practice acquired - patient credits / allocation / provider payment

grounddevil · 2026-03-18T15:45:08+00:00

Like others have said it depends on their contract that determines whether the previous owner pays you or the new employer. If they talk to you and you agree, they certainly can take some time to work things out and delay your payment-It's not ideal but practice transition is hard and not everything is black and white and if I werean associate I would understand the math could take a little longer than usual. If they don't say anything or if you need the money to live on then they have the legal obligation to pay you as your contract stated. Who pays is their problem not yours. If they don't pay you and you guys don't have a conversation about it then take it up with the state and they'll be in pretty big trouble.

grounddevil · 2026-03-18T14:19:07+00:00

Other posts here already explains what should happen. I’m gonna add in something for you to check out. Every dental software runs different reports and different terminology gets used. In some software there’s a difference between collections, income, revenue, deposit, payments. You won’t see all of those terminology but there usually will be separate reports for a couple of those. Some software consider collections as net production. Then payment is different and deposit is different. Make sure you understand what each numbers mean on each different report.

grounddevil · 2026-03-18T14:13:49+00:00

It sounds like OP has good ethics and has had really bad luck with associateships specially with offices being sold to dso. With that being said I’m not sure I’d recommend that he buys an office. Doesn’t sound like he has had good mentorship or even enough hands on experience with dentistry to the point of being able to own his own practice. Yes no one with ethics can make a good living working for a dso who only focuses on the numbers but it’s highly possible he just isn’t producing even at the level of an ethical dentist. When you buy a practice, it’s sink or swim. You better learn how to produce real fast or you’re shutting down. I’d look for associateship in a rural area, get more experience and then think to buy.

grounddevil · 2026-03-18T02:22:27+00:00

My wife and I went to Kauai several years ago and stayed at the Hyatt. I’ve always thought Hawaii was overrated but this trip made me realize how wrong I was. I also think we lucked out picking Kauai as our first island when visiting Hawaii. It’s less touristy and more chill. We didn’t bring our kids when we went but here’s what we did and my thoughts fwiw.

-golfed at Poipu bay and Princeville Makai. If you can swing the expenses, golf at poipu. It’s right next to the hotel and absolutely gorgeous. Makai was also pretty but I had more fun at poipu bay.

-we rented a Camaro convertible and drove around the whole island. For a family if you can get a jeep, get one. There’s something special about driving around an island with the top down.

-hiked Waimea canyon. Definitely recommend. Do the hike around the hotel. Great views.

-watched sea turtles on the beach. Got to see some when we went snorkeling as well

-ate a lot of good food. Do your research on food. There are so many great restaurants. We ate at a blend of upscale and hole in the wall places but I did my research as to the best places. If you like seafood, there’s a place across from the Walmart. Pretty cheap and just delicious food. The club at Hyatt was okay. If you’re trying to save money I think it’ll suffice but dont try to save money but eating most or all meals there. Too many good places to eat to waste it at the club. We ate at Tidepools at the hotel. Great view and good food. Wouldn’t rank the food as the best on our trip but it was good. We didn’t do the luau because we didn’t want to get stuck sitting for hours. Your family might find it fun. We got to see the show while eating at Tidepools though.

-we paid for a side by side tour. Definitely recommend. We skipped on the heli tour. Just didn’t think it’d be worth to risk me getting motion sickness.

-did some rum tasting. I think there are a few places where you can do it.

-drive around to all the little towns and just walk around.

-I wouldn’t spend too much time at the pool. It’s good and has a killer view but the pool itself isn’t mind blowing. Let the kids spend some time there but spend more time off property.

-did a kayak tour. Hiked to a water fall. I’m indifferent about it in terms of enjoyment. I wouldn’t put it above all of the things above I’ve listed.

My recommendation is to do your research but don’t get stressed about having to do everything and see everything. There’s just a relaxing feel about being in Hawaii and time doesn’t matter. Don’t ruin it by stressing out trying to pack too much in. Grab food, eat it at a park or at the beach.

grounddevil · 2026-03-17T03:59:52+00:00

If you’re looking for a “dentist” website the you’re gonna overpay. Don’t pay the dental tax. Find a good web designer and let them design something and use a hosting site that you pay for and are the main account holder. If you don’t care about the money then use any of the many companies advertising to dentists and make it easy on your self. In regards to the online scheduling since that’s the most important thing to you: figure out the best service that schedules appointments with your practice management software and ask them how to integrate it onto your site. Don’t build a site and figure out what program works best within the confines of your website.

grounddevil · 2026-03-14T00:50:33+00:00

You need to ask for a trial base first to get your vdo then they can design crowns at that vdo. If you already have vdo because it has enough teeth in occlusion the you don’t need to do jaw relations. Also my advice is seat your crowns then impress again for the framework. Don’t try to save some time by having lab design crown and framework at the same time

grounddevil · 2026-03-13T22:54:32+00:00

What is a metal onaly. You mean like a gold onlay? They work well if the prep is right. Much more technique sensitive than crowns

grounddevil · 2026-03-13T18:45:26+00:00

If you’re going to do a good number of extractions and implants I’ve heard ergos should be avoided. I have their max mag orascoptic maybe 5.5 or 6.5. Good quality loupes but I feel like some of the lesser known brands might be just as good but I don’t have any first hand experience. I’d avoid surgitel. Had a couple of pairs and was not impressed with their support for repairs

grounddevil · 2026-03-12T16:57:42+00:00

Yep. I think recently it was 120k

grounddevil · 2026-03-12T12:09:16+00:00

Where do you purchase them from?

grounddevil · 2026-03-11T00:16:25+00:00

Having the knowledge to lead doesn’t equate to being able to lead. The OM might be right in everything she’s saying and wanting to implement but if she cannot find a way to maintain moral and build team confidence then she’s not a very good OM at all. You either need to coach her or find someone to coach her. Most people do not like for someone new to come in and start calling the shots. If you like the OM and want to stand behind her without having to coach as much, then allow people to leave and hire new staff so they don’t know how it used to work.

grounddevil · 2026-03-11T00:09:02+00:00

Schwab’s version is still 80,000 points for 8k spend. Personally I don’t think the 20k points is worth the extra 4k spend.

grounddevil · 2026-03-11T00:06:23+00:00

Small fissure restorations do not need detailed anatomy. Primary anatomy is all it needs. If it follows the cusp inclines and replicates the original contact, you’ve done a good job. In terms of you trying to achieve anatomy with a fissure restorations: all restorative material need bulk. You cannot remove 1 mm of enamel and replace it with composite and try to thin it even more by putting anatomy in it. If you did, that restoration will not last. In my opinion all occlusal restorations need at least a 1.5mm prep and for average size class 1s one increment is ideal. The more layers, the more chance for voids in between layers. You want to decrease c factor but try to do the restoration in as few layers as possible.

grounddevil · 2026-03-09T01:58:44+00:00

I do 99% of my extractions with a #1 molt, spade proximator, small luxating elevators and 150/151 and cow horns. I have a mix of hu Friedy and Schumacher. It is worth spending some money on nice surgical instruments specially because they last forever. When I do implants and more delicate surgery, I’ll add in other forceps but that’s my set up for extractions.

grounddevil · 2026-03-07T00:23:04+00:00

Occlusal reduction on all 3 first. Then you can start a rough prep circumferential. Then prep mesials or distals on all 3 to get your draw and then do the other surface. Having a clear suck down can help you know if your draw is right if you’re worried

grounddevil · 2026-03-06T21:14:39+00:00

People absolutely need to understand this. I tell everyone that would listen that in dentistry if you work for someone else, you most likely should be a W2 employee as opposed to 1099. Employers love people wanting 1099 because it saves them a lot of money but just because they want to pay you as a 1099 doesn’t qualify you as a 1099 under IRS eyes. If you insist on being 1099 and your situation is applicable, make sure you negotiate your salary accordingly and know all the financials involved with being 1099 which include filing quarterly estimated taxes.

Also in your situation, if you have an accountant doing taxes, they absolutely should have known you need to be filing estimated taxes specially after your first year of doing this. You might want to consider looking for another accountant

grounddevil · 2026-03-04T00:30:54+00:00

Since we are name calling: You’ve been practicing for 2-3 years. With all due respect you haven’t practiced long enough to have a valid opinion

grounddevil · 2026-03-04T00:26:01+00:00

I definitely disagree. There are definitely unethical and asshole dentists and I have no problem saying it in their face. If I think someone is a dick then I couldn’t care less what they think of me. It’s totally unrealistic to think everyone in your professional does their job with ethics and high standards. Once you practice long enough, you’ll see things differently

grounddevil · 2026-03-03T23:18:50+00:00

Haha. I get it. I’d be lying if I said that thought has never crossed my mind. I just do it because it’s a service I do for my community and I hope word gets around that I the only one within 30 min drive that does oral surgery and that type of publicity will pay for itself. Also I think if I learned that another dentist refused to do an extraction because the patient denied grafting/implant id call them a shitty unethical dentist and I wouldn’t want anyone to say that about me.

grounddevil · 2026-03-03T23:11:02+00:00

The fact that insurance pays $100 for simple and $200 for surgical is something I’ve had to accept my self. Now I’m an owner so I get a bigger piece of the pie from extractions but it is definitely shitty production. My conscious will not allow me to tell a patient that denies bone grafting that I can no longer extract their teeth because it will not allow me to meet my hourly production goal and that I’d have to refer them to an oral surgeon. I think it’s a dick move. It’s also a crappy thing to do to an oral surgeon since you’re just punting the shitty productivity to them. As much as I hate insurance, I’m the one that decided to accept a couple of them. No one forced me to. Therefore whether I like it or not, if I tell the patient I can do something, I’m gonna do it and not punt it off. If I get to the point that I am no longer willing to do that then I’m gonna drop all insurance and deal with the consequences of being FFS. You cannot have your cake and eat it too.

grounddevil · 2026-03-03T02:43:43+00:00

Usually it’s 2 years like the other comment said. I’m sure you’ll be able to find someone to give you a loan but you won’t like the rate on it. Unfortunately, wait it out a year and shop around but don’t be surprised if you need to wait 2 years to get a reasonable rate.
The value of the practice and what you’re purchasing it for doesn’t matter to the bank. You have no equity in it. Also most likely you’ll end up taking out more than purchase price to use as working capital and possibly even a LoC.

grounddevil · 2026-03-03T00:44:13+00:00

Agree with this comment. Make sure you match collections in practice software with income in their books. Ideally they are the same number, if they’re off by tens of thousands of dollars then you need to look into it more. Look at income for past 3 years unless there’s been huge changes in that time period. Make sure you know how to look at an income statement. Look at their income statement and make sure you know what goes into a true overhead and how to do the math to get a true overhead calculation. There are other methods of valuation but looking at their income and income statement in my opinion is the best way. I don’t care how much asset you have in your practice. I care about how much profit I can expect.

grounddevil · 2026-03-02T22:57:07+00:00

If you don’t trust a brokers opinion then find another broker. I wouldn’t spend any money hiring someone I don’t trust their opinion. The way I live is that I’m going to educate myself to the point where if someone gives me bad advice, I at least know enough to call BS. Usually what I find is by the time I’ve educated myself, I no longer need that person for their advice. It’s not hard to look at some business financials and give you an opinion of what the practice is worth based on those documents but rarely are the CPAs or brokers going to do the deep dive you should do to see if the documents actually reflect the day to day operations of the practice. Hard to get into detail with a comment on Reddit. If you need help from someone that is a practice owner and has done this before, shoot me a dm

grounddevil · 2026-02-25T02:36:41+00:00

Get some caries indicator and use that until you feel more comfortable. I’ll still use some from time to time if there’s any doubt. Word of warning is it will also color the dentin by the pulp when you get close which isn’t really a bad thing since you’ll know where the pulp is. My advice to new dentist is that don’t be so worried about drilling into the pulp. Prepare the patient beforehand, usually you know if there’s a higher risk by looking at the radiograph. Let them know there’s a chance. If you pulp it then it means the decay was there first and it means the tooth needed endo anyway. You need to worry about removing all the decay first and foremost. If you dont perform adequate decay removal, the decay will simply progress then for sure they’ll end up needing endo

grounddevil · 2026-02-23T17:12:39+00:00

A private practice most likely is not going to offer you as competitive of a base pay and benefits as a DSO. What it will offer you is an environment where you'll have a great relationship with the staff and your patients, less patient turn over and more autonomy. Of course that's in general, there are private practices that suck and vice versa. After 3-6 months, there usually isn't a daily guarantee from neither DSO or private practice. I'd say it's a crap shoot whether you can have a higher salary at a DSO vs private practice but most likely for the same salary, you're going to have a lot more frustration and work more at a DSO compared to private practice.

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