Dentaltown July 2020 - 20

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How Do You Maximize a 3-Op Office?
After receiving advice from his peers, this Townie provides a five-year update

Mattematics
Member Since: 09/02/09
Post: 1 of 30

Hi there, fellow Townies! For some of you who don't know my situation, I'm in a very small,
rural town in Kansas. Town population of about 2,800, county population of about 6,700.
Median household and family income of $27,000 and $36,000 respectively.
This next month, my office will be open for three years. In 2013, our production/collection
was $259K/$222K. (Production is after write-off.) In 2014, it was $495K/$466K. This year
YTD, our collections are $356K and on projection for $475K. Since taking over a second office
this year, I think my number of days worked might be less (at this office) this year, I'll get
numbers of days worked calculated so I can compare apples to apples.
I'm in network with about five PPOs and I accept Medicaid. Now that a FQHC opened up
here in town, I have stopped seeing Medicaid adults and focus only on kids now.
So here's the deal: We're in a weird puberty stage that it seems like we're too busy for this space,
but not quite sure if I'm ready to grow (or if I even want to). First off, I'm getting fried already,
and I'm only five years out of school. All of my time is spent on dentistry. I manage offices, spend
32-40 hours a week clinically, plus another 5-10 hours admin/treatment planning. I'm out the
door before my wife and daughter wake up, and I don't get home until 6-8 p.m. and am too wiped
to spend quality time with them. Oftentimes I'm in bed by 8:30 because I'm too tired. I don't have
time for hobbies, fitness, etc.-definitely not the lifestyle benefits I chose dentistry for.
Long story short, I need to make a choice. Do I continue to grow, bring on an associate (if I
can get one out here) and take more time off chairside? Or do I focus on maximizing the space
that I already have, and maybe sell one of the two offices? After the last couple of weeks, I'm
leaning toward the latter.
That leads me the crux of this thread: What tips/tricks do you have to maximize a three-op
office? I do a lot of services, including endo, sedation, extractions, dentures, implants and ortho.
Right now, things are being scheduled first available opening. I have thought about block scheduling ortho days, surgery/sedation times, etc.
Chime in, all you three-op docs. How have you found success in your space? ■
9/24/2015

Lil Uzzi Bert
Member Since: 08/05/03
Post: 2 of 30

If you're getting fried already, sell one. Trust me on this. The universe will let you know
when you're ready for multiple offices. It's not for everyone and certainly has disadvantages.
If you're about to have a kid, I would sell the one you can't grow any further like tomorrow.
Associates are a whole other ballgame. I've gone through four to find a great one. ■
9/24/2015

rovert
Member Since: 08/02/03
Post: 4 of 30

First of all, who cares what your collections are? The only number that matters is how much
money you are taking home (collections minus overhead). It doesn't matter if your collections
are $1,000,000 if your overhead is $999,999. Great. You made a dollar.
Rather than expanding your office, it will be a lot easier to cut down your overhead. Easiest
way to cut your overhead, stop taking Medicaid. After you do that, drop the worst-paying
insurance, and go from there.
You are already working yourself to death. Why not work equally or less hard and make
more money doing it? ■
9/24/2015

20

JULY 2020 // dentaltown.com

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Dentaltown July 2020

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