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By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs When I analyze a dental practice that's busy but not profitable, the issue is rarely clinical, it's at the front desk. The desk is where production either becomes collections or quietly evaporates, where the hygiene schedule either stays full or develops holes, and where a new patient either books or hangs up and calls the office down the street. I've written about how practices lose profit t

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs Hygiene drives the dental practice. That's why the conversations I keep having with practice owners across New York and New Jersey are so concerning. It's no longer simply, "How do I keep my hygiene schedule full?" It's: "I can't find a hygienist to run the column." An empty hygiene column isn't just a staffing problem. It's a production, collections, and practice-growth problem. This Isn't a

By Spiro Leunes, CPA | CEO, MRL Advisory Group – New Jersey and New York Dental CPAs Every dental practice diagnoses more treatment than it completes. The exam is thorough, the diagnosis is sound, and the patient nods, schedules a cleaning, and walks out the door. The crown, the implant, or the periodontal work that was clearly indicated never gets scheduled. That gap has a name. It is called case acceptance, and after more than two decades working with dental practices, I h