Issuu

sfdda Volume 56, No. 1 www.sfdda.org Summer 2014

fda ada sfdda

The power of three or four, It’s all about the member, pg .7

Inside this issue... President’s Message, pg.3 Fighting for Your Rights and Daily Practice of Dentistry, pg.4

mdds

Re-subscribing, pg.7 Advocacy Update, pg.8 SFDDA Calendar, pg,9 New Member Benefit, pg.10

sbds

nd/mbds

Get to know your SFDDA President, pg.15

Cornered into Corporate, pg.16

New Members, pg.11

Classifieds, pg.17

Baptist Mobile Dental Unit, pg.11

FDC Highlights, pg.12

Workman’s Compensation, pg.19

Officer Installation, pg.13

www.sfdda.org

Preliminary Program Features: Ethan Pansick, D.D.S., M.S David Feinerman, D.M.D., M.D. “Digital Workflow: Surgery to Prosthetics” Sponsored by:

Annette Yelin, Esq

Lee Weiss, D.D.S. “Airway Management Certification"

“Legal Issues that May Affect You and Your Dental Practice”

Ravindra Nanda BDS, MDS, PhD Duran Mootry, R.D.H. “Introduction to Hygiene Local Anesthetic Course”

Program is subject to change

Esthetics and Biomechanics Based Management of the Smile Zone Presented by: (Orthodontic Problems)”

President’s Message Marcos Diaz, D.D.S.

It is that time of the year once again where we reach out to all our members to inform them of what is happening with our district dental association. As always, it is a new year and a new president. However, this year has already proven to have had quite a different beginning than most. It is both an honor and a pleasure to take the helm. I hope that these changes, which have actively already begun to take place, will bring new energy and vitality, while encouraging all members to participate together, not only at the local affiliate society level, but also at our district/component level as well. A new marketing strategy has recently been introduced by both the ADA and the FDA, which has included a different branding, with new logos and an aggressive thinking process, to incorporate the three levels of organized dentistry, as well as including the affiliate societies (Florida’s unique “4th level”), into a partnership called the “Power of Three.” It is also felt that this new concept will help create and maintain membership value and greater participation. In addition, there has also been significant involvement from our component with the FDA at the recent June House of Delegates (HOD) to oppose new “rule” language promulgated by the Board of Dentistry (BOD), in which the Board has developed additional requirements as it pertains to all dental written records. The new rule language was passed by the BOD in May, which every dentist in Florida must comply with, unless the language is challenged. Although the proposed rule change has not

yet been published, nor has it officially taken effect as yet, we are still very actively involved in this process of defending what we feel is very important and appropriate for our members and the profession in Florida (see Richard’s article for details on this matter.) This is the power of advocacy and why organized dentistry is very important. My vision for next year is to internally make sure that we develop proper, efficient and viable ways to communicate better among ourselves in order to have a more cohesive group. I feel that part of the reason this has happened is because we have grown somewhat apart and have lost the connection among us due to lack of personal contact. My intention is to promote more social interaction and communication among all three of our local affiliate societies. All 3 affiliate boards have all met with me to discuss and develop the implementation of better communication and alternative strategies to achieve a more organized and united group, with the purpose of having all leaders of the affiliates and the component understand what the common goal is, and what is expected from all leaders and the membership to achieve this. In addition, the implementation and development of the FDA and the ADA tripartite effort needs to be disseminated at the grass roots level for all of this to succeed. Please join me in sharing and making this concept a reality. “All for one, and one for all,” as Alexander Dumas’ d’Artagnan and The Three Musketeers so succinctly placed it. 3

Fighting for Your Rights and Daily Practice of Dentistry: Update on New Board of Dentistry Rule for Written Dental Records Richard A. Mufson, D.D.S., Editor All too often, we hear others who may criticize organized dentistry – especially those who have chosen to drop out from membership. However, this is but one of many examples of why all dentists should take pause, wake up to, and be thankful for, the benefits of belonging to our tripartite dental organizations. A recent significant development has occurred at the Board of Dentistry (BOD) involving new language recently added to Rule 64B5-17.002, Written Dental Records, Minimum Content, Retention. The added language was the result of a three member BOD Task Force having formulated the new and more detailed requirements, which then came to a final vote at the May, 2014 BOD meeting in Jacksonville. Although some of the new requirements involve issues such as informed consent, record alterations, retention of one’s appointment book, and maintenance of electronic dental records, the portion of the Rule singled out as being the most objectionable or controversial has been limited to language added to Sections 1(a) through 1(e) (please see existing rule language, and new language denoted by underline, at the end of this article). Florida statute is also quite clear that agencies such as the BOD do not have the power enact rules which modify, contravene or expand existing statute (as in Chapter 466), and to the extent that the BOD may have overreached in their rule making authority, a dentist or group of dentists may legally “challenge” a new rule on such a basis. The current fact is that many practicing dentists in Florida, as well as many of those in the legal profession who work to defend dentists on a daily basis (defense attorneys, claims analysts, risk managers) feel that (a) existing language for maintenance of dental records was adequate, and did not need to be changed nor expanded with additional requirements, (b) the rationale for the BOD wanting add more detailed requirements to existing Rule was inherently flawed (i.e., one and/or another BOD member claim to have lost cases to administrative law judges on appeal due to a perceived insufficient detail in rule requirements; other BOD members have given completely different reasons), and (c) the new language poses an undue burden to our daily practice of dentistry, while also having an adverse effect on our future defense efforts 4

against would-be BOD and civil liability claims – more to than it serves to protect the public. As yet one more example of how the volunteer efforts of those who take time our of their offices to help serve our profession and our members (and also benefitting even non-members) and accomplish needed goals on your behalf - your local South Florida District delegation to the Florida Dental Association House of Delegates (consisting of your 5 SFDDA officers, 12 other delegates from your 3 local affiliates, 2 FDA Trustees, and our FDA line officer) decided that “enough was enough.” They voted to bring forth a Resolution to the recent semiannual FDA meeting (Friday and Saturday, June 20) at the Gaylord Palms Resort and Convention Center in Orlando. The Resolution asked that FDA take a stand and “oppose” the new Rule language in Sections (a) through 1(e), and take necessary steps “up to and including a rule challenge.” As a result of the resolution and related information brought forth, a tremendous groundswell of similar opinions and concerns by other dentists and district societies developed throughout he state over the two weeks leading up to the meeting. After much back-and-forth deliberation and discussion at the FDA HOD meeting, the resolution calling for FDA to oppose and challenge this rule passed by House vote. The Florida Society of Oral and Maxillofacial Surgeons (FSOMS) had also been following this issue for months earlier, and was actually the first organization to develop a formal position (in the form of a letter sent to the BOD) opposing the new language. FSOMS has also recently voted to move in the direction of a possible rule challenge, but first, taking the initial step of requesting an appearance at the next BOD meeting in August to express concerns and discuss the issue further, as a prerequisite to other possible legal steps (and pending further FSOMS Board discussion/approval), if necessary. Other specialty groups have recently joined in, and one or more have been engaged in the process of developing similar position statements. continued on next page

Question: Why is this a threat to us – i.e., dentists in Florida? Answer: When a dentist is brought before the BOD, the primary reason is most often related to an alleged “standard of care” violation, whereby the defendant dentist must hire an attorney and hopefully escape board sanction in the form of fines, other penalties, or worse, action against one’s license. However, the dentist’s records are usually examined and scrutinized as a secondary part of the process. If the records are found to be inadequate, the BOD retains the ability to then levy fines and other sanctions on that basis, above and beyond the outcome of the primary violation. It is also a well known legal principle that when laws or rules are expanded to include more detailed requirements – it adds more burden to those attempting to follow the laws/rules in good faith and/or their future defense efforts, while giving more ammunition to those who would prosecute or discipline them. Such expansion of language also historically has more of “gotcha” effect, while hurting the everyday practicing “good guys/gals,” more than it serves to catch the so-called “bad apples,” and more than it serves to protect the public (the BOD’s main charge).

Latest Update on What is Taking Place Relative To Voicing Our Concerns To the BOD: The BOD is holding a rule workshop early in the morning (7:30 AM), as the opening item on the agenda of their general meeting, at the Hyatt Regency Orlando (at the Airport) on Friday, August 22, 2014. A hypothetical plan is in progress to have a representative from each (or most) of the dental specialties, as well as FDA, with one or two or our attorneys/lobbyists also present – to articulate a unified message in opposition to the addition of any new language to the existing rule. The plan also includes our bringing to the BOD a list of potential “other” constructive ideas to help address and solve the actual root cause of their existing problem (if not the lack of more specific detailed rule language) of losing certain disciplinary cases to administrative laws judges. If you read this article prior to August 22, and you would like to attend the BOD workshop, or send a letter to the BOD expressing your opinion in this regard, please feel free to join in this important regulatory process which so much effects all of our daily practices and profession.

Existing Rule language and new Rule language (denoted by underline) passed at of May, 2014 meeting of the BOD: Rule 64B5-17.002 Written Dental Records; Minimum Content ; Retention. (1) For the purpose of implementing the provisions of subsection 466.028(l)(m), F.S., a dentist shall maintain written records on each patient which written records shall contain, at a minimum, the following information about the patient: (a) Medical History: Appropriate medical history including any current or previous medical conditions, surgeries, hospitalizations, medications, and legible blood pressure readings (when taken). The updating and review of the medical history must also be documented. (b) Results of clinical examination and tests conducted, including the identification, or lack thereof, of any oral pathology or diseases; (c) Radiographs: Any radiographs to include Cone Beam Computer Tomography (CBCT), and the results thereof, used for the diagnosis and treatment of the patient; (d) Treatment plan: Treatment plan and treatment options proposed by the dentist; (e) Treatment: Treatment rendered to the patient, including but not limited to the following, when applicable to the treatment performed: i.Type, amount, and mode of delivery (i.e., Mandibular block, Infiltration, etc.) of local anesthesiaused; ii.Type and shade of restorative material used; iii. Preoperative and/or postoperative medications prescribed; iv. Medications delivered, administered, or provided to the patient during treatment or for use following treatment; v. Radiographs taken; vi. Impression material and type of impression taken (i.e., maxillary, mandibular, interocclusal, digital, etc.); vii. Medicaments, medications, sutures, irrigants, or bases applied to teeth or periodontal tissues; viii. Names or initials of all staff involved with clinical care of the patient; ix. Use of dental barrier or rubber dam; x.Tooth or arch treated identified by name, number or letter; xi. Working length, canals treated, identify untreated canals and reason left untreated, master apical file size, and obturation materials used during endodontic procedures; and xii. Unusual or unexpected events or reactions during or after the procedure; Note: As mentioned previously, the above sections, 1(a) through 1(e) represents the section of most concern or controversy. The entire Rule may be viewed on-line at: https://www.flrules.org/gateway/division.asp?DivID=328

Dr. Mufson is the Editor of this newsletter and may be reached at (305) 935-7501 or MufsonOralSurg@aol.com. 5

A New Look for the SFDDA In the Spirit of the Power of Three...or Four! As our president, Dr. Marcos Diaz, mentioned in his article it’s, “all for one and one for all.” And, that’s what “The Power of Three” is all about. However, I much prefer the Musketeer analogy since there were actually four (Porthos, Athos, Aramis and D’Artagnan), and here, in the state of Florida we have a fourth level of membership, the affiliate societies. The American Dental Association, Florida Dental Association, South Florida District Dental Association and its three local affiliates, Miami Dade, North Dade-Miami Beach and South Broward Dental Societies, work together to provide members with every level of service and support possible. And to ensure that members, non-members and the general public understand that this four-level system is a partnership that is ultimately one dynamic machine working for the good of the dental profession and the public, we have re-branded the state, component, and affiliates to carry the same message - “Helping Members Succeed.” This will also present a cohesive look that will easily and quickly identify the SFDDA as an integral part of organized dentistry.

In case you didn’t notice we’ve also updated our logo which incorporates the Florida Dental Association, and unifies the state and the components further. Soon we will be launching a new website which will help connect our members to all levels of the organization. It will have many helpful features, such as the latest news regarding the dental profession, basic forms used daily in your practices, links to the affiliate societies, newsletter archives, employment services, calendar, special events, and more. Once we go “live” with the website, please make sure to log on and update your office information so that you may be added to the referral link. We want to make sure that patients looking for a dentist are able to find you right away. It is our hope to serve you better, and we hope that these changes will benefit all.

Relax! Dont do it.

“Re-subscribing” To Your SFDDA Email Service Electronic Communication is common nowadays, and the urge to unsubscribe from SFDDA messages can be overwhelming but please don’t do it. Every year, the question regarding the raising of dues comes about. And every year, the budget committee looks for ways to avoid doing so. Communicating electronically is one of the ways in which we are able to keep costs down and not raise dues. Recently, the need to get the message to the membership regarding the upcoming Board of Dentistry rule change is a perfect example of using technology as a great tool of communication, especially given that time was not on our side. The message needed to reach the most members possible and it needed to be sent quickly and efficiently. The best method was to send an email to everyone at once. In the past, we would have sent the information via “snail mail,” which would have delayed your receiving the message by two or three days, and therefore too late to accomplish the suggested goals within. In addition, it would have also cost the association more in envelopes, paper and postage. Our “in boxes” receive hundreds of emails on a daily basis - from family, colleagues, on-line stores, politicians, bills, and more, and now from the SFDDA.

But we promise not to send information needlessly. Our emails will always contain information pertinent to your profession, including legislative updates, the SFDDA Newsletter, continuing education programs, the Miami Winter Meeting and the SFDDA Annual Business Meeting. So, before you decide to “unsubscribe,” please ask yourselves the following question: Is it more important for you to receive spam from any number of mass merchandisers, or an email from your professional association that keeps you informed of what you need to know in the world of dentistry? If you have unsubscribed from the SFDDA’s email service, keep in mind that we cannot place you back unless you give us permission. If you want to re-subscribe, please let us know so we may add you back. Send an email to ymarrero.sfdda@gmail.com, with the subject line, “I want to subscribe,” and we will put you back on the mailing list. Once you are back on the list, please add us to your address book so you never miss another electronic communication from us.

SFDDA 2014-2015 Officers and Executive Council President MARCOS DIAZ, D.D.S. (954) 659-9990 President-Elect ELAINE DEROODE, D.D.S. (305) 373-7799 Vice President PIERO PALACIOS, D.D.S. (305) 274-3113 Secretary Mark A. Limosani (954) 800-3453 Treasurer RODRIGO ROMANO, D.D.S., M.S. (305) 667-8766 Immediate Past President JEANNETTE PENA-HALL, D.M.D. (305) 667-8766 Young Member ESTEBAN LEON, D.M.D. Trustees & FDA Line Officer Michael D. Eggnatz, D.D.S., FDA 2nd Vice President (954) 217-8888 Jorge Centurion, D.M.D., Trustee 305-662-22167 Beatriz Terry, D.D.S., Trustee (305) 279-2828

2014 LEGISLATIVE SESSION The Governor signed SB 86, HB 97 and SB 520 into law – all supported by the FDA. So, what do these bills do? Non-Covered Services (SB 86) This legislation will prohibit insurance companies from dictating charges for non-covered services. Dentists will have the ability to agree to discounts on services covered under the plan and then negotiate charges for non-covered services (if interested). The intent of this legislation is to provide the dentist with clear guidelines resulting in the dentist not being forced to accept discounts in order to establish a contract with an insurance plan. The legislation went into effect on July 1, 2014 and will impact contracts entered into or renewed on or after July, 2014. THE LEGISLATION WILL NOT CHANGE THE TERMS OF YOUR CURRENT CONTRACT. If you are not sure when your current contract is up for renewal, contact the insurance plan you contract with today and have them clearly state in writing when (date) your contract is up for renewal. During renewal, you will need to evaluate your contract to make sure there are no provisions in your contract that set charges for non-covered services (without your agreement or knowledge). Furthermore, as an FDA-member benefit, you can get your contract reviewed and analyzed through the ADA Contract Analysis Service program. This service is designed to provide you clear information on what is included in the proposed contract, but will not provide direction on whether you should sign the contract or not. If you would like to get your contract analyzed by the ADA Contract Analysis Service program, please send to gao@floridadental.org.

Alternate Trustees Jeannette Peña Hall, D.M.D. Rodrigo Romano, D.D.S., M.S. Delegates to the Executive Council from the Affiliates Societies Carlos Sanchez D.M.D. (MDDS) Heberto Salgueiro, D.M.D. (MDDS) Richard Mufson D.D.S (ND/MBDS) Isaac Garazi, D.M.D. (ND/MBDS) Joseph Pechtor, D.M.D. (SBDS) Affiliate Society Presidents Esteban Leon, D.M.D. (MDDS) Simon Kaswan, D.D.S.(ND/MBDS) Joseph Pechter, D.M.D. (SBDS) Richard A. Mufson, D.D.S., Editor Yolanda Marrero, Managing Editor Jackie Quintero, Advertising Manager SFDDA NEWSLETTER Copyright: © SFDDA 1996 Published by the South Florida District Dental Association 420 S. Dixie Highway, Suite 2E Coral Gables, FL 33146 Send announcements and correspondence to the Editor: 420 S. Dixie Hwy, 2-E Coral Gables, FL, 33146-2271 Phone: (305) 667-3647 FAX: (305) 665-7059 or email to: sfdda@sfdda.org Disclaimer: Opinions stated in the SFDDA Newsletter are not necessarily endorsed by the South Florida District Dental Association, its Executive Council or Committees. Advertisements printed should not be construed as an endorsement by the Association of the company, product or service.

Sovereign Immunity (HB 97) Current law (ch. 766.1115, F.S.) grants health care providers, who contract with a state government program, sovereign immunity when providing free services (without compensation). The Department of Health (DOH) has a Volunteer Health Care Provider Program (VHCPP) that allows health care providers to be covered under sovereign immunity as agents of the state. Eligible patients who receive services through the VHCPP are screened by DOH and are referred to a participating health care provider in the program. HB 97 extends the dentist’s sovereign immunity to allow patients to voluntarily contribute toward their dental lab costs and not jeopardize the dentist’s sovereign immunity. The voluntary contribution toward dental lab costs would not be considered compensation to the dentist. This legislation became effective on July 1, 2014. Dental Workforce Survey Public Records Exemption (SB 520) During the biennial dental licensure renewal cycle, dentists and dental hygienists are able to complete a voluntary dental workforce survey. The dental workforce survey started in 2010 as a means to gather current dental workforce data for the state of Florida. Physicians started surveying their members back in 2007 and passed legislation to have their personal identifying information exempted from the public record laws. SB 520 provides the same protection for dentists. Information that is gathered through the dental workforce survey has been valuable to many policy decisions applied by the FDA. During the initial dental workforce survey, the data showed that Florida does not have a shortage of dentists, but a maldistribution of dentists in more urban areas around the state. The collection and consistency of this data is critical to assessing the needs of the public as many groups attempt to provide anecdotal solutions to access to care issues, such as more dental schools and adding additional licensed dental providers. SB 520 became effective upon becoming law (June 13, 2014) and will be applied during the next dental licensure renewal cycle which is February 2016.

SFDDA Calendar

Although every effort is made to not alter the calendar, dates are subject to change.

September 1 -Labor Day Office Closed 3 - SFDDA Officer‘s Steering Meeting - SFDDA Office

Finally…a place to send those diﬃcult patients!

9 -North Dade/Miami Beach and Miami Dade Society Affiliate Meetings 10- South Broward Dental Society Meeting 17 - SFDDA Executive Council Meeting - SFDDA Office 25 - Rosh Hashanah begins at Sundown 26- Rosh Hashanah 27 - ADA Caucus

October 8 - South Broward Dental Society Meeting 9-13 - ADA Annual Session 14-- Miami Dade Dental Society Meeting 29 - SFDDA Officer’s Steering Meeting - SFDDA Office 31 - Halloween

Dr. Harold Menchel limits his private practice to treatment of TMD and orofacial pain in Coral Springs.

TMD Headache Neuropathic pain Sleep disordered breathing (OSA) Dr. Menchel coordinates treatment with restorative dentists, orthodontists, endodontists, and oral surgeons for these complex patients.

Dr. Menchel has been in practice in S. Florida since 1981. He received the majority of his training at the University of Florida Parker Mahan Facial Pain Center under the tutelage of Drs. Mahan and Gremillion from 1992Ǧ 1999. He achieved the prestigious Diplomate of the American Board of Orofacial Pain in 2000. Treatment includes: (partial list) Splint therapy, medical management, physical therapy, joint mobilization, diagnostic and therapeutic injections. All referrals will be respected and appreciated. 1720 University Drive, Suite 301, Coral Springs, FL 33071 (954) 345Ǧ2264 website; tmjtherapy.com

New Member Benefit Recently South Florida District Dental Association and Quantus Solutions have entered in a endorsed agreement to partner in bringing a medical merchant services program to its’ members. Several years ago, Quantus developed a unique and focused medical program exclusively for the medical market. Medical offices process differently than retail businesses and are often set up incorrectly with their current bank/ processor or credit card provider. We have built a specific medical program designed to lower processing costs and, at the same time, have added value to the medical merchants. We have removed several expense components of risk, such as chargebacks and a lengthy underwriting process to pass on the savings. For example, if someone steals a credit card, it is unlikely it will be used at a doctor or dentist office. This reduces the overall risk. Medical is not the same as retail!! We have partnered up with medical associations and societies across the country and are recognized as a leading provider of credit card processing specifically for the medical market. Medical offices across the country are making the switch to Quantus Medical. Quantus Solutions is the most complete, secure solution in financial transactions. One of the most attractive benefits is in reducing the credit card processing expense and increasing cash flow by providing next day funding. Our program is based on a Voluntary Group Enrollment phi-

Medical Payment

losophy with Standarized Group Rates for every member. We provide real-time dedicated service and support with 24/7/365 bilingual assistance. Our solution allows you to accept flexible spending accounts and health reimbursement arrangement cards. We are certified SIGIS compliant as well as HIPAA compliant and PCI compliant. Quantus does not have contract terms, activation fees, re-programming fees or monthly gateway fees. Recently we have also removed chargeback fees, retrieval fees and ACH reject fees. Our program includes a free terminal or virtual terminal and our overall effective rate is under 2% whereas competition is over 3%. Our qualified rate is a flat 1.00% for MC, Visa and Discover. It is NOT “Interchange plus 1.00%” as others are having you believe. Quantus delivers an average savings of 38%!! Dr Cesar Sabates is one of first SFDDA members that signed on and states “from presentation to implementation and from processing to support, Quantus is definitely a superior provider.” If you are interested in a FREE consultation and if you are paying more than 1.00% for MC, Visa and Discover, call today 800-698-5150. By Michael DiPietro, Senior Vice President – State of Florida. Cell 305-297-2137. mdipietro@quantussolutions.com. www.quantussolutions.com

Services

1% Visa, MasterCard, and Discover qualified medical rates 2.55% American Express medical rate Next day funding of your deposits Reprogram your existing card machine or we give you one free ZERO start up fees to enroll Robust reporting engine HIPAA, EMV and PCI compliant SFDDA endorsed and approved Software Based Payment Solution No credit card terminal needed. Minimal training required due to ease of use. User friendly software with USB card swipe uses your internet connection and allows you to eliminate a phone line helping you realize additional cost savings. Quickbook interface also available with this program. Quantus Solutions has partnered with the South Florida District Dental Association to offer this exclusive program. Quantus has built an unique and focused medical program exclusively for the medical market. Quantus has been in business for seven years and processes for thousands of medical clients in every state throughout the United States.

Get Started Today Review your current monthly statement. If you are not getting next day funding or if you are paying over 1%, you are set up as retail and need to be converted to medical. Call your Quantus Representative at 800-698-5150 for a RISK FREE 90 DAY TRIAL or fax recent statements to our office.

(800) 698-5150 Toll Free (305) 397-1996 fax

www.quantussolutions.com Registered Company of EVO and Deutsche Bank

Please Welcome our Newest Members: Jossue Alfonso, DMD Erin Arroyo, DMD Jenny E. Bello, DDS Andrea Diamond, DMD Raul I. Garcia, DMD Jaime R. Marquez, DDS Nancy V. Nguyen, DMD Evan G. Rubensteen, DMD Christina Smith, DDS

Maria R. Lopez-Galan, DDS Jill A. Reed, DMD Ricardo Romay, DMD Students: Fernando Soltanik Dorene Gerena Delia Reyes

Join your local affiliate society... At the SFDDA, there are three affiliate societies: North Dade Miami Beach Dental Society, South Broward Dental Society and the Miami Dade Dental Society. Each one is located in an area near your practice or your home, making it easy for you to attend meetings. Call and join one today.

2014-2015 SFDDA Affiliate Societies Miami Dade Dental Society

North Dade - Miami Beach

South Broward Dental Society

Dr. Esteban Leon

Dental Society

Dr. Joseph Pechter

leondmd@yahoo.com

Dr. Simon Kaswan

(954) 981-0012

(305) 651-7760

Volunteers needed... Please consider joining your friends and colleagues in giving back to the community by volunteering a few hours of your time to come out and provide dental servics to underserved members of our community. The Baptist Mobil Dental Unit will be located in: October 20-24, 2014 Bay Community 10549 SW 184 Terrace Miami, FL 33157 This is a great voluntee opportunity tor yourself and your assistant and we will provide C.E. credit as provided by Project Dentist Care, two (2) free movie passes for AMC or Regal Theatres and a $25 Gas card. Call us at (305) 667-3647 to recieve sign up. Or you may email jackie.sfdda@gmail.com to register.

2014 Florida Dental Convention Pictured left: Dr. Esteban Leon, Dr. Rodrigo Romano. Pictured right: Drs. Jorge Centurion, Rodrigo Romano, Esteban Leon and Alexandra Castillo

Pictured right: Drs. Robert Payne, Beatriz Terry Kim Jernigan and friend. Pictured below: Drs. Marcos Diaz, Orlando Dominguez, Iris Torres-Rivera and Jeannette Peña Hall

Who’s says volunteering can’t be fun. SFDDA Delegates enjoy some time off after spending all day in meetings and at the House of Delegates. From the various receptions to a night of Karaoke, there was something fun to do all of the time.

Pictured above right: Ralph Rivera with Regions reps

Dr. Iris Torres-Rivera, who brought her husband Ralph along, was happy she asked him to peruse the exhibit hall while she was at meetings. Ralph entered and won the Regions Bank raffle for the Regions bright green signature bicyle.

2014-15 Officer Installation

Above: SFDDA Office is transformed into a “speakeasy” for the night of the installation

Dr. Jeannette Peña Hall receives a Presidential award from Dr. Marcos Diaz

Right: Drs. Marcos Diaz, Elaine DeRoode, Piero Palacios, Mark Limosani, Rodrigo Romano and Estaban Leon -with Dr. Michael Eggnatz

On June 25, the 2014-15 Officers were installed by our FDA Line Officer, Dr. Michael D. Eggnatz. Afterwards, guests enjoyed passed hors d’ouvres, cocktails and a night of entertainment, provided by none other than ...THEMSELVES!. Dr. Richard Mufson DJ’ed, spinning the discs for a fun filled night of Karaoke.

Need to Renew Your CPR Certification? Register Today - Classes Limited USE THIS FORM TO REGISTER SIMPLY COPY AND FAX OR MAIL

Basic Life Support Basic Rescuer CPR Healthcare Providers South Florida District Dental Association – PP#0004 This four(4) hour course meets the requirements of the Florida Dental Pract Act, effective November 1, 1986, which provides mandatory current CPR training for all dentists and hygienists. Course completion offers two (2) years certification. Continuing education credits apply. As part of the CPR training at the Basic Life Support level, this course provides training in the use of either an Automated External Defibrillator or a Defibrillator and Electrocardiograph. Courses for September and October 2014

Classes held on Wednesdays on the following dates:

September 24, 2014 – 6pm October 15, 2014 – 6pm

All classes listed above are at the SFDDA office in Coral Gables. Class size is limited and preͲregistration is required. Theprice is $50 per person. Registrants will be sent driving and parking instructions. Dress code is full length pants and shirts to practice one and twoͲperson CPR with manikins on the floor. Participants must be in good health and able to do strenuous activity. If a disability exists, please notify the SFDDA office and you must speak to the instructor before class starts. Cancellations with 24 hours prior notice of the class will be refunded Ͳ less $10 administration fees. NoͲshows and cancellations with less than a 24 hours notice will not be refunded, but may be rescheduled. No telephone reservations are accepted. Please fill out the form and mail it to the address below or send it by fax if paying by credit card. CPR COURSES ARE TAUGHT BY AHA CERTIFIED INSTRUCTORS

Make Checks Payable to: SFDDA 420 South Dixie Hwy #2E Coral Gables Fl 33146 Telephone: 305.667.3647 Fax: 305.665.7059 Enclosed is my check for $______ at $50 per person for the following registrant: 1 FORM PER PERSON! Name:____________________________________________________Position:________________________________ Current CPR Card _____ Yes _____ No

DATE EXPIRES_______ -______

1st CHOICE: Date ______________________ ᆕ 6:00 p.m. 2nd CHOICE: Date ______________________ ᆕ 6:00 p.m. Daytime Phone________________________ Fax___________________ Email:_______________________________ Address ____________________________________________City, State,Zip_________________________________ To pay by Credit Card: ᆕVISA ᆕMASTERCARD ᆕDISCOVER Credit Card # _____________________________________________ Expiration Date: ______________________ No. On Back of Card _______________________ Billing Zip Code________________________ Signature _______________________________________________________________________________ Print name on Card _______________________________________________________________________

Getting to know the SFDDA President, Marcos Diaz, D.D.S. Dr. Marcos DĂaz was born in New York City, one of three children from Cuban parents, who were exiled in the United States. His fatherâ€™s job with an American business company had him moving the family several times, and his transfers included moves to Venezuela and Mexico. From age one month to nine years of age, Dr. Diaz was raised and attended school in Caracas, Venezuela. The family moved again to Mexico City just as he would be starting his high school years. He grew up fluent in both English and Spanish, and after graduation, he attended and graduated from Franklin and Marshall College, a liberal arts college in Lancaster, Pennsylvania. He would then earn his dental degree as a Cum Laude graduate from Georgetown University School of Dentistry in Washington, DC, followed by completion of two postgraduate residencies, one in hospital dentistry and the other in oral and maxillofacial surgery. Both were completed in California at Valley Medical Center/UCLA. During his surgical residency, Dr. DĂaz received extensive training in facial cosmetic surgery. In addition to his surgical residency, he also completed a one-year fellowship in temporomandibular joint arthroscopic surgery at Baptist Hospital in Miami, Florida.

He is a member in good standing of the tripartite, which includes the American Dental Association, Florida Dental Association and the South Florida District Dental Associations. He also holds membership in the South Broward Dental Association and Florida Society of Oral Maxillofacial Surgeons. Dr. Diaz, who is licensed in both the states of Florida and California, has been practicing oral and maxillofacial surgery in a private practice setting for over twenty years. When he is not at the office, or lobbying in Tallahassee, Dr. Diaz spends time with his family road biking, enjoying music, and a great glass of wine. He is married to Fabiola and together, they have two children, Adriana, who is off to college this year and planning to study veterinary science, and Ricardo, who is still in high school and has an interest in pursuing a career in astrophysics. Dr. Diaz is a dynamic person with a great sense of humor and zest for whatever he sets his mind to do. And, we should also mention that his karaoke performances and Austin Powers dance moves are not to be missed!

Dr. Diaz is a strong supporter of organized dentistry, given oneâ€™s ability to effect change through political advocacy. He regularly attends Dentist Day on the Hill with his fellow ADA members, as well as members of the FSOMS.

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CORNERED INTO CORPORATE Editorial by Dr. Lauren Dupree Reprinted with permission of NEDDA, Northeast District Dental Association Newsletter â€˘ Vol 28 Issue 1 Summer, 2014

Like most other people in dental school across the country, I have a Type-A personality. I began perusing the Internet and talking to companies like Patterson and Henry Schein around December of my senior year. After passing the dental boards and finishing all of my clinical requirements, I thought that the hardest part of becoming a dentist was over. Little did I know that the hardest thing, thus far, would be finding a good job. For the past couple years, more and more dental students are signing contracts with corporate dental companies. One may wonder why. My road to finding a job answered the question for me. Corporate companies court you, take you out to dinner, are interested in talking to you, and just plainly give you the time of day. Most companies will offer you a contract over a month before graduation. For individuals who have spent their entire lives with a plan for the next step, knowing where you will be going after graduation is calming. This is the complete opposite of what I have found in the private practice world. I am a very outgoing, driven individual. I have spent the past couple months going on extra external rotations, taking on harder cases, and shadowing to enhance my dental school experience. I am very involved in school and a leader; I believe I would be an asset to any private practice office. I am open to learning, I think on my feet, and take criticism well. My letters of recommendation and my CV can attest to this. I, like many people in my class, am looking for someone to mentor me. In my ideal world, I would be able to have 1-2 hours a week to sit with the doctor and discuss treatment planning of large or complex cases. There are so many mistakes that can be avoided by simply discussing cases with more experienced individuals. I am looking for someone who values continuing education and supports me by taking time to further my education. Lastly, I would like to be in a practice where if/when something goes wrong during a procedure (which I know it will) the doctor will be willing to help me get out of the predicament. While searching for a job, I have sent easily over 200 emails to private practitioners about job opportunities all over the country. I began my job hunt by telling the practitioners about myself and attaching my CV and letters. Out of every thirty emails I sent I might have received one response. That response always stated that the doctor was not interested in a new graduate. I started getting frustrated and began begging doctors in my emails to just give me a chance to talk to them on the phone. I explained to them that I knew hiring a new graduate is not favorable, but to give me a chance to just show them who I am. From these emails, maybe one in twenty people responded. This time, the doctors would tell me to contact them in three to five years when I have more experience. These comments began to infuriate me. How am I supposed to get more experience when no one will give me a chance?

got frustrated and asked the dentist when they would consider giving me a contract to look over. The dentist replied that I would receive one after I passed the NERB exam. For students at The University of Florida, the NERB is the weekend before graduation. This is a whole other issue that I will not even begin to discuss. In other words, I will take boards on May 11th and graduate on May 15th. My lease for my apartment ends May 31st and I have absolutely no idea where I will be in the fall. The reality of the matter is that most people graduating from the UF Dental School have around $250,000 in debt. After coming to the realization that in 6 months I will have to start paying back loans I broke down and contacted the corporate dental groups. I finally understand why every year more and more people are working for corporate offices. I am still trying to find a job in private practice. I may be the last person in my class to sign a contract, but I have faith that someone will give me a chance. I am writing this so that hopefully things will change for the classes behind me. There are so many amazing dentists who have so many skills and experiences to share. These practitioners have ethics and practice the ideal dentistry that we have learned in school. Without being given a chance to work for someone like this we will rapidly lose what we have been taught and transform into someone who does what is necessary to survive in the corporate world. My classmates and I are the future of dentistry and the only way we will not lose the profession to corporate dentistry is for private practice dentists to start hiring and mentoring new graduates.

General Practices

Gross

Ft. Lauderdale

$575K $123K

Net

Coral Springs

5 ops Digital X-Ray and Pan

Ask $130K

Delray Beach

3 ops FFS/PPO Digital X-Ray w/ Condo

Ask $295K

Miami Gardens 3 ops PPO/FFS/HMO

$435K

$113K

Plantation

4 ops PPO/FFS

Tamarac

4 ops PPO/FFS (1.5 days/wk) Publix Ctr

Coral Gables

3+1ops all new Midmark & paperless

Lauderhill

5 ops FFS/PPO/HMO

N. Miami

4 ops PPO/FFS/HMO

$435K $115K

Lauderhill

5 ops PPO/HMO/FFS

$375K

SOLD Under Contract SOLD Under Contract $120K

Specialty Practices Miami

Orthodontic - 2 ops in Shopping Center

Hialeah

Pedodontic - Associate

Boca Raton

Associate GP or Pedo for pedo only office

Ask $65K 2 days/week

W. Broward Cty Oral Surgery - Dental Alveolar/Implant W. Broward Cty Perio - 6 ops with Condo

For Sale SOLD

Practice Ready Facilities Miami Shores

The few interviews I have attended always end in the same manner. I have gone to visit offices 5 entire days. This is not very easy to do considering we are given a limited amount of days we can be out of school. At the end of the day at al- most every office I visit, the doctor asks me when I will be back to shadow again. At my last interview I

3 ops FFS/PPO

Ortho/Pedo

1700 sf Dig Pan/Ceph

Ask $350K

Miami (Kendall) 4 ops 2000 sf Fully Equipped Like New

Ask $440K

Hallandale

Ask

4+1 Equipped ops w/pan

$75K

** Net is Buyer Projected Net Income and Assumes 100% Financing of the Purchase Price **

To inquire about any of these, or for a complete list of available opportunities, please visit us at ADSflorida.com or call 954.431.3624 Local Representative: Stuart M. Auerbach, DDS ADS Florida, LLC - Licensed Real Estate Broker

Want to buy, sell, hire, or announce? Place advertising in the SFDDA Newsletter

Classifieds OPPORTUNITIES AVAILABLE CLINICAL COORDINATOR: The University of FL, College of Dentistry has an opening in their Hialeah Dental Center for a Clinical Coordinator. Responsibilities include: day to day management of the financial, business, customer service, and clinical operations of the dental clinic. For more information and/or to apply, please see our posting at http://jobs.ufl.edu/postings/53804. Deadline for applications is 7/19/14. BEAUTIFUL MIAMI BEACH: location dental office in the Sheridan Center ( http://davidvinedentist.com ). Underutilized facility with two very competent dental assistants. Looking for general dentist or specialist to lease 3 to 4 days a week. Please call Dr. David Vine ( 305.538.1115or email: dvine@davidvinedentist.com ). FLORIDA, FT. LAUDERDALE: Associate position available for Full/Part-time Endodontist in a well-established “private” Endodontic Practice”. Excellent opportunity for a motivated practitioner to grow with us. Work in a modern, clean and comfortable environment with a great staff. Please Fax Resume to (978) 477-2671 PEDIATRIC DENTIST WANTED: Excellent opportunity for Pediatric Dentist to share office space in a well established Orthodontic practice in Plantation Fl. Office is available 1-3 days per week. Ideal location in a spacious & modern facility located directly next to a large Pediatrician group practice. Perfect situation for an initial start up or satellite office location. Contact: pltnortho@gmail.com GENERAL DENTIST: Needed in Dade Co 30HR WK. Excellent salary . Holiday and Ins Pay 615-202-8864 or 615-300-8621 PERIODONTIST WANTED: We are a growing dental group looking for a Periodontist to join our dental team. Excellent compensation, Eng/Spanish required. Call Manuel (305) 915-2953.

Call Ms. Jackie Quintero at (305) 667-3647 ext. 13. Or visit us on-line at www.sfdda.org

ESTABLISHED PRIVATE GENERAL DENTIST: High End Comprehensive Restorative and Aesthetic practice looking for the right fit individual that must be motivated, personable, ethical and have desire to perform in a high level of dentistry and patient care type of practice. Prefers association that would lead to partnership. Please submit CV or resume to teresa@dentistryofmiami.com A BLOCKBUSTER OPPORTUNITY: Full or part time for General Dentists, Pedodontists, Periodontists, Oral Surgeons, Orthodontists and Endodontists. Generous compensation with unlimited potential. Guaranteed referrals. Join our group specialty care practice with a significant general dental component. Established in 1975 in Aventura, Coral Springs, Delray Beach, Boynton Beach, Stuart, Ft. Pierce and Melbourne. Call: Kelly Oliver at (954) 4610172. Fax resume to: (954) 678-9539. Email: careers@dentaland.net. GENERAL DENTIST: Excellent opportunity for associate dentist position available. FT or PT, could lead to partnership. Start working immediately, Homestead / Kendall area, state-of-the-art facility. Please call 305246-5444 or/ and send resume to 305-2465406, or email to careeropportunities@dcsouthflorida.com FLORIDA (SOUTHEAST AND ORLANDO): Seeking experienced General Dentists and Specialists to come grow with us! We offer excellent earning potential and the opportunity to focus on patient care in our state-of-the-art facilities. We take care of the administration (insurance claims, payroll/staffing, marketing, etc.) for you so that you can enjoy a work-life balance again! Take the next step in your career and apply online at www.gentledentalgroup.com/career or email your CV tocareers@gentledentalgroup.com today!

PEDODONTIST WANTED, HIGH GUARANTY: Excellent opportunity for a pedodontist, FT position available. High guaranty of 180k, could lead to partnership. Start working immediately, south Miami area. Please send resume to: careeropportunitiesdental@gmail.com ORTHODONTIST WANTED: We are a growing dental group looking for an Orthodontist to join our dental team. Excellent compensation. English/Spanish required. Call Manuel 305.915.2953 GENERAL / SPECIALIST: Ft/Pt Great opportunity for General Dentist / Specialist. Excellent compensation, bonus and partnership positions. Multiple locations in South Florida. Please fax resume to (305) 7701232 or call Kathy (954) 430-2188 or email to haroldhui@aol.com GENERAL DENTIST WANTED: Hialeah, Pembroke Pines or Kendall area, excellent compensation and bonus with guarantee income. Eng/Spanish required. Call Manuel 305.915.2953

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Dr. Alvaro Ordonez’s level of training in TMD makes him the best choice foor reffeerring patients with a complex TMJ, head and neck pain condition that results from clenching and grinding habits as well as dental related imbalances. “Having worked with Dr. Ordonez for over 10 years on very difficult and complex TMD patients I have seen him consistently obtain excellent resultss. His training at Tufts with Dr. Mehta, treatment philosophy, vast knowledge on occlusion and understanding the importance of the vertical dimension all contribute to this outstanding success rate.” Jorrgge C. Coro DMD D, MS M

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Workers Compensation Insurance: A Vital Business Tool Workers Compensation insurance is an integral part of any insurance portfolio. The question sometimes arises as to the need for workers compensation insurance. While the coverage is not always required by law, it is a need that every business, small or large, has to protect their business from great financial loss. With the cost being relatively low compared to other industries and the benefit being so great, it should be one of the first purchases a dental office makes. What is covered by workers compensation insurance? Workers Compensation insurance can be broken up into two parts: Part A, The Medical and Wage benefit, and Part B, The Employer’s Liability. Medical and Wage benefits for injured workers pays for the lost wages, medical bills, and therapy for the injured workers. This benefit is unlimited, meaning there is no cap to the amount the policy will pay out on the behalf of the employer. Employer’s liability protects the business from liability claims due to employment related injury or illness. The liability portion of the policy does have set limits of coverage that the dental office can choose when they purchase the policy. What does the law say? While the state of Florida only requires Workers Compensation insurance when a business has reached the employment level of having four employees (full or part-time), the state does NOT exempt a business with less workers from being liable for employees’ medical care, therapeutic care, and lost wages in the event that they are injured or become ill on the job. From the FAQ page of the Florida Department of Financial Services: As a small business owner, I fail to see how I can be sued by an injured worker if I provide all the necessary care, light duty work, and offer to retrain the employee. Under the provisions of Chapter 440, Florida Statutes, an injured worker has two years from the date of the accident to file a petition for benefits with the Division of Administrative Hearings. If an employer is providing benefits and return to work options, that should be sufficient to meet the ultimate goal of returning an injured worker to gainful employment. However, an employer/carrier's definition of "necessary care" and that of an injured worker may differ. When that happens, the injured worker has no remedy except to file a petition for benefits and have a

judge of compensation claims determine whether the benefits that are being provided are sufficient, or if additional benefits not being provided are required by Florida law. If the employer is providing benefits, all expenditures must be reported to the employer's workers' compensation insurance carrier for statistical purposes. Won’t my employee’s health insurance cover their medical bills? While we encourage dental offices to offer health insurance benefits to their staff, this coverage does not replace the need for workers compensation. Health insurance will not cover for lost wages and the liability potential. In some instances, health insurance will cover minor injuries, but there is no guarantee of this coverage, because coverage is not state mandated. It should also be noted that most group health insurance plans actually specifically EXCLUDE coverage for on the job ailments. How much does Workers Compensation Coverage Cost? Workers Compensation Insurance is a policy written with rates that are state mandated. No insurance company can charge you more or less for a workers compensation policy. The total annual premium is determined as a rate per $100 of annual payroll plus fees. The rate for workers compensation is currently $0.46 per $100 of annual payroll for dental offices plus a $200 expense constant for administrative costs plus $.02 per $100 of annual payroll for TRIA (terrorism).. This formula for calculating the rate is the same for all insurance companies in the state of Florida. BUYER BEWARE: If you currently have your workers compensation coverage through a payroll company, you are paying a service fee for this and are paying more for your coverage than necessary.

This article was prepared by FDA Services. FDA Services’ experienced staff is ready to get to work for you. If you feel you need a review of your current insurance policies – call Joseph Perretti 305-665-0455 or email joe.perretti@fdaservices.com

WE KNOW INSURANCE. WE KNOW DENTISTS. FDA Services is committed to being your trusted resource for insurance. We are here to help you and your staff.

CALL JOSEPH PERRETTI DIRECTOR OF SALES – SOUTH FLORIDA 305.665.0455 • Cell: 305.721.9196 JOE joe.perretti@fdaservices.com