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Dear listener, it is possible to scale your practice and keep your sanity! Kiera discusses three overall pieces of advice for those who have expanded/want to expand to multi-practice ownership, including centralizing atmosphere and tactics, establishing leadership infrastructure, and keeping your communication fluid. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera. And today I wanted to dig into multi-practice management and how this can be something so fun. I know several of you have multiple practices. I had multiple offices and I just think that this is a space of like, all right, here we go. How can we make this amazing? And how can we lead, scale and stay sane? I think is a big spot because I think that when we go from one practice to two practices, I know I went. insane and it was not fun. And so for you, I just wanted to break this down because I really think this is a popular thing. And also if you're sitting on the fence of should I grow, should I not grow, I think it's going to be a fun discussion for us today. And I just wanted to say, welcome to the Dental A Team podcast. I'm Kiera Dent and I'm so happy you're here. I love all things dentistry. I love everything that we're about. I love helping you have the best day. I love positively infusing you and your practice with goodness. I love reminding you that you are in the absolute best profession. And this podcast is made free because you guys share, review, like, and you're able to bring in more and more listeners for us. So I just want to say thank you. And if you haven't done that today, please share this, like this, review this. That's how we're able to stay at the top of the list for more offices to be positively impacted, to grow their practices with ease, and to realize dentistry should be fun again. So with that, I want to talk about like, when we go into multi-practice ownership, it can get really freaking thrilling. So. I want you to look at like, okay, things that we need to do are as we grow and evolve. Number one, I want you just to ask why are you doing this for ego? Are you doing it for impact? Are you doing it for fun? Are you doing it to be acquired by a DSO? Knowing your why and then putting that up on the mirror so you never miss it is going to help you tremendously. Like genuinely a hundred percent just have that why because then it gets really, really thrilling. And so for you then it's going to be, okay, great. Once we have that, I look at like, what can we centralize? So when we brought our second practice, it was make everything very, very simple and very easy for us. Meaning I want it to be all of our software is going to be the exact same. So we have the same software, the same colors. So from practice to look like the different locations when doctors go multi offices, it actually is very easy. Also, we had billing. So we had one person who was over the billing of all the practices. What about our reporting? Can we have the same reporting? So different scorecards that are reporting the same thing. over the location that we have at centralized so we can quickly look and see how is each location doing. And then also making sure like our handbook, our SOPs, our operations manual is the same. So we set up the operatories the same. We do the same thing for hygiene. Everything is the same. So again, think about McDonald's. Could you imagine McDonald's or Chick-fil-A or any fast food restaurant opening multi-locations if the experience isn't the same that actually gets hard. Now there can be some nuances but the core infrastructure should be very, very similar. Then after that, you also want to make sure that you have the same culture, team culture and patient experience. So again, go back to Chick-fil-A, the employees all have about the same, the culture is the same, we have the same experience every time we go in, no matter where I'm going across the nation or the globe, it's the same experience. And so for you, how can we make sure that we've got same team culture, same patient experience? You want to make sure your leadership team is really, really solid. And then you've got to have like shared tools. So the KPI dashboards, we've got to have low specific views. So if you're having things that are on a ⁓ software, so like if Open Dental, you've got to have it to where I can access every single practice easily or if it's in the cloud and there are pros and cons between cloud software versus none. I have found that a lot of cloud softwares are awesome for ease of access at home. I will say Dentrix Ascend is my least favorite even though know they're coming back and they're popular. What happens is like I have a practice that switched to curve and they love it. but there's nothing that can really integrate oftentimes. So you can't get analytic reports. You can't get other things. They're not as open source for you. And so if you ever want something outside of that software, that's usually cheaper, more affordable, helps you. That tends to be an issue with the cloud-based softwares. But when we got multi-practices, it becomes much easier because then we can sink in. We can look at it. We can have centralized billing, centralized, re-care, centralized phone systems, but you can also do this with a server. So when we look at this, I think it's really great because we have practices and when we standardize how we schedule, we standardize our software, we standardize our billing procedures, the practices actually grow 10X. So I have a location, there's five practices and when we standardize these items, I kid you not, we add about a million per practice per year. So when you go across this, five million growth and you get 10 million growth and you get 15 million growth and you get 20 million and consistently every single year we're typically adding, but it's because things are standardized, things are centralized. We're able to say, right, All offices, this is how we're now gonna block schedule. All offices, here are your goals. All offices, the billing is processing. All offices, this is how we do new patients. And it really is able to help you. So you've got to centralize what you can across the board and then have it localized at certain levels. But then it means like each office manager does the same thing, but they're making sure team spirit and team culture is the same. Patient experience is the same of what we do as an overarching multi-location area. So that's step one. Step two is we wanna build a leadership infrastructure. So what this is, is we've gotta make sure that we've got regional managers, office managers, department leads. Sometimes multi-office locations are gonna have a hygienist that's over all hygienists of all practices. Other times it's at the practice level. But regardless across the board, there are set standards and set processes that are going to be there for you. So I really wanna make sure that you have that. And then we also need to clarify like who has ownership of this, who's entering scorecards, who's entering KPIs. I like it to be that each office manager is responsible for their practice. So that way their office needs to be profitable, hitting the K...

Dental A-Team is all about case acceptance. In this episode, Kiera shares how a practice can double its case acceptance in one month (or even one day! She has receipts!). She gives five tactical tips practices can apply today to refine that acceptance and start upping that percentage of "yes." Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a great day. I hope that you're loving it and I hope that you remember just as a quick little motivational thought for you that what's right is just as available as what's wrong. And I think so often we're looking at what's wrong in my life and why isn't this working versus thinking what's going well, what's right in the world, what's what's and I'm not saying to belittle, miss sunshine and not see all the things that are really going on. But I do think that what we focus on, we attract and we achieve more of. so practices that are high performing practices that really have great cultures, they're looking for what's right in this world. They're looking for the good, the positive, they're building that. But that does not mean that they're not seeing the things that need to be impacted and fixed. And so I just really want you to, to think about that today as we as we tackle a fun topic, and that's about case acceptance. And if you know me, you know that I'm obsessed about case acceptance and Today we're gonna go through how to double your case acceptance in 30 days or even just one day. And it's really true. I've done this multiple times. We've taken practices from 50 % case acceptance to 100 % in one day. I have some practices, they know who they are, they listen to the podcast, shout out to them, where we coach their treatment coordinators. And we've been doing this for several years and we've added multiple millions to their practices. We're not quite to the billions, no pressure team. I know you guys like a good challenge, ⁓ but genuinely, and it's through helping. just people have better lives. And I think about case acceptance and people are like, but you know, case acceptance, Kiera, it's about like money or it's this objection. And I just want to say that realistically, most treatment coordinators, what happens is we accidentally plant weeds in our flower gardens, aka objections in our case acceptance, unintentionally. And I can have the exact same patient, exact same scenario, different treatment coordinator, different result. And so what I found, and this is why I love this, this is where I got my start. You guys know that I'm obsessed with helping patients and teams and dentists just have their best lives possible. And so really just giving you guys some tips on how we can do this, how you can boost your case acceptance. And these are tactical ways. So like take the recipe today, take this in, apply it. But what I want to say is I believe that case acceptance is a journey and it's not an overnight sensation. And these practices I alluded to, again, they are some of my favorite clients to work with. The team is amazing. They show up, they have grit. and they recognize that it is always a next level to improve. And so that's why we work together because we are like, I've trained them for years and yet they keep coming back and we keep refining and we keep going to the next level and we keep improving because there's always a next level within case acceptance. And I think when you recognize that and you see that you can actually be an even stronger treatment coordinator. you guys know, Dental A Team, we are obsessed with making your life better. We love to work with doctors and teams. We love to do it virtually or in person with you and to possibly influence and impact the world of dentistry in the greatest way possible. So I'm so glad you're here on the podcast with us. If you love our podcast, please be sure to like, subscribe, share this with people, leave us a review. I do personally read those reviews and I'm so thankful for you guys. I'm thankful for this community. I'm thankful for ⁓ the, I think just the lives that have been changed. I love meeting you in real life. I love hearing from you in emails. I love. this community of people. I just love people in general. And so I hope that you know that I just truly love and adore you and I hope that you feel that and if I was in person, I'd give you a giant hug today and tell you that I know you're doing better than you think you are. And they're simple tips. ⁓ I can speak very confidently to case acceptance. I was speaking to a candidate that I'm interviewing and there was this there was this humble confidence about them where They didn't have to prove anything to me on the interview. was like, Kiera, I've done this. I've done this many times. It's like, I know how to get the winning championship and it's not hard. And I don't say this egotistically. I will say that I do know how to get case acceptance boosted and our team knows how to do this. And I think this is one of the greatest services you can give your patients is helping them say yes to dentistry that's necessary. And so I hope that you feel that what I'm teaching you today comes from very strong. Experience is not just theories and ideas, but genuinely been there done that done it successfully and I'm here to share that with you So a couple of things is number one. I'm really big on when we are working with this So first steps first I work hard on making sure that we have the right mindset I say mindsets everything So if you think a patient is gonna say no to you You're gonna make yourself correct if you say a patient is gonna say yes to you You're going to make yourself correct. So whichever one it is and to me. I'm like both of those are free Thoughts are free, words are free. Let's pick the ones that serve us. And I'm going to choose the one of everybody says yes to me. I even have doctors that text me and they're like, remember Kiera how you say this? And I'm like, I genuinely believe it. It's because I believe in my doctors. I believe in what we're doing. And I believe that patients deserve to have the best dental treatment and new doctors and new teams are the ones who are going to give it to them. So I'm not going to let this patient leave me just like I'm not going to let somebody who's looking for a great consultant. Leave me, I know we are the best freaking consulting company you could ever have. So if you wanna have the best consultant, call me, call our team, let's work with you because you're going to see results and that's what I'm about. So with your office, same thing, you should have that same level of confidence in your practice. You should be able to say, I want these patients, I'm going to help these patients. Now that doesn't mean I take on their problems, but I do believe that mindset is 80 % of the game of case acceptance. So that's step one is we gotta start with that. Doctors, when you walk into the room, I wanna when you put your foot on that threshold, walking in to do an exam, You come into doctor 2.0, whomever it is, like patients say yes to you. Your job is to give them a very clear diagnosis and to be able to guide them into correct decisions. Words create world...

This episode is all about the stress of people — managing them, working with them, attending to them, etc. Tiff and Kristy discuss what it means to manage results and lead people, and how sticking to systems of accountability in your practice can take a lot of that stress off your shoulders. 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 here today with another amazing podcast. I say that because I just know this is gonna be incredible content. I'll introduce myself again. I realized a podcast ago that I never introduced myself. I'm Tiffanie I am a consultant, a dental consultant here with the Dental A Team. I've been here for a really long time, so I guess I just assume everybody has also been here for a really long time. I think everybody's like my best friend and I sit here. on this podcast, Kristy with you and with all of the listeners, just talking to my best friend. Like that's just how I roll. So I'll take the moment to say hello, welcome. Thank you to those who have been listening for a long time or a short time or a new today. We love being able to reach new people. Part of our mission is to reach as many people as we possibly can. And it's worded much better than that, but that's the gist of it. And Kiera, know, get, Kiera likes to quiz us. every now and again and I fail every time you guys. It's just like words in my brain get jumbled. It's okay, it's totally fine. So our mission is here. We are so excited to welcome you. Kristy, I am excited to welcome you here with me today. You have been on a podcast roll with me. We have busted out so many. I really truly appreciate you for that and for so many other reasons. So thank you for being here today, Kristy. The Dental A Team (01:18) Thank you. Thank you for having me. I'm excited. The Dental A Team (01:21) Yeah, thank you. We have been chatting quite a few things. KPIs, I think this is the month of KPIs and results and it makes sense because Q1 is behind us. We're rolling into Q2 and making sure that we are set for success because my opinion is if we wait until November, but even July, if we're like, gosh, Q3, what are we doing? What are we doing? You're already behind you guys. You got a lot to make up at that point. You might as well just start now. I love this role that we've been on today. We also always get to hit some personal development pieces, which is fun as well. So today, where this podcast right now, we really want to talk about the human side of things. Kristy, something that I notice, I get the luxury of seeing Dental A Team from all of the different sides. I get to see it from sales side, from marketing side, from development side, like all of education, from consulting. every space of Dental A Team, I feel like I have a little toe dipped in there, just because I've been here for so long and I've helped in so many different facets to create what we are doing today. And with that, I get to see all of the different reasons that all of our clients are attractive to us and the people who are not yet clients or have just come for, know, tell me what my gap is and let me work on it. All those people, all the doctors, all the teams, are typically coming and they're saying, I say this all the time, they're saying systems, right? We need systems. Clean up my systems, Kristy. My systems are broken. And they're like, please. And I've watched it. I've watched new to Dental A Team consultants be like, okay, let's start and we'll dig into systems. And I'm like, wait, wait, wait. Do we know that that system's broken? Like, let's take a step back and really figure out what it is, what it is and why you're actually here. because your systems is the word that you're using to describe your issue, your symptom. And what typically is happening is we have stress. Things aren't working. They're not aligning just right. And we think, well, my systems are broken then. And your systems may not be broken. They may need adjusting or we may need to add some systems. We may need to do away with some old systems, right? I've got practices that I'm like, think we're just billing this way because we like to, because we've always done it this way. I have to tell you, side tangent for a second, I love this office and when they listen to this, they're gonna know exactly who they are. I was like, what do you mean you have a black book? What is a black book? Like I don't understand what this is. And they're like, Tiff, like you don't understand how much time we're spending tracking metrics. You're saying we're not tracking. And I'm like, well, I just need them on this Excel sheet. Like where are they at? And they have this old school accounting black book. Like I can't even show you how big it is. It's just like this massive ledger and they have a pencil and these little tiny cells and every day they're writing. The Dental A Team (04:17) you The Dental A Team (04:26) production, adjustments, collections, where the collections is coming from. And I was like, wow, Open Dental tells us all of this every day. You just have to print it. You can even keep it. You don't need to, because it's always accessible. But if it makes you feel better, print it daily and keep it. What are we doing? And so I say that because there are some systems that are just like, we've just always done that. My dad owned the practice and this is how he did it. And it was successful and cool. We can keep doing it or we don't have to. It's up to you. But the stress is actually the underlying issue and it's usually financial stress or misunderstandings, missed expectations. I expected to make more money than I did. I expected to be able to do my expansion and I can't. I expected to have another dentist on board. I expected to be able to find a hygienist. I expected someone else to talk to all the... team members on my team. It's missed expectations and it's stresses. And Kristy, something I wanted to dive into today was really how, one, I do think systems help those things. So yes, there is a deep dive onto the systems, but really understanding the stress behind a lot of it and the why I think is key. And Kristy, I don't know if you noticed this in your office, just tell me what you see. I think one of the number one stressors that I see for doctors, for business owners, and for even office managers who have already taken on this role and doctors have delegated this to them, one of the number one stresses that I see is the stress of people. It's dealing with people, right? Whether it's the patients or the team, but really the HR management side of managing people, like dentistry is not hard, right? Work isn't hard, people are hard. And dealing with that, tends to be the crux of a lot of stress for doctors that they think the systems will fix, which we'll dive into how they can help that. But Kristy, do you agree? Are you seeing that within your practices as well? The Dental A Team (06:34) Yeah, 100 % acro...

It's time to perform a special audit in your practice! This one is called the Invisible Friction Audit. Kiera guides listeners through how to catch problems that might not be very obvious, but are total gamechangers in terms of practice operations. 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 is going to be a great topic. I hope you guys are excited about it because it's going to be an audit of your practice. I think that there's oftentimes invisible friction that's happening inside practices and offices oftentimes don't catch it. They don't understand what's going on and they're like, something's happening and it's just this invisible friction. And so how can we actually catch this sooner in your practice? If you guys are new to our podcast, welcome. I'm Kiera Dent, host and founder of the Dental A Team and the Dental A Team Podcast. I'm obsessed with all things dentistry, including my last name being Dent. Our mission is to possibly impact the world of dentistry in the greatest way possible and to influence, inspire, and to motivate you to have the best practice, the best life, and the best team that you could ever imagine. I genuinely know and believe that running a successful practice does not need to be hard. I've had hundreds of thousands of clients tell us that, Carrie, you've changed our perspective. You've made this to where... I feel happy about going to work. You've inspired my team. We've got team members that text us telling us how much they love working with Dental A Team. And that's our mission. That's our passion. That's what we are truly experts in the field for. And today, this is one of those things of like, when you have friction that's invisible, how do you actually fix that? How do you actually make this thing better? How do you make it to where, my gosh, like, like we don't know and how can we catch this? So I wanted to just help you see like, here's the quiet, invisible, almost like. cobwebs in the back corner that if you are able to figure this out, fix it so it's not there, you're not just walking past it, hopefully your practice will be able to thrive. ⁓ So number one is just like, how long does it take to make decisions to move your practice forward? And delayed decisions, I remember one of my favorite quotes is, a wrong decision is better than like indecision. ⁓ Indecision actually impacts far greater than making a wrong decision and... I remember I was at this really big financial conference and they were talking about how one of the presidents of the United States, I don't remember which one it was, came in and there was this big thing of who we're going and what different things they were going to do. And it had serious impact. And the president came in and made a decision. like, well, how do you know that's the right decision? He said, I don't. But what I know is us sitting in indecisions costing us more than making a wrong decision. And I've thought about that a lot of, I don't even think half of the decisions we make in a day and day out of a practice. would impact millions of lives and different pieces. And yet I think we sit on them acting as if they are these big audacious decisions rather than just making a decision. And I think it also builds the decision-making bone in our body where it's like, okay, we just make decisions and we move forward. And I think empowering your team to be able to make those decisions without needing to come through you to make every decision. So for example, like delayed decisions on. treatment sitting in unscheduled. like, are we calling on those people who's taking responsibility for that? Like, let's just get unscheduled treatment called in on a consistent basis. What about like billing and insurance errors and issues? What about lab cases not being tracked? What about our Invisalign and Ortho cases? What about team members where it's like, let's circle back later, let's circle back later. Like, just make the decision in the meeting and move forward and make sure we count about it. What about like patients who need multiple touch points to commit and to say yes to treatment? Like, why did CareDent get so good at closing cases? Because I hated the follow-up. So it was always, and like, it's a two, two, two follow-up. But these like delayed decisions or who are we going to hire or what things do we need to have for this or what budget do we have? And I understand that being a business owner is like death by a thousand cuts. Like you just get pummeled with question day in and day out. So it's like. Let's have set days where we make decisions and like, let's make the decision and move forward. All of us execute on it. Attraction by Gina Wickman is very big on, we come to the table to solve and make decisions and we move forward and we solve them forever. So I think when you have like practices, like this is just invisible friction that you don't realize is there, but it's all these things sit there like looming storm clouds because we're not moving forward. We're not getting them done. We're not actually executing on things. And then we have to, follow back up and team members need to remember. And I'm just big on interaction they teach a lot about. We have our weekly leadership meetings and we solve the issues. Now, if there's something that's gonna take longer and doesn't need immediate care today, it can actually go on what's called a parking lot or long-term issues. And I think having this in your practice, having this as part of your cadence, if it doesn't need to have your decision today, get it moving, but stop the friction. And what we've seen is like, When I have practices that start working on this and people have clear owners and we stop the decision fatigue and we stop having a lag in this treatment goes up, schedules get more full, tasks start to get resolved, team members feel like they get answers, doctors don't feel like there's so much sitting on their shoulders. And that's honestly just you moving things forward and having owners of it. So I also think of like when a treatment coordinator owns all of the unscheduled treatment and they own our monthly goal and they own how many people are supposed to be in there, we increase our scheduling. Like I was your treatment coordinator. So we start getting more people on the books sooner. We start hitting our daily goals sooner. And I've got a cadence of if you don't schedule today, I call you in two days, two weeks, two months. And then I send you a letter. There's no question marks of how I follow up with these people. There's no like, well, call people, Kiera. No, like it's just a set process that we follow. And then we make sure that people are being accountable to that. I think it's just great. Like it's not changing anything. We're not having to bring in more patients. We're not having to change up. Our marketing, like we just move things along without having the delay. So I think when you guys are sitting in meetings or you're looking at it, like look to see how can we make decisions sooner and solve things forever rather than sitting here and being like, well, we'll get back to that. We'll solve that later. We'll solve tha...

Re-releasing a DAT listener favorite! Morgan Hamon, president of HDA Accounting Group, is on the pod! HDA is a dental-specific accounting group, and knows dentistry inside and out. Kiera and Morgan discuss profit margins, benchmarks, and AR aging, plus why having good financials will help you make smarter decisions. A profitable practice is more helpful for patients, more secure for team members, and less stressed out in times of uncertainty. Don't run your practice blind; get a good CPA. About Morgan: Morgan is a graduate of the University of Arizona school of business. Following graduation, he was commissioned as an officer in the United States Navy and served for over ten years as a Naval Aviator flying carrier-based F/A-18 Hornets. During that time, he deployed to Persian Gulf and flew combat missions over Iraq in support of Operation Southern Watch. He also served as a flight instructor and landing signal officer for newly winged Naval Aviators transitioning to the Hornet, training pilots in air-to-air combat and landing on aircraft carriers. After leaving the Navy, Morgan obtained a master's degree in accounting with a concentration in taxation from Metropolitan State University of Denver. He is a Certified Public Accountant (CPA) and is the co-founder and President of HDA Accounting Group leading a large staff of professional accountants delivering a variety of financial accounting and tax services. Morgan regularly conducts practice profitability advising for over 500 dentists nationally, helping them analyze their financial data and identifying strategies for profit improvement. 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 (00:33) Dental A Team listeners. This is Kiera and you guys, I am so excited. It's always fun when I'm getting ready to start a podcast and the person on the other side of it is somebody that I have just idolized. I refer to their company all the time and then I'm like, oh my gosh, it's you. And that was what just happened with this guest. Today I'm bringing you guys Morgan Hamon He is the president of the HDA accounting group. So you guys know we have a lot of accounting groups that we work with at the Dental A Team. I'm really pro vetting them. and finding out one of things I love about HDA is they literally have incredible forms for profitability of a practice. Also, watching all your different overhead and you guys know we're super, super pro. But something really fun about Morgan before we bring him on is that he is a graduate of the University of Arizona School of Business. So after that, he actually was commissioned as an officer in the United States Navy and served for over 10 years as a naval aviator flying carrier-based F-18 Hornets. So I'm dying to find out about that. because he was deployed to the Persian Gulf and flew combat mission over Iraq in support of Operation Southern Watch. Insanely cool stuff. So not only are you a CPA and sometimes CPAs can be boring people. So the fact that you did this and I say that with love to all my CPAs, I was almost fired from a CPA firm once upon a time because I talk too much. So I'm super jazzed. So Morgan, welcome to the show today. How are you? speaker-1 (01:51) Thanks, I'm doing well. Appreciate being here. speaker-0 (01:53) Ha ha, awesome, okay, so I brought you in. You are with HDA CPA, which is amazing. We have a client in Hawaii right now looking to work with you guys. Several of our clients work with you. you guys, I, Bailey, those are my top two CPAs, Profi, top three that I usually refer. So I'm super jazzed to have you on the podcast. But before we dive into like CPA stuff, which I'm always excited about because I feel as a business owner, that was where I was the most weak. And so I'm excited for you to share some tips and ideas. But tell us about flying. being, you know, flying hornets, like just kind of give us a quick like one or two stories because I'm dying to hear about that. speaker-1 (02:30) Sure. Yeah. So I like my family is all CPAs. My dad's a CPA brother, cousins. And I, that wasn't what I wanted to do growing up. You know, I wanted to be a fighter pilot. So I went off to college, Navy paid for it, which is a super deal. And then I, then I owed them some time after that, of course. off the flight school, um, did an operational tour. and F-18s as a West Coast guy. And that's where we went over to Persian Gulf, over Iraq and all that. And ⁓ after that, I was an instructor pilot on the F-18. So that was definitely my favorite part of my service was teaching the young pilots how to actually use the F-18 as a weapon system and landed on the carrier, which was ⁓ probably obviously my favorite part of naval aviation. pretty exhilarating. Could be incredibly stressful too, especially at nighttime. And I think there's definitely a few stories where I was just absolutely terrified because the weather was terrible. ⁓ There's nowhere else to land. The ship's rocking around and you literally have to figure it out or you're not gonna see the next day. And it's all gonna be happening in seven minutes. It's very... So it really, grows you up really fast. And I think, you know, after close to 11 years, my wife and I were ready for, you know, a little more normalcy in our life. moved off to private industry. My wife's ⁓ a nurse. She's been in healthcare for 25 years. ⁓ But in terms like the, like what the Navy did for me and how I apply that to business is you, learn to assimilate a lot of data, complex data, and hash out what you really need to know so you can execute in a very timely manner. there's a lot of noise. You learn how to disregard that and boil it down to some key action items that'll get you through the mission. And that's how I approach business ownership myself. And I am definitely not the typical CPA. My value is not that I can no account, like I'm the best accountant in the world, not far from it. But I do know how to run a business and systemize. being a business leader is a completely separate skillset from being a clinician. And I see that, I get it. And the reports... that you mentioned is those full color dashboard style reports that practice profitability analysis. That is straight from my Navy background. It just serve up what you need to know. Here it is. Here's the checklist, so to speak, so that you can make it happen. that's ...

Tiff and Kristy shine a light on key performance indicators that won't just propel a dental practice to success, but any business. This includes knowing your numbers (stop treating them like the bogeyman!), locking in production, case acceptance, and diagnosis. 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 so excited to be here with you today. You guys know that we love podcasting. I hope we have a ton of newbies here who don't even know who we are. I say that because our reach at Dental A Team is something that we are intentional about and intentful on expanding further than you guys can even imagine. So something that we are very intentional about at Dental A Team is looking at how many lives have we impacted. and how many lives can we impact. And we know that dentistry is vast, business is vast, so we also know we have some listeners here who aren't even in the dental industry, but just business owners in general. We love that and we wanna welcome all of you. So all of you who are here today that have been listeners for a long time, welcome and thank you so much. All of you who have shared these podcasts with others, thank you so much because you are helping us serve our mission. And for those of you who are new, know that Dental A Team is mission full and mission forward and we are here to help support you in the best ways possible. So welcome everyone. Today's topic is gonna be super fun. But first, let's welcome Kristy to the show. Kristy, how are you today, my dear? Thank you for being here. It's a Tuesday afternoon for us, so it's a little wild for a podcasting day, but how are you doing over there today? The Dental A Team (01:17) Doing good. Hey, ⁓ we had a big warm up and now we're kind of on the downside of it. So the weather's perfect and couldn't complain. And I get to spend time with you. The Dental A Team (01:28) I agree. I know I do love podcast days. So this one's a long time coming. This one was a long time coming and it's true. We definitely were both in Phoenix. The Phoenix area, I should say. Everybody always says, where are you? And they're like, is that Phoenix? Like, it's all Phoenix. So we are in the Phoenix area and it definitely got warm really, really early, probably two months earlier than normal for the, for the, temperatures that we were experiencing. So we've definitely felt like, gosh, we hit summer really early, but we're getting a little snippet of springtime right here around the corner. So I agree. I'm very, very excited for this cool down we're experiencing. With that, I think that's actually like a really good thought process to start on. We have our warms, we have our cools, and with quarter one having, you know, it's behind us at this point, really looking forward to see what the other three quarters look like. Was that a warmup for you? Was it cool down? We have some practices that are onboarding right now, some new practices that are onboarding to Dental A Team that are like, gosh, I've been in a cool down or they're about to onboard because they're in conversations with us and we've had kind of a cool down for that first quarter, meaning maybe we're not tracking quite as well towards our goals as we could be, but I've got a few practices. I talked to one specifically just today that is in a massive warmup and Kristy, I'm gonna brag for a second. I saw them just a weeks ago in person and we did our in-person visit and we, gosh, it was our first one ever and the team was just phenomenal. They jumped on board. The doctors were just floored at how well the team jumped on board with the goals. They've never talked goals before. I increased them by quite a bit, by like 17%. I said, you guys can do this. I know what you're capable of and you know what, Kristy, as of last Friday, which there's still two days left in the month technically for them. They were 82 % towards their goal and they were $20,000 ahead of any month yet this year. So, it was just really cool and I brag about that and I talk about that because I want you guys to know the possibilities and one of the things that we did, I told them today, I said the best part about what we do is that we make small tweaks in areas that make massive differences. We're not completely overhauling anything. we're saying what can we tweak in the best way possible to get a different result than what we're getting. And what we tweaked, one of the biggest pieces that we tweaked was looking at the numbers. They they weren't looking at them. And I remember in January or December, they said, Tiffanie, how are you gonna promise us that we're more profitable? And I said, well, what does more profitable mean? And they were like, well, we're making more profit. I said, well, what profit did you make? They were like, well, don't know. Okay, well how do we know if we're making more if we don't know what we made? And so really just focusing in and being intentional about looking at the numbers and looking at where we've been and where we can go. It opened their eyes to really even see the possibility because I increased them slightly and it's going to be a massive difference for them and their numbers. And so I say that, Kristy, I think your warmup and your cool down kind of gave me a little spur of excitement there because we definitely see those seasonalities within dentistry and business ownership too. And something I think that keeps us on track no matter what seasonality we're in is really focusing in and looking at those top KPIs at least. So we can dive and we can go minute and track the smallest things and that's fine too. But I wanna talk today about really those top four KPIs that every business owner should be looking at. And I can say business owner because realistically, it transfers to any business. I know people who are in, like I've helped chiropractors before, we've helped eye doctors. I've talked with financial advisors about their businesses and marketing companies. they're so, all of it kind of transfers very seamlessly. It's the systems behind it that gets you there that are different for dental. Kristy, with all of those words that I have said, welcome to the show, sorry for stealing it all. What do you feel like, if I were to say top two KPIs, what would your first two KPIs for any business owner to track really look like? What would they be? The Dental A Team (05:47) Yeah. Well, I think it has to start with what do we need? What do we need to cover the bills for the month? Because that's our first benchmark, right? Otherwise, all of the numbers are just numbers. We don't really know where we're going. It's funny that you were talking about that TIF because my mind went to, I don't know why in dentistry it's so taboo to talk numbers, but literally, could you imagine if you had to pay your bills for the month and you never opened your bank account? The Dental A Team (06:16) Yeah, I mean, I've done it and it's really scary. It's stressful. Yeah. <p dir="l...

Kiera is a guest on The Zero Balance Podcast with John Stamper! She and John discuss the advancement of software over the past few years, and why the current culmination — artificial intelligence — isn't something to be skittish around in your practice. 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. John (00:19) What's going on everybody. Welcome to another episode here on The ZeroBalance podcast brought to you by the team at Quanta Suite. Very excited to keep this thing going. Uh, our last conversations and episodes crazy to think it's 2026 already were at the Dykma conference. And I had the privilege of spending time, not only with the Quanta Suite team, but also a lot of great individuals that came on the podcast and talked about what they were seeing in that case, it was in the DSO space. Uh, I'm very excited today to be with Kiera Dent from the Dental A team. I've known Kiera for many years. We were actually just talking before we came on here live. ⁓ she is doing a lot along with her team to help dental practices, take things to the next level. she's been in dental for many, many years. And so we're going to have a conversation today, ⁓ kind of around all things AI and automation and love to have her, you know, kind of share with all of you what she's seeing, you know, her and her team are working with dental practices on a daily basis. And obviously, you know, the Qantas suite team is, is creating. their software in an effort to be able to support practices in the RCM world. But Kiera, it's such great to have you here. How you doing? Kiera (01:26) Oh my gosh, John, it's great to see you again. And I love chatting about all things dentistry. I love having the last name dent. I love dental. love AI. love, um, it's crazy. Dental A Team hits 10 years old this year, which is like absolutely wild. Uh, 2026, I was getting ready to, know, writing my goals out and I was like, Oh my gosh, I turned 40. My husband turns 40. We've been married for 15 years and Dental A Team hits 10 years this year. So ⁓ and I bring that up only because like, it's like a trifecta of a cool year for me. ⁓ but I think as you were discussing, like being in dental consulting for 10 years, having worked in front office teams, having worked at a dental college, having owned dental practices, having bought and sold, having consulted like 300 plus offices physically, ⁓ watching the DSO emerge, watching AI come in. I just think it's really like such a fun time for us to be in dentistry and so many great advancements and, yeah. In Dental A Team, we are obsessed with doctors and teams, like getting them aligned, getting them streamlined, helping dentists be like CEOs and owners of their practices. We love ⁓ Josh, we love what he's building in DCS and now in Qantas. We think that they're doing some really fun, incredible things. And Dental A Team, we're just really big on, I think, streamlining dental practices, helping them say yes to more things. So getting them in their vision, getting financially free and profitable. and then getting systems and team development to support that. And AI is definitely being a big player. And I think dentistry is, it's so fun because it's been such a, like, I think slow roll on evolution in certain ways. Sometimes I think we are very archaic. My husband's in healthcare and medicine and he's like, wait, that's your guys' software. I'm like, don't judge. I know it's a little dated. He's like, they didn't even have that when I started my career 15 years ago. ⁓ But I think, to watch dentistry evolve into AI and automations and different things. I think we are in such a special time. So yeah, we work with solo practices. We work with multi practices. We work with emerging DSOs. We work with DSOs. We've got consulting for kind of a broad spectrum and kind of our sweet side, like two to five to $10 million practice. ⁓ We definitely have built a lot of things that can help multi offices, but yeah, we really love those offices that are obsessed about team, about culture and about. just positively impacting the world of dentistry in the greatest way possible. So John, super excited to talk about it. I feel like we just have like so much knowledge to bring to the table and just rift and discuss and give your listeners hopefully a fresh, fun, positive perspective on the world of AI dentistry and of course bringing team and doctor perspectives to the table for you today. John (04:03) Well, thanks for sharing that. you can see, everybody, Kiera comes with a ton of energy, but it is rooted, as she mentioned, in years of experience in this industry. And here's where I wanted to start, Kiera. So I want to go back maybe like five or six years in dentistry when there was a lot of new software platforms that were coming to dentistry, patient engagement, right? It was like this big giant party and a lot of practices were excited. You may remember though, as someone that works directly with the dental practices with as much excitement as there was there also was a little bit of overwhelm right because it's like where do we start like how do we build these in and it's funny that you talk about your husband because yes in dentistry these are all somewhat kind of new to the industry and so practices are figuring how to use them and I do feel like okay maybe a couple years ago with like firms like yourself that have really helped these practices figure out how to utilize them they got that under their belt and then here comes AI, right? And here comes this whole new way for these practices to be able to communicate, you know, task orient and all that stuff. So that's kind of the first place I'd like to start is that when you look at the work that you do now with the dental practices and I say the word AI, where is everybody's heads? Kiera (05:13) Yeah. and agreed. I think, I think that this is just evolution of business. Like if I were to like even simplify it down, I think dentistry has been so much like we drill teeth, we fill teeth, but I'm like, guys, we have evolved. We don't do wooden teeth anymore. we've evolved and now there's laser and there's PRF and there's more advancements to dentistry that we do. Like I have a practice, I call them my PRF powerhouse and they've added PRF to their practices and we've added multi-millions to their office. But like, yes, financially, that's been amazing, but their patient care has gone up so much, like the amount of results we're seeing. so when people are like, software's AIs, I'm like, hold on. You have evolved in your dentistry and you've seen how much it's evolved and how much better it is. I mean, the way we used to do crowns c...

Kiera and Dana dive into the hygienist's mindset (which tends toward patient care over business numbers) and how a doctor can get a full hygiene team on board with metrics and measurables. They touch on the hygienist drought, growing your practice without stepping on your hygienists' toes, setting expectations everyone can agree on, and more. Dana also touches on a hygiene team she worked with for a couple years that went from struggling to hit its goals to hitting even their daily goals 95% of the time. 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 is a great freaking day over there. I get the one and only Dana, Dynamite Dana over there. I did not say the other nickname. If you've been on the podcast for a while, you might know, but Dana, welcome to the show today. How are you? DAT-Dana (00:16) doing pretty good. Thanks so much for having me. It's not always that I get dedicated, you know, Kiera time. So I'm excited to be here. The Dental A Team (00:22) I know when Dana and I get a podcast, like it's not always common, but I mean, you guys might start seeing Dana a bit more. I've got a few plans and tricks up my sleeves for Dana. We've been together for a long time. Dana, like donuts with Dana tip. don't remember what that was like dentistry tips or something. You were on a roll. You used to, I think you still do them actually every single week. Um, but Dana, you were just a diehard dedicated and always without, will not share it. DAT-Dana (00:39) Yeah. The Dental A Team (00:49) but Dana always has the best story. So if you don't know Dana and you want like a good giggle in your life, you name it. And also Dana is the best with trivia. We do a company end of year party every year and it's always like trivia based. Dana whoops everybody. Like this woman knows facts and stats like nobody's business. So Dana, today's gonna be a fun day because not only is Dana dynamite this way, but we're gonna do a little bit of an office autopsy about a hygiene department. So if you don't know in Dana's Other Life, Dana used to work at a prison as a hygienist and Dana that still is a trip to me. Like, did you ever get nervous that they were going to take their shackled hands and like stab you with an instrument? I'm truly curious because that's my fear. Let's just talk about that for one second. DAT-Dana (01:27) Yeah, I mean, there were a lot of like protocols in place for protection and for safety. But at the end of the day, you knew where you were. you know, yes, there was always I think just a niggling element of I just need to be careful, pay attention beyond my toes. Yeah. The Dental A Team (01:44) Like you're working with sharp instruments. I mean, it's not like you doled them out to take them in there. Like we're not going to have a sharp scaler. You get a doled one. Like you got to be in there. But yeah, cause I remember I worked in an office and they would bring in inmates and they would be like handcuffed top to bottom. And the girl would always be like, so what were you in prison for? And I'm like, why are we, why are we poking the bear? Like, why don't we just keep them calm? And like, I don't even want to know. Like, but she did it every time. I was only up there a couple of times consulting them, but. DAT-Dana (02:04) Thanks. The Dental A Team (02:13) Anyway, beyond prison, also is an incredible hygienist. So today we wanted to kind of office autopsy because Dana had a practice that she worked with for several years on hygiene and their number one motive and their number one objective was hygiene. And I think that this is such a, it's very delicate because I think dentists want hygienists to produce and as a practice, we want hygienists to produce. And Dana, as a hygienist, you feel, I'm not gonna put words in your mouth, but the assumption I get from a lot of hygienists is We want to just do great work and we don't want to always have to be looking at numbers. Maybe that's true or not, but like Dana, I want to hear what's kind of like the mindset of hygienist and then how do doctors approach this? And then we'll dig into the practice that you worked with that like really freaking crushed it. But I think like, this is such a, I don't know. I feel like it's a sliver in a practice. Like no one wants to talk about it. Like let's just not touch it so it doesn't hurt. But then it like blows up and people are like, my freaking hygienist aren't producing and they don't want to like tick them off because no one's there. So let's talk about it, because is that how hygienists feel and how do you win over hygiene? DAT-Dana (03:12) Yeah, I think it's a mindset. I think it's a difference in mindset, right? I think dentists are always looking at the business side of it because oftentimes the dentists are the business owners and hygiene, their mindset is patient care. And so the easiest way I think to get alignment on that is you actually are caring about the same thing. You just don't realize it. And so it is getting alignment in like numbers tell us how we are doing in patient care truly. So getting a hygiene team to understand that, getting them aligned that. No numbers aren't everything, but actually numbers tell you exactly the thing that you care about most. ⁓ And so I feel like they look at it from different angles. And if you can get them aligned and actually it is the same thing and numbers tell you hygienist, the thing that you care about most, which is patient care and making sure that every patient leaves your chair happy, healthier than when they walked in. Understanding that the numbers will tell you how well you're doing at that. ⁓ It's definitely a mindset shift, but I think once you can get them aligned with that and then understand that you're truly talking the same thing, it's a game changer. The Dental A Team (04:25) I love that Dana and as you were saying that it made me think of like when we do a practice assessment with a practice when they're reaching out to work with us or just wanting clarity the first question one of our first questions is like do you have a 10-year vision that you and your team are rallied around and as you were saying that Dana I thought about okay well if our hygiene department has a vision that we're all rallied around so let's say it's patient care well then the next question always that follows is how do we know if we're having excellent patient care and it's something that can't be a feeling because we've got to be able to track and measure just like I can't say that I'm the best basketball player, but I have no way to prove that and measure it. My husband's in pharmacy and he's always like, if you're the best, then just freaking prove it, like stats and number it. Like, why...

This episode is all about your vision for your practice, and how you can use it to propel growth and success. Tiff and Dana share how to create a vision that's true to you, how to get your team members bought in, how to set goals according to that vision, and so much more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review The Dental A Team (00:00) Hello Dental A Team listeners. We are so excited to be here with you today. You know that the consultant takeover section here, I don't know if that's even still what we call it, but that's what we call it, Dana and I call it, because that's where OG status, know, like Donuts with Dana came on the other day. I was like, oh, I do miss Donuts. Anyways, we're here with you today, you guys. are, gosh, almost done with Q1 by the time this releases. It's wild. It's, you know, and I think we say this every year probably, I know January every year we're like, this is the longest month of our lives. But then we get to the end of January, we're like, that went so fast. Where did the time go? And then from there, just doesn't stop. It just doesn't stop. DAT-Dana (00:40) I know, feel like January is 12 weeks long and then the rest of the year is like two. The Dental A Team (00:43) Yeah, it's so true. Yeah, especially February, which I know February is quote unquote a short month. But I'm like, does that two days seriously mean we lost two weeks? Because that's what it feels like. I don't understand it. Time, it's all relative, right? We just make it up anyways. So that's why. That's why, because we just make it up anyways. So Dana, we just recorded a really fun podcast. I actually really, really loved that one on overhead. DAT-Dana (00:57) Yeah. Mm-hmm. Yeah. The Dental A Team (01:13) listen to that one yet about why not to cut your team members. Go listen to that too. You don't have to listen to it first. You don't have listen to it today. I don't care. Just listen to it sometime. But I think that it really actually coincides really well with this podcast topic that we're talking about today as well. And on a side note to all of you listeners out there, if you ever have podcast topics, things that you want to hear about, please let us know. You guys, we create these. Actually, our marketing company creates these based on like, what's relevant in the dental industry right now, but you know, Kiera does a ton of podcasts. We do a ton of podcasts. We're always really happy to add things in that you feel you're seeing in your practice, because if you're seeing it, the likelihood is that other people are seeing it as well. And that's why we focus so heavily at the Dental A Team on community, because we really want you guys talking to each other. So that includes this. That's my little plug for Please Send Us Ideas. Thank you. Thank you. ⁓ But this one, this one's fun too. I think we do, honestly we do a lot of really fun things at the Dental A Team. ⁓ I think, I mentioned it on the last one, but Dana I think for me at least, focusing on the people first actually really, really drives me. It makes me feel like we're in we're in a stale business sometimes, you know? Like it's. ever-changing, dentistry grows and it changes, but kind of not at the same time. It's kind of also stale, especially when it comes to team members. DAT-Dana (02:41) And then it makes no teeth, right? And so it can only expand and grow so much and sure, has it made leaps and bounds? Absolutely. But again, it is still teeth and the business of dentistry. The Dental A Team (02:48) Yeah. I agree. So I think adding in that human side of it, the people side, gives us purpose. And I think probably in any business, right, I think Aaron's a financial advisor and if he didn't, he loves the people aspect of it. He really, he became a financial advisor to help people grow their finances, to help people retire successfully and he loves nothing more than being able to help someone see that path. And I know not all advisors are that way and not all consultants, dental consultants are that way, but I think that purpose driven piece is what separates any business from the other ones. Yeah. DAT-Dana (03:34) Yeah, and I think at the of the day, it's people taking care of other people. And so it is a people industry. I think we always think of it as, it's healthcare, right, for sure. But it really is people taking care of people, so. The Dental A Team (03:46) Yeah, yeah, good point. All right, well that's our philosophical piece. I loved it. And on that same vein though, that same note is really, ⁓ today we want to talk about vision-driven growth. And I think to me, Dana, when I saw this topic, I thought vision-driven growth, Realistically, it's just like, for me, it's having the map. It's kind like a treasure hunt. DAT-Dana (03:50) Okay. The Dental A Team (04:12) I feel like and it's having the map with that X on it, then I can say, okay, this is how I'm going to get there. And I think when we think of growth and in dentistry, I think 10 years ago, 15 years ago, growth was seven to 10 % every year. And like getting that new thing, like my growth this year is gonna be I'm gonna get a new Pano machine or I'm gonna add an operatory or I'm going to, it was like very physical. And I think now, vision-driven growth, I think now what we're noticing and seeing is that we're dreaming more and we're applying that vision-driven growth, meaning this is what I'm gonna do, this is the physical of what needs to happen because I want to see this thing come to fruition. And that vision of, typically it's like an impact-driven vision, right? Like what was I put on this earth to do? What is my purpose and how is my business serving that purpose? The reason that I like that so much better than just the physical piece of it is because Dana, think as a team member, I remember sitting there and being like, cool, 2.5 sounds great, but it doesn't mean anything to me. Like 2.5, 3 million. I remember when our goal was like, we started at 1.2, and I remember the year that we were like, 3.5. And I was like, this is weird, but like, I don't even know. I literally can't even fathom what $3.5 million looks like. Right, it literally meant nothing to me. So nothing about my drive or how I showed up changed. I was just like, okay, cool. So now our goal is this and we schedule enough to reach that goal. That sounds great. But I think Dana when it's like, we wanna reach for us, we wanna reach this many practices, we wanna reach this many people. It just makes such a big difference. So I think, I don't know from a team member standpoint, I don't, I can't get on board with this stale goal. DAT-Dana (06:...

Kiera is a guest on The Extraction, a podcast by TeamCare, to talk about accountability without the drama. She, along with co-hosts Kyle Bergman and Dr. Sharon Bleiler, discuss the sometimes difficult realities of what it takes to be a good leader versus a great leader. 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 episodes and I truly hope you enjoy. The Dental A Team (00:18) everyone and welcome back to The Extraction podcast. Your cohost Kyle here today with my cohost and the co-founder of TeamCare, Dr. Sharon Bleiler. And today we are joined by Kiera Dent, who is the CEO and founder of Dental A Team, a consulting and training company focused on profitability, systems, accountability. culture and leadership in dental practices. Kiera has worked nearly every role inside of a practice, which is a big part of why her content lands with both owners and teams. So in this episode, we are going to be riffing a little bit about everything and anything that goes into making a practice smarter, scaling from a leadership, bonding. We're going to talk a little bit about AI and efficiency. And so stick around. This is a good one. Kiera. Welcome to The Extraction. How are you? Amazing guys. Thank you so much for having me. I've been super pumped to get on the podcast. Definitely a big fan over here. Excited to just rift on all things dental. I mean, my last name is Dent. So it's definitely my cup of tea here and excited to be with you guys today. So thanks for the warm welcome. Absolutely. And thank you again for taking the time to join us. I know you're super busy and congrats on all the success you've had building dental. A team. One of the first questions I love to ask is what brought you to the dental industry? Not necessarily something that people grow up aspiring to be back when we want to be firefighters, astronauts or Olympians, but what brought you into it? Curious. mean, great question. It's funny. I remember in first grade, my teacher, Mrs. Larson had us like right out where we wanted to be. You guys, I have gone all over the map. I went from being like, I wanted to be a hotel cleaner. That was a big dream of mine. I was like, I want to be a hotel. cleaner mom, like it's gonna be amazing to wanting to be a vet. I don't even really like animals. Like you can judge me harshly right now. And I was like, vet all the way up to I wanted to have, I wanted to break the world record and have 99 kids because I was like, listen, and then I'll just have like, I had already thought in processes at that point in my life. Like if I just like meet with them like one day a year, I could see each of them three times a year to then being like, listen, I just want to like wear scrubs for my life. And so was either like be a nurse and learn the whole body or be a dental assistant and just learn the mouth. So that's actually what got me into dentistry was the desire to wear scrubs. Also, I became varsity tennis player, not because I love varsity, I just wanted to wear the cute skirt. Like that was really my motive in life. So I clearly am like a mixed bag over here of why I got here. But I actually then got into dental assisting. It was very fun, loved it. And then I went to college and I was trying to figure out what I wanted to do. I settled on wanting to be a marriage and family therapist. And I remember I was sitting in my interview, I was in Oklahoma and I was interviewing to get my degree and master's get accepted to school. They asked me questions and I was thinking about my patients back at the dental office. And it was a, I call these like the pivotal moments where I sat there and was like, Keara, do you really want to be a marriage and family therapist? The fact that you're sitting in this interview, you've worked hard. mean, passing the GRE is freaking hard. So like even to get there, I was like, do you actually want to be this marriage and family therapist? And it was a moment where I was like, I think I actually absolutely love dentistry and that's where I'm meant to be and what I love to do. And then you fast forward a little bit further and now we're in consulting and I feel like I've been able to blend my love of the marriage and family therapy, of the love of people and wanting to solve problems, but I get to do it in a space of dentistry that I feel is just magical to change lives. So that's kind of my like roundabout random story of going from hotel cleaner to veterinarian to becoming a dental consultant. And I feel like I really did that like sweet landing of a space that I'm obsessed with of helping people. And I say, dentistry is my platform, life is my passion, and to be able to bring that to the table is very fun. Kiera, that makes so much sense that you married those two because I watched your video on your website, and I've been a dentist for a while, and you you hit it out of the park. As soon as I watched it, I'm like, yes, it's really hard. Yes, you love it, but yes, you're trying, you always have, I always say like you have one wheel off the wagon and you're always trying to get it back together. that you were in counseling and yeah, you got it. Thank you. In our research of looking at what you've done, Kiera, I see a lot of similarities in your leadership style along with Dr. Sharon's here. One of my favorite all time quotes from any human is when Dr. Sharon said, you know why I'm a good dentist and a good manager and a good owner, Kyle? It's because I raised four kids. It's because I was a mother. Because I was a mom first. You talk a lot about accountability without drama. Noble Dentistry, our in-house brand underneath TeamCare, is run equal parts Iron Fist and a lot of empathy. Everyone there, it's an excellent practice. 14 operatories, seven associate doctors, millions of dollars a year. It got there under the leadership of Dr. Sharon and the incredible technology that builds Power's TeamCare. But Dr. Sharon lives and breathes set every day, accountability without drama, being direct with people, having meaningful conversations. What in your experience does that actually look like in a real office? Yeah, well, mean, Dr. Sharon, I love your story and I love what you've built. I think like powerhouse and that is not an easy feat. with physically my body's been, think, in over 300 dental practices in the course of my career. Our team, think, has physically been in over a thousand. So like... To say that I've seen a few dental practices in my time is not a lie. And to see people that are able to grow to the magnitude that you've been able to is something that I think there are, there are traits, there are characteristics, there are pieces. And it was interesting because I think like one, you're an insane example and everybody listening, like kudos because you've got a great exa...