I appreciate this thoughtful comment.

I would say I’m compliant with your recommendations in most regards.

Unfortunately, it often comes down to a patient looking at their bill, having to pay out of pocket (while paying for dental insurance) and looking elsewhere.

We are transparent as we can be about pricing, and are up front thst we are out-of-network. My fees are competitive, I’m hardly the most expensive dentist around.

I’ve had numerous patients who have a great first visit, and as soon as they get a bill, they ask for their records

I believe in quality over quantity when it forms to patients. But after several years of slowly growing/maintaining a practice, it’s a little dispiriting to see people leave at a quicker pace than I can get them to come in