Per-location P&Ls where doctor compensation formulas differ by acquisition vintage and nobody has modeled the aggregate.
A dental group is a collection of practices that were each somebody's life's work, bought at different times on different terms. The compensation formula, the fee schedule and the supply arrangement usually came with the building, and consolidating the accounting does not consolidate any of them.
adjusted production
collections percentage
write-off to UCR
hygiene utilization
unapplied credits
PPO fee schedule
case acceptance
chair hours
These are the terms the review uses with you. A page written for
healthcare generally would not contain any of them.
Where it concentrates here
Specific to dental groups and dsos, not to healthcare generally. Each is
concentrated — a single agreement, a single code, a single account nobody reviews
— which is why a sample of the operation tends to miss it and a full pass tends to
find it. They are not findings from a named engagement.
PPO fee schedules loaded into the practice management system at the wrong effective date, so every claim in the interval is adjudicated against a rate the group did not agree to.
Associate and selling-doctor compensation — percentage of collections, percentage of adjusted production, guaranteed minimums — differing by acquisition vintage, with the aggregate cost of the guarantees never modeled against a slow quarter.
Unapplied credits and patient overpayments accumulating on ledgers per location, which is a refund obligation rather than revenue, and in some states an escheatment one.
Hygiene capacity managed as an appointment book rather than as a margin line, so a chair running half full disappears inside a location's total production.
Laboratory invoices arriving per case and posted to location overhead rather than to the procedure, so the crown that needed three remakes costs what the one that went straight through costs.
Where this data actually lives
Dentrix, Dentrix Ascend, Eaglesoft, Open Dental or Denticon — frequently more than one across a group, in the order the practices were bought
Vyne Dental or DentalXChange for claims and attachments, with the clearinghouse report the only record of what was rejected and why
Dental Intelligence or Jarvis reading production and not reading cost
An in-house membership plan administered per location, whose deferred revenue is rarely stated anywhere
Named because it changes what the intake asks
for. An extract from one of these has known gaps, and the review is built around them
rather than surprised by them.
The proposal is written for healthcare as a
whole — the sequence, what we would need from you, and what it costs for your
number of operating units. What is on this page is what we would additionally expect to
find in dental groups and dsos.