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SUMMER ISSUE 2012 VOL. 44, NO. 4

Bulletin


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Contents ­Editor

James Papp

Associate Editors

Seth Vruggink Jeff Smith Aric Smith Larrisa Bishop

President’s Message...................................................................................................... 2 Editor’s Thoughts.........................................................................................................  4

Advertising Editor Elaine Fleming Executive Secretary WMDDS 511-F Waters Building Grand Rapids, MI 49503 (616) 234-5605 efwmdds@aol.com

ADA World Leadership Conference............................................................................ 5

West Michigan District Dental Society Executive Board 2011-2012 President Larissa Bishop President-Elect Tyler Wolf Vice President Margaret Gingrich Secretary-Treasurer Kathleen Ellsworth Editor James Papp Immediate Past Seth Vruggink President Directors Samuel Bander Steve Conlon Leonard Bartoszewicz Area Representatives Kent County Norman Wilhelmsen Ionia-Montcalm Kirkwood Faber County Mecosta County Erick Perroud Ottawa County Meredith Smedley

Attracting (and Retaining) Top Talent in Tight Times.............................................10

MDA IV District Trustees

Brian Cilla Colette Smiley

Big Rapids Dental Study Club Officers President Erick Perroud Vice President Christa Stern Secretary Christa Stern Treasurer Erick Perroud Holland-Zeeland Dental Society Officers President Meredith Smedley Treasurer Robert Ankerman Secretary Immediate Past President Ionia-Montcalm Dental Study Club Officers President Treasurer Kirkwood Faber Kent County Dental Society Officers President Lathe Miller Vice President Norman Wilhelmsen Secretary Michael Palaszek Treasurer Kathryn Swan West Michigan Dental Foundation Officers President Devin Norman Vice President John Marshall Secretary Carol Klein Treasurer Joe VanLaan The Bulletin of the West Michigan Dental Society is published six times a year (the directory issue, fall issue, holiday issue, winter issue, spring issue, and summer 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, 4880 Cascade Road SE, Ste. B, Grand Rapids, MI 49546. 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. © 2011-2012 West Michigan District Dental Society Bulletin

Trustee Report.............................................................................................................. 6 WMDDS Legislative Committee Update.................................................................... 9

2012-13 WMDDS Continuing Education Programs.................................................15 Technically Speaking....................................................................................................16 Dental X-Rays Important to Detect and Treat Dental Problems..............................19 30 Questions to Ask Your CPA....................................................................................20 West Michigan Dental Foundation Golf Outing........................................................21 Classified Ads................................................................................................................22 Advertiser Index............................................................................................................23 WMDDS Member Spotlight........................................................................................24 About the Cover ADA World Leadership Conference in Washington, DC. Left to right: Mr. Bill Sullivan, Dr. Norm Palm, Dr. Steve Dater, Congressman Justin Amash, and Dr. Chuck Burling.

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 ­publication date. The Bulletin has six publications: the directory issue, fall issue, holiday issue, winter issue, spring issue, and summer issue. Direct submissions or ­correspondences to: Dr. James C. Papp • 4880 Cascade Road SE, Suite B • Grand Rapids, MI 49546 Phone: 616.940.9872 FAX 616.940.2854 • Email: DRJPAPP@aol.com Include “Newsletter” in the subject line

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

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PRESIDENT’S MESSAGE

We Want You...(to get off your ass and fight!) By Tyler A. Wolf, DDS, WMDDS President

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id that get your attention, soldiers? I hope so, because that was my intent. I gave that line much thought, as it is not my desire to offend any of you with my first foray into presidential messages. It is rather my wish to incite and inspire you to a call of duty. At the risk of being too melodramatic, our profession is being attacked from all sides and on all fronts. Our message is resolute. Our defense is steadfast… but only too few. You’ve heard it before, but it is only too true… There is strength in numbers. We have a strong contingent of member-dentists here in West Michigan, but unfortunately we have not heard or seen much of you when it comes to dealing with the number of issues that threaten our very ability to provide the best care for our patients and make a fair compensation doing it. Not to mention, being allowed to meet the high demand of need in the safest and most effective manner – or at least have a say in how that is managed. After all, we are the experts, the professionals, right? Part of the responsibility lies with us, we, me, the Board, your representation… to make sure that you are informed of exactly what is going on; i.e. what the threat(s) is (are). While being humble, I feel that we have provided you with plenty of

information and suggested avenues to avail yourselves with more. I’m just not sure if you have paid proper attention. Or maybe we have not been clear as to how this affects you. Maybe you’ve noticed a bit more pulling at your practice bottom line, or your wallets? Or more and more hoops to jump through with insurance? Or more governmental intrusion into your office? Or more patients reading the media and asking why you aren’t doing more to help those in need? Or maybe they are just more worried about why you are charging more when really it is their insurance paying less… or even these same insurances (even non-profit ones) having the audacity to tell them that you should not be charging what you are charging for that particular procedure because it is neither “usual” nor “customary.” What’s more is that it is not even a benefit covered under their plan anyway? Sound familiar? Yep. These are just a few of the things that we are dealing with and discussing every time we meet as a Board. And every time we get together as a caucus or a delegation to vote on how the Michigan Dental Association should be spending your hard-earned dues dollars and PAC Funds. AND every time that we, the proud and the few, meet with local legislators to discuss our position as dentists on these issues. Ah yes…. Here is where you soldiers come in. (You knew I was coming back to that, right?) Let’s just say that we had an opportunity to meet with our local and state lawmakers in a non-pressure setting… say maybe over breakfast or something… and tell them right to their listening and attentive faces, what it is that is on our minds. That would be great right! It just so happens that we do have that opportunity…. It happened on April 27 just past. Only 22 out of our 600-plus dentists in West Michigan took the time to take advantage of it. The word pitiful comes to mind. What must these lawmakers think about us if this was the extent of our turnout? Are

“ My first act as president of the WMDDS is to

recruit as many of you as I possibly can to

do more to help your

profession, and in turn,

yourself.

2

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


PRESIDENT’S MESSAGE

they apt to listen and be influenced? I hope so, but I think that our position and influence was proven to be a little weak if that poor showing is the indication. We have a great lobbying team at the MDA, but they can only do so much without our help. The legislators want to hear from potential voters…. And larger numbers drive them. This is why the teachers’ unions, for example, are so successful. Their members are constantly in the lawmakers’ ears – bombarding them with their concerns. We need more from you, plain and simple. If you have any concern to protect our great profession, we need you to get up and do more. It doesn’t even have to hurt. A forty-five minute breakfast with people just like you and me is only one example of this.

My first act as president of the WMDDS is to recruit as many of you as I possibly can to do more to help your profession, and in turn, yourself. Call or email me personally to find out what you can do to help yourself. I would be more than happy to inform you as to what the issues are that we face. If I can’t answer your questions or get you the information that you need, I will put you in contact with the person who can. My email is tawdds@comcast.net. My office number is 457.4600. Thank you for listening. We are always here ready to listen to you, our members. At ease. Dismissed.

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EDITOR’S THOUGHTS

Evidence-Based Dentistry: Final Thoughts By Dr. James C. Papp, WMDDS Editor

and patient-oriented perspective. By definition, confidence is generally described as a state of being certain either a hypothesis or prediction is correct or that a chosen course of action is the best or most effective. From the personal perspective, evidence-based dentistry gives us confidence that we personally are “doing the right thing” for our patients. Derived from evidence-based research, recommending products and particular techniques into proposed treatment plans gives us confidence that we personally are doing all we can in our daily practice. An evidence-based decision also breeds confidence on a professional level. Interacting with one another within our profession often involves questions, debates and he last two issues I have been talking about evidenceinquiries on various topics in our daily practice. Exchanging based dentistry and the importance of practicing with viewpoints that are derived from sound research builds evidence-based decisions. In review, evidence- based confidence in our profession and what we can do for our dentistry is the integration and interpretation of the available patients. It often can shed some current research evidence combined clarity on particular issues, techwith personal experiences. It allows niques and products that may be the us to make decisions to improve Utilizing evidence-based topic at hand. Loosely exchanging our clinical practice and better treat viewpoints based solely on personal our patients based on sound clinical dentistry to make sound experience without sound proven research. In my opinion, this is what evidence can be dangerous, and furwe as professional clinicians should clinical decisions builds ther clouds the air in respect to strive to incorporate into our daily what is best for our patients. When practice. With a steady dose of prodconfidence. Confidence I read various commentaries and ucts and techniques being thrown hear viewpoints from dental profesour way on a daily basis from various from a personal, sionals and/or professional groups companies, vendors, and/or speakrelated to dentistry that seemingly ers slating it as the next best thing professional and patientswerve from evidence-based conclucan easily cloud the air, so to speak. sions, I often wonder what’s hapCompounding things are viewpoints oriented perspective. pening here? From a clinical standand so-called “studies” being pushed point, why is this person or people to the public and our profession clinically rejecting what’s been gen(with a lot of money behind it) that erally accepted as a “standard” or equal to the standard? Is it may easily mislead the general public on some issues pertainignorance? Is it arrogance? Are there financial implications/ ing to dentistry. Mid-level provider (or low-lever provider influences? Unfortunately, I think it’s any and/or all of these.    as our president Jeff Johnston refers to the issue) and dental For a comprehensive look at evidence-based dentistry and radiographs are two topics that quickly come to mind.  But a practical resource for scientific evidence related to denby “keeping our eye on the ball,” focusing on evidence-based tistry, visit the ADA Center For Evidence-Based Dentistry at dentistry, we can make intelligent evidenced-based decisions http://ebd.ada.org/. to sift through the various options available to us. Utilizing evidence-based dentistry to make sound clinical decisions builds confidence. Confidence from a personal, professional

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


ADA NEWS

ADA World Leadership Conference By Dr. Steve Dater, DDS

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r. Norm Palm and I represented West Michigan at the ADA’s World Leadership Conference in Washington, DC, May 7–9. The conference gives dentists the opportunity to do some networking about what is going on around the country, and there is also a coordinated effort to lobby our members of Congress and our Senators. The main issues we were lobbying on were the following: Repeal of the Medical Device Tax. Under Obama Care, there will be a 2.3% tax on medical devices. The big unknown is there is nothing spelled out to what exactly that means for dentistry, it has not been determined (I know you are all shocked something would pass and nobody has a clue). This

bill has been sponsored by our local congressman. Both state Senators are opposed to the repeal. If this is not repealed, the cost of equipment will be increasing and it could even include supplies, dentures, crowns, etc. Coordination of Pro Bono Medically Recommended Dental Care Act. This bill would provide funds to coordinate treatment of medically-compromised patients that need dental treatment to get the medical treatment they need to survive. We asked all of our representatives to sponsor, but so far none have signed up to do so. The Dental Insurance Fairness Act of 2012. This Bill would do two things: 1. All health plans that offer benefits will provide coordination of benefits. Basically, a secondary insurance would have to cover the amount left over from the primary up to 100%. 2. All health plans that offer dental benefits will permit assignment of benefits to the provider, regardless of whether or not they participate with the plan. I think we have a better chance with one vs. two, but we shall see. This bill was introduced by Dr. Paul Gozar, a dentist representing Arizona. Besides that, the food was overpriced as were the hotels. I think the country may be run by the 25 to 35-year-old staff of our elected officials (might not be a bad thing).

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TRUSTEE REPORT

Summer 2012 Trustee Report By Dr. Brian Cilla, MDA Trustee

our Speaker, Dr. Deb Peters, has made the MDA House of Delegates (HOD) a model of efficiency. I would like to thank the MDDS and WMDDS delegate and alternate delegates for getting the job done at this year’s HOD. Dr. Connie VerHagen is now past-president and her husband, Dr. Mike Cerminaro, is elated. Dr. Jeff “Give ’em Hell” Johnston has become our new MDA president. I look forward to an interesting year as an MDA trustee.

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his year the MDA annual session was held in Lansing. Attendance by member dentists and their staff made the meeting a success. The volunteers and MDA staff are to be congratulated for putting on such a big event and making everything run so smoothly (except for the buses, but that’s another story). We can appreciate that

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TRUSTEE REPORT

order to evaluate and provide recommendations to the MDA on its governance structure. We will begin this process at our June Board meeting. Botox – The Board reviewed the recently released Botox Statement by the Michigan Board of Dentistry. The MDA Board believes there are numerous questions regarding this issue. The committees on peer review/dental care and ethics have been asked to collect questions and submit them to the State Board of Dentistry for further response. University of Detroit Mercy (UDM): A Mid-Level Provider Study Proposal – The Board heard a presentation from the UDM Dean, Dr. Mert Aksu, regarding a proposal for a threeyear pilot program, which would train dental hygienists to perform limited restorative procedures. These individuals would be placed in existing public dental health care settings, under the supervision of a dentist, for the purpose of providing restorative care to “underserved patient populations.” Quantitative and qualitative assessments would be taken during the clinical trial phase of the study. According to Dr. Aksu, there is much speculation and/or opinions regarding the viability and/or sustainability for mid-level dental care providers in the USA. However, very little real data exists which directly addresses the question of whether or not a mid-level dental provider would have any significant impact in addressing the access to dental care issue. Currently, UDM is in the preliminary stage of seeking funding for this study. Actions of the 2012 MDA House of Delegates (HOD) MDA Dues Decrease – The 2013 annual dues for the Michigan Dental Association active members will be reduced to $641. The decrease in dues is related to a balanced MDA budget and paying off the MDA headquarters mortgage earlier than previously anticipated. Public Education Campaign Assessment – The HOD approved continuation of the MDA Public Education Campaign. This program will be funded by renewal of a special assessment for the next three years. Loss of Membership for Nonpayment of Dues – This HOD action clarifies the timelines and status for delinquent dues paying members versus those that are to be considered as non-members. A member whose dues have not been received by January 1 shall be granted a grace period, after which time WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

the member shall be declared a delinquent non-member. A member whose dues have not been received by March 31 shall cease to be a member of this association. If a nonmember’s membership has lapsed for more than one administrative year, the dentist must submit a new membership application. Dental Patients’ Rights and Responsibilities – The MDA has adopted the ADA document titled “ADA Statement on Dental Patient Rights and Responsibilities” as its own statement and encourages all MDA members to distribute it to their patients. This document can be viewed on the ADA website. Payment Accountability and Audit Time Limits for Insurers – The MDA will support the Michigan State Medical Society initiative to address payment accountability and audit time limits for insurers. Additionally, the MDA will seek to add those carriers covered by the Non Profit Corporation Dental Act (Delta) to this legislation. Explanation of Benefits Requirement – The MDA will seek to require that any individual making the final decision regarding accepting or rejecting a dental claim for a dental benefit plan/company must be a licensed dentist in the United States, preferably within the jurisdiction of the dentist treating the patient in accordance with applicable state law. Healthy Kids Dental – The MDA will continue to advocate for increased funding and expansion for Healthy Kids Dental to include all 83 Michigan counties. Additionally, we would like to see inclusion of any willing Michigan licensed dentist in the Healthy Kids Dental Program, regardless of their participation status in any other programs by the program administrator. As of this writing, Governor Snyder has been listening to the MDA. His preliminary budget proposal includes increased funding for the program. Dental CT Requirements – The MDA will work to streamline or eliminate the actions of the Certificate of Need Commission with regard to the practice of dentistry. Non-Covered Services Legislation – The HOD has resolved that the MDA should pursue all available avenues to prohibit the practice of allowing insurance companies to set fees on services they do not cover. Mandated Oral Health Program – The MDA will continue to advocate that the Michigan Department of Community Health (MDCH) maintain a statewide oral health program and that a dental officer should supervise this program. This

7


TRUSTEE REPORT

dental officer should be a resident of Michigan; hold a current Michigan license to practice dentistry or dental hygiene; and be appointed on the basis of education, training, experience and interest in public dental health. It is desired that this individual should help determine the public dental health needs for the residents of Michigan; provide the MDCH with advice regarding public dental health; serve as the guardian of any comprehensive oral health plan; act to further the plan’s ongoing implementation, effectiveness, and oversight; and supervise the activities of dental services rendered in a public health setting within the state. It is desired that MDCH, and the dental officer, solicit and accept grants to fund oral health programs and the position of the state dental health officer. Workforce – When addressing dental workforce issues, the following four principles are to be advocated and followed by the Michigan Dental Association: 1. The MDA maintains that only a dentist provides the responsibility for all dental care rendered under his/her direction and supervision. The MDA recognizes the dentist as the leader of the dental team and is responsible for maintaining one standard of care for all patients. 2. The MDA supports the current dental team members to improve the efficiency of delivering oral health care services. These current team members should be used to their maximum effectiveness with team member duties being expanded when it is appropriate to improve the efficiency of delivering care. 3. The MDA maintains that only a dentist can diagnose oral conditions, prescribes treatment and medications, performs irreversible procedures, supervise patient care, and engage in the responsibilities that require the education and training of a dentist. 4. The MDA believes that the creation of a new member of the dental team must be based upon need. The new team member must be supervised by a dentist, have sufficient education and training through a CODA-accredited program, have oversight by the Michigan Board of Dentistry, and a scope of practice that ensures the protection of the public’s oral health.

which will be consistent with our core values of providing dental care. School-Based Care Guidelines – The MDA supports and approves distribution of the School-Based Care Guidelines as stated in the following documents: • Selecting a School-Based Oral Health Program: Questions and Answers for School Staff • School-Based Oral Health Care: A Choice for Michigan Children • Best Practices for the Application of Dental Sealants • Guidelines for School-Based Oral Health Care Miscellaneous Musings There are very few opportunities for us to directly interact with our elected officials regarding issues that impact the dental profession. One such way was evident at the WMDDS sponsored legislative breakfast in April. This meeting was well attended by member dentists and our local politicians. A format like this allows us to garner support for dental topics of importance, such as expansion of the Healthy Kids Dental Program. We can thank Dr. Steve Dater for his efforts in making sure that this event was a success. It is important to note that WMDDS is a statewide role model for these types of endeavors. Without political activism, the voice of the dental profession will not be heard. Please make an effort to attend the next breakfast meeting when it is scheduled in our area. Access to dental care issues will not be going away anytime soon. PEW and Kellogg seem to be the primary advocates for pursuing the utilization of mid-level providers as a means of “solving” the dental access problem. Funding for treatment and prevention have been of secondary concern to these politically influential organizations. This is a national issue and Michigan is not immune to their efforts. We need to be active and not reactive. It is important to stay informed and to get involved. Every voice counts. Your input is valuable. Do not hesitate to call or write blcilla@aol.com if you have any questions, concerns or commentary regarding MDA issues or activities. I hope that everyone has an enjoyable summer. Have fun in the sun!

PA161 – The MDA will continue to pursue further changes, including the possibility of legislation, to improve PA161 8

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


LEGISLATIVE BREAKFAST

WMDDS Legislative Committee Update By Dr. Steve Dater, DDS

F

riday, April 27th was the day planned for the WMDDS Legislative Breakfast. We met at the Holiday Inn located in Downtown Grand Rapids. This year, we had twenty-two dentists out of the almost 600 members of the WMDDS. Now while that is well below what I was hoping for, it was an increase of 57% from last year, so we must be heading in the right direction (or you could say last year was really, really poor!) We also had ten of our elected officials and a staff person from Congressman Amash’s staff in attendance. The MDA was also represented this year by our MDA Executive Director, Drew Eason and Bill Sullivan, MDA Director, Legislative/Insurance Affairs. This year, we also were fortunate to have members of a workgroup headed by First Steps that is bringing professionals from different areas to the table to address the oral health care needs of children in our area. Having the group from First Steps was very positive. It showed the legislators that this is not just a dental issue, but a health issue. The message that getting Healthy Kids Dental into all the counties of the state would greatly improve the situation was heard loud and clear, and, when it comes from non-dentists I believe it means even more. I want to thank

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

those individuals who took time out of their schedule to attend our breakfast and deliver the message to our legislators, and to Colette Smiley for thinking to invite this group. Thanks! The other message that was delivered was that the dentist must remain the head of the dental team and that we have the best model to deliver care. With the mid-level provider debate surfacing everywhere around the country and in Michigan, it is more important than ever that this message gets through to our elected officials. It can’t be delivered by paid lobbyists that don’t vote for these legislators, it has to be delivered by the grass roots dentists. That is why it is so important to establish relationships with our legislators and get to know them and have them know us. I encourage all of you to look up your elected official and see when they are having a coffee or town hall meeting. Go introduce yourself and get to know them. If you do that, I am sure I will see another increase at next year’s legislative breakfast! Finally, this could not have happened if not for all the work Elaine Fleming put into organizing the breakfast (I really did write this. Elaine did not edit this in!). Thanks, Elaine, for all your hard work.

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STAFFING STRATEGIES

Attracting (and Retaining) Top Talent in Tight Times Submitted by Scott Hoag, Vice President, PNC Healthcare Business Banking

O

f all the practice-management issues, staffing is one of the most challenging – and most critical. After all, your hygienists, dental assistants and office manager are often the face of the practice … and your greatest assets in providing the quality care you need to grow your practice. The goal is to make yours the practice where top-notch talent wants to work. Here are a few suggestions to help attract and retain good employees. Salary Strategy If you underpay quality team members, you may run the risk of losing them. Overpay them and you can endanger the financial viability of the practice. One idea is to aim for the 75th to 90th percentile. That means that staff in your office will be paid more than 75 to 90 percent of the workers in your community doing the same job. The thought is if you pay slightly more than the average, you’ll save money in the long run because you’ll hopefully have less staff turnover. On the other hand, if your office is considered a better-than-average place to work you may not need to lead the pack in salaries. A wage survey of your community will tell you what others are paying for similar job titles. Good sources include other dentists, your county or state dental society, as well as employment and temporary help agencies. Incentivizing Employees Bonus and incentive plans tend to be a good idea because they are based on a timeless management principle: “By rewarding the behavior you want to receive, you’ll receive more of that behavior.” The idea here is to help team members think and work more like entrepreneurs, understanding that more money in the pot means more money to take home. And it doesn’t have to be all about money. Some ideas are a visit to a local spa for a massage or manicure, a health club membership, or even travel. Just remember that any incentive plan needs to protect the practice’s cash flow and overhead. Checking with your accountant for guidance on any tax liability that may arise is also a good idea. 10

Don’t Forget Low-Cost Perks Benefits don’t have to equal big bucks to make a big impact. Here are some suggestions on low-cost perks to reward and motivate your hardworking staff: • Help with their development – Consider reimbursing staffers for workshops, seminars, books, tapes, and other training and self-improvement activities. Smaller practices might simply offer paid time off for continuing education on the employee’s dime. •  More time off for long-term employees – Reward loyal staffers with more generous vacation benefits. One example: 1 to 3 years = two weeks off; 4 to 6 years = three weeks off; 7+ years = four weeks off. • Pats on the back – Make sure to let employees know – early and often – that they’re a valued and respected part of your practice. The old management adage to “praise publicly and reprimand privately” really applies here. • Vendor discounts – Take advantage of any perks and discounts that your vendors may provide (e.g., free employee checking and direct deposit from your bank) and pass them on to employees. • The little things – Never underestimate the power of a heartfelt gesture, no matter how small. Some ideas are meals brought in during a hectic day, even a $50 gift card to a favorite restaurant or store. Know What Doesn’t Work Consistently, the top three reasons given by dissatisfied employees are: 1) Lack of training 2) No growth opportunity 3) No feedback from supervisors Often, what staff want most is simply positive reinforcement from the dentist they work for. At PNC, we understand that generic financial services aren’t always the right solution for the unique needs of dentists. To learn more about the solutions offered at PNC, please contact Scott Hoag at 616.771.8810 or scott.hoag@pnc.com.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


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The person pictured is an actual PNC customer, who agreed to participate in this advertisement. Moore Smiles Family & Cosmetic Dentistry’s success was due to a number of factors, and PNC is proud of its role in helping the company achieve its goals. All loans are subject to credit approval and may require automatic payment deduction from a PNC Bank Business Checking account. Origination and/or other fees may apply. PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”). BBK-6817 ©2011 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. Member FDIC


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* Malpractice insurance is underwritten by Professional Solutions Insurance Company, 14001 University Ave., Clive, IA 50325. Professional Solutions Insurance Company is rated “A” (Excellent) by A.M. Best for financial strength and operating performance. A.M. Best ratings range from A++ to S. ©2012 PSIC NFL 9191 ALL

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


THANK YOU TO OUR SPONSORS WHO SUPPORTED OUR wmdds continuing education seminars in 2011-2012 PLATINUM SPONSORS

DSG Davis Dental Laboratory

DDS Integration

Represented by Amy Stump, Rick Calkins, & Heather Brooks 5830 Crossroads Commerce Parkway Wyoming, MI 49519 616.261.9191

Greg Feutz, President PO Box 150633 Grand Rapids, MI 49515 616.914.4479

Great Lakes Financial Insurance Company Molly T. Murray 4930 Cascade Road SE Grand Rapids MI 49546 616.301.2599, ext. 3

Henry Schein Dental 265 Leonard Street NW Grand Rapids, MI 49504 616.454.1223

PNC Bank Scott Hoag, Vice President, and Matt Uhl, Vice President, Business Banking PNC Healthcare Business Banking 171 Monroe Avenue NW, Mail Stop: Z2-B700-03-1 Grand Rapids, MI 49503 616.771.8810 scott.hoag@pnc.com | matt.uhl@pnc.com

Gold SPONSOR

SILVER SPONSOR

Hungerford, Aldrin, Nichols & Carter, PC

Aspen Dental

CPAs and Consultants Rick Chrisman, Peggy Murphy, Suyong Hazlett, Sam DeMarco, Lesa Petrucci, Jon Sytsma 2910 Lucerne Drive SE Grand Rapids, MI 49546 616.949.3200

Represented by Lisa Weber, Recruitment Manager 315.350.8795 lweber@aspendental.com www.aspendentaljobs.com

SUPPORTING SPONSOR

MDA Insurance MDA Services 3657 Okemos Road Suite 100 Okemos, MI 48864 517.346.9446


Your practice depends on the individualized service you provide each and every client. So does ours.

Tax Planning and Preparation

IRS Representation

Sales and Use Tax

With extensive hands-on experience in the healthcare industry, our team focuses on the financial and operational challenges you face everyday. We are committed to providing industry-specific expertise relevant to you, without compromising your patient focus.

Accounting Software Installation and Support

Retirement Plan Design and Administration

For more information please visit BeeneGarter.com or contact Brian LaFrenier at (616) 235-5200.

Bookkeeping and Assistance Start-Up Consulting Choice of Entity Analysis Cash Flow Projections

Payroll Processing

Human Resources Succession Planning Business Valuation Estate Planning and Wealth Management

Copyright Š Beene Garter LLP An independent member of Moore Stephens International Limited

Evolving your practice today for a healthier tomorrow.

Overhead Analysis

56 Grandville Avenue sw . Suite 100 Grand Rapids, Michigan 49503 . 616 235 5200

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WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


2012–2013 WMDDS CONTINUING EDUCATION PROGRAMS

OCTOBER 26, 2012

Medicine, Dentistry and Drugs (the cheatsheets lecture) Presented by Dr. Robert Fazio Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

DECEMBER 13, 2012

West Michigan District Dental Society Holiday Dinner and Awards Night Cascade Hills Country Club | Grand Rapids, MI | Business Attire Socialize with friends: 6:30pm | Dinner and Program: 7:30pm WMDDS Award Presentations 2012 MDA & ADA Life Members 2013 Silent Bell Recipients – Dr. Chase Klinesteker and Dr. Thomas Sommerdyke

JANUARY 11, 2013

your fantastic dental team, what makes it work? Presented by Dr. Rhonda Savage Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

MARCH 22, 2013

what good is a dead patient with perfect teeth? Presented by David Meinz Frederik Meijer Gardens & Sculpture Park | 8:00 AM — 4:00 PM | 7 CEU’s For information, call Elaine Fleming at 616.234.5605 or email at efwmdds@aol.com

Watch for the 2012-2013 WMDDS Program Overview to be sent out this summer. Registration forms will be mailed 2 months prior to each course and will also be available online at www.wmdds.org. WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

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TECHNICALLY SPEAKING

Tech Q & A Submitted by Greg Feutz, President, DDS Integration

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

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n 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, and in each Bulletin. Here’s a topic that many of you have questioned. Why are servers so expensive? Besides running my Practice Management, what is it doing? Sure we’ve all received the ads from Dell or Best Buy for a $300 desktop or laptop, so what is it about servers that are so expensive? Let me start by saying this: Don’t buy a $300 desktop or laptop for your office. Or do so and then proceed to pay your tech person a lot of money to upgrade it to a professional version of Windows, buy and install Microsoft Office, buy and add memory, extend the warranty, and uninstall the 50 junk programs it comes loaded with. Or 49 if you consider “My HP Games” a necessary program. Back to part one of the original question. Here is why servers are expensive. All components are built to last. A server is designed to be up and running all the time. More components are built from metal vs. plastic, and they undergo more strenuous testing before making it onto the market. All in all, they can withstand heat, physical abuse, software abuse, and everything else better than a workstation. Everything is faster than your workstations. Consider that your server is processing requests from every computer in your office, often concurrently. Imagine (maybe you don’t

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have to imagine) every one of your staff members demanding your attention at the same time. It takes some serious processing power to handle this. Processors in servers have long been quad core while workstations are mostly still dual core, though quad are becoming more common. Memory in servers is always dual ranked and operates at a much higher frequency than what we usually find in workstations. Hard drives are found in pairs or sets of three in your server, assuming it was set up right. This is so a hard drive failure does not cause any downtime. Additionally, they spin at more than twice the speed of a typical desktop hard drive, which means they can serve up those digital x-rays you’re requesting 100 times a day quickly. They have redundancy. Along with the two or three hard drives, they often come with two or four network cards and two power supplies. Microsoft licensing is more expensive. Windows server software is more robust, more reliable, and requires licensing for every computer that connects to it. If you have 20 computers in your office, you have to pay for 20 client access licenses from Microsoft. The warranty is better. When I call Dell regarding a server, I get pro support, which is much better and much faster. For many of my clients, Dell can have a new part to us in four hours. Part two, what is my server really doing? Let’s talk instead about what your server is probably not doing. Once you consider all it could and should do, the price starts to become more justified. Storing your company documents. It’s great that Dentrix or Eaglesoft or other Practice Management is sitting on your server, but with all that extra storage space and all the money you paid for redundancy, doesn’t it make sense to store everything else there too? Every document your staff creates, whether it is recall letters, birthday cards, referral letters, etc… should be stored on the server. Then there is QuickBooks and Quicken. I don’t know about you, but my QuickBooks company file has a lot of data in it that I don’t want to have to recreate. Mine sits safely on my server where it’s backed up. More often than not, all these documents sit locally on each workstation. If and when that workstation crashes, it’s all gone. Additionally, how much easier would it be if everyWEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


TECHNICALLY SPEAKING

one had access to the same files? So again, the fact that your server has redundant hard drives and is backed up (hopefully) makes it a no brainer to store these files on it. Backing up once a day and continuously. Your server should be equipped with sophisticated backup software that can backup open files (who forgot to close out of Dentrix last night?) and make images or clones of itself. It should also be backing up continuously to an offsite location. If you’re not into sleeping at night, these things are of course completely optional. Managing your antivirus settings throughout the whole office. Your servers’ job is to be the boss in the office. What it says goes. If you have ten or more computers you should absolutely have a business class, centrally-managed antivirus. Otherwise any changes need to be made on each individual workstation. This leaves potential for inconsistency and higher cost as you pay your tech person hourly to change the same setting ten times. Managing your connections within your network and out to the internet. Set up properly, a server is your computers’ communication gateway. Often an $80 cable modem is doing all of this. I’d rather my server, which I paid a lot for, do this important work. Greg’s 2 cents on computer costs in general. Can you get away with spending less and getting budget computers in your office? Technically yes. As long as you meet the minimum requirements specified by your Practice Management System (they all have these requirements) you will be ok. Here is what I would invite you to consider: Each time you have a computer set up in your office, you have to pay your tech person (or invest the time yourself) to configure everything and install all the necessary programs on it. A budget computer is going to last you probably one to two years, whereas the right computer will last you three to five. Now I am all about supporting your local tech person (I know a good one!), but if you are also interested in a lower overall investment, I would argue that it makes sense to get the right computers in place so you don’t have a revolving door of technology. Also, you and your staff will be a lot happier with computers built to do the job you are asking them to do. Whether it’s our computers, our cars, or our teeth, we’re often reminded that we should be taking better care. As a WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

dentist, it makes perfect sense to you why your patients should come see you every six months. Some patients may see this as a device for you to get more of their money, but I’m with you. I think it’s necessary. I personally subscribe to the idea of preventative maintenance in all aspects of life because I don’t have the time to deal with a slow computer, broken down car, or problematic tooth. So which camp are you in? Are you religious with your oil changes? Do you get tech help before it’s an SOS? As you know with your patients, a big part of effectively treating them and keeping their smiles healthy is proper education. An uninformed patient is unlikely to sign up for treatments they don’t see as necessary. This is why you make such an effort to make sure they know and understand the why’s and how’s of regular dental visits. In that spirit, let’s look at the how’s and why’s of computer maintenance. Viruses Why: If you’ve ever had a virus, you know why. They are nasty, they steal information (usually without you knowing), and they are a royal pain. How: Assuming you already have antivirus (that’s not a big assumption right?) it is important to check antivirus logs to see if anything has been detected. If so, was it successfully cleaned or does it require further action? Is one particular computer getting large numbers of viruses? If so, let’s take a look at internet usage. Disk Cleanup Why: You know how when your desk or house or closet gets really cluttered it becomes impossible to find anything? Just as we store paper, shoes, keys, etc… your computer stores documents, pictures, temp files, etc.… Over time these become cluttered, and it takes the computer a lot longer to find the files you are looking for. The end result is a much slower computer. How: Quite simple, really. Windows Disk defragmenter. The more often you run this (once a month is plenty) the less likely your computer is to slow down due to a cluttered hard drive. Windows 7 schedules this automatically, but if you still have XP it needs to be manually run (or manually scheduled if you know what you’re doing).

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TECHNICALLY SPEAKING

Software updates and patches Why: Because there are hackers, malicious coders, identity thefts, and other mean people out there on the internet. Here’s what happens: Microsoft comes out with Windows 7 with increased security so current malicious code cannot infiltrate it. Hackers figure out another way into your system. Microsoft releases an update that blocks this new way into your system. Hackers find another way in. Microsoft patches that way in. Suffice to say, it’s a constant cycle. And it’s more than just Microsoft, too. Hackers can find their way in via Adobe reader (pdfs that we open every day), Adobe flash player (youtube and other videos), and lots of other software that you use on your computer. How: On your personal computer, I would suggest you do updates as soon as they become available. On your office computers, however, I would suggest they be done on a scheduled basis for two reasons. First, it’s important to keep all computers as similar as possible. If Frontdesk1 is on Windows 7 Service Pack1, and Operatory3 has Windows 7 with no Service Pack, it can be very difficult to troubleshoot why Frontdesk1 works differently than Operatory3. The second reason is that with your Practice Management software, there are some updates and patches that can actually cause issues. For example, in Dolphin Management (for you orthos out there) there are Microsoft.Net updates that will kill your ability to open jpg files in Dolphin Document Organizer. If you do your updates on a schedule and have a tech person do them, who knows about these conflicts, you will not have issues. Test your backup Why: Why not? How sure are you that your backup is really running? Sure, the email notifications (you do have this with your backup solution, right?) are telling you that the backup is completing successfully, but isn’t it a good idea to test it once in a while? How: Do an actual test restore of your data to another computer (not your server please). Once restored, see if you can actually open up files and see your data. Get rid of unnecessary startup and background programs Why: Ever shop for a TV and end up with $200 monster cables, a 30 year warranty, and a 30 day trial of DirecTV? Well me neither, but when you buy a TV they try to get you to get all of the add-ons. Next time you go to install Adobe Flash Player pay attention, because if you don’t uncheck certain boxes you are going to also end up with McAfee Security Scan 18

or some other product you don’t want. Guess what? That’s a program that will run all the time, and you don’t need it to. More and more software comes complete with add-ons and things you don’t need. Don’t get me started on iTunes. This add-ons phenomenon is becoming a leading reason for slow computers. How: Under the start menu there is a folder called “startup”. Anything listed in there starts when your computers start. Secondly, using the msconfig utility there are more programs and services that can be turned off. Just make sure you know what they are. Test battery backups Why: Hopefully you have these to better protect your computers, and like any battery they have a limited life cycle. I think we’ve all had a laptop a few years old that lasts 15 seconds on battery. How: Most have a ten-second test that can either be run through the computer’s software or by the button on the battery itself. This will tell you if the battery can at least support the load that’s plugged into it. Check event logs Why: This is where the computer tells us what it’s been doing, and more importantly, what problems it’s having. Most of the time you won’t find anything too serious, but certain errors like ftdisk can indicate a hard drive is on its last leg. How: In computer management, you can look through event logs for System, Applications, Security, and others. If and when you see errors and warnings, google can be a good place to start to see what it means. Take care of your to do list Why: If you have your tech people doing the maintenance, you might as well have them take care of any items that need fixing or upgrading. If they’re like us, they will love to multitask! How: Call your techs (or us) and ask about scheduling a time for maintenance. This is a good time to discuss any problems you are having or any projects you’d like done. What are your thoughts? Are you a maintainer or a “if it ain’t broke yet don’t fix it” type? Comment on our blog or facebook article. We’d love to hear your opinions on Maintenance or any other topic. Facebook: facebook.com/ddsintegration Blog: ddsintegration.com/blog

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


THE GRAND RAPIDS PRESS HEALTH SECTION ARTICLE

Dental X-Rays Important to Detect and Treat Dental Problems Reprinted from The Grand Rapids Press, June 3, 2012

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ince many oral diseases cannot be spotted by just a visual or physical examination x-rays are a valuable preventive tool to help your dentist identify oral health problems early. X-rays provide information about your oral health, such as early-stage cavities, gum disease, infections or some types of tumors. How often dental x-rays should be taken depends on your overall oral health condition, age, risk for disease and any signs of oral disease that might be present. While a recent study suggests that yearly or more frequent x-rays may increase the risk of developing meningioma, the most commonly diagnosed brain tumor, the American Dental Association reiterates its professional opinion that dentists should continue to order x-rays when necessary for proper diagnosis and treatment. It is important to note that this latest “study” relied on patients’ memories of having x-rays taken years earlier. Studies of this type have shown that the ability to accurately recall information is often difficult. Therefore, the results of studies that use this design can be unreliable because they are affected by what scientists call “recall bias.” Further, the study acknowledges that some of the subjects received dental x-rays decades ago when radiation exposure was greater. Radiation rates were higher in the past due to the use of old x-ray technology and slower speed film. The West Michigan Dental Society urges you to continue to see your dentist regularly and to talk with your dentist about the importance of x-rays and what standard safety precautions are used in the dental office. How do dental x-rays work? As x-rays pass through your mouth they are mostly absorbed by teeth and bone because these tissues are thicker than cheeks and gums. When x-rays strike the film or a digital sensor, an image called a radiograph is created. Radiographs allow your dentist to see hidden problems, like tooth decay, infections and signs of gum disease. Patient safety The American Dental Association recommends the use of protective aprons and thyroid collars on all patients. In addition, the ADA recommends that dentists use E or F speed film, the two fastest film speeds available, or a digital x-ray. Patients are encouraged to talk to their dentist if they have questions about their dental treatment. As a science-based WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

organization, the ADA fully supports continuing research that helps dentists deliver high-quality oral health care safely and effectively. The benefits of dental x-rays Since many diseases of the teeth and surrounding tissues cannot be seen when your dentist examines your mouth, an x-ray can help reveal: small areas of decay between the teeth or existing fillings; infections in the bone; gum disease; abscesses or cysts; developmental abnormalities; some types of tumors. Finding and treating dental problems early can save time, money and unnecessary discomfort. Dental x-rays vs. other radiation sources The amount of radiation that we are exposed to from dental x-rays is very small compared to our daily exposure from cosmic radiation and naturally occurring radioactive elements. Radiation exposure is measured in millisieverts (mSv), a unit of measure that allows for some comparison between radiation sources that exposure the entire body (natural background radiation) and those that only expose a portion of the body (dental x-ray). For example, a dental bitewing x-ray yields 0.038 mSv, compared to radiation from outer space yielding 0.510 mSv per year. In addition, the average radiation in the U.S. from natural sources each year is 3.0. Pregnancy and dental x-rays In some cases, a dental x-ray may be needed for dental treatment that can’t wait until after the baby is born. Because untreated dental infections can pose a risk to the fetus, dental treatment may be necessary to maintain the health of the mother and child. The use of a leaded apron minimizes exposure to the abdomen and should be used when any dental radiograph is taken. The use of a leaded thyroid collar is recommended for women of childbearing age, pregnancy women and children. Dental x-ray exams do not need to be delayed if you are trying to become pregnancy or are breast feeding. Talk to your dentist Be sure to talk to your West Michigan District Dental Society Dentist during your next six-month checkup if you have questions about dental x-rays.

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FINANCIAL NEWS

30 Questions to Ask Your CPA Submitted by Richard L. Chrisman, CPA MST Hungerford, Aldrin, Nichols & Carter, PC

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ne of the reasons to own your own practice is that if you make good business decisions, you are positioned to benefit from those decisions. The challenge is determining what a “good” decision is and what a “not-so-good” decision is. One of the secrets to making “good” business decisions is getting advice from those that are knowledgeable. Surround yourself with advisors that are trustworthy, smart, and are sincerely interested in your success. Ask questions and listen. Then make informed decisions. Your CPA is in a unique position. He works with many practices that are similar to yours. He sees what works and what doesn’t work. Your challenge is to use that knowledge to your benefit. If your CPA does not regularly offer ideas and suggestions that benefit your practice, then it’s your responsibility to request that he do so. Even if you pay for this advice, it will be worth it. Following are some questions that you might want to ask your CPA. The answers might surprise you and give you some ideas to improve your practice. 1. When is a good time to refinance the mortgage on my building? 2. Should I structure my business as a corporation, a partnership or a proprietorship? What are the advantages and disadvantages of each? 3. What is an S corporation? What is a limited liability company? 4. What kinds of check-writing controls should I have in place to prevent employees from misusing company funds? 5. How can I protect myself from embezzlement or other unauthorized use of funds? 6. Should I have a buy-sell agreement with my partners/ shareholders? Should the agreement be funded with life insurance? 7. If I buy a building, should I put it in my name, my spouse’s name or my company’s name? What are the advantages and disadvantages of each? 8. How can I establish a succession plan that ensures continuation of my practice when I retire, or if I die or become disabled? 9. How do I know when it’s time to upgrade my computer system? 10. Do I need to take special precautions with my computers to prevent tampering or loss due to accidents or viruses?

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11. Does it make sense to own business equipment personally and lease them to my company? 12. When does an independent contractor become an employee for whom I have to withhold payroll taxes? 13. How can I minimize my estimated tax payments without making myself vulnerable to penalties? 14. For tax purposes, do I have to run my company on a calendar year basis? 15. What are the most common mistakes that companies make in attempting to reduce their tax liabilities? 16. Am I pricing my services correctly? 17. Which indicators of my company’s financial performance should I be tracking on a weekly, monthly, or annual basis? 18. How do my financial ratios and percentages compare with the averages of other practices? 19. How much is my practice worth? Can you help me with a professional valuation? 20. What can I do to maximize the interest income from my business bank accounts? 21. What are five good ways to reduce my operating expenses? 22. Should my practice be on the cash or accrual basis of accounting? 23. How long do I need to keep cancelled checks and paid invoices? Can you give me guidelines for the retention of all major business records? 24. What steps can I take to deal with the rising cost of employee health insurance? 25. Should I establish a 401k plan? Should it be funded entirely by my employees or by a mix of employee and company contributions? 26. Do I need a credit policy? What should it cover and how do I set it up? 27. What is the difference between a “defined contribution” and a “defined benefit” pension plan? Which one is the best for me? 28. How and when should I take deferred compensation? 29. Should I set up a trust to accumulate funds for my children’s education? 30. How much money do I need to set aside to retire?

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


WMDF NEWS

West Michigan Dental Foundation Golf Outing

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iehard golfers contended with inclement weather for this year’s West Michigan Dental Foundation golf outing at Egypt Valley Country Club on June 1, 2012. In spite of the weather, rain and temperatures in the 50’s, those that attended had an enjoyable day. The outing was organized by the West Michigan Dental Foundation’s golf outing committee chaired by Dr. Devin Norman. Also serving on the committee were Dr. Larissa Bishop, Mr. Jim Ditta, Mr. Hal Henkel, Dr. Tim Meade, Dr. Ken Mulder, Dr. Mike Palaszek, Dr. Mark Powell and Dr. Ryan Zolman. Also braving the weather were some very dedicated volunteers. This outing would not have run smoothly without them: GRCC dental assisting students Carol Klein – OMSA Betsy Hall – The Bank of Holland Sara Van Horn, Renee Biggs – OMSA Nicole Baltutat, recent grad, GRCC dental hygiene program Ashley and Sharon from VanderLugt, Mulder, DeVries and Elders Wendy McGinnis and others from Founders Bank Matt Uhl and Scott Hoag from PNC Bank Mike DeSmyter and others from Midwest Capital Advisors This year’s sponsors were a huge part of making the outing a great success. Thank you to the following sponsors:

Birdie Sponsors - $500 Bank of Holland Drs. Caldwell and Christopherson Chase Bank DDS Integration First Companies, Inc. Founders Bank & Trust Grand River Endodontics – Dr. Sarah Lennan Huyser Orthodontics – Dr. David Huyser Dr. Bruce Jackson Dr. Jacob Lueder MDA Insurance MDA Services Midwest Capital Advisors Norman Family Dentistry Dr. Thomas Nykamp Partners in Dental Care, PC PNC Bank Dr. Mark Powell Professional Consulting and Accounting Group, Inc. Vander Lugt, Mulder, DeVries and Elders Major Patron Sponsors - $250 Dental Art Laboratory Doctors Palm, Panek and Billups Dr. Ralp Rader Valleau and Van Deven Pediatric Dentistry

Dinner Sponsor - $2,000 Davis Dental Laboratory

Contest Winners Men’s Scramble (with a score of 60) Kevin Kross, Ray Ribitch, Kurt Van Dyken, Tim Alles

Eagle Sponsors - $1,000 Grand River Endodontics – Dr. Sarah Lennan Grandville Endodontics – Dr. Brian Licari Great Lakes Insurance and Financial Agency Hungerford, Aldrin, Carter & Nichols, PC Henry Schein Dental Meade and Zolman Family Dentistry OMSA of Western Michigan, P.L.C. Oral Surgery Associates Patterson Dental Supply Swan Orthodontics – Dr. Kathryn Swan West Michigan Oral and Maxillofacial Surgery PC

Play Your Own Ball (best of 4 with a score of 68) Kim Jones, Dan White, Gary Mancewicz, Steve Mancewicz

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

Men’s Medalist - Scott Brady Men’s Longest Drive – Tom Winquist Women’s Longest Drive – Karen Pierre Closest to the Pin – #3 – Dan White, #6 – Bill Reminga, #15 – Scott Brady, #17 – Bob Mac Tavish Putting Challenge Winner – Pete Zwier Watch for an announcement in the next issue of the Bulletin on how much was raised at the outing.

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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, 511-F 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. Established Dental Office Space – 2003 Burton SE (between Breton and Plymouth). End unit with 720 sq. ft. and a full basement, on-site parking, adjacent 3 spaces occupied by established dentists. Great traffic counts on Burton in an established residential area. Call Bruce at 942.9492.

for-service, general dental office averaging over $600K/yr with solid net on 3.5 days/wk. Beautiful Lake Michigan resort town. Digital Radiology and laser included. Building with recent remodel also available. Call Phil Stark 888.477.7325 or visit www.peakdental.com

General Dentist Seeking Associate Position in Grand Rapids area – General dentist residing in the Grand Rapids area is seeking an associate position for 1-2 days per week in the Grand Rapids and surrounding area. If you are looking for an associate for your practice, please call 616.975.2870. REF # GR Associate.

Dental Office for Lease – Why spend $250,000 in dental build-out costs? Beautiful dental suite is now available for lease in Class A contemporary three-story brick and glass building located off of East Beltline Avenue in Grand Rapids Township. This ten-year old modern dental office includes 3 private ops, 4 chair open bay area, is plumbed for nitrous, air, water, power, CAT-5, vacuum, wet/dry lab and x-ray. The building is a contemporary 3 level with ample parking, 4 bathrooms, staff lunch area, private doctor’s office with restroom and shower, reception desk for check-in and out, and has a heated storage area if needed. Immediate occupancy. $16.25 per square foot, triple net. Please contact Scott Morgan at Colliers International at 616.292.3455 to schedule your visit.

Office Space for Lease – Up to 6900 S.F. available; will divide. Basement storage available. Newer class A building. Great visibility! Located at 1151 East Paris Ave SE (across from Bonefish Grill). Owner occupied. Call Dr. Sam Bander 616.949.5980 or e-mail drsambander@gmail.com. Visit www.drsambander.com to take a look. Associate Position/Practice for Sale Wanted: General dentist with 13 years experience looking for a place to practice in the Grand Rapids and surrounding east areas. Open to all options. Please email to midds331@yahoo.com. For Sale – Several items from orthodontic office. Siemens 10E Pan/Ceph x-ray, Ritter PA x-ray, treatment chairs and stools. Call 616.538.3545 anytime for more information. Northwest Michigan – Modern fee 22

Current student at the University of Michigan School of Dentistry – graduating May 2011, looking for full-time or part-time position in a private practice as an associate in the Grand Rapids and surrounding areas. Please contact 954.562.1122 or dent@umich.edu. Associate position wanted – Newly graduated dentist from UDM looking for full time position as an associate

of progressive dental practice in Grand Rapids and surrounding areas. Please call 616.617.9725 or email ranaazzo@gmail.com. Dental Office for Lease – Time to move up? Busy northeast area dental suite at 1750 Grand Ridge Ct. NE, 3295 SF, ten-year old modern dental office available. 3 pvt ops, 4 chair bay area, plumbed for nitrous, air, water, power and vacuum, lab, x-ray, staff area, pvt. office, reception, storage available. Former pedo practice obtainable Jan. 1st 2011. Contact Dr. John Monticello 616.364.1700 or info@grandridgeorthodontics.com General Dentist – Looking to purchase a practice along the lakeshore (Grand Haven, Holland, Saugatuck area) or Grand Rapids area. Please contact wmidentist@gmail.com. For Sale – Sirona Cerec 3D Acquisition unit 3.8 updated software, MCXL Milling Machine with wireless interface. Excellent used condition. Less than 100 units milled. Transfer owner with Patterson, includes vita blocks and wall mount block board, $40,000/obo. Other used dental equipment for sale: 2 Royal and 3 Dental Eze chairs, 5 Pelton Crane pole mounted chair lights, 2 Adec and 2 Marus dental units, 1 Biotec unit, 1 Panorex J Morita Versa View, 5 ceiling mount arms and 3 wall mount arms for computer monitors, 1 Porter portable nitrous delivery system, 1 Aribex Nomad Handheld X-ray. Please call for more info, prices, or photos 616.634.0605.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


CLASSIFIED ADS

Dental Office for Lease – with immediate availability. Near the “medical mile” on primary road with high traffic count and super visibility. Has been a dental office for over 40 years. Very good lease terms/rates. Would make awesome start-up or satellite. For more info, email ronaldpr@sbcglobal.net. General Dental Practice in Grand Rapids Area – Established practice with gross receipts in excess of $600,000 with a healthy recall program, paperless office, 6 fully equipped operatories. For additional information please call 616.975.2870 or email practicesales@rehmann.com. For Sale – Panoramic Corporation PC-1000. Works great, but is not making the move to our new office. $1000 OBO. Please email sethvdds@chartermi.net if interested.

ship in the West Michigan area. Please contact for resume: 616.970.5289 or ritzema@umich.edu. For Rent – An upstairs air-conditioned dental office, approximately 1440 square feet in downtown Greenville, Michigan, 40 miles northeast of Grand Rapids. The office consists of 3 operatories, a private office, 2 laboratories, and a reception area. The office building has ample free parking. $800 per month. For Sale – Lab Master Foster Model Trimmer, Model # MT115, like new $600. ESPE Pentamix 2, $100. Contact 616.949.7510.

ADVERTISER INDEX

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! Aspen Dental........................................6 Beene Garter.......................................14 DDS Integration..... outside back cover

Seeking Employment – General dentist with several years of experience seeking part-time employment in the West Michigan and surrounding areas. Proficient in all areas of general dentistry. A team player. Please reply to dentaljobwmi@hotmail.com.

Davis Dental Laboratory................ inside front cover Founders Bank & Trust.......................3 Great Lakes Financial Insurance.........9

Equipment for Sale – Two Belmont Pro II patient chairs, wing back style for sale. Model 037S. Better than good condition. Two casting units for sale and a porcelain oven for sale. Call 616.633.8132.

Henry Schein.............inside back cover

Associate Position Wanted – University of Michigan School of Dentistry May 2012 graduate, and West Michigan native, seeking full/part-time associate-

PNC Bank...........................................11

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012

Hungerford, Aldrin, Nichols & Carter, PC.............................................5 MDA IFG............................................14

Professional Solutions.......................12

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WWMMDDDDSS MEEXME B SE P OBTOL A I GR HD T C EU R TIV

West Michigan Members Honored at 2012 MDA Annual Session

W

est Michigan District Dental Society is proud to have two of its members recognized as MDA award-winners at the MDA House of Delegates meeting on Thursday, April 19, 2012.

Dr. Seth Vruggink was awarded the MDA Matt Uday New Dentist Leadership Award for his long time involvement in organized dentistry, starting back when he was still in dental school serving on the MDA’s Special Committee on Annual Session. He eventually chaired this committee in 2006 and continues to be an actively involved committee member. On the local level, Dr. Vruggink has served on many WMDDS committees and served on the Board going through the chairs, eventually serving as president in 2010-2011. In 2012, he chaired the Western Michigan Steering Committee. As the article in the June 2012 MDA Journal noted, “Anyone who’s met Dr. Seth Vruggink knows he has a quick wit and a keen sense of humor. But behind the jokes stands a devoted dentist and proven leader.” Congratulations to Dr. Scott Hodges and Dr. Seth Vruggink!

MDA President, Dr. Connie Verhagen and Dr. Scott Hodges

Dr. Scott Hodges was awarded the MDA Public Service Award for his long time commitment to volunteering and sharing his knowledge with dental and dental hygiene students. Dr. Hodges’ first mission trip to Guyana in 2001 has turned into a yearly event. Dr. Hodges recruits other dentists, dental assistants, and dental hygiene students to be part of the Guyana experience. He was also instrumental in organizing and implementing Project Homeless Connect in Grand Rapids back in 2009. This one-day event helped many homeless individuals in Grand Rapids receive dental care. An article in the June 2012 MDA Journal notes, “His (Dr. Hodges’) charisma, faith and good works have been an inspiration for all who come in contact with him or have had the honor to serve on a mission with him.”

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Dr. Seth Vruggink, MDA Matt Uday New Dentist Leadership Award recipient.

WEST MICHIGAN DISTRICT DENTAL SOCIETY | SUMMER ISSUE 2012


WEST MICHIGAN DENTAL SOCIETY 511-F Waters Building Grand Rapids, MI 49503

PRSRT STD US POSTAGE PAID GRAND RAPIDS, MI PERMIT # 657


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