issu
WSDA 5 201 ber cem · de e2
The voice of the Washington State Dental Association
news
DENTISTS OF THE FUTURE: THE UNIVERSITY OF WASHINGTON REACHES HIGHER WITH NEW AND EXPANDED PROGRAMS th e wsda ne w s · issue 2, december · 2016 · www.wsda.org · 1
PREMIER BUILDERS DENTAL FACILITIES
Constantine Builders has built its business foundation on the ability to establish relationships based on trust, dependability, quality craftsmanship and integrity. We always put the client’s needs first with the firm belief that the best source for future business is satisfied clients.
C O N S TA N T I N E B U I L D E R S . C O M 2 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org
Thanks to Adrian Olson who took time out of her busy schedule (and her lunch break!) to represent UWSoD
WSDA news Cover story by Rob Bahnsen Cover story images by Craig Mitchelldyer Parrish art by Lindsay Lush Special thanks to Steve Steinberg of the UWSoD for his assistance with the cover story
3 editorial
4
28-29
6-9
guest editorial legislative preview/fundraisers
issue 2 · december 2015 mentor reception
32 newsflash
10-11 membership
34-35
12-13
37
wohf news
38-39
pndc news
15
endorsed company news practice for sale/job fair news
216-22
cover story
union gospel mission
43, 44, 45, 47
classifieds
23
in memoriam
46
continuing education
25
wdia news
50
parrish or perish
26-27
seattle-king county clinic
Like us on Facebook: facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Bryan C. Edgar, President Dr. Bernard J. Larson, President-elect Dr. D. Michael Buehler, Secretary-Treasurer Dr. Gregory Y. Ogata, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Gary E. Heyamoto Dr. Eric J. Kvinsland
Dr. Dr. Dr. Dr. Dr.
Randall H. Ogata Cynthia R. Pauley James W. Reid Ashley L. Ulmer Amy M. Winston
WSDA Staff: Executive Director Bracken Killpack Senior Vice President/ Assistant Executive Director Amanda Tran
Vice President of Government Affairs Anne Burkland
Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org
Art Director/Managing Editor Robert Bahnsen
In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.
Manager of Continuing Education and Speaker Ser vices Craig Mathews Government Affairs Coordinator Michael Walsh
Vice President/Chief Financial Officer Peter Aaron
Public Policy Coordinator Emily Lovell
General Counsel Alan Wicks
Membership Ser vices Coordinator Rachel Gunderson
Vice President of Operations Brenda Berlin
Membership and Communications Coordinator Emma Brown
Vice President of Communications Kainoa Trotter
Bookkeeper Joline Hartman
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The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2015 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibilit y of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835 Member Publication American Association of Dental Editors. Winner: 2015: Platinum Pencil Award Honorable Mention, 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversity and Inclusion, 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists
table of contents issue 2, december 2015
a day in the life
editorial dr. mar y jennings
Let’s talk about governance
Dr. Mary Jennings Editor, WSDA News
“Governance is the establishment, implementation and continuous monitoring of policies by members of the governing body of an organization. There is accountability in the process. The ultimate goal is enhancing the prosperity and viability of the organization and the people the organization serves.”
Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address: mjenningsdds@gmail.com. The views expressed in Dr. Jennings’ editorials are hers, and do not necessarily reflect the opinion or official policy of the WSDA.
Running an organization of more than 4,100 doctors is… challenging. Everyone has an opinion and rightly so. You are a member, you have earned the right to be here and voice that opinion. Differences of opinion are inherent in any organization. Trust me, I have been through enough ADA House of Delegates debates to personally testify to this. Disagreement is not necessarily a bad thing. Times, situations, and expectations change. Our board of directors (BOD) and staff are listening and have been working hard to be more responsive and transparent in their deliberations. Sitting on our board is hard work. We have so many programs going and a moveable feast of issues that pop up unexpectedly. We have had a rough legislative climate for years. Combine all that with a tough economy and a change of executive directors and you see how difficult it is. It is hard to get things just right for everyone. Your leadership knows it owes you just that, to get it right. To that end, your BOD has implemented several reforms and recommended governance changes to the House of Delegates (HOD) this year. Governance is the establishment, implementation and continuous monitoring of policies by members of the governing body of an organization. There is accountability in the process. The ultimate goal is enhancing the prosperity and viability of the people the organization serves. As you recall, the WSDA operates at the will of our HOD. The HOD sets policy. The BOD interprets policy through its work and that of committees and task forces. The executive director (ED) implements policy. Our stellar staff makes it so. In June, the BOD adopted several reforms including the creation of a new “governance section” on The Source, WSDA’s members-only website. This section of the website is now live and includes minutes from BOD and HOD meetings, quarterly financial statements on WSDA and all of its subsidiaries, and our most current tax returns (wsdasource.org/membership/governance/). Previously, much of this information was available upon request or if you were a member of the BOD or HOD. In September, our House worked through several resolutions from the BOD and the Thurston Mason Counties Dental Society (TMCDS) and adopted the following governance resolutions. The full text is available here: http://tinyurl.com/ngqgnpo. Here is my take on these resolutions. The BOD submitted adopted resolution HD-12-2015 which concerns the creation of a formal executive director compensation committee. The ED conducts the affairs of the Association and implements policy determined by the HOD and BOD. Approving this resolution adds the following rules into the bylaws and our standing rules: oversight of the ED by the board is detailed, and the method of determining the ED’s compensation package is explained (compensation will be determined by an ED Compensation Committee which reports to the full BOD). It is based on performance, compensation comparison data from external organizations, and any other means deemed important. Details of the ED’s compensation will be reported to the HOD as a standing rule. The ED’s compensation will also be called out in a separate line from other staff in financial reports shared with general membership. Heretofore, details of the ED’s compensation were not separated from staff salaries outside of WSDA’s Form 990 tax document. ED Killpack believes releasing this information is an important step in providing transparency to our members. I find that laudable. HD-14-2015 (submitted by the BOD) provides an external consultant to review the governance, strategic planning processes, and risk management of the Association. The BOD will select the consultant. The consultant will report results and recommendations to the HOD, BOD and Committee on Budget and Finance no later than May 2016. Socrates said a wise man knows what he does not know. The result of this resolution will show us what we are doing right and what we can do better. HD-18-2015 (submitted by TMCDS) states that we will develop and implement an antinepotism policy when hiring new employees. It will be approved by the BOD and reported to the 2016 HOD. editorial, continued on page 41
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WSDA member dentists are licensed professionals committed to providing high-quality dental care to everyone. Washington State law ensures decisions about a patient’s dental care remain between the patients and their dentists. Long standing state and federal law protects this relationship and recognizes the importance of this commitment by requiring strict education standards and quality-of-care requirements. We are proud of our standards for patient care in Washington and are committed to protecting them. In 2015, the Association of Dental Support Organizations (ADSO) introduced House Bill 1514. The bill would have redefined the definition of dentistry in our state and opened the way to nondentist ownership of a dental practice. The legislation was vigorously opposed by the WSDA. Thanks to the hard work of our grassroots dentists, legislative allies, and government affairs team, the bill ultimately died. More than 1,000 dentists emailed the members of the House Health Care Committee, asking that they oppose the legislation. WSDA members testified at the bill hearing and hundreds more met with their legislators to discuss the problems associated with nondentist ownership of a dental practice during Dental Action Day. While our shared advocacy on behalf of quality patient care was successful, leading to the defeat of House Bill 1514, it was a challenging legislative session. WSDA recognizes the importance of services that free a dentist’s time in order to focus on care for his or her patients. To better prepare for the upcoming 2016 session, the WSDA board of directors made the decision to draft legislation that acknowledges the current role of DSOs in the marketplace and places parameters around these agreements in order to protect patient safety. These parameters are based on established state and federal law, mainly the Anti-Kickback Statute, the Uniform Disciplinary Act, and the Anti-Rebating Statute.
Our proposed bill ensures that: • Licensed dentists and their patients will make treatment decisions regarding the services required that put the best interests of patients first • Dentists continue to have choices about what outside businesses they want to use to provide clerical services • Agreements with outside companies are consistent with the fair market value for services provided and are devoid of direct or indirect payments for patient referrals or dental business generated between outside companies and dentists. Advocates for changing Washington State’s laws in order to allow the corporate practice of dentistry are again proposing legislation that focuses on the clinical practice of dentistry. We are meeting and working to see if we can find a path forward that meets the goals of our respective memberships. But it’s important to note that WSDA continues to oppose any efforts to take the focus off of quality patient care by redefining dentistry and changing our state’s long-standing commitment to dentist ownership of a dental practice. Our shared work in our cities, counties, and our state capitol would not be possible without the commitment of WSDA member dentists to advocate on behalf of quality patient care. By pro-actively offering a solution this legislative session that acknowledges the role of DSOs while ensuring that profit-motives do not displace a dentist’s ability to best address a patient’s needs, we hope to continue to uphold our state’s standards. Thank you for your work in the community. We look forward to updating you as the 2016 legislative session unfolds.
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Dr. Bryan Edgar WSDA President
“It’s important to note that WSDA continues to oppose any efforts to take the focus off of quality patient care by redefining dentistry and changing our state’s long-standing commitment to dentist ownership of a dental practice.”
guest editorial dr. br yan edgar
Ensuring Washington’s standard of patient care
legislative news 2016 legislative preview
2016 LEGISLATIVE PREVIEW The 2016 legislative session will commence on Jan. 11, 2016 and is scheduled to last only 60 days. Given that the last legislative session was the longest in state history and that many lawmakers will be running for re-election this summer, legislators are anxious to return home on time. Moreover, many complicated policy issues remain or have developed over the interim that will demand the attention of lawmakers. These issues include the Supreme Court sanctioning the state for not adequately funding basic education (this refers to what is called the McCleary Decision), and another Supreme Court ruling threatening charter schools in Washington. Given that the Legislature will face many competing priorities in a very short amount of time, WSDA’s Committee on Government Affairs determined it was best to narrow the WSDA’s 2016 legislative agenda. A smaller legislative agenda during a short session better positions WSDA for legislative success. In 2016, WSDA will be pursuing three legislative priorities: protecting patient safety and maintaining ownership of dental practices; expanding dental residencies; and defending against midlevel providers.
Protecting patient safety, maintaining dentist ownership of dental practices
State and federal law ensures decisions about a patient’s dental care remain between the patients and their dentist, helping to ensure patient safety. Legislation introduced last session by the Association of Dental Support Organizations (ADSO) would have fundamentally changed the definition of dentistry in Washington and opened the door to nondentist ownership and control of a dental practice. This legislation was not passed by the Legislature, but it was a very difficult debate. To better position itself in 2016, WSDA drafted its own legisla-
tion that acknowledges the role of DSOs in the marketplace, but places parameters around these agreements in order to protect patient safety. As Dr. Bryan Edgar laid out in his column on page 5, the proposed legislation ensures: • Licensed dentists and their patients will make decisions regarding the services required for quality dental care that puts the best interests of patients first • Dentists continue to have choices regarding what outside businesses they contract with for clerical services • Agreements with outside companies are consistent with fair market value for the services provided and are devoid of direct or indirect payments for patient referrals or business generated between outside companies and dentists The ADSO also drafted new legislation for 2016 that again seeks to redefine our state’s definition of dentistry. We remain opposed to any changes in Washington’s definition of dentistry that could result in nondentist ownership of a dental practice.
Expanding dental residencies
Dental residencies are a powerful tool for bringing care to traditionally underserved communities – at no ongoing cost to the state. They are fully funded by Medicare’s Graduate Medical Education program. In 2016, WSDA will work to expand dental residencies in our state with both a policy proposal and a construction budget request. The greatest barrier to expanding residencies is building the facility itself. That’s why we’re requesting the state provide $800,000
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Defending against midlevel providers
The 2016 legislative session is the second year of the biennium. This means that all bills introduced in 2015 remain active in 2016, and we will again face five midlevel provider bills. Two of these bills resemble the traditional model WSDA has opposed for the past six years, while the other three bills sanction the use of midlevel providers on tribal land. Tribes are sovereign nations and are able to determine how healthcare is delivered to their members. The bills being considered by the Legislature would allow for work provided by midlevel providers to be reimbursed by Medicaid. We remain opposed to the creation and sanctioning of midlevel providers. WSDA remains committed to having a dialogue with tribes across our state about their barriers to care, so that solutions to improve the oral health of tribal members can be identified. However, we remain opposed to threatening the quality of care that a patient receives. The bills before the Legislature would create a
system in Washington where patients in tribal communities would receive dental care from providers with a fraction of the education and experience of a licensed dentist or hygienist, while patients in every other community in our state would have access to healthcare professionals with more training.
Other legislative issues
While WSDA’s legislative priorities are shorter than last year’s, we continue to work on issues important to our membership in arenas outside of the Legislature. Last session, WSDA introduced House Bill 1712 ,which sought to reform the current Medicaid audit process in our state. This legislation was met with opposition from the Washington State Health Care Authority (HCA) because it placed a significant burden on HCA, rather than focusing on the contract auditors performing the audits. During the interim, WSDA has had productive conversations with HCA staff, and we are working together to address our members’ concerns with the manner in which Medicaid audits are being conducted. WSDA is confident that several necessary Medicaid audit reforms can be accomplished outside the Legislature.
Dental Action Day
The 2016 legislative session could fundamentally change the delivery of oral health care in Washington. That’s why it’s important that practitioners get involved. Your voice is vital as state legislators weigh the decisions before them. Please join us at Dental Action Day on Jan. 29, 2016. You can register at http://tinyurl.com/DAD-2016. As the session begins and the legislative debates kick off, you can stay up-to-date by following WSDA’s blog at wsda.org/blog. If you have any questions, contact Anne Burkland, WSDA’s VP of Government Affairs, at anne@wsda.org.
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legislative news 2016 legislative preview
to round out private funding that will create a residency program at St. Peter Medical Center in Olympia. This new program is expected to serve an additional 10,000 patient visits annually. Secondly, as adopted in HD-16-2015, we will introduce legislation that allows all graduates of GPR and AEGD residency programs in Washington to be eligible for licensure in lieu of the regional board exams. Currently, this is only an option for graduates of residency programs located in Health Professional Shortage Areas, which excludes King County, or community health centers. WSDA’s proposed legislation will remove the current location restrictions, encouraging more graduates to seek residency opportunities while attracting the most qualified candidates from across the nation.
fundraisers richard debolt REP. RICHARD DEBOLT
FUNDRAISER A big thank you to all of the dentists who contributed to and attended the Nov. 12 fundraiser for Rep. Richard DeBolt. If you were unable to attend the event but would like to show your support for one of organized dentistry’s strongest supporters, you can still contribute to DeBolt’s campaign online at www.richarddebolt.com/contributions.html. In order to maintain a strong presence in Olympia, it is vital that we continue to support candidates who understand the needs of our members and of organized dentistry as a whole. We encourage our members to get involved in the process to see firsthand how WSDA’s grassroots advocacy efforts are working to strengthen the voice of your profession in the Legislature. Make sure to keep an eye out for updates regarding 2016 fundraisers.
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fundraisers teri hickel
TERI HICKEL FUNDRAISER On Oct. 8, 30 dentists attended a fundraiser at the home of WSDA president Dr. Bryan Edgar and his wife, Dr. Linda Edgar, to support Teri Hickel in her run for the Washington State House of Representatives. Hickel was in a tough race in the 30th Legislative District, but she won with 54 percent of the vote — in a swing district! Hickel is in synch with the WSDA on issues related to dentistry and understands the pressures of running a small business. The WSDA looks forward to working with her in the coming session. Thank you to everyone who made this fundraiser a success.
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membership news the benefits of membership
THE BENEFITS OF MEMBERSHIP
From advocacy and education to insurance products and outreach, the Washington State Dental Association and its partners work in concert to create a membership experience like no other. We know the business of dentistry intimately — we know what dentists need to run their practices effectively, how to forestall or create change with lawmakers in the Legislature, the type of insurance products dentists need at every stage of their career, and are working to create avenues for dentists to help in their communities when they want to give back. We are your Association.
Washington State Dental Association · wsda.org • Advocacy: WSDA advocates on your behalf before the State Legislature. We work to ensure the equity of your practice stays with you, not out-of-state corporate shareholders. We advocate for high-quality care delivered by dentists, and we protect against tax increases that will negatively affect dental practices. • Regulatory & Legal Compliance: WSDA actively monitors and updates members on regulatory changes. WSDA staff is available to answer member questions to ensure dentists are in compliance with state laws. • Peer Review: This works to resolve disagreements through doctor/patient mediation in the hope of resolving the dispute before a formal complaint is filed with the state. • The Source (wsdasource.org): Created exclusively for our members, The Source is a resource center containing information, services, member discounts, tools, and webinars, all geared towards helping our members succeed during every stage of their career. • Legal Consulting: WSDA employs legal counsel who offers free advice and assistance to members regarding issues pertaining to dentistry. • WSDA Academy: Created by new dentists, for new dentists, the WSDA Academy offers free CE courses for WSDA members zero to 10 years out of dental school or their graduate/ specialty program. • Discounted Interest Rates: Members can receive a 0.125% rate discount when they refinance their student loan debt with SoFi.
Washington State Dental Association wsda.org (206) 448-1914 Serving 4,000 dentists across the state, the WSDA advocates on behalf of its members on all issues related to the dental profession.
Washington Dentists' Insurance Agency wdiains.com (206) 441-6824 A wholly-owned subsidiary of the WSDA. WDIA is a fullservice insurance brokerage devoted to the needs of dentists.
Washington Dentists' Insurance Agency · wdiains.com • WDIA, wholly owned by the WSDA, is the only insurance agency that is specifically geared to meet the needs of Washington dentists, their families, and their staff. • As a member benefit, WDIA staff will simplify the process of selecting the right insurance for you at a reasonable price. • All revenue WDIA earns over operating costs goes back to the WSDA to help serve the dental community.
• Annual License Renewal Reminder: Forgetting to renew your dental license could cost you up to $10,000, based on the loss of one week of insurance revenue. The WSDA sends a renewal reminder a month before your birthday via email.
• Contact WDIA for quotes and insurance information or to meet with us to discuss your insurance needs.
• Find-a-Dentist: Promote yourself and your practice to potential patients via the ADA’s award-winning consumer site, mouthhealthy.org.
• NORDIC Professional Liability and Business Owners Policies • Medical • Disability (10 percent discount for members) • Term Life • Surety Bonds • CyberSecurity • Long Term Care • Travel Insurance
• Job Fair and Practice for Sale Events: In addition to the WSDA’s large classified section, the association holds two annual events that pair members looking for employment or to purchase a practice with members looking to hire or sell. The Practice for Sale event will be held on Feb. 20, 2016. The Job Fair will take place on March 5, 2016.
WDIA offers many insurance products, including:
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WDIA: For your insurance needs
Pacific Northwest Dental Conference · wsda.org/pndc • Offering some of our nation’s finest continuing education, the PNDC accounts for nearly 40 percent of the WSDA’s revenue • The conference is expanded to three days in 2016! June 16, 17, 18 in Bellevue, WA • WSDA members receive exclusive pricing. A full conference badge ($250) allows you to earn up to 23.5 CE hours. Attend as many lectures as you want and visit the exhibit hall at no extra cost. The nonmember price is $1,835. • Pankey Institute lectures • Live patient demonstration stage • New dentist reception on Friday evening • No charge for dental residents • Conference badge discount for new dentists (zero to 5 years out of school) • Thursday evening courses available • Free exhibit hall reception on Thursday evening with complimentary drinks and appetizers
The PNDC: An amazing value!
WOHF: Educating children
Washington Oral Health Foundation · wohf.org • Many of our members are distinguished leaders in their communities who want to give back to those who need it most. As a WSDA member, you'll have assistance from the Washington Oral Health Foundation to pursue your unique philanthropic endeavors. • Any WSDA member hosting a Medical Teams International dental van in his/her city is eligible to receive a matching grant from the Foundation. • Want to do an oral health presentation at a school in your area? As a WSDA member you have year-round access to the Foundation’s education resources at no cost. This includes educational videos, hygiene kits, interactive displays, teaching guides, and props. • The Outreach program assists low-income elderly and disabled people, connecting potential patients with WSDA members. • The Adopt-a-School program provides members with the opportunity to adopt schools in their neighborhood and work with children experiencing emergent dental needs. • The Foundation’s partnership with the Washington Boys & Girls Club gives members opportunities to connect with community centers in their neighborhood.
• New dentist reception on Friday evening with complimentary drinks and appetizers Pacific Northwest Dental Conference wsda.org/pndc (206) 448-1914 The Pacific Northwest Dental Conference offers three days of continuing education for dentists and their staff every year in June.
Washington Oral Health Foundation wohf.org (206) 448-1914 The Foundation's mission includes helping provide educational materials to children across the state and outreach to the underserved.
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membership news the benefits of membership
WSDA: Your Association!
endorsed companies dental group, llc
FINANCIAL GOAL TENDERS: WSDA ENDORSES DENTAL GROUP, LLC
Left to right: Rich Seims, Sam Martin, Maggie Boyle, Jennifer Paine
Recently we sat down with three principals of the Dental Group, LLC to get the inside scoop about the organization’s beginnings, the services they offer, and the exclusive discounts they’re offering to WSDA Members. Sam Martin and Maggie Boyle are co-owners and client advisors at the firm, and Jennifer Paine is a project manager for practice transitions and new client services.
working with dentists would be more fulfilling than working with physicians. Even then, the majority of dentists were operating as solo owners. They weren’t in the giant groups we were seeing in medicine, so we thought we’d have more impact. We knew we’d be able to dovetail the cash flow of the practice with the needs of the personal financial plan much more effectively for our dental clients.”
The company’s foundation
Growing the business
Martin founded the company 25 years ago after working for a decade with another firm that served both physicians and dentists. He decided to focus on providing accounting services for the dental profession for a variety of reasons. He knew that as a tax provider or accountant he could easily service a wide variety of clients, but as an advisor, he felt he and his team could be far more effective if they focused on just one profession. “You can’t be a good advisor to a wide range of businesses from the standpoint of helping them become profitable and managing their overhead effectively.” said Martin, “We chose to focus on dentistry because we thought the work would be more interesting, and because we thought that
What started as a three-person shop in 1990 grew to five people in 1995. Today they have a staff of 16 people. Their original offering was proactive tax planning, which seemed to be the single biggest need of the dentists they encountered. “No one got in the door without agreeing to a semi-annual tax assessment as part of what we were doing,” he explained, “That allowed us to keep them out of trouble, and it allowed us to have a conversation about how we could help to improve that tax picture through proactive planning.” By the mid-90s the group added two additional services. “We started working with buyers of practices.” says Boyle, “Sellers had brokers, but buyers didn’t really have anyone out there advocating
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Adding implementation
“In 2000, we realized that the financial planning piece was helpful, but without an implementation piece, it wasn’t as valuable as it could be,” explained Martin. At the time, they weren’t sure the Dental Group could be the solution, so they started looking for someone to partner with — but brokerage houses really didn’t provide a sane process for investment. “We began searching for the right fit, but it wasn’t easy to find someone who embraced modern portfolio theory: asset allocation, smart diversification, tax efficiencies, and so forth,” Boyle explained. Ultimately, they were directed to a St. Louis firm, Buckingham Asset Management, who shared their same, systematic approach to long-term investment. BAM had the right providers of low cost tax efficient mutual funds based on asset class descriptions so that Martin, et al could put together a sane and efficient portfolio allocation. Additionally, they operated on the theory that CPA firms were the best ones to provide the service because investing wasn’t a “smoke and mirrors,” crazy secret world of buying and selling, but rather was the next logical part of the financial planning process. To that end, BAM started a firm to help CPA’s offer investment management, and Dental Group, LLC has been with them ever since. “It is a fantastic relationship,” said Martin, “we’re allowed to be a local boutique firm that focuses squarely on dentists and their families, and they get to work with an owner or principal of the firm, not an employee. At the same time, we’re supported by Buckingham, which has tremendous resources including software for monitoring and top-notch intellectual capital in the form of experts in many areas. We have the advantage of having access to the kinds of expertise that only a large firm can provide. We are proud members of the BAM Alliance working with 150 or so like-minded firms across the country and we are recently founding members of the BAM Dental Alliance a group of like-minded firms that serve dental professionals and their families.
Why Dental Group LLC?
With so many CPA/Asset Management companies dotting the landscape, why should you choose Dental Group, LLC? First of all, WSDA has vetted their accounting services fully — so you don’t have to. Like many of our other endorsed companies, they work exclusively with dentists, so they understand the business, and that the practice is the driver of the cash flow that will fund their long-term plans. Secondly, Martin explained, “We take a planning first approach, and there’s not a lot of that out there. Wall Street talks about it, but they rarely deliver it. We develop a comprehensive plan that includes investment strategy, but the other critical pieces are a part of it as well.” Those other pieces include estate planning, insurance review, and a tax review both inside and outside the investment portfolio. Boyle continued, saying, “We’re deliberate in the planning process and do everything in writing. It can be amazing for someone who has never had a written plan to participate in creating one, setting up a monitoring plan, and determining how often we’ll get together to review the plan. It turns a lot of people into much better savers.” Most CPAs don’t help with financial planning and financial planners who aren’t well versed in the dental niche won’t be much help on the income side of things. The team at Dental Group, LLC looks at what the practice provides in cash flow, then examines taxes, debt service, lifestyle, and any goals they’ve quantified. Then they look to see if those numbers match, and they rarely do. Options to reach those goals can include spending less, working more, putting less or more into retirement. “We can also say ‘We need another $1,000 a month to fund this plan, and in order to do that we can tell you how much you’ll need to increase productivity at the office.’ If I give you a goal like that, I’ll bet you can make it happen.” said Martin, “And while you might think of the tax piece as a CPA thing, it’s really about financial planning because we’ll optimize your after-tax outcome.” Additionally, they offer exclusive discounts to WSDA members.
They’ve developed an Associate Package on the financial planning side for a dentist who does not own a practice. They normally charge $2,750 for a full plan for a dentist with a practice, but they’ve reduced that to $1,750 for a dentist without one ($1,500 for WSDA Members). “Truthfully, we don’t know that we’ll have a lot of takers,” said Martin, “so we’re also offering free, one-hour complimentary meetings where we counsel about debt management, tax help, estate questions and insurance — and then refer them to the right people.” For insurance needs, Martin and Boyle refer to Matt French and Kerri Seims of WDIA, of course. Boyle added, “Most of the younger people we talk to aren’t ready to do a retirement projection because they don’t know what their lifestyle will be – it’s more important to focus on the next three to five years because many times the goal is to buy a practice, but they need to determine what to do in order to accomplish that. I think we give them a great value for $1,500, but I suspect we’ll do more of the free consultations. We’re happy to talk with any WSDA members — and sometimes we’re not the best fit, or they just need some direction and resources and that will take them through the next year or two.”
The team
“Jennifer Paine is one of a number of important people here,” explained Martin, “Every call or contact we get here goes through her. She’s very skilled and understands what we do, what our story is, and she’ll spend time on the phone ferreting out what an inquiring dentist needs and wants so that she can get them to the right person on the team. She stays with them through the onboarding process until they are fully integrated with the team. She’s a key person in the process.” Boyle has spent a lot of her time developing the CPA side of the business. “I have a lot of CPA clients, but each one of them is also tended to by a CPA account manager, who is an accomplished person with a number of years of dental experience.” Boyle also specializes in partnership projects and issues. She’s an excellent consultant about the process of bringing a partner in or buying one out and the logistics of combining groups; but she’s equally well-versed in general business planning. Martin performs many of the same duties as Boyle but part-time, which allows him the time to devote to wealth-management and transition business.
Other key players
“Nate Ricks is our senior wealth advisor,” said Paine, “he does financial planning, investment and wealth management. Rich Seims, who is well known to many WSDA members, is our lead transition advisor. He does what I describe as the “people part” of the work, meeting with sellers and buyers, helping them set up a tour of the office, working to build a team of lenders, insurance brokers, and the other people central to a practice purchase when they don’t already have a team in place, which they often don’t.” Seims is out in the field, while Martin & Boyle’s team crunches numbers and prepares practice opportunity portfolios. “For 20 years we were working with buyers,” explained Martin, “and from time to time a seller would drop into our lap. So for the better part of 18 years we had a part-time practice transition offering, but it was more based on referrals. When Rich came available I was excited to have him come to work for us. He’s helped us to become a full service transitions company.”
Contact the team today!
Martin and Boyle are quick to recognize that not all of their clients will utilize all of their services, although they’d certainly like them to. “We feel that if we’re handling your practice work and your personal financial planning we can offer you a better value, but we have quite a number of clients who have come to us for one service or another,” said Boyle, “and we make sure that we tie in with the other members of their team. Whether you opt for the complimentary 60-minute consultation or the full plan, Martin, Boyle and their team are ready to make your financial goals a reality, so contact them today!
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endorsed companies dental group, llc
on their behalf in the evaluation and buying process. We did that as people were referred to us by attorneys and others in dentistry.”
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Visit your saving center today! wsda.savingcenter.net
ONLINE MEMBERSHIP RENEWAL It’s the fastest, easiest way to renew • Pay your 2016 dues online at www.wsdasource.org by January 1 • It’s your choice: pay all at once, or with our convenient 12-month plan • Have you retired, or do you plan to retire by March 31, 2016? Contact Rachal Gunderson at (206) 973-5210 or email her at rachal@wsda.org • Waivers are available for both disability and financial hardship. Contact Rachal Gunderson at (206) 973-5210 or email her at rachal@wsda.org • Active life members making less than half of their total income from dentistry are eligible for reduced dues • Mailed and faxed renewals must be received by December 21 in order to be processed by January 1
QUESTIONS? Contact Rachal Gunderson at (206) 973-5210 or email her at rachal@wsda.org 1 4 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org
We are always looking for ways to help you succeed, which is why we are excited to announce one of our recently added member benefits — a new and improved partnership with Office Depot. You can now save money on the items you need to successfully run your business, and in turn pass those savings on to your patients. Here are just a few of the benefits you can receive by shopping at Office Depot: • Up to 80% off on select office products most preferred by members, and over 93,000 additional products discounted 5-15% below retail value • Savings on copy and print services: 2.5¢ black & white copies and 22¢ color copies • Reusable in-store savings cards for yourself, your family and your staff
Member-only events The WSDA is invested in advancing our members’ careers and businesses, as well as providing networking opportunities that give dentists the chance to make professional connections within our state. With this goal in mind, we are hosting two extremely popular, free members-only events in 2016: the WSDA Practice for Sale Event and the Job Fair. Please note that space is limited for these popular events, so RSVP as soon as possible!
Practice for Sale Event This event will bring together members interested in selling a practice and members interested in purchasing, in a “speed dating” atmosphere. Prospective buyers can sign up for 12-minute appointments with sellers to make connections and explore potential sales.
Event Details:
Saturday, Feb. 20, 2016 9:00 a.m. to 1:00 p.m. Doors open at 8:00 a.m. for appointment sign-ups WSDA Office 126 NW Canal St., Seattle, WA 98107 We are looking for buyers and sellers for this event, and encourage members hoping to buy or sell in any part of the state to sign up. Learn more or RSVP at wsdasource.org/events/practiceforsale
• Free next-day delivery on online orders of $50 or more • Access to Coupon Central, where you can find hundreds of coupons online all in one place Take advantage of our newest benefit today by registering for FREE at wsda.savingcenter.net. If you’re already using the WSDA Office Depot savings program, continue to use your existing login for online orders and your new discounts will automatically be applied.
Job Fair, Sponsored by The Dental Group, LLC This event will bring members interested in hiring an associate together with members seeking a job, in a “speed dating” atmosphere. Prospective employees can sign up for 12-minute interviews with hiring dentists to discuss available employment opportunities. Dentists interested in hiring an associate, as well as those interested in hiring an associate with the potential for future buy-in will be represented.
Event Details:
Saturday, March 5, 2016 9:00 a.m. to 1:00 p.m. Doors open at 8:00 a.m. for appointment sign-ups WSDA Office 126 NW Canal St., Seattle, WA 98107 We are looking for hiring dentists and dentists seeking employment for this event, and encourage members hoping to provide job opportunities or seek employment in any part of the state to sign up. Learn more or RSVP at wsdasource.org/events/jobfair
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membership news practice for sale/job fair
Welcome Back Office Depot
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Photo: Steve Steinberg
cover stor y dentists of the future Dr. Travis Nelson works with a patient in the Center for Pediatric Dentistry’s Autism Clinic
THE UNIVERSITY OF WASHINGTON REACHES HIGHER WITH NEW AND EXPANDED PROGRAMS
Dean Joel Berg
Dr. Mary Smith
Heather Marks
Sohaib Soliman
Adrian Olson
Dr. John Sorensen
Dr. Frank Roberts
Any one of the changes happening at the University of Washington School of Dentistry over the past five years would be significant in its own right — the installation of a new dean, the complete overhaul of the curriculum and the clinic, the proposed expansion of the RIDE program in Spokane, and the opening of the state-of-the-art Center for Pediatric Dentistry. But to pack so many events into such a short time is spectacular for the school. Curmudgeons like Jeff Parrish take note: You may not have much to grouse about going forward. Now, not everything is perfect….yet. And we’re not even sure what parts of the RIDE expansion the Legislature will sign off on, but there is much to celebrate at the UWSoD these days. We met and talked with key players to get their take on the excitement. Adrian Olson, third year dental student
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DENTISTS OF THE FUTURE:
photo by Craig Mitchelldyer
cover stor y dentists of the future Dr. Yen Wei Chen demonstrates state-of-the-art equipment to Adrian Olson
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The Center for Pediatric Dentistry
When we first talked with Berg about this back in 2011, The Center had been open a year and was quickly approaching capacity in terms of the number of patients it was able to see. Initially, they hoped to see 120 patients a day - around 30,000 patients a year - at the state-of-the-art facility, and it seemed to be on track to meet that need. But along the way, the Center’s expertise at treating children with medically complex needs and social disorders like autism became known throughout the state. It has been a mixed blessing. The facility’s pro forma was based upon a different Medicaid reimbursement rate and a patient population comprised mostly of “otherwise healthy” patients – meaning their mouths aren’t healthy, but their bodies generally are. As Berg explained, “What is actually happening is that we are seeing disproportionate numbers of complex and special needs patients, and they take more time to treat, and the reimbursement is low. It has created a financial challenge for us to continue seeing that population, but we feel it is the most important part of the program. It’s a paradox. The greatest strength of the program is the care we provide to the state’s most challenging and unique patients, but it is financially unsustainable.” Berg, along with the WSDA and state legislators, are looking at solutions, and they’re hopeful they will figure out a way to make it work. “I don’t want to paint a totally negative picture. We are committed to make it succeed,” said Berg. “We’re very proud of the Center. It has attracted some of the best candidates into our residency program, it’s a wonderful place for our faculty to practice, including myself, and, most importantly, the work we do helping children with complex issues is incredibly fulfilling. We are the one place they can go to, and the patients and their families love it.”
Social work solution
One surprising and crucial component to the success of the Center is the integration of social workers with the program. When the Center opened, it was the first of its kind to have a social worker on staff, and now other centers across the country have followed suit. Heather Marks, social worker for the Center, first heard of the idea when she was a temp at the UW studying for her MSW. “I realized that the population that I was studying at school was the same as our patient base at the Center,” she said. “Seventy-five to 80 percent of our patients are either Medicaid eligible or low income. I read a paper that had been done at the University of Buffalo where they started social work in the dental department for elderly patients, and I thought it could easily work in our patient population.”
Over coffee one morning, Marks pitched the idea to Berg. To her surprise, he jumped on it and agreed to make it happen. Today, Marks works with patients, staff, and faculty to ensure that every visit goes as smoothly as possible. With so many medically complex patients or those with other special needs, that’s not always an easy task. Charged with removing or easing barriers to care, Marks compares her work to that of all social workers. “The standard of care centers on the client’s needs. For our patient population, that mostly manifests as issues with transportation, insurance, language, and access, or paying for the care,” she explained. There is also an educational component to Marks’ work, and not just for the families of the patients. It often includes educating faculty about the needs of the patients, too. “I’m here to advocate for the patients, no matter what form that takes,” she said. That includes arranging rides to the facility, ferreting out state programs that pay for gas, providing toys and games to keep compromised or challenging patients happy and in check while in treatment, and arranging for interpreters for families with parents who don’t speak English. Marks’ position has had a far-reaching effect on the success of the Center. Berg said, “The social work has been incredibly important, so much so that we added a social work assistant. The interpretation piece is vital. I have many patients who don’t speak English even though their kids do. Unfortunately, I can’t negotiate the treatment plan with a 5- year-old. Everything about access involves a social worker because Medicaid patients have so many needs.”
Curriculum change
The curriculum change at the UWSoD is generating the most water-cooler conversation these days. Innovative and intense, it has been reorganized around a collection of nine groupings called “threads” that encompass all the core competencies of general dentistry, plus areas such as “Ethics and Professionalism” and “Foundations of Human Health and Disease.” The new curriculum also includes a series of intensive third-year clerkship clinical rotations loosely based on similar programs elsewhere, most notably at the University of Iowa, where Berg studied. Iowa’s program is the most advanced clerkship program in the country, and they’ve worked out a lot of the bugs, according to Berg. But the UWSoD didn’t just copy and paste what Iowa had developed; they created a hybrid program using 30 percent culled from successful models like Iowa’s, the remainder grown here at the school, using input from a wide range of people. Sound familiar? It should. When we talked with Berg back in August of 2012, he said, “I want everybody involved, and I’m willing to look at anything — including going back to teams, a tiered structure, a medical model, or even a system like the one I had in Iowa. So, while I don’t know yet what the systems will look like in our clinics — we’ll have everybody take a good look at it, with the understanding that nothing is sacred.” To a great extent, and to his credit, he’s done exactly that. The program, a vertically integrated team approach, was designed with input by 25 faculty members and an additional mix of 30 staffers and students. In addition, the basic science instruction in the first two years has shifted to a system with seven blocks of varying lengths. The first is called molecular and cellular basis of disease, which is about a seven-week block, and now students are in the second block, called invaders and defenders. The third is where the students study renal, pulmonary and cardiac systems, among others. During the blocks, rather than have basic science courses discretely, they’ll learn everything about that system – the gross anatomy, the physiology, etc. But it wasn’t just the curriculum that changed. How it’s being taught is changing, too. Berg explained, “The new curriculum is
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The new curriculum rolled out this past June, and while they’re still ironing out a few kinks, everyone we spoke with focused on the promise it brings. The Regional Initiatives In Dental Education, or RIDE program, was founded in 2007 and graduated its first class in 2012. Today, because of the model’s success, the UW and WSDA are working with legislators to expand it nearly fourfold by the year 2019. The Center for Pediatric Dentistry was the brainchild of Dean Joel Berg, who, as then-chair of pediatric dentistry at the UWSoD and dental director for Children’s Hospital, had a vision for what the facility would bring to the community and the university as a whole. The irony is, the Center may have done its job too well. Because, while Berg was spot on about the need in the community, he couldn’t have known how the in-need population would swell or how valuable an asset the center would become, especially when it comes to the treatment of our most challenging young patients. Today, the center is straining under the burden of caring for the pediatric population, but they’re looking at ways to remedy that.
cover stor y dentists of the future
taught in small group discussions with active learning. Some of the changes are harder for the faculty than the students, honestly. Changing the mode of teaching to active learning is something we’re not used to, but we know it is essential so we’re starting with this class.” Active learning flips the classroom – students get all the material at home, learn on their own through lectures and videos and other methods, then they come to class and do the homework with the help of a teacher so they have help if they stumble. Berg found that millennials prefer a different mode of learning. “The internet has changed everything, including the way people get information,” he said. “There is so much out there, and we want to take advantage of it and not require people to sit in a classroom for everything, so there is a big push toward active learning. It’s something we’re actively training ourselves on. It is new to a lot of us, too.” The active model requires students to read a lot for each of the basic science classes, as much as two to three hours a day. They meet in groups of about 20, have some short group discussions and seminars with the medical students, and then break off into smaller groups and learn together. A group leader facilitates the active learning process. This year there were some additional challenges because changes at the medical school delayed delivery of the core materials dental students use. Berg and the faculty are hoping to remedy the issue going forward.
65 percent of patients continue on to treatment, our no-show rate has dropped, and patients feel like they’ve gotten a lot of attention because of the patient treatment coordinators and their follow-up. We’re processing about two and a half times more new patients than we were, and they are happier. However, if you talk to the faculty, we might not be as popular as we are with the patients.” The numbers are impressive. The class of 2015 had 326 patient visits in the first eight weeks. Under the new program, that number has jumped to 2,850 visits. By all accounts, it has been arduous work, and the university has had to ask faculty to step up and do more teaching. We spoke with Adrian Olson and Sohaib Soliman, both thirdyear students and part of the first wave to experience the new clinical program, to get their take on it. Though both expressed some reservations and concerns, they were generally quite positive about the new curriculum. Olson said, “I have to say that I was pretty skeptical when I first heard about the changes, but now that we’re five months into it, I’ve been pleasantly surprised. It was a huge change, and it sounded like there were a lot of potential problems. We weren’t expecting it. There were so many unknowns, and it was just overwhelming… I think we were worried that we weren’t going to get enough experience, but we’ve really been getting a lot more than we thought.” Olson likes the smaller groups, the clerkship tracks, and the
“It’s a conflict, to be honest. It’s no secret that dental school students work hard and only having four weeks off in a year does pose challenges. For instance, if we want to pursue any extracurricular or enrichment opportunities that require time off, we’re choosing between that and time with family and friends. That’s tough.” — Adrian Olson Changes to the clinic
Sweeping changes were made on the clinical side as well. Dr. John Sorensen of the UWSoD’s restorative department and Associate Dean for Clinics, a central figure in the curriculum change at the UW, was impressed with Berg’s approach to the change, one that utilized his extensive experience outside of academia. Berg introduced process analysis by having Danaher Business Systems come in and show faculty its technique for value stream mapping, which breaks down virtually any processes into individual steps. In November 2012, a group of 20 students, faculty, department chairs, and administrators assembled for two days and went through every step, from the first phone call through the screening process, treatment planning, the treatment, and then recall. The process included 36 steps, and each was then broken down to determine how long it took. They discovered a number of efficiencies with the existing system, and identified areas needing change. Their goal was to double or even triple the number of new patients they could bring in for evaluation. Additionally, only about 42 percent of patients continued on to treatment, so a new process called the Dental Admission Clinic was established for all new patients to go through. Comprised solely of faculty, the team screens patients in an hour, develops a problem list, determines a range of cost to the patient, and follows up by answering any questions the patient might have. The goal was to get to a yes or no answer regarding treatment and then assign the patient to the appropriate clinic. “We ran a pilot clinic a year ago in the fall and built it up, and now we have 10 sessions a week,” Sorensen explained. “Today, roughly
extra help she gets in clinic. She likens the experience to a mentoring process, and says the program has enhanced her educational experience by focusing on two disciplines at a time. “It allows us to refine our technique and build on our previous day’s experiences. For example, if we didn’t like how a restoration turned out one day, we can discuss and implement changes the very next day, instead of waiting a week or more before doing our next filling, which might have happened under the previous curriculum. For example, since we’re only taking operative and endo at the same time currently, we have those every day, so we’re able to hone in on the details and figure things out. That is the biggest strength, that we’re totally immersed. I think previous classes could have a crown prep one day and then not have one again for two months, so they weren’t able to build on what they just learned.” As class president, Soliman hears both pro and con opinions from faculty and students. While, like Olson, he’s quick to say he thinks the curriculum is an improvement over the past system, but he says staffing inadequacies have hurt the program. “To be honest it definitely has its rough patches, but overall despite not being perfect and not ironed out yet, it is better than what we had. We’re already seeing more patients than the class before us saw, and we’re performing more procedures. Some of us have had more procedures than people in spots before us ever had. I would say that definitely in certain parts of the clerkship we’re understaffed, and that can put a strain on things. Depending on the day, it can be tough to get the faculty to see our patients. The model hasn’t provided enough staff to sustain it. I know that Dr. Berg has been
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ulty and students. But let’s look at the class of 2016 in the regular program and what they did in the first eight weeks of the fall quarter and compare that to what the class of 2017 saw in the first eight weeks of the summer. The new clerkship class has seen about 400 more patients than the class of 2016 had seen by this November.” Sorensen likened the program to a mini residency in its intensity, and said, “This new class of students with the new curriculum are probably about six months ahead of their predecessors, and the students have been generally happy with the clinical experience, and we’re extremely happy with how we’ve improved the educational program and the number of patient visits.” As for the longer school year, Berg is polite, but said, “We changed the timing for the current third-year students. They lost about seven weeks of what would have been vacation time. I wouldn’t call it pushback, but we got a couple of complaints and grimaces. It was a vocal minority, but I remember when we announced it to them a year and a half ago, and there were a couple who were outspoken. My response was to be a listener and say, ‘You’ll never get a chance like you have at UW to learn what you have to learn.’ I don’t know how to put it into four years, and we’re giving you more learning with the program, more education, and we’re not charging you more. I think the vast majority of the students were fine and accepted it. We didn’t get any pushback from the new people because they understand that this is what is
“We changed the timing for the current third years – they lost about seven weeks of what would have been vacation time. I wouldn’t call it push back, but we got a couple of complaints and grimaces. My response was to be a listener and say, ‘you’ll never get a chance like you have at UW to learn what you have to learn.’” — Dean Joel Berg sometimes it doesn’t, which can be frustrating for the patient.” In her opinion, it’s frustrating for the students and the faculty, too, because if they’re going to provide treatment to a patient, they have to concur with the treatment plan, and they don’t always have access to the instructors who might have made the previous plan. “You can’t consult with the team who made the initial treatment, you’re just going off of what you have in the computer. I think that is still being streamlined,” she said, hopefully. Sorensen conceded that there can be issues, but explained, “It might be a disadvantage for the patient because they have to see more than one student depending on the procedure, but on the other hand the patients move much more quickly through the treatment, as opposed to being spread out over a year or longer. We still have individual encounters. For instance, during oral diagnosis and treatment planning, they’re probably with a patient for nearly two hours. The other thing that we’re doing is that we have a patient advocacy program where the students are given a cadre of 15 to 20 patients who they help manage. They may not even be treating the patients, but they are managing them, making sure they’re not falling through the cracks, and helping to deal with any issues that arise. It allows us to offer more of that patient interaction experience.”
More school for their buck?
In reference to the longer school year (the program adds nearly seven weeks to the school calendar), Sorensen said, “As you can imagine, this process has been challenging at times for both fac-
expected in the program.” Olson and Soliman generally agree, with caveats. For both, it’s not about free time to lay in the sun. Olson explained, “It’s a conflict, to be honest. It’s no secret that dental school students work hard and only having four weeks off in a year does pose challenges. For instance, if we want to pursue any extracurricular or enrichment opportunities that require time off, we’re choosing between that and time with family and friends. That’s tough. But it’s conflicting because when I’m in school, I often feel like there is not enough time to learn everything that I want to. I’m in the prosthodontics clerkship now, and we have to do a lot of our own lab work, and we often feel like we don’t have enough time to complete all of our cases. Prosthodontics requires a lot of time to fabricate dentures and process, and we wish we had more time.… but we also want time off.” For Soliman, who has to juggle the busy schedule along with the demands of being an ASDA rep and class president, the tight schedule leaves him little time for additional learning opportunities, and that may make it harder for him to land the oral surgery residency he wants.
Changing on the fly
So how will the school address problems and inadequacies they discover in the new curriculum as they develop? It depends on the problem, according to Berg and Sorensen. “We’re looking at changes we can make on the fly, but there are so many interlocking pieces that, even though it might seem like it would be easiest
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working with the WSDA to get more affiliate faculty to come in, and we have seen a little bit of an increase since the summer. But it’s still not perfect by any means.” Soliman also spoke about the large number of prophy patients they end up seeing, but acknowledges the role a cleaning plays in effective dentistry. “We all know that prophys are essential,” he said. “We’re just not equipped to handle the traffic.” Both Soliman and Olson expressed concerns over patient continuity and redundancy. Olson said, “It’s kind of tough right now because patients are bounced around between students in different clerkships. They may come in for a treatment planning appointment, and then they get referred to a clerkship group, only to need care not provided by that group, which means we have to send them elsewhere.” The pair agree it’s tough on patients because they need the time to build rapport and trust, and the new system doesn’t necessarily allow for that. Additionally, Olson describes problems with redundancies in treatment planning procedures that can add hours to a patient’s intake. “Before they have their treatment planning, they have a screening, which is pretty time consuming,” she explained. “It’s basically an appointment on its own. Then they have to schedule a treatment planning appointment, and then they’re referred to a clerkship. But when they get to the clerkship, we basically do another treatment plan for them, and sometimes it coincides with the previous treatment plan, and
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to change something as we encounter it, it is sometimes better to wait and make changes at one time,” explained Berg. “As we see operational or clinical issues, we can change those on the fly. But content, curricular issues, and issues with clerkships are things that we might change all at once. If you expend too much effort trying to make changes on the fly, you don’t pick up how things interact with one another. That’s the life of a dean, though. People are always coming forth with great ideas – students, faculty, and staff. And it’s not that the ideas aren’t good individually, but you have to figure out how they all fit together. That’s why it’s so important to get large groups together to do strategic planning, and process improvement that involves a larger team.” Sorensen added, “On the fly we’re developing metrics and monitoring systems so that we can track data on a weekly basis. We recently celebrated the one-year existence of the Dental Admissions Clinic, and we just scheduled a half-day value stream mapping session with about 14 people to see what is slowing us down, what we can improve, what we’re doing right, and so on. We want to do a continuous process improvement, so we’re applying that diligently. We monitor the development of the third- and fourthyear students very closely, and we try and fill in where they have needs or remediation.”
Up next year
When the current third-year students transition next year, they’ll be taking on an entirely new clinical setting where they are working in a typical practice environment, albeit on a larger scale. Sorensen explained, “Then when they go into their fourth year GP, they will be doing everything from A to Z. That’s the plan and the vision of the dean. They will do the workup, diagnosis, treatment planning, and then do all endo, perio, restorative work, just as they would in a general practice clinic. For all intents and purposes, they will be practicing general dentistry.” The challenge, of course, is staffing that clinic, getting everyone on the same page, and standardizing and calibrating each of the full-time faculty so that everyone teaches the material the same way. In order to accomplish that, the dental school is planning a boot camp that will provide them with about 40 hours of continuing education. “It’s very similar to privileging in a hospital where you have to be certified to perform a procedure. It’s critical to have all of the faculty on the same page, even though we know there will be minor differences. If we can follow the 80 percent rule and get all of the faculty following nearly the same philosophy, standard, and background in at least 80 percent of procedures, we’ll have better students because of it.”
Expanding the RIDE program in Spokane
The RIDE, or Regional Initiatives In Dental Education program was funded by the Legislature in 2007 and graduated its first class in 2012. In its current configuration, eight students attend their first year of dental school at the Riverpoint campus of Eastern Washington University in Spokane and Washington State University in Pullman. The first-year curriculum is equivalent to the UWSoD’s and is taught by faculty from UWSoD, EWU, and WSU. The program leverages distance learning where it works smoothly, and otherwise uses live teaching. The first year includes a four-week community-based rotation in a dental clinic in a rural and underserved community. RIDE students currently spend the second and third years of dental school at the UWSoD Seattle campus. According to Dr. Mary Smith, clinical director for the program, under the proposed expansion, the program would add eight students in the first phase, followed by another eight in 2019, and have an ultimate capacity of 30. Rather than going to Seattle for the second year, students would stay in Spokane, provided the state provides the funding to con-
struct a facility to house the students. Their plan is to build a dental lab big enough for 40 students, which is the size of EWU’s hygiene class. Smith explained, “The expansion of the RIDE program is both an expansion in time – they can spend more of the four years in Spokane — as well as an expansion in the number of students. The dental hygiene school at EWU is one of the top programs in the country, and they currently do not have a simulation space, so if they’re using typodonts they have them strapped into dental chairs in their clinic, which is clearly not ideal. If we can build a simulation space that is big enough for them to share, they’ll be able to use our simulation space, and we’ll be able to use their clinical space. Part of the plan is to bring some of the RIDE students back to Spokane in their fourth year to do patient care.” The program seeks to create what it calls the “super generalist.” To produce such clinicians, students get extra training in oral surgery, operative dentistry, pediatric dentistry, and perio so they can perform more difficult procedures, but also so they can recognize when a procedure is better handled by a specialist. RIDE director Dr. Frank Roberts said, “They need extra training because it’s not as simple to refer someone in some of these small rural communities, and that’s our primary goal — to get dentists into rural and underserved areas. The secondary goal is to build leaders in rural and underserved dentistry. So we’re really not looking for students to graduate and go to work in underserved communities, and then move on. We want them to run community health centers, to become leaders, and help shape policy for the state.” RIDE classes teach students about how community health clinics work, how public health works, and how rural dentistry leadership works. “We want them to spend their careers in these areas,” said Roberts. “We recruit specifically for these positions, and we’ve been successful. The majority of the students we see in the program are from those areas, so they know the community, the lifestyle, the pace, and it appeals to them. We want people who are predisposed to being happy in the environment. We know it is extra work, and we want people who are comfortable with that.” Roberts isn’t surprised at all by the success of RIDE students. “The RIDE program is not a back door into dental school,” he said. “We view our students as an elite group who are able to function more independently and want that. We track every student who graduates and what they do. In fact, we’re transitioning to doing that for the whole school, and we’re serving as a model for that. We’ve had four graduating classes, and 77 percent have stayed in rural and underserved communities. I know that sounds good, but the national average is about 4 percent, so you can see how dedicated our people are. It’s a new program, and some have stayed in those settings because there are incentives with student loan repayment if they stay, so it will be interesting to see what the long-term percentages are. We’ll look at five- and 10-year increments.” Smith and Roberts are trying to figure out what their role is in helping the graduates become as happy and successful as possible serving in rural and underserved areas. “We have hundreds of combined years in training students, but not as much experience with what to do with alumni development related to career path training,” said Roberts. “We’re looking at what we can do to make them feel connected to job opportunities in the region, and also what they need to be successful.” It’s an exciting time at the University of Washington School of Dentistry. At the WSDA, we’re proud to play a role in the continued excellence of the school, and excited to see how these programs and expansions serve both the professional community and the people of the state.
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DR. YOSHITAKA OGATA
Dr. Yoshitaka Ogata died peacefully on November 19, 2015 at the age of 87. He was a Seattle pioneer in many ways, including in education and his professional life as an orthodontist. He will always be remembered as a humble, honest and hard-working man who put his family first. Yosh was born September 12, 1928 in Kurume, Japan while his mother was on a family trip. He was the third of five children born to Charles Masato and Ine Ogata. He was their only child not born in America, which made getting into dental schools more challenging. Yosh remembers growing up in Seattle during the Great Depression. His family owned a laundry called “S and N” located on 6th Avenue between Jackson and King Streets. His dad would give him .25 cents for a haircut, but he’d go to the barber college and get a cut for only .15 cents and pool the rest of the money with friends to rent fishing boats and catch salmon in the Puget Sound. His love of fishing continued throughout his entire life. When Yosh was 11 years old, his life changed dramatically after the bombing of Pearl Harbor. He could no longer move freely in Seattle and after Executive Order 9066, the Ogata family was forced to leave behind their possessions and could only take two pieces of luggage per person to the Minidoka Concentration Camp in Idaho via Puyallup. Yosh remembered friends asking if he did anything wrong or if he got a trial. The answer to both questions was “no.” After three years under barbed wire, armed guards and unbearable heat and cold, Yosh moved back to Seattle after the end of World War II. During camp, he wrote music and played clarinet and saxophone on military radio. In 1947, Yosh graduated from Seattle’s Garfield High and also studied music at Cornish. Yosh attended the University of Washington and majored in zoology with a minor in music. He always wanted to be a dentist since he was a little boy. A dentist at his church encouraged him after seeing Yosh’s talent at putting together model airplanes. Because Yosh had been born in Japan and was not a U.S. citizen, no dental school would accept him. A reverend from Seattle’s Blaine Memorial Methodist Church wrote to a Washington Senator named Henry “Scoop” Jackson about Yosh’s plight. Senator Jackson knew something needed to change so he proposed two options. One was to put Yosh’s name on a rider bill that was sure to be approved, thus allowing him to be granted citizenship by the U.S. Congress. The second option was to wait for the McCarranWalter Act that would allow Asians citizenship for the first time
through the naturalization process. On April 13, 1953, Yosh became one of the first Asians in Washington to be naturalized under the new McCarran-Walter law. This milestone was covered by the media and has far-reaching effects to this day. Now that Yosh was an American citizen, he was accepted into several dental schools. He graduated from University of Missouri at Kansas City’s (UMKC) dental school with Omicron Kappa Upsilon academic honors and then started his orthodontic program also at UMKC. Yosh married his UW college sweetheart, Mabel Kondo, from Priest River, Idaho. They were married 62 years and Yosh never forgot how hard Mabel worked to support him through dental school. After graduating with his Masters in Orthodontics, Yosh was drafted into the U.S. Army and stationed at Fort Richardson in Alaska. Yosh and Mabel enjoyed Alaska’s life of hunting, fishing and skiing. In fact, Yosh shot one of the world’s largest moose in Alaska and held a record in the Boone and Crockett’s record book for several years. After his discharge from the Army, Yosh and Mabel moved back to Seattle and Yosh set up his practice at the 4th and Pike building, later moving into the Medical-Dental Building until he retired at the end of 2000. Yosh also taught at Seattle Children’s Hospital. He was a Diplomat of the American Board of Orthodontics, inducted into three honorary dental colleges, and honored as Orthodontic Alumnus of the Year in 1990 by his alma mater UMKC. He also lectured numerous times throughout the U.S., Europe and Asia. He was a pioneer in how breathing and muscles affect the teeth and jaw. Yosh and Mabel moved to Mercer Island 50 years ago and immersed themselves in their children’s Mercer Island activities and held season tickets to Husky, Seahawk and Mariner games. Yosh is survived by his wife, Mabel, and his four children and seven grandchildren. His oldest sons Greg (Siamphone Bounthaphone) and Randy (Wendy Alexander) followed in their Dad’s footsteps and are also orthodontists. His daughter, Julie (Gabriel Ciobanu), is a former KOMO-TV news anchor. His youngest son, Brett, is the head football coach and a math teacher at Mercer Island High School. His grandchildren include Austin, Carson and Kiana Ogata; Cienna and Carys Ciobanu; and Blake and Andrew Ogata. In lieu of flowers, please make donations in Yosh’s honor to Blaine Memorial United Methodist Church.
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in memoriam dr. yoshitaka ogata
IN MEMORIAM:
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wdia time for an insurance review?
IS IT TIME FOR AN INSURANCE REVIEW? USE THIS CHECKLIST As your practice grows, your earnings increase or your family gains new members, your insurance needs increase as well. Many dentists forget to keep their insurance coverage in step with their life and business changes, which can leave them in a difficult financial situation if an accident occurs. Washington Dentists’ Insurance Agency recommends that all dentists review their insurance coverage at least once each year to determine if what they currently have meets their present and future needs. Things we’ll cover in your annual review include: • Have you added to your family? • Are you purchasing or selling a practice? • Was there any change in your marital status or dependents during the year? (children, parents or other relatives) • Should you update your will? • Have you inherited considerable funds or gifts? • Do you feel you have adequate Life Insurance for your practice and family? • Do you feel you have adequate Personal Disability Insurance to replace your earnings due to sickness or accident? • Do you feel you have adequate Long Term Care Insurance for yourself, your parents or other family members?
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If you would like to review your current insurance needs, please contact the Washington Dentists’ Insurance Agency at 800-282-9342 or wdia@wsda.org.
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giving back 2016 seattle-king county clinic
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2015 SEATTLE-KING COUNTY CLINIC From Oct. 22 to 25, more than 1,019 dental volunteers from around the state worked to provide care to the underserved in King, Pierce, and Snohomish counties at the Seattle-King County Clinic. Over the course of four days, 2,130 patients received urgent dental care, totaling more than $1.7 million in uncompensated cared delivered to those most in need. Event co-chair Dr. Elissa Johnson said, “It was an inspiration to see such a large group of people dedicated to improving the health of our community. I was struck by the generosity, compassion, and gratitude I saw. It made me proud of our profession. A big thank you to all involved, it was a special thing to be a part of, and a very special thank you to Jeff Parrish and Mike Karr. Organizationally, this was a huge effort, and I am convinced that this event would not have been such a success without their leadership.” Co-chair Dr. Brittany Dean agreed, saying, “As Elissa mentioned, Mike Karr and Jeff Parrish were wonderful to work with. They have a true skill in mentoring, and allowed me to feel both challenged and supported in this role. This is an event that I fell in love with last year, so I was excited to be asked to help lead it this year. It was thrilling to see the energy of dentists, hygienists, dental assistants, and students come together so that they could offer care to those in need. We operate as solo practitioners or partners in our offices a lot, so teaming together for a common goal is not only beneficial for the patients that we treated, but also for our Washington State dental community. Being on the organizational side this year made it even more clear how many moving parts are at play. Our industry partners and Seattle Center are vital for the success of the event as well. I was both proud and humbled to be a part of this year’s leadership.” In addition to dental care, attendees could receive medical attention, vision exams, and hearing exams. A huge thanks to everyone throughout the community who came together to put on this momentous event.
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Photographs by Rob Bahnsen
2015 mentor reception in pictures
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IN PICTURES
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2015 mentor reception in pictures
2015 MENTOR RECEPTION
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newsflash caron award, news app, uwsod appointment, saliva symposium
health care for underserved populations. Caron was given this award in recognition of the countless contributions he has made to the health of our communities over his 40-year career in dentistry. Caron accepted the award during the recent NNOHA annual meeting in Indianapolis, Ind.
New app available for the WSDA News
Dr. Caron accepting his award
Dr. John Caron honored
Dr. John Caron, Chief Dental Officer at HealthPoint Community Health Center, is the 2015 recipient of the National Network for Oral Health Access Outstanding Leadership award. The NNOHA presents this award to an individual who has made significant contributions to quality oral
The WSDA News app has moved! For those of you wishing to read the latest issue of the WSDA News on your phone or tablet, simply go to your Apple or Google app store and search for the Issuu app (please note the spelling). Once you’ve downloaded the free app, search for the WSDA News and add it to your list. It will automatically load the issues going forward. You’ll still be mailed a hard copy of the issue, and still be able to read issues online by logging into The Source at wsdasource.org/blog.
UW Oral Pathology Biopsy Service welcomes Dr. Yeshwant Rawal
Dr. Yeshwant Rawal, a board-certified oral pathologist with more than 25 years of experience, has joined the University of Washington Oral Pathology Biopsy Service (OPBS), Dr. Dolphine Oda, the service’s
director, has announced. Rawal joins the OPBS as associate professor in the Department of Oral and Maxillofacial Surgery. Along with his work for the OPBS, Rawal will teach pre-doctoral and post-doctoral UW dental students and continuing education courses for dental professionals. In addition to receiving clinical consults and biopsies for histopathological interpretation, Rawal welcomes requests for consultation on clinical and biopsy-related issues. Clinicians who have not used the service before are also welcome to contact Rawal to learn about the submission process. He can be reached at ybrawal@ uw.edu or (206) 221-3960. Rawal holds advanced degrees in oral pathology from Gujarat University in India and oral biology from The Ohio State University, where he also served a residency in oral and maxillofacial pathology. He holds appointments at the University of Washington Medical Center, Harborview Medical Center, and Seattle Cancer Care Alliance. He is chair of the American Dental Education Association’s Oral Pathology Section, a fellow of the American Academy of Oral and Maxillofacial Pathology, and a diplomate of the American Board of Oral and Maxillofacial Pathology.
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UW hosts national saliva symposium
Someday, ailments such as heart disease or diabetes will be routinely detected with a mouth swab. Because of the hard work of saliva researchers, that future is not far off. Recently, some of the field’s leading figures gathered at the University of Washington to discuss their work during the second annual North American Saliva Symposium. “Saliva is one of the most undervalued components of our body,” said Dr. Joel Berg, dean of the UW School of Dentistry. “There is new and exciting work which will make the use of salivary diagnostics routine to detect the status of diabetes, heart disease, and other chronic diseases.” Salivary diagnostics have any number of advantages, the American Dental Association (ADA) notes, including ease of access, noninvasive sample-taking, and reduced risks of infectious disease transmission. For patients – especially children – who fear needles, the use of saliva promises a fast, painless method of testing. In addition, the use of saliva can reduce the cost of testing, which can also be conducted in non-traditional settings. One previous drawback was that some of the substances being measured are found in lower concentrations in saliva than in blood. Technological advances have significantly improved the ability to monitor and identify candidate biomarkers at the molecular level, according to the ADA. The December symposium, which was hosted by the School of Dentistry and Oasis Diagnostics Corp., featured three keynote speakers: • Dr. David T.W. Wong, associate dean of research and director of the UCLA Center for Oral/Head and Neck Oncology Research, who spoke about salivary diagnostics and oncology. • Sarah Knox, PhD, assistant professor in the Department of Cell & Tissue Biology at the University of California, San Francisco, who spoke about salivary gland organogenesis and regeneration. • John McDevitt, PhD, chair of biomaterials and biomimetics at New York University and chief scientific officer and founder of SensoDX, LLC, who spoke about salivary diagnostic devices.
O F
W A S H I N G T O N
SCHOOL OF DENTISTRY
CONTINUING DENTAL EDUCATION WINTER 2016 JANUARY 31 Implant Systems Study Club, Evening 3 A panel of presenters are lined up for this 23 Improving the Oral Health of Your Older hands-on course for restorative dentists Patients using today’s most successful implant O. Ross Beirne, DMD, PhD; Bea Gandara, systems. DDS, MSD; Kurt Labberton, DDS; and Rod The course is offered in partnership with Wentworth, DDS the Washington Academy of General 28 Implant Systems Study Club, Evening 2 Dentistry. Register at washingtonagd.org. A panel of presenters are lined up for this hands-on course for restorative dentists APRIL using today’s most successful implant 1 Law/Lewis Lecture in Pediatric systems. Dentistry The course is offered in partnership with Dental Trauma and Pulp Revascularization the Washington Academy of General Nestor Cohenca, DDS, FIADT Dentistry. Register at washingtonagd.org. 2 Restorative Endodontics: A Modern Standard of Care for Long-Term FEBRUARY Success – with optional hands-on 19-21 The Art and Science of Anxiolysis workshop and Sedation in 2016 and Beyond – Alex Fleury, DDS Nitrous Oxide and Oral Sedation 8 Untangling the Confusion of Today’s Fred Quarnstrom, DDS, FADSA, FAGD, Restorative Materials FICD, FACD, CDC; David Donaldson, BDS, Edward J. Swift, Jr., DMD, MS FDSRCS, MDS, FADSA, FACD, FAAOP, 15 Stay Out of Jail: Avoid Coding Errors FICD; Mark Donaldson, BSP, PHARM D, and Excel in Insurance FASHP, FACHE Charles Blair, DDS 27 Biopsy Techniques – What, When, This course will be offered in Tacoma, How – includes afternoon hands-on Washington. workshop 16 Digital Dental Photography Jasjit Dillon, MD, DDS, BDS, FDSRCS Geoff Greenlee, DDS, MSD, MPH and Scott MARCH Henderson, Photographer 4 THE CHRISTENSEN BOTTOM LINE – 2016 29 Innovative Periodontics: Creating Success in Today’s Dental Practice Gordon Christensen, DDS, MSD, PhD Samuel B. Low, DDS, MS, MEd This course is offered in partnership with This course is offered in partnership with the Seattle-King and Snohomish County the Seattle-King County Dental Society Dental Societies. Register at skcds.org. and the Washington Academy of General 5 Oral Surgery for the General Dentistry. Register at skcds.org. Practitioner – includes afternoon hands-on workshop Karl Koerner, DDS, MS 25 Ernest M. Jones Memorial Lecture Morning topic: Avoiding Restorative Failure Afternoon topic: Today’s Top Clinical Tips Lee Ann Brady, DMD
Online Courses at www.uwcde.com including Bloodborne Pathogens! Registration Information: REGISTER Telephone: (206) 543-5448 Toll Free: (866) 791-1278 NOW! For more detailed course information and to register online visit www.uwcde.com
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UNIVERSITY OF WASHINGTON IS AN ADA CERP RECOGNIZED PROVIDER ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.
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newsflash caron award, news app, uwsod appointment, saliva symposium
U N I V E R S I T Y
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UNION GOSPEL MISSION’S ANNUAL FETE: A FUN ROMP On Oct. 17 in Olympia, a fun-loving, song-singing, tap-dancing cadre of dentists and their good friends got together to put on a show. It’s an annual event, great for the entire family, but it’s not just about good music and having fun. It’s about raising money for the Union Gospel Mission’s No-Fee Dental Clinic in Olympia. This year more than 900 attended the show, and they contributed 40 percent of the No-Fee Clinic’s annual operating budget. Nine dentists made up the core of the show — Drs. Suneet Bath, David Goerig, James Hutchinson, Stephen Kern, Jared Persinger, Greg Psaltis, Venn Peterson, Stephen Russell, Kyle Winter, and they were joined by local acts that sang, danced, and generally charmed their way into the hearts of the attendees. Congratulations to everyone involved!
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charitable care union gospel mission’s annual show
OF DISNEY, DANCING & DENTISTRY
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REACHING OUT IN THE COMMUNITY: The Washington Oral Health Foundation is proud to partner with community groups like the Muslim Health Professionals of Greater Puget Sound who are committed to helping the underserved in our state
Recently, UWSoD student council VP Mahfuz Rahman and volunteers from the Muslim Health Professionals of Greater Puget Sound brought an MTI van to the Somali Health Fair in the Holly Park neighborhood of Seattle. The group saw ten patients in the MTI van, including an elderly Somalian patient who had been avoiding going to a dental clinic because of the language barrier. “We had two certified Somali translators at the event,” said Rahman, “so we were able to communicate with her about her needs and take care of the teeth that were causing her pain. She was really grateful for the service and came by to thank all the organizers and the van volunteers. It was a really touching experience.” The group will have two volunteer dentists at their next vent, and hope to double the number of patients seen. The annual fair is sponsored by the Somali Health Board, which was founded in 2012. The group provides culturally sensitive advice and services to local Somalis during the event. Because the community has seen a rise in chronic diseases recently, preventive care and regular checkups were the focus of this year’s event. The group offered blood pressure, diabetes and cholesterol screenings, as well as dental screenings in the MTI van, nu-
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tritional education, and mammography services. “Over the past three years, we have played an active role in organizing countless health fairs and outreach events throughout the area,” said Rahman. “Though this is our first time collaborating with the MTI vans, we hope to continue our partnership in the future. We were able to reach out to underserved patients of predominantly Somalian background from the south Seattle, Tukwila, and Kent areas at this event.”
Making a difference in the community
Muslim Health Professionals is an organization comprised of students and practicing health professionals whose goal is to address the health and dental needs of the Muslim community in the Northwest. The goal of the health fairs and dental vans is to connect underserved patients, many of whom are recent immigrants or refuges, to health resources in the area. “We hope to bring a holistic approach in addressing the dental needs of these patients by treating dental disease, helping establish dental homes, providing them with the resources to live a healthy lifestyle, and enrolling patients with health insurance,” said Rahman.
wohf news making a difference in the community
Left to right: Ayaan Jama, Nasra Aden, Mahfuz Rahman and Anis Manshad
pndc news 2016 pndc highlights
2016 PNDC
FOCUS ON THE DENTAL TEAM
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FULL DAY COURSE: TOTAL OFFICE TEAM PROGRAM Thursday, June 16, 2016 · 9:00 a.m. – 4:00 p.m. CE Credits: 7 Hours · lunch is included Cost: $360 for dentist and up to 3 staff Communication is the key to every office in creating the ultimate patient experience. Bring your team to spend the day with four industry recognized, opinion leader experts in this unique, full day event. Our objective is to provide your team a day to learn and grow together on topics that will enhance the role of each member and improve the overall functionality of the practice, with the support and guidance from our team of experts.
Individual morning breakout sessions for restorative, assisting, hygiene and business management roles within the dental team – focusing on: · Shared ‘best-practices’ to increase production and treatment acceptance · Clinical education specific to your role within the practice · Hot topics, materials, & clinical applications that are relevant today
Afternoon session: Fun, fast paced, for the entire team:
· Applications and tools that can be implemented immediately · How does your role in the dental team affect the overall success of the practice? · The new patient – what sets your office apart from others? · Communication skills; both to your patient and your team members · Improve the “hand-offs” within the practice · Develop an action plan specific to your office and the challenges you may have · The entire office team will learn together and take home new ideas to implement on Monday morning
ATTEND THE PNDC FOR FREE
The PNDC Ambassador Program has become an important part of the conference, thanks to our members and their staff. An Ambassador assists speakers during the conference, helps create a memorable experience for the speakers as well as provide assistance to attendees. It is a fun way to earn free CE while networking with your peers and speakers. To be eligible to participate in the Ambassador Program, you must be a WSDA member dentist or a staff member of a WSDA dentist. As a PNDC Ambassador, you will be reimbursed 25 percent of your full conference badge for every session you are assigned. If you volunteer for four sessions, you can attend the conference for free! Perks include free CE for each session you sign up for, reimbursed parking on the day of your participation, and full access to the VIP lounge to relax and enjoy complimentary breakfast, lunch, snacks and beverages. There are two programs open to WSDA members and their staff – speaker ambassadors and room ambassadors. Each has separate responsibilities but the same great benefits. Any member of the WSDA member dentist’s team can participate in the room ambassador program but speaker ambassadors are generally filled by WSDA member dentists. To find more information and view the available sessions visit wsda.org/get-involved/pndc-ambassadors. To sign up for the Ambassador Program, contact Craig Mathews at craig@wsda.org or 800-448-3368.
VIP PROGRAM Want an experience to remember? Be a VIP! Fee: $69; Availability is limited PNDC VIP attendee package includes even more opportunities for networking and education. VIP package holders get: · VIP seating in select sessions for either Thursday or Friday (choose one or both). Seats will be held up to 20 minutes after the program begins, after which time seats will be released if the room is full. VIP seating is grouped together in a designated section.
Four industry-recognized, opinion leader experts in one location:
· Includes one lunch in the VIP Lounge and the opportunity to network with PNDC speakers
· For dental hygienists – Monica Monsantofils, RDH
· One day complimentary parking (value $25); Must arrive by 7:30 a.m. and park at designated PNDC parking spots
· For dentists - Dr. Douglas Lambert
· For dental assistants/EFDA – Dr. Edwin McDonald · For front office staff – Lois Banta
· Ticket must be presented and is nonrefundable if lost, stolen, or forgotten · VIP Package is by the day
PRE-REGISTER TODAY Depending on the timing, it may be possible to get a tax break by pre-registering for the 2016 PNDC. We recommend that you talk with your tax advisor first, but if you do qualify for some kind of tax advantage, give us a call at (206) 448-1914 to process your registration before the year’s end.
Visit wsda.org/pndc to view courses in the VIP Program. This opportunity is optional and only available in advance. You must register for the conference to sign up for the VIP Program.
th e wsda ne w s · issue 2, december · 2016 · www.wsda.org · 39
pndc news 2016 pndc highlights
2016 PNDC: JUNE 16, 17, 18 Bellevue, WA · wsda.org/pndc
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2959 Northup Way | P.O. Box 99590 | Bellevue, WA 98004 203 East Meeker | Kent, 4 0WA · th98032 e wsda ne w s · issue 2, december · 2015 · www.wsda.org 425.822.2245 | 800.735.7231 | nakanishidentallab.com
I must admit this one is a bit tough for me. Many of our family members have literally grown up in the dental industry and have proven to be valuable employees. Still, nepotism inherently causes problems in a workplace and we want to keep our workplace clean. I admire the sentiment and look forward to seeing how the details are worked out. HD-19-2015 (submitted by TMCDS) appoints a task force to be appointed by the BOD to review non-profit compliance training for staff and the BOD. The BOD will then implement a training program and report the content of such program to the 2016 HOD. Compliance means we are following all the rules and regulations governing nonprofits. These rules are extensive and a bit
While we handle
tough to ferret out. Most of our leaders come from private practice, which has different rules. We all need to be working from the same and correct playbook. Governance never ends. Circumstances change and so will we. We are looking for ways to communicate these changes to you and become more transparent and effective as an organization. We strive for that end goal of prosperity and viability. Please continue to voice your opinion. Without your help we would never improve and your membership would lose value to you. We would lose both your faith and membership. That would render this association not only pointless but also ineffective in the work we do. You are the dentists our leaders are trying to serve. Your issues are our issues. We are all the WSDA.
Support your practice. Earn more points. Enjoy the rewards.
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Is your passion taking care of patients? Would you enjoy spending your days working with patients without the burden of handling the every-day running of the business – not to mention the financial stress of owning your own practice? Smiles Dental is offering opportunities to great doctors to live our mission, vision and values while serving our patients. If you have a desire of service, we have an amazing opportunity for you!
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Dentists count on the ADA Visa Signature® card to deliver the rewards that matter to them and the benefits they deserve. Use your card everywhere Visa is accepted to earn: • 2 points for every net $1 spent on all ADA purchases • 1 point for every net $1 spent on everything else3 Redeem points for the rewards of your choice, including dining, gift certificates, name-brand merchandise, cash back and even travel on more than 150 airlines with no blackout dates. Just 25,000 points = up to a $450 ticket. Plus, enjoy exclusive benefits such as Travel Accident Insurance, Auto Rental Insurance, 24-hour concierge service, travel discounts and upgrades, shopping discounts and much more!4
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• Earn 10,000 bonus points after you spend $3,000 in the first 90 days.1 • Enjoy 0% APR for six billing cycles on balance transfers.2 • 3 points for every net $1 spent on gas, grocery and restaurant purchases in the first 90 days.
Call 888-327-2265 ext. 94595 | Visit usbank.com/ADA94595 We may change APRs, fees, and other Account terms in the future based on your experience with U.S. Bank National Association and is affiliates as provided under the Cardmember Agreement and applicable law. (1) Subject to credit approval. Accounts must be open and in good standing (not past due) to redeem points. (2) Your 0% introductory APR applies to balance transfers made within 30 days of account opening. A Balance Transfer fee of 3% of each transfer ($5 minimum) will apply. The introductory APR does not apply to purchases or cash advances. The rate will end early and increase to the APR for Balance Transfers or to a Penalty Rate APR if you make a late payment, make a payment that is returned, or your account exceeds its credit limit. Thereafter, the APR may vary and as of 1/1/2015, the undiscounted variable APR for Balance Transfers is 9.99%- 23.99% (based on your creditworthiness)]. We apply your payments to balances with lower APRs first. (3) Net purchases are purchases minus credits and returns. (4) Certain restrictions, limitations, and exclusions apply. Cardmembers are responsible for the cost of any goods or services purchased by Visa Signature Concierge on cardmembers’ behalf. The creditor and issuer of the American Dental Association Card is US. Bank National Association, pursuant to a license from Visa U.S.A. Inc © 2015 U. S. Bank National Association. ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc.. (ADABEl), a wholly owned subsidiary of the American Dental Association. ADA is a registered trademark of the American Dental Association.
th e wsda ne w s · issue 2, december · 2016 · www.wsda.org · 41
editorial continued
editorial, continued from page 4
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Aaron Pershall - Randy Harrison BELLEVUE, WA – Highly profitable itable G/P collecting over $1.5M M in 2014. Stylish office, 4 ops and digital x-rays! W. PUGET SOUND PERIO – Great practice with an emphasis on implants, collecting almost $450K.. 4 ops, Pano and more! TACOMA, WA PROSTH – Well established practice collecting $450K+ in 2013. 7 ops, digital x-rays and a full denture lab. Building is also available! VANCOUVER, WA – Excellent, quality driven G/P collecting $600K+, in a wonderful, high traffic location. N. OREGON – G/P producing $500K+, less than 1 hour from Portland.
OREGON OMS & Ortho opportunities! BOISE AREA – Partnership wanted for wonderful G/P. Collected $500K in 2014. 5 ops, digital x-rays, and more. Associate in place! SUN VALLEY AREA – Part-time associate position with potential for future purchase. KAILUA-KONA, HI – Fee for Service G/P collecting around $400K. Seller is motivated! ANCHORAGE, AK – Well established G/P collecting $500K annually. Real estate available. Possible merger opportunity.
KETCHIKAN, AK – G/P collecting $600K. Well established office has 4 ops, updated about 5 years ago. MAT-SU SU VALLEY AK - High volume G/P seeking a full-time full associate with possibility ssibility to purchase. ANCHORAGE, AK – Excellent G/P collecting around $1M annually. Seller is retiring and relocating; relocating desires to sell office condo too. too Great cash flow! NEW! ANCHORAGE AREA – G/P collecting around $800K $800 annually. Highly profitable, low overhead overhea office has 7 ops (6 equipped) and runs Eaglesof Eaglesoft. Real Estate also available.
www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com Aaron@PracticeS 4 2 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org
OPPORTUNITIES AVAILABLE
OPPORTUNITIES AVAILABLE
ASSOCIATESHIP/PARTNERSHIP — New graduate position available! Opportunity to work with one of Seattle’s top cosmetic dentists: Shawn Keller DDS, LVIF. Work in a state of the art practice learning cutting edge advanced Dentistry. Dr. Shawn Keller is looking for an associate to take on more of the general dentistry part of the practice as he is doing more implants, full mouth reconstruction, and smile makeovers. We are a high end dental practice offering the best technology to our patients. Great opportunity for a new Doctor to learn everything Dr. Keller has learned over the years. Fun office, great team. Email Dr. Shawn and come check out the office. Office located in Redmond, Washington near Seattle, WA. The job is 3-4 days a week and a potential starting salary 300+k /year. Website : shawnkellerdds.com. Email resume and references to: drshawnkeller@outlook.com.
DENTIST NEEDED — Growing general dental offices are seeking caring, competent dentist with great people skills to join our team at greater Seattle area. Excellent opportunity for potential partnership. Please email resume to mydental88@gmail.com.
A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multispecialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes—and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to agrundy@willamettedental.com.
PEDIATRIC ASSOCIATE POSITION AVAILABLE — Established, modern, and busy Pediatric Dental Office in North Seattle Area looking for part time position. Excellent compensation. Thursdays, Fridays, and some Saturdays (8-noon). However, some flexibility of fixed days (Mondays or Wednesdays, for example) may be possible if it is a good fit. Pediatric Dental certificate required. Please email CV and cover letter to NorthSeattleDentist@gmail.com. GENERAL DENTIST — Small family practice in Vancouver seeking experienced general dentist for full time associate position. Must be proficient in all aspects of dentistry. Minimum 1 year experience is preferred although highly motivated recent graduates will also be considered. Attractive compensation package is salary based with production incentives as well as benefits. Responding emails should include resume in MS Word format. All enquiries must include resume. Please email resume to declinic@gmail.com. ASSOCIATE DENTIST — Partnership in Puyallup. Privately owned family practice (Dentrix + Dexis) looking for the right person to join our team for currently part time position. The associate will have the freedom to grow their practice and will have the opportunity to buy-in partnership. Flexible days and no weekends. Must be comfortable with all aspects of dentistry. Our primary focus is our patient’s well being and our great team environment. Please email your resume and cover letter to puyallupdentalopportunity@gmail.com. DENTISTS NEEDED — Large Dental Group seeks both part and full time dentists (general and specialized) throughout Washington, Oregon, California, Hawaii, Arizona, Nevada and Oklahoma. For more information or to apply, please email griffint@InterDent.com or call 360-449-5618. PERIODONTIST — Four dentist group is seeking a periodontist to come work with us in one of our three private practice locations on the east side. We would like to bring someone in one day per week to place implants, perform grafting, do extractions, and care for our perio patients. We will provide necessary equipment. We have a CBCT and prefer guided implants. We will refer 100% of our cases to you! Email merkeldds@gmail.com. GENERAL DENTIST NEEDED — Seattle dental practice seeking general dentist to part of an established busy general dentistry practice. We are looking for a dentist with a minimum of four years’ experience with strong leadership, communication, and patient education skills. Applicants must be open to working between doctor’s two practices located in Seattle and Tacoma, with eventual full time hours at Seattle practice. Please send CV and references to: seawado@gmail.com.
ELLENSBERG ASSOCIATE — Associate position available to start December 6 working Wednesdays and Thursdays with hours 8-5. Doctor will be working in a family practice with the ability to practice as one desires and is capable of. OS, Endo, Perio, Pros, Rest patients/ cases to work with. Send resume to dr.howey@hotmail.com PEDIATRIC DENTIST NEEDED — We are looking for a full time pediatric dentist for our brand new state of the art busy Federal Way office. Compensation is by percentage of production with a guaranteed daily minimum. As an extra incentive, we will also offer part ownership of the practice with a long term commitment. Work days are flexible. Please send your CV to adc98003@gmail.com. PORTLAND, ORE. — Dentist opportunity. Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. Pdxdentist@yahoo.com. RENTON/DESMOINES — Full/Part time position available for experienced dentist. Must be able to perform all phases of dentistry. Good salary. Please contact at (425) 226-9770 or baljinderbuttar1@gmail.com. DENTIST NEEDED — Exceptional opportunity in beautiful Silverdale, WA. Large, well established private multi-specialty group practice seeking a motivated, ethical associate dentist full or part-time with opportunity for partnership. Digital practice with CBCT and highly skilled staff. We are moving into our brand new state of the art facility very soon! Send resume to silverdaledental@hotmail.com. ASSOCIATE NEEDED — Successful private practice in NE Washington is looking for an associate to partner dentist or assoc. only. To learn more please send a CV and contact information to browncoppell@gmail.com or contact Patti at 509684-3736. www.healthyexpressionsdental.com. DENTIST NEEDED — Great opportunity in Eastern Washington working alongside other general dentists, orthodontists and oral surgeons in a state-of-the art facility. Great working atmosphere, excellent pay and benefits. Must be friendly, motivated and flexible. Please contact Jolene Babka at jbabka@applesmiles.com for more information. SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com. DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.
th e wsda ne w s · issue 2, december · 2016 · www.wsda.org · 43
PEDIATRIC DENTIST — Pediatric dentist wanted for busy multi-doctor practice. Beginning shifts available Monday 7.30-4.30; Saturday 8.00-3.30 to increase to four days a week. Our office is in beautiful Olympia, Washington. Please contact Dr. Jones directly at (360) 789-4841. DENTIST NEEDED — Creekside Dental Yakima, looking for a fill in dentist for the following Monday through Thursday dates: Feb 22nd through Feb 25th 2016 July 18th through July 21st 2016 We are open Monday thru Wednesday, 8-5 and Thursday 8-4. If interested, please contact Leslee T., Office Manager, (509) 577-8279. GENERAL DENTIST, SUNNYSIDE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Great opportunity to expand skill set as you work or a perfect opportunity for an experienced dentist to utilize a wide range of skills. For more information, please contact Jolene Babka at jbabka@ applesmiles.com. DENTIST - EARN $220,000+/YEAR— Burlington, WA. Great respect, benefits and bonuses! Fast growing, privately owned dental office seeking a talented and enthusiastic associate dentist to join us full time: great income potential and opportunity for advancement! Excellent benefits, educational support and training! Morning, evening and Saturday hours. Earn as high as $220,000 a year plus bonuses! $588 restorative production/exam average, you see 125 hygiene patients a month, you get 30 percent of production. No patient cherry picking by senior dentists. Contact Dr. Hilde at (360) 391-1201 or Jason@hildefamilydentistry.com. GENERAL DENTIST — Tri-Cities/Sunnyside, Wash. Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Great opportunity to expand skill set as you work or a perfect opportunity for an experienced dentist to utilize a wide range of skills. For more information, please contact Jolene Babka at jbabka@applesmiles.com. FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team. Fully digital. Must be highly skilled and experienced. Ready to learn and be a part of the team. Outstanding earning potential. Please email resume to bellevuedentists@gmail.com. GENERAL DENTIST, SPOKANE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee. Learn as you work or a great opportunity for an experienced dentist. For more information, please contact Jolene Babka at jbabka@applesmiles.com.
classifieds issue 2, december 2015
OPPORTUNITIES AVAILABLE
EXPERIENCED AND SPECIALIZED REPRESENTATION OF THE DENTAL PROFESSION John C. Versnel, III
Saleing Pend Malpractice Defense
Practice Transactions
Disciplinary Proceedings (DQAC)
Personal Injury Actions
Employment Claims
Sales
Acquisitions Mergers Valuations
Handling dentists’ practices with care since 1997
CONSIDERING SELLING? “Thank you all for the successful transition of my dental practice. Only after it was completed, could one truly appreciate the amount of time, effort and expertise required to accomplish the objective. Your company met or exceeded my expectations in all the key facets of the transition.” - Dave Reynaud, DDS - Marysville, WA
Business Litigation
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Robert Stanbery Owner
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NO OTHER LAB IS AS COMMITTED TO YOUR SUCCESS • • • • •
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At O’Brien Dental Lab, we’ve built an unmatched team of professionals who strive to deliver the highest level of service, education, innovation, and reliability. We support your practice with everything from case consultation to continuing education. O’Brien Dental Lab is your partner for O’Brien Dental Lab, Inc. 4311 SW Research Way Corvallis, Oregon 97333
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4 4 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org
CURRENT LISTINGS
OPPORTUNITIES AVAILABLE
DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.
PROSTHODONTIC PRACTICE FOR SALE — Olympia. Live, play and work in the beautiful Pacific Northwest! Immaculate, well-established and respected full-range prosthodontic practice including implant surgery. Four fully-equipped operatories with full computerization and digital radiography. Two operatories are also equipped with surgical microscopes. Practice features an inhouse state of the art fixed/removable dental laboratory and a new cone-beam CT/digital panoramic scanner. Second floor suite in a modern medical office building with expansive windows throughout. Easy access from Interstate-5. Practice collections over $1.3M fee for service only. Long-term dedicated staff. Owner will stay on part-time as needed. For more details please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com
OFFICES FOR LEASE OR SALE
Olympia
General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique practice with some of its patients.
Redmond
Shared space in a beautiful office. Space that is shared is reception room and staff lounge. Completely ready to use.
Associate positions available at once!
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FOR LEASE — Office space for lease in Walla Walla WA. 1950 square feet. Attractive newer building located near General Hospital. Great location for a dental specialist. southpoint@gohighspeed.com. FOR LEASE — Beautiful new 1,800 sq ft turnkey space available in Kent, Washington. Space includes three fully furnished operatories with space plumbed for a fourth. Includes new call light system, new computers, Dentrix, Dexis, and all equipment needed to start your practice. Custom cabinetry and high-end furnishings included as well. Please contact Rod for details at 206-9792660. GENERAL PRACTICE FOR SALE: Marysville Smokey Point. Attractive, 7 year-old start-up practice, collecting $980k. Easy freeway access from I-5 in a rapidly growing area. five operatories and approximately 1,800 sq/ft. For more details please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE: Seattle - Lake Union. Spectacular, state-of-the-art Lake Union general practice collecting $2.3M. 7 fully-equipped operatories including TVs, Digital radiography, Nitrous, Intra-oral camera, Lasers (3), Adec chairs, electric handpieces; built-out and equipped in 2009. Near major employers such as Amazon with ample street parking as well as parking validation. For more details please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE: Olympia. Remarkable general practice in the heart of Olympia. Approx. 2,500 sq/feet. Collecting $975k on two days/per week. 5 fully-equipped operatories with Adec chairs and digital radiography. For more details please contact: Jennifer Paine at (425) 2161612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE: West Seattle –Alki . An outstanding general practice in a spectacular location. Collecting $1.3M. 1,800 sq/foot (approx) practice is located in the Alki neighborhood of West Seattle. Four fully-equipped, digital operatories with a fifth possible. Commercial condominium also for sale or lease (by owner). For more details please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE: Federal Way. An amazing general practice opportunity located in the prime medical/dental area of Federal Way. Collecting $815k. Two space-sharing general dentists selling in tandem offers six computerized operatories. Featuring digital radiography, nitrous, rotary endo. For more details please contact: Jennifer Paine at (425) 216-1612 or Jennifer@ cpa4dds.com
th e wsda ne w s · issue 2, december · 2016 · www.wsda.org · 45
PERIODONTAL PRACTICE FOR SALE: Seattle – North. Outstanding periodontal/implant practice for sale, north of Seattle collecting $750k. Located in the center of a busy medical/dental area near major medical facilities with high visibility. 360 patients in perio recall. 37% of production are implant procedures. Five fully-equipped operatories. Digital radiography. Features private meeting room (study clubs). Owner occupied. For more details please contact: Jennifer Paine at (425) 2161612 or Jennifer@cpa4dds.com. BUILDING FOR SALE — Tacoma 2,100 sq. ft. built in 2008, for sale at $299,000. Rent to own option. Email: hughbc@gmail.com. Call (206) 280-4582. FOR SALE — Dental office with apartment for sale, Port Angeles, WA. 1,710 SF office plumbed and wired ready for new dental equipment. Mostly finished basement. 3 bed, 1 bath apartment upstairs, 1,480 SF. A steal at $259,000. Contact Brent or Amy Powell at Caldwell Banker Uptown Realty, (360) 775-5826. FOR SALE — For a list of Washington Plumbed and equipped spaces available - e-mail Steve Kikikis at Omni Healthcare Real Estate - steve@omni-pg.com SOUTHWEST WA — Fantastic opportunity for a comprehensive dentist or two or three dentists with blended skills. Collections near $1.5 million. Seven ops, completely digital, 3D Galileos, Cerec, and much more. Contact John Van LeeuwenGreen Sail Transitions, Inc., Phone: 503-320-8991, www.greensailtransitions.com. FOR LEASE — Fully equipped nicely appointed dental office near Northgate Mall in Seattle. Current doctor is working three days, and would like to sublease space on days she is not working. Flexible on days and hours. If you are interested in learning more about this opportunity call Linda @ (206) 913-3376 cell, or (206) 363-1464 office. BONNEY LAKE, WA. — 2,478 SF dental space fully improved including all cabinetry, six stations, chairs, equipment, reception, $4,935/MO. Contact Steve Dorenbush at CBC Offenbecher. (253) 8405574 or sdorenbush@offenbecher.com. FOR LEASE/OWNERSHIP — Multi-tenant commercial building. Location! Location! Location! This professional building is located in a large shopping complex that is anchored by Haggen Grocery, Starbucks, and McDonalds. This complex is located in a growing and developing area just east of Mill Creek and near the new Glacier Peak High School. It is ideal for medical/dental tenants needing between 2,000 to 6,500 SF to complement existing general dentist and Providence Medical Clinic. Partial ownership opportunity is available for a qualified tenant. Christian@KoviSolutions.com.
classifieds issue 2, december 2015
Professional Management Associates, Inc
OPPORTUNITIES AVAILABLE
continuing education around the state
Continuing Education Seattle-King County Dental Society
Snohomish County Dental Society
January 26, 2016 Improving Case Acceptance: Moving Past Insurance Entitlement
Wednesday, February 17 SCDS General Meeting
Dr. Mark T. Murphy, DDS, FAGD
The DoubleTree Southcenter, 16500 Southcenter Pkwy., Tukwila 6:00 – 9:00 p.m. (CE Credits: 2)
March 4 The Christensen Bottom Line 2016
Mill Creek Country Club Speaker & topic TBA (CE Credits: 1)
Friday, March 4 Annual Seminar · The Christensen Bottom Line 2016 Dr. Gordon Christensen
Dr. Gordon J. Christensen
Lynnwood Convention Center, 3711 196th Street SW, Lynnwood 8:30 a.m. – 4:30 p.m. (CE Credits: 7) Co-presented by SKCDS, UW and the Snohomish County Dental Society
April 19 Annual Officer Installation & Member Recognition Evening
Lynnwood Convention Center, 3711 196th Street SW, Lynnwood, 8:30 a.m. – 4:30 p.m. (CE Credits: 7) Co-sponsored with SKCDS & UWSOD.
Wed., March 16 Sleep Apnea from a Dental Perspective David Russian, MD
Mill Creek Country Club (CE Credits: 1)
Dr. Bryan Edgar
Stone Manor, 15208 52nd Ave S, Tukwila 6 p.m. – 9WA-SEP-2015.pdf p.m. 1 9/30/15 5:34
PM
Wed., April 20 Mary Lontchar RDH
Topic TBD, Mill Creek Country Club (CE Credits: 1)
Pierce County Dental Society November 17 Identification, Referral, and Management of Behavioral Issues in the Dental Office Dr. Lisa Heaton C
M
Y
CM
MY
CY
CMY
K
5:30 p.m. Social · 6:00 p.m. Program Tacoma Country & Golf Club, 13204 Country Club Dr., SW, Lakewood (CE Credits: 1)
Mount Baker District Dental Society January 12 Oral Manifestations of Common Systemic Diseases Dr. Kelly Lloyd
February 12 Mid-Winter Meeting
Dr. Jose-Luis Ruiz on restorative
March 8 Potpourri of Allergy for Dentistry Dr. David Elkayam
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FOR LEASE — Business suite with a great view of Mt. Rainer. Private bathroom, no shower. Building currently occupied by multiple dental practices. Full security system on building w/ close circuit cameras. Additional storage in a room downstairs. This space was formerly used as a dental lab. Tenant and owner can work out plans of future build out. 311 sq. ft. $600.00 per month + NNN. NNN=$249.00. drlorrinichols@gmail.com. GENERAL PRACTICE FOR SALE North Seattle, Wash. An outstanding opportunity in a prime location. Three fully equipped, digital ops, room for four. Real estate also for sale. Please contact SeattleDentalOfficeSale@gmail.com. FOR SALE — Snohomish county general dental practice for sale. Annual collections over $1 million with room to expand. Four operatories, 30+ new patients per month, great street visibility. Rod Johnston at (877) 866-6053 Ext 1 or e-mail rod@omni-pg.com. FOR SALE — SE Washington general dental practice for sale. Annual collections of approximately $360,000. Four operatories. Be the only dentist in town. Small rural setting with outdoor activities. Jim Vander Mey at (877) 866-6053 Ext 2 or e-mail jim@omni-pg.com. BELLEVUE/FACTORIA — General dentistry/ specialist office for lease. 1,249 sq. ft. three ops. (Or, 2,100 sq. ft. for ? ops) Winner location. Easy I-90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd. Available T.I. required for conversion. Landlord will contribute to concession (206) 915-2263 Mark. FOR SALE — South Sound Perio practice and real estate available for sale. Collections over $1.5 million. Great referrals and low overhead. Building is also for sale. Call Rod at Omni 206-9792660 or rod@omni-pg.com. S.W. SNOHOMISH COUNTY – Beautifully appointed, four op family practice, highly profitable with strong hygiene, over $950k collections, (fee for service) lease or own the facility. Please email piega@delaneytransitions.com. OFFICE FOR LEASE — Medical building in Renton, Washington across from Valley Medical Hospital. 963 to 1,872 SF of built out dental space. Tenant improvement budget available. Contact Soraya Clements, an AGM Inc. commercial real estate broker. (425) 979-7117. OFFICE FOR LEASE — Well located medical building adjacent to Swedish Hospital in Edmonds, Washington. 2,165 to 2,529 SF with tenant improvement budget available. Contact Soraya Clements, an AGM Inc. commercial real estate broker. (425) 979-7117. ISSAQUAH – Charming Issaquah location – small, profitable practice, 90 new patient YTD! Great street visibility, ample parking, most PPO’S. Please email piega@delaneytransitions.com. SOUTHCENTER – Well-established, mature patient base, well run! Desirable, growing location –ample free parking – Beautiful spacious facility! Four ops, could be six. Please email piega@delaneytransitions.com. BELLEVUE/CROSSROADS – Seven op space only – fully equipped. Please email piega@delaneytransitions.com.
OFFICES FOR SALE OR LEASE
FOR SALE- The great outdoors and a large GP practice. NE Washington, Modern building, eight operatories, computer ready, 7,000 sq ft with a squash /racket ball court. $700,000 + on four day week. Low overhead. This practice is 50 years old. Experienced staff that works hard and smart. Little competition. You will hit the ground running with this one. Skiing, boating and the great outdoors within minutes. Do you want it all? Building is also available. Contact Michael McLaughlin at (509) 447-3756. G/P PRACTICE FOR SALE IN BONNEY LAKE/ ENUMCLAW AREA — Annual collections over $550,000. 1,500 SF office with four fully equipped operatories plus digital X-rays. Well trained staff will continue and assist with the transition. Well established practice that has been in the same location for over 43 years. Excellent cash flow, outstanding collection policy, only dental office in town. Seller would consider selling building at same time as practice sale or give a right to purchase for a later date. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366. FOR LEASE — Existing 3,267 sq. ft. medical/dental office space available. Building currently occupied by two family practice dentists and is located in a highly visible shopping center. Approximately 25,000 vehicles per day. Anchored by Applebee’s, Office Depot and Kohl’s, as well as other professional, medical, and retail businesses. Situated on the busy corner of SE 270th PL and 172nd Ave SE in the busy and rapidly growing city of Covington, WA. Contact: Mike Kirkland, MK Property Services, L.L.C. Office: (425) 888-2993, cell: (425) 455-4271 or email: mike@mkps.net. FOR SALE — Flagstaff, AZ Sunny mountain town dental practice. Excellent office with five ops. Updated tech, secure network, and prime location. Annually grossing $1M+ with strong new patient growth. Email sheffieldday2@gmail.com. FOR SALE — Turn-Key Bellevue practice for sale, built out two years ago with four beautiful operatories and digital equipment. Own for less than a startup. Jim Vander Mey at (877) 866-6053 Ext 2 or e-mail jim@omni-pg.com. PERIODONTAL PRACTICE, SPOKANE, WASH. — If you love the outdoors and want a great place to raise a family then this practice is for you. Annual collections close to $1.3M per year. Tons of cash flow in this high net-low overhead practice. Centrally located office just off the main freeway to better serve the community. Well tenured, experienced staff will assist with the transition and stay with the practice. Selling doctor will stay with the practice for up to six months to introduce the buyer to all the referral sources to ensure a smooth transition. Under-utilized satellite office serving a large insurance area waiting to be re-energized. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental. com, (503) 680-4366. PROSTHODONTIC PRACTICE FOR SALE — Greater Seattle area. Outstanding practice with high gross & high net. Building is in a great location with plenty of parking and visibility. Building could eventually be for sale to prospective buyer. Experienced staff will stay on with the practice. Owner would stay on 1-2 days per week for up to a year to ensure a smooth and complete transition. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, (503) 680-4366, info@reasorpro-
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OFFICES FOR SALE OR LEASE
fessionaldental.com. G/P PRACTICE FOR SALE IN LINCOLN COUNTY — Owner is selling two separate practices both within 35 miles of Spokane, WA. Annual collections over $430,000. Four operatories. Well trained staff will assist with the transition and will stay with the practice after the transition. Excellent collection policy in place. Excellent cash flow for a practice of this size. Please contact Buck Reasor, DMD. Cell: 503-680-4366, email:info@reasorprofessionaldental.com, www.reasorprofessionaldental.com. SPOKANE DENTAL OFFICE — For sale or lease, equipment available. Professional dental office building centrally located in the Spokane Valley. The building is surrounded by a beautiful park-like medical campus containing a total of eight medical related structures. The building has on street visibility and signage exposure with more than ample parking. Within just minutes of I-90 at Pines and the Spokane Valley Hospital medical campus. The main floor is 2,450 sf with five fully equipped operatories. All operatories are identical with Adec 1040 dental chairs, Planmeca pro style intraoral X-ray units, Knight track lights, Adec side delivery units, Pelton Spirit 12:00 o’clock units, built in side cabinetry and one radius mount/pneumatic. All operatories benefit from great natural light from windows facing the park like setting. The building benefits from a spacious reception area, which includes a children’s play area and a large built-in fish tank. The furnished private doctor’s office with bathroom and the furnished staff lounge with private bathroom are conveniently located adjacent to a large business office area. The building also includes an additional 2,450sf daylight lower level including a large lab space, staff lounge area, Air Techniques Airstream 50 compressor and Apollo ultra vacuum, conference room area, utility area plumbed for a washer and dryer, staff locker and changing area, and ample general storage. The building has full telecom services including CAT-5 computer networking. The Building is available for sale at $560,000 or for lease at $4,900/mo. NNN. A lease with option to purchase may be considered. The equipment is available for lease or purchase separately. Contact: Gary Kuster, Dowers Commercial Real Estate Group, 505 W Riverside Avenue Suite 539, Spokane WA 99201 (509)-869-8100. G/P PRACTICE FOR SALE IN THE LONGVIEWKELSO AREA — General practice for sale with four fully equipped operatories. Annual collections over $550,000. Great location with excellent visibility. Well established practice that has been in same location for over 38 years. Well trained staff will assist with the transition. Seller owns building and would sell now or would sell in the future. Outstanding collection policy. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366. FOR SALE, AUBURN, WASH. — General dentistry practice for sale in Auburn, Wash. Annual collections over $260,000, excellent collection policy in place, fee-for-service with no PPOs. Outstanding location with great visibility, selling doctor would like to sell building at same time as practice. Contact: Buck Reasor, DMD, Reasor Professional Dental Services at info@reasorprofessionaldental. com, or call (503) 680-4366. FOR SALE — West Seattle. Newly upgraded dental practice in West Seattle for sale. $725,500.00. Five+ ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last fee-for-service practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour.
classifieds issue 2, december 2015
OFFICES FOR SALE OR LEASE
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OFFICES FOR SALE OR LEASE
Annie Miller, (206)-715-1444. SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an Associate position. Restorative practice with In-House C&B, and denture processing lab, and technician. Modern downtown Seattle five chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com.
talcenter.com. (360) 733-2303 or (360) 594-1916. FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other dentists in building. Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (incl. utilities). Contact Dennis Schmuland (425) 417-1206.
JUST AVAILABLE — Just available. 1,200 square foot fully equipped four operatory dental space. Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Jerry at Medical Centers Management (206) 200-7766.
FOR LEASE — Available for immediate occupancy. A fully plumbed dental office. 1,350 sq ft, three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Call Jerry at Medical Centers Management (206) 200-7766.
NEW OFFICE SPACE –for Periodontist or Endodontist. 2,000-4,000 SF Prestigious Creekside Village the newest building in the heart of Mill Creek’s Town Center. Over 50 stores, shops and family services within a two-mile radius with many general dentists from which to draw. Visible from the Bothell/ Everett Highway, seven minutes from I-405 and I-5. Three minutes walking distance from the University Bookstore, Central Market and hundreds of condos, apartments and homes. Design your space. Generous terms with significant free rent. Contact Vien Bui (425) 379-6062. NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valuations. Dental space planning and architecture; real estate leasing and acquisitions, employment benefits; staffing resources and training; financing. Call today for your free consultation…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: annie@nextnw.com. FOR LEASE, OLYMPIA — Ideal location on Martin Way near St. Peter Hospital, 2,000+ sq. ft. Five ops including chairs, panex and more. Perfect for startup/satellite office, future purchase possible. Contact Don at uncledgh@aol.com. FOR LEASE — Quality professional office Space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/ or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100. DENTAL OFFICE SPACE FOR LEASE IN KENT — 1,800 sq ft complete dental office with five ops, lab, break room, two restrooms and private office including all brand new cabinetry throughout the office. Completely wired and plumbed for state of the art digital dental office. Great opportunity for start up or relocation. Contact (206) 909-3863. FOR LEASE —Vancouver, Wash. Next to Vancouver Mall. Brand new remodel 2,000 sq. ft., just move in equipment. Built-in cabinets, Pano room, private office. Very nice! neilgray@comcast.net. FOR SALE — Bellingham Wash. Prosthodontic/ Adult restorative practice. Excellent location in building with other specialists and general dentists. Seller owns space; sell now or later. Well established practice for 37 years. Contact: ethorp@meridianden-
FOR LEASE — New construction. Professional building in Lynnwood by Alderwood Mall. 2,0006,000 sq ft available. Ample parking. Private entry. High visibility and high traffic count. Each unit has up to 40 sq ft of signage on main-street. Ideal for specialist and/or group practice. Call Dr. Nguyen at (206) 250-3282 or email datman1@mac.com.
SERVICES
TRANSITIONS — Dirk Peterson, DDS. Dental practice sales buyer’s representative: serving Snohomish, Skagit, Island, and Whatcom counties 33 years in dentistry, then 13 years selling dental practices. Will work with buyers or help both buyers and sellers in transactions. 360-567-7133, dirk1@msn.com. BOOST PRODUCTION — Want to boost your in-house production by not referring out your patients? General dentist with over 25 years of experience in private practice with strong skills in oral surgery and endodontics available to an office in need on Fridays and Saturdays. Call (360) 4029370 or e-mail scubatooth@msn.com. HAVE SEDATION, WILL TRAVEL! — Make fearful patients comfortable with IV Conscious Sedation. I am set up to come to your office and sedate your patients so that you can perform needed treatments the patients avoid due to fear. I have over 19 years experience providing safe IV Conscious Sedation. Serving Washington & Oregon. Richard Garay, DDS. (360) 281-0204, garaydds@gmail.com.
EQUIPMENT FOR SALE
OFFICE CONSTRUCTION
FOR SALE — New EDAN Dental Patient Monitors with CO2 capability and 12” HD screen with special WSDA promotional pricing for only $ 3295.00. Also available new Criticare monitors with CO2 and standalone CO2 monitors. Pacwestmed has been serving the Pacific Northwest dental market for 30 years. Contact Scott Bowsher at (425) 985-4091 or email scott@ pacificwestmedical.com.
CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.
USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net. FOR SALE — Used but in good condition equipment for sale : 2 Den-Tal-EZ Chair set ($1300 each), 2 Ritter X-Ray Unit($200 each), 1 Belmont X-Ray Head($200 each), 1 SciCan HydrIM Instrument Washer ($300), 1 firesafe file cabinet ($200), and a few office chairs. Please call 206-406-6954 or 425-228-1620 for more additional information. GENDEX/DEXIS REPAIR — Gendex and Dexis Intraoral X-Ray sensor repair. Specialize in repairing Gendex & Dexis dental X-Ray sensors. Repair & save $1,000’s over replacement cost. We purchase old/broken Sensors www.RepairSensor.com / (919) 924-8559. KODAK/CARESTREAM/SCHICK REPAIR — Kodak, Carestream and Schick Intraoral X-Ray sensor repair. Specialize in repairing Schick CDR & Kodak / Carestream RVG 5100 & 6100 dental XRay sensors. Repair & save $1,000’s over replacement cost. We purchase old/broken sensors. www. RepairSensor.com / (919) 924-8559. SERVICES CONSULTING SERVICES — Dental consulting and business solutions: negotiations, marketing, websites, business management, HR solutions, bookkeeping, start-ups. Call Julie at 206.595.6425 or email dentalconsultantwa@gmail.com.
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ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years. On time, on budget and providing quality that you can afford. Call today for consultation George McBee - Allied clinicbuilders@comcast.net (425) 941-3088.
CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 973-5220 to submit your credit card information (sorry, no check payments), and your ad will be placed. Sell your practice or fill a position quickly? Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective. Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30. Non-members: $100 for the first 30 words, $1 per word for each word over 30.
classifieds issue 2, december 2015
OFFICES FOR SALE OR LEASE
SOURCES OF GOOD PATIENTS
HOW YOU THOUGHT YOUR PRACTICE LL TUA Y W EN AC WOULD GO T HO W
IT
OTHER INTERNET REFERAL SERVICES GROUPON
SPECIALIST
WEBSITE
DENTISTS IN THE NEWS
T EN TM TE N O C
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WORD OF MOUTH
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HIRING THE OPPOSITE SEX
DID WELL
SCIENTIFIC DISCOVERY
GOLD MINE
KILLS LION
GO FOR IT
MOLESTS PAITENT
% PATIENTS COVERED BY INSURANCE PLANS
SKILL
parrish or perish
Your dental life in graphs and charts
CHECK WITH SIGNIFICANT OTHER
SAFETY ZONE
BUT HEADACHES
CHECK WITH OTHER STAFF
WDS
CIGNA
DSHS
PREMERA
HOTNESS
% OF WRITE OFFS BY INSURANCE CO. WDS
The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.
YOU’RE CRAZY
FORGET IT
ALL OTHERS
5 0 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org
INSURANCE FOR EVERY STAGE OF YOUR CAREER:
Stage One: New Grads and Associates Are you covered? • NORDIC Professional Liability • Personal Disability Insurance • Term Life • Individual Medical Insurance As a dentist, you’re the expert on teeth, gums, and how the mouth works in concert with the body in terms of overall health. And while you know just about everything there is to know about the mouth, you may not know what your insurance needs are — and more importantly, how those needs will change depending on where you are in your career arc. Dentists just starting out need NORDIC Professional Liability, personal disability insurance, term life, and individual medical in order to be fully covered. That’s where the expert staff at WDIA comes in. Matt, Kerri and Heath can guide and educate you about the types of coverage you need no matter where you are in your career.
Matt French · Kerri Seims Heath Johnson 206.441.6824 · 800.282.9342 www.wdiains.com
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Sole broker for:
Washington State Dental Association 126 NW Canal Street Seattle, WA 98107
PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115
CHANGE SERVICE REQUESTED
We're not the norm… When we realize our doctors are facing exposures beyond professional liability, we work to develop and offer exceptional dentist-specific products. NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage. Can the big box companies say that? For more information about cyber coverage, call …… NORDIC – the Gold Standard
800-662-4075 nordicins.com melissa.sanchez@nordicins.com
Sole broker for NORDIC
5 2 · th e wsda ne w s · issue 2, december · 2015 · www.wsda.org