Getting a Deal

Post from DSN User:


How many docs do we have interested in a Pikos video set deal?


Many of our DSN members were excited and interested in getting a discount for Piko’s video set. Everyone agreed that the videos would be beneficial but the price point was too high. The original DSN member who posted the question delegated the task of negotiating a deal and ended up with an awesome outcome.


DSN COO: I’m happy to try to negotiate a group buy if you or the DSN Director of Vendor’s want?

Reply from Original Poster: I’m happy to delegate that to you! Go for it!


1 week later……


DSN COO: Yes, we’re negotiating rates for the DVDs And also discounts for their conference. So… Discount for all pikos stuff. It’s looking promising, they’re eager to work together. I should hear back by this week. I told them we want the option to purchase a la carte or the full package of DVDs. They said also pricing will likely be more aggressive if it’s just streaming as opposed to the physical DVDs. I told them we have doctor’s international that would like streaming so they understood that.


Offer received from company….


DSN COO: Okay, we received the offer, I’ll send to the Director of Vendors and the details to you guys shortly. They’re also offering discount for course registrations.


These dentists came together and Got Shit Done! If you want something, chances are someone else wants to accomplish that same thing. The first step is to throw the idea out into, in this case, DSN’s Workplace community. That’s exactly what this DSN poster did. She asked a question to get a feel of who else would like Piko’s videos and another dentist was able to score the deal through negotiation. It’s thrilling seeing Dentist’s come together to execute greater actions. If you’re looking for more actionable information like this, join DSN!

Dealing with Hygiene Products and Overhead

How do we Track Hygiene overhead and products?

Post from a user:

How do you deal with hygiene products and overhead? My hygienists have requested tongue scrapers, end tuft brushes, proxabrushes, biotene, etc to have as available handouts in addition to our oral b brushes (.93 cents/pt). Those products range from .67 cents to $1.37. On certain prophies, the fee is $65 and the hygienist is getting $46/hour at 1 pt/hour.”

Here’s some input from our experts across the country:

  • Have them in the office as a display for the hygienist. Let them (the hygienist) show them online where they can be purchased or make recommendations. If needed carry them in the office for purchase if needed as a convenience. Only problem is that you will have to account for the sales tax in your state”
  • “Sounds like the way their compensation is set up they aren’t really playing for your team. At that hourly rate, low price prophies in addition to auxiliary handouts, unless they are killing SRP, they aren’t likely earning their 3.3x production salary.”

→ Original Poster response: “definitely not earning 3.3x production salary, which I learned at the summit but is that strictly hygiene procedures or does that include x rays? It’s tough in southern california. A lot of hygienists are requesting $50/hour, even new grads. Thanks!”

  • “Can you give each hygienist a certain allotment every month? For example give each hygienist 5 proxabrushes. They can show patients what they look like and selectively choose who they give them to? Explain to them the concern about the low reimbursement and why you have to limit the freebies. You could also incentivize them with more products with higher production.”

→ Original Poster response: “This is kind of the route I’ve been going and really ordering the bare minimum and I’ve told my lead assistant not to keep their rooms stocked. The hygienists been complaining to my assistant that they need product but I do the ordering for the office”

  • “We show them links on Amazon rather than stock products for our hygienists to give away…same products you mentioned. Many times we’ll copy the link and send them a text message via Yapi. We find that the recommendation and extra time it took for our team to send them the links or even show them that these products exist was a WOW factor that exceeded the actual physical gift of the free toothbrush – which has become an expectation without a value proposition.

Want to blow away a patient? Try bringing up something on Amazon that you recommend for them…I did this with a gum stimulator rubber tip for an ortho patient. Then straight up order it for them right in front of their eyes. Was probably the most expensive gum stimulator I’ve ever purchased at $10 but the ROI in referrals and a 5-Star review was worth it. Obviously don’t want to do this for all patients but I’m working on an internal marketing campaign that has a set monthly budget for our team. They can spend whatever they want as long as 1. It adds to the health of the patient 2. It innovates the patient experience 3. They need to share in a video on our secret Team Facebook site what, why they did it with the rest of the team. The goals are to improve patient health and experience as well as engage team members. “

→ Original Poster response: “Do you give the regular toothbrush at all or just recommendations and links?”

→ Commentator Response: “We do still currently offer the toothbrush. The hygienists noted that they see an increase in those that have electric toothbrushes (haven’t tracked this so just going by their word of mouth) so for those patients we offer the toothbrush for them to gift to someone else.”

  • “Have your recommended products bundled according to their risk assessment and diagnosis. Patients will pay for this convenience. Our product list also shows amazon pricing for transparency purposes.”
  • “ I’m getting tongue scrapers for free from my Sonicare rep. I’m using TePe proxy brush and have them on auto ship which really brings the cost down. Start with a practice box and then see what they use the most. Henry Schein brand end tuft brushes ftw on those. GSK owns Biotene and that is not sampled any longer. Write your own handouts and print in house to keep costs down.”
  • “What if you unleash your hygienists as goodwill and case acceptance rock stars? What if you give them autonomy, give them the tools to take awesome care of patients and train them to be fellow leaders in the practice? They can drive reviews, referrals and doctor treatment. If they help you eliminate external marketing expenses, drop PPOs that only pay $65 on a prophy, and keep your schedule packed with treatment . . . doesn’t that make the cost of the potions and gum gadgets irrelevant? I’m just saying you can turn most any “expense” into an “investment” if you play in a slightly different manner. What if you see them as not just producers, but as a marketing and sales department?”


As dentists and business owners there’s a great deal to consider and balance. In this situation the DSN member is attempting to balance their hygienist’s happiness without spending heaps of money. The feedback this DSN member received was extremely valuable. There wasn’t just one solution to the issue. Some members suggested carrying displays in their practice in order for patients to physically see the product but would then provide them with the location to purchase the product. Others said that they set up auto shipping in order to cut costs.

With this feedback the DSN member will now be able to make an educated decision on how they would like to proceed within their own practice. If you’re looking for more actionable information like this, join DSN!

Paying associates using adjusted production: How to calculate in real time

Question from DSN User


For those of you paying associates using adjusted production, how are you calculating it in real time? Our write offs don’t occur until after insurance payments come in so how do you calculate this number per pay period? Don’t really want to get into having a different fee schedule for each insurance plan so looking for other ideas.”


Commentator’s Suggestions:

From one user:

  1. I’d look at 2018 % write off, and just apply that number.
  2. Pay a daily rate, pay their “bonus” on adj prod every 3 months
  3. Pay them off of collection, or update your fee schedules. Or, pay them a guarantee for 6 weeks, after that pay them on a rolling 5 week lag, so for April, they would get paid first week of May after Adj have been accounted for. Nothing will be perfect in this case, but my ultimate vote is commission off of collection. Granted you don’t have a collection issue.
  4. Help me bro.

I’ve never understood paying off of collections due to the admin burden and risk of inaccuracy.

How do you track collections for each doctor?

Wouldn’t that be admin intensive as a staff member with likely no college degree is applying money coming back into the practice from insurance companies (sometimes 3-6mo later) to the appropriate doctor?

If their tracking is off, doctors get paid wrong, and getting paid for what you do is a hot button for anyone. So accuracy needs to be 99%.

Other doctor with Associates:

so this is why we allow 90days of AR to build up before we switch them over. You can track collection in the software against each provider code, so collection is just business as usual. Once it’s set up in the software, it will handle that. My vote is net production, but in this case, using a % based off of last year’s write off can be less than 99% in either direction. 9 ways to skin a cat, this is just what I’ve seen done in some of the practices I’ve analyzed. Thanks guys!

Another expert:

it’s just as he described. The biggest issue is auditing it and which is easier to get right. It’s easy to verify daily that you did something and it is assigned to the right provider. It’s hard to verify if the correct sequence of buttons is pushed to put different payments correctly to several different providers months after something is done. We have 3 docs and 5 hygienists. Say I saw a patient for an exam and my hyg saw a patient for a cleaning then a week later my associate for a filling. Say the total adjusted production for this was $500. Now assume we collect 99-100% of this. If we pay on an accurate adjusted production whether the collections that come in later are divided amongst those three different providers and two different dates accurately doesn’t matter–not that we don’t try to but it’s not imperative. We have spent a ton of time and a lot of grey hairs figuring out discrepancies with historical collections–this wouldn’t have been necessary if we were paying on adjusted production.

  1. What is your reservation about setting up a different fee schedule for each plan?

It’s easy to set up and, since insurances rarely raise their fees, it’s not something you’d be changing frequently. Once your staff enters payments into ledgers, payment schedules get updated and Dentrix “learns” how to estimate patient co-payments better.


The benefits of having a different fee schedule for each plan are as follows:

  1. You can pay your providers accurately
  2. You can estimate patients’ out of pocket expense accurately
  3. You know how much money you are making
  4. If you take PPOs, patient ledgers can reflect PPO fees, while claims go out with your regular fees
  5. You can show patients how much money they are saving using their PPO in your office
  6. It’s easy to track your utilization and write offs for every PPO so that you could make good business decisions.

There is no downside, and, did I mention it’s easy to setup and maintain? It’s a lot less work than constantly posting adjustments. If your front office person convinced you that it’s too much work to set it up, get her some Dentrix training.

Any discrepancies are entered as PPO adjustments – either positive or negative and deducted or added to the current month.


  1.  We pay an hourly rate to our associate, then at the end of the month we calculate 30% of net production from the month PRIOR, once all adjustments have been made. We then subtract the last two pay periods from the 30% and pay it out as a bonus. In the end, it still nets out to 30%.
  2. We do hourly then quarterly adjustments based on collections. There’s very few errors in payment entry to the correct provider. The errors are if the treating provider incorrectly posts the completed procedure with a different provider.
  3. I think an associate should be paid on net production. The associate has no control of collection procedures, what training is performed, or who is hired for those positions. The owner of the practice should have enough confidence in his/her systems and employees to pay on net production. The owner should take the risk on collections not the associate.
  4. If you use Eaglesoft and aren’t aware of the existence of “unassigned credits” and what that really means or how running a collection report/day sheet for “end of days” vs “end of dates” gives you different numbers….paying collections may be an issue for you.


There may be many ways to accomplish a task but it’s nice to have a designated place where you can go to discuss those many ways. When asked about how dentists calculate paying associates using adjusted production in real time DSN members came together for a discussion about why they don’t think it’s a good idea and, for those who use this method, how they manage their associates pay.  

Being able to discuss a topic and receive feedback is an awesome way to gain reassurance on your thought process or get insight on how to do a task better.

If you’re looking for more actionable information like this, join DSN!

Keep Up the Fight!

Post from DSN User:

“Here’s a story….

Placed an implant as an associate in one office. Left that office. The implant did not integrate. The dentist punted her care back to me while I was an associate in a different office (just a little awkward). Opened my office where I placed a second implant. It integrated. So now this patient is crossing state line through Manhattan of all places (suffice to say it’s quite a journey from where she lives to see me). When we go to restore the abutment is a football field off the implant “fully engaged”. NBD, new impression and patient is in good spirit. I see her this evening for round 2 implant restoration. PA show incomplete seat but just a little off. NBD, I pull out the torque wrench. Tighten to 35Ncm. PA show another football field between my crown and the implant (WTF). NBD, let’s back it out and take a new impression (round 3 anyone?). I stripped the screw. Can’t move it in or out. stuck! Patient in room 1 with a hemorrhaging MB canal on 15 just a little tired of being cranked open for an hour. Good news, new patient waiting for an exam 30 minutes past appointment in room 2 and a Periodic ortho aligner seat needing IPR.

Needless to say I was thinking to myself this morning I want out!

I can’t believe sometimes how I manage. I keep it together, thrive and prosper despite working in an environment dependent on structure, order and predictability. I work with human beings! There isn’t anything less structured, ordered or predictable.

I want to extend my deep respect for all of you out there in the trenches. Keep up the fight! We are blessed and privileged to have the opportunities we have.

It’s great to be here with you all!”



“Some days you’re the pigeon. Some days you’re the statue. Tomorrow will be better.”

“Implants are easy to humble you. One wrong step early makes more wrong steps later.”

“Man, I’ve been in those situations too. Get some rest and live to fight another day. Some days are up and extractions come out like butter, implant abutments seat smoothly, molar rct are slam dunk, and all your crowns fit perfect. Other days, well.. are like today. Don’t be discouraged and get back on the saddle. anyone reading this knows your pain all too well, great post!”

“All those people bitching about dentists don’t realize how hard it can be. Some days are amazing and other days suck. I wish I could share something more profound and reassuring but I don’t have anything else to say except what you already echoed: ‘I am glad we have each other.’ “

“You forgot to mention all the other fires you’re trying to put out in the office!!! It’s a constant juggle, but you have to love the good and the bad and realize that you probably care more than many other dentists out there. I’m sure your patients are getting next level care, and have no problem forgiving relatively small inconsistencies!”

“I will be talking about how to stop being the Firefighter in Chief in your practice at the upcoming Practice on Fire Live!”

“I had a similar issue. I had difficulty placing an implant with the driver I had. Then same issue seating the impression post…and tried two crowns…long story short. I very carefully used a 7901 bur to try and clear the area, very gently. This was my very last option before I was going cap it and place a bridge. I think I had some debris from the screw threads from placing the implant. It worked, and I was able to seat the crown and torque to place. That was about 2 years ago. I reached out to see if anyone had this issue with no luck prior to using the bur.”

“I got mine handed to me last week, was in the same boat. Misery loves company, stay strong brother”

“Well said and right back atcha buddy. No one can fathom the stresses that we’re under everyday unless you’ve lived it. Chin up, and carry on. You’re appreciated!”

“Thanks for sharing man. Had a day like this yesterday. Went home and hugged the kids and kissed the wife…sanity again. Find your Peace in this wild profession”

 – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

Here’s an example of gratitude arising from a day full of unfortunate events. These are the days when you want to say “I give up” or how this DSN user felt, “I want out!”. However, if you have a supportive group to lean on, those days will never overpower what you’re trying to accomplish. Giving up will never be an option.

Many dentists responded to this DSN user’s post with encouragement and even some of their own horror stories. Everyone gets to a point where they feel like they’re drowning so it’s crucial to share your positivity in a time of need. We are bound for great things so let’s come together and help each other succeed!

If you’re looking for more actionable information like this, join DSN!

Communicating Effectively for your Practice

Post from DSN User:

“Had a humbling moment with my team recently.

Basically, we have cancellation policies and prepayment policies for appointments that are consistently ignored.

It has been on my backburner to address, as I see it as a leadership and accountability issue….

What I discovered, is that my policy was just really not very clear. While I could elevator pitch it to you, there are a lot of grey areas that made it difficult for my team to commit to it. So it really demonstrated a breakdown in communication between myself and my team.

So, this is my new cancellation policy that we brainstormed.

Would like some feedback if anyone wants to give it a read. One thing this document contains, which I think is paramount to team buy in, are the reasons behind the policy.

I also have a shorter more bullet list quick version.”


The issue at hand is communicating effectively. Often times people assume they conveyed their ideas or message in a crystal clear way but it’s necessary to take into account how other people interpret things. One person could think a concept was explained clearly but the person next to them might not agree and have questions for more clarification.

The DSN poster has asked for feedback in regards to his new cancellation policy. Below you will see commentators giving feedback on the poster’s cancellation policy but you will also see comments about communicating effectively and why that matters.


From an expert member on the East Coast:

I think it’s better to make them understand the value of the appointment and make it hard as hell for them to reschedule.

Do I have cancellations and no shows? Hell yes. I hate them. But for those who are the PITA ones, we handle them in a specific way.

1) We do phase one on your policy: try to save the appointment.

2) If that doesn’t work, we listen to the excuse. If it’s valid and they never miss, we let it go and let them schedule ASAP. If it’s not a good excuse, but they are a great patient, we let it go the first time.

3) Second time is different. We try to save appt, but if not, we tell them we are sorry they have to cancel and let them know “let’s find you another appointment that works for you…. Currently our first appointment available for XXX is in 6 weeks. Since this was a difficult appointment for you (if that applies because of traffic, work etc), perhaps we can find a better day or time for you?

4) If they have an appointment with me for anything major, they ride them very hard and let them know that this was a 2?3? hour appointment with Dr. XXX and these are “premium” appointments that are very hard to get. Is there anything you can do to make it? Perhaps coming a little late and staying through lunch?

5) If a great patient and they never cancel, we’ll find another time for them. If not a great patient, we push them out (typically I’m 3 months out for non-emergency tx anyway, so they just find my first available.

Finally, let me say this. It doesn’t happen often, but I have had to 1) change people’s appointments because a lab case didn’t come in, 2) change appts because I was sick or had a sick family member or another matter I had to deal with on short notice, 3) ran into an unexpected longer appt than normal and asked them if they’d like to stay or come back another time. Again, this doesn’t happen often, but I certainly don’t want them looking at a cancellation policy that’s one sided…


And this from another user on Communication- “What gets said, and what get’s heard”

“This concept of clarity in communication could arguably be our most important job as visionaries of our company. Here is a great example non related to dentistry.

We host a workout group every morning at 5am at our house. Usually 8-12 people show up everyday and I have become the de facto leader of the group and in charge of coming up with the workouts. This group is some of my closest friends and very accomplished, intelligent people. A doctor, a vet, 2 high level bankers, a chemist, a college professors . . .Smart people

Today I organized the workout and jotted down a summary of it on our white board. In my head it was clear as day. Simple. Straight forward. I started the timer and the workout began. For the first 5 minutes of the workout people were confused, didn’t know where to go, how many reps to do, how much weight to use, who do they partner with . . .

They were coming to me with questions DURING THE WORKOUT and I was getting frustrated . . .thinking to myself, “are you kidding me” I was thinking to myself

In retrospect I was so UNCLEAR about the workout instructions and these extremely intelligent people didn’t get it but they had the insight and courage to approach me for more clarity.

SAME THING HAS HAPPENED TO ME AT WORK, except Im probably even less clear and Im not dealing with accomplished professionals, Im dealing with girls making 20 bucks an hour who are very intimidated by me. It’s amazing that we get anything accomplished.


So In Summary:

 Be crystal clear, over communicate, ask questions to verify that clarity has been achieved . . .

Otherwise we are swimming in mediocrity.


If you’re looking for more actionable information like this, join DSN!


Computational analysis of data from your practice management systems is one of the most important cornerstones of running a successful dental business.  The dental industry often over complicates this process, but this is something that ANYONE can achieve with a little spreadsheet know how and the patience to mine  your data.  Every practice management system has some capability to export data into digestible reports, so we highly recommend taking the time to play with some simple macros and covert your raw data into percentages you can easily follow.

With that said, there are some excellent service providers who can help ease the burden and get you started.  From mainstay Dental Intel to the upstart Divergent Dental, there are more than a few ways to help bring BI reporting capabilities into your office.

With that said, metrics are a hot topic in the DSN, so let’s dive into a question posted by one our members…

Question from DSN User:

More Scorecard/KPI/Metrics talk!

As some of you know we are completely revamping our scorecards. We think we have it fairly dialed in. WHAT WE DON’T HAVE is the WHY, HOW and WHAT with each metric. I, and I would guess some of you, just assume that everyone gets it, they understand why we measure what we measure and they understand how we measure it.

What Im finding is NOTHING could be further from the truth.

Can you help me with this? Lets create a list of as many as we can. We will then have one single document where we can all go to and choose what metrics work best for us at this point in time.

Here is an example:

KPI: Case Acceptance %

What is Case acceptance %?

Case Acceptance % is defined as the % of treatment that was proposed by a provider that gets scheduled/performed. For example if a provider presents $10,000 worth of dentistry and the pt chooses to schedule $2,000 of that proposed tx, the case acceptance % is 20%.

How do we measure case acceptance %?

Via dental intel we are able to pull reports on what a provider has tx planned vs what % of that tx has been scheduled and/or performed over a certain period of time

Why do we measure case acceptance %?

We measure this % to give our providers weekly feedback on how receptive pts are to their tx plans. We also measure this so certain providers that have high case acceptance % can work with providers that have lower case acceptance %, sharing best practices in a effort to improve the overall %.

Whats a goal range for case acceptance %?

In our office we would like to work towards a case acceptance % of 35%. We measure this via a rolling 4 month average because we do not want to pressure pts to scheduled instead trying to give them time to digest what we have discussed with them .

So what are some other big KPIs that DSN members like to focus on?  Here’s a list:

  • Forward 4 week productio
  • Social Media Selfies
  • 10% of daily production is SAME DAY TREATMENT
  • New patient call conversion %
  • Missed Call total #
  • Missed Call %
  • Incomplete notes
  • Walkout Errors
  • Number of days till next NP
  • % of NP blocks filled with NP
  • Cost per NP
  • Revenue/provider/weekly
  • % of patients referring a NP
  • Implants presented
  • Periodontal Tx %
  • Total Tx presented
  • Accounts Receivable
  • Lead Conversion
  • Open Time in Hyg over next 2 weeks
  • Hyg Reappointment Rate
  • Crowns presented
  • Sealants presented
  • Aligner Cases presented
  • Unconfirmed Appointments %
  • Limited Exams converted to Comp Exams
  • Net New Patient Flow
  • Treatment presented per doctor

Are these metrics you track as well?  Our DSN doctors pulled together to fill out a Dental KPI sheet and share best practices.

It’s amazing what get’s done when dentists come together to discuss topics. With just one post and a goal in mind, dentists were able to create a list of Dental KPI’s that other dentist can refer to when needed. If you’re looking for more actionable information like this, click here to get in on the action.

Guided Surgery Resources

Guided Surgery Keys using DICOM and STL files

Do you want to learn how to do guided surgery cases for about $20/case?  The great news is that it’s not that hard, and it’s able to be done on budget, and accurate!

On DSN, we have clinical instructors giving the keys- detailed videos of exactly how to do guided surgery for basic cases, multiple unit cases, heavily restored using a scan appliance, acquiring your STL with a cone beam scan of a model, and full arch edentulous cases.  This is literally the entire hands on portion of what we do in the 2 day guided surgery course ($2k).  Teach yourself guided surgery from A to Z at your own pace. 

When you provide crucial resources to a group of dentists, you receive the utmost appreciation from your peers. Here’s what the DSN community had to say after receiving videos and files on how to do guided surgeries:

Appreciation Galore:

Thank you. This is gold and coming at exactly the right time. Nobel Rep trying to sell me on Nobel Clinician planning software but I know Blue Sky Plan is a very good choice (and a lot less $). Thank you for generously sharing your knowledge!

Reply: OMG………$750 a guide AFTER you’ve bought their software!!!!!!! Amazing they’re able to get anyone to buy it. Only explanation I can think of is they just don’t know other options exist and they hate keeping their own money. Hope this helps : )

Reply: Thank you. I hope to hear from the ones that go through the process , including what are the most reliable yet cost effective scanners/ printers. I just learned that anatomage charges $495 for a guide, even more for a bone reduction guide. That certainly adds to case overhead.

Reply: Haven’t done a guided case. Have heard of getting a pilot guide to save money on the case from Biohorizons. Recommendations. I have pts get CT scan from periodontist’ office for 265 dollars then I review to determine length,width of implant. However, my angulation can be off at times. Also don’t want to invest in guided surgical drills kit just yet. Feedback?

Reply: First of all thank you so much for sharing this information. That is very generous. You are making us all better clinicians. Very useful and started to implement this for all my cases. Does anyone know if you can still apply this technique in areas where there is a distal extension? All these cases (minus the fully edentulous) appear to have tooth supported guides on either side of the surgical site. If we would like to place implants say in sites 3 and 4 and patient is missing #2 already, could this still work and provide enough stability or is there another technique that someone can recommend for guide fabrication in this scenario?

Reply: yes you can do it but depends on the amount of tissue support………..if it’s a great ridge with broad base, go ahead. If not, you can actually segment a small portion of the bone on the ridge and make part of the guide on the extension bone supported and then tissue/tooth supported everywhere else

When you join a group of people who sincerely care about the success of other dentists you end up with some pretty cool resources, ideas, and feedback. If you’re looking for more actionable information like this, join DSN!

Traditional Cable VS Streaming on your Treatment Room TV Monitors

Question from DSN User:

“Who uses TVs in the treatment rooms with Netflix or Hulu instead of traditional cable? Right now I use cable but am considering switching. Can someone tell me what hardware I would need and what the monthly cost is to stream? Are there issues with buffering and shows taking time to load? Does the pt strolling through the content slow you down? Your thoughts appreciated!”

Dental Success Network Collaborative Coaching at work:

In the age of smart phones and big screen TVs; which is better?  Big or small?  And do patients REALLY care?  Here’s that the DSN community had to say about it, in a summary fashion of all the info out there.

3 is better than 1

In summary most practitioners on the Dental Success Network were keen on having 3 monitors/TVs rather than having one.  Now we include the actual computer screen as one of the screens.  Then you add another TV hanging over top of the chair, and then you put the final one at the foot of the chair/front wall.  This is quite easy to do with a few pieces of wiring/enhancements from

If you have an HDMI port coming out of your operatory computer, you can then do a HDMI splitter for around $10, to have it split to multiple computer screens/TVs.  You can have the same image on the top screen as the front.

From another Dental Success Network dentist and collaborator:

I just finished upgrading my TVs in my ops. I put one at the toe of the chair for patient education/xrays/photos, and a second one on the ceiling for Netflix/cable. Hooked up bluetooth noise cancelling headphones (from Amazon) and we got disposable covers for the headphones. I can post links/pics in a bit if you want. I got the two screen Netflix account which is $10.99 per month. Patients LOVE it. They only “complain” when we’ve completed the procedure before the end of the movie.

We use these headphones that are wire connected to Roku Remote Control:…/ref=oh_aui_detailpage_o08_s00…

The small covers fit perfectly…/ref=oh_aui_detailpage_o07_s01…

If you want wireless options for headphones over Bluetooth:

You may also need this if your TV doesn’t have built-in Bluetooth. It plugs into the 3.5mm audio jack, with a USB charger

The headphones are supposed to be 18 hours, but we just plug in at the end of the day and we’ve been fine.The transmitter is always plugged in, although it has an auto-off at about 30 minutes I think. You need to repair the headphones and transmitter every day. One thing with the transmitter – message the seller- they have one model that you can’t use while charging. The model number I bought is MBT3-P .


Overall- it appears headphones in the dental operatory can have a double-positive effect with one downside.  The first positive is that patients get enjoyment out of the video/sound of the TV- whether you’re playing Netflix, Youtube, or Cable TV.  The second is that they don’t hear the sound of the drill.  The only downside is that if you’re trying to communicate with them, then it is harder to hear them and speak to them to have any reasonable conversation.

As for running Cable versus Netflix, it appears that most consensus goes with Netflix.  First of all, local cable channels may include TV ads that are for other dentists in your area.  You definitely don’t want to be showing ads for your competitors while patients are sitting in your office!  Running Netflix in your dental office can avoid this complication of competitors advertising.  Netflix can also give patents the choice to watch whatever they want, and giving them this freedom can increase their sense of control about the entire situation in the dental office.  Sometimes people fear lack of control, and so this can mitigate that.

As for the cost of Netflix, this can vary, depending on the plan you get.  The legalities of using Netflix for commercial purposes may be need to be researched further.