Why January Is the Best Time to Fix Broken Systems in Your Dental Practice

By: Dr. Sable Muntean

January is often labeled as a “slow month” in dentistry. The holidays are over, patients are distracted by new deductibles, and schedules can feel lighter than usual.

But for practice owners who understand the business side of dentistry, January isn’t slow—it’s strategic.

January is the single best time of year to identify and fix the broken systems that quietly hold your dental practice back all year long.


Why Systems Matter More Than Effort in a Dental Practice

Most dentists don’t struggle because they lack skill, motivation, or work ethic. They struggle because they’re relying on people to compensate for broken systems.

When systems are unclear or inconsistent:

  • Phones don’t convert calls into scheduled patients
  • Schedules look full but underproduce
  • Treatment plans don’t get accepted
  • Billing delays choke cash flow
  • Leaders stay reactive instead of proactive

January offers something rare during the year: space. And space creates clarity.


1. Phone Systems: Where Revenue Is Won or Lost

Your phone system is your practice’s front door. Yet it’s often the least trained and least audited system in the office.

Common January Phone Problems

  • Calls going to voicemail unnecessarily
  • New patient calls not being scheduled
  • Team members giving information instead of building value
  • No accountability for call outcomes

Why January Is Ideal

With slightly lower call volume, January is the best time to:

  • Audit phone calls
  • Retrain scripts
  • Define what a “successful call” actually means
  • Set conversion benchmarks before spring volume hits

Fixing your phones in January directly impacts your entire year’s production.


2. Scheduling Gaps That Cost You Thousands

A schedule can look “busy” and still be wildly inefficient.

Common Scheduling Issues

  • Short-notice cancellations not filled
  • Too many low-production procedures clustered together
  • Poor hygiene-to-doctor balance
  • No strategy for same-day treatment

January allows you to step back and ask:

  • Is this schedule designed for production or convenience?
  • Are we managing time—or reacting to it?

Small scheduling changes made in January compound into massive revenue gains by year-end.


3. Case Acceptance: The Silent Growth Killer

Unscheduled treatment is one of the biggest hidden liabilities in dental practices.

Signs Your Case Acceptance System Is Broken

  • Large treatment plans sitting untouched
  • No clear handoff between doctor and team
  • Financial conversations happening inconsistently
  • No follow-up process after the appointment

January is the perfect time to:

  • Define clear roles in the case acceptance process
  • Improve patient communication and financial clarity
  • Train the team while patient flow is manageable

You don’t need more patients—you need better systems to help current patients say “yes.”


4. Billing and Collections: Fix Cash Flow Before It Hurts

Nothing creates stress faster than strong production and weak collections.

Common Billing Workflow Problems

  • Insurance claims delayed or denied
  • No ownership over aging accounts
  • Inconsistent financial policies
  • Team uncertainty around patient balances

January is ideal for cleaning this up because:

  • Year-end insurance resets highlight inefficiencies
  • Financial data from the previous year is fresh
  • Changes now stabilize cash flow before busier months

Strong billing systems protect your peace as much as your profit.


5. Leadership Habits That Quietly Undermine Growth

Many system failures are actually leadership failures in disguise.

Leadership Gaps That Show Up in January

  • No clear expectations for the year
  • Inconsistent accountability
  • Avoidance of difficult conversations
  • Operating in survival mode instead of strategy mode

January is a leadership reset:

  • Clarify vision
  • Set standards
  • Establish rhythms for meetings, feedback, and accountability
  • Decide how you will lead—not just produce—this year

Your systems will never outperform your leadership.


Why Waiting Until “Busy Season” Is a Costly Mistake

Many practices delay fixing systems until they “have time.” But once spring and summer hit:

  • Volume increases
  • Stress increases
  • Training gets postponed
  • Bad habits get locked in

Practices that win the year build the foundation in January.


Final Thought: January Is a Gift, Use It Wisely

January gives you something dentistry rarely offers: margin to think. When you fix systems early:

  • The year runs more smoothly
  • The team performs better
  • Revenue becomes more predictable
  • Leadership feels less reactive

Instead of asking, “How do we survive January?” Ask, “How do we use January to win the year?”

Sable Muntean

Sable Muntean

Chief Editor of the GetLit Newsletter for igniteDDS.com. Dr. Sable Muntean is a native of California, having attended college at the University of Southern California. She then graduated from LECOM School of Dental Medicine in Florida, simultaneously earning her degrees as a Doctor of Dental Medicine and Master in Health Services Administration. She continued her training at Southern Illinois University's School of Dental Medicine, where she completed a year-long Advanced Education in General Dentistry Residency, followed by another year in an Implant Fellowship. After some time in private practice, Dr. Muntean is now proudly serving as the first full-time female staff dentist at the St. Louis VA Medical Center taking care of local veterans. In 2020 she was inducted into the esteemed Pierre Fauchard Academy, and most recently was selected as a recipient of the 2023 American Dental Association's Top 10 Under 10 Award.