Issuu

FALL ISSUE 2016 VOL. 48, NO. 5

Bulletin

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Contents Editor

Dr. Stephanie Rashewsky

Associate Editors

Dr. Marcos Cid Dr. Daniel Grode Dr. Tara Meachum Dr. Emily Van Heukelom

Advertising Editor Elaine Fleming Executive Secretary WMDDS 161 Ottawa Avenue NW Suite 301 Grand Rapids, MI 49503 (616) 234-5605 efwmdds@aol.com West Michigan District Dental Society Executive Board 2015-2016 President Dr. Leonard Bartoszewicz President-Elect Dr. Brian Mulder Vice President Dr. Lathe Miller Secretary-Treasurer Dr. James Papp Editor Immediate Past Dr. Steve Conlon President Directors Dr. Kevin Rebhan Dr. Kathryn Swan Dr. Sarah Masterson Area Representatives Kent County Dr. Chris Leja Ionia-Montcalm Dr. Scott Ribitch County Mecosta County Dr. Erick Perroud Ottawa County Dr. Thomas Anderson Big Rapids Dental Study Club Officers President Dr. Erick Perroud Vice President Dr. Christa Stern Secretary Dr. Christa Stern Treasurer Dr. Erick Perroud Holland-Zeeland Dental Society Officers President Dr. Thomas Anderson Treasurer Secretary Immediate Past President Ionia-Montcalm Dental Study Club Officers President Treasurer Dr. Kirkwood Faber Kent County Dental Society Officers President Dr. Kathleen Eisin Vice President Dr. Chris Leja Secretary Dr. Veronica Hamilton Treasurer Dr. Sarah Masterson West Michigan Dental Foundation Officers President Dr. Steven Mancewicz Vice President Secretary Mr. Nicholas Vander Veen Treasurer Mr. Tim Van Laan The Bulletin of the West Michigan Dental Society is published six times a year (the winter issue, spring issue, summer issue, directory issue, fall issue, and holiday issue). The opinions expressed in The Bulletin are not necessarily the opinions of the West Michigan District Dental Society. Contributions to The Bulletin are welcome and should be addressed to The Bulletin Editor, 519 Ada Drive SE., P.O. Box 157, Ada, MI 49301. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, (616) 234-5605. The deadline is the 1st of the month prior to publication.

President’s Message...................................................................................................... 2 Editor’s Thoughts......................................................................................................... 4 Trustee Report.............................................................................................................. 6 WMDF News................................................................................................................ 8 Don’t Be Afraid of the Anxious Patient......................................................................10 Kent County Oral Health Coalition News..................................................................12 Area Representative Updates.......................................................................................14 Fighting Embezzlement in Dental Offices by Strengthening Internal Controls.......18 Technically Speaking....................................................................................................20 The New Ovetime Rules – What You Need to Know................................................22 Classified Ads................................................................................................................26 2016 Directory Additions and Corrections.................................................................28 Advertiser Index............................................................................................................28

About the Cover Cover Photo by Susan Wagener Tahquamenon Falls Tahquamenon Falls State Park lenstopixels.com

Mission Statement The Bulletin is the newsletter of the WMDDS and its mission is to inform the membership of upcoming and recent events, state & local issues related to dentistry, and as a forum for its officers, representatives, and members to discuss appropriate topics of interest to the membership. Communication & Advertising Policy The Bulletin will publish submitted articles from members and others that relate to the practice of dentistry, small business, social, or political issues affecting dentists, or other subjects of interest to the membership. All published items are subject to space restrictions and the community standards of the WMDDS. The editors reserve the right to reject any article or advertisement deemed inappropriate and to edit submissions as they see fit. Submission & Publication Policy: Articles and advertisements must be submitted no later than the 1st of the month preceding p ublication date. The Bulletin has six publications: the winter issue, spring issue, summer issue, directory issue, fall issue, holiday issue. Direct submissions or correspondences to:

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

Dr. Stephanie Rashewsky | 519 Ada Drive SE, P.O. Box 157 | Ada, MI 49301 Phone: 616.676.9177 | FAX 616.676.8836 | Email: stephanierashewsky@gmail.com Include “Newsletter” in the subject line

PRESIDENT’S MESSAGE

What’s Our Future? By Leonard Bartoszewicz, DDS, WMDDS President

ver the past few months, some things have happened that have left me scratching my head and asking: “What’s going on?” More specifically, are we beginning to lose our place on the numerous lists that often rank dentistry as one of the most respected and trusted professions? While I don’t believe we are held in as high of esteem as those who serve and protect (those in lawenforcement or the military), teachers, nurses or clergy, I certainly thought we were on the same plane as other health professionals (doctors and pharmacists) as well as the engineers. I don’t believe our status has dropped near the bottom either, but I do feel in some ways we are not getting a lot of respect from the public at large. Recent events in the news might back this up. For example, on Sunday, July 17, 2016 the Grand Rapids Press ran an article on page five which seemed to be praising Amway for offering genetic testing to its employees as a way to determine if they were genetically prone to chronic inflammation which could lead to certain diseases like arthritis, diabetes and periodontal disease. The article didn’t say who paid for the test, nor did it mention who gets to see and review the findings of the genetic analysis. Never mind that reputable geneticists determined that the testing was flawed and that it was not an accurate indicator for predicting periodontal disease. What was more disturbing to me was that the MDA, the ADA, or West Michigan District Dental Society were not contacted to comment about the article, even though it would seem to have a potential major impact on our practices and the health of many of our patients. It seems that the media likes to pick and choose when they ask for comments from dental professionals. On August 12,

2016, WOOD TV 8 ran a story on the news about a dentist who purportedly ruined a woman’s wedding by failing to fix her front tooth. The dentist was extracting an incisor, and was to deliver a flipper on the eve of her wedding weekend. Despite the dentist’s warning, the tooth next to the extracted tooth broke during the procedure. According to the woman (and as reported by WOOD TV) the dentist failed to do anything about the newly busted incisor. There are usually two sides to every story, but the dentist could not say anything for fear of violating HIPPA laws. WOOD TV painted the dentist in a bad light. A fair reporter should have known that there was no way the dentist could defend or explain what happened to the bride-to-be. Why does WOOD TV even ask the dentist for a comment when the reporter knows full well that the dentist cannot legally respond? How many hygienists and dentists have been asked by their patients if they still need to floss? The story which was run by the Associated Press picked up the fact that the FDA no longer included flossing in its latest dietary guidelines. In some ways this calls to question how knowledgeable we are as dental professionals, especially when we have been recommending flossing to our patients since floss was invented. Does anyone really believe that flossing doesn’t help prevent gum disease and interproximal caries? The evidence that we see in our offices of the benefits of flossing may be overwhelming, but with articles like the one run by the AP, the general public may wonder. Do we really know what we are talking about, and can they trust us anymore? Delta is a non-profit insurance company started with the help of dentists and the MDA. So when the MDA asks Delta to abide by their own rules as a company and have vetted MDA dentists serve on their Board, what happens? Delta seats their own hand-picked dentists and we end up in litigation with them. Delta, in an economically-driven decision, has decided to pay newer dentists at a lower reimbursement level for the same services than the dentists with a long track record as a Delta provider perform. That simple change by Delta has likely decreased the value of many more-established dental practices. Here in Michigan we are now debating Senate Bill 1013, which allows for the creation of a new category of a dental provider – a dental therapist. This therapist is also known WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

PRESIDENT’S MESSAGE

as a Mid-Level Provider (MLP). Was this new addition to our system of dental health care the brain child of dentists? Actually, the bill is sponsored by state Senator Mike Shirkey and seems to have its origin with the PEW Charitable Trust – a foundation based out of Kalamazoo. We are aware that there are areas across the country and in our state where there is a shortage of dentists and hygienists. There are remote areas where it’s hard to find a dentist close by, and there are also parts of our cities where dentists don’t want to hang out a shingle. Senate Bill 1013 was proposed to help alleviate the access to care issue in our state. Access to care is a problem that we as dentists did not create. We aren’t ignoring the issue. We are trying to fix this complicated problem. With the advent of the Healthy Kids Dental program, we have seen some positive signs our profession is moving in the right direction to help those patients who need it most. The workforce is available as there are hygienists that are unemployed or underemployed. We, as dentists and professionals, should be consulted with and should partner with those who want to help in our communities and around the state to address the problem of access to care. I don’t think Senate Bill 1013 is the answer, and I urge our colleagues to be pro-active in voicing our opinions to our legislators. The first step is to respond and reply to the Legislative Alerts sent out by the MDA. The state of Michigan and the MDA is looked upon for guidance and leadership by other states. This is one fight we need to wage. Rather than being one of the first states in the country to allow for mid-level providers, I would rather we were the last. The question I again pose is: How can we guide and shape the future of our profession? Will we affect the way patient care is provided in the future here in Michigan? Can we reassure the general public that we know what is in our patient’s best interest? Practically every dentist I know is honest, ethical, caring and conscientious. As a group, we do a tremendous amount for our patients and for our community. Respect and trust are earned, and our profession has worked very hard for a long time to gain it. Maybe we pride ourselves a bit too much in being independent and self-sufficient. Perhaps we failed to unite when needed to protect the profession we love. If there was ever a time for us to come together, now is that time! Please become active, voice your concerns and propose your solutions to myself and to your colleagues of the West WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

Michigan District Dental Society, the MDA and the ADA. I welcome your feedback. If you would like to attend one of our Board meetings and tell us how you feel, I personally invite you come as my guest. Please join in the fight to shape our future and to uphold and strengthen our great reputation.

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EDITOR’S THOUGHTS

“Autumn...the year’s last, loveliest smile.” — William Cullen Bryant

By Dr. Stephanie Rashewsky Jesin, WMDDS Editor

e are blessed to live in Michigan because we are able to experience the full fall experience and witness all of the changes – children heading back to school, colorful leaves falling from the trees, the cool crisp morning breeze, honeycrisp apples and cider donuts, and of course, football is in full force. Similarly, fall is full of welcome changes for the West Michigan dental community. We have 25 new dentists that have moved into the area since August of 2015. The West Michigan District Dental Society has a total of 686 members, and impressively, many are active in organized dentistry and volunteer services. We are fortunate to have an active society with a variety of events and activities, depending on your interests. In this issue, you will read about the New Dentist Forum, 26th Annual New Dentist Golf Outing, upcoming CE events, updates from the local dental representatives, the recent achievements of the Kent County Oral Health Coalition, and a selection of other articles. Over the past few months, dentistry has been getting lots of attention in the news: Healthy Kids Dental has continued to expand its program, and now Medicaid-eligible youngsters under age 21 are eligible in all 83 counties in Michigan, commentary and letters flowed in about Senate Bill 1013, dentists

are taking an active role to prevent the abuse and misuse of opioid pain medications, flossing (or not flossing) made national news, and even Bernie Sanders took a few minutes to discuss dental issues with the young dentists at the fall New Dentist Forum meeting. I am honored to be the new editor of the West Michigan District Dental Society Bulletin. I hope that all members of our society enjoy reading this publication. I want to acknowledge and thank the many individuals who help to make this publication a reality including Elaine Fleming, Vicki Post, and the entire Bulletin committee which includes Dr. Emily Van Heukelom, Dr. Daniel Grode, Dr. Tara Meachum, and Dr. Marcos Cid. Please let us know how we can make the Bulletin meaningful for you. Feel free to contact us if you want to contribute an article or share an upcoming event with our dental community. Fall truly is a beautiful time of year, and I hope you all have been embracing this season’s amazing weather as much as I have; before we know it, winter will be in full force! So cozy up with your blanket, hot cocoa, and the WMDDS Bulletin. Happy reading!

CPR/First Aid Instruction Cheryl Johnson 1722 Rahn Drive NE Grand Rapids, MI 49525 (616) 821-0298 johnscs@sbcglobal.net

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

TRUSTEE REPORT

MDA Board of Trustees Meeting Highlights By Margaret Gingrich, DDS

due to the ability of the mid-level provider being able to do irreversible procedures and not being under direct supervision of a dentist.

s Fall blows in, it is time for another trustee update. By the time you are reading this, hopefully many of you have been out for one of Michigan’s beautiful color tours or have had a chance to visit Art Prize in Grand Rapids. Fall brings so many thing to do, between school starting, presidential elections, sports, and our routines falling back into sync at our office. Delta Update The MDA Board of Trustees took a vote at their meeting in September to file an appeal with the Ingham County Circuit Court on the Department of Insurance and Financial Services (DIFS) decision that was received in August. The case has been assigned back to Judge Draganchuk. The brief from the MDA was due on October 24 and we will wait to hear from the judge if oral arguments are wanted. Mid-Level Provider Bill Update On September 20, five members from the MDA went to Lansing to speak against Senate Bill 1013 in front of the Health Policy Committee. Drs. Mark Johnston, Bill Piskorowski, Rhonda Hennessy, and two from WMDDS (Trish Roels and I), were asked to represent the MDA’s views on this bill. The bill still remains in the Health Policy Committee until a majority vote is passed to take it to the Senate floor. At this time the view of all the members on the Committee is unclear. We are urging all MDA members to please send in the Action Alerts to their legislators and the governor to oppose this bill! You can send letters from your work and home addresses. The Michigan Registered Dental Assistants Association has joined the MDA in this fight. The MDA is against this bill

Senate Bill 1069 Introduced Senator Pete MacGregor introduced Senate Bill 1069 to expand PA-161 dental hygienists to private practicing dentists. This is one of the answers to fighting the 1013 bill. We believe we have enough providers with 17,800 of us in this state. With this bill, general dentists may hire RDH’s to go into underserved populations such as nursing homes, schools, and rural areas to provide dental hygiene services and education without the patient having been assigned a dental home. It is a known fact that even though we have enough providers in Michigan with 7,500 dentists, 10,300 RDHs and 1,700 RDAs (with roughly 10,000 on-the-job trained dental assistants) that there is a maldistribution of providers. We hope that this bill will allow us to help correct some of this problem. The Senate Appropriations Committee met October 18–20 and there were not enough votes to get it out of the committee. This doesn’t mean that the battle is over. With the legislators going into a “lame duck” session, this bill could be added to another, or pushed through. The next time the Senate meets is after the election. Please continue to follow this. It is also likely if this bill is not passed this year, a similar one may be introduced next year. CON Regulation I am happy to report that the CON Commission unanimously voted to deregulate the dental CT. This vote occurred September 21. This vote by the CON Commission now sends the proposal to deregulate to the Joint Legislative Committee on Administrative Rules. The Joint Legislative Committee has 45 days to review. That review must include nine legislative session days. Since the legislature is not in much until after the election, this will put the final day into early December. The CON Commission vote was a HUGE step in the process, but it will not be final until December at the earliest. University of Michigan Update Dean Lori McCauley was present at the last Board meeting. The graduating class of 2020 started in August with WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

TRUSTEE REPORT

109 students. Sixty-two were residents of Michigan and 47 were non-residents, with 41% being female and 59% male. University of Michigan Dental School is ranked #1 in the U.S. and #2 in the world, according to the 2016 QS World Rankings. The Dean also talked about the funding for rebuilding the dental school. The state gave $30 million to the fund, and U of M is raising the rest. The dental school will remain open during the rebuilding. The rebuilding will start in the next 18 months. Resignation of Trustee As of April 2017, there will be a one-year term and three 3-year trustee positions open for election. Dr. Howard Hamerink turned his resignation letter in to the Board at our September meeting. Dr. Hamerink has been selected to be on the University of Michigan’s Building Committee. He felt it would be impossible to dedicate his full attention to the MDA Board and U of M’s building committee. Since he had one year left on his term, the MDA Bylaws state there will be a special election held on Thursday at the House of Delegates for an election to fill the 1-year spot. The three 3-year positions will be voted on Saturday in the House of Delegates. If you are interested in running for any of these trustee positions, please contact Dr. Mark Johnston, chair of the Nominations Committee, at 517-482-4623, or mjohnstondds@gmail.com. Dues Increase The Board of Trustees voted for a $4 dues increase for the fiscal year of 2017. This is equal to a $0.34 increase per month for every member. This is to help offset the decrease in reserves that has occurred in the last two years, partially due to the changes in our health care plan and investment group. The total cost of dues to the Michigan Dental Association will be $545. The last dues increase was in 2007 and we actually had a dues decrease in 2013. For more information on this, please go to the Michigan Dental Association website and look up the minutes from the last Board of Trustees meeting. Leadership Central New to the www.smilemichigan.com/pro is Leadership Central. If anyone is interested in learning more about gaining leadership skills, volunteering at a local or state level, or MDA WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

governance, this is the place to start. There is also a place to sign up to volunteer. West Michigan District Dental Society and the Michigan Dental Association cannot be great without volunteers like you. The next time you are on the website, take a look! This concludes my October Trustee update. I have heard from several dentists in West Michigan and enjoy hearing your comments. Please feel free to contact me at 231-796-8715 or by email at drmargaret04@gmail.com.

2017 Early Bird Dues Contest Now Underway Members who renew their membership for 2016 by the end of this year will automatically be entered in the MDA’s Early Bird Contest and are eligible for some great prizes. But – you must renew by Dec. 30 in order to be eligible. Prizes include: • $250 cash, courtesy of MDA Insurance; • a copy of the MDA Regulatory Compliance Manual (a $149 value); • a $100 certificate good toward any MDA continuing education course; • a case of gloves from MDA Services Gloves; • MDA-logo golf shirts • a copy of 50 Most-Asked Human Resources Questions edited by Jodi Schafer ($19 value). Combined statements for ADA, MDA and local society membership are in the mail now. Your American Dental Association membership card will be sent to you from the MDA within one month after the membership renewal is completed. Renew online! You can renew membership online at www.michigandental.org/membership. It’s quick and easy. If you have questions about your statement, contact Lori Kleinfelt at 517-346-9406.

WMDF NEWS

New Dentist Golf Outing Raises $4,000 for WMDF Submitted by Matt Lieto

fter a one-year hiatus, the New Dentist Golf Outing returned to Quail Ridge Golf Club on August 26th, 2016. Over 60 attendees were present on a perfect summer day to have fun, network, and raise money for the Robert D. Mitus Scholarship Fund. Approximately $4,000 will be donated to assist in the education of the next generation of dental professionals in West Michigan. Thank you to all who participated and offered their support for this year’s outing! Please offer your thanks and support to all of our sponsors: Grand Prize Sponsor Papp & Leja Periodontics Beverage Cart Sponsors Papp & Leja Periodontics Attorney Nic Morano at Dickinson Wright, PLLC Hole-In-One Sponsor West Michigan Endodontists Hole and Raffle Sponsors Mark Lounsbury – Benco Dental Christopherson and Caldwell Orthodontics Dr. Meggan Krause – Growing Smiles Pediatric Dentistry Dr. Sarah Masterson – Grand River Endodontics Anterior Quest Armbrecht and Wierenga Orthodontics United Bank Molly Murray – Great Lakes Financial Insurance Agency Tim Rankin – Dentachoice Midway Dental Supply Dr. Lathe Miller – Miller Orthodontics Dr. Jake Lueder – JCL Periodontics Oral and Maxillofacial Surgery Associates of West Michigan Greg Feutz – Digital Dental Systems Integration Studio 2 Dental Laboratory MAC Dental Laboratory

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

WMDF NEWS

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

PATIENT CARE

Don’t Be Afraid of the Anxious Patient (Who is Very Afraid of the Dentist)

Submitted by Dorothy Berg, Ph.D., Licensed Psychologist, North Kent Guidance and Testing Services

atients with anxiety issues can create havoc for the dentist who treats them. It has been estimated that 12% of Americans avoid seeing the dentist because of anxiety and fear. Understanding their anxiety with dental visits and utilizing some basic strategies will help both you and your patient. In my practice as a psychologist, I have become very aware of how difficult it is for clients with anxiety, specifically Panic Attack Disorder (Agoraphobia) to go to the dentist. Panic Attack Disorder is a common psychological problem that is often misunderstood. Surprisingly, most people with anxiety (panic attack disorder) are among the best, kindest, most tolerant and loving people you could ever meet. But their anxiety overwhelms them, especially if they are going to be in vulnerable positions with no way out. This is how they see the dental chair. They are laying down, someone is towering or hovering over them, they are tethered to the dental equipment in a tight space with their mouth wide open. From their vantage point, they could not possibly leave. When they feel this way in the grocery checkout line with someone in front of them and someone behind; some of those with anxiety leave their grocery-filled carts and flee the store. Not so easy to do at the dentist’s office, since they are also good people who don’t want to disappoint anyone or be embarrassed in front of anyone. At the big Meijer store, no one they know will see them slip away. Off they go, free to live another day, or so it feels. Dental care is difficult for people with anxiety, and they sometimes show up without having been to a dentist in several years because of this. One of my clients needed to be hospitalized, anesthetized, and even then called to be rescheduled two times before the work could be done. 10

So how can you help your patients with anxiety? It is simple: understanding and accommodation. Understand that they are genuinely good people who are filled with panic. They are basically non-violent. They want to pay their dental bills. It is usually not the pain they fear, but being in a position with no dignified “way out.” So, accommodate as much as possible. How can you make their visit easier? 1) Show them the operatory they will be treated in ahead of time; 2) Tell them how long it will take; 3) Schedule multiple short visits rather than trying to have one long appointment to complete the entire treatment plan; 4) Arrange a signal (i.e, raising a hand) with them so they know the procedure can be interrupted; 5) Periodically stop the procedure and even allow them to get up and walk around for three or four minutes; 6) Allow a “safe person” such as a spouse or friend to be in the room with them; 7) Try not to leave them in the waiting room for too long; and 8) Consider use of anti-anxiety medication as needed, but with much caution since those with anxiety have trouble taking pills and these medications can also be addictive. If an anti-anxiety medication is to be used, the patient should have a “trial run” prior to the appointment if they have not been given this type of medication in the past. Your patients with anxiety need your best efforts, this includes your expertise in patient management, communication, and clinical skills. Do what you do best as a dentist – listen and learn from your patients so you can build the trusting rapport that will make your patient feel comfortable. If you listen closely, your patient will tell you what he or she needs through verbal and non-verbal cues. You and your patient with anxiety ought to be a team so you can work together for the best chance of having a successful outcome. Most importantly, remember to be patient, attentive, accommodating, and understanding, because getting the patient with anxiety into the dental chair is half the challenge. Getting them to stay there is an even harder, but not impossible goal. Dorothy Berg, Ph.D., is a Licensed Psychologist at North Kent Guidance and Testing Services, 5250 Northland Dr. NE, Grand Rapids, MI 49525, 616-361-5001. Offices in Grand Rapids, Coopersville, Greenville, Belding, Cedar Springs, and Stanton.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

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KCOHC NEWS

Local Coalition Releases Report Illustrating Areas of Need

he Kent County Oral Health Coalition recently released The Kent County 2016 Oral Health Exam, a report on the current state of oral health in Kent County. In 2013, the coalition released an initial communitybased report illustrating the need for improved access and education around oral health. “Almost 20 percent of the adult survey participants stated they were unable to receive dental care because they couldn’t afford the cost,” said Colette Smiley, D.D.S., Co-Chairperson of the Kent County Oral Health Coalition. “No family should be forced to have their oral health needs take a back seat to other necessities.” Since the release of the 2013 Oral Health Exam, the landscape of oral health coverage for children and young adults has improved. In October 2015, Healthy Kids Dental was approved for Kent County’s Medicaid eligible children and has recently expanded to cover individuals up to age 21. Any child on Medicaid between the ages zero and 21 is now automatically enrolled in the program. “It is critical that dental care begin within six months after a baby’s first tooth appears in order to lay a foundation of success for our children,” said Edward Cox, M.D., Co-Chairperson of the Kent County Oral Health Coalition. “Unfortunately, the community survey revealed that almost half the parents either didn’t know or weren’t sure if their child was for eligible Healthy Kids Dental.” The data collected for the report was gathered through the distribution of three community-based surveys for parents of children ages zero through five, adults 18+, and seniors 65+ with the assistance of the Kent County Health Department. Three community focus groups were facilitated in partnership with Grand Rapids African American Health Institute (GRAAHI). Key findings of the report include: • the need for additional dental providers willing to accept Medicaid patients; • additional community education promoting awareness of Healthy Kids Dental coverage is needed; • high cost of care, limited third-party coverage, and lack of education around oral health are key barriers to receiving care. The comprehensive report can be found at healthnetwm.org/ programs/kent-county-oral-health-coalition-kcohc/kcohc-research. 12

Members of the Kent County Oral Health Coalition steering committee are available for interviews, please contact Sarah Wilson, Communications Coordinator at swilson@healthnetwm.org to arrange interviews.

FACTS Access and Cost – Two Issues to Receiving Care • Almost 20% of adult survey participants reported they were unable to receive dental care because they could not afford the cost (Kent County Oral Health Exam, 2016). • Almost 30% of adult survey participants stated they do not have a dentist (Kent County Oral Health Exam, 2016). • In a comparison of the 2008 and 2014 Behavioral Health Risk Factor Surveys conducted in Michigan, results show a six percent increase from 25.2 percent to 31.2 percent of adults that have not had a dental visit in the last year. • The 2016 Oral Health Exam reports 49.5 percent of adults with less than a high school education in Kent County have not been to the dentist in the past year; an increase of 5.7 percent from 43.8 percent as reported in the 2013 Oral Health Exam (Kent County Oral Health Exam, 2013). Oral Health for Children in Kent County • Thirty-two percent of the 475 parents surveyed with children under the age of five knew their child should visit the dentist between the appearance of the first tooth and age one. However, 57 percent of parents were not sure when their child should see a dentist for the first time (Kent County Oral Health Exam, 2016). • The Michigan Dental Association suggests that if parents give a child a bottle at nap or bedtime, the contents should be water – beverages such as milk and juice can cause early childhood tooth decay. Thirty-six percent of parent survey participants reported that their child’s bottle normally contains juice, milk or soda. • Healthy Kids Dental was approved for Kent County (one of the last counties to receive the benefit) in October 2015 for children ages 0-12. The final expansion to children ages 13-21 was approved to begin October 1, 2016. • Almost 50 percent of parent survey participants stated that they didn’t know, or were not sure if their child was eligible for Healthy Kids Dental. WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

KCOHC NEWS

• In a recent report released by Delta Dental, Kent County had the highest Healthy Kids Dental utilization rates from October 1, 2015 to March 31, 2016 at 44.75 percent. Provider Shortage in Kent County • With 427 dentists in a county of 636,369 residents; there is only one dentist per 1,490 people. Based on the Health Professional Shortage Area Guidelines, portions of Kent County are in a dental shortage area. • Since the publication of the 2013 Oral Health Exam, 75 more dentists practice in Kent County, but there are still not enough dentists to sufficiently serve the community. Without enough dentists, especially Medicaidparticipating dentists in Kent County, accessing oral health services becomes more of a challenge for the population.

Focus Group Key Themes • The existence of additional low cost or free access points for oral care are needed. • Lack of money and no or insufficient insurance coverage are the primary reasons why adults and children do not access oral health care. — “If I only make $300 per week, taking $30 out of my check for oral health is not an option… and if I have to choose between oral health and healthcare – oral health loses.” – Hispanic/Latino group participant (translated) • Participants had basic oral health knowledge, however additional education would be beneficial.

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AREA REPRESENTATIVE UPDATES

The New Dentist Forum Poised for Another Successful Year

2016-17 KCDS Lecture Series Kicks Off

By Daniel Grode, DDS

This year’s slate of Kent County Dental Society lectures is set – and it promises to be a good one. The lecture series begins October 12 with MDA Director of Marketing and Communications Jenny Armistead discussing Digital Marketing for the Dental Practice. The series continues after the new year with Interdisciplinary Treatment Planning: A Design for Optimum Restorative Success. The series ends on March 8 with Resource Liability Traps: Reducing Risk in the Dental Practice. All lectures take place at Watermark Country Club at 5500 Cascade Rd., SE, in Grand Rapids. Social hour begins at 5:30, and dinner and lectures begin at 6:30. Dinner and continuing education credits are included with KCDS membership. For further questions about the lecture series or joining KCDS, please contact KCDS Vice President Dr. Chris Leja at 616.940.2854, or Secretary Dr. Veronica Hamilton at 616.608.6826.

The schedule is out and the line-up of fantastic speakers is set for the upcoming year with the New Dentist Forum of West Michigan District Dental Society. Co-chairs, Drs. Daniel Grode and Veronica Hamilton, have been busy scheduling a variety of speakers along with sponsors at locations around downtown Grand Rapids. There are four dates planned through the spring of 2017. Each meeting includes the opportunity for one hour of continuing education, networking possibilities, food and beverages, as well as time for socializing – all at no cost. This is an added WMDDS benefit that is extended to members under the age of 40, or that have graduated within the last ten years. Mark your calendars for the 2016-2017 schedule as follows: Date: October 6, 2016 Presenter: Mark Jesin, DDS Complex Implant Cases Made Easy: Advanced Technology for Immediate Load Full Arch Restorative Prosthetics

By Chris Leja, DMD

Holland/Zeeland By Tom Anderson, DDS

Date: November 10, 2016 Presenter: Ted Schumann II, CFP The Top 10 Financial Mistakes Dentists Make and How to Avoid Them Date: February 2, 2017 Presenter: Betsy Bakeman, DDS 95% Diagnosis + 5% Solution = 100% Success Date: April 13, 2017 Presenter: Scott Seifferlein Stealth Marketing Strategies to Attract Your Ideal Client, Grow Your Practice, and Become More Attractive to Your Banker

The Holland/Zeeland Dental Society has 47 members that have paid dues – a huge increase over last year! We had our first meeting of the year on September 21st, a nice time was had by all. Our next meeting is October 12th, and attendees will receive one (1) CE. The topic: The Digital Journey, put on by Expertec Lab and Henry Schein. Our meeting on November 9th includes all office staff members, and the topic is Mental Health and the “Be Nice’ campaign. We are hoping for great turnouts at both. Thanks to all the members that support the dental society. If you haven’t been getting the emails about the Holland/Zeeland Dental Society, please email Dr. Tom Anderson @ tander7480@aol.com and I will put you on the list. We look forward to a fantastic year.

Ionia/Montcalm By Scott Ribitch, DDS We are currently planning our fall/winter study club meeting for Ionia/Montcalm. Our intention is to have a social meeting and have our area dentists invite colleagues that haven’t yet been to a meeting to get them interested in what we do and to support organized dentistry. Our last meeting was with representatives of the MDA to discuss mid-level providers and the Medicare situation. We had a great showing! 14

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

MEDICAL URGENCIES AND EMERGENCIES IN DENTAL PRACTICE: PREVENTION, RECOGNITION & MANAGEMENT PHARMACOTHERAPEUTICS IN DENTAL PRACTICE: MANAGING PAIN AND INFECTION* Presented by Dr. Daniel Becker | January 13, 2017 | Frederik Meijer Gardens & Sculpture Park | CE Credits: 7 *FULFILLS ONE-HOUR PAIN MANAGEMENT CREDIT

Dr. Daniel Becker received a BS in Zoology at Ohio University and his DDS from Ohio State University in 1972. He is currently Professor of Allied Health Sciences at Sinclair Community College and Association Director of Education for the General Practice Dental Residency at Miami Valley Hospital in Dayton. Dr. Becker has published numerous articles in scientific journals, authored chapters in several textbooks and is co-editor of Management of Pain & Anxiety in the Dental Office, W. B. Saunders’ Elsevier Science Pub, St. Louis, 2002. Dr. Becker is noted for his pragmatism and his ability to convert otherwise “dry” material into formats that are both entertaining and informative. MORNING PROGRAM OBJECTIVES: Medical Urgencies and Emergencies in Dental Practice – Prevention, Recognition and Management 1. Describe principles of emergency prevention including office/staff preparedness and the essential components of an appropriate medical evaluation. 2. Explain components of a thorough primary assessment of a patient experiencing an adverse event. 3. Describe pathogenesis and appropriate algorithms for managing urgencies and emergencies that may present during dental treatment. AFTERNOON SESSION OBJECTIVES: Pharmacotherapeutics in Dental Practice – Managing Pain and Infection 1. Explain principal actions, effects and indications for specific drug classes. 2. Discuss basic principles that guide the selection of specific regimens for the prevention and management of pain, inflammation, and infection associated with dental care. 3. Identify significant interactions of selected drug classes with drugs that are commonly used for medical indications.

West Michigan District Dental Society is an ADA CERP Recognized Provider.

THANK YOU TO OUR SPONSORS WHO HAVE HELPED TO MAKE THESE PROGRAMS AVAILABLE TO US. Platinum Sponsors:

Gold Sponsor:

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REGISTRATION FORM NAME

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FINANCIAL NEWS

Fighting Embezzlement in Dental Offices by Strengthening Internal Controls By Brian LaFrenier, CPA, Partner • Limit access to company credit cards and checkbooks. – All purchases should be accompanied by a receipt and approved. • Require employees to use vacation time. – If possible, rotate front desk responsibilities during this period. • Work with your accountant on month or quarter end close. – Although your accountant is not engaged to detect or prevent fraud, they can assist with performing reconciliations or analyses that may identify unusual activity and trends.

entists are busy managing the numerous aspects of their practice and many practitioners are stretched too thin, potentially creating an environment ripe for embezzlement. Some studies show that businesses lose up to 5% of revenue per year to fraud. However, implementing a few simple internal controls can help you minimize your exposure to risk. Internal control is a process of driving achievement of an entity’s objectives in operational effectiveness and efficiency. A broader interpretation involves mitigating risks of an organization and protecting its assets. Here are six common examples of internal controls that you can implement at your office: • Strengthen new hire policies. – Perform thorough background checks on potential candidates and check references. These checks could include information on criminal background, credit history, and education. This can help you eliminate hiring potentially risky employees. • Open the mail. – Periodically opening the mail including bills, statements, patient payments and bank statements. Review these documents for suspicious activity. • Verify that daily financial checks are completed timely. – Day sheets should be reconciled to deposit tickets. If you allow staff to make the daily deposit at your local branch, consider personally performing that function on occasion. Randomly request a deposit ticket from a previous day and compare it to the bank statement and day sheets. Also, consider remote deposit technology with your bank. 18

Implementing these simple procedures may not entirely eliminate your exposure to embezzlement, but they could help to minimize your risk and reduce your exposure. Internal controls can be both preventative and detective, and give you the tools to safe guard your practice.

New Staff Wage/Benefit Report Released The updated 2016 MDA Dental Staff Compensation and Benefit Survey Report is now available – it’s an exclusive free benefit available to MDA-member dentists only. The report lists compensation ranges and typical benefits offered in various geographic regions of the state. You can use it as a guide for your office in determining staff compensation and benefits and comparing your office with other offices in your vicinity. You’ll find this updated report to be a valuable practice management resource. Order your copy by contacting the MDA’s Haley Hill at 517-346-9424 or hhill@michigandental.org. Note that this report can only be ordered by member dentists – requests from staff members will not be accepted. The survey can be emailed as a PDF document or mailed in hard copy form, marked “Confidential.” Questions regarding the survey report content or how to use the data should be directed to Linda Budd, Merces Consulting Group, 248-507-4670 or: lmbudd@mercesconsulting.com.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

TECHNICALLY SPEAKING

A Book Review: The 4-Hour Work Week by Tim Ferriss

Submitted by Greg Feutz, President, DDS Integration

Greg Feutz is President of DDS Integration, a Grand Rapids based dental technology company.

In each WMDDS Bulletin, I will be fielding your questions about technology, its place in the dental practice, and beyond. Send your questions to askgreg@ddsintegration.com and I’ll answer them on my blog, Facebook, YouTube and in each Bulletin.

echnology allows us to get more done: True. Technology allows us to multi-task: True. Technology allows us to spend less time working: False. The way we typically use technology does not actually save us time. We’re still working 40 hours plus per week, right? And since we can work remotely now, we all take work home with us, too. Was that really the goal? The premise: Be effective, not efficient. By itself, efficiency lets you get a lot done. What it doesn’t do, however, is question what you’re actually doing. You can be incredibly efficient at digging a hole and filling it back in again. Is that a good use of your time? Similarly, you can be incredibly efficient at printing and cutting business cards with your own printer, but what’s the opportunity cost of your time versus outsourcing that? Being effective means spending time wisely. It means writing one email instead of eight. It means offloading tasks that should not occupy your time. It means a lot of things – namely working smarter, not harder. Let me give a simple example. You need to schedule a meeting with your accountant next week to talk about year-end taxes, and specifically you want to know if it makes sense to purchase a new pan this year versus waiting until next year. Typically, here is how that would go in an email conversation: 20

You: Can we schedule a time next week to talk about yearend planning? Accountant: Sure? What days and times work for you? You: Most days I have an hour for lunch, except Wednesday, which is only 30 minutes. How much time will it take? Accountant: I’m free Tuesday at one or Thursday at noon. What time is your lunch hour? I’m not sure how long it will take. Is there anything specific you want to talk about? You: My lunch is at 11. I want to talk about the usual stuff and also whether or not it makes sense to buy a pan machine this year versus waiting until next year. Accountant: Ok. I can do Monday at 11. Does that work for you? An hour should suffice. You: Yup, that works! See you then! Accountant: Your office? You: No let’s meet at Yesterdog. I have all my meetings there. Eight emails exchanged just to set up a meeting? Did I take some liberty in making that scenario extra ridiculous? Honestly, I don’t think so. I see a lot of conversations go that way. Writing an email doesn’t take much time, true, but think about how many times you had to check your email to make that happen. Think about how many tasks you had to interrupt. Then, multiply that by all the email conversations you have. How about this instead? You: Can we meet next week for my year end tax planning? I also want to talk about purchasing a pan machine ($150K for the one I’m looking at) and whether it makes sense to purchase this year versus next. I’m available (except for Wednesday) for an hour starting at 11. Yesterdog is my preferred meeting place. Accountant: Sure! Let’s plan on Thursday, 11 o’clock at Yesterdog. I’ll have your year-end statements ready as well as analysis on a pan machine purchase. See you there! Eight emails versus two! All the same things were discussed and the result was the same. However, the initial email in this case was effective in communicating: 1) An agenda; 2) available times; and 3) location. Simple, but effective. Smarter, not harder. One more tidbit on email. Don’t be a slave to it. Turn off email notifications on your phone. Only open it up when you are really going to go through it. Unless you are dealing with extremely time-sensitive matters (most of us are not), check it WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

TECHNICALLY SPEAKING

only at a few designated times during the day. Most days I set two separate hours aside and in those time slots all I do is read and respond to emails. No more reading, marking unread, and then dealing with emails later. When itâ€™s email time, I just do emails. I now respond to emails more promptly than ever before. It is incredibly efficient, effective, and rewarding. The 4-hour work week is filled with incredible ideas, and more importantly, tools and procedures to actually make real changes. Some are pieces of technology, others are simply changes to the way you set up your day and allocate your time. Whether you are a business owner, an employee, or somewhere in between, these are principles and practices that will make real and meaningful changes in your life. Those

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close to me know how obsessive I have become with these principles. Compared to my days of multi-tasking and constant distractions, I am infinitely happier, healthier, and, oh yeah, more effective.

1:18 PM

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

PRACTICE MANAGEMENT

The New Overtime Rules – What You Need to Know Submitted by Richard L. Chrisman, CPA MST – Managing Shareholder, Hungerford Nichols CPAs + Advisors

ow many exempt employees work in your dental practice? These are employees who are paid a salary, and regardless of how many hours they work, they are not eligible for overtime pay. Regardless of your answer, this number may change in December. Exempt or Non-exempt? Unless determined to be exempt from the overtime rules, employees must receive pay for hours worked in excess of 40 a week. The overtime is paid at a rate of not less than one-anda-half of their regular pay rate. The employers are also liable for the payroll taxes. There are two tests used to determine if an employee is exempt from the overtime rules: 1. The “wage threshold test” discussed below, and; 2. A “duties test” that looks at what the employee’s job responsibilities are. If they primarily perform executive, administrative, or professional duties, they may be deemed exempt. Of course, it’s more complicated than that. So there are regulations that spell out the criteria in greater detail. New Rules The Department of Labor has come out with new overtime rules that take effect on December 1, 2016. The rules will raise the salary level that is used in the “wage threshold test.” Under the new rule, the salary level is more than doubling from today’s $23,660 ($455 per week) to $47,476 ($913 per week). In the future, the limit will be adjusted every three years beginning on January 1, 2020. The wage threshold for the highly compensated also went up — from $100,000 to $134,004. 22

What you Need to Know The results of these changes are as follows: • Employees that earn a salary of less than $47,476 are nonexempt and are entitled to overtime pay (regardless of what their job responsibilities are). • Employees that earn more than $134,004 are exempt, and are not entitled to overtime pay (regardless of what their job responsibilities are). • Employee’s that earn between $47,476 and $134,004 may or may not be eligible for overtime pay, with the determining factor being their job responsibilities (the “duties test”). Assess the Impact of the Changes on your Practice Salaried employees that just became eligible for overtime pay because of the rule changes will not need to be switched to being paid hourly or to punch a time clock. However, it will be important to track their time to ensure that: • The hours don’t exceed 40 a week, or; • That overtime pay is paid when earned. Here are some immediate steps to consider in response to the new rules. Start by answering these questions: • How many of your employees will be classified as nonexempt under the new rules? • How many of them routinely work more than 40 hours a week? • What would it cost you if they continue to work more than 40 hours per week and are eligible for overtime? • What systems do you need to put in place to monitor employees’ hours after the new rules go into effect? Once you get a basic handle on this information, other questions to consider include: • Should we hire part-time people to keep the non-exempt employees from having to exceed 40 hours a week? • Will it be more economical to give raises to employees who are currently earning less than $47,467 to get them to the exempt level and avoid having to track their hours and pay them overtime? • Can we reduce or eliminate overtime hours? WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

PRACTICE MANAGEMENT

• Can we adjust the salaries or wages of employees who will become entitled to overtime pay so that, when they earn overtime pay, they will end up earning the same amount as they did before? • Can we make adjustments to our employee benefits program to offset the rise in payroll cost?

For more information on the final rules, consult with your payroll or tax advisor. Richard L. Chrisman, CPA, MST is the Managing Shareholder of Hungerford Nichols CPAs + Advisors, a Tax, Auditing and Business Consulting firm with offices in Grand Rapids and Greenville, MI. The firm is celebrating 75 years of helping local businesses, including many area practices.

There are no easy answers to these questions. Each possible response raises its own set of issues. Your Employees are Talking About it It’s a safe bet that your employees will have heard about the impending rule change, and they’ll be looking to you for answers about how it will affect them. For most employers, it’s probably wise to begin engaging employees on the topic, even if you haven’t mapped out the details of how you will respond. An honest “we’re figuring this out” answer can be better than silence.

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CLASSIFIED ADS

The classified ad rate is $10.00 up to and including 30 words; additional words 15¢ each. Space permitting, WMDDS members may place ads free of charge as a membership service. Ads should be submitted in writing and sent with payment to Elaine Fleming, WMDDS, 301 Waters Building, Grand Rapids, MI 49503. Telephone numbers and hyphenations count as two words, abbreviations count as one word. Ads received after the first of the month prior to publication may appear in the following issue. For Sale – Family practice in Grand Rapids NE that is part time with great potential, located in an excellent highvisibility location. There is 2050 sq.ft. with 5 ops and a 6th op is plumbed in. Opportunity for more footage if desired. Call 616.485.4884 for details. Holland, Michigan – Associate dentist needed for busy practice one or two days a week. Would prefer Fridays. A bit early but will be retiring in three to five years. Fee-for-service practice with no medicare/medicaid. Please contact Kate at 616.399.4490. Exciting Opportunities – for dentists, hygienists, and assistants to provide children with quality dental care in schools in Southeast and Western Michigan. No evenings or weekends. Email resumes to: jobs@smileprograms.com. Dental Equipment for Sale – After merging my two offices – I have four rooms full of dental equipment for sale. Everything is in excellent shape and working conditions (no junk). All equipment is still installed and can be tested before you buy it. Dental chairs, delivery units, lights, x-rays, cabinets, panoramic, Dent-X 9000 zoom, compressor, separate air dryer unit, suction, lab equipment and much more. Just ask and there is a chance I have it. Please email your questions to hanyb@juno.com. General Dentists Needed – In busy Dental Dreams Michigan offices. Includes signing bonus of $15-25K. Full-time dentists earn an average of $230k. Associates enjoy freedom over 26

treatment planning in modern, digital offices with established patient bases. Benefits include free dental care, paid vacation, continuing education, and Medical, life, vision & malpractice insurance. Visa & permanent resident sponsorship is available. Please call 312.274.4580 or email kanderson@ kosservices.com for more information. Full time, part time, and Saturday only positions are available and new grads and residents are encouraged to apply. Trial Partner Dentist – In $1.5 million, 2 location fee for service office in Grand Rapids Area. Expect $300,000 net per year. All inquiries to Regional Manager Rachel at hiring1621@gmail.com. Looking for Motivated, Energetic General Dentist Focused on Patient Care – Needed for growing dental office in Traverse City area. Utilizing 2 Cerec units for single day dentistry. Also, general dentistry including lab fabricated crowns and bridges, fills, extractions, and root canals. Four hygienists, great staff. Fun environment. Please send resume to 202 West 17th Street, Traverse City, Michigan 49684. Required experience: Experienced preferred, or new grad if comfortable being alone in office. Required license or certification: DDS. Opening for a Part-Time Dental Associate – in Grand Rapids, MI. Looking for an associate two to three days a week for our beautiful general dentistry office. Well established practice with a large patient base and high earning potential. Excellent working

environment, high-tech equipment, wonderful staff and fee-for-service! This is the perfect opportunity for an established dentist looking to add an extra day to their schedule or a dentist just interested in a part-time schedule. If interested please contact Hilary Tien: Hilary@proveerpm.com or 616.309.4567. Dental Office Condominium for Sale in Zeeland – 3,975 SF professionally designed and decorated office space with premium finishes includes; eight treatment rooms and two doctors’ offices. Facility is suitable for endodontists, orthodontists, oral surgeon or a periodontists group. Sellers are a successful general dentistry group looking to rebuild nearby and would be a great source of referrals for a specialist. 427 Centerstone Court is conveniently located with high visibility from Chicago Drive. Office photos are available online at www.nelsonsmile.com/office-tour. Please contact Kris DePree at 616.355.3141 or kris.depree@colliers.com for more information. Mercy Health Physician Partners has an excellent full-time Dentist opportunity in Grand Rapids, Michigan – We share Mercy’s Health commitment to provide health care for all persons, regardless of their ability to pay. We believe that no one should go without needed dental care because they cannot afford it. We are committed to providing the highest standard of health care with hospitality, respect and compassion. A growing economy, outstanding health care, low cost of living, award-winning schools and

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

CLASSIFIED ADS

diverse cultural options are just a few reasons why Grand Rapids is a great place to live and work. We are a fullservice dental facility. Office hours: Monday–Friday 8:00am–4:30pm. For further information please contact Camille VanDyk, Physician Recruiter, vandykca@mercyhealth.com, or Phone: 616.685,6814, Fax: 616.685.1496. Outstanding Dental Associate Needed in Beautiful West Michigan – We have a Full-time, Dental Associate opportunity available in our successful, well-established, growing, and privately owned general dentistry practice, located between Holland and Grand Rapids, MI. Hudsonville Family Dentistry offers the entire family a quality dental experience in a friendly & comfortable setting. We are looking for a motivated, positive, and compassionate dentist with an outgoing personality who wants to make a difference in the lives of his/ her patients. We are looking for the perfect fit for our office; we are looking for someone who is patient, kind, hard-working, and extremely customer service driven. If you feel you fit this description and are looking for a long-term relationship with growth potential with an outstanding team, please send your resume to: Susan at happypeopleapply@yahoo.com. Seeking Practice Purchase Opportunity – in West Michigan region. GPR training and three years solo private practice experience. Commitment to community, putting patients’ needs first, attention to detail, and practicing emphatic dentistry. Would prefer to work

alongside current owner for mentorship and to ensure the continuity of the office and practice culture, open to other options as well. Please contact me at grapdds@gmail.com. Dental Office Available – in Rockford on 10 Mile Road. Available about April 2015. Approximately 3100 ft of office space and 1500 ft of basement. Call 616.866.0921. Hudsonville Dentist Seeking Help – Beginning in mid-January through middle of May due to birth of twins. January needs coverage for 1-2 days per week for about a month. February-mid May needs include 3-4 days per week. Provider will complete exams, most restorative work, denture/partial adjustments, and emergency care. Practice description includes: A practice that is

focused on patient care in a fun, friendly, comfortable environment. We have a fantastic and helpful team. We pride ourselves on excellence in quality of care. The practice is just off the expressway in Hudsonville, MI (Halfway between Grand Rapids and Holland – easy 20-25 min commute from either). Our patients are made up of mostly young to middle-aged families. There are usually one to two hygienists to cover per day. We strive to stay busy, but work at a very comfortable pace. We are an amalgam free and mostly paperless office. We utilize digital x-rays with Dexis and digital charting with Dentrix. If interested, please respond to Dr. Kristen Veltema at kwildern@hotmail.com or 616.550.8848.

MARK YOUR CALENDAR West Michigan Dental Foundation Annual Golf Outing

Friday, May 19, 2017 NEW LOCATION:

The Meadows on the Allendale Campus of Grand Valley State University 9:00 am shotgun start Watch for more information about the golf outing in future issues of the WMDDS Bulletin. Questions? Contact Elaine Fleming at 616.234.5605 | efwmdds@aol.com Mission Statement: An organization dedicated to the improvement of oral health through the financial support of education and service programs to address the needs identified by the dental profession and the communities it serves in Kent, Ottawa, Ionia, Mecosta and Montcalm counties.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2016

2016 Directory Additions & Corrections

ADVERTISER INDEX

CHANGES (INDICATED IN RED): BEAUDIN, JENNIFER VETERANS AFFAIRS WYOMING HEALTH CARE CENTER - DENTAL 5838 METRO WAY WYOMING, MI 49519 249-5390 BIERSACK, GINA MERCY HEALTH DENTAL CLINIC 781 - 36TH STREET SE GRAND RAPIDS, MI 49548 685-4700 FAX 685-4708 CONDIT, PATRICK 3100 IVANREST SW #105 GRANDVILLE, MI 49418 538-3060 FAX 538-3653 * HOEKZEMA, FREDERICK, JR 8454 WALLINGWOOD SPRINGS DR JENISON, MI 49428 KR0SS, KEVIN J 99 W 23RD STREET HOLLAND, MI 49423 396-5197 FAX 396-3970

MANSFIELD, BRYTON 1632 LEONARD STREET, NW GRAND RAPIDS, MI 49504 453-2255 FAX 453-9719 MULDER, STEPHEN 1787 GRAND RIDGE COURT NE, STE 203 GRAND RAPIDS, MI 49525 447-1700 FAX 447-7597 * SMITH, ROBERT E 494 EDGEWORTHE DRIVE SE ADA, MI 49301

NEW MEMBERS: KEMINK, MEGAN 311 STATE STREET SE GRAND RAPIDS, MI 49503

The Bulletin wishes to thank our valued advertisers who support organized dentistry by helping to defray the cost of printing and mailing. Advertising in the Bulletin is seen by over 90% of the dentists in the West Michigan District. This includes five of the fastest growing counties in the state: Kent, Ottawa, Ionia, Montcalm and Mecosta. For information on advertising rates, call Elaine Fleming, WMDDS Executive Secretary at 234-5605. Target your Market – advertise in the Bulletin! Beene Garter.......................................19

ROUMAYAH, REBECCA 6220 JUPITER AVENUE NE GRAND RAPIDS, MI 49306 361-9387 FAX 362-9231

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