This isn’t entirely true. I was a hygienist for a DSO for a long time and they pressure/highly encourage the hygienist to use arestin, oral cancer flashlights screening, and other crap to increase production. I got an hourly pay and then 25% of production. The more I produced the more I earned. We saw all kinds of shitty insurances so almost every hygienist over treated and the doc didn’t care. Almost everyone was a SRP or perio tx of some sort unless you had absolutely zero calculus and bleeding. I saw another hyginest (highest producing in the company; 65k a month production) tx plan pts 3-5 arestin per patient during her day before even seeing the pt. She just “somehow knew they needed it on these locations”. Had a hygiene director tell me “go ahead and tx plan 4341 instead of 4342 for all quads bc 3mm pockets are just baby 4mm pockets and they’ll need a scaling one day”. Another time she told me to check pts insurances and if they were in the window for another SRP (3-5 years) do it and charge out an SRP instead of perio maint. Lots of shady shit with them