Articulator Vol12_Issue3_5 - Metro Denver Dental Society
Transcription
Articulator Vol12_Issue3_5 - Metro Denver Dental Society
December 2007/January 2008 Volume 12, Issue 3 Articulator C O N N E C T I N G M D D S M E M B E R S W I T H L O C A L N E W S A N D I N F O R M AT I O N F O R O U R P R O F E S S I O N I N S I D E : Reflections 2 Dentists Who Get Results 3 Practice Transitions 4 Rocky Mountain Dental Convention Section Finance 5–15 17 The Going Rate for Health & Hope? $11 a Month! 17 Foundation News: Golfing and Giving 17 Calendar of Events 18 Transitions 18 Classifieds 19 Special RMDC Connections2008 Section Inside! Pages 5 – 15 Brett Kessler Briefs Capitol Hill on the Ravages of Meth Mouth Brett Kessler, DDS, a Stapletonbased general dentist and MDDS Board member, has extensive experience in restoring the dental health of recovering addicts. As a long-time volunteer at Sobriety House, a Denver-based residential substance abuse treatment center for low-income and homeless individuals, he now provides charitable dental care to meth patients at the staggering rate of one to two patients per week. “I didn’t go to dental school to become a meth mouth expert,” Dr. Kessler said. "It came to me. These are real people with real lives anxious to get back into society." Since 2001, Dr. Kessler has successfully restored health and function to dozens of recovered addicts. An unforeseen consequence of the methamphetamine epidemic has been the alarming rise in cases of meth mouth. In areas where people have regular access to the drug, more and more dentists have been encountering patients with teeth that are blackened, stained, rotting and crumbling. The condi- tion frequently leads to full-mouth extractions and a lifetime of wearing dentures. Meth is taking a unique and horrific toll inside its users’ mouths, so much so that the US Senate and House of Representatives have taken notice with the Meth Mouth Prevention and Community Recovery Act (H.R. 3186 — Larsen/Sullivan and S. 1906 — Baucus/Coleman) and the Meth Mouth Correctional Costs and Reentry Support Act (H.R. 3187 — Baird/Sullivan and S. 1907 — Baucus/Coleman). This legislation aims to prevent young people from falling victim to meth abuse and the consequent need for extensive dental care and to ease the burden of treatment costs on state correctional institution budgets. Jail and prison dental costs have risen sharply as the methamphetamine epidemic has become more widespread. By some accounts, more than 30 percent of prison inmates suffer from meth mouth Continued on page 4 About the Problem and the People It Affects… By Dr. Brett Kessler When Joe showed up in my office, I liked him instantly. He appeared as a clean-cut kid, all of 24-years-old, with a great sense of humor. Joe came to me via a desperate plea from his mother who heard about the work I have done on recovering addicts on the local news. Keeping in mind that I am no stranger to the likes of meth mouth through my service to Sobriety House, what I saw when he opened his mouth astonished me. From the looks of the photo below, one might think that he had used the drug his entire life. Unfortunately, the progression from healthy dentition to the worst case of meth mouth I Continued on page 4 A Simple Request — “Send My Records” I DENVER CO PERMIT 2882 PA I D 3690 South Yosemite Street Suite 200 Denver, Colorado 80237 Metropolitan Denver Dental Society PRSRT STD U.S. POSTAGE By Dr. Nathan Reynolds, Dentists Professional Liability Trust A request that every dentist reading these words has experienced or will experience is that of a patient asking for his or her record. All dentists will ask the question, “What should I send?” It is my opinion, and that of counsel, that the record is whatever is between the front and the back cover of the patient’s file folder. The information found between the covers is usually as follows: 1. Patient general information form including insurance 2. Medical history including updates 3. Dental history including updates 4. Periodontal charting 5. Photographs 6. Examination chart 7. Written treatment plan(s) 8. Progress notes 9. Prescription copies 10. Lab prescription copies 11. Explanation of Benefit forms (EOB) 12. X-rays 13. Drawings explaining specific treatment 14. Correspondence 15. Models (copies) An important part of the record is the models. However, retention is a problem in most cases as they are often destroyed in laboratory work or they are discarded due to storage concerns. EOB forms can grow faster than you ever imagined. These are replaceable from the dental insurance company, so a reasonable way to manage them would be to retain one, two or three years, then discard the oldest year as you add a new year. Continued on page 3 Do you have old patient records and x-rays piling up from the years prior to and including 2000? You can get rid of clutter and free up valuable office space while receiving discounted shredding services that benefit the Metro Denver Dental Foundation’s Smile Again Program. We encourage you to join us for The 2008 Spring Cleaning, After Taxes Record Shredding Extravaganza in May 2008. See page 13 for details! R eflections MDDS Articulator Our Children Deserve “TOPS” When It Comes to Dental Health DR. MAJOR TAPPAN INTRODUCES THE TOTAL ORAL PREVENTION STRATEGIES (TOPS) PROGRAM By Matt Dunn, DDS, editor The literature on children’s oral health has perennially agonized over the incidence of dental caries. More recently, there has been increasing concern about the difficulty uninsured children face in accessing dental treatment. In early October, President Bush vetoed legislation (HR 976) reauthorizing the State Children’s Health Insurance Program (SCHIP). The veto came despite the efforts of dozens of healthcare organizations, including the ADA. Coincidentally, one week later, the cover of the October 11, 2007 New York Times announced, “Boom Times for Dentists, Not for American’s Teeth.” The politics and publicity can be disheartening, at times. I would like to turn attention toward a local Denver dentist who has been addressing the problem of untreated carries head on. Dr. Major Tappan, who practices in northeast Denver, has introduced the Total Oral Prevention Strategies (TOPS) program in an effort to “short-circuit” the incidence of caries. For those who don’t know him, Dr. Tappan has been around for quite some time; in fact, of his 83 years he has practiced dentistry for 60 of them – and is showing no signs of slowing down. He was best described in the UCHSC’s April 2004 edition of The Bridge newsletter as “a slightly-built man who speaks in a quiet, deliberate tone but it’s hard not to recognize his inner energy and commitment when he talks about the challenges and opportunities for improving the oral health of children in need.” Dr. Tappan’s idea is prevention through the earliest possible intervention. In his TOPS program he works with up to 300 mothers of infants born annually in the four neighborhoods surrounding his Dental Access Center. Under grants from The Colorado Trust and the Colorado Health Foundation, his plan is to try to keep children completely caries-free over a five-year period. Early treatment is planned for those few who do experience tooth decay. It is anticipated that most of the care will be financed through Medicaid and CHP+. In recent years, dental data indicate that up to sixty percent of the poorest children entering first grade have already experienced dental caries, often accompanied by dental pain. TOPS intends to employ the combined effects of educating parents, sound oral hygiene practices, fluoride applications and other measures to avoid the transmission of dental caries-causing bacteria from mother to child. Successful outcomes will help children avoid dental problems before they occur. Fewer dental problems translates into less dental need and demand for dental treatment, a reduction that (for such children) impacts dental manpower needs and access to care issues. Dr. Tappan says, and many pediatric specialists agree, that school-based programs are addressing the problem too late. “I have seen many first graders who already have advanced decay in permanent molar teeth!,” said Tappan. He is TOPS intends to employ the combined effects of educating parents, sound oral hygiene practices, fluoride applications and other measures to avoid the transmission of dental caries-causing bacteria from mother to child. very well qualified to make that statement as he and Dr. Michael Raizen have run several school-based initiatives. “We know that school-based programs are taking care of some problems for some kids. But if we merely keep throwing dental manpower at this problem, without looking at the critical factor of prevention, things won’t change.” This makes sense for a number of reasons. First of all, as the population of underserved children grows there is a corresponding increase in the magnitude of untreated oral health problems. In other words, Dr. Major Tappan unless there is a corresponding miraculous increase in the utilization of dental treatment services by these kids, their well being will be more compromised than before. Dr. Tappan related the old expression, “When you find yourself in a hole that keeps growing, stop digging! The way of stopping the dig is to cut off the supply of new tooth decay. Obviously, no program is fully capable of doing that. However, we do hope to be able to document the extent to which a community-based effort can have positive impacts not only for oral health but, potentially, in other ways of which we are not yet fully aware.” Over the course of the TOPS experiment, if pathology is avoided, it could become a national model to address the prevalence of decay in our children. “We have sought and received important input from various members of the dental profession, and that will remain a priority for us. Typically, the dental profession has had minimal concern with dental issues in the prenatal period of the child, and it is only recently that the recommended time for the child’s first visit was established at one year of age. Except for pediatric dentists, most dentists—I confess this includes me— are reluctant to treat the very young child. So, I think ALL of us can benefit from preventing the occurrence of caries in those individuals,” said Tappan. I agree. An ounce of prevention is worth a pound of cure, and more, for good oral health. We need to support this new project both financially and through member volunteerism. Clearly this is not a one man job! Stay tuned for more information on outcomes of this innovative strategy. EDITOR Dr. Matt Dunn MANAGING EDITOR Michelle Cunningham COMMUNICATIONS COMMITTEE Dr. Matt Dunn, Chair Dr. Gary Belanger Dr. Michael Bellon Dr. Paul Bottone Dr. Douglas Carver Dr. Mike Diorio Dr. Erik Hekkert Dr. Jeffery Hurst Dr. Greg Ingalls Dr. Erik Mathys Dr. Deborah Michael Dr. Kenneth Peters MDDS EXECUTIVE COMMITTEE President Terry L. Brewick, DDS President-elect Troy A. Fox, DDS Vice President Michael J. Scheidt, DDS, MS Secretary George G. Gatseos, DDS Treasurer Charles S. Danna, DDS Executive Director Terri Gilpin GRAPHIC DESIGN Zullo Design PRINTING Dilley Printing The Articulator is published bi-monthly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership. Editorial Policy All statements of opinion and of supposed fact are published under the authority of the authors, including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS. The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor. Advertising Policy All matters pertaining to advertising should be addressed to advertising sales manager, Advertising Sales Department at MDDS, 3690 S. Yosemite St., Suite 200, Denver, CO 80237, (303) 488-9700. All advertising appearing in the Articulator must comply with official published advertising standards of the American Dental Association. The publication of an advertisement is not to be construed as an endorsement or approval by the Metropolitan Denver Dental Society. A copy of the advertising standards may be obtained upon request through MDDS. Inquiries may be addressed to: Metropolitan Denver Dental Society 3690 S. Yosemite St., Suite 200 Denver, CO 80237-1827 Phone: (303) 488-9700 Fax: (303) 488-0177 www.mddsdentist.com ©2007 Metropolitan Denver Dental Society Dr. Tappan welcomes ongoing peer guidance as well as visits to the TOPS/Dental Access Center facility. For more information or to get involved, contact Dr. Tappan at (303) 394-0231. Braces and Baseball Come Together for a Cause MDDS Member Orthodontist Offered Patients World Series Ticket Opportunity to Benefit Food Bank of the Rockies An splendid turnout was the result of Dr. Kevin Theroux’s World Series Tickets Give-Away and Food Drive. Dr. Theroux's patients were encouraged to bring nonperishable food items as their entry fee in a water balloon toss/catch competition to win the tickets. Nearly 100 teams gathered in his Lone Tree office parking lot for the contest, contributing 546 pounds of canned goods in addition to cash donations of approximately $300 to the Food Bank of the Rockies! Each dollar that was donated translated into another 67 pounds of food. The two teams that tossed the water balloon farthest without breaking them won a pair of tickets to Game 3 of the World Series playoffs. Congratulations to the winners, Josh Alston and Andrew Russell, and their fathers (pictured left with Dr. Theroux in the center). They reported that the experience was “out of this world.” Special thanks to Dr. Theroux for introducing young people to the idea of philanthropy while reminding them that good oral health can be fun! 2 I M D D S Articulator www.mddsdentist.com Dentists Who Get Results U p c o m i n g Your team members are critical to the success of your practice, but how do you recruit and retain your “dream team” without breaking the proverbial bank? Successful practice owners usually understand that high salaries alone are not the answer. You can often keep salaries in check by addressing the issues that are really important to team members. While it’s true that a pay increase is a universal way to express value and appreciation, it’s even more likely that other concerns are merely surfacing as salary issues. If salaries are fair, team members are actually attracted to and remain with practices for a variety of distinctively different reasons other than compensation. To discern how this might apply to your practice, here are five key questions you can ask yourself: 1. Does your practice truly encourage positive and supportive interaction with patients, other team members and yourself? 2. Do you regularly encourage your team to grow, learn and keep up with the latest technologies and clinical developments? 3. Are you providing effective leadership and good communication? 4. Do your team members feel you have clear policies and procedures? 5. Do your team members know and share your mission and goals? If you answered “no” to one or more of the above, corrective action is appropriate. So what do team members say they like the least and contributes to underperformance or even turnover? I Poor communication I Insufficient training I Inadequate organization (usually scheduling chaos) I Ambiguous or inconsistent policies and procedures I A doctor or office manager breaking the rules or allowing others to do so I Underperforming team members who aren’t disciplined There are specific steps you can take to address these issues: 1. Establish a schedule for making needed improvements and stick to it 2. Develop comprehensive policies and procedures, either by yourself or with the help of a professional & E v e n t s 2008 Recruit and Retain Your Dream Team By Janet Steward C E Business of Dentistry 101 Presented by Janet and Larry Steward In this three course series, Janet and Larry Steward will discuss the how to’s of hiring your dream team, how to attract and retain patients, team leadership and financial and management controls with Eileen Sharkey from Sharkey, Howes & Javer. Join us the first Tuesday of the month starting February, 2008 for the Business of Dentistry 101 course series. Your patients and staff will thank you. DATES: February 5, March 4 and April 1, 2008 TIME: 5:30 p.m. – 9:00 p.m. MORE DETAILS COMING SOON Update on Bisphosphonate-related Osteonecrosis of the Jaws Presented by Kevin Patterson, DDS, MD Join us for an evening of updates on this “hot topic” with our very own local expert. This course will include discussion on the mechanism of disease, diagnosis, prevention and treatment. DATE: February 21, 2008 TIME: 6:00 p.m. – 9:00 p.m. PRICE: $99 per MDDS member LOCATION: Cool River Cafe Women Dentist Breakfast Forum TRADING SPACES — THE EXPERIENCE OF EMPLOYMENT DISCRIMINATION OR HARASSMENT FROM THE EMPLOYEE’S PERSPECTIVE Presented by Cynthia Wellbrock, Esq. GENEROUSLY SPONSORED BY COPIC FINANCIAL Have you ever wondered how an employee could feel they were being unlawfully discriminated against or harassed? Find out what you can do about it before the situation escalates to the EEOC or Federal Court. DATE: January 18, 2008 TIME: 7:00 a.m. – 8:00 a.m. PRICE: $35 per attendee LOCATION: Rocky Mountain Dental Convention COMING SOON... The Scope of the Meth Problem in Colorado and its Effect on Dentistry, Benefiting the MDDF Smile Again Program MDDS is an ADA CERP and AGD PACE recognized provider. C ONTACT MDDS FOR MORE I NFO OR TO R EGISTER ( 3 0 3 ) 4 8 8 - 9 7 0 0 o r w w w. m d d s d e n t i s t . c o m STOP PAYING RENT BUILD EQUITY 3. Create clear lines of communication (huddles and staff meetings are a great place to start) 4. Praise your team members when appropriate and take action when one or more team members are underperforming 5. Ensure your team understands and is committed to your mission and goals 6. Encourage professional development While these workplace issues may not be important to you, they are very important to team members, and they are much less expensive to correct than either (a) high turnover or (b) trying to retain team members by increasing salaries above and beyond what’s fair and competitive. Want more? Mark your calendars for the Business of Dentistry 101, a three-course series beginning February 5, 2008. See the MDDS Upcoming CE & Events Listing for more details. Janet Steward is a speaker, consultant and author. Her book, What Do Dentists Really Want? is available through Amazon.com or www.theManageDentPros.com. Janet Steward, president of Quantum Leap Dental Consulting, can be reached at (970) 207-0776. A Simple Request — “Send My Records” Continued from page 1 Many dentists have very extensive charts for long-time established patients. If you get a request for records, call the person requesting and clarify what they want, specifically. The call will save time and effort of reproducing information unnecessarily while providing what is needed. Doctors’ notes are not part of the record! Your personal notes, feelings about the patient, emotional thoughts that have been reduced to writing do not and should not be released. Do not keep these in the patient’s chart, but in your desk with the patient’s name on file. In the chart, they could be reproduced and sent away as part of the record. Lastly, if the request comes in the form of a release, read it carefully for exactly what is being requested and that it is signed by the patient/proper party. www.mddsdentist.com NEW PROFESSIONAL BUILDING FOR SALE 8151 SouthPark Lane Littleton 80120 Close to Highlands Ranch, C-470 and Littleton Adventist Hospital area Completed and ready for build-out November 2007 Pricing from $833,500 - $2,350,000 3,333 to 10,000 square feet available Financing available For more information contact: Max Bumguardner (303) 799-6 6809 December 2007/January 2008 I 3 P ractice Transitions When a Dentist Passes Away (Part 1of 2) By Susan Spear The unexpected death of a dentist is devastating. You never think it can happen to you, but it can and it does happen when we least expect it. The result is often a state of chaos that can equate to additional loss, both emotionally and financially, for those left behind. In most situations, a response to what is going to happen with the business is put off because of the shock, loss and grieving that naturally occurs. The initial loss of the dentist is about a parent, a spouse, a sibling and a friend. It is also the loss of a caretaker, a boss, a leader and a mentor. When a dentist dies without warning the loss can be compounded by so many unthinkable events. If we were willing to talk about it and make plans for “just in case” maybe some of the unfortunate outcomes could be minimized. Your death isn’t just about you. It is also about what is going to happen to your living business with patients and staff once you are gone. Without a plan in place at the onset of the dentist’s death there is usually a period of time somewhere between four to six weeks (often longer) where there is no activity. The office may close temporarily. Staff members face uncertainty about their jobs while grieving themselves. Patients may hear a sad message on the answering machine or find a note on the door asking that they remain understanding while “someone” figures out what to do. Maybe the staff goes into the office each day trying to replicate some normal operation by running the hygiene department to keep the practice afloat. Unfortunately Brett Kessler Briefs Capitol Hill on Meth Mouth Continued from page 1 and about 40 percent of correctional dental spending goes toward repairing or removing methamphetamine-ravaged teeth. On October 9, 2007, at an ADA-organized briefing on Capitol Hill, Dr. Kessler urged congressional staffers working for members of the Congressional Meth Caucus to implore their bosses to cosponsor one or both meth mouth bills currently under consideration in Congress. So far, each bill has 20 co-sponsors in the House and two in the Senate. Dr. Kessler believes that the inclusion of oral health in correctional reform will improve the quality of life and offer an optimistic chance for success in rehabilitation. “To not help people suffering from the devastating consequences of meth mouth is like imposing a long social and emotional death sentence,” says Dr. Kessler. Join us on Friday, April 18, 2008 for Dr. Kessler’s presentation on the effects of methamphetaminedamaged mouths. Proceeds from this lecture will benefit the MDDF Smile Again Program. Contact (303) 488-9700, ext. 3271 or visit www.mddsdentist.com for details. 4 I M D D S Articulator without guidance, the staff works aimlessly; not knowing what to say, how to reassure patients and all the while unable to comfort themselves. It may be that a few caring dentists volunteer their time to help the practice. But that cannot last indefinitely. Time ticks away. Not addressing the possibility that one can die suddenly could be a time bomb waiting to happen. Here are some fundamental provisions that every dentist should have in place. I I Acquire a life insurance policy that protects your family from the loss of income that the practice provides. If you haven’t reviewed it lately, it is time to make sure it is adequate for where you are financially at this time in your life. Create a will that is updated or at least reviewed annually and appoints someone with Power of Attorney. Activate the Power of Attorney now! If the estate waits to exercise the appointment when the dentist dies, the courts can take several weeks before they approve the designation. Think very carefully about who this person should be. The appointed Power of Attorney, who handles the business, may not always be the spouse. Remember, your spouse is grieving at the time of your death and will not be thinking about the business. Like your spouse, your brother, sister, father or mother may not be in a position to respond objectively. They too need to grieve and their emotional responses to business decisions may not serve the estate’s best interests. This person should have knowledge of your business. He or she should know how you want the process to unfold. Your appointee needs to understand that the process of selling your business will be extremely time consuming. It means he or she will need to be able to answer telephone calls, meet with advisors, make decisions quickly and unilaterally, manage the staff, address the accounts payable, know about liabilities to the practice, assist in keeping the practice operating, etc. If you appoint someone who cannot commit to this process, the result can be painful for everyone involved. Unexpected death happens and affects all of us at sometime in our life. Look for Part II of this article in the March/April 2008 issue of the Articulator Magazine, where I will continue to outline what can happen with your practice if you avoid putting a contingency transition plan in place and how acting responsibly can make such a difference for your team, your patients and, of course, your family. Susan A. Spear is founder and owner of SAS Transitions, a nationally focused transition company dedicated to providing customized practice transition consulting services for all dental professionals. Susan has over 30 years of experience in many aspects of dentistry, including: transitioning both private and commercial dental practices, providing clinical and business management support for general and specialty practice, serving as a healthcare administrator and educator. She can be reached at (303) 973-2147 for more information. About the Problem and the People It Affects Continued from page 1 have ever seen happened over the course of about one year. Joe tried meth for the first time at age 16; a peer pressure situation fueled by a desire to fit in with the popular crowd at school. One try and he was hooked. He experienced an instant feeling of euphoria, followed by an intense crash. In order to combat the crash, Joe used more and more, often leading to illegal activities such as minor thefts and subsequent misdemeanor arrests. His diet included many sweets and alcohol, and his drinks of choice were between Mountain Dew and Red Bull. Meth users crave sugar and caffeine to keep the buzz going. From one bad, naïve decision, addiction took hold. Joe no longer had a choice, he had to use. Completely consumed by meth, he learned how to manufacture the drug. The process of manufacturing meth can be found easily through web search engines such as Google and Yahoo. The addicted mind lowers its values; it justifies and rationalizes why doing more meth is the most important reason for existence. Joe’s fate? His teeth were utterly destroyed by his drug use. When Joe was arrested for intent to sell meth at age 18, his teeth were in this condition. He first entered rehab, and then served his time in prison. For the duration of his sentence, three years, he received no dental treatment. Once he was released and on probation, he found it virtually impossible to find a job. But, as I mentioned, Joe is a likable guy and was taught the trade of auto mechanics in prison. He did find work as a mechanic, but only on the condition that he would have no contact with the customers as his appearance was “too hideous.” The only thing more hideous than his teeth was his self-esteem. He told me that he felt better in prison. At least there, his prison mates understood why his teeth looked like they did. Most people in prison are there as a result of a chemical dependency issue. By the time I met Joe, there was no hope of saving any of his teeth. There were horrible infections in his jaw bones that were spreading through his system. The only option was to remove all of his teeth and have dentures made. Meth mouth renders individuals, sometimes younger than Joe, dentally challenged for life. The punishment of the devastation of oral health and hopelessness often doesn’t fit the crime. If a meth mouth case has never presented in your office, let me assure you, it will. As dentists, we play an important role in removing the visible scars of this type of addiction. My hope is that we can rise to the occasion and do this with compassion and understanding. When you meet a guy like Joe, it is more than worth it. Now that Joe has served his time and addressed his addiction, he is working to become an addiction counselor for at-risk youth to help others learn from his mistakes. www.mddsdentist.com F inance How to Reduce Your Personal Liability Using Default Investment Options It's time for your "Financial Check-up" By Scott Brookes, AIF® For practices that sponsor a 401(k) retirement plan, the dilemma of what to do for participants who fail to manage their retirement accounts has been a liability issue for years. Lots of employees fail to choose an investment for their 401(k) deferrals or annual profit sharing contributions, so they are often defaulted into an investment chosen by you (and dictated in your plan document). Until recently, plan fiduciaries did not have protection from lawsuits unless an employee independently chose their 401(k) investments (among other rules). Fiduciaries (you, as employer) could potentially be held liable for losses incurred in default investments if they were deemed “imprudent.” Opportunity cost was the buzz word in legal circles. What would the return have been if the plan defaulted the participant into a “prudent” mix of stocks, bonds, real estate and cash? Who would be responsible for making up these losses? The good news is that the Pension Protection Act of 2006 (PPA) now permits you to assist those employees who were barely involved (even completely uninvolved) with their retirement plan investments. It permits you to automatically choose an acceptable investment option for a participant’s account when the employee fails to provide any investment directions, without this cloud of liability. How so? Simple — under PPA, if a trustee establishes a “qualified default investment alternative” (QDIA), as part of their plan document, the provisions of this new tax law will protect you on this issue. So what is a QDIA? The IRS and Dept. of Labor have defined a “qualified default investment alternative” as: 1. An age-based, life-cycle or targeted retirement date fund or account; 2. A risk-based, balanced fund; and/or 3. A “qualified” investment management service. Note: Any investment option offered must be diversified so as to minimize the risk of large losses and communicated to your staff before being selected and at least once each year thereafter. You will notice that a “Stable Value” or money market option is not listed as an option and will not qualify for protection. While this is great news for most practices, we know employers need help with the administration of their retirement plan. Taking advantage of these new opportunities requires the skills and involvement of an experienced attorney and investment advisor for the initial evaluation, selection, and monitoring of your plan’s QDIAs. If you have any questions about this article, please drop us a line or call us for help. Scott Brookes, AIF®, is Director of Retirement Plan Services at Sharkey, Howes & Javer, Inc., a Denver based, FEE-ONLY, financial planning and investment management firm. Visit www.SHWJ.com or call for more information at (303) 639-5100. The Going Rate for Health & Hope? $11 a Month! The Metro Denver Dental Foundation, established in 2005 as a 501c3 organization, was created to advance awareness and education for improved oral health and to enhance access to dental care for all populations served by MDDS members. Donated dollars help us pay for dental laboratory fees and materials associated with patient treatment and program administration for the Smile Again Program. Please consider lending your support to the Foundation. A little can go a long way. For example, if each MDDS member dentist donated $134 over the next year (that’s just $11.16 a month), we estimate that we could keep the Smile Again Program in operation for the next ten years! With that kind of support, the Foundation could expand to assist other worthy local programs. While metro Denver communities are fortunate to have many wonderful dental clinics and programs in service — the need far outweighs the resources available. All contributions are tax-deductible to the extent of the law. We will use your contributions wisely. Contact (303) 488-9700, ext 3270 or [email protected] for information or simply return the enclosed flyer. We would like to express our gratitude to the following community foundations and organizations that believe in the purpose of providing oral healthcare to abuse survivors and have recently awarded us with financial assistance. We feel so fortunate to be the beneficiary of these grants and to be in the company of such special organizations and people. We provide thorough examinations and financial "x-rays" We can brighten your financial smile ! Corporate supporter of the Colorado Dental Association Call us at 800-557-9380 or visit our website at www.shwj.com MDDF News: Golfing and Giving Local dentists and friends of the dental community reveled in the competitive spirit of 18 holes of golf, while contributing $4,000 to the Metro Denver Dental Foundation’s Smile Again Program (formerly the Domestic Violence Dental Care Program). Many grateful survivors of abuse are “smiling again” thanks to the generosity of 100 golfers participating in the Michelle Cunningham, MDDS communi2007 MOLARS Golf Championcations director, accepts the donation ship hosted by Dr. Scott Whitney. on behalf of the Foundation from Dr. The second annual tournament was Scott Whitney and Dr. Helena Becker held on September 14, 2007 at The Ridge at Castle Pines North and served as an excellent networking opportunity for a good cause. Dr. Whitney is an endodontist who practices in the Denver metro area. He is both an MDDS member and a Smile Again Program volunteer, but wanted to do more than donate his time. He developed the MOLARS Golf Championship to increase awareness of the program in addition to raising funds. Dr. Whitney and his dental team meticulously planned all the details and did all the hard work and provided a great experience — in the fashion of the old granddad of tournaments itself, “The Masters.” “Golf is my game, the Smile Again Program is my cause and dentistry is my passion. The Molars is my personal expression of how small groups of people can make a big impact on the lives of others through the game of golf,” said Dr. Whitney. The Smile Again Program offers free dental care to disadvantaged survivors of domestic abuse in the greater metro area in an effort to restore oral health and assist in recovery and eventual self-sufficiency. Its mission could not be achieved without the important partnerships that are developed with all 138 volunteer dentists who participate in the program. These partnerships fulfill a promise to our communities. Dr. Whitney, his tournament and his spirit are the embodiment of this promise. Call (303) 397-7668 to reserve your spot for the 2008 Molars Golf Championship, scheduled for Friday, September 12, 2008. Special thanks to Dr. Whitney and the following sponsoring organizations for their commitment to the Molars Dental Golf Championship and the Smile Again Program: ™ Caring for Colorado Wells Fargo Community Assistance Fund The Rotberg/Comens/Booth Charitable Foundation www.mddsdentist.com Comphehensive Personal Financial Advisors, LLC, Paul R. Wurr & Associates, Care Credit, Berkley Risk Management, Dentemax, Ameritas, Goetze Dental, Matsco, Utex Enterprises, and Anthem December 2007/January 2008 I 17 Calendar of Events Transitions DECEMBER 2007 IN MEMORIAM FEBRUARY 2008 December 6 February 2 Rocky Mountain Dental Study Club I-Cat & Implant Update Presented by: Drs. Debra Gander & Erik Mathys 6:00 p.m. – 9:00 p.m. Aurora Summit Steak House Aurora, Colorado (303) 758-9106 or [email protected] University of Colo. School of Dentistry Local Anesthesia Trouble-Shooting Presented by: Ms. Donna Stach Aurora, Colorado (800) 736-1911 or www.CU4CDE.com December 12 University of Colo. School of Dentistry How to Solve Unusual Diagnostic Dilemmas Presented by: Dr. John McDowell Aurora, Colorado (800) 736-1911 or www.CU4CDE.com JANUARY 2008 January 5 University of Colo. School of Dentistry What You Should Know About Biophosphates and Osteoradionecrosis Presented by: Dr. Mark Lucas Aurora, Colorado (800) 736-1911 or www.CU4CDE.com January 17–19 Metro Denver Dental Society Rocky Mountain Dental Convention Colorado Convention Center Denver, Colorado (303) 488-9700 or www.rmdconline.com January 24 Rocky Mountain Dental Study Club Recognizing & Treating GERD in Our Young Patients Presented by: Dr. Betty Barr 6:00 p.m. – 9:00 p.m. China Beijing Denver, Colorado (303) 758-9106 or [email protected] February 5 Metro Denver Dental Society Business of Dentistry 101: Session 1 Presented by: Janet and Larry Steward 5:30 p.m – 9:00 p.m. Denver, Colorado (303) 488-9700 or www.mddsdentist.com February 8 Columbine Periodontal Study Group Periodontal Regenerative Therapy: A Mixture of Art and Science Presented by: Dr. Michael McGuire 9:00 a.m. – 5:00 p.m. The Inverness Hotel & Conference Center Englewood, Colorado Margaret DeLauro, (303) 988-0733 February 10–17 Rocky Mountain Dental Study Club Vail Ski Meeting Vail Cascade Resort & Spa Vail, Colorado (303) 758-9106 or [email protected] February 11 Colorado Prosthodontic Society A Silk Purse from a Sow’s Ear: Quality Removable Prosthodontics Presented by: Dr. Nadar Sharifi 9:00 a.m. – 4:00 p.m. Holiday Inn DIA Conv. & Conf. Center Denver, Colorado (303) 422-0094 or www.coloradoprossoc.com February 21 Metro Denver Dental Society Update on Bisphosphonate-associated Osteonecrosis of the Jaws Presented by: Dr. Kevin Patterson 6:00 p.m – 9:00 p.m. Cool River Cafe (303) 488-9700 or www.mddsdentist.com Visit www.mddsdentist.com for more calendar listings. Dr. Charles Amen, 77, a retired periodontist and endodontist passed away on September 16, 2007. Having had a very distinguished dental career, Dr. Amen was widely regarded as one of the most admired and respected periodontal and endodontic surgeons in the country. He served as MDDS president in 1978/79 and was an MDDS Honus Maximus Award winner, the Society’s highest honor. Donations in his honor may be made to Rocky Mountain RYLA, PO Box 5073, Greenwood Village, CO 80155-5073. HONORED In September 2007, Dr. John R. Sexton, a pediatric dentist practicing in Lakewood, received the ADA Certificate of Recognition for Volunteer Service in a Foreign Country for his meritorious and extensive service to the people of Romania and Uganda. The certificate, awarded through the ADA Committee on International Programs and Development, is a gesture of professional appreciation and public recognition highlighting the personal effort and selfsacrifice of members who serve as volunteers in lesser developed countries to improve the health of its people. Dr. Damien Mulvany, an Englewood-based general dentist, was honored as the 2007 recipient of the 1-800-DENTIST Cares Award. This award is another of many notable dental and civic commendations Dr. Mulvany has received for his generous service in providing care to homeless teens through Urban Peak Shelter and Mount St. Vincent’s Home and his commitment to delivering care to those in need in Africa through International Medical Relief. INDUCTED Established in 1920, the American College of Dentists (ACD) is the oldest national honorary organization for dentists. On September 27, 2007, 312 dentists were inducted into the ACD as new Fellows at the organization’s annual convocation in San Francisco, CA. Congratulations to all Colorado section Fellows, including Dr. Jeffrey Astroth, Dr. Terry Brewick, Dr. George Gatseos II, Dr. Darrell Havener, Jr., Dr. Brett Kessler, Dr. Erik Mathys, Dr. John McFarland, Dr. Jeanne Salcetti and Dr. Daniel Wilson. On October 14, 2007, the Pierre Fauchard Academy, an international honorary dental organization, held its installation of new Fellows at the Columbine Country Club in Littleton. The following individuals were installed as new Fellows for 2007— MDDS members are noted with asterisks. Front row, left to right: Dr. Terry Brewick* (Colorado Section Chair), Dr. Melissa Hatzidakis*, Dr. Roberta Shaklee*, Dr. Denise Kassebaum* and Dr. Bob Murphy. Middle row, left to right: Dr. John Raabe*, Dr. Doug Heller*, Dr. Brett Levin*, Dr. Beth Kreider*, Dr. Ellen Sachs*, Dr. George Gatseos II*, Carole Englander and Dr. James Englander (President). Back row, left to right: Dr. Neil Schoemaker, Dr. Jennifer Garza*, Dr. Tom Pixley, Dr. Troy Fox*, Dr. Michael Scheidt*, Dr. Michael Varley*, Dr. Chuck Danna*, Dr. Sheldon Newman*, Dr. Celia Turner, Dr. Sally Preston* and Dr. Dan Wilson*. Not pictured: Dr. Gary Pascoe*, Dr. Dr. Michael Rollert* and Dr. Brian Butler*. To connect with more news and information about our profession, visit www.mddsdentist.com frequently! 18 I M D D S Articulator www.mddsdentist.com Classifieds Submissions should be received, in writing, no later than January 21, 2008 to appear in our next issue. MDDS makes no claim, stated or implied, as to the quality of goods and services or the accuracy of the following ads. WANT MORE MONEY IN YOUR POCKET? Remain focused on your patients while receiving the best administrative training for your staff. Training includes: dental terminology, productive scheduling, treatment presentation, billing/collections procedures. More advanced training also available. Call Dynamic Dental Systems today at (303) 5204196 or email [email protected] to start making more money. SPACE FOR LEASE IN BUSY KING SOOPERS RETAIL CENTERS: Wheat Ridge: 3,200 sq. ft. (divisible to 1,000 sq. ft.) in Ridge Village Center at the intersection of 38th & Sheridan. Fort Collins: 1,200-3,300 sq. ft. available in Cedarwood Plaza at the intersection of Taft Hill Rd. & Elizabeth. Call Nick Perry at (303) 741-6644 (office) or (303) 359-1918 (cell). TIRED OF THE “BUSINESS” OF DENTISTRY? Well-established metro Denver area practice seeking general dentist for associate position. Fee for service only practice. Three years experience or GPR required. For more information, please contact Malcolm E. Boone II, DDS, MS, at (303) 388-1661 or (303) 451-1111 for details or fax CV to (303) 451-7238. DENTIST: General dentist opportunity available with high-tech general group practice in Boulder, Colorado. Large patient base and no managed care. Seasoned dentist with 5plus years practice experience desired. Fax CV to (303) 443-0073 or email to [email protected]. DENTAL PRACTICE FOR SALE: Beautiful San Luis Valley! Dental Condo part of the sale! Modern Cosmetic Restorative Practice! This practice opportunity is all about life style! Owner dentist nets over $210K, 4 days per week with 70 days off per year! Feefor-service, Digital X-ray, state-of-art facility. Enjoy mountain living with hiking, fishing, hunting, skiing and more! Town has its own airport! High producing practice in a small town atmosphere! Call Susan Spear @ (303) 973-2147 or [email protected]. HYGIENISTS: Great part- and full-time career opportunities. Large multi-practice group offering flexible work schedule and excellent compensation/benefits package. Call Sonja at (303) 285-6022 for more information. DENTIST: Perfect Teeth is seeking senior Dentists in Arizona, Colorado and New Mexico with a compensation range of $90,000 to $200,000+. Successful private or group experience required. Benefits package. Also seeking Associate Dentists with a compensation range of $75,000 to $95,000. Specialist opportunities also available for part and full-time Ortho, Endo, Oral Surgery, Pedo and Perio with exceptional compensation. Call Dr. Mark Birner at (303) 691-0680, email at [email protected] or visit www.BDMS-PerfectTeeth.com. PEDIATRIC DENTAL PRACTICE: Calling all pediatric residents! Established pediatric dentist has exceptional opportunity for busy practice in Eureka, California. This is an opportunity for someone who loves children and is looking for an enriched quality of life. Eureka is nestled next to the Redwood Forest and outlined by the beautiful Pacific Ocean. The practice is located in a new facility with all of the “bells and whistles.” Don’t miss out on a once in a lifetime opportunity! Call Susan at (303) 973-2147 or email [email protected]. OFFICE SPACE FOR LEASE: Professional dental office space consisting of 1,243 sq. ft. is available for lease. Currently partitioned, plumbed and wired for 3 dental operatories. The dental suite is in excellent condition and is in a wonderful location and beautiful building in Aurora. Great visibility and easy access near a highly residential area. Ideal location for GP, ortho, pedo, prosth, perio or endo. Call Dr. James Trompeter at (303) 688-3838. OFFICE SPACE AVAILABLE: Up to 3 operatories available to rent in an upscale general practitioner’s office in Aurora. FURNISHED with patient operatory chairs, storage and X-ray machines. Exceptional opportunity for a satellite office. Excellent location with easy highway access in high traffic area. Free patient parking onsite. Please call Dr. Jonathan Rones at (303) 743-7662 or (303) 341-6961. www.mddsdentist.com DENTAL PRACTICE FOR SALE: PRACTICE FOR SALE: On the Eastern Aurora, Colorado. Isn’t it time you had a practice to call your own? Earn $130-$140K, call you own shots, build equity with a very low investment. Nice facility, Great Staff! Seller will help make this happen! Call Susan Spear @ (303) 973-2147 or [email protected]. plains of Colorado that is netting $315,000 per year. Very flexible on price. For more details, please contact Larry Chatterley at (303) 795-8800 or visit www.ctcassociates.com. PRACTICE OPPORTUNITIES: Stop paying rent/own your own building. New professional buildings available in Littleton and other metro Denver locations. Call Max Bumguardner for more information (303) 799-6809. ASSOCIATESHIPS/PRACTICE OPPORTUNITIES: Have you been looking for more than just a job? Do you want to practice dentistry in Colorado and someday call your practice your own? Are you looking for a partner to share your practice? Call Susan Spear today to learn about how she can help you with all of your practice transition questions. (303) 973-2147 or [email protected]. ASSOCIATE: New high tech office in new mall development looking for an outgoing, easy going individual for part-time associate dentist position to grow into full-time partner or buy-in or buy-out option. General dentist sought, experience preferred, but will train the right recent grad, including TMJ and ortho. Interested parties should fax their resumes to (303) 989-4445. ASSOCIATE: Busy SE Denver dental practice seeks general dentist for full- or parttime employment. Associate position with ownership opportunities in an established group practice of over 30 years. Complete benefits package. Please contact Dr. John Pfalzgraf at Cherry Hills Dental Associates at (303) 757-8446. DENTAL PRACTICE FOR SALE: PRACTICE FOR SALE: South Colorado Springs, Colo. Five ops., new equipment with digital X-rays and grossing $477,000. Can also purchase building. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Littleton, CO Grossing $159,000, two ops with room for another op. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Small town southern Colorado. Grossing $341,500, 51 percent overhead, busy practice, facility and equipment look great. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Delta, Colo. Acquire the building and the practice for $220,000. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Eastern Colorado Grossing over $500,000 with about 50% overhead. Priced under $100,000. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. *ORTHODONTIC* PRACTICE FOR SALE: Littleton, CO Grossing $286,000. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. SELLER/BUYER SERVICES: If you would like more information on how to buy, sell or associate in a practice, please check our website, www.ctc-associates.com or call CTC Associates at (303) 795-8800. Tree. Just north of Lincoln and Super Target. Contact Jan Friedlander, CCIM @ (303) 8859200 or [email protected]. SPACE FOR LEASE: Join the many busy practices in this State-Of-the-Art Professional Office Building in Highlands Ranch. 4185 E. Wildcat Reserve Parkway, just 1 mile south of University Blvd. Contact Jan Friedlander, CCIM @ (303) 885-9200 or [email protected]. PRIME SUBLEASE SPACE: Busy medical/ dental bldg. 125 Inverness Drive East — just off Dry Creek, east of I25 in Englewood. Contact Jan Friedlander, CCIM @ (303) 8859200 or [email protected]. MEDICAL OFFICE SPACE FOR LEASE: Nestled within this large professional office campus. 11 West Dry Circle in Littleton near S. Broadway, County Line Rd. & C470. Contact Jan Friedlander, CCIM @ (303) 8859200 or [email protected]. OFFICE SPACE FOR LEASE: High Profile Building visible from I-25. 9025 N. Grant St., east of I25 & south of North Suburban Hosp. in Thornton. Contact Jan Friedlander, CCIM @ (303) 885-9200 or [email protected]. OFFICE SPACE FOR LEASE: Prime end-cap space with windows on 3 sides. Last space available in this two building medical/dental campus. 3405 S. Yarrow St. near NW corner of Hampden & Wadsworth in Lakewood. Contact Jan Friedlander, CCIM @ (303) 885-9200 or [email protected]. MEDICAL CONDO FOR SALE OR LEASE: Prestigious Academy Park Professional Bldg. 7373 W. Jefferson St. near SE corner of Hampden & Wadsworth in Lakewood. Contact Jan Friedlander, CCIM @ (303) 885-9200 or [email protected]. Lakewood, Colorado Practice producing $400K part-time. Nice facility, dentist is well established and has an exceptional reputation in the Lakewood community, good patient base and transferability. This opportunity won’t last long! Call Susan Spear @ (303) 973-2147 or [email protected]. TEMPORARY DENTIST AVAILABLE: Why close your office for lack of vacation, pregnancy, disability coverage? I am semiretired, quality oriented, GP DDS — willing to cover your office on a short-term basis anywhere in Colorado. Terms negotiable. (970) 547-1440. OFFICE SPACE FOR LEASE: Two story, A HAPPY STAFF??? Consider making your staff happy by freeing up storage space and saving them from sorting through hundreds of forceps and old boxes of supplies that you are never, ever are going to use. Instead, do a good deed by donating your UNUSED equipment and supplies to PROJECT CURE. We help set up dental clinics all around the world. For info or pickup, call Dr. A. at (303) 877-7804. PRACTICES: COLORADO AND NEARBY STATES: Aurora, Boulder, Cherry MILLION DOLLAR PRACTICE FOR SALE IN THE DENVER METRO AREA: ORTHODONTIST: Board-certified, Invisalign-trained Orthodontist needed 4 days/wk for multiple practices in Denver/Boulder area. Adults and children. 75K orthodontic-patient base. New case potential is 1K per month with referrals from 19 general dentists. E-mail CV to [email protected] or fax to (303) 443-0073. PRACTICE SALES, ASSOCIATE TRANSITIONS: Do you want to retire, but need help deciding how to begin? Let Susan Spear at SAS Transitions help you find the answers! Call Susan today, (303) 973-2147 or [email protected]. ASSOCIATE BUY-IN OR BUY-OUT: Cheyenne, Wyo. Three operatory practice grossing $820,000, with 45 percent overhead. Call Larry Chatterley (303) 7958800 or go to www.ctc-associates.com. ASSOCIATE BUY-IN: Hotchkiss, Colo. Very busy practice with six ops. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. Creek, Colorado Springs, Crested Butte, Denver, Eagle, Loveland, Glenwood Springs, Grand Junction, Edwards, Lakewood, Louisville, Pueblo, Central Mountains, Colorado Southern, Colorado Southwest, Mountain Resort, Steamboat, Dillon, Winter Park, AZ, NV, SD, WY, IA, NE-Scottsbluff. Specialties CO: 2 Oral Surgery practices; 1 Pediatric practice. See www.ADStransitions.com for details or call ADS Precise Consultants: Peter Mirabito, DDS or Jed Esposito, MBA at (303) 759-8425. ASSOCIATES WANTED: COLORADO — Positions leading to Buy-in: Colorado Springs, Denver - (Spanish speaking a must), Parker, Oral Surgery. Nearby States: Casper, WYBrand new state of the art facility; ADS Precise Consultants: Peter Mirabito, DDS or Jed Esposito, MBA. (303) 759-8425 www.ADStransitions.com. OFFICE SPACE FOR LEASE ACROSS FROM CHERRY CREEK MALL: Dental office consisting of 1,193 sq. ft. (expansion potential) available for lease November 2007. Currently partitioned, plumbed & wired for 3 dental operatories. Free visitor parking on site. Call Mindy Weiner-Aaron at (303) 830-9890. MEDICAL CONDOS FOR SALE OR LEASE: LONE TREE MEDICAL PLAZA is Under Construction and due to be completed Nov/Dec 2007. 9695 S. Yosemite St. in Lone 60,000 sf medical office bldg. near I76 & Bromley Lane near the new Platte Valley Medical Center in Brighton. Contact Jan Friedlander, CCIM @ (303) 885-9200 or [email protected]. This is a fantastic opportunity for an experienced general dentist! This fee for service practice is located in north Denver and is expected to gross over $1.1M in 2007. This is currently a single doctor practice, but the four operative and two hygiene operatories would accommodate two doctors. All of the latest technology is employed including CEREC, chairside workstations with patient viewing monitors and digital radiography. A fantastic lease on 3,600 square feet contributes to keeping the overhead at less than 55%! The selling doctor currently lives over sixty miles from the practice and wishes to relocate closer to home. Offered at $920,000. Call Jasmine Rinehart with Strategic Dental Management, Inc. at (303) 506-6362. BEAUTIFUL SPACE AVAILABLE FOR LEASE: Rare opportunity for specialist or GP. 1,066 sq. ft. in downtown Denver’s University Building located on the 16th Street Mall. Recently vacated by established endondontists. Includes 3 operatories, sterilization area, waiting room, reception, private office and private internal bathroom. Space is fully plumbed and connected to centralized compressor system. With excellent dental neighbors, building is home to numerous general practitioner and medical practices. Also have 635 sq. ft., 2 operatory space perfect for small practice or lab. For information call David at (303) 825-1887 or email [email protected]. ASSOCIATE BUY-OUT: Grand Junction, Colo. Grossing $680,000/yr in 2006. All fee for service patient base with four ops. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Woodland Park, Colo. Very modern facility with six ops. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: SE Aurora Colo. Grossing $360,000 with three ops. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Longmont, Colo. Grossing over $521,000 in 2006, fee-forservice patient base. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. PRACTICE FOR SALE: Cortez area. Grossing $120,000 with two ops. Call Larry Chatterley at (303) 795-8800 or go to www.ctc-associates.com. Member orthodontist, Dr. Erin Sloss, helps a little peacock with brushing technique at the Children’s Museum of Denver’s Trick or Treat Street event on Halloween. December 2007/January 2008 I 19 Healthcare Property Solutions Commercial Real Estate Brokerage and Consulting Services: Buying Rose McKee [email protected] Leasing Investments I have years of experience specializing in all types commercial real estate transactions to the healthcare community. I offer the best in today’s technology with a personal touch! Jennifer Nieto [email protected] Development Projects Financial Analysis 1031 Exchanges Demographics Mapping Lease Rate Analysis Sale Price Analysis Your office accepts credit cards and the fees you pay can be expensive! Our rates are great – for swiped card transactions – you pay $0 per transaction fee + $ volume x 1.74% debit card, 1.94% Visa/MC/Discover credit cards; 2.44% Rewards/Mileage+ Fax us a recent credit card statement to 1-866-717-7247... and let us complete a FREE cost comparison to learn how much you will save.The average dental office has saved more than $800 a year! Jan Friedlander, CCIM Friedlander Commercial Real Estate, LLC 303-885-9200 [email protected] TRANQUILITY You usually keep your same equipment and conversion is seamless without interruption to your bank deposits! Call 303-482-2773 / Toll Free 877-739-3952 Powered by First Data Corp Registered ISO/MSP with BankcorpSouth/Tupelo, MS my Kirsch & A S S O C I AT E S You have the clinical skills to provide excellent dentistry…. We provide the business and leadership skills to take your practice to the next level. Let Amy Kirsch & Associates customize a program to help you achieve your professional goals. IN MOTION The SPA that comes toYOU Let us come to you and give you, and those you love and appreciate, refuge from the hectic world with the ULTIMATE SPA EXPERIENCE. Our therapeutic services offer the essence of life-relaxation and rejuvenation of the mind, body and spirit... massage, stone therapy, pedicures, manicures, facials, reflexology and much, much more. 303-591-4996 Call us or visit our website at: www.amykirschandassociates.com 303.796.0056 Creating Successful Practices! Members of the Academy of Dental Practice Management Consultants and the National Speaker’s Association NEW! The Authentic Leadership Series For Dentists Amy Kirsch & Karla Gunner-Barringer