Risk, Reward and Entrepreneur’s After working with hundreds of clients over the past twenty-five years, I can recognize an entrepreneur from a mile away. Earlier in my career, it never occurred to me that some clients represented a greater opportunity than others. Yes, I knew a...

Dental Practice Classifications and Landscape – 2018 Private Practice - 57% (Solo practices with a maximum of two dentists operating simultaneously) Public Practice - 10% (spurred on by the expansion of community health centers, Medicaid, CHP (child health plus) and other federal and state subsidies. Institutional – 5% DSO/MSO...

You Are Responsible for The Drama We all complain. It doesn’t matter if you’re the owner, manager or an employee, there is always something that we just don’t like to do or don’t understand why we must do it. It’s ironic that most of us are...

We Both Thought the Other Was A dentist An insurance executive was sitting next to me at a dental coding lecture. We both thought the other was a dentist until I asked the speaker a question. After the speaker responded to my medical coding inquiry, the...

Sweat the small stuff I am sick and tired of people saying don’t sweat the small stuff. The small stuff matters. Those little, significant details are why I trust my medical doctor. Those tiny details are what transforms our dinner table during the holidays. Famous brands...

The 80:20 Rule The Pareto Principle was introduced to us by Vilfredo Pareto, an Italian economist, in the 1800’s. Pareto acknowledged a phenomenon within society that he coined the vital few. He noticed a natural division amongst those with money, power and influence (top 20%) in...

As we approach the New Year I would like to share a few thoughts. 2017 was an exceptional year on many levels but it was also a transformative year. For many, there was a cloud of uncertainty and a lingering sense of urgency. The engines of...

Information Warfare Regardless of your perspective on Fake News, there is a problem deciphering what’s real and what is not in this hostile media environment. This is a global issue and the sentiment is fueled by uncertainty in politics and economics. In the dental community, there is...

In the future will cars be more ubiquitous or will there be less of them? There will be a major shift in car manufacturing over the next five to ten years as millennials age. Until we legislate how to regulate driver-less cars, companies like Uber and...

The Perfect Storm In the aftermath of Harvey, Irma and Maria I suspect everyone will expect this blog to be weather-related. I promise that this essay is not about climate change or the death and destruction of raging storms. Instead, my aim is to talk about...