When an associate dentist has questions, where do you find help?

Question mark for every dentist

By Bruce Bryen, CPA, CVA

After graduating from dental school and starting to work as an associate, life then occurs. The work at the practice chosen for the beginning of the career is just not progressing as smoothly as addressed when the interview process was occurring. Questions had been asked with quite a few dental practice conferences with other opportunities and the job offer seemed terrific with many possibilities for learning and to be compensated nicely while doing so as well. The DSO experience, the private practice opportunity, and other choices were considered before this dental office option was taken.

However, the learning process seems too slow and as if the important point to the owner is production now and not continuing the training regimen for the future with better collections with more comprehensive and sophisticated cases. The educational experience with administrative lessons don’t exist. If the approach was thought to be that of eventually buying out the owner or starting an individual practice, there are too many unanswered areas of concern and the timing for the process is lengthening. The problem is to find the answers to the many questions that exist so as not to stall the career path’s progress.

With the stumbling blocks to learning, the unexpected slow pace in advancing one’s skill set and other issues, there are many questions.

But where does an associate dentist go for help?

For the recent dental school graduate who is now an associate in a dental office, finding someone to assist with answers is difficult. Not having much experience with dental financial people such as dental CPAs, it may help to ask fellow graduates or possibly the professor with whom studies took place who seemed to understand the daily operations of a dental practice. Asking one’s boss may be looking for trouble if the owner has lagged in what was originally promised to the associate. Learning that someone does not have to be hands-on and face-to-face, with in-person visits will assist the associate. This will allow access to find the best people from around the country who can “Zoom or speak over the phone,” and resolve a lot of issues. The answers to the questions should start to be available.

If this approach to finding an expert does not work, there are many instances where media information can be of great assistance. Publications are available for the dentist to find what he or she may be looking to find. The associate should remember, however, that the general conversation is just that, which means it won’t allow specific responses to the issues that are troubling to the associate. If there is a specific point to be addressed, the associate will have to learn that these experts earn their livelihood by responding to questions. They are the accomplished at providing reports and continuing with the associate during the career if both parties are mutually satisfied with the results.

Costs, experience, and expertise

What are some costs associated with the process and how is the experience and expertise of the “consultant” found?

One of the attributes of an “expert” posting in a publication is that at least the preliminary information about this person or professional financial practice has been vetted by the dental journal. It is good to have a conference with the professional holding himself or herself out as having the expertise to assist. A copy of that person’s resume should come next so the associate can see the background, experience, publications, and the years of expertise the authority has prior to the engagement occurring.

A first call of about 10-15 minutes should be without charge since this could be a long-term relationship if all goes well. Normal charges for a one-hour conference range up to about $500 for an hour or a little over that time based on the pundit’s knowledge and experience. Report writing is based on the subject matter and knowledge of the specialist about it. Review of documents as well are based on the complexity and sophistication of the subject matter. All charges should be part of an engagement letter and mutually acceptable. The associate will learn a lot from the expert and the payment will be part of his or her education to the world of dental practice experience, post-degree. Reading the resume and understanding what it entails is especially helpful, especially when seeing the articles that the authority has had published. Those reports will let the associate know what the expert has experienced and was able to publish. The dental practice publication should not be adding articles that are not factual so another vetting process has occurred to assist the graduate.

Response time for the dentist and frustration?

Each of us wants to feel as if we are the most important person that the talented professional dental authority is dealing with at the time. If response time is frustrating, maybe the associate is not the most important to the expert. As an example of timing, telephone conferences should be able to be confirmed for scheduling fairly quickly. Report writing takes additional time especially when the subject matter is sophisticated. As previously mentioned, it is also more expensive than a telephone call, but more information should be available in the report than on the phone. The associate will learn about the response timing as he or she gets experience. It pays to think of the timing when a procedure is being performed at the dental office by the associate to learn patience. Many times, the authority in the matter being asked for a response can refer others to the associate based on his or her experience in working with dental CPAs, attorneys, and dental practice brokers. All of these contacts assist in building a network for the associate that can be used in the future. Each contact can lead to another until the associate receives his or her dream of ownership or whatever else may be desired in the fulfilling of his or her goals as a dentist.

Bruce Bryen, CPA, CVA is a certified public accountant with more than 45 years of experience and is a part of Baratz & Associates CPAs. He specializes in deferred compensation, such as retirement planning design; income and estate tax planning; determination of the proper organizational business structure; asset protection and structuring loan packages for presentation to financial institutions. He is experienced in providing litigation support services to dentists with Valuation and Expert Witness testimony in matrimonial and partnership dispute cases. He is also a financial writer for several dental journals. You may contact him at (609) 502-0691 or at Bryenb@baratzcpa.com.

Note: “Question Mark” by ryanmilani is licensed with CC BY 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by/2.0/

Next post: The new dentist’s job and the learning curve

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Rosie, RDH

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her...
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Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her impact on both our hygiene department and overall practice was exceptional. Candy is highly knowledgeable, approachable, and genuinely invested in the success of the team. She is an excellent listener who takes the time to understand challenges and provide practical, effective solutions. One of the qualities I appreciated most was her accessibility, she was always available to answer questions, offer guidance, or return a call when needed. Her hands-on approach and commitment to helping our team succeed were evident in every interaction. Candy’s focus extends beyond productivity and practice growth; she truly cares about the people within the practice and works to create a supportive, collaborative environment. As a fellow dental hygienist, it was especially refreshing to work alongside someone who shares a similar philosophy and approach to patient care, team development, and practice success. We view many aspects of dentistry and hygiene through the same lens, which made collaboration seamless and productive. Having the opportunity to work with another hygienist who understands the challenges, opportunities, and importance of our role was invaluable. The hygiene modules she developed were incredibly valuable. They were well organized, easy to follow, and provided clear, actionable guidance. The accompanying handouts and resources gave our team the tools and confidence needed to implement new concepts successfully. Her training materials were practical, relevant, and tailored to the real-world needs of a busy dental practice. Candy’s expertise and dedication to excellence have made a lasting impact on our team. I would highly recommend her to any dental practice looking to strengthen its hygiene department, improve systems, and support the growth and success of its team. She is a true asset to any practice fortunate enough to work with her.
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Dr. Justin Elikofer

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Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At the time, we promised the team that everything would stay the same. The practice was thriving, and from the outside it seemed clear they had found a successful recipe for success. Our goal wasn't to change it—we simply didn't want to mess it up.

What we discovered was that while everyone wanted the outcome of success, there wasn't alignment around how we achieved it or measured it. Success in room 1 wasn't the same as Room 2. It took us nearly four years to fully understand that because we were doing well. During that time, we also realized we weren't leading as effectively as we could have been. We weren't communicating a clear vision, establishing consistent standards, or implementing clear protocols. Instead, we allowed people to continue doing things their own way. Some team members appreciated that freedom, while others felt frustrated by the lack of consistency and direction.

After four years, we found ourselves at a crossroads. We felt stuck. Morale was low and we weren't sure we could get the practice where we wanted it to go on our own.

As owners who value relationships as much as results, David immediately stood out to us. His personality was authentic, approachable, and trustworthy. He was someone we could see ourselves learning from and building a genuine relationship with. Being local was a bonus, but what really resonated with us was that his vision for practice growth, demonstrated through his own private practice, closely mirrored our own. He had already built the type of practice we wanted to create.

This stood in contrast to many other consultants we spoke with, whose focus seemed to be on PPO models and increasing volume. David's experience aligned with the type of practice we wanted to build: a high-touch, high-end patient experience centered on quality rather than quantity.

The IgniteDDS team—David, Dawn, and Candy—started by helping us understand where we truly stood. Through discovery, data gathering, and DISC assessments, they helped us identify opportunities for improvement and build a foundation for long-term growth. Rather than jumping straight to solutions, they gave us clarity.

Candy's coaching was instrumental in aligning our hygiene department and our office as a whole with the hygiene department. With her help, we were able to improve the patient experience and new patient process.

We also tackled practical issues that had become major challenges, including an accounts receivable system that was largely out of control. IgniteDDS didn't just point out problems—they provided systems and processes to solve them.

One of the most valuable aspects of the relationship was having experienced coaches to help us navigate team conflict and leadership challenges. As practice owners, those situations can feel isolating. Having a trusted team to walk through difficult conversations and decisions was invaluable.

Another large impact came through our office managers' work with Dawn. Rather than relying on the doctors to drive every initiative, IgniteDDS empowered our office managers to take ownership of the process and lead from within the organization. They embraced that responsibility wholeheartedly. No challenge was too large or too small. Dawn consistently met them where they were and helped them develop the confidence and skills to lead. The answer was rarely, if ever, "no." Instead, it was, "Let's figure out how."

Today, our practice is more aligned, more accountable, and better equipped to deliver the experience we've always envisioned. We have clearly defined protocols, team agreements, and expectations that simply didn't exist before. Our collections have improved significantly, particularly through implementing systems that helped us address and recover outstanding balances.

If we could offer one piece of advice to another practice owner considering IgniteDDS, it would be to identify the team members who are willing to take ownership and invest in their growth. Share your vision with the IgniteDDS team, trust the process, and allow them to help shape your team into the organization you want to become.

Working with IgniteDDS has been one of the most impactful investments we've made in our practice, our team, and our own growth as leaders. Are things perfect? No. Are we closer? Absolutely, yes!

Dr. Justin Elikofer
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Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly understands the day-to-day challenges we face in practice. His insight makes their guidance practical, relevant, and easy to implement. Working alongside Dawn has been such a gift! She’s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasn’t just helped me, it’s positively impacted our entire team and elevated our patient experience. I’m incredibly grateful to partner with Ignite as we continue to grow, strengthen our team, and serve our patients at a higher level.
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It was great working with a team to help bring out the best in each of us. Our team is small, but we work closely together to provide a great patient experience, while having fun at work as well! Your team was able to help us learn to work together, with each person having a vital role in providing care to the patient! Helping us all become streamlined and on the same page will help us become an even more successful practice!
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Bruce Bryen

Bruce Bryen, CPA/CVA Dental Practice Valuation Analyst, Baratz & Associates, PA

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