Episodios

  • Seriously, Stop Shying Away From Accountability
    Mar 25 2026
    Does it seem like there are communication troubles in your practice? Spoiler alert: That usually has to do with accountability. Kiera and Dana riff on why creating an accountability ladder a) isn't as difficult as you think, and b) will save tons of time, energy, and money. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I've got the one and only Dana back with me today. I wanted to podcast with Dana, so I ⁓ maybe selfishly took her for two podcasts today. So Dana, welcome back to the podcast. How are you today? DAT-Dana (00:12) Doing pretty good, I'm ready for round two. The Dental A Team (00:15) Good. I do love podcasting because Dana and I were just able to rift and jive and it's fun. I think when you work with people for quite a while and you both have a ton of passion, makes podcasting very easy. So Dana, I wanted to just kick us off today on, I think, accountable teams. I think accountability is a buzzword in practices and people might be like, womp, womp, accountability. But I'm going to say like, no, it's not womp, womp. It's a, if you don't have accountability, your team is freaking chaos. And yet I think offices don't want to have accountability and then we're going to do a pivot of like what happens if your doctor doesn't want to be accountable. So tune in. I hope you guys are ready. We're going to dive into it because it happens and I don't just think it's teams that aren't accountable. It's also doctors that aren't accountable. Like what do do because if accountability is such a like ick and issue and constant stressor for everybody. Well, like what the heck? Like how do we, how do we fix this and overcome? So Dana, let's dig in. Let's talk about like I'm gonna just walk us through. It's gonna be a short rift today, but walk me through like, we get new offices. And I found that usually the number one issue they have is communication, which usually leads down to accountability. That's at least what I find. But I think that it's like, well, where do you start and how do you know like, is my team accountable? Is it not like, what do accountable teams look like? What do accountable teams not look like? Walk me down through like what you see in the practices you consult. DAT-Dana (01:35) Yeah, I agree with you. It typically will come down to communication. And so when I talk to a team about accountability, I always say, there's accountability ladder, right? So we have to hold ourselves accountable first, right? Then we've got leadership team to hold us accountable. And then we've got practice owner typically there at the top. But there's always a caveat to that. And that is it has to be seen from the top down. So yes, we have to hold those lines. We have to follow those ladders as far as the chain of accountability. But the tone for accountability is set from the top down. So if we don't have an accountable practice owner, we're probably not gonna have accountable leaders, which means we're not gonna have an accountable team. And so that's usually how I kind of open that discussion and that it does really come down to communication and some personal integrity, right? If we say we're gonna do something, do it. And if we notice that somebody isn't, have the conversation. So like you said, it really truly comes down to 100%. of communication ⁓ and clear expectations. The Dental A Team (02:39) Yeah. Gosh, Dana, like I love the accountability letter. Thank you. I have not heard that from you. So I think that's a fun, like you're right. It does start as you. And then it goes to your leadership team or your direct manager. And then it goes to the practice owner. And as you said that, just thought like, my husband and I were chatting the other day and something Jason, hi, I don't know why I do the things I do half the time. Jason and I were watching love is blind. So we decided to say like, okay, if we were in the pods, what questions would we ask each other? And Jason, think Jason is a very, uh, he hears what's not being said. And Jason said, I would ask the question of what things are going to make it really easy to be in a relationship with you and what things are going to make it really hard to be in a relationship with you. And I was like, that's pretty good. Pretty great question. And I told Jason, I said, like, one of the things for me with Jason is a lot of times Jason, feel, um, tries to kind of like form himself into the relationship he is. And so he'll maybe not say everything a hundred percent the way like, Like we had an issue and he was like, you know, like, and tried to just like almost sugar coat it for the person. And I, I called JSAO. I was like, Jay, why, like, why, why don't you just say like, I'm sorry. And Jason told me, he said like, well, in this scenario I'm embarrassed because I didn't do X, Y, ...
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    19 m
  • How to Reduce Overhead Without Cutting Team Members
    Mar 24 2026
    Does your P&L team cost feel high? Tiff and Dana provide insight on how to reduce your overhead besides scaling back team members. There could be easy solutions, from cleaning up definitions and job descriptions in your ops manual, to facing the numbers when it comes to debt, and many more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello Dental A Team listeners. I am here with you today ⁓ with Dana. Dana, you know, is one of my favorite humans on earth. We are starting our Monday with you guys. And I know it may not be Monday while you're listening to this, but you know these are pre-recorded, these aren't live. That's not a shock to you. So we record these on Mondays and Fridays. And Dana has been so gracious to share her Monday morning with us. Dana, how are you on this beautiful day? DAT-Dana (00:27) I'm doing pretty good. I know I'm loving the weather right now. As you know, I'm like a sunshine lizard, right? So I love the sunshine we're getting right now. And I love some extra tip time on a Monday. It's a great start to the week. The Dental A Team (00:30) beautiful. I agree, I agree. was like, yesterday I was like, oh gosh, what is tomorrow? know, like, because I had prep the week before, I think we all kind of prep, but then Sunday you're like, wait a second though, what was that again? I've had two days to forget what I'm supposed to be doing tomorrow. And I checked, I'm like, oh yeah, podcasting with Dana is gonna be so great. So we're here today with you and Dana, this one's a really fun topic. I know you and I, notoriously, if anyone goes back into the archives and listens to the other 5,000, It feels as though it's been 5,000 podcasts on operations manuals that we've done. That's just Dana's fun girl for that. But today is team related but less about training and kind of operations manually kind of things. And I think it's just a really fun version of a team aspect. And I say that because this is coming at it from a business standpoint. I think you guys all know that Dental A Team focuses on profit. and profitability, but we focus first and foremost on happy people and having a fantastic business that can support your personal life, but then also having a fantastic business that supports an awesome team. And so being team focused and being people focused first, we truly believe that that's what creates a business that's sustainable over a lifetime and gets that profit for you. If we went profit first, not the book, we love the book. If we went profit first and never the people, I think we would just be doing you a disservice. So today is all about how to get profitable, how to be profitable without sacrificing the team. And Dana, I know you and I, I think our whole company is really, really strong in this belief, but you and I specifically very, very strongly believe that treating the team right and not looking at the team for the cuts in the overhead is, that's how we start. So I'm gonna. Just pick your brain some today, Dana. First of all, what are you seeing today? It's 2026, recording this. It's close to the beginning of the year. We're about almost done with Q1, honestly. So I'm flying by, but we're getting towards the end of Q1. But with that, we've had some financials. I don't know why, but in my world, financials are hard to come by this year. I love you CPAs, and I'm just hoping that we can get a little bit better towards Q2. But so far in the financials, what are you starting to see and what did you see out of 2025 with your clients? What kind of trends were you noticing? DAT-Dana (03:14) Yeah, think ⁓ financials, know expenses going up in different areas, a lot of that expense does come from team members. A lot of my conversations right now are like how do I show my team appreciation? How do I create things for my team when it comes to pay increase raises, things like that. ⁓ and still keep my payroll within where it should be. So a lot of team pieces are part of these financial conversations, I think even pretty heavy in 2026. The Dental A Team (03:46) Yeah, totally agree with you. I've seen those same things and towards the end of the year too, was like Christmas bonuses. I know you and I worked, we talked about it. So I know, I know at least you and I did. I'm sure the rest of the team did too, but we talked about it towards the beginning of last year, I think on a podcast of making sure that we were getting our clients prepped to give bonuses. So they're saving some little acorns every month over in a bucket for that. So hopefully it didn't hit them, but it still looks ugly on the PNL no matter what, you pull wherever you're pulling that money from. So. I totally agree. And then I do think wage increases. I mean, if we compare 2018, 2019 to today, drastic difference. And I know, I think in our brains, it doesn't feel like COVID was...
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    26 m
  • Creating the Perfect Gatekeeper to Your Practice
    Mar 19 2026
    Kiera joins Dr. Paul Etchison on the Dental Practice Heroes podcast to talk about the infamous front desk and how to finally figure out what levers should be pulled and which should be pushed to get the department in ship-shape. The best part about this episode is that Kiera and Dr. Etchison make the steps to success easy to understand and implement. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today we are sharing a guest interview I did on another podcast. And it was too valuable not to bring you guys here. this episode, you're gonna hear this host lead the conversation and then I'll wrap us up at the end. I cannot wait. It was truly one of my most incredible episodes and I truly hope you enjoy. speaker-0 (00:19) Kiera, so glad to have you back on the podcast. It's always a joy having you on here. And I'll tell the listeners, I've worked personally with Kiera a number of occasions, someone I very much trust, someone I respect entirely in the industry and just knows her stuff and always a great guest to have you on. And today we're going to be talking about, you know, front desk stuff where I work with a lot of clients. Do you work with a lot of clients? I don't know if you share the same regard. I would love to hear your opinion on this, but I would say most of the clients that I work with, the front desk tends to be their most chaotic and unorganized department. I mean, do you feel that you share the same sentiment? speaker-1 (00:59) Yeah, Paul super excited to be on the podcast with you. Always enjoy a good chat and I mean, think proof's in the pudding. Do you remember the number one reason you called me to work with you the first time? Oh yeah, I was front office. speaker-0 (01:12) I think it was the second time and the third time. speaker-1 (01:14) It really all those times were and the answer is yes and this is why I created Dental A Team is because like Working in the dental college and seeing so many dental students like you guys learn how to Drop your box on an MO and like how do I have a perfect crown prep? You don't learn how do I do the billing and how do I do the insurance and how do I schedule patients like you learn how to have patient etiquette and great dentistry and so that's why I created Dental A Team like it's dentists and teams like hey dentist let's get you to rock your space and then let's work on the team side because because even myself as a team member, there was no learning. It was like, just do it. And I'm like, well, what do I just do? And so I think the front office just feels so elusive. It feels so scary. And like, Paul, you're in someone's mouth. You're not like, ⁓ how do I do an insurance claim? And so I think there's so many nuances, but also for dentists, the front office is the gatekeeper of your money. Like they're the ones who schedule for you. They're the ones who present your cases for you. They're the ones who collect the money for you. They're the ones who bill for you. So so much of your financial freedom and like, your paycheck is also directed by a department you don't even understand. So I think that that's why there's so much just like, it's not conflict, it's just almost like unknown and it feels daunting. And so you don't even know what levers to push or pull because you don't even understand how the how the engine works. It'd be like, hey, Kiera, my car is making a sound and I'm like, good, I don't know what to do. Like, that's not even my realm. And I think that that's how a lot of dentists feel about the front office. So, yeah, that's why that's why I exist and why I love to be on the podcast and share because it doesn't need to feel daunting or scary, nor do you need to do it all. I think just being aware and knowing what things to look for, what things you can expect and having a hopefully a trusted voice in the industry where like, hey, I'm here, no judgment. Like just ask all the questions and let's help you guys get your team up to par. And also for team members, cause they, lot of times don't even know what they should do either. speaker-0 (03:05) Yeah, absolutely. They're just thrown in there and said, here, figure it out. Do it. Just answer the phone and do all this fun stuff. I mean, like, I think what struggles for dentists as practice owners is we just don't understand, like you mentioned. We don't understand, like, how to send a claim, how to look at an insurance breakdown. But whereas every other element of the practice, we have a deeper understanding on it. Do you think, I mean, I'm sure it would be beneficial, but is it necessary for a dentist to learn everything about claim submission and all these things? front desk related? Or can we get by with some more higher level organizations such as you provide? speaker-1 (03:41) I think, Paul, it ...
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    34 m
  • Scale Your Dental Practice AND Reduce Overhead
    Mar 18 2026
    Re-releasing a DAT listener favorite! Chris Sands and Brent Saunier are on the podcast to talk about the hottest topics in the dental accounting world. Founding partners of Pro-Fi 20/20, these dental CPAs chat with Kiera about how to reduce overhead and expand the number of patients coming in, expense metrics from the hundreds of offices Pro-Fi works with, a tax rule you NEED to live by, what to stay away from financially with your business, and a ton more. Pro-Fi 20/20 is an accounting business that the Dental A-Team recommend. This episode is a goldmine of information from two fellows who know what they're talking about — especially with regard to the dental industry. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time. on the Dental A Team podcast. speaker-0 (00:31) today I wanted to bring on two special guests. These are actually CPA in the CPA world. Believe it or not, Dental A Team actually consults this company. So we definitely love them. They went a step above most CPA companies and they really wanted to get to know the ins and outs of the dental world. So I'm super jazzed to bring them on and to just have them dive into some of the hot topics in the accounting world. ⁓ two people that I trust and recommend heavily. ⁓ I They are one of my top three CPA firms that I refer and recommend constantly. So I'm excited to welcome Chris and Brent from Pro-Fi. How are you gentlemen today? speaker-1 (01:06) Awesome, Kiera. Thanks so much for having us. We're excited to be with you. speaker-0 (01:10) Yeah, absolutely. Brent, how are you doing today? speaker-2 (01:12) I am doing great. I appreciate the invite. I'm looking forward to this 30 minutes with you. speaker-0 (01:17) Yeah, absolutely. Well, who knows? We'll see how long this ends up going, guys. Brent, can't put a time on us. It could be dangerous zone. speaker-1 (01:24) You're lucky he said he's doing great because we're in the heat of extended tax season, so he's kind of in the trenches. Lucky he's in a good mood. speaker-0 (01:32) I know Tiffany has been trying to get back out to you guys to see you and Beth you heard this awesome rock star in the company She keeps saying like tiff. It's like extended tax time or it's this or it's that deadline I'm like, my gosh, you guys just have I think you're secretly adrenaline junkies of CPAs even though you don't come across that way But I think you love it cuz tax season I feel is just like adrenaline rush like trying to get to the deadline. I just can't imagine that stress like Every quarter every year you just hit it. So props to you guys. That's not my world but super jazz to have you guys on here. ⁓ so Chris let's dive in I know there's some things so we're gonna kind of hit on overhead we're gonna talk about some taxing some Some things to be aware of i'm just so excited because this is a world I don't know and I do purposely bring really really talented and educated cpas and financial advisors onto the podcast because I'm we have a three-fold approach in our company. It's focusing on Money and finances making sure your business is profitable you as a person and as an individual and then systems and teams top to bottom So I am big I think as a business owner. I wasn't profitable when I first started. I didn't know how to look at my numbers I didn't even know what the heck over influence. I was like googling how to figure it out So i'm just jazzing you guys are here. So Chris kind of take us away I know you had some great topics for today and i'm excited to just Rift a little bit with you, dive into these things, things that are really tangible for our practices now, especially where you guys work with hundreds of offices across the nation. Lots of good data to be pulling out for our practices listening. speaker-1 (03:04) Sure, well, ⁓ Kiera, I think that there's a lot of discussion around, does the DSO world seem to do a better job with overhead than the private practice world? I think a lot of private practice doctors are wondering that, they're frustrated or how do I get my overhead down? And a lot of times, I think when you focus on expenses, you tend to attract expenses. And in our world of accounting, I will often tell doctors that, ⁓ Accounting cannot make you money, ...
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    57 m
  • If You Want to Change the World, Have a Morning Huddle
    Mar 17 2026
    This episode is all about the simple power of a morning huddle. Tiff and Trish talk about the why behind these daily meetings, including what to include versus not include, how to look for opportunities in the schedule, why everything goes a lot smoother with a bit of communication. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are back at you again. We've got another fun topic today. This is one, honestly, we talk about these a lot. We talk about morning huddles. That's what we're gonna do, spoiler alert, morning huddles. We talk about these a lot, but I feel like we have not had an awesome recording, an awesome podcast recording on this in quite a little while. So I'm actually super excited for what's to come. And I've got Ms. here with me today. ​ cleared her calendar for some podcasting time with me today, which I always appreciate and adore. And we're actually, we pre-record these, you guys know this, so I'm just gonna drop this now. It kind of makes it a little funky, because this may be the end of March. I'm not sure where you're gonna get this, where this drops, so enjoy. But we're getting ready for our in-person mastermind. We'll be having another one in September, so that's why I don't mind talking about it. It's the end of February now, recording for March. But we're getting ready for our in-person event. ​ Literally two days from now. I can't believe that I moved podcasting here, but Trish I think we were I was at least sick I had to reschedule everybody's been sick, but holy cow what an amazing week I feel like the energy and the team is is crazy We've got a slew of doctors and office managers coming to Phoenix tomorrow ⁓ At the airport is gonna be wild and I'm excited to see everybody in person Trish. How are you? How excited are you for this mastermind? ​ Trish Lee Ackerman (01:26) so jazzed. They've just been so fun. It's one, it's always just neat to actually be able to like touch the people that we work with, hug the people that we work with, shake hands with the clients, with the new clients, and just on site is always just really, really, really fun. So I am very, excited for this and our weather is perfect for the people that are coming from the cold. So they'll be very happy. The spouses that are attending will really be enjoying the pool. It's just going to be a great, a great experience for everybody. ​ The Dental A Team (01:43) I agree. ​ I agree. think end of February in Phoenix has to be one of the best ideas we've ever had. I remember a couple years ago I have a practice out in Georgia and she and her girlfriends do, they do trips every year and it's this girls trip and it's so cute and it's so fun and they came out here and it was, it would have been like two weeks ago our time now so beginning of February which is always, February in Phoenix is, I think it's the best time. ​ of the year to be in Phoenix. Hands down, February in Phoenix is my favorite month. And it poured. And it was freezing. And she's like, girl, we came here because it was snowing at home. And I was like, I they went to Sedona and it was freezing. And I was like, ⁓ dang it. But now, fast forward, this weekend ⁓ is literally the best time of the year to be here. And when we go in person, the reason this is super relevant is we do ​ Trish Lee Ackerman (02:34) I bet. ​ The Dental A Team (02:51) Morning huddles we implement with all of our practices. We strongly believe in them. We will tell you why. When we come in person to you, we get this really cool energy. And gosh, we love being boots on the ground in offices, seeing where you guys work, seeing how you work together, getting that intel and that information. And it's just, I think all consultants can say, sets us on fire. Having you guys all come to us is just like heartwarming in a way. ​ It touches our souls that you want to be here with us and it's just a different, it's a different energy, a different vibration and having so many really cool brains and minds melding together to help one another and seeing the community and the camaraderie is just so cool. And I just, I'm so excited. So we're, we're stoked. The next one's in September. If you're not coming to this one or you're not, by the time you listen to this, you're not reminiscing on how cool it was. ​ You better be here in September. Hello@TheDentalATeam.com. That's how you're going to get your ticket. You tell us you want to be here, we'll figure out a way. with that, we won't be talking about morning huddles this week because we do them as consultants. But Trish, morning huddles, I know, are super important. think every consultant probably on Earth right now is like, you should be doing morning huddles, especially Dental A Team consultants. What is your why behind a morning huddle? ​ How do you explain the practices? How do we ...
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    25 m
  • Patient Flow Is Different in 2026. This Is What to Do about It.
    Mar 12 2026
    Three months into 2026 and the Dental A-Team is already clocking how different patient flow is this year. Kiera talks about optimizing your practice for that unique 2026 patient. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera. And today I hope you're just having the best day. I hope that you're realizing things are so good. Things are amazing. I hope that you are just like on cloud nine. And today I'm really excited because this is a topic that I was like just so jazzed about. Cause I realize our patient flow is something that is different for 2026. Like we have it different. It looks different. And I... I'm just really excited. So if you're new to the Dental A Team podcast, welcome. I'm super excited to be here with you. I hope that you are just jazzed. And I think that, like I said, this is going to be something that is going to be very fun for you. And I hope that you take it on. I hope that you look at it. I hope that you just get excited to like, Hey, amazing. We're going to be able to like fix our 2026 patient flow. So when I look at this, like 2026 is very, very, very different than what it was even like when I started the company back in 2016. I think patients in 2026, they're not more difficult. They're just super aware of their time. It's not just enough to be good at clinical excellence. You know how to be really easy to do business with. And if patients feel like energy's off or the vibe's not there, they're going to possibly just leave without saying anything. And so I just wanted to come on today talk to you about some things that I'm seeing in 2026, things that we're seeing with amazing practices that are doing really, really well to help you all, like let's optimize our patient experience, which I know I've talked so many years about patient experience, but I thought like the patient is different today in 2026, they're more used to everything being online. And I think let's not be foolish. We still sometimes have older patients and we need to make sure that we're not adapting everything and changing, but the new generation of patients are definitely a different breed. than what we had before, which every generation is different. So looking for this, I just want you guys to really like get excited. Welcome to the podcast. I'm Kiera Dent and our job is to help you guys have thriving practices, possibly impacting the world of dentistry and to truly just like make it to where you guys feel like you get tactical practical tips on the podcast. I love hanging out with you. I wanna remind you, you're doing better than you think you are. And if this podcast has inspired you, touch your life in any way. please be sure to leave us a review. Those five stars keep us top of mind for everybody. And also pop us in Facebook groups, us, tag us on Instagram. We will comment, we will respond to you and we always appreciate it because that is your subtle way of being able to help us infiltrate the world of dentistry in the greatest way possible. So with that, I just want you guys to know that like, ⁓ this patient experience flow is going to help everything improve. And it's for our production, our case acceptance, our team energy, patient loyalty, all of that. So. Getting this patient flow, I believe is so important. So I think like really, really, really working on the first 15 minutes of our patient experience because patients are gonna decide about your practice immediately and they're gonna look at Google reviews, they're gonna look at your social media presence and then it's gonna be on how they make the phone call. So what's gonna happen for it? Like how can we optimize this? And I think one thing is how is your like... hello on the phone. So ⁓ even if we need to record it, listen back to it. I put a mirror always with my front office team members. I want them sitting up straight. I want them smiling really, really big, like almost a cheesy grin. People can feel that energy through it. And then I look at like, how can I make it the easiest, smoothest check-in for them to where when they get to my practice, after I won them over the phone, when they come into the office, they feel different. So how can I make sure my check-in is very fast and personable? How can I make sure there's like minimal paperwork that's like just annoying, iPads that don't work. My team is prep, so when they come and get the patient from the waiting room, they are concierge luxury without the like high price tag of that. Like I just want people when they come into the practice, I feel like people care a lot more about how they feel. They care about the experience of it. I mean, you guys have TikTokers, YouTubers, Instagram people, like that's the world we live in and they are walking everywhere around you. And so... we make sure that they're going to...
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    19 m
  • How to Drop Your Overhead FAST
    Mar 11 2026
    This one's for the business owners out there! Kiera discusses all things overhead — what's normal, what's high, how to lower it, and what overhead even means in the first place. She then goes into specific tips of what it takes to lower that overhead quickly and responsibly. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and oh I hope you're ready for today's podcast today's podcast is one that I Love but you might not love it But guess what after today you're going to love it and you're going to know why because this is an episode for the business owners out there and office managers and team members guys, I Love, love, love, love, love talking about overhead. What's normal, what's high and how to lower your overhead and what does overhead even mean? And I know that this is something where maybe you've heard it in the past and guess what? One of the greatest tools to learning is remembering. And so today I'm gonna walk you through how we get overhead and how we're able to lower it fast. ⁓ I have found when consulting hundreds and hundreds of offices, the number one pain point is cashflow. We actually just created ⁓ like, amazing little graph and document of how offices are looking at things and how we, this is like just a pyramid. And if you guys are watching, we're going to see how good I do. Gosh, I'm not, okay, Paul, it's not pretty enough. I won't share it yet, but we actually built this like pyramid to show kind of a proven path from chaos to control and how we go. Like what is the base layer that causes offices the most amount of stress and how it goes up. so base layer of this triangle is cashflow and profit stability. Then after that, it's time delegation or removing the doctors a bottleneck. Then we go up to systems and consistency. Then we do leadership and CEO transition, and then it's legacy and optionality. So, and this was like really fun because I like put it all together and I was like, okay, guys, I figured out what causes Dennis the most. Like we're talking hundreds and thousands of offices and putting it together. And then our marketing team was amazing and Paul, shout out to him, he took it and he was like, all right, here, here you go. This is what it is. And what I looked at is so many people come in and like, here, we need systems, like, because we don't have cash. So they think that the systems will get them the cash, but knowing the right system. And this is oftentimes where it feels like whack-a-mole is we're putting in the wrong system, trying to get the outcome. And so it's like putting in the correct lever to be able to move. And then you're like, well, I need a leadership team. But if you're on cashflow row, you're not thinking about a leadership team. You're like, I gotta get out of the burning bush. But if you're on cashflow positive, you're like, gosh, I'm just like stuck in all the weeds. Well, great, we need like to build you a leadership team and we need to get systems in place for you. And we need to look at which systems are not working. And so that's why I wanted to go into overhead for you today of how, like what is overhead and how is it working for me or against me? And how do I get this down fast, AKA more profit for you. And that's not because we wanna be rich and like, whatever, I want you to actually be very wealthy. You like put in a lot of time and effort, but we want you to be making profit as a business. If you're not making money, it's a hobby and it's a liability and it's stressful. And we need to get you out of that stress zone so you can do the best dentistry, the best care. So when I look at offices, a lot of times they're not under producing, they might be overspending. And when I look at profitability, there's three levers. We need to produce more, collect more, or reduce our spending. are the three ways to get there. And so that's how we're gonna look at these. Those three make more profit. So when I look at this and when I look at your biggest pain point that most offices are struggling with is cashflow. And why? Because you were taught to be a dentist, you weren't taught to be a business owner. So you're like, great, I made money, but I don't know how to spend the money and I don't know what I'm overspending. I was talking to someone and ⁓ this is a dear friend to me and she's running her business and this is like leading me into a possible other business idea that's been percolating for me. She was like, Kiera. She's not in dentistry. She's in a different industry. she's like, Kiera, I made 200,000 this last year. And I was like, dang girl, I'm super freaking proud of you. And she's like, I took them 48,000. And I was like, what? She's like, yeah. And I said, well, hold on. She doesn't have employees. She's solo. And I was like, but why? Like, okay, 200,000, let's ...
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    21 m
  • Shuffling Team Member Personalities and Skillsets the Right Way
    Mar 10 2026
    Tiff and Trish break down what it means to have the right person in the right chair that's best for your practice. This means gauging comfort levels and the ability to stay calm, but it also means supporting each position so they feel like they can win at their job. Listeners are invited to review their positions based on what personality would thrive there — not only to increase treatment, but to make everyone's lives better, too. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. We are here today with, honestly, really fun one. These are some of my favorite subjects, the things that we talk about on here. I tell you guys that all the time, but I have Ms. Trish here with us today. Her internal nickname, Dental A Team name, for all of her clients, you guys can use this, is Tada. There's all kinds of reasons for it. We don't need to hash out today, but just know Tada is here. And I know I've said this on the podcast before, but if you're new here, you haven't heard it yet, I love. podcasting with these women and I love also handpicking the topics. get topics given to us from our marketing company. We have a lot of input and say on them as the consultants, but really we just kind of look, I look ahead and I'm like, that's what we're doing in the month of March. So fantastic. And then I kind of handpick which consultants I want because I love when I get to watch someone and partake with someone speaking on things that they're passionate about, that they truly thrive in and they love. And Trish, this topic specifically today, I know I tell you guys this, I don't know if you believe me or not, maybe you do, maybe you don't, but I know this is something that lights you up and I'm excited to be here with you. Thank you for blocking your calendar for me. Thank you for getting this set up. know it's like, both of us are like a little chaotic storms. when it comes to things like this. So I know both of us were like frantically getting ready. So thank you. How are you today? And how excited are you to be here? Like just, you know. Tricia Lee Ackerman (01:24) Thanks. ⁓ Thank you. Thank you. I'm doing great. I always love it when I get to podcast with you. The Dental A Team (01:34) Thank you, thank you. I ⁓ feel like all of you ladies bring your own sense of ease to podcasting for me, which is fantastic, because then I don't feel like totally exhausted by the end, so thank you. ⁓ Something you're really phenomenal at is people, Trish. I think you read people really well. I think you read people quickly, and I think that it's very easy for you to determine. where people should sit or what they should be doing, what they're really great at. It's very easy for you to walk into a room and say, my gosh, this person is born to be a treatment coordinator. She is born to be a billing representative. you mentioned, gosh, what were we on? We were on some call this week. And you mentioned that you were a really great treatment coordinator. And I think we did it. It was on our coaching call we did together. Tricia Lee Ackerman (02:24) Yes. The Dental A Team (02:24) last week and you mentioned that you are a phenomenal treatment coordinator and is your passion and I think that reading people piece is part of that. It's part of who you are, it's part of your personality and it's part of what makes you a phenomenal consultant but also what fed into that piece of treatment coordinating for you and I think Trish if I had to read you correctly I think you love it and I think it lights you up to be able to read people and get people established in something they can be passionate about. because you can read personalities. So very easy to see why this kind of topic we're doing, know, personality versus experience when it comes to team members. Very easy to see why that was such an easy fit for me to choose you to be here today. And before we dive in too much Trish, I want to ask what, ⁓ gosh, what about reading people and being able to peg that? What do you love the most? What do you love when you walk into a room and you can say, my gosh, this, like what lights you up the most about it? Tricia Lee Ackerman (03:28) I think what lights me up the most is like I can easily target somebody who is comfortable talking. So if somebody just kind of looks like their, you know, their shoulders are down, they look like they're at ease, that's going to be a pretty easy person to go and approach. Then you have your people that smile and they obviously they still look very friendly, but there is, it's, again, Tiff, it's like they don't have something written on their forehead. So it is really a read. It's an internal emotional read that I have where it's like, you know what, that person actually probably doesn't want me just going up to them, just like starting a big ...
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    26 m