How to Build a Multi-Practice Group Without a Bank Loan or Private Equity
Every form of outside money starts a clock. Dr. Mark Skimming built fourteen practices in Scotland without starting one, and explains what that cost him.
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Most dentists pour their entire training budget into getting better at the dentistry. I did the same thing for the first three years of my career.
Every form of outside money starts a clock. Dr. Mark Skimming built fourteen practices in Scotland without starting one, and explains what that cost him.
The scaler comes up before anyone has established what needs treating. Six systems that decide whether a hygiene department performs, and they interlock.

A crown at $900 while benefits remain, $1,500 once they run out. Dr. Travis Campbell on why that is a conversation you should never have to have.
Graduates want modern, high-tech practices and cannot afford to build one. Dr. Peter McClellan on turning that into a succession plan rather than a problem.
A one-star review arrived days after opening, from someone who had never visited. Drs. Nate Jeal and BT Nguyen on what that taught them about the right patients.

Reschedule and you lose the slot. Insist on prepayment and you may lose the patient. Dr. Travis Campbell on the form that avoids both, and how not to misuse it.

Most owners feel disconnected from their own financial reality. Wyatt Ferber on the systems to put in during Q1, and what a P & L will never show you.

The film was clearly a flop thirty minutes in, and Jasmin Attia stayed anyway. She had already paid. Three biases that run your practice as well as your evening.
Ask ten carriers which date they pay on and roughly five will say each. Dr. Travis Campbell on choosing a policy, and the case where the choice really matters.
The breakdown is almost never in the operatory. A missed call, a slow reply, a follow-up nobody made. Dr. Nate Jeal on closing the gap between intent and action.
Jenine Toback assumed her niece would lead with salary. She led with hybrid options, mental health days and whether the mission matched her values.
Handed out often enough without a framework, a reward quietly becomes an entitlement, and the practice ends up carrying the cost of both.
Wages rise, reimbursements do not, and the hygiene department absorbs the difference. Dr. Travis Campbell on ten steps that change the arithmetic.
What does each treatment actually cost you to perform? Bottom Line Business Planning on mapping how money moves before deciding where to push on it.
A second opinion found residual calculus, and now the insurer wants its money back. Dr. Travis Campbell on why paying it is usually the wrong first move.
When people feel uncertain about their income, the cleaning is among the first things to go. A model for telling that apart from an ordinary slow month.

Inaccurate estimates create surprise bills, and then nobody is happy. Dr. Travis Campbell on the mix-up that catches even experienced insurance coordinators.
You can follow your accountant well enough. Andy McDougall on the harder job, which is changing the numbers rather than reading them after the fact.
Salary deferrals cost the US government around eighty billion a year. Dr. Ratna Indah works through what a share of that looks like for you and your front desk.
Warren Buffett said to invest in what you know. Dr. Morven McCauley on why dentists so rarely invest in themselves, and what she asked before she did.
Bonus programs are everywhere, so they must work. Dr. Travis Campbell on why so many dentists report theirs did not, and the math that decides it up front.

Most of what frustrates your office about insurance is not the insurer. Dr. Travis Campbell on twelve process problems that look like carrier problems.
Dr. Travis Campbell ran campaigns that returned almost nothing, and went looking for why. The answer had very little to do with the campaigns themselves.
One job each, and both sides are usually failing at theirs. Dr. Travis Campbell on why the argument about lab fees is never about lab fees.
Regulation, litigation, patient demands. Dr. Joe McEnhill on the defensive habit that follows, and the father who never had the option to refer out.
Dr. Travis Campbell's son wants the orange peeled and the cheese melted. His daughter wants everything separate. He noticed he complains about only one of them.
The patient is buying the result, not the treatment. Dr. Joe McEnhill on jargon, rapport, and writing down what Roger said about the cup final.
Procedure is inclusive of another usually means something else entirely. Dr. Travis Campbell on reading what the EOB is actually telling you, then answering it.
Response times, misinformation, denials, disallows, audits. Dr. Travis Campbell starts from the complaint list and asks why any practice puts up with it.
Dr. Reza, I think you need to talk to mom. Words no pediatric dentist wants to hear, for a situation dental school never covers.