The Everything Dental Rep

November 30, 2010

Why are Dental Supplies so Expensive?

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Don’t wait. The time will never be just right.”

-Napoleon Hill



This blog isn’t going to be a big complaint about dental supplies…its’ about value of picking the best performing supplies..


Just a few simple things I have learned in 27 years in the Dental Supply Business…

The doctors who are most hung up on expenses seem to have the biggest overhead, or have the most stress worried about their expenses – not fun.

The biggest overhead in a practice is labor.

The way to reduce your biggest overhead cost is increasing production.

Dental Supplies in an average practice are directly related to production – and in general are between 5 – 10% of the cost of the procedure.

A procedure bill (in most cases) to the patient is the same regardless of the time spent or the cost of the material.

Labor in an office is paid by the hour….and can be broken down to seconds.

Materials for a procedure are really almost the same regardless.
Some math.
My wife just had to replace a small filling – a 27 (Canadian tooth numbering system) MO.  
The doctor froze, and came back to place the composite in about 15 minutes, although the total time in the chair from waiting room to payment was 40 minutes.
The bill was $201.00

The materials costs were about $14 regardless of how long the procedure took – the materials to perform this procedure are almost always about the same. 

The cost of labour was $20/hr for assistant/60 minutes x 40 minutes total CDA time = $13.33

Reception was $20/hr/60 minutes x 15 minutes appointment management = $5

The associate Dentist was paid 35% (or lets say practice overhead is 65% total) =$70

Total labour costs on this 40 minute procedure was about $88.33
By the production minute – labour cost $2.21 per minute
Total materials cost $14

Bad product choices could have increased the time of this procedure by 5 minutes and saved 20% – saving $2.80 but increased 5 minutes or $11.05 for a net LOSS of $8.25 (yay, you saved 20% on your materials – obvious savings – the loss of production time was not as obvious)

What if materials could save you….5 minutes, but cost you 20% more
Material cost goes from $14 to $16.80

The procedure now costs you
$2.21 per minute production time x 5 minutes reduced time =$11.05 gain in  production time less the $2.80 more materials cost – for a net GAIN of $8.25 on this procedure.

8 times a day = 40 minutes a day
How much is 40 minutes a day worth?

Now the better news…

Most of the time the right materials choices…..
-cost the same or less than what you are currently using.
-are simpler techniques that makes the procedure more predictable
-helps the patient get what they want faster (get out of the chair!)
-incr
ease treatment acceptance – easier technique to understand usually with reduced risks such as sensitivity, chair time
-make staff happier and more productive and of course a more profitable practice which can lead to more benefits for all
So when you are choosing your materials – use an expert on helping you make the most informed choices.  

Dental Reps Know.

Its’ my belief that an office using the most advanced products can gain efficiencies of 5 – 10% in gross production – just from materials choices.  The products are never unproven – they must be backed by independent research, clinical trials, and for me - testimonials from the field.

The products must be:
#1 – Good for the patient
#2 – Good for the business.

I call the products I pick Timefactors (TM) and you can find many reviews on this website for products I recommended.

The best investments you will make in your practice are yourself (education) your staff (team education) and your choice of high VALUE products.  Let your equipment and materials choices work FOR you.

The fact is – a good rep understands time is money, and that material costs are legitimately important – but the TIMEfactors ™ is the most important part of picking a material.  If it is efficient in your hands, the price per use must include TIMEfactors ™….

Thankyou for following DMDrep! 

If you like what you see – please share this on your facebook, twitter or suggest to a friend.  I do this for the fun, and I am working on publishing a book and working on several processes of determining TIMEfactor ™ values for products you use every day….

This Rave of the day brought to you by…

Warren Bobinski
Success in Dentistry and Life.




November 27, 2010

Its’ all about the music dude!!

Filed under: Uncategorized — admin @ 3:31 pm





Music washes away from the soul the dust of everyday life. 

 ~Berthold Auerbach




I don’t know what I would do without music and art to inspire me (and coffee for that matter.


The playlist, and inside the crazy mind of mine…


Breaking Benjamin…The diary of Jane….i want to get up on stage with these guys and bang my head!  I am sitting on a plane with people staring at me as I am rocking my head furiously back and forth….hey, whatchya looking at Dude? I’m a badass rock n roll dude!


Next song on the playlist….


The Fray…You Found Me…now I went from a badass rockstar to wanting to write a friction love story for my wife!  Ya, I’m a sappy guy who told his wife he was in love within the first week of meeting her.  Probably enough to scare most girls away, and inspire guys to think they want to hit me and snap me out of it.  It’s just that I love people, and getting attached quickly is probably something I do to compensate for moving so many times when I was young….


…then the song changes..


Neil Young…..The Needle and the damage done…I stop writing for a moment and pretend my guitar is in my hand…I love my guitar..she gives me so much pleasure. She understands the creative side of me, and…..and…and I am tired of playing an air guitar, it’s just not the same as having here here with me….skip to the next song…


Rob Zombie…a great driving beat that suddenly inspired me to jot down a few notes for my book The Empire about a serial killer multiple billionaire James Bond type…..


Now back to this..


KISS…..Detroit Rock City…  Hmmmm…bored quickly here after the first verse..heard it too many times, and I’m not in the mood.  Feeling kind of dark after the Rob Zombie and writing ideas down on a new character to introduce into the book…


Avenged Sevenfold…Fiction….from the newest album…I listen just because of how this amazingly talented band manages to find such a unique sound…now I’m back in musician mode…listening to lyrics….so tell everybody, the ones that walk beside me, that I will find my own way when I’m not with you tonight….


That’s it…now I’m bored with this and ready to go back to reading my Stephen Adler book, close to finished reading about this sicko….lol.


Crazy head, love it or lose it….

Warren

November 26, 2010

History repeats itself, an opportunity for Dentists to invest…

Filed under: Uncategorized — admin @ 2:30 pm





A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficult



Can you see opportunity in history?


I don’t know where you live, but where I live the dentist population is booming meaning it is becoming more competitive to open and run a dental clinic.  The average cost of opening a single clinic is now in the $600 -$750K range.


Years ago when I started, the economy was slower and many dentists ran large group practices with shared expenses.  They also operated extended hour clinics and satellite clinics in smaller towns.  


I predict we are going to see these times again.  It actually makes good business sense!


Here are some reasons why this is coming, and why we are going to return to large group practices, and an idea for the entrepreneurial dentist….


First – I would suggest in a competitive market to open a beautiful clinic with a group of motivated dentists.  The dentists involved would have to agree on building and maintaining the highest tech dental centre in the market – offering premium dental care.  Part of the agreement for the partners would be to maintain a minimum level of advanced dental courses, maintain the most advanced equipment with a good business plan to reinvest in keeping the clinic advanced.


The beauty is each partner would share in the real estate (the building would be owned in a high traffic area).  The cost would be approximately the same to each partner as opening their own clinic – but all put into one location.  The result would be some major savings on construction and equipment costs.  


Each operating partner would be responsible to pay a portion of the expenses based on their gross.  Associates and auxiliary income would be shared.  


Group practices or multiple dentist buildings used to work, and they could work again…


Second – there are key areas for developing new clinics – rural!  In an economy where housing costs have gone up to the point that bedroom communities are thriving – the smaller towns about 30 minutes to 60 minutes away don’t have access to a full service dental clinic.  I can see partners sharing the cost of setting up a nice, comfortable clinic that would compete with the larger centre clinics.  I would staff this either with associates or each investing doctor would take the appropriate share of business days depending on their initial investment.  If the clinic cost $600k to one and 4 dentists invested $150k -each doctor would be responsible for 1 of the 4 days per week the clinic was open.    These clinics would serve an average patient base of 2000 patients each generating an average of $400yr each – or about $800K per year gross income.  After expenses, each partner should be able to net $40 to $60K per year but also have the ability to sell their share of the clinic for close to what they have originally invested.  So let’s say the plan is 5 years (a good exit strategy plan, because most equipment and technology would still be current and the practice would be hitting the peak patient load).  By this time the doctors would have earned approximately $300K of earned income and still be able to sell their portion of the clinic for $150K for a total of $450K in five years on an original investment of $150K – not bad! If you had 3.5 other days of similar investments you could earn over $2 million within your Corporation with risk you control – all based on the same investment you may have had trying to run just one location.


Additional income could be possible, especially if each partner had extended services – perhaps a cad cam would be brought in and shared among the partners so that lab income could become part of the formula – maybe a therapist and hygiene and spa would be part of the clinic to reduce overhead and increase profitability.  The other great thing would be if each partner brought something a little different to the table – one might offer orthodontic services, another would be the in office oral surgery specialist, another might do the majority of end, and yet another could be the restorative/cosmetic guy.  The best partnerships in this idea would be those dentists that best compliment each other and refer to each other….


The best part of the plan is having multiple partners each willing to put in not only a share of the original investment, but also willing to supply time or associates..


Last


The opportunity to build this clinic and have several specialists in one location.  

Keep all specialists in the same business.  Why not have an Endodontist, orthodontist, oral surgeon and pedodontist and lab in the same practice working as a team?  Interview carefully and make sure this team agrees on treatment and referral.  This could easily be a multiple million dollar proposition with franchising opportunities….


There are so many opportunities – and looking at previous business models could help build a strong future.


This rave brought to you by…


Warren Bobinski

Success in Dentistry and Life!h

November 25, 2010

Are all dentists the same?

Filed under: Uncategorized — admin @ 2:58 am








Are all dentists really the same? 


Are all health care professionals the same?  Are you limited and bound to provide only the treatment that is covered by a health care plan – or do you have the option to allow your patients elective treatment?  


Elective treatment is the great part about the dental profession, and at the same time can be a difficult thing to learn how to promote.  Often, the treatment planning is based on what is covered by insurance and not always by what is the best long term option.  Is it wrong to offer a treatment plan that meets the standards you believe in, and more importantly what your patient really wants?


So many people I work with are trying to find a way to being new patients Into the practice in a professional manner when you already have all the tools you need ready to go!  If you are already established, why do you need to spend any money ‘advertising’ for new patients when your best opportunity lies right before your eyes?


It’s a simple matter of asking the right questions, and educating.


I used to believe that the least expensive equipment and products were always the way to go for my customers – and I used to have to see 150 customers just to make a basic living.  I always thought that my customer only bought the cheapest stuff, as long as it got the job done.


But I learned.


It took me 10 years to realize this was a mistake.  Just like the least expensive dentistry is not usually the best long term solution for your patient!  I learned that my customers who bought the cheap stuff had more breakdowns, emergencies, recalls and headaches.


As I continued to grow in the business and continued to learn (I am a big believer in CE) , I found that I could work better with those who understood true value.  I started offering more options to my customers. With proper education and time, I was able to develop a top 5% territory in Canada. The only reason to bring this up isn’t to toot my own horn, ’cause I am really uncomfortable with that. The point is to prove to you that a formula that is working for me might be able to work for you.


You and I have some amazing similarities.  I HATE and I am UNCOMFORTABLE selling anything.  I want my customers/patients to get the best treatment using my education and talent.  I give a 100 percent guarantee on my services.  There is no compromise, and not every patient/customer accepts my treatment plan…


That’s ok, because it’s better to not spin my wheels treatment planning for failure.  I am able to provide options that suit any customer/patient – and I always make sure, like you do, to explain the good and bad.  Most of the time my cusomers (your patients) want the best – and it’s usually not the least expensive, short term answer – its the long term value proposition.  And that takes education.


Is education really considered selling?


What if I could help your practice be more attractive to the public so you bring in more business?  Maybe you think that you are quite happy with the way your practice looks already, but I am not afraid to show you the potential!  It’s all about education.  And understanding what ‘lasers’ and ‘cad cam’ and ‘digital xray’ might do for your look….I don’t want to sell it to you if this isn’t your thing, but I will ALWAYS offer you some options, because I have done it so many times and have so many happy customers…can you see the analogy?


An opportunity to do more.


Here is the cool opportunity dentists have that I also have been able to accomplish.  You need to read the analogies into this one…


My territory has grown to include an amazing team!  I have the most experienced technicians (I will call them my preventative team).  Within this team I have an amazing specialist for just the digital and high tech equipment like lasers and cad cam.  They help maintain the high quality products we install, and keep the customers coming back.  Without my preventive team, I would not have nearly the amount of work coming in the door.  I sincerely appreciate this part of my team!


I am lucky enough to have very experienced Customer Service and accounting that go out of their way to make sure my customers/patients get what they need, when they need it.  This part of my team helps make me look good.  They make sure the collections are handled (my territory rarely has receivables over 30 days).  They make sure the customer is delivered what they asked for, or handle the odd times when things don’t go perfect.


The team includes an equipment specialist -  my equivalent to a treatment co ordinator.  He makes sure to iron out all the details of the treatment and makes sure the customer gets ‘educated’ on the recommended plan, then follows up with co ordinating everything from the finances all the way through to installation and training on the product.


There are several other key team members – and every one of them understands that the customer signs the paycheque.


Most importantly the business I work for invests a lot of money educating this team to be the best and how to work as a team.


The most amazing part of this….


If you can see the analogies, then you will also understand this one.  I deliver all this service for less than anyone competitor!!


That’s because the service I offer is unique.  Nobody else does what I do!  The ‘treatment planning’ I offer makes my customers look good, which helps them be more successful.  This treatment planning can help my customers get to a place they wanted to be – but without education they may have thought this place was really expensive!  At the end of the day customers are satisfied, and want to be ‘lifetime patients’, and as their family grows – so does my business in the best way…from referral.


I believe anyone can take orders and maybe even sell dental supplies.  

I believe most dentists can provide basic treatment once they get their degree.


But I am not just another Dental Salesman, and I bet you are not just another dentist…


We are dedicated to educating and providing long term solutions to a loyal base of customers/patients who recognize the value of the service we offer…..



Sincerely,


Warren Bobinski

Success in Dentistry and Life….

November 24, 2010

The Ego

Filed under: Uncategorized — admin @ 12:40 pm






I hate people who think they are better than everyone else.


I love those that are modestly confident.


We all have skills, and learning to appreciate what every person I meet can bring to a relationship is a goal of mine.  It doesn’t matter if you are an expert on clinical dentistry, a chair side assistant, a hygienist, receptionist.  Even if this is not your true passion – I know you have a passion for something that would make you a good friend to know!


I have met amazingly talented photographers, musicians, artists, writers….I have met people with an amazing ability to remember every detail about other peoples lives and families, birthdays and those of their kids.  My wife is that person, it astounds me how she can meet someone once and six months later remember their kids name, what their birthdays are and how much that person loves to roller-skate….


You are someone I want to know!  It’s why I am on all these social networks, because the skills you are teaching me are invaluable!  The skills you teach me allow my mind to explore fascinating opportunities.  The ideas you bring excite me and add a lot to a relationship!  


I hope I am able to give that back to you…..


Those of you that think you are better than everyone else, you can go and live your lonely life.  Maybe you have 10,000 people that like what you produce….but do they really like you? Maybe you should take a moment to realize that without these people, you would be nobody.  If you sincerely don’t appreciate these people, you will likely be writing a book someday wondering what went wrong…maybe you have millions of dollars, people who follow you around to kiss your ass only because they want to leech from you, people who are star struck and just hope you will actually take a genuine interest in them….but you won’t.


It’s a lonely life living with yourself and your big ego.


I hope my real friends realize how important they are to my life, and that anything I gain in my life will always be shared.


Without you…..I am nobody, and lonely.


Smile!


Warren Bobinski

Success in Dentistry and Life!

November 23, 2010

WI-FI EVERYWHERE!!! The Connected Dentist…

Filed under: Uncategorized — admin @ 2:31 pm







My name is Warren, and I am a tech addict.


I am not alone.  There is a huge growing amount of people that are carrying devices that require Internet, and the demand on the cellular mobile networks is causing a downgrade in voice quality.  I think the cost of cellular data is related to the demand for the product.  The demand is growing, and will grow in a huge way with tens of millions of new mobile devices being added everyday.


There is a huge opportunity here for businesses to take advantage!  


Every company that wants more foot traffic can capitalize on the opportunity to attract wireless patrons.  Look at the demographic of connected people….these are likely people you want in your place of business!


It blows me away that most businesses are not taking advantage of this opportunity.  


Every business that would offer wi-fi has an opportunity to interact with those using the wireless network.  If I had a wireless network I was providing for free, I would use a banner advertisement promoting something in my business.  The banner would sit at the top of the open browser window while they are using the ‘free’ internet service I am providing.


I would also consider an application for my place of business – advertised on the banner.  The patrons who want to use the ‘free’ internet connection would be encouraged to download the ‘free’ app.  Then whenever they come back to my place of business, they could log in and use the internet for free……


Those patrons that frequently ‘check in’ to the store will be rewarded….but the wireless internet is probably enough reason for those searching for wireless to come back to your place of business!


Think of the opportunities….


-every restaurant, retail business, movie theater, public venue, dental office, medical office, public agency, every retail business….there are a million places that free wi-fi would be appreciated and could benefit the business itself as much as those using the service…..


This Rave brought to you by….


Warren Bobinski

Success in Dentistry and Life…

November 22, 2010

Revolution in lighting – so simple….and yet so good!

Filed under: Uncategorized — admin @ 3:57 am
“The real lesson begins after your education, because its’ what you do with what you have learned that counts most…”
~Warren (Mr. Bumper Sticker)


WOW!
Kavo is offering a 2 plus 1 free until Dec. 31, check with your supplier!


Thats’ what happens when we convert most offices to LED lighting.

Overhead lighting and the handpieces in which the bulbs last several times longer than the halogen you are currently using and can make a dramatic difference in how you see in that dark space….

Its really good – and you should try this.

Get your rep to set you up a demo – its’ worth your while, and thank me later….

Warren Bobinski
Success in Dentistry and Life.

November 20, 2010

Howard Stern could rescue radio worldwide!!

Filed under: Uncategorized — admin @ 4:44 pm

Howard Stern made $583 Milion working for Sirius and is ready to quit.  I have an idea that would help him find happiness – because its’ not just about the money, is it Howard? 




Bubba and a dozen other shock guys could get the audience they have always known they deserve.  It involves Sirius (which was genius 10 years ago) but also combines current tech (ie: worldwide mobile devices) to bring this whole game to a new level that nobody saw coming….

So here we go….

I love my entertainment in the car, and I have a lot of time to think while I am driving.

Today I was thinking how great it would be if I could take my Slacker Radio and combine this with the Last FM station as well as my Pandora Radio along with the Sirius/XM satellite radio in my car (cause I can’t live without my Stern/Bubba fix every day)

Why not?

Why not have a working agreement from these awesome companies to share the best of each others ideas?  They don’t need to compete if they supply a reasonable answer to the customers needs – it could be huge.  Bring Satellite Radio to the internet – but also bringing the best of the world uncensored radio to Satellite….sounds like Cable TV, right?

People should be able to have a subscription to a ‘custom’ radio station – but be able to have it stream to their car.  My Blackberry already connects to my Radio and to Cellular Towers.  Why can’t I use my app to send a signal to the satellite that I want to listen to my favorite ‘recorded’ station – or listen to a PPV event on my radio, or subscribe to one of the custom stations (like slacker, lastfm, or pandora?) 

The same way we buy PPV – I am not sure of the tech behind this, but I can’t see why Sirius couldn’t allow a premium subscriber to add custom radio so they could take it everywhere.

We should be able to set up our custom radio to ‘Personal Radio Record’ any station we want and then stream it.  Set up my favorite ‘rock station’ my favorite ‘acoustic station’ and my favorite ‘shock talk’ station.  Then allow the power of the software to give me a couple of ‘custom stations’ based on my likes.  It would build me a library of talk shows and a variety of interesting content that I would like to listen to.

HOWARD STERN could have his very own stream on this type of station – just like Sirius, but it wouldn’t have to be live.  I could easily zap through stupid episodes or the disgusting parts to the funny stuff that I love.  I would pay a premium for that, and I bet others would as well.  

Why can’t we do that? I do it with my television.  The technology already exists – its’ just a matter of a few smart people putting together the best of stuff that already exists!

My thought is that the app you use already would wirelessly connect to your car radio – and allow you to change stations, and the stations would be streamed through Satellite to your personal radio.  All the content would be stored like ‘Netflix’ stores information, and you could order ‘a la carte’ or order the ‘all inclusive’ package which includes all live radio, custom radio AND a combo – live with suggested stuff.  If you like what you hear, you press the ‘like’ button and the Pandora/Slacker whatever behind the scenes takes note and sends you more….but all through the satellite.

C’mon, you know you would love it.  I have ideas on tying in some social media and how to create a killer following in a very short time. But maybe you are as crazy as me and can see that as well.  It seems so easy and logical.  How many people listen to the radio every day and would like more control of content and would pay for that? The stupid monotony of the same thing played over and over and over again would be gone.  The advertising would be super easy too – but because that idea is worth some killer dollars, I will hold onto that one for a bit….

This could be a killer app….

If you don’t think I am crazy – there is more where this comes from.  Otherwise, I really have fun trying to imagine the future – and I am one that works on making it happen too…

So Howard Stern that is ready to ‘quit’ radio…if you wanna have some fun and be really in control and un-tethered – call me – this could fly.  What are you really worth to the market? Are you willing to be the King and have your own country….bring the kind of radio to the world with the King of all Media app….

….and call me crazy, but I did email this idea to Howard Stern twice, maybe the idea just sucks, eh? 

Warren Bobinski
Success in Dentistry and Life!

November 19, 2010

Big will not beat fast ever…

Filed under: Uncategorized — admin @ 3:56 am

The world is changing so fast – the big companies may be disadvantaged unless they can find a fast way to adopt change. 




Its no longer the biggest that may win the race – its the fastest.  

Look at how quickly companies are now going from nothing to major forces – they understand the new market of speed. Google, Youtube, Facebook, Apple iPhone, RIM and hundreds of others that came along from nowhere to Billion Dollar Valuations.  Its the new speed of business….

I believe tomorrows leaders will be more visionary than ever before and will trust their instinct while running their companies.  There will be very limited time to hop on opportunities because of the amount of shared knwledge, and the ability for the entire world to catch on so quickly.


A product must be developed and marketed in a viral way – first to market with speed will be first to win the race and the mighty could fall…..

Products will HAVE to be very good, very affordable, and willing to have a short shelf life – because the next best thing is already being made.

Remember – I am a crazy visionary that does not believe in big. Once I had a company that grew like crazy, I would break off to smaller visionaries and help them succeed – and so on and so on….

Without breaking off – the company would become mired in politics and the best visionaries in the company would soon become frustrated and become a competitor instead of a strong ally….

It could be called ‘divisions’ within a company – but they would be allowed to operate on their own visionary principles.

Big will not beat fast forever…..

Random thoughts for today….

Warren
Success in Dentistry and Life.

November 18, 2010

The handpiece that runs 5 years trouble free

Filed under: Uncategorized — admin @ 1:39 pm
You can’t wish something to come true. Only hard work and determination can make it happen.  LIKING the idea and sharing the idea are not enough to make it work….
~Warren


We can make cars that properly maintained will get 500,000 miles, but we can’t build a motor for a turbine that will last more than a year or two?



We can build a fridge that can last 20 years without thinking twice.

There are many pieces of equipment that seem to last many years trouble free…..

Chairs, Lights, Xrays, and many others…

Who will be the first to come up with a “system’ that will guarantee 5 years on a turbine if properly maintained?  I think this would be worth a lot….

The system would include a handpiece that has an RFID chip installed – it would be easily tracked through the ‘system’ to make sure the proper procedures were being met.  It is like the car that tells you when maintenance is due – but this installed chip would tell the machine that it has been properly maintained - 

Yes, it was run through the oiler XXX number of times today – and a perfect lube job was delivered.
Yes, it was run through the sterilizer and all sterilization requirements were met.

Many other devices that need maintenance could also benefit from technology like this.  Why not have our mobile devices, or in office computer connected to our equipment that requires maintenance…

It would pop up in our calendars like any other appointment if there was a problem..

“THE COMPRESSOR NEEDS OIL DUMMY”
or
“CHANGE THE EVAC TRAP ALREADY< ITS OVERFLOWING”
or
“WHEN IS THE LAST TIME YOU CLEANED YOUR DEVELOPER?”
or
“THE SUCTION LINES ARE CAKED WITH JUNK, YOU NEED TO DO A BETTER JOB”

I am trying to add a little humor – but I can see that technology to do this would not really be too difficult to add, and I think the manufacturers that can add some simple ‘talking’ components will gain a nice little market share – because the stuff they build will be worth every penny for how long it lasts….

Just my thought of the day…

Warren Bobinski
Success in Dentistry and Life.
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