and with street smile solutions street smile solutions.com and today we're making this
message for the dsos that are out there if i've had definitely helped we've helped dso's
launch ortho in their practice practices plural there's different ways you can do this
and a lot of it depends on your geography and your resources and we are super glad
to do a consultation with you um we'll do a preliminary consult which is up to 20 minutes
um just to kind of hear you guys out for no cost you can schedule that at streetsmilesolutions.com
excuse me straight smash solutions.com contact or just go to the contact us page on our website if
you're looking for a little bit more than 20 minutes our sessions do go at 900 an hour so
um we're glad to work with dsos on that we can bill hourly or we can also uh work something else
monthly a monthly retainer that is paid up front um to help you guys out with either the whole
organization of it the operations of it or even help you with basic treatment planning education
but what i recommend i mean this can be really tricky um i do recommend having
an orthodontist who is your clinical manager um whether you're gonna use a remote orthodontist
or if you're gonna use an in-person orthodontist and then running the cases under that orthodontist
and then educating your gps to do the actual hands-on leg work and you know
what doesn't work is just telling all your gps hey by the way you're doing this now that that
doesn't work like i've done this before with dsos i can tell you it doesn't work
the best way to do this and i don't know the culture of your dso but i've worked with dsos that
are small you know small group practices multiple locations and very large ones with dozens if not
more locations those are the ones i've directly worked with so i call these small to medium
what doesn't work is just like i said telling them they have to do this what does work is
putting it out there saying we're going to be starting an orthodontic education module you can
start screening and getting support on your cases with an orthodontist you can help we will help you
your cases correctly and of course you need to decide what modality you're using you know what
what are you using are you doing aligners only are you doing aligners and braces are you doing
aligners braces and phase one and a lot of that's going to really depend on the demographics of
your practices um and you know what's going on so that's something we can definitely talk a little
bit more about i mean certainly i've started the whole braces thing in dsos and it's a lot harder
than just doing um a liners doing a liners i mean it's going to be a million times easier if you
get a night tarot because i do really think that you're just not gonna get the outcomes you want
if you're using anything but invisalign it's gonna be substandard and or it's gonna be so limited in
terms of the cases you can take and unless you have someone pre-screening the cases for you
and really helping you pick cherry pick which ones can be done with a more limited system
um that's not gonna work out you're gonna end up with a bunch of cases you guys can't finish
the other thing you need to keep in mind if you're doing this if you're incentivizing or providing
support for your general dentist pediatric dentist to do ortho at your dso is you need to
think about payments and what you don't want to do is pay them upfront or pay them on um production
like upfront that's a huge huge huge mistake you want to incentivize them to finish the case
ideally so the bulk of the compensation should be at the finish not at the start and this this goes
for any dsl whether you're hiring an orthodontist or you're hiring a gp it does ortho the bulk of
the compensation should be at the successful finish after final records are taken so i've
done this before we've done the third third third method which is i mean personally i prefer to do
more like 20 um up front and less but third third third is generally pretty fair um you
first of all you need to find out who's you need to work out who's paying for lab fees and a lot
of that's going to depend on how you compensate them obviously ortho is heavy lab fee dependent um
so you need to figure out how they're going to do that and that's something we can definitely
work out usually it works better if the dso covers the lab fee and then they you know if
they're making 20 25 30 on the case you know after the lab fee um then we do third third third so
third of the collection is if you do collections you know is paid up front um a third is paid
through and that incentivizes them to start the case that also gives the production to the office
so their the office meets goals you know um that's generally how insurance often is built is there's
a little bit more up front um and you can't bill insurance until you've delivered something so you
know you wanna of course that third is not paid until delivery delivery of the aligners you know
putting all the braces on and the appliances um delivering the the interceptive appliance so
that that's when that lands the next third is paid throughout the lifetime of the treatment
plan so if this is an 18 months treatment plan this is a 12-month treatment plan if this is a
six-month treatment plan you know it's given and it's and it's broken up into chunks that is paid
automatically monthly um as the patient's coming in and and the last third is paid at successful
completion of the case when the braces come off when the invisalign is done and the patient has
signed off that they are satisfied with the outcome and retainers have been delivered and
final records have been taken so you want to make sure that if somebody is following up and
this charge out you know in terms of how this is paid that you really have someone high level
that nose ortho that can make sure that the eyes are dotted and the t's are crossed and that
last bit of compensation doesn't come until everything's done because if you do not do
this and you do not and weight it like this you're just going to have a whole bunch of
sloppy cases being done and they're not going to be done right because the doctor and the team and
the manager isn't going to care because they get their production whether it's done right
or done wrong and we want it to be done right and if you incentivize the payments like that
then they're done with a lot more quality and care um and accuracy so this always works better so
uh yeah you need to let your your teams and your assistants and your office managers and
everybody know how the compensation is going to work and of course it's it's also great you
know when there's some type of incentive for the office you know to do cases and things like that
obviously coming up with monthly goals is a good idea um coming up and then when they meet
goal everyone gets a bonus is in the office the whole office does that's actually a great idea
so it's not that hard it really isn't and everyone can get really excited and get involved in it so
hopefully this was helpful we're glad to chat with you if you have questions thank you