan Wicks
Membership Manager Laura Rohlman
Vice President of Operations Brenda Berlin
Exhibits and Sponsorship Ser vices Coordinator Katie Olson
Vice President of Communications Kainoa Trotter
Bookkeeper Joline Hartman
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The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2015 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibilit y 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: 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversity 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 7, july 2015
a day in the life
editorial dr. mar y jennings
My midlevel nightmare in the real world I just got kicked out of an MD’s office evidently for not following the orders of an MD I have never met. Does that sentence even make sense? It does if you have turned your practice into the game of Post Office and you are getting second-hand information from your front desk, your records department, and your midlevel provider. I was recently hospitalized for complex diverticulitis. Ouch! I had an awful time trying to schedule a follow-up with a real MD, so I settled for a PA. I thought the PA was nice, but out of his league. I followed his orders to see a surgeon. Turns out I didn’t need surgery. YAY! I scheduled with the MD to see if we could manage my still-present pain with better antibiotics. That is when all hell broke loose. Something slipped in the diagnosis and communication between my PA and the MD. Combine that with hubris, stupidity, and lack of good manners, and I ended up with my new MD greeting me with, “I don’t know why you are here. You are supposed to have surgery. I can do nothing for you.” Huh? I finally just left. The upshot is that they are not running a well-oiled machine, and they are certainly not communicating well. A quick inventory tells me that the front desk did not communicate my chief complaint, and whoever manages surgical reports failed to get it to the MD before my visit. I want to focus on what seems to be a failure between the MD and his PA. That is my midlevel nightmare come to life. I was an acute patient when this visit was scheduled. In the dental midlevel model, acute patients are supposed to be seen by dentists. How did the medical model dumb down acute care to PAs? I don’t have to be a dentist to know my PA was in over his head, and I felt sorry for him. I saw him ask for help, but he was sent back to me, embarrassed. To me, that is the scariest flaw in the midlevel model. What happens when the midlevel’s skills are not up to snuff? What happens when the doctor doesn’t support his midlevel? What happens when the doctor does not have the insight to know his midlevel is not competent or works in a system that does not allow him to do something about it? What happens when the doctor is too busy with other legitimate concerns and misses…me? I was an acutely ill patient with inherent communication issues of my own. In this lousy condition, I had to manage chaos to get my needs met or cut bait and run the risk of getting worse while waiting for an appointment with another group. I should not have been put in this position. I think the non-clinical people who make up medical models like midlevel providers always think in ideal terms, not in real-life scenarios. My father always said that all men must be treated equally under the law, but make no mistake, we are not created equally. We all have skills and weaknesses. Building a flawless team is the stuff of all doctors’ dreams. I have every confidence that should we ever get dental midlevel providers, it will not be too long before they see acute or complex patients, too. We live in a world where we want the biggest bang for our buck and we want it right now. Especially when we do not feel well. I got lucky, caught a break, and got the care I needed. But what if I hadn’t? What happens to those people? Besides writing a Yelp complaint and crawling like lemmings to the emergency room, what do they do? That is what policy makers really need to think about. Let’s look at the money. It ripples. I am not working. My community clinic loses revenue. My two disability insurances hold me in good stead, but I lose. My disability insurers lose their bet for my sustained health. My health insurance still has to pay for the two worthless appointments because no one actually broke a law, plus another one appointment to get me back on track. How is that cost effective? Healthcare these days is all about the money. It has to be. Legislators are taken with the assumed financial benefits of the midlevel model, and they further assume quality of care will follow. They forget that this model is designed for most people, and it leaves acutely ill people like me vulnerable for catastrophe. That’s just not right. I am never going to forget the incompetent care I got when I was critically ill. I am also never going to let this happen in my practice. Please help me keep dentistry safe for everyone and join WSDA in Olympia this year. I need you.
Dr.Mery Jennings Editor, WSDA News
“I want to focus on what seems to be a failure between the MD and his PA. That is my midlevel nightmare come to life. I was an acute patient when this visit was scheduled. In the dental midlevel model, acute patients are supposed to be seen by dentists. How did the medical model dumb down acute care to PAs?”
Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.
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Dr. Vic Barry Past President, WSDA
“Some say renewing on time every year is being responsible. The facts say it is being lucky. No dentist deserves to live under the threat of unwittingly losing their license with no reasonable notice and no due process.”
As a dentist in this state, you are entered into a game of chance every year on your birthday, whether you realize it or not. It’s called “License Renewal Roulette.” You send your payment (the ball) to the Department of Health (DOH), and if it lands on black on time, you are the winner of a new license for one more year of practice. If it is late one minute past midnight and lands on red, you instantly lose your legal right to practice dentistry. You receive no official notice until after the fact and must overcome the many bureaucratic hurdles to restore your professional license. To add expensive insult to injury, your production during the days you practiced without a license is subject to cancelled claims by any insurance plans you billed for your patients in this interim. (Delta Dental is the only company that announced a two-week grace period.) And, the PPOs will block your collection of patients’ co-pays. When you check the fine print in your liability carrier’s policy, you will find that you are not covered for malpractice during this interim, either, so any claims arising during this “practicing naked” gap are on your dime. The most recent statistics from the Dental Quality Assurance Commission (DQAC) show that between 2009 and 2013, there were 495 late dental license renewals (and that doesn’t include the close calls). The WSDA knows of several devastating cases that resulted in losses in the five figures for some unfortunate member dentists. How could this happen? Let me count the ways. Some members’ payments were lost in the mail or cyberspace; some delegated this process to staff who lost it in the inbox; some were caught out of town; and some moved. Some dentists were victims of the Unicorn Theorem of driver’s license expirations: What did one unicorn say to the other as they came upon Noah’s Ark pulling away from the shore? “OMG, was that today?” Some say renewing a license on time every year is being responsible. The facts say it is being lucky. No dentist deserves to live under the threat of unwittingly losing his or her license with no reasonable notice and no due process. Even dentists who subject their patients to below-standard care are allowed a long adjudication process with DQAC before losing their license. To have good dentists lose their license in the middle of the night is simply unjust, unconscionable, unreasonable, and undeserving. For the last three years, the House of Delegates has given the WSDA Board the authority to take corrective action. Finding room on the legislative agenda has been the challenge. Is this the biggest threat facing dentistry today? No, but it is the most consistent. So where are the DOH and DQAC on this injustice? They have the power and opportunity to submit legislation that could be framed as a “technical correction” and thus noncontroversial. Why haven’t they acted in our best interest? Ask them. The Fifth Amendment mandates that the government cannot punish a person or take his or her property without due process of law. How is the taking of a license to practice a profession based on the passing of an arbitrary deadline not a violation of the Constitution? Are the DOH and DQAC really going to force a lawsuit? Perhaps the simplest solution is to have DQAC pass a WAC (no legislation needed) declaring that dentists who pay the late fee can have their license reinstated retroactively, leaving no gaps in their practice history for dental or liability insurance companies to take advantage of. That would be the best luck of all. Otherwise, the WSDA will have to make our luck, in the legislature or the courtroom. Stay tuned.
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guest editorial dr. vic barr y
You are lucky to have a license
regulator y news medicare update
As of June 1, 2016, dentists who provide Medicare-covered services, prescribe Part D-covered medications to Medicare beneficiaries, refer Medicare patients to a specialist, or perform biopsies that require the review of a pathologist will need to make a decision regarding their status as a Medicare provider. In order to comply with the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) has developed regulations that place new requirements on all physicians and eligible professionals in terms of Medicare participation. Two of these rules impact dentists. First, in order for services provided by clinical laboratories, imaging service companies, or DMEPOS for a Medicare beneficiary to receive payment, the dentist must either be enrolled in or have formally opted out of Medicare. Second, all physicians and eligible professionals who prescribe Part D-covered drugs are now required to either enroll in or formally opt out of Medicare. This rule is yet another attempt at reducing fraud and abuse and improving the overall quality of care for Medicare beneficiaries. According to CMS, the final rule is projected to save an estimated $1.615 billion over the next 10 years.
What dental services are currently covered by Medicare?
Medicare only pays for a very limited number of dental services. The majority of procedures performed by dentists who qualify for Medicare reimbursement are usually performed by specialists. Currently, Medicare will pay for dental services that are an integral part of a covered procedure, such as: • Reconstruction of the jaw following accidental injury • Extractions done in preparation for radiation treatment for neoplastic diseases involving the jaw • Oral examinations, but not treatment, preceding kidney transplantation or heart valve replacement. Such examinations would be covered under Part A if performed by a dentist on the hospital’s staff or under Part B if performed by a physician. • Oral cancer biopsies
What are my options? Enroll as a Medicare Provider
Though Medicare does not cover routine dental procedures, there are some procedures that are covered as an integral part of other Medicare-covered procedures. To enroll as a Medicare provider, you will need to complete the enrollment form CMS-855I. If you do not already have a National Provider Identifier, you will need to obtain one before enrolling. Dentists may complete the pa-
per form or enroll online through the Provider Enrollment, Chain and Ownership System (PECOS). Enrolling in Medicare authorizes dentists to bill and receive payment for the covered services they furnish to Medicare beneficiaries. The Medicare definition of “physician” includes dentists.
Opt out of Medicare
If you do not provide Medicare-covered procedures or wish to privately contract with Medicare beneficiaries to provide covered procedures, opting out may be the option for you. Dentists who opt out will not be able to submit claims to Medicare for any services rendered, including Medicare-covered procedures. In order to formally opt out, you must submit an affidavit to the local Medicare administrator, Noridian Healthcare Solutions, within 10 days of entering into the first private contract with a Medicare beneficiary. Private contracts need to be provided to patients in order to document that they have agreed to pay out of pocket for a covered procedure, as their treating dentist has opted out of Medicare. Private contracts are not required for a patient to receive Part D prescription drug reimbursement. Sample affidavits and private contracts can be found on Noridian’s website, www.noridianmedicare.com. Please note that dentists who opt out of Medicare cannot submit claims to a Medicare Advantage (MA) plan, even if they are in network for it. The affidavit you submit to Noridian states that you understand you will no longer be receiving direct or indirect payment from Medicare. Once you have filed your affidavit, you will be restricted from enrolling in Medicare for two years. However, under subsection 40.35 in the Medicare Benefit Policy Manual, you may be able to terminate your opt out if you do so within 90 days. Dentists who choose to opt out will need to renew their status every two years.
Enroll as an Ordering and Referring Provider
Dentists who do not provide Medicare-covered services, but do prescribe for patients with Medicare Part D drug plans or order covered imaging, clinical lab tests, and DMEPOS have the option of enrolling as an Ordering and Referring Provider. This option allows dentists to prescribe and refer only; there are no billing privileges. You will need to complete the enrollment form CMS8550 for this. The CMS-855I application (full enrollment) and the CMS-855O application (Ordering and Referring Provider) are valid options for dentists treating patients with MA plans.
Do nothing
Should you choose to do nothing, your Medicare beneficiary
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What else do I need to know? • It is important to remember that all three of these options will ensure that Medicare will pay for your patients’ Medicare Part D prescription drugs.
MEDICARE UPDATE:
NEW INFORMATION FOR PROVIDERS
• CMS has delayed Part D Prescriber Medicare Enrollment Requirements until June 1, 2016, but dentists are encouraged to submit applications to Noridian as soon as possible to ensure sufficient time to process applications. • Applications may be completed online through PECOS or by filling out the paper form and submitting it to Noridian. When mailing in paper applications or affidavits, please use the following addresses:
If sending through the post office: Noridian Healthcare Solutions Medicare Part B Attention: Provider Enrollment P.O. Box 6700 Fargo, ND 58108-6700
If sending through FedEx:
Noridian Healthcare Solutions Medicare Part B Attention: Provider Enrollment 900 42nd Street South Fargo, ND 58103 • Dentists who would like to be reimbursed by Medicare for supplying oral sleep apnea devices must enroll as durable medical equipment suppliers by completing the CMS-855S application. There is an application fee for new enrollees. Please note this is a separate process and does not satisfy the enrollment requirement for Medicare Part D drug coverage. According to the ADA, CMS has advised that “dentists are permitted to opt out individually even though they are associated to an enrolled DME supplier.”
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“Once again, CMS has further delayed the enforcement of Medicare enrollment requirements for prescribers of Part D Drugs — pushing the deadline out to June 1, 2016.” — Emily Lovell
Public Policy Coordinator
regulator y news medicare update
patients’ prescriptions will no longer be covered after the threemonth provisional supply period. When you write a prescription for a patient with Medicare Part D coverage, that patient will receive notification that he or she will receive a provisional supply for up to three months and after that time, their prescriptions will no longer be covered if their dentist has not formally enrolled in or opted out of Medicare.
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Cover story images by Scott Eklund and Stephen Breshear for RedBox Pictures
cover stor y the 2015 pndc in pictures
cover stor y the 2015 pndc in pictures
IN PICTURES:
THE 2015 PNDC OFFERED UP FUN, FITNESS AND A FEAST OF CE It wasn’t just the CE that was fantastic at the 2015 Pacific Northwest Dental Conference (PNDC); the weather was unseasonably spectacular, with temperatures into the 80s. Inside the conference, speakers were on fire, too, with workshops selling out and some lectures filling quickly, especially those by: Dr. Tieraona Low Dog, who focused on the PNDC’s Health & Wellbeing; Cheri Wu, who packed them in at her ultrasonics lecture and workshop; and Dr. Robert Convissar, whose laser lectures were a hot commodity over the two days. Dr. Carrie York, who has served on the Committee on PNDC since 2013 had this to say, “One of our speakers, wanted to let us know how great our meeting is and how well run it is, and to tell us that he stayed to listen to other speakers the second day! He says we run a really good quality show. We’re well organized, things work.” Throughout that day, attendees commented on the energy and quality of the conference, according to Dr. C.R. Anderegg, another committee member. But all work and no play make for a dull day, so the conference had plenty of fun events, too, like the 2nd annual Sip and Save reception, an evening with Ali Vincent of The Biggest Loser, and classes in yoga and Pilates. There were also plenty of drawings, prizes, and giveaways— everything from HD televisions to Starbucks coffee cards. But you could always get a free latte at the Meydenbauer cart, something attendees have always loved since we started the program years ago.
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cover stor y the 2015 pndc in pictures
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cover stor y the 2015 pndc in pictures
Whether attending lectures and workshops or visiting with friends and colleagues at events like Thursday’s Sip and Save reception at the Meydenbauer Center, PNDC attendees found plenty to smile about. With nearly 80 lectures and workshops to choose from, and the opportunity to earn up to 17.5 credit hours over the three days (Wednesday evening selections were again added this year), dentists could easily earn the lion’s share of their yearly CE requirement for a little more than $200. Now that’s something to crow about!
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cover stor y the 2015 pndc in pictures
Exhibitors loved mixing business with fun at the 2nd annual Sip and Save reception. With food, adult beverages, and hands-on demonstrations of the latest and greatest in dentistry, the event again drew big crowds.
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cover stor y the 2015 pndc in pictures
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cover stor y the 2015 pndc in pictures
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cover stor y the 2015 pndc in pictures
Whether you come for outstanding CE, the chance to shop with exhibitors at the Meydenbauer Exhibit Hall, or the opportunity to visit with friends and colleagues, we’re glad you’re at the PNDC. Year in and year out, we’re dedicated to producing a conference of the highest quality for you, our members!
grassroots news dr. michael spektor
“This summer, the DentPAC board will identify key races that may affect how the Legislature will view our issues next session. We will be calling upon our members to help support fundraising efforts on behalf of these legislators. This mission is critical for us to be effective citizen lobbyists. We are the experts on the oral health of our patients and, by extension, how this affects their general health.”
“Congress shall make no law…..abridging the right of the people…. to petition the government for redress of grievances.” — First Amendment to the Constitution of the United States (Bill of Rights) 1791 One could argue that the first amendment to our Constitution acknowledging freedom of religion, free speech, free press, and the right to peaceable assembly are the bedrock of our democracy, but the right to petition the government is just as fundamental to our republic as a means of protecting and encouraging public participation in government. In a vibrant democracy, lobbying, letter writing, email campaigns, and the like — all public discussion of the issues designed to spur government action — qualify under the petition clause. This is not meant to be a civics lesson, but rather a call to action to make sure that our profession takes advantage of this freedom. The Government Affairs Committee advises the WSDA Board of Directors of the issues and concerns that need to be raised in the state legislature and a legislative agenda is then approved by the House of Delegates. The WSDA lobbyists, along with informed and concerned individual member dentists, carry the message to Olympia and our state legislators. In order to help facilitate these discussions, we have DentPAC. DentPAC’s main purpose is to create relationships with state legislators in every district and to raise and distribute contributions to them. The lifeblood of legislators is money. Without it, they don’t get elected. The cost of elections keeps rising every year, especially in key districts. In 2014, around $4 billion was spent nationally on elections, and that was not even a presidential election year. (In 2012, the total was more than $6 billion, double what it was in 2002.) The hue and cry about election reform is certainly not without merit, but the Supreme Court pretty much assured that costs will continue to escalate by ruling that campaign donations are a form of free speech which limits allowable donation restrictions. To put this in context, Americans spent $83 billion on beer sales in 2013 and $69 billion on lottery tickets in 2012. Currently, they spend $6 billion on potato chips alone. Perhaps elections really are a bargain for keeping a free society. State law allows a maximum contribution of $1,900 per election cycle ($950 for the primary and $950 for the general election) to
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Dr. Spektor is chair of the DentPAC board of directors, a position he has held since 2011. He maintains a periodontal practice in Bellevue.
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LET’S TALK POLITICS
DR. MICHAEL SPEKTOR
grassroots news dr. michael spektor
an individual. In addition, each party has a fund for state representatives and senators that has no limits. The problem with these funds is that they are spent at the discretion of the parties. DentPAC can also do independent expenditures for a candidate. This type of contribution usually involves voter contact through a flyer, phone call, or television ad that supports an issue favored by a collection of PACs. It is a legal requirement that an individual’s campaign cannot have any prior knowledge of a contribution such as this. This system has served the dental profession very well over the years. The one component that has been lacking, however, is the ability of our member dentists to support candidates with individual contributions. Most state legislators are very close to the voters in their districts. If you ask them, pounding the pavement is a huge part of their success. In fact, if they ignore their constituents very much, they likely won’t get reelected, so PAC money only goes so far. This means that dentists who live or work in their district and also help raise money for those candidates have more access to the legislator than a member who does not. This access and a willing ear are critical when we are asking for a vote or help with one of our issues. This summer, the DentPAC board will identify key races that may affect how the Legislature will view our issues next session. We will be calling upon our members to help support fundraising efforts on behalf of these legislators. This mission is critical for us to be effective citizen lobbyists. We are the experts on the oral health of our patients and, by extension, how this affects their general health. Fundraising is one way that we can assure that a legislator will at least listen to us. So when we call upon you to help us with a contribution, we hope you will answer the call. It is too late to lament after the fact. Our opponents know how this works, and they will not be on the sidelines. Please put aside any negative feelings you may have about politics or politicians and understand that the state decides how we are allowed to practice our profession. It is up to each of us individually to make sure that our voices are heard. After all, it is our constitutional right to do so.
middaugh awards uwsod students honored Photos by Rob Bahnsen
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HONORING UWSOD STUDENTS
2015 Middaugh Awards
In recognition of their willingness to care, commit, listen and lead, the Dan G. Middaugh Student Leadership Awards were presented to the UW School of Dentistry class officers on May 19, 2015 at a dinner hosted by WOHF and WSDA leaders. 2015 Middaugh Award recipients are David Ludwig, Christine Mulch, Sohaib Soliman, Yagnesh Patel, and Halee Hyatt. Recipients of the award received $1,000 and special recognition of their service by WSDA Past President Dr. Dan Middaugh, who established the award in 2000 to encourage students to continue their involvement in organized dentistry as dental students, and as practicing members of the profession after graduation. Of the award, Soliman said, “I cannot thank Dr. Middaugh enough for starting this award in recognition of student leadership. It is such an honor to be recognized for our leadership work, and receiving this award makes all of the hard work worth it. I am also especially honored to be joining the generations of student leaders who have received this award before me and hopefully the many more to come!” Recipient Christine Welch said, “Receiving the Middaugh Award has been such an honor and achievement the past few years. At UW we are fortunate to have the support of outstanding faculty, and Dr. Middaugh exemplifies the character, integrity, and determination that are so integral to our education here. His support through this award demonstrates the importance of student leadership and fostering connections with professional organizations early in our career, and I want to thank him for all that he has done on our behalf.” At the event, WOHF President Dr. Dec Barnes spoke with the recipients about their work at the University, and asked them about plans for the future. Other guests included WSDA President Dr. Gregory Ogata, UWSoD Dean Dr. Joel Berg, WSDA Executive Director Mr. Bracken Killpack, and Ms. Kate Killpack. For more information about the work of the Washington Oral Health Foundation, please visit their site: www.wohf.org.
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“The Middaugh award and everything associated with it - the mentorship, sense of pride for dentistry, discussion of issues facing the profession, and inspiration to think of dentistry on more than just an individual basis - has made receiving this award a unique and special honor.” — David Ludwig
middaugh awards uwsod students honored
2015 MIDDAUGH AWARDS
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source news identity theft
The number of patients affected by medical identity theft increased nearly 22 percent in just the last year, according to a study released in February 2015. Dentists protect their patients’ personal information for obvious ethical reasons and HIPAA compliance. Many times, however, they may not realize that preventing identity theft is another very important reason behind this practice. Processing credit card transactions in a safe manner is crucial to protecting patients from cyber attacks. Whether it’s their health record or credit card information, no one is completely safe. Dentists can take steps, however, to ensure this information is as secure as possible for their patients.
Health Records Under Attack
In 2014, articles in business and medical publications cited alarming statistics regarding electronic breaches in healthcare. They often referred to a McAfee Labs report from November, a February SANS Institute report, and an FBI Private Industry Notification issued in April. The reports revealed the following: • Cyber criminals are selling health record information on the black market at a rate of $50 per partial health record. That’s astronomical compared to the $1 black market rate a single stolen credit card number garners. Electronic health records are used in filing fraudulent insurance claims, obtaining prescription medication, and conducting other identity theft activities. • A 600 percent increase in healthcare-record breaches occurred in the first 10 months of 2014, as compared to the same time frame in 2013 (and this is even prior to the well-publicized Anthem BlueCross/Blue Shield incident). • The direct out-of-pocket costs to victims of medical identity theft are significant. While the financial liability for credit cards is often limited to $50 (and the card itself can be easily cancelled and replaced), a Ponemon Institute study suggests that 65 percent of medical identity theft victims had to pay thousands of dollars to resolve the crime. • According to the FBI, the healthcare industry “is poorly protected and ill-equipped to handle new cyber threats exposing patient records, billing and payment organizations, and intellectual property.” In healthcare, almost all things digital can be compromised, including radiology imaging software, medical devices, faxes,
continued on page 23
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THE SOURCE
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than the traditional magnetic stripe (magstripe) on credit cards. printers, virtual private networks, and routers. To make matters worse, healthcare-industry IT professionals believe their defenses are adequate “when clearly the data states otherwise.”
staff to verify the identity of anyone who claims to be there to service or re-download your credit card terminal!
You might shrug your shoulders, hope your IT folks are doing a good job, and check your insurance coverage should your records be compromised via a hack attack. But that’s not always good enough.
By October 2015, the payment card industry wants your processing equipment to accept credit cards containing integratedcircuit (IC) chips. Europay, MasterCard, and Visa (EMV)-compliant technology is considered safer than the traditional magnetic stripe (magstripe) on credit cards. Come October, your existing equipment won’t cease to function — new terminals will continue to read magnetic stripes. However, if your processing equipment isn’t EMV-compliant by then, your practice might be liable for fraudulent charges. Fortunately, it shouldn’t cost a great deal of money to get updated equipment. When purchasing EMV-compliant equipment, make sure it’s Near Field Communication-capable to accommodate new payment methods such as Apple Pay, Google Wallet, and contactless credit cards. They say the future is now, and the ever-changing credit card industry is no exception. However, with a handful of small adjustments, you can have your office prepared to greet the future with confidence. For more information about the material presented in this article, or literature on preventing embezzlement in your practice, contact Best Card at 877-739-3952 or visit www.bestcardteam. com/faqs.
Compromising Credit Cards
Even though stolen credit card numbers bring in a low black market rate doesn’t mean they aren’t sought after. If you process credit cards online or via Ethernet-based connectivity, your patients’ information could be at risk. To find out how vulnerable your system really is to cyber attacks, follow the payment card industry (PCI) security standards, which require quarterly scans of your network. More than half of the Best Card dental offices getting these network scans fail their first scans despite having anti-malware software, antivirus protection, and a separate wireless network. The reasons for failure are numerous and can include: • Not updating to Windows 7 or higher • Having unused ports left open that need to be closed with their Internet service providers or firewalls • Having outdated firmware routers • A lack of patches or updates for software. It could happen to you, so it’s important to correct any weaknesses you have identified. The good news is getting scans shouldn’t break the bank. (For example, Best Card, endorsed by the WSDA, only charges $36 annually for the mandatory PCI self-assessment questionnaire completion and $20 more for practices that are required or choose to do quarterly scans.) Even offices that swipe credit cards at a terminal using an analog telephone line could be at risk if someone were to attach a skimmer that reads magnetic stripe information. We’ve never heard of this happening in a dental office, but skimmers have been placed on equipment including ATMs and gas pumps. For this reason it’s important to train your
Meeting the EMV Deadline
Jennifer Nieto is president of RJ Card Processing Inc. (d/b/a Best Card). Formerly, she was the director of finance for the Colorado Dental Association and an FDIC Bank Examiner/CPA. Best Card is currently endorsed by the Washington State Dental Association and 20 other medical and dental associations or their affiliates. http://money.cnn.com/2015/02/27/pf/identity-theft-complaints/ CNNMoney (New York) Feb. 27, 2015 http://www.forbes.com/sites/danmunro/2015/02/23/new-study-saysover-2-million-americans-are-victims-of-medical-identity-theft/ http://medidfraud.org/2014-fifth-annual-study-on-medical-identity-theft/
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source news identity theft
By October 2015, the payment card industry wants your processing equipment to accept credit cards containing integrated-circuit chips. Europay, MasterCard and Visa (EMV)-compliant technology is considered safer technology
wdia insurance for ever y stage of your career
INSURANCE FOR EVERY STAGE OF YOUR CAREER
STAGE TWO: BUYING A PRACTICE
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Insurance experts
French and Seims are the insurance experts. They will get you everything that is required and can detail the optional policies you might want to have in place in the event something goes wrong, from personal health issues to natural disasters. The WSDA News recently sat down with them to review the types of policies that people looking to buy a practice will need and to find out what pitfalls, if any, new buyers can expect. “It’s so important to call us early,” says French. “We can set the stage for you, explain the products and timelines, and work with everyone on your transition team.” Not even sure what a transition team is? Between them, French and Seims have been working in the business for decades, and they know some of the top people in the field. “Dentists are going to need to have an insurance team, an attorney, an accountant, a banker, and then a transition company,” says French. “Some of these things they may not have. We’re fortunate enough to have worked with so many talented and reliable companies and individuals in the area that we can often give several names to interview and consider.”
New buyers’ “must haves”
As we said before, having life insurance isn’t just a good idea, it’s essential to the process of purchasing a practice. Banks require loan collateral, and one of the most common ways of obtaining enough capital to buy a practice is by collateralizing your life insurance for the amount of the loan over its term. “Typically, practice loans range from $500,000 to $1 million, and are generally written for a 10-year term, so buyers will need to have life insurance in that amount for the same term,” says French. But banks also want to protect their investment by requiring dentists to carry disability insurance, and French says the best type of policy for that is Business Loan Protection. Should you become disabled while you still have a practice loan, it will pay the bank back directly on a monthly basis for a specific term. “Let’s say you have a $500,000 loan for a 10-year term, and you’re paying $6,000 a month,” says Seims. “The Business Loan Protection policy will pay $6,000 a month directly to the bank in the event that you’re disabled and can no longer practice.” It’s cost effective, allows you to sell the practice without having to pay off the loan, and you get to keep all the proceeds from the sale. So while the policy is in place to protect the bank’s interest, it protects yours, too. One note of caution. “Banks will sometimes offer to collateralize a dentist’s personal disability, but we never want that to happen,” says French. “That policy is for the dentists and their families and serves a different need.”
Hazards can be real
Let’s face it, every day, practices are destroyed by any number of hazards, and you want to make sure that your practice is fully covered in the event that you’re unfortunate enough to experience one of them. That’s where a Business Owner’s Policy, or BOP, comes in. “It’s much like homeowners insurance for your practice, including things like liability insurance in case someone trips and falls,” says French. BOP policies will also cover things like burglaries, fires, vandalism, and more.
Additional policies you should consider
French and Seims can walk you through what’s best for you and your practice. They will often recommend the following policies because of the extended coverage they afford a dentist.
• Disability
“We generally recommend that dentists also get Business Overhead Protection, which covers overhead costs like having a locum tenens come in when they are disabled, utilities, staff salaries, and
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wdia insurance for ever y stage of your career
As a young dentist, time may be one of the things you don’t have enough of — between starting a family, trying to buy a practice and grow your career, and developing personal and professional relationships within organized dentistry. Unfortunately, according to Matt French and Kerri Seims of the Washington Dentists’ Insurance Agency (WDIA), time is one of the most important elements when it comes to buying a practice, and it’s the one thing that many new buyers don’t factor in. French explains, “It’s not just the time required to find the right practice with a good match in terms of staff, culture, and patient base. Securing financing and locking down the kind of coverage banks require to write the loan takes time, too.” Seims agrees, saying, “Buying a practice is a complex business, more so than most dentists realize. Many, for instance, assume they can just call up and order a life insurance policy.” The reality, she says, is that life insurance typically takes six to eight weeks to obtain, and that amount of time could easily derail a practice deal with both the bank and the transition company involved. And while time is important, so is knowing exactly what you need to buy. Some insurance policies will be required by your lender, and additional insurance will further protect yourself, your family, and your practice. But it’s tricky — there are many policies by myriad companies, and knowing which policy to choose can quickly get confusing. That’s why you need insurance experts.
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• Employment Practices Liability
If an employee sues for sexual harassment, wrongful termination, or anything of that nature, Employment Practices Liability (EPLI) is the policy that protects you. It’s additional coverage, but it is a smart option. As an employer, you’ll have some coverage in your BOP plan, but it’s minimal at best. French and Seims always recommend EPLI to dentists purchasing a practice — and getting it sooner rather than later. French explains, “Let’s say you buy from a dentist who was in practice for 30 years, but you choose not to keep all of the staff. It’s not uncommon for people who are released after a sale to file suit, and you want to be protected. EPLI policies cover the cost to defend the claim.” Seims also recommends purchasing a robust cyber security policy, saying, “The fallout from a cyber breach can be enormous, and the onus falls on the practice owner to mitigate. The costs can be astronomical.” Both EPLI and cyber security policies come in $500,000 or $1 million versions, depending on the number of employees you have, the gross income of the practice, and other factors. French and Seims can break it all down for you.
• PLLC/Corporate Liability
PLLC/Corporate Liability coverage protects the practice when you have an associate who is being sued. Typically, attorneys for the plaintiff in a malpractice case will sue not only the associate,
but also the practice he or she works in. This coverage incorporates your malpractice limits with your corporation, protecting you when a suit is brought against an associate working in your practice.
• Partnerships
If you’re buying into a partnership, you’ll want to at least consider some additional coverage to protect you in the event that your partner becomes disabled, cannot work, or dies. “You’ll need a buy/sell agreement, which is a policy that all partners in the practice purchase that will pay off the part of the practice owned by the partner who died,” explains French. “As people realize the value in economies of scale that partnerships can provide, between shared overhead costs and shared staffing costs, we’ll see the need grow for policies like this.”
• Health Insurance
Lastly, as a practice owner, you may want to offer some type of medical insurance for your employees, and you will definitely need to insure yourself and your family. The experts at WDIA can break down the options and their costs, and help you determine what products make the most sense for you. “Keep in mind,” says Seims, “we’ll want to do periodic evaluations of all of your insurance policies to make sure you have the right coverage for your growing family and practice.”
Here for you
French and Seims — and new WDIA team members Heath Johnson and Tiffany Perry — know that insurance isn’t the most fascinating of subjects, and all the choices and decisions can be daunting, but getting the right mix is important. “You really can’t put a price on knowing that your family and your practice are covered in the event that something changes to impede your ability to work, whether it’s a fire, a disability, or even death,” says French. “We can help guide you and simplify the process, and we’ll be here to answer any questions you might have.”
Policy or Coverage questions? We’re here to help! In Western Washington Matt French · (206) 441-6824 · matt@wsda.org Kerri Seims · (206) 441-6824 · kerri@wsda.org In Eastern Washington Heath Johnson · (206) 441-6824 · heath@wsda.org Medical Insurance questions: Tiffany Perry · (206) 441-6824 · tiffany@wsda.org Left to right: Matt French, Director of Insurance Services, WDIA; Kerri Seims, Assistant Director of Insurance Services, WDIA; Heath Johnson, Assistant Director of Insurance Services, WDIA; Inset: Tiffany Perry, Medical Insurance Specialist
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wdia insurance for ever y stage of your career
office expenses,” says Seims. This type of policy doesn’t cover associates on payroll because, in essence, they generate their own income, and it won’t cover outside lab fees. “You can get a benefit of up to $50,000 a month, and we typically write the policy for a maximum of 12 months,” says Seims. Why does the policy have an end date? “Most dentists facing disability spend the first six months assessing their possible recovery. After that, if they’re not going to be able to return to the practice, they have six months to sell,” says French. “For many dentists in Washington, that’s generally an adequate amount of time to sell a practice.”
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wohf at pndc thanks
Without you, we’re nothing: We would like to thank each
and every one of you who donated your time and energy (and fabulous wine and other goodies!) to the Foundation at the PNDC This year. Because of you, the Washington Oral Health Foundation Silent Auction and Wall of Wine grossed approximately $5,067 at the PNDC. Special Thanks to our 2015 Silent Auction, Connoisseur’s Collection, and Wall of Wine Donors, and all of our volunteers!
PNDC Connoisseur’s Collection Donors Dr. D. Michael Buehler Mr. Steve Hardymon Dr. Bruce Kinney Dr. Lorin Peterson Dr. Perry Tuneberg Dr. Rodney Wentworth Dr. Ron Snyder and Dr. Spence Jilek at the WOHF booth
House of Delegates Connoisseur’s Collection Donors Dr. Victor Barry Dr. Joel Berg Dr. Stephen Carstensen Dr. David Petersen Dr. Steve Waite Dr. Douglas Walsh Dr. Timothy Wandell
Wall of Wine Donors Dr. Darlene Chan Dr. Chris Dorow Mr. Kristopher Kerns WDIA (Washington Dentists’ Insurance Agency)
Silent Auction Donors Dr. Alan Moritis
GRAPE EXPECTATIONS: WOHF SUCCESSFUL AT PNDC
You have to hand it to the Washington Oral Health Foundation (WOHF) people, they know how sell out an event: Make sure there’s plenty of wine on hand. Not that anybody is drinking it, they’re all buying it at the Foundation’s annual Wall of Wine sale at the PNDC. “People often buy five bottles at a time,” says Ruth Abate, the Foundation’s director of community development and programming. “They know it’s for a good cause, and we always put in some really good bottles, so everyone has a chance to win something really special.” This year, among the yummy Syrahs and chardonnays was a prized bottle worth nearly $70. Not a bad exchange for $20 on your way in or out of the exhibit hall!
know what to do with them, but was sure that he didn’t want to just throw them away, and wondered if they would be of any value to the Foundation,” says Abate. “He approached us and asked if we’d like to have them to auction off — and they proved to be very popular.”
More than just the fruit of the vine
The winning wine theme continues at the 2015 House of Delegates, where the Foundation will auction off a sumptuous selection of wines for delegates and their spouses. And while you may not be able to attend, you’re more than welcome to assign a delegate to serve as a proxy for you and bid on the collection!
This year, along with the bottles of wine, the Foundation held a small silent auction of some most unusual items — 12 or so pieces from a collection of nearly 80 donated dental-related sculptures. “They were donated by Dr. Moritis, who had collected them and showcased them in his practice. When he sold the practice he didn’t
Dr. Paul Robertson
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Face time
The Foundation has held the event for six years, always selling out the bottles on hand. The added money is helpful, and the event lets Foundation board members (who often staff the booth) have a few minutes of face time with people who might want to volunteer for WOHF.
Up next
WSDA NEWS JULY 2015
PROFESSIONAL RACTICE P SPECIALISTS,
INC.
1-800-645-7590
Aaron Pershall - Randy Harrison BELLEVUE, WA – Highly profitable G/P collecting over $1.5M in 2014. Stylish office, 4 ops and digital x-rays! W. PUGET SOUND PERIO – Wonderful practice with an emphasis on implants. Collected $550K+ in 2013. 4 ops, pano and more. BOISE AREA – Wonderful G/P in excellent location. Collected $500K in 2014. 5 ops, digital x-rays, and more. Cone-Beam and Cerec also available. SPOKANE, WA – Associate wanted for Holistic/ Biocompatible dental practice. Approximately 26 hours per week.
TACOMA, WA PROSTH – Well established practice collecting $450K+ in 2013. 7 ops, digital x-rays and a full denture lab. Building is also available!
SOUTH CENTRAL AK – High volume G/P seeking a full-time associate with possibility to purchase. 5 days/wk paying 35% of collections.
OREGON – G/P & OMS opportunities!
ANCHORAGE, AK – Excellent practice collecting $900K+. Practice has a Prosthodontic emphasis, but the production mix is varied.
KETCHIKAN, AK – G/P collecting $600K. Well established office has 4 ops, updated about 5 years ago. 100% fee-for-service! HOMER, AK – Wonderful, long established G/P collecting around $550K. Includes a pano, and laser! FAIRBANKS, AK – Associate wanted for busy endodontic practice!
MAT-SU VALLEY, AK – Excellent G/P collecting almost $400K in 2013. 3 ops, pano, and digital x-rays. KAILUA-KONA, HI – Fee for Service G/P collecting around $400K. Come live, work and play on the Big Island! Seller is motivated!
www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com
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SEPTEMBER 11 Early Identification and Management of the Behaviorally Difficult Dental Patient Leesa Morrow, PhD 18 Medical Update for the Dental Team Barbara Steinberg, DDS 24 Evening Course - Available in person or as a live webinar Dental Ethics: The Foundation for Risk Management Rod Wentworth, DDS and Melissa Moore Sanchez, CIC 25 Ultrasonics Hands-on Simulation Workshop Janet Press, RDH OCTOBER 2 To Biopsy or Not to Biopsy: Interactive Soft Tissue Oral Pathology for the Dental Practitioner Dolphine Oda, BDS, MS 10 Better Medicine, Better Dentistry! Mark Donaldson, BSP, PHARM D, FASHP, FACHE 16 Legal and Accounting Issues in Today’s Dental Office Ann Durham, JD and Tim Proctor, CPA 23 Updates in Direct and Indirect Dentistry Greg Gillespie, DDS This course will be presented in Tacoma, Washington 29 Evening Course - Available in person or as a live webinar HIPAA-HIGHTECH Made Easy Marcus Bing, IT Professional 30 From Gums to Guts: Periodontal Medicine and New Developments Mark Ryder, DDS This course is offered in partnership with the Seattle-King and Pierce County Dental Societies. NOVEMBER 13 WISHA-OSHA Compliance for the Dental Office & CDC Guidelines for Infection Control Samuel Barry, DMD This course is offered in partnership with the Washington State Dental Hygienists’ Association. 21 Fear And Loathing In The Dental Chair – Using Psychology, Local Anesthesia, Nitrous and Conscious Sedation Tar-Chee Aw, DDS, MS and Fred Quarnstrom, DDS, FADSA, FAGD, FICD, FACD, CDC Online Courses at www.uwcde.com including Bloodborne Pathogens! Registration Information: REGISTER Telephone: (206) 543-5448 Toll Free: (866) 791-1278 NOW! For more detailed course information and to register online visit www.uwcde.com
SCHOOL OF DENTISTRY UNIVERSITY of WASHINGTON UNIVERSITY OF WASHINGTON IS AN ADA CERP RECOGNIZED PROVIDER ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
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My faithful readers know my penchant for the free market, but charity should not be the “free market.” Charity is what the free market should do with some of its profits. Recently The Wall Street Journal and The Washington Post reported on the connections among the Clinton Foundation, Digicell (Haiti’s major cell phone carrier), a corrupt Brazilian construction firm, the InterAmerican Development bank, the U.S. State Department, and Hillary Clinton’s brother and his direct role in a lease for a Haitian gold mine. Suffice to say the story is much too complicated to recount here, but I fear, in the name of charity and good works, lots of people (including the Clinton Foundation) made lots of money proposing to help my brothers and sisters in Haiti. Certainly former President Clinton and his foundation have helped, but those Haitians who were forcibly removed from their land near Cap-Haitien for an industrial park funded by outsiders that has barely materialized don’t think so. Again, there were lots of photo ops and web page pictures, but the reality is something completely different. It happens with “do-good groups,” large and small. Interestingly, however, this time it seems most of the corruption within the Haitian “government” has been bypassed; others are getting the money. So what is my message today? Don’t believe the pitches for latrines and claims of $500 million spent on development in Haiti unless it can be verified in some other way. Give me $400 for a treadle sewing machine for a Haitian woman, and we will change her world. I promise not to take any administrative fee off the top! Haitians know what will make change in their lives; we don’t. Until such time as they understand and embrace better sanitation practices, a latrine may be well down on their list. Sure they want jobs and income, but if there is no market for their goods because of embargos we impose because we don’t like how they go about their political business, then jobs will remain scarce. And don’t give money to the UN, Red Cross, or any other huge agency except for relief that only a large entity can perform. Haiti has been sick for a long, long time. It is only going to get well from the bottom up, but it will take a long time. And the bottom means working with individuals and small groups, not cities or the national government. Until the people of Haiti want change and know they can make change within their own circumstances, Haiti will continue to suffer. The same can be said for the “sick” segments of the United States. Change cannot be imposed by outsiders.
parrish or perish continued
continued from page 46 U N I V E R S I T Y
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Partner with Dr. Haralson today, and we’ll all have something to smile about—especially your patients! th e wsda ne w s · issue 7, july · 2015 · www.wsda.org · 33
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3 4 · th e wsda ne w s · issue 7, july · 2015 · www.wsda.org
Specializing in
PRACTICE VALUATIONS & PRACTICE SALES/ TRANSITIONS Current listings
SOUTH KING COUNTY — NEW
Well established practice desireable/high-traffic location, drawing patients from both Bellevue and Seattle.
Dr. James McCallum, UW School of Dentistry Class of 1966, died in April after a brief illness. He had recovered from colon cancer but suffered a relapse. After serving in the Air Force in Europe, McCallum moved to Bellingham and purchased the practice of a retiring dentist. He was a forty-plus year member of the RL Bruna Dental Study Club and spent many years as a part-time clinical instructor at UW. He was also an ardent Husky fan, proving his devotion by actually travelling to Eugene for road games with the Ducks, which can be a life-threatening adventure. He leaves behind wife Sue and son Mike, as well as hundreds of friends in the dental community and an even larger number of grateful ex-patients. He will be missed by all of us.
BELLEVUE/CROSSROADS
Space only. 7 ops, 5 fully equipped, new computer system, Cerac, two reception areas. RENTON
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425-890-8271 piega@delaneytransitions.com delaneytransitions.com
We rely on you! If you know of a current or former WSDA member dentist (or someone who played a pivotal role in organized dentistry in Washington) who has passed away, please send us a note. We would love to include that information in the WSDA News. Email rob@wsda.org.
th e wsda ne w s · issue 7, july · 2015 · www.wsda.org · 35
in memoriam dr. jim mccallum
in memoriam
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CURRENT LISTINGS Olympia
General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique practice with some of its patients.
GENERAL DENTIST – Seeking long term associate position in greater Seattle area. Compassionate, patient-focused and enjoy doing dentistry. 2 years experience in private practice. Please email shan0313@u.washington.edu for resume and CV. GENERAL DENTIST – Seeking long-term associate position in a family practice in the Greater Seattle area. UWSoD Graduate 2014. Currently finishing AEGD Residency in Seattle, WA. CV: http://tinyurl.com/racheldds. Email at racheldds05@gmail.com. 253-576-5565. GENERAL DENTIST – Seeking private practice or public health position in greater Seattle area and other cities within WA. Comfortable with anterior/posterior RCTs and EXTs. Contact me at dwang@student.roseman.edu or 908-922-1881. ASSOCIATE — New graduate looking for an associate position in the greater Seattle area. Additional experience working with children and with simple/surgical extractions from community health clinic experience and dental service projects. Resume with contact information: http://tinyurl.com/lzr5h6o
Redmond
Shared space in a beautiful office. Space that is shared is reception room and staff lounge. Completely ready to use.
Support your practice. Earn more points. Enjoy the rewards.
Associate positions available at once!
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• 2 points for every net $1 spent on all ADA purchases • 1 point for every net $1 spent on everything else3 Redeem points for the rewards of your choice, including dining, gift certificates, name-brand merchandise, cash back and even travel on more than 150 airlines with no blackout dates. Just 25,000 points = up to a $450 ticket. Plus, enjoy exclusive benefits such as Travel Accident Insurance, Auto Rental Insurance, 24-hour concierge service, travel discounts and upgrades, shopping discounts and much more!4
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Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595 We may change APRs, fees, and other Account terms in the future based on your experience with U.S. Bank National Association and is affiliates as provided under the Cardmember Agreement and applicable law. (1) Subject to credit approval. Accounts must be open and in good standing (not past due) to redeem points. (2) Your 0% introductory APR applies to balance transfers made within 30 days of account opening. A Balance Transfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR does not apply to purchases or cash advances. The rate will end early and increase to the APR for Balance Transfers or to a Penalty Rate APR if you make a late payment, make a payment that is returned, or your account exceeds its credit limit. Thereafter, the APR may vary and as of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99% (based on your creditworthiness)]. We apply your payments to balances with lower APRs first. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions, limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf. The creditor and issuer of the American Dental Association Card is US. Bank National Association, pursuant to a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association. ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc.. (ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.
th e wsda ne w s · issue 7, july · 2015 · www.wsda.org · 37
membership membership marketplace
Professional Management Associates, Inc
Each issue, the WSDA News will run up to 30 free classifieds for dental students and new graduates of dental schools who are seeking employment. To qualify, you must be a member of ASDA or the WSDA. Restrictions apply. Please contact Laura Rohlman at laura@wsda.org for more information.
EXPERIENCED AND SPECIALIZED REPRESENTATION OF THE DENTAL PROFESSION John C. Versnel, III
Malpractice Defense
Practice Transactions
Disciplinary Proceedings (DQAC)
Personal Injury Actions
Employment Claims
Business Litigation
1800 One Convention Place | 701 Pike St. | Seattle, WA 98101 206-621-3485 • jcv@leesmart.com
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~ C. Dirk Peterson DDS (Happily Retired)
3 8 · th e wsda ne w s · issue 7, july · 2015 · www.wsda.org
Dr. Carsten honored
Dr. David Carsten, vice president of the Clark County Dental Society was recently named 2015 Outstanding Alumni for Centralia College, and was selected to speak at this year’s graduation ceremony. According to a recent article by Justyna Tomtas in The Chronicle, a Centralia-area newspaper, “Julie Johnson, director of donors and alumni relations for the foundation, said the board looks for someone who is committed to strengthening their community while providing excellence in their profession. The award has been handed out since 1978, and many recipients have received national or international accomplishments, but the ultimate goal is to select someone who makes a difference in their community and profession.” Carsten says, “After looking at the list of past recipients I was flabbergasted and more honored that they’d chosen me.” Johnson said, “The award was important for three different reasons: to show current students the success of the college’s past graduates, to recognize alumni for the important accomplishments they have made in their communities, and to show the community at large what students from the college are capable of doing.”
Dr. Olga Ortuzar honored
Dr. Natale presents Dr. Ortuzar with her award
Recently, Dr. Olga Ortuzar was presented with a plaque by Snohomish County Dental Society president Dr. Thomas Natale for serving more than 20 years as the society’s National Children’s Dental Health month coordinator, and for her dedication in volunteering her time and skills to serve low-income children in critical need of dental care. Ortuzar was the Society’s 15th recipient of the award, which was established to honor the good work done by its members.
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newsflash ortuzar, carsten honored
newsflash
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OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
DENTISTS NEEDED — Large Dental Group seeks both part and full time dentists (general and specialized) throughout Washington, Oregon, California, Hawaii, Arizona, Nevada and Oklahoma. For more information or to apply, please email griffint@InterDent.com or call 360-449-5618.
RENTON/DESMOINES — Full/Part time position available for experienced dentist. Must be able to perform all phases of dentistry. Good salary .Please contact at 425-226-9770 or baljinderbuttar1@gmail.com.
ASSOCIATE OPPORTUNITY — Exceptional opportunity in Bellevue, WA for experienced dentist. We are a TOP dental practice with a great Bellevue location and an amazing, long-term dental team --- We are looking for a dentist with above average dental skills that strives every day to better their craft. We are fee for service with a conservative, customer service driven philosophy that collects 2+ million/year. If you are a dentist that would like to be a part of a proven dental team, that can bring expanded services (endodontics, oral surgery, implant placement) to our patient base together with the desire to grow your own practice within a practice we would like to speak to you! Partnership - buy in available to right candidate. Please respond with CV to PNWDDS@ gmail.com.
DENTIST NEEDED — General dentist needed in kent. Call (253) 529-9434. GENERAL DENTIST — We have an outstanding full time Opportunity for a general dentist in our Port Orchard / Covington locations. Long term position with excellent compensation. Please email resume to k.singh.dds@gmail.com. DENTIST NEEDED — Growing general dental offices are seeking caring, competent dentist with great people skills to join our team at greater seattle area. Excellent opportunity for potential partnership. Please email resume to mydental88@ gmail.com. PEDIATRIC DENTIST WANTED for busy multidoctor practice. Beginning shifts available Monday 7.30-4.30; Saturday 8.00-3.30 to increase to four days a week. Our office is in beautiful Olympia, Wash. Please contact Dr. Jones directly at (360) 789-4841. DENTIST NEEDED — We are accepting applications for a hired dentist to work at the SonBridge Dental Clinic located in College Place, Washington. This is a part time position working 1 or 2 days a week. Call Mel at (509) 301-3460. SKILLED PEDODONTIST — Seeking skilled pedodontist to join our state-of-the-art facility. We offer the latest advancements in dental technologies. Ideal for a self motivated doctor. Hours are flexible. Email: TeethrusPediatric@gmail.com. DENTIST NEEDED — Puyallup/Sumner. Seeking FT or PT 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 to call this practice home. Partnership buy in will be considered. Please email resume and inquiries to: docvan99@aol.com. PORTLAND, ORE. — Dentist opportunity. Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. Pdxdentist@yahoo.com. SEEKING ASSOCIATE/PARTNER DENTIST Various locations in Western Washington. We are a small group of private practices in Western Washington dedicated to providing dentistry at the highest level. We are seeking a long term associateship/partnership with someone who is passionate about providing excellent care and has the ability to relate to each and every patient. Please email resume and CV to adam@cramerdentistry.com.
DENTIST NEEDED — Great opportunity in Eastern Washington working alongside other general dentists, orthodontists and oral surgeons in a state-of-the art facility. Great working atmosphere, excellent pay and benefits. Must be friendly, motivated and flexible. Please contact Jolene Babka at jbabka@applesmiles.com for more information. A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multispecialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes—and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to nlachance@willamettedental.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. 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; 3-5 years experience preferable. Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com. 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 a busy practice in South Seattle and we need a dentist that can work 2 to 4 days in a week. We offer excellent salary based on collection. Please email us your Resume to BurienDentist@yahoo.com or call (425) 647-4318. 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.
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GENERAL DENTIST, SPOKANE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Learn as you work or a great opportunity for an experienced dentist. For more information, please contact Jolene Babka at jbabka@applesmiles.com. 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. OPPORTUNITY WANTED ASSOCIATE — Seeking associate or a buy-in/buyout opportunity in the Greater Seattle area. Seven years of experience, including an AEGD. Patient focused care with experience in surgical extractions and CAD/CAM dentistry. Interested in expanding into implants within the next year. Looking for an office that provides the highest quality of care for their patients. Please email alhigginsdds@ gmail.com. OFFICES FOR LEASE OR SALE GENERAL DENTAL PRACTICE AVAILABLE— Charming Issaquah location. Small, efficient & profitable general practice. Great boutique practice or tremendous base to grow larger practice. 56 new patients in the past 4 months. Orthodontics, oral surgery and implants referred out. Rapidly growing practice. Eaglesoft, great visibility/parking, accepts most major PPO plans. For more details and information please contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com.
classifieds issue 7, july 2015
OPPORTUNITIES AVAILABLE
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OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
PERIODONTAL PRACTICE AVAILABLE — North of Seattle. Outstanding periodontal/implant practice for sale, North of Seattle. The practice is located in the heart of a busy medical/dental area with high visibility. 360 patients in perio recall. 37% of production are implant procedure. Five fully equipped operatories, collecting $750k, digital radiography, features private meeting room (study clubs). Owner occupied. Excellent location near major medical facilities. For more details and information please contact: Jennifer Paine at (425) 216-1612 or email Jennifer@cpa4dds.com.
PERIODONTAL PRACTICE, SPOKANE, WASH. — If you love the outdoors and want a great place to raise a family then this practice is for you. A nnual collections close to $1.3M per year. Tons of cash f low in this high net-low overhead practice. Centrally located office just off the main freeway to better ser ve the community. Well tenured, experienced staff will assist with the transition and stay with the practice. Selling Doctor will stay with the practice for up to six months to introduce the buyer to all the referral sources to ensure a smoot h tran sition. Under-utili zed satellite office serving a large insurance area waiting to be re-energized. Contact: Buck Reasor, DMD, Reasor Professional Dental Ser v ices, info@ reasorprofessionaldental.com, (503) 680-4366.
PRACTICE FOR SALE – Double doctor practice in South Everett. Excellent opportunity to purchase a mature well-established family general practice! Established 1978, this strong family practice has a thriving loyal patient base built primarily on referral. This one of a kind opportunity is Ideal for a younger dentist who wants a turnkey, well maintained business and facility without the hassles of starting from scratch. This practice is staffed by two full-time dentists, assisted by four full-time dental assistants, four hygienists (11 days of hygiene a week) and three admin team members, consisting of two schedulers and one financial coordinator. We offer our patients the best in materials, technology, procedures and customer service. Our team is well educated and trained in providing the highest standards of patient care. We believe in building long-term, meaningful relationships with our patients for a lifetime of health. We are looking for a buyer(s) with a similar philosophy who have an interest in massive success and continuing a legacy. Owner(s) will stay to ensure a smooth transition and will sign a non-competitive agreement. Buyer(s) will also have the opportunity to purchase the building in addition to the practice or to be determined at a future date. Contact us for more details: dentistrypracticeforsale@gmail.com.
BELLEVUE, WASH — Beautiful fully equipped and newly built out digital four op practice. Fully stocked with brand new supplies, endo system, intraoral camera, four x-ray heads, and a pano machine. Gorgeous new carpeting, cupboards, sinks etc. Ready for space share or purchase. 400K turn key. Initially planned to be a satellite location that never was able to get up and running due to doctor’s family emergency. Call (206) 462-8561. PROSTHODONTIC PRACTICE AVAILABLE — Olympia. Immaculate, well established and respected practice specializing in dentures; crown & bridge; implants and veneers. Also featuring custom restorations. The facility features four equipped/fully computerized operatories with potential for one or two additional. This beautiful office is approximately 2,300 square feet. Excellent parking. Office features digital radiography, digital pan, intra oral cams, lasers and electric handpieces. Exceptional geographic location. No contracted insurance. For more details and information please contact: Jennifer Paine at (425) 2161612 or email Jennifer@cpa4dds.com. FEATURED PR ACTICE OPPORTUNITIES — General dental practice near downtown Seattle, three ops, collecting $340k; General dental practice in Olympia, collecting $975k; General dental practice in West Seattle (1), four ops with a fifth possible, collecting $1.2M; General dental practice in Federal Way, six ops, collecting $850k; General dental practice in Issaquah, two ops with a third possible, collecting $678k; General dental practice in West Seattle (2), six ops, collecting $846k; General dental practice in West Issaquah, 5 ops, collecting $678k; Periodontal/implant dental practice North of Seattle, collecting $750k; Prosthodontic dental practice in Olympia, collecting $1.25M. Pending Transitions: Redmond ortho practice; Lynnwood, Enumclaw and Bel-Red (2) general practices. Sold: Bel-Red (1) Coming Soon: Ellensburg and Kirkland General practices. For more details and information please contact: Jennifer Paine at (425) 216-1612, or email Jennifer@cpa4dds.com.
FOR SALE — G/P practice for sale in downtown Seattle. Well established, mature practice for sale collecting over $550,000 annually. Excellent modified start-up practice. Seven fully equipped operatories. Current staff will stay with the practice. Excellent collection policy in place. Practice has been located in dow ntow n Seattle for over 50 years. Contact: Buck Reasor, DMD Reasor Professional Dental Ser vices at info@reasorprofessionaldental ser vices.com, (503) 680-4366. PROSTHODONTIC PR ACTICE FOR SALE — Greater Seattle area. O ut st a nding practice with high gross & high net. Building is in a great location with plenty of parking and visibility. Building could eventually be for sale to prospective buyer. Experienced staff will stay on with the practice. Ow ner would stay on 1-2 days per week for up to a year to ensure a smooth and complete transition. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, (503) 680-4366, info@reasorprofessionaldental.com. G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Owner is selling two separate practices both within 35 miles of Spokane, Wash. Annual collections over $430,000. Four operatories. Well trained staff will assist with the transition and will stay with the practice after the transition. Excellent collection policy in place. Excellent cash f low for a practice of this size. Please contact Buck Reasor, DMD. Cell: 503-680-4366, em a i l:i n fo @ re a s or profe s s ion a ldent a l.com, w w w.reasorprofessionaldental.com.
FOR SALE, AUBURN, WASH. — General dentistry practice for sale in Auburn, Wash. Annual collections over $260,000, excellent collection policy in place, fee-for-service with no PPOs. Outstanding location with great visibility, selling doctor would like to sell building at same time as practice. Contact: Buck Reasor, DMD, Reasor Professional Dental Services at info@reasorprofessionaldental.com, or call (503) 680-4366.
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BUILDING FOR SALE — Tacoma 2,100 sq. ft. built in 2008, for sale at $299,000. Rent to own option. Email: hughbc@gmail.com. Call (206) 280-4582. DENTAL OFFICE — For sale or lease in Vancouver, Wash. Complete with equipment. Well built, modern style five op. dental suite with spacious reception and waiting area, kid play room, doctor’s private office, consultation room, laboratory, sterilization, staff lounge, laundry etc. 2,500 sf. Each op. has built in nitrous and sound system. Highly favorable demographics for general dentistry. Ideal for start up or satellite for both general and specialty. Move in ready. Call Angela (808) 203-4134 or email smiledoc02@ gmail.com. FOR LEASE —Vancouver, Wash. Next to Vancouver Mall. Brand new remodel 2,000 sq. ft., just move in equipment. Built-in cabinets, Pano room, private office. Very nice! neilgray@comcast.net. EXISTING 3,267 SF — Medical/Dental office space available — Building currently occupied by two family practice dentists and is located in a highly visible shopping center. Approximately 25,000 vehicles per day. Anchored by Applebee’s, Office Depot and Kohl’s, as well as other professional, medical, and retail businesses. Situated on the busy corner of SE 270th PL & 172nd Ave SE in the busy and rapidly grow-ing city of Covington, Wash. Contact: Mike Kirkland, MK Property Services, L.L.C. Office: 425.888.2993, Cell: (425) 455-4271, or email: mike@mkps.net. AUBURN – Plumbed five op dental office for lease. Good street visibility. Good general or dental specialist location. Call Steve at Omni Healthcare Real Estate at (425) 905-6920.
classifieds issue 7, july 2015
OFFICES FOR SALE OR LEASE
HOW MUCH IS YOUR PRACTICE WORTH? Now through July 30 we’re offering a FREE Snapshot Valuation that will quickly let you know what your practice is worth.
CURRENT LISTINGS South Sound Perio Practice—DW118, Annual collections over $500,000, new location and build out within the last 3 years. Four operatories. Practice established 25 years ago. Bellevue Practice or Equipment Purchase —DW122, Seller will either sell current practice collecting $200,000+, or simply sell equipment and take over the lease. Kent General Dentist Practice—DW112, Annual collections of $250,000 anchored by Safeway with lots of parking, four operatories and room to grow.
Call 206.979.2660 to schedule today
Grand Coulee General Practice—DW123, 40 year established practice. Enjoy an incredible outdoor lifestyle while owning a practice with 43% overhead. Four ops with building also for sale.
Or visit omni-pg.com for more info
Other listings: www.omni-pg.com Sign up for our free monthly newsletter when you visit the site More real estate listings: www.omni-hcre.com Rodney D. Johnston, MBA, CMA rod@omni-pg.com Transition Specialist and Licensed Real Estate Broker (877) 866-6053 Ext. 1
Jim Vander Mey, CPA, ABI jim@omni-pg.com Transition Specialist and Licensed Real Estate Broker (877) 866-6053 Ext. 2
PRACTICE GROUP
The Oregon AGD Digital Dentistry Symposium and Annual Meeting GET AHEAD OF THE CURVE! This event’s speakers and exhibitors will ensure that you know where dentistry is headed! This symposium will provide an overview of digital restorative dentistry technologies and the event will include an exhibitor’s hall that will allow you to make informed decisions about the best approach for your practice. Conventional versus Digital Prosthodontics
Cad-Cam: The Ups and Downs of In-Office Systems
Digital Technology: How to Get Started!
Dr. Lyndon Cooper
Dr. Marcus Abboud
Dr. Aaron Tinkle
Structuring a Fully Digital Workflow
Guided Surgery and Implant Treatment Planning
Integration: Digital Information and Your Lab
Dr. Michael DiTolla
Dr. Doug Chenin
Dr. Siamak Abai
Date: Saturday, October 3, 2015
Time: Location: 8:00 AM - 4:30 PM Sheraton Portland Airport Hotel Reception/exhibit hall 4:30 PM-6:30 PM
For more information visit www.oragd.org or call 503-228-6266 4 4 · th e wsda ne w s · issue 7, july · 2015 · www.wsda.org
OFFICES FOR SALE OR LEASE
SERVICES
FOR SALE — West Seattle. Newly upgraded dental practice in West Seattle for sale. $725,500.00. Five+ ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last fee-for-service practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour. Annie Miller, (206)-715-1444.
NORTH BEND SPACE FOR LEASE — Excellent location with signage in downtown North Bend, same plaza as Bartell Drugs. High visibility on busy street. Call Steve Kikikis at Omni Healthcare Real Estate (425) 905-6920.
VANCOUVER EXTRACTION LECTURE — Learn extraction techniques like how to use a 301 elevator, crane pick, how to section teeth with a hand piece and much more. Date: August 7, 2015, Website: w w w.weteachextractions.com, Email: dandds@dankaylordental.com.
SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an Associate position. Restorative practice with In-House C&B, and denture processing lab, and technician. Modern downtown Seattle 5 chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com. NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw.com. FOR LEASE — Great location, over 2000 square feet, five operating suites in beautiful Olympia, conveniently located on Martin Way close to St. Peter Hospital. Over 30 years of quality dental care provided here. Contact Don at uncledgh@aol.com. OFFICE FOR LEASE — 3,267 sq. ft., Built-out orthodontics or other specialty dentist office for lease. Call Steve Kikikis at Omni Healthcare Real Estate: (425) 905-6920. FOR SALE — South Sound Perio practice for sale. Annual collections over $500,000. Four ops great potential to grow. Email Rod Johnston at rod@ omni-pg.com. OFFICE FOR SALE — Des Moines, Wash. Fullyequipped dental office/condo for sale. Three ops, reception, panoramic x-ray, sterilization, shared mechanical room for $160,000. Call Steve Kikikis at Omni Healthcare Real Estate (425) 905-6920. BUILDING FOR SALE — Medical/Dental building in Marysville for sale. Five large dental operatories with wall cabinetry, sterilization area and Lab. Panoramic radiography. Call Steve Kikikis at Omni Healthcare Real Estate: (425) 905-6920. FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other dentists in building. Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (incl. utilities). Contact Dennis Schmuland (425) 417-1206.
LYNNWOOD — Plumbed four op dental office for lease. Ready for your equipment and staff. Good street visibility. Quick and inexpensive startup location. Call Steve at Omni Healthcare Real Estate at (425) 905-6920. JUST AVAILABLE — Just available. 1200 square foot fully equipped four operatory dental space. Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Diana at Medical Centers Management (253) 508-1293 OFFICE SPACE TO SHARE — Excellent opportunity for specialist who wants to work one or two days a week or a start-up practice for any practitioner. Front office support. Contact Breezy at (425) 481-1038 or email office@gentletouchdental.com. FOR LEASE — Available 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. Call Diana at Medical Centers Management (253) 508-1293. FOR LEASE — New construction. Professional building in Lynnwood by Alderwood Mall. 2,0006,000 sq ft available. Ample parking. Private entry. High visibility and high traffic count. Each unit has up to 40 sq ft of signage on main-street. Ideal for specialist and/or group practice. Call Dr. Nguyen at (206) 250-3282 or email datman1@mac.com. EQUIPMENT FOR SALE
CONE BEAM SCANS — 3-D Diagnostics is offering Cone Beam CT scans for $99. We will provide a copy of the scan on a disk using DICOM or with the Sirona Galileo’s software included. We are located in Olympia. Please call for details. (360 )352-2400. OFFICE CONSTRUCTION CONSTRUCTION INTERNATIONAL, INC. — Providing construction services throughout the region for over 25 years. Architectural services provided as needed. Your project will be tailored to fit your needs, time frame and budget. Contact Essy Mohazzabfar (206) 499-7389. 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. ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years. On time, on budget and providing quality that you can afford. Call today for consultation George McBee - Allied clinicbuilders@comcast.net (425) 941-3088.
FOR SALE — Boyd Dental Exam / Imaging Treatment Chair (E530 series). Beige color. Lightly used and in excellent condition. winged back, steel frame, manual synchronized back and toe, fully articulating headrest, 360 base swivel. Located in Renton, Wash. Can be easily transported in SUV. $1,335 buyer arranges for pickup. 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. SERVICES MOBILE IV SEDATION — Have your patients treated in your office with safe and proven techniques. Set your practice apart from others. Attract new patients. Increase quality referrals. Neil E. Bergstrom, DDS (360) 825-6596.
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classifieds issue 7, july 2015
OFFICES FOR SALE OR LEASE
parrish or perish
I weep for Haiti
Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.” — George Patton
“Haiti has been sick for a long, long time. It is only going to get well from the bottom up, but it will take a long time. And the bottom means working with individuals and small groups, not cities or the national government. Until they want change and know they can make change within their own circumstances, Haiti will continue to suffer.”
The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
Longtime readers of this collection of randomness know I have a special place in my heart for the people of Haiti. For over a decade, I have spent at least two weeks a year there providing dental care. I’ve gotten to know the country and its people and have observed change over those years. Many ask, “How is Haiti doing after the earthquake”? My response, “Better, but still a mess.” The world focused on Haiti after the earthquake five years ago, but they had lots of issues well before then, which continue today. Folks were refocused on Haiti with the cholera outbreak 10 months later. Cholera had previously been eradicated in Haiti; it was brought in by Nepalese UN [mercenary] troops who infected the Artibonite River with poor sanitary practices, notwithstanding UN denials of blame. Boatloads of money were raised to “fix” Haiti following these two disasters. How’s that going so far in what I observe? The major highway between Port au Prince, the capital, and Gonaives is much improved, but I am pretty sure that project began before the earthquake. Folks have moved closer to the road so it looks more prosperous along that major thoroughfare. But back off the road seems pretty usual: poor. The earthquake rubble has been cleared from the areas we inhabit in Port au Prince, but Port has a lot of “normal” rubble so, while improved, you might think you’re still seeing earthquake damage. The weekly “farmer’s market” up north is considerably bigger, so folks must be buying more stuff. Lots of people have cell phones, and more of them actually work as opposed to being a “status symbol” for show, so telecommunications have improved remarkably over the past 10 years. But compared to the overall effort and money, I’m not so sure. Governments and large organizations pledged around $13 billion (of which $6 billion had been spent by the end of 2012), and private donations amounted to $3 billion. So if roughly $10 billion has been spent to date, that’s $1,000 for each Haitian — more than a year’s average income. But further investigation by many different media outlets indicates that only a small portion of that $10 billion has ever “reached the ground” and actually done anything for the people. And lots of folks have done OK for themselves in the process. Now don’t get me wrong. Big non-government organizations (NGOs) and governmental agencies are like any other enterprise: They are too big to be run on nothing and need money to survive — their “administrative fee.” That money usually comes “off the top.” The Guardian and NPR recently did exposés on how a large agency (like the American Red Cross, which claims to have spent a half billion dollars in Haiti, much of which is unaccounted for) or a government gave money to this NGO which, in turn, gave it to that NGO, and everyone took their administrative costs off the top, and not much was left at the end. When one travels in the areas where money was supposedly spent, the local Haitians will tell you not much, if anything, has been done. These large organizations are usually designed to do one thing: relief, rehabilitation, or development. They are completely different challenges to meet effectively. Certainly much money appropriately went to relief in the aftermath of the earthquake and in response to the cholera epidemic, but promises of rehabilitation and development, both of which are much harder to accomplish, have been made without much result. Large entities have a notable lack of transparency and accountability and the skill to work effectively “on the ground.” They have a tendency to do “showcase” projects for their brochures. I’ve personally seen large latrine projects abandoned after a very few years, but they sure were great money raisers from the folks back home. Who can argue with latrines? Where I really get upset is when individuals personally profit from these adventures. continued on page 31
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