ODA Journal: Nov/Dec 2016

November/December 2016 | Vol. 107, No. 6

Community Dental Health Coordinators Pg. 40

www.okda.org

1

UNIQUE FINANCING SOLUTIONS

TA I L O R E D Solutions for Dentists

ELITE

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Jason Osbor n

President

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Kristen Hess

Whitney Randall

Vice President

Vice President

journal | November/December 2016

OKLAHOMA CITY

NORMAN

VBANK.COM

Contents

ADVERTISERS Thank you to these businesses who advertise in the ODA Journal

November/December 2016 | Vol. 107, No. 6

EDITORIAL

Inside Front Cover Valliance Bank Back Cover Delta Dental of Oklahoma

0 6 Lately, It Occurs to Me: What a Long, Strange Trip It's Been

5

ASSOCIATION

OkMOM 2017: Woodward

04 Calendar of Events

3000ig AFTCO

0 5 OkMOM 2017 Woodward

Delta Dental of Oklahoma

08 ODA Rewards Partners

Dental Credentialing Specialists, Inc. Dental Systems, Inc. DSG Dental Services Group Endodontic Associates Green Dental Laboratories Heartland Dental Lewis Health Profession Services Paragon Dental Practice Transitions Joseph P. Seay, DDS Synergy Specialists US Bank Warschaw Learning Institute THE OKLAHOMA DENTAL ASSOCIATION JOURNAL (ISSN 01649442) is published bimonthly by the Oklahoma Dental Association, 317 NE 13th Street, Oklahoma City, OK 73104, (405) 848-8873. Annual subscription rate of $39 for ODA members is included in their annual membership dues.

Rates for non-members are $52.

Single copy rate is $16, payable in advance. Periodical postage paid at Oklahoma City, OK and additional mailing offices. POSTMASTER: Send address changes to OKLAHOMA DENTAL ASSOCIATION JOURNAL, 317 NE 13th Street, Oklahoma City, OK 73104.

Opinions and statements expressed in the OKLAHOMA DENTAL ASSOCIATION JOURNAL are those of the author and are not necessarily those of the Oklahoma Dental Association. Neither the Editors nor the Oklahoma Dental Association are in any way responsible for the articles or views published in the OKLAHOMA DENTAL ASSOCIATION JOURNAL.

Oklahoma Dental Association

07 ODA CE Opportunities 09 ODA Rewards Partners Column

5

40

Cover Story: Community Dental Health Coordinators

10 2017 ODA Annual Awards 11 Awards Nomination Form 1 2 ODA Member Benefit Corner 1 6 ODA Marketing Coach 1 6 Bringing Smiles Home 17 2017 ODA Annual Meeting CE Preview 1 8 Welcome New ODA Members 1 8 In Memoriam 1 9 Oklahoma Licenses and Permits Renewal Notice 2 0 Renew Your ODA/ADA Membership 2 1 2016 Smile Contributors 2 2 2016 Relief and Disaster Grant Program Donors

36

2 3 Relief and Disaster Grant Program Provides Support

Member Spotlight:

25 Get Involved with the ODA: Nominations Open

Dr. Miranda Ruleford

2 6 Why are Payment Rates to Dentists Declining in

Most States?

24 2016 Pride Contributors

2 9 Women in Dentistry Today

4 0 Community Dental Health Coordinator Program

OKLAHOMA DENTAL FOUNDATION

4 1 Therapeutic Treatment of Gingivitis: No Longer a

Loss Leader

30 Externs Gain Valuable Experience with MobileSmiles

FEATURES

LEGISLATIVE LOOP

CLASSIFIEDS

32 ADA Urges CMS to Postpone Part D Enrollment

Rule Enforcement

4 6 ODA Classified Listings

32 TopGolf Raises DENPAC Funds 33 Dentist Day at the Capitol 2017 33 2016 Campaign Contributions

NO ODA

Dues Increase for

6

th

Consecu Year!

tive

20

Renew Today and Keep Your Benefits

34 2016 DENPAC Members 35 Staying Compliant with Section 1557

SPOTLIGHT

36 ODA Member: Dr. Miranda Ruleford 37 Dr. Sneha Patel Selected for ADA's Institute for

Diversity in Leadership 38 Celebrating Nico Gomez's Service

www.okda.org

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ODA JOURNAL STAFF EDITOR Randy White, DDS, editor@okda.org ASSOCIATE EDITOR Frank J. Miranda, DDS EDITORIAL BOARD MEMBERS M. Edmund Braly, DDS Somer Heim, DDS EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans COMMUNICATIONS MANAGER Madison Huffines OFFICERS 2016-2017 PRESIDENT M. Edmund Braly, DDS president@okda.org PRESIDENT-ELECT Juan Lopez, DDS presidentelect@okda.org VICE PRESIDENT Shannon Griffin, DMD vicepresident@okda.org SECRETARY/TREASURER Daniel Wilguess, DDS treasurer@okda.org SPEAKER OF THE HOUSE Doug Auld, DDS speaker@okda.org IMMEDIATE PAST PRESIDENT Lindsay Smith, DDS pastpresident@okda.org ADMINISTRATIVE STAFF EXECUTIVE DIRECTOR F. Lynn Means DIRECTOR OF GOVERNANCE & FINANCE Shelly Frantz

CALENDAR OF EVENTS Visit ODA’s online calendar at OKDA.ORG to view more meetings and events.

November 3

Faculty Appreciation Lunch 11:30 am - 1:00 pm OUCOD

November 4

Leadership Academy Begins

November 11

ODA Risk Management Seminar 9:00 am - 11:00 am Francis Tuttle, OKC

ODA Council on Governmental Affairs 9:00 am - 11:00 am ODA ODA Board of Trustees 1:30 pm - 3:30 pm ODA November 7

OkMOM Steering Committee 5:30 pm - 6:30 pm Teleconference

OkMOM Leads 2:00 pm - 4:00 pm ODA

November 24-25

ODA Office Closed

ODF Board of Trustees 1:30 pm - 4:00 pm ODA

January 2

ODA Office Closed ODA Office Closed

Stay Connected to ODA News

M N P

www.Facebook.com/Okdentalassoc @OklaDentalAssoc @OkDentAssoc

OKDA.org journal | November/December 2016

Women in Dentistry CE Luncheon 11:30 am - 1:30 pm Aloft Hotel, OKC

TCDS Casino Dinner/ Party 6:30 pm - 10:30 pm Silo Center, Tulsa

SPECIAL PROJECTS MANAGER Tori Dennis

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November 18

December 9

DIRECTOR OF MEMBERSHIP Kylie Ethridge

Stay connected with the ODA!

Pizza & Politics 12:00 pm - 1:00 pm OUCOD

Coding Workshop - Optimize Your Practice 9:00 am - 12:00 pm Francis Tuttle, OKC

December 23, 26

COMMUNICATIONS MANAGER Madison Huffines

November 17

December 2

DIRECTOR OF COMMUNICATIONS & EDUCATION Tina Evans

OPERATIONS MANAGER Britney Morris

November 10

ODA Match Event 5:30 pm - 8:00 pm ODA

Sign Up

#OkMOMWW

cdl

1. Visit www.okmom.org and click on the button:

gister e r to

volunteer

VOLUNTEER REGISTRATION

2. Fill out all of the required fields, choose your volunteer type, t-shirt size and pick your shifts*

3. Submit your registration and mark your calendar for: FEBRUARY 3-4, 2017 WOODWARD COUNTY FAIRGROUNDS

*Please Note: Only pre-registered volunteers are guaranteed an event t-shirt. On-site registrants will receive a t-shirt subject to availability. We encourage all volunteers to pre-register online prior to the event.

Hotels: $69

per night

La Quinta Inn & Suites

Northwest Inn

3410 Williams Ave. Woodward, OK 73801

3202 1st St. Woodward, OK 73801

Reservation Cut-Off Date: December 20, 2016

Reservation Cut-Off Date: January 15, 2017

For Reservations Call:

For Reservations Call:

580-256-3558

580-256-7600

use code: OK Dental Association! www.okda.org

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ODA EDITORIAL

Lately, It Occurs to Me: What a Long, Strange Trip It's Been (Garcia, Hunter, Lesh, Weir) This past July was my 36th anniversary in organized dentistry and 44th in dentistry overall (including dental school, working in a dental lab, and hanging out in dental offices). Time seldom registers until one starts thinking about numbers. When I say I graduated from OUCOD in 1980, it doesn’t seem all that long ago. But when I think about 36 years – that’s more than half my life! I’ve been a dentist three times longer than it took me to graduate from high school.

Reflecting on those years, I find that dentistry has given me a rewarding career, one which never felt like a job. I can’t count the number of dear friends I have made or the number of lives I was able to assist by improving oral health.

I remember with pride the reactions of people who could eat again without pain.

I especially remember the people who could smile again. I have been blessed.

Part of that blessing has been the opportunity to give something back to this wonderful profession. I have had the opportunity to teach a generation of young dentists and to mentor many young people who wanted to become dentists.

So far, this has all been about me. In the first sentence (you can go back and check), I noted the time I have been a part of organized dentistry. Could I have had the same history without being a part of the Cleveland-McClain County Dental Society, the Central District, the ODA and the ADA? Much of my life would have gone on without much change. Major portions, however, would be eligible for a Back to the Future sequel (GO, Cubs!).

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journal | November/December 2016

Every year around the holiday season, that ODA dues statement arrives. We all look at that statement, and (come on, admit it) for at least a moment wonder, “Why am I doing this? Is it really worth the money?”

I contend that it really IS worth it. Start with naked self-interest. Most of our readership graduated from OUCOD. In the mid 1980s, in similar economic times, then-Governor Henry Bellmon decided that Oklahoma could not afford a dental school. The ODA, under the leadership of Dr. Ray Cohlmia, worked hard to save the school and to develop the close relationship that continues to this day.

How much would it have cost you to find a school outside Oklahoma, live wherever that school was for four years as an outof-state student, and then move back to Oklahoma? How many of you would still be dentists?

The ODA continues to work with state government to protect the health of the public and to help maintain our autonomy as healthcare professionals. We have all, at times, complained of government interference and regulation. We have the ODA (and the ADA) to thank for the fact that we are still largely able to police our own profession. Check out the Legislative Reports in the ODA and ADA Journals for examples.

When I was younger, continuing education was far harder to access. With the internet it has become much easier to fulfill the CE requirements for each reporting period. Check out the ODA and ADA websites – there are a number of topics -- most available for free -- to

“The ODA continues to work with state government to protect the health of the public and to help maintain our autonomy as healthcare professionals.” help reach those 60 hours. Don’t forget that 10 of those hours can be satisfied by participating in OkMOM (sponsored by the ODA!) which provides a logical segue into the ODA’s efforts to increase access to care. Those efforts ultimately result in patients in your chairs.

The ODA Rewards Program by itself can save enough money to pay your ODA dues each year. We covered that in the last issue, so I’ll say no more about that.

Finally, how many of your friends do you look forward to seeing at the Annual Meeting? So, we’ve got social, financial, legislative and educational benefits of membership. I rest my case.

As always, I’d love to hear from you. Stay in touch!

Dr. Randy White, Editor Oklahoma Dental Association Journal

OKLAHOMA DENTAL ASSOCIATION

RISK Management Seminar Speaker Ted Passineau Presents: RA!

L

XT L E EGA

"The Less-Than-Perfect Dentist-Patient Relationship: Case Studies and Tips"

E 3 H ar n O of C URS E!

Registration Now Open! www.okda.org/programs/education

FRIDAY, NOVEMBER 11, 2016 FRANCIS TUTTLE TECH CENTER Rockwell Campus 8:00AM 12:00PM SPONSORED BY:

Also hear from Attorney Kyle Sweet of Sweet Law Firm!

Optimize Your Practice: Understanding Dental Benefits, the CDT Code and more December 2, 2016 9:00 a.m. - 12:00 p.m.

Three (3) Hours CE Francis Tuttle Tech Center 12777 N. Rockwell Ave. Oklahoma City, OK 73142 ODA/ADA Members (including staff): $56 Non Members: $82 Register online: OKDA.org/Education

www.okda.org

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REWARDS Researched. Proven. Endorsed.

These products and services can help manage your practice more smoothly and efficiently, and save you money. You can make your choice with confidence knowing each one has been thoroughly researched and endorsed for ODA Members. Begin taking advantage of these ODA member discounts today by contacting the company directly or visiting okda.org/rewards-program.

INSURANCE Reduced premiums on a variety of insurance plans (800) 375-8356 www.3000ig.com

FINANCIAL SERVICES

TRAVEL

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Point-earning credit card for all your personal & business needs (888) 327-2265 www.adavisa.com

Savings on more than 75 vehicles for purchase or lease (866) 628-7232 www.ada.org/mercedes

DENTAL OFFICE

Low-cost diplomatic collection system (800) 711-0023 www.americanprofit.net

Discounts on gloves, masks, and additional disposable products (877) 484-6149 www.dentalassociationgloves.com

Receive e-claims for only .25 cents (866) eclaims (325-2467)

Special pricing and a three-year rate guarantee (918) 809-5471 www.heartlandpaymentsystems.com

Receive 85-97% of the current market price (800) 741-3174 www.easyrefine.com

Setup fee is waived (800) 246-9853 www.demandforce.com/oda

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Discount of $125 off enrollment (800) 683-2501 www.iaplus.com

Save up to 10% on products and logo applications (800) 990-5407 www.landsend.com/business

journal | November/December 2016

Special pricing for waste pickup (870) 427-6017 www.medicalwasteservices.org

Discounted office supply program www.okda.org/officedepot

25% discount on a new website (888) 433-1747 www.prosites.com/oda

Name brand uniforms at a great price www.okda.org/scrubs

Free container with recycling with SolmeteX Hg5ÂŽ amalgam separator purchase (800) 216-5505 www.solmetex.com

Discounts on shipping services (800) 636-2377 www.savewithups.com/ada

Discounts on digital video services & on-hold messaging (800) 460-4653 www.works24.com

ODA PARTNERS COLUMN

These are endorsed companies of the ODA that save ODA members money while keeping dues lower by providing royalties to the ODA.

The ODA endorses companies that have been researched and proven to offer products and services that provide real savings. By being an ODA member, you’re automatically eligible for these savings.

Below is information about two Partners. Learn about all of the Partners at okda.org.

A Collection Agency That Keeps Your Practice Healthy If your patients are entitled to full recovery...aren't you? If you're a practice looking for a collection agency that underConsultants provide insight and tailored stands your needs and the delicate nature solutions utilizing our popular low cost of collections, then look no further than affordable collection system. Our diploAmerican Profit Recovery. We are effective matic approach is designed to collect and keep patients coming back to your practice. in resolving debt issues for any size pracAll of this is managed via our custom web tice. There is a fine line between care and portal allowing 24/7 account updates and collections and we understand how sensimanagement! tive the relationship is between doctor and patient.

Call us now and let’s get your practice back on the road to recovery 800-711-0023 www.americanprofit.com

ADA members save up to 36%* on UPS® shipping services

The American Dental Association is proud to bring you valuable discounts on the products and services you need. Make the most out of your membership and take advantage of competitive rates available on UPS shipping services. Whether you need your documents or packages to arrive the next day or are looking for an affordable shipping option, UPS understands the importance of speed, reliability, and cost.

To save on your UPS shipments, simply:

Call: 1-800-MEMBERS (1-800-636-2377) M-F, 8 a.m. - 6 p.m. EST Visit: savewithups.com/ada *See savewithups.com/ada for specific services and discounts. All discounts apply to the effective UPS Standard List Rates at the time of shipment and shall be applied on a weekly basis, unless otherwise specified.

UPS, the UPS brandmark and the color brown are trademarks of United Parcel Service of America, Inc. and are used with the permission of the owner. All rights reserved.

www.okda.org

9

2017 ODA Annual Awards

Do you have a colleague that should be recognized for his/her contributions in dentistry or someone who has gone above and beyond the call of duty with charitable and community work?

The ODA will recognize members during the 2017 Annual Meeting President’s Dinner for outstanding achievement in the following areas:

Award Categories DISTINGUISHED DENTIST SERVICE AWARD

ROBERT K WYNNE PUBLIC INFORMATION AWARD

The dentist selected as having made the greatest contribution to the advancement of dentistry in Oklahoma.

A member dentist who has worked to advance the knowledge of dentistry and dental health through public education and public relations efforts.

(formally known as Dentist of the Year)

YOUNG DENTIST OF THE YEAR A new member dentist who exhibits an active interest in organized dentistry and has enhanced the image of the dental profession.

Eligible candidates for this nomination will have been in practice 10 years or less.

DAN E BRANNIN PROFESSIONALISM AWARD

THOMAS JEFFERSON CITIZENSHIP AWARD

RICHARD T OLIVER LEGISLATIVE AWARD

A member dentist who has made significant contributions to community service and philanthropic works in the area of dentistry.

The member dentist selected as having made significant contributions to the advancement of the principles and practice of ethics and professionalism in dentistry.

A member dentist who has given outstanding effort and leadership in the Oklahoma legislative process on behalf of the Oklahoma Dental Association.

Nominations for the 2017 awards will be accepted until December 31, 2016.

See past years' winners at okda.org/members-only/member-awards

2016 Champions of Health Awards The ODA has been a proud partner of the Champions of Health awards gala for five years. Since 2004, this event has been recognizing outstanding Oklahoma organizations and individuals who are making a positive impact on the health of our state through innovative programs. These programs are doing good work, and many are creating opportunities that can be replicated in other communities to change the health of even more Oklahomans.

To learn more about the Champions of Health and its beneficiary, Oklahoma Caring Foundation, visit championsofhealth.org.

On September 27, ODA President, Dr. Edmund Braly, presented the award for Champion of the Uninsured to Frank Merrick, Chair of Crossing Community Church, with Nico Gomez, CEO of the Oklahoma Health Care Authority.

10 journal | November/December 2016

2017 ODA AWARDS NOMINATION DEADLINE FOR NOMINATIONS IS DECEMBER 31, 2016 NOMINEE INFORMATION (Please print clearly or type) Name:

Address:

City:

State:

Phone:

Zip:

Email:

Award Nomination (please check one) Distinguished Dentist Service - A member dentist who has made a great contribution in advancing dentistry.

Young Dentist of the Year - A member dentist who has been in practice ten years or less with active interest in organized dentistry and who has enhanced the image of the dental profession.

Thomas Jefferson - A member dentist who has made significant contributions to community service and philanthropic works in the area of dentistry.

Robert K. Wynne - A member dentist who has worked to advance the knowledge of dentistry and dental health through public education and public relations efforts.

Dan E. Brannin - A member dentist who has made advancements of the principles and practice of ethics and professionalism in dentistry.

Richard T. Oliver - A member dentist who has provided outstanding leadership in the Oklahoma legislative process on behalf of the Oklahoma Dental Association.

NOMINATED BY (Nominations must be made by an ODA Member Dentist. Self nominations are accepted.)

Name:

Address:

City:

State:

Phone:

Zip:

Email: BRIEFLY DESCRIBE WHY HE/SHE DESERVES THE AWARD

A letter of nomination MUST accompany each nomination describing the nominee’s accomplishments and other contributions to the dental profession. Additional letters of recommendation, résumés and other documents are encouraged. Use a separate form for each award nomination. Copies of this original form will be accepted.

Signature: Submit by mail: Oklahoma Dental Association Attention: ODA Annual Awards 317 NE 13th Street Oklahoma City, OK 73104

Date: by fax: 405.848.8875 by email: kethridge@okda.org

Deadline for nominations is December 31, 2016. www.okda.org

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ODA MEMBER BENEFIT CORNER Why is a membership with the ODA/ADA so valuable?

The ODA/ADA supports all members at the national, state and local levels. From helping you manage your practice more efficiently and advocating on your behalf to offering you tools and resources that help you find the answers for which you’re looking, we’re there every step of the way.

Credentialing Service The ADA’s Credentialing Service is designed specifically for the dental market, making professional credentialing easier and faster and helping to streamline your submittal of application data to third-party payers, networks, hospitals and employers.

This new ADA Service allows you to conveniently enter, store and update your professional dental credentials all in one place.

What is Credentialing?

Credentialing is the process by which providers submit their professional information to third-party payers to enroll in their networks. Providers may also use this same process for hospitals and employers. For payers, credentialing requires professional information and supporting documents to be fully vetted or “verified” prior to enrollment and at ongoing intervals to maintain their validity.

Completing the various credentialing forms can take you hours. However, by gathering all of the necessary documents beforehand, registering on the ADA’s Credentialing

Service will take you approximately 15 minutes. Look for the helpful Credentialing Checklist on ada.org/credentialing, along with a three-minute how-to video and numerous other resources.

Registering credentials will be at no cost for all dentists, and verification of data will be available in the next phase of the project at no cost to ADA members.

Learn more and get registered at ada.org/credentialing.

Faster, Easier Credentialing

• Centralized database available to payers, hospitals and employers • Takes 20 minutes or less • Securely designed

The ADA Credentialing Service is a new member benefit that helps streamline the credentialing process. This service allows you to input, store and update your professional credentials in one centralized location, reducing repetitive paperwork for you and your office staff.

By entering your credentials only one time, your information will be stored in this securely designed portal and will be available to thirdparty payers.

The ADA is working with SKYGEN USA to engage their subsidiary Scion Dental, which provides dental payment solutions to government and commercial payers. By completing your credentials in this portal, the ADA can leverage your support to secure the participation of additional payers.

As an ADA member, this service is free. Register now!

ADA.org/credentialing

12 journal | November/December 2016

SHOP

FOR YOUR 2017 INDIVIDUAL HEALTH INSURANCE PLAN

3000 INSURANCE GROUP

Through the ODA and the 3000 Insurance Group Health Exchange

REGISTER AND START SHOPPING WWW.3000iG.COM SPEAK WITH A LICENSED BENEFITS COUNSELOR AT 405.521.1600

BUSINESS OWNERS

CONTACT US TO DISCUSS SMALL GROUP ELIGIBILITY • Groups of 1 of more (some restrictions apply) • Husband/wife only groups (some restrictions apply) • Special enrollment - no participation or contribution requirements for new groups that enroll between 11/1 and 12/15

IMPORTANT DATES: 11/01/2016 - First day you can shop in the exchange for 2017 coverage 12/15/2016 - Enroll by this date for coverage that starts on 01/01/2017 01/31/2017 - 2017 Open Enrollment ends

www.okda.org

13

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15

ODA MARKETING COACH

Social Media Policies for Dentists Why You Should Have a Social Media Policy Copyright © 2016 American Dental Association. All rights reserved. Reprinted by permission

If you put in place a carefully drafted social media policy for your dental practice, your employees will likely have a better understanding of what’s permitted and what is prohibited, which may help avoid legal problems down the road. Regulating

what and when you post is vital for getting the most value out of your social media outreach.

Three key things to remember about social media 1. The same rules regarding discrimination, privacy or employment policies that apply in the “real world” also apply to the online (social media) world.

2. The trend is to favor free speech and open discourse. Indeed, policies which can be construed to prohibit employees from discussing with each other the terms and conditions of employment are illegal under the National Labor Relations Act. Accordingly, take care to avoid creating policies or making employment decisions that might discourage legally permissible discussions regarding working conditions, hours and wages.

3. Social Media Law is an evolving field; what is written here will likely change dramatically, so keep abreast of the latest developments.

A few tips to get started •

Avoid creating an overly broad policy that could be interpreted to prohibit comments related to working conditions, hours and wages.

•

Establish limitations on expectations of privacy (employer monitoring public social media comments, right to access company computers/electronic communications).

•

Mimic traditional company policies on harassment, confidentiality, discrimination, professionalism, etc.

•

Sample Disclaimer Policy: When connection to company is apparent, make it clear that you are not speaking on behalf of company.

For additional resources on how to grow your practice, visit the ADA’s Center for Professional Success. ada.org/success

Bringing Smiles Home Since March the ODA’s public awareness message has been spread statewide. With the allocated funds from the ODA Board of Trustees, our message of finding a dental home has been placed on Pandora radio in eight counties, 112 movie theater screens, 14 billboards, and posters in your dental office (poster pictured right). Through these efforts, the ODA website has seen a 53 percent increase in website traffic compared to last year, totaling more than 137,000 website visits from March – October 2016.

16 journal | November/December 2016

Our goal for this campaign is to educate Oklahomans that finding a dental home is important for overall good health. All promotions lead to a designated page on the ODA website that includes a short video and multiple Find-a-Dentist links that direct visitors to the ADA’s MouthHealthy.org website that is a database searchable by zip code. Of the 764 Oklahoma zip codes, half of those have been searched since our campaign kicked off providing Oklahomans an opportunity to find an ODA /ADA Member dentist near them.

The ODA will continue the Bringing Smiles Home message throughout any news coverage, social media and the website, so if you still haven’t updated your online profile, please do it

immediately, as we’ll continue to send potential patients to MouthHealthy to find You! The ODA also has a supply of extra posters, so if you would like additional posters to display in your practice at no cost, please contact Tina Evans at tevans@okda.org with the desired quantity and mailing address. i am a n

member dentist

INFORMED

ETHICAL ODA and ADA Member Dentists pledge to adhere to the ADA Principles of Ethics & Code of Conduct.

u for Thank yo

Member Dentists are kept updated on the latest dental health news that affect the profession and the patients they serve.

trusting

me with

DEDICATED With nearly 160,000 ADA members nationwide, our dentists are committed to putting YOUR health first.

your oral

View my professional profile at:

www.MOUTHHEALTHY .org

health!

THIS

WE’RE IN

T GETHER

2017 ANNUAL MEETING April 27-29

Tulsa, Oklahoma

Featuring Dr. Gordon Christensen Come and enjoy Dr. Gordon Christensen kick off the Annual Meeting during the Opening Session, after which he will provide a 6-hour, fast-moving “bottom line” course.

Opening Session: Dentistry Is a Team Event!

Friday, April 28, 2017, 8:00 AM (1 CE Hour) Dentists, dental specialists, dental assistants, dental hygienists, dental technicians, manufacturers, distributors, and researchers must work together to provide the optimum service to the public and better ensure practice success. This program describes the paradigm changes in the profession and the extremely positive future for dentistry.

The Christensen Bottom Line Friday, April 28, 2017 (6 CE Hours) This fast-moving “bottom line” course includes the areas of dentistry with the most activity and change in any given year. This course will be easily understood and will include numerous summaries that will help attendees interpret the ongoing advancements in the profession. The course will encourage audience participation with questions and answers, and will be presented in an enjoyable and humorous manner.

okda.org/annual-meeting

#ODA2017

Celebrating 110 YEARS of Organized Dentistry www.okda.org

17

ODA

Welcome, New Members

BERS NEW m

NEW ODA NEW ODA

MEMBERS MEMBERS

EW ODA NEW ODA

Please join the ODA in welcoming our new members into Oklahoma’s community of organized dentistry

New Members Joined August 11 - October 10, 2016

MEMBERS MEMBERS

NEW ODA NEW ODA

MEMBERS MEMBERS

David Hoang Nicole Chung Mariam Gawargi Shaista Sheharyar John Bloom John Henry Angel Hinson

Central Oklahoma County Oklahoma County Oklahoma County Southwest Southwest Southwest

NEW ODA

MEMBERS The ODA extends our deepest sympathy for our colleagues and friends who passed in 2016.

We say farewell.

Brian Busby

August 7

Northwest District Dental Society

Brenda L. Chockley

January 14

Tulsa County Dental Society

James L. Clark

July 3

Central District Dental Society

Daniel P. Dalzell

March 1

Central District Dental Society

Kenneth Leslie Hammond

February 18

Eastern District Dental Society

Joe Francis Warriner

January 2

Oklahoma County Dental Society

18 journal | November/December 2016

Oklahoma Licenses and Permits Renewal Notice All Oklahoma dental licenses and permits officially expire after December 31, 2016 and will no longer be valid after this date. Renewal fees will double beginning January 1, 2017.

There are two ways to renew: 1. Visit www.ok.gov/dentistry and renew online with a credit card.

2. Visit www.ok.gov/dentistry to download a PDF application and return it to the Board of Dentistry with your renewal fee.

Instructions to renew can be found on the homepage of the Oklahoma Board of Dentistry’s website, www.ok.gov/dentistry.

DENTISTS/DENTAL HYGIENISTS: As a reminder, you will not be able to renew your license for 2017 if you are non-compliant with your Continuing Education for the 2013-2016 Reporting Period. You must be compliant no later than December 1, 2016 to avoid being placed on a Board Agenda. Please email the Board Office if you have any questions about your compliance.

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Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2016 to 3/31/2020 Provider ID# 302387.

OKLAHOMA – OCTOBER 2016 – 1/4 Page 4/C – 3.875”(W) x 5.25”(H)

www.okda.org

19

It's Time to Renew Your ODA/ADA Membership The 2017 membership renewal begins at the end of November. Make sure you renew by January 1, 2017 to maintain all of the great benefits your membership provides. Our strength in Washington, D.C., at our State Capitol, and in your community is reliant on our united dental front, so renew for 2017 and help us continue the fight! We even offer convenient installment plans to help fit your budget.

NO ODA

Dues Increase for

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Renew right away to keep your profession strong and help save the ODA money on renewal notice mailing!

Convenient Dues Installment Payment Plans You don’t have to pay your 2017 ODA/ADA/Component (Tripartite) dues all at once.

Your ODA understands that it may not be convenient to remit your membership dues in one payment. We are excited to provide you with the opportunity to pay your 2017 membership in monthly installments! You have the option of renewing in a way that is convenient for you.*

“

To take advantage of an ODA dues installment plan, please contact Kylie Ethridge, ODA Director of Membership, at kethridge@okda.org or 405.848.8873. *There is a nominal $6.00 installment fee for each payment.

THE TOP BRAND AND STYLE SCRUBS ARE AVAILABLE AT A FRACTION OF THE COST THROUGH SCRUBS & BEYOND, AND IT'S AN EASY PROCESS TO PLACE YOUR ORDER THROUGH THE CUSTOM ODA LINK. WE ORDER MULTIPLE SETS ON A REGULAR BASIS AND ENJOY WORKING WITH SCRUBS & BEYOND.

ORDER NOW AT: WWW.OKDA.ORG/SCRUBS 20 journal | November/December 2016

Thank You to the 2016 Smile Contributors

Smile is a voluntary section of membership that helps the ODA shine a light on the importance of dentistry and all of the great things dentists are doing throughout Oklahoma. This voluntary contribution also helps support the ODA's Bringing Smiles Home campaign. Your $25 Smile membership enables the ODA to promote a positive oral health message around the state through multiple public relations tools. Please consider supporting this important effort when renewing your 2017 membership!

Dr Jeffrey Ahlert

Dr Brian Drew

Dr Ashley Lanman

Dr Charles Sims Jr

Dr Adelaide Allen-Steed

Dr Kevin Duffy

Dr Grady Lembke

Dr Terry Smith

Dr Jim Ambrose

Dr Joseph Fallin Jr

Dr Dennis Leseberg

Dr Gary Smith

Dr Marc Arledge

Dr Barry Farmer

Dr Christopher Leslie

Dr Gregg Smith

Dr Douglas Auld

Dr Michael Fauks

Dr Marti Levinson

Dr Brooke Snowden

Dr Michael Auld

Dr John Folks

Dr Eric Loper

Dr James Sparks

Dr Jeffrey Baggett

Dr Richard Foster

Dr Juan Lopez

Dr Geoffrey Sparks

Dr Robert Baumann

Dr Richard Freeman

Dr Jeff Lunday

Dr Julie Speights

Dr Bryce Baumann

Dr Emily Frye

Dr Raymond Lyle Jr

Dr Rachel Standlee

Dr Justin Beasley

Dr Cathy Fuchs

Dr Mark Massaro

Dr Robert Steele

Dr Brandon Beaver

Dr Danny Fuchs

Dr Alan Mauldin

Dr J Michael Steffen

Dr Kari Bender

Dr Kenneth Garner

Dr Stephen Mayer

Dr B Dan Storm

Dr David Birdwell

Dr Chad Garrison

Dr Jandra Mayer-Ward

Dr Steven Strange

Dr Richard Bohlander

Dr Tracy Gasbarra

Dr Richard McBride

Dr Jackson Sullivan

Dr Ryan Brackett

Dr Mark Goodman

Dr Daniel McNair

Dr Carla Sullivan

Dr Edmund Braly

Dr Matthew Gray

Dr Richard Miller

Dr Joe Swink Jr

Dr Jamie Branham-Williams

Dr Jerry Greer

Dr Robert Miracle

Dr Jim Taylor

Dr Steven Brown

Dr Steven Gregg

Dr Patrick Montgomery

Dr John Theobald

Dr Nathan Brown

Dr John Groves

Dr Andrea Montgomery

Dr Paul Thomas

Dr Craig Buntemeyer

Dr James Hackler

Dr Robert Morford III

Dr Roy L Thornbrough

Dr William Burchard

Dr Jacob Hager

Dr Jack Morrison

Dr Kara Tims

Dr Bonnie Burton

Dr Kent Hall

Dr Warren Murray

Dr James Torchia

Dr Patricia Cannon

Dr Michael Hampton

Dr James Murtaugh

Dr Vic Trammell Sr

Dr Wuse Cara

Dr Michael Hansen

Dr James Nicholson Jr

Dr Charles Tucker

Dr J Andrew Carletti

Dr Leslie Hardy Jr

Dr David Nittler

Dr Corbyn Van Brunt

Dr Conrad Casler Jr

Dr Aaron Harman

Dr Justin Parks

Dr Jonah Vandiver

Dr Stephen Chastain

Dr Edward Harroz Jr

Dr Raymond Plant

Dr Nathan Villines

Dr Aaron Cohenour

Dr Edward Harroz III

Dr Justin Power

Dr James Ward

Dr Ray Cohlmia Sr

Dr Richard Haught

Dr Gary Rahill

Dr W Scott Waugh

Dr Matthew Cohlmia

Dr Darrell Hazle

Dr Darryl Reed

Dr Robert Webb III

Dr Adam Cohlmia

Dr Jeffrey Hermen

Dr Karen Reed

Dr William Weber

Dr Margaret Coker

Dr James Herndon

Dr David Reiter

Dr Robert Wells

Dr Leon Conkling

Dr Myron Hilton

Dr Scott Renfrow

Dr Stephanie Wendt

Dr James Corwin

Dr Mathew Hookom

Dr H Grant Ritchey

Dr Jonathan White

Dr Debbie Corwin

Dr James Hooper

Dr Ryan Roberts

Dr Steven White

Dr Lester Cowden III

Dr Brad Hoopes

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Dr Robin White

Dr Stanley Crawford

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Dr G Meghan Sellmeyer

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Dr Steven Deaton

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Dr Greg Shanbour

Dr Patrick Woods

Dr Kathy DeHart

Dr Jay Kruska

Dr David Simon

Dr William Wynn IV

Dr Michael Dial

Dr Robert Lamb

Dr Floyd Simon Jr

Dr William Yadon

www.okda.org

21

A Gift that Helps Your Colleagues Thank you to the ODA Members who donated in 2016 to the Oklahoma Relief and Disaster Grant Program The RDGP is a charitable entity that offers aid to dental professionals and their dependents who, because of misfortune, natural disaster, chemical dependence, physical disability, or other hindering conditions, are not wholly self-sustaining.

This program exists to award financial aid to Oklahoma dental professionals, yet relies solely on contributions.

Dr Jeffrey Ahlert

Dr James Corwin

Dr Myron Hilton

Dr James Nicholson Jr

Dr Carla Sullivan

Dr Adelaide Allen-Steed

Dr Russell Danner

Dr Mathew Hookom

Dr Jeff Parker

Dr Joe Swink Jr

Dr Errol Allison

Dr Jeffrey Danner

Dr Brad Hoopes

Dr Justin Parks

Dr Jim Taylor

Dr Jim Ambrose

Dr Darrell Daugherty

Dr Jeffrey Housley

Dr Raymond Plant

Dr John Theobald

Dr Clay Anderson

Dr Susan Davis

Dr Scott Hubbard

Dr Charles Polk

Dr Diana Thien

Dr Jamie Ariana

Dr David Deason

Dr Benjamin Humphrey

Dr Justin Power

Dr Kara Tims

Dr Douglas Auld

Dr Steven Deaton

Dr Eugenia Johnson

Dr Gary Rahill

Dr James Torchia

Dr Michael Auld

Dr Kathy DeHart

Dr Mohammad Karami

Dr Darryl Reed

Dr Vic Trammell Sr

Dr Lauren Avery

Dr William Deprater

Dr Chanda Kennemer

Dr Karen Reed

Dr Charles Tucker

Dr Jeffrey Baggett

Dr Brent Dobson

Dr Larson Keso

Dr David Reiter

Dr Corbyn Van Brunt

Dr Bryce Baumann

Dr Bryce Dorrough

Dr DeNae Kirkpatrick

Dr Scott Renfrow

Dr Jonah Vandiver

Dr Justin Beasley

Dr Brian Drew

Dr Theodore Kondos

Dr H Grant Ritchey

Dr Nathan Villines

Dr Brandon Beaver

Dr Kevin Duffy

Dr Gene Koop

Dr Ryan Roberts

Dr James Ward

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Dr Barry Farmer

Dr Jay Kruska

Dr Erin Roberts-Svob

Dr Brett Warn

Dr Tamara Berg

Dr Gerhard Fischer

Dr Robert Lamb

Dr Thomas Rogers

Dr W Scott Waugh

Dr Richard Bohlander

Dr John Folks

Dr Ashley Lanman

Dr Brant Rouse

Dr Robert Webb III

Dr Ryan Brackett

Dr Richard Foster

Dr Larry Lavelett

Dr Mack Rudd

Dr Robert Wells

Dr Edmund Braly

Dr Richard Freeman

Dr Grady Lembke

Dr Lance Schmidt

Dr Stephanie Wendt

Dr C Todd Bridges

Dr Danny Fuchs

Dr Robert Livingston

Dr Terry Schreiner

Dr Jonathan White

Dr Steven Brown

Dr Cathy Fuchs

Dr Eric Loper

Dr Andrea Scoville

Dr Steven White

Dr Nathan Brown

Dr Chad Garrison

Dr Juan Lopez

Dr Gregory Segraves

Dr Robin White

Dr Craig Buntemeyer

Dr Tracy Gasbarra

Dr Gary Lott

Dr Mickey Sehorn

Dr Jay White

Dr Bonnie Burton

Dr LaMont Gee

Dr Jeff Lunday

Dr Drake Sellmeyer

Dr Mark Whitney

Dr Sarah Campbell

Dr Mark Goodman

Dr Raymond Lyle Jr

Dr G Meghan Sellmeyer

Dr Ronald Winder

Dr Patricia Cannon

Dr Ronald Graves

Dr James MacRobert

Dr Paul Shadid

Dr Jana Winfree

Dr Wuse Cara

Dr Matthew Gray

Dr David Maddox

Dr Greg Shanbour

Dr John Wood

Dr J Andrew Carletti

Dr Evangeline Greer

Dr Alan Mauldin

Dr Kyle Shannon

Dr William Wynn III

Dr Conrad Casler Jr

Dr Jerry Greer

Dr Stephen Mayer

Dr Steven Gregg

Dr Jandra Mayer-Ward

Dr LaTonya SheltonMiller

Dr William Wynn IV

Dr Jerome Cha Dr Stephen Chastain

Dr John Groves

Dr Richard McBride

Dr David Simon

Dr Kendra Yandell

Dr Brian Chastain

Dr Robert Gruenberg

Dr Eugene McCormick

Dr Bobby Cheatham

Dr James Hackler

Dr Daniel McNair

Dr Brian Coerver

Dr Mark Hanstein

Dr Glenn Mead

Dr Aaron Cohenour

Dr Leslie Hardy Jr

Dr Mark Mettry

Dr Ray Cohlmia Sr

Dr Aaron Harman

Dr Robert Miracle

Dr Jeff Cohlmia

Dr Joe Harris

Dr Patrick Montgomery

Dr Matthew Cohlmia

Dr Edward Harroz III

Dr Andrea Montgomery

Dr Adam Cohlmia

Dr Richard Haught

Dr Robert Morford III

Dr Margaret Coker

Dr Erin Heathcock

Dr Jack Morrison

Dr Leon Conkling

Dr Jeffrey Hermen

Dr Warren Murray

Dr Debbie Corwin

Dr James Herndon

Dr James Murtaugh

22 journal | November/December 2016

Dr Floyd Simon Jr

Dr William Yadon

Dr Terry Smith Dr Gary Smith Dr Gregg Smith Dr James Sparks Dr Geoffrey Sparks Dr Rachel Standlee Dr Robert Steele Dr J Michael Steffen Dr B Dan Storm Dr Jackson Sullivan

You can donate yearround to RDGP at okda.org/programs.

We can't determine our

DISASTERS. PROTECTING YOUR

PEOPLE.

My husband and I were married 18 years before he was diagnosed with cancer. We have four children and I stayed at home while my husband treated patients in a thriving dental practice. He managed through eight months of treatment before his diagnosis changed to terminal and he was unable to work in the final months.

We had no income and the medical bills were piling up. Soon, I was a widow with four children, no job, no income and no support. Luckily, my husband had contacted the ADA and applied for relief benefits for me and our children. Both the ADAF and the OK Dental RDGP provided financial relief to help us stay afloat until other means were made available.

I am so grateful for my husband, his preparedness and this program

PROTECTING YOUR

PROPERTY.

I practiced dentistry for 25 years before deciding to retire two years ago due to health-related issues. The spring following my retirement, a round of storms was headed straight for my neighborhood promising large hail and heavy winds. The storm came as expected, but the condition of my home following was something for which I was not prepared. The exterior of my home was destroyed. Several branches had fallen, breaking three windows and stripping paint. Thankfully the storm didn’t produce tornadoes or harm lives like we’ve seen in Oklahoma, but there wasn’t enough damage to reach my insurance deductible leaving me financially responsible for repairs.

When you're not prepared, every little bit helps!~

PROTECTING YOUR

PRACTICE.

I had been in the field of dentistry for twelve years, owned my own practice and was looking to add an associate in the near future. I took a week off from work to visit our family cabin in Aspen, CO with my wife and two kids.

Having not visited the cabin in a year, I decided to spend a day doing some small home renovations that I thought I could handle on my own. As I began working with a circular saw, my hand lost grip and control of the tool. It all happened so fast. I severed my thumb and index finger on my dominant hand.

My professional tools were lost that day and, unknowingly, I did not previously purchase adequate disability insurance.

My dental career is now over, who can I turn to for help?

OVIDE. R P O T D E R REPA P E R ’ WE MAKE A DONATION: APPLY FOR ASSISTANCE:

that made the healing process a little lighter.

Tori Dennis Special Projects Manager tdennis@okda.org 405-848-8873

Mail a check to: OK Relief & Disaster Grant Program 317 NE 13th Street OKC, OK 73104

www.okda.org/programs/disaster-and-relief www.okda.org

23

Thank You to the 2016 Pride Contributors Pride is a voluntary section of membership that shows how much you care about the future of organized dentistry. Your Pride membership dues go directly to offset some of the costs of lobbying at the State Capitol. It is imperative that we continue to maintain a positive and powerful presence at the Capitol and your $25 ODA Pride membership continues to make that possible. Please consider making this small, additional contribution when renewing your 2017 membership.

Dr Jeffrey Ahlert

Dr Kathy DeHart

Dr Michael Kubelka

Dr David Simon

Dr Adelaide Allen-Steed

Dr Michael Dial

Dr Robert Lamb

Dr Floyd Simon Jr

Dr Jim Ambrose

Dr Brian Drew

Dr Ashley Lanman

Dr Gary Smith

Dr Marc Arledge

Dr Kevin Duffy

Dr Grady Lembke

Dr Brooke Snowden

Dr Douglas Auld

Dr Joseph Fallin Jr

Dr Dennis Leseberg

Dr Geoffrey Sparks

Dr Michael Auld

Dr Barry Farmer

Dr Marti Levinson

Dr Rachel Standlee

Dr Jeffrey Baggett

Dr Keifer Fisher

Dr Eric Loper

Dr Robert Steele

Dr Robert Baumann

Dr John Folks

Dr Juan Lopez

Dr J Michael Steffen

Dr Justin Beasley

Dr Richard Foster

Dr Jeff Lunday

Dr B Dan Storm

Dr Brandon Beaver

Dr Richard Freeman

Dr Raymond Lyle Jr

Dr Jackson Sullivan

Dr Kari Bender

Dr Emily Frye

Dr Mark Massaro

Dr Carla Sullivan

Dr David Birdwell

Dr Cathy Fuchs

Dr Alan Mauldin

Dr Marc Susman

Dr Richard Bohlander

Dr Danny Fuchs

Dr Stephen Mayer

Dr Joe Swink Jr

Dr Ryan Brackett

Dr Chad Garrison

Dr Jandra Mayer-Ward

Dr Jim Taylor

Dr Edmund Braly

Dr Tracy Gasbarra

Dr Daniel McNair

Dr John Theobald

Dr Jamie Branham-Williams

Dr Mark Goodman

Dr Zachary McNickle

Dr Paul Thomas

Dr Steven Brown

Dr Matthew Gray

Dr Richard Miller

Dr Roy L Thornbrough

Dr Nathan Brown

Dr Jerry Greer

Dr Robert Miracle

Dr Kara Tims

Dr Blake Bullard

Dr Steven Gregg

Dr Patrick Montgomery

Dr James Torchia

Dr Adam Bulleigh

Dr John Groves

Dr Andrea Montgomery

Dr Vic Trammell Sr

Dr William Burchard

Dr Robert Gruenberg

Dr Dennis Morehart

Dr Charles Tucker

Dr Bonnie Burton

Dr James Hackler

Dr Robert Morford III

Dr Corbyn Van Brunt

Dr Patricia Cannon

Dr Jacob Hager

Dr Jack Morrison

Dr Jonah Vandiver

Dr Wuse Cara

Dr Bruce Hall

Dr Warren Murray

Dr Nathan Villines

Dr J Andrew Carletti

Dr Kent Hall

Dr James Murtaugh

Dr James Ward

Dr Conrad Casler Jr

Dr Michael Hansen

Dr James Nicholson Jr

Dr W Scott Waugh

Dr Stephen Chastain

Dr Leslie Hardy Jr

Dr Justin Parks

Dr Robert Webb III

Dr Aaron Cohenour

Dr Aaron Harman

Dr Raymond Plant

Dr William Weber

Dr Ray Cohlmia Sr

Dr Edward Harroz III

Dr Justin Power

Dr Robert Wells

Dr Matthew Cohlmia

Dr Richard Haught

Dr Gary Rahill

Dr Stephanie Wendt

Dr Jeff Cohlmia

Dr Darrell Hazle

Dr Darryl Reed

Dr Jonathan White

Dr Adam Cohlmia

Dr Jeffrey Hermen

Dr Karen Reed

Dr Steven White

Dr Margaret Coker

Dr James Herndon

Dr David Reiter

Dr Robin White

Dr Leon Conkling

Dr William Hiatt

Dr H Grant Ritchey

Dr Jay White

Dr James Corwin

Dr Marilyn Hiebert

Dr Ryan Roberts

Dr Quint Whitefield

Dr Debbie Corwin

Dr Mathew Hookom

Dr Erin Roberts-Svob

Dr Mark Whitney

Dr Lester Cowden III

Dr James Hooper

Dr Thomas Rogers

Dr Vincent Willcox

Dr Audrey Crawford

Dr Brad Hoopes

Dr Lance Schmidt

Dr Jana Winfree

Dr Stanley Crawford

Dr Nicholas Hunter

Dr Andrea Scoville

Dr John Wood

Dr Russell Danner

Dr Eugenia Johnson

Dr Mickey Sehorn

Dr Patrick Woods

Dr Jeffrey Danner

Dr Richard Jungers

Dr Drake Sellmeyer

Dr William Wynn IV

Dr Darrell Daugherty

Dr Mohammad Karami

Dr G Meghan Sellmeyer

Dr William Yadon

Dr Susan Davis

Dr DeNae Kirkpatrick

Dr Paul Shadid

Dr Kendra Yandell

Dr David Deason

Dr Gene Koop

Dr Greg Shanbour

Dr Steven Deaton

Dr Jay Kruska

Dr LaTonya Shelton-Miller

24 journal | November/December 2016

Get Involved with the ODA

Are you interested in becoming more active with the ODA through participation in a Council or Committee? What about a position of leadership within your local dental society? There are many ways to participate. The ODA Council on Nominations is accepting nominations for election at the April 2017 House of Delegates meeting. Contact the ODA at 800.876.8890 for more information about any of the volunteer opportunities. Nominations may be submitted to Dr. Juan Lopez, Council Chair, at jrlopezdds@gmail.com, your component dental society’s president-elect, or the ODA office by January 6, 2017.

Print Name: Component (District) Dental Society: Email Address: Phone Number:

Select the area(s) in which you are interested in serving: q Vice President

q Standing Committee on OHCA and DHS

q Speaker of the House of Delegates

q Annual Meeting Planning Committee

q ADA Delegate

q Oklahoma Mission of Mercy (OkMOM)

q ADA Alternate Delegate q Council on Budget and Finance q Council on Bylaws, Policy and Ethics q Council on Dental Care q Council on Dental Education and Public Information

q Council on Governmental Affairs

Planning Committee

q Rewards Partners Committee q Board of Trustees q House of Delegates q DENPAC Board of Directors q

Component (District) Office

q OK Dental Relief and Disaster Grant Trust

q Council on Membership and Membership Services

Nominations are Due by January 6, 2017

www.okda.org

25

Helpful Information from the ADA

Why are Payment Rates to Dentists Declining in Most States?

By Marko Vujicic, PhD Copyright © 2016 American Dental Association. All rights reserved. Reprinted by permission

Dentists' earnings have been stagnant for several years. After adjusting for inflation, the average annual net income of general practice dentists was $174,780 in 2014 compared with $219,738 in 2005.1 Over the past 15 to 20 years, dentists’ earnings have risen, plateaued, declined, and stabilized again. In inflation-adjusted dollar terms, the average net income for a general practice dentist in 2014 was at a level comparable with that in 1997. Specialist dentists have seen similar patterns over time, although the bumps and peaks have varied in degree and by specialty.

Researchers for the American Dental Association Health Policy Institute have examined the main factors driving the trends in dentists’ earnings. Over the past few years, we have produced several research briefs and peer-reviewed journal articles that tell a consistent story. A major factor driving trends in dentists’ earnings is the interaction of supply and demand in the dental care market. Fewer and fewer adults, including adults with middle and high levels of income, are visiting the dentist, and this trend coincides precisely with the slowdown in dentists’ earnings.2 There are numerous factors explaining why fewer adults are visiting the dentist, and interested readers can get the details elsewhere.3, 4 Just as the demand for dental care among adults is falling, the supply of dentists in the United States is rising, a trend that began in the mid-2000s. In 2005, there were 58.1 practicing dentists per 100,000 population.

By 2015, this number had risen to 60.9 dentists per 100,000 population.5 The two 26 journal | November/December 2016

main factors driving the increase in the supply of dentists are increased enrollment in dental schools and an increase in dentists’ average retirement age, which in 2015 was 69 years.6 One does not need a PhD in economics (which I have) to predict that rising supply and idling demand will lead, in aggregate, to a slowdown in patient volume, more open chair time, a decline in busyness, and stagnating earnings. The empirical evidence supports this “quantity effect” storyline quite convincingly.7 What has been studied far less, however, is how payment rates to dentists have changed over time and what role this “price effect” has had in influencing the trends associated with the average dentist’s net income. A major reason is the lack of data related to the payment rates provided to dentists through private dental benefit plans. Or, more precisely, the lack of data made available to researchers. But this is slowly changing.

The figure 8, 9 summarizes changes in payment rates provided to dentists through private dental benefit plans between 2005 and 2014. The calculations were based on data from a large, integrated multipayer claims database that the Health Policy Institute obtained in March 2016.

A detailed description of these data is available elsewhere,8 and this database

Figure

contains, by far, the most comprehensive dental claims data that are available to researchers.

To summarize payment rates provided to dentists through private dental benefit plans, we constructed a composite payment index on the basis of the 10 most frequent dental procedures. First, for each procedure, we calculated the average amount paid to dentists across all beneficiaries who had that particular procedure within the year. For example, in 2014, the average total payment for an adult prophylaxis (procedure code D111010) was $68.39.

We then take a weighted average of the 10 procedure-level averages, where the weights are determined by the share of total billings accounted for by each procedure. This involved a lot of number crunching. For 2014, for example, we analyzed 23 million claims. We calculated this composite index for 2005 and 2014, adjusting for inflation using the dental services consumer price index,11 and then we calculated changes over time in every state (including District of Columbia), which are shown as the bars in the figure.8, 9 There are three findings I wish to highlight regarding changes in payment rates provided to dentists through private dental benefit plans. First, payment rates declined in most states. Nationally, there was a 10.4% reduction between 2005 and 2014. Second, Continue on page 28

Changes in private dental benefit plan payment rates provided to dentists (2005-2014), adjusted for inflation, and dentists’ participation rates in preferred provider organization (PPO) networks (2014).

Changes in payment rates were calculated based on Health Policy Institute analysis of data from Truven Marketscan (Truven Health Analytics).8 Payment rates consisted of total payments from insurers, patients, and any other sources. Percentages of dentists participating in PPO networks was based on Health Policy Institute analysis of data from the National Association of Dental Plans.9

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Continued from page 26 there was considerable variation across states in terms of changes in payment rates over time. For example, some states had a 25% decline, whereas some states had increases. Third, the small number of states that had relatively large increases in payment rates are all located in the same region of the United States.

Next come two natural follow-up questions. First, why have some states had large reductions in payment rates and other states had increases? Second, what might be the consequences of large reductions in payment rates provided to dentists? Let us consider each of these questions in turn.

As to what is driving the variation among states related to changes in payment rates, there are many potential factors. Generally, aside from macroeconomic factors like economic growth or changes in population, payment rates in health care are influenced at least partly by the market dynamics between insurers and providers.12 We examined variables such as the supply of dentists per capita and the unemployment rate, and we found there was very little correlation with payment rate changes.

Unlike for health insurance, there are no publicly available data on dental insurance carrier concentration, so it is impossible for us to characterize the market power of insurers compared with providers.

But there are data available on dentists’ participation in preferred provider organization (PPO) networks (depicted by the blue line in the figure8, 9), and it turns out that there was a strong correlation (0.77) between dentists’ participation in PPO networks and payment rate changes.

That is, states with a large share of dentists participating in PPO networks had larger payment rate reductions, on average.

As to whether payment rate changes matter, this obviously depends on the stakeholder’s perspective: where you stand depends on where you sit. Payment rate reductions are a bad thing for providers.

But for purchasers of dental benefit plans— almost exclusively employers—payment rate reductions might be a good thing if they are passed on as lower premiums and if there are no adverse effects on accessibility or quality of care. If, however, reduced payment rates to providers are not passed on to beneficiaries and are instead

28 journal | November/December 2016

passed on to shareholders in the form of higher profits, the situation is different.

These are some big “ifs,” and unfortunately, there is not a lot of evidence to draw on.

The lack of research stems from a lack of data. Unlike medical insurers, dental benefits carriers are not subject to federal medical loss ratio provisions implemented under the Affordable Care Act. This, along with other factors, makes data a lot harder to come by, because insurer reporting requirements are much less stringent on the dental side compared with the medical side. But the best available evidence, although far from perfect, suggests that dental benefit plan premiums actually have increased since 2011.13 More broadly, in 2016, my colleagues and I conducted an analysis and found that for most adults with private dental benefits, total financial outlays for premiums, copays, and coinsurance exceed the market value of dental care consumed.14 It is no wonder that “cost” is the number one reason that adults with private dental benefits avoid going to the dentist.4 In my view, there is a severe shortage of publicly available data on key aspects of the dental benefits market. Until stakeholders commit to a “data agenda,” we will continue to rely on speculation, anecdotes, and trickles of evidence rather than rigorous empirical research to assess how market developments are impacting patients and providers.

Dr. Marko Vujicic is the chief economist and vice president, Health Policy Institute, American Dental Association, 211 E. Chicago Ave., Chicago, IL 60611.

References

1. Munson B, Vujicic M. General practitioner dentist earnings down slightly in 2014. Health Policy Institute Research Brief. American Dental Association. March 2016 (revised). Available at: www.ada.org/∼/media/ ADA/Science%20and%20Research/HPI/Files/ HPIBrief_1215_1.pdf?la=en. Accessed July 13, 2016.

2. Nasseh K, Vujicic M. Dental care utilization rate continues to increase among children, holds steady among working-age adults and the elderly. Health Policy Institute Research Brief. American Dental Association. October 2015. Available at: www.ada. org/~/media/ADA/Science%20and%20Research/HPI/ Files/HPIBrief_1015_1.pdf?la=en. Accessed July 13, 2016.

3. Vujicic, M. and Nasseh, K. A decade in dental care utilization among adults and children (2001-2010).

Health Serv Res. 2014; 49: 460–480 4. American Dental Association Health Policy Institute. Oral health and well-being in the United States. Available at: www.ada.org/en/science-research/ health-policy-institute/oral-health-and-well-being?so urce=PromoSpots&Medium=ADAHPIRotator&conte nt=HPIWell-Being. Accessed July 13, 2016.

5. American Dental Association Health Policy Institute. Supply of dentists. Available at: www.ada. org/en/science-research/health-policy-institute/datacenter/supply-of-dentists. Accessed July 13, 2016.

6. Munson B, Vujicic M. Number of practicing dentists per capita in the United States will grow steadily. Health Policy Institute Research Brief.

American Dental Association. June 2016. Available at: http://www.ada.org/~/media/ADA/Science%20 and%20Research/HPI/Files/HPIBrief_0616_1.pdf.

Accessed July 13, 2016.

7. Vujicic, M. The ‘invisible hand’ and the market for dental care. JADA. 2014; 145: 1167–1169 8. American Dental Association. Health Policy Institute. The oral health care system: a state-by-state analysis—data and methods. Available at: www.ada. org/~/media/ADA/Science%20and%20Research/HPI/ OralHealthCare-StateFacts/Oral-Health-Care-SystemData-Methods.pdf?la=en. Accessed July 13, 2016.

9. National Association of Dental Plans, Delta Dental.

2015 NADP/DDPA joint dental benefits report: enrollment. Available at: https://knowledge.nadp. org/products/2015-nadpddpa-joint-dental-benefitsreport-enrollment. Accessed July 26, 2016.

10. American Dental Association. CDT 2016: Dental Procedure Codes. Chicago, IL: American Dental Association; 2015.

11. Agency for Healthcare Research and Quality.

Medical Expenditure Panel Survey. Using appropriate price indices for analyses of health care expenditures or income across multiple years (Table 3. Personal health care and component price indices by year— dental services [updated April 2016]). Available at: https://meps.ahrq.gov/about_meps/Price_Index. shtml. Accessed July 13, 2016.

12. The Commonwealth Fund. Evaluating the impact of health insurance industry consolidation: learning from experience. Issue Brief. 2015. Available at: www.commonwealthfund.org/publications/issuebriefs/2015/nov/evaluating-insurance-industryconsolidation. Accessed July 13, 2016.

13. National Association of Dental Plans. 2014 NADP dental benefits report: premium and benefit utilization trends. Available at: https://knowledge. nadp.org/products/2014-nadp-dental-benefits-reportpremium-and-benefit-utilization-trends. Accessed July 13, 2016.

14. Yarbrough C, Vujicic M, Aravamudhan K, Blatz A. An analysis of dental spending among adults with private dental benefits. Health Policy Institute Research Brief. American Dental Association.

May 2016. Available at: www.ada.org/~/media/ ADA/Science%20and%20Research/HPI/Files/ HPIBrief_0516_1.pdf. Accessed July 13, 2016.

Women in Dentistry Today

By Mary E. Martin, DDS President, AAWD

In 2016 I was honored to lead the American Association of Women Dentists for a second term. I first served in 1995. The changes in dentistry and the advances in technology have often made it difficult to keep up. One of the big changes has been the growth of women in dentistry. They now make up 50 percent of dental school enrollment and have become the new normal in dental practice.

With this exponential growth in the number of women, many people might ask why we still need an association for women dentists.

I wondered that myself until I held this position again and traveled the country speaking to women in many different areas of dentistry. Even with growing numbers, women are still being paid less than their male colleagues across the board. There is a disparity in every area of dentistry, including academics, private practice and organizations. Women dentists need a voice and a place where they can feel supported, nurtured and given opportunities for leadership training. That is why the AAWD has existed for 95 years and continues to exist today.

We started 2016 with a new management firm, International Association Management, located in Pensacola, FL and a new Executive Director, Ms. Donna Deans.

Although the transition from a Chicagobased firm took several months, we are excited to be fully established with a new website (www.aawd.org) in addition to new branding. We have a very active Facebook page that is updated daily and sees heavy activity.

On the national level, AAWD has become active in Washington, DC with the Organized Dental Coalition, chaired by the ADA Washington office. We have welcomed several new corporate members to assist women dentists in private practice, especially with ergonomic needs. In

addition, we have partnered with the Society of Women’s Health Research, also located in DC, for the planning of a Round Table Discussion to be held in 2017 which will increase awareness both in news media and in Congress of health concerns for our female patients, particularly those with oral effects, such as those brought about by pregnancy, autoimmune disease (scleroderma,etc.), and menopause.

Dr. Tamara Berg and Dr. Mary Martin at the 2015 AAWD Conference after being sworn in as the 2016 Vice President and President, respectively.

We have also reached out to other dental organizations, in an effort I named, “Bridging the Gap.” There are so many groups that are all trying to accomplish similar goals. I believe we should keep in touch for areas of common interest in order to work together. To that end, I have attended meetings with the Lucy Hobbs Project, the Alpha Omega Dental Fraternity and the Academy of General Dentistry. In addition, our new management team and I traveled to Chicago in May to meet with the ADA Executive Director and staff in order to explore potential areas of mutual interest.

(The Lucy Hobbs Project is a division of Benco International that focuses on women in dentistry and promoting their dental careers. The Alpha Omega Dental Fraternity is the oldest dental fraternity in the United States, started by dental students at the University of Maryland in 1907 to stop discrimination. They are a philanthropic organization that works to provide better access to oral health to those underserved.)

On local levels, AAWD is thrilled to announce that we have several new chapters across the United States, including Puerto Rico. There is also a growth in Student Chapters with the establishment of new dental schools. Meeting with these students has me feeling very optimistic and filled with pride at their enthusiasm for dentistry, especially in any area of giving back to those in need.

For those of us in Oklahoma, AAWD will continue to be in the news as our own Dr. Tamara Berg, past ODA president, will be installed in Denver this year as the President-Elect of the national organization.

I am so proud of how our state continues to have a national footprint in organized dentistry. We are well-known for hard work, energy and new ideas. Of course, we who live and work in this great state already knew that!

Congratulations to Dr. Kay S. Beavers on her appointment as Director of Academic Affairs for the 2017 American Association of Women Dentists Board!

Dr. Beavers works in the Oral Diagnosis Department at the OU College of Dentistry.

www.okda.org

29

OKLAHOMA DENTAL FOUNDATION

Externs Gain Valuable Experience with MobileSmiles

John Fullington (OUCOD DS4), Jordan Blalock (MobileSmiles Oklahoma staff) and David Brown (OUCOD DS4) inside one of the mobile dental units.

By Kaylan Goodwin

MobileSmiles Oklahoma is only as successful as the partners that work alongside them. Two partners, The University of Oklahoma College of Dentistry (OUCOD) and the Delta Dental of Oklahoma Oral Health Foundation, have helped create a unique relationship that benefits dental students, patients in need of treatment and communities across the state of Oklahoma.

The Senior Externship Program at OUCOD is designed to enhance, expand and extend the clinical education and service-learning experiences of dental students in a diverse, community-based setting. Marsha Wilkes Beatty, Director of the Senior Externship Program at OUCOD, believes that partnering with MobileSmiles contributes to the accomplishment of this program’s goals in a significant way.

“Our focus is on giving the students an opportunity to see, to better understand and then to actually help address the realworld oral health needs that exist within underserved and vulnerable populations,” Beatty said.

Students are generally assigned to at least two, two-week rotations during the DS4 year in federally qualified health centers, tribally operated facilities, Indian Health Service sites and nonprofit dental clinics throughout the state. The overall goals are to enhance student clinical skills while having a positive impact on access to care.

MobileSmiles is one of the options for the externship requirement.

“Through our partnership with the extern program, we are able to send our 30 journal | November/December 2016

mobile units with externs on board into communities that may have no medical care at all,” John Wilguess, Executive Director of the Oklahoma Dental Foundation, said. “At these sites, dental students are experiencing a completely different view of what the real world of medicine looks like in Oklahoma.”

Typically, two dental students are assigned to the primary MSO unit each time it is deployed and they each provide a variety of clinical services to an average of six patients each day, all under the supervision of a preceptor dentist. Drs. Linda Otis and Allen Keenan serve as preceptors for this partnership.

“The opportunity for our students to provide dental care for patients in the various high-need communities that MobileSmiles goes into and the diverse patient populations that MobileSmiles serves makes our partnership especially meaningful,” Beatty said.

Dental students that participate in externship rotations with MobileSmiles consistently report these experiences as highlights of their dental education that both challenged and helped develop more speed and confidence in their clinical skills.

As the externship program director, Beatty reports that she receives more student requests for MSO rotations than for any other externship site.

“Currently, approximately half of our seniors have an opportunity to participate in externship rotations with MSO, and we are especially thankful for the generous funding from the Delta Dental of Oklahoma Oral Health Foundation that helps make this possible,” Beatty said. “Our ultimate goal is for each and every one of our students to participate in at least one MSO rotation at some point during his/her senior year.”

According to Wilguess, this partnership program is significant, for both the communities served and the three partners that make it possible, because it simultaneously looks both backward and forward.

“It looks backward by giving dental students the opportunity to help heal individuals that have damaged oral health - sometimes due to their own poor oral health habits and sometimes due to circumstances that have happened to them,” Wilguess said. “It also looks forward by providing students with a look into what the world of poverty, addiction and rehabilitation looks like so that it impacts the way they practice dentistry after graduation.”

Learn more about MobileSmiles at www.mobilesmilesok.org

2016 Extern Sites •

Allies for Better Living

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OKC Metro Alliance’s Men’s Firstep

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Arubah Community Health Clinic

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Beautiful Dream Society

OKC Metro Alliance’s Women’s Firstep

Stillwater Community Health Center

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Texas County Health Coalition

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Blackwell Elementary School

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Positive Tomorrows

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The Ministry Center

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Coal County Health Department

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Providence of Oklahoma

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Elite Counseling and Mental Health Services

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Pushmataha County Health Department

Washington County Wellness Initiative

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Enid Community Health Center

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ReMerge

Western Family Care Center’s Hope Dental Clinic

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First Baptist Church, Durant

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First Baptist Church, Madill

Sooner Success, Major County and Fairview Elementary School

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Garfield County Drug Court

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South Western Oklahoma Development Authority

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Green County Pilot Club

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Neighbors Along the Line

Southeastern Oklahoma State University

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OKC Metro Alliance’s City Rescue Mission

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Southern Oklahoma Development Authority

A partnership program of

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www.okda.org

31

LEGISLATIVE LOOP Legislative Session Overview & Political Update

ADA Urges CMS to Postpone Part D Enrollment Rule Enforcement The ADA filed comments on Sept. 23 with the Centers for Medicare & Medicaid Services, urging regulators to postpone the enforcement date of the Medicare Part D prescriber enrollment rule. The agency has already postponed enforcement a number of times since it first promulgated the rule in 2014, with the most recent postponement setting the date for Feb. 1, 2017.

since Medicare covers very few dental items and services, many (perhaps most) dentists have little incentive to enroll in Medicare other than in connection with CMS program integrity initiatives in the proposed rule," wrote ADA President Carol Gomez Summerhays and Executive Director Kathleen T. O'Loughlin in a letter to Andy Slavitt, CMS acting administrator.

and O'Loughlin also said since CMS "already has access to the information needed to maintain program integrity through the dentists' National Practitioner Identification numbers and adverse event reporting maintained through the National Practitioner Data Bank," it shouldn't require dentists to go through the Part D enrollment process.

Beginning Feb. 1, dentists who write prescriptions for Part D drugs must be enrolled in "an approved status or have a valid opt-out affidavit on file with Medicare in order for their prescriptions to be covered under Medicare Part D," according to CMS. The ADA is "on record as opposing the application of such requirements to dentists, in part because,

While applauding CMS' goal to prevent fraud, waste and abuse, ADA President Carol Gomez Summerhays and Executive Director Kathleen O'Loughlin, in a letter to Andy Slavitt, CMS acting administrator, wrote that "proceeding with the current date would cause disruption to the effective treatment of our patients who are Medicare beneficiaries." Drs. Summerhays

The ADA continues to lobby for H.R. 4062, bipartisan legislation introduced in 2015 that calls for removing the mandate that Part D prescribing health care providers be enrolled in Medicare in order for pharmacists to be reimbursed.

Visit ADA.org/Advocacy for more information.

TopGolf Event Raises Funds for DENPAC Members of the ODA along with their friends, family and staff had a great time attending the TopGolf DENPAC Fundraiser in September. Dr. Edmund Braly presented The Zika Virus Update to more than 30 attendees, making the 2016 fundraiser a huge success!

Thanks to our sponsors, First Liberty Bank, Dr. Douglas Auld, Bridges Dentistry by Design, Brush Pediatric & Family Dentistry and Dr. James Torchia!

We appreciate your support!

32 journal | November/December 2016

PROTECT YOUR PROFESSION Mark your calendar for OKLAHOMA DENTAL ASSOCIATION’S

DENTIST DAY AT THE CAPITOL

March 1, 201 7 RSVP ONLINE AT WWW.OKDA.ORG

2016 Campaign Contributions SENATE

HOUSE OF REPRESENTATIVES

JJ Dossett $1000

Meloyde Blancett $500 Carol Bush $500 Chad Caldwell $500 Kevin Calvey $1000 Josh Cockroft $500 Donnie Condit $500 Jon Echols $500 Regina Goodwin $250 Claudia Griffith $1250 Katie Henke $500 Scott Inman $1000 Chris Kannady $1000 Dan Kirby $500 Ryan Martinez $500 Charles McCall $2500 John Michael Montgomery $500

Kay Floyd $500 James Leewright $500 Kyle Loveless $500 Bryce Marlatt $1000 Kevin Mathews $500 Dan Newberry $1000 Joe Newhouse $1000 Adam Pugh $1000 Dave Radar $3500 Wayne Shaw $500 Gary Stanislawski $1000 Greg Treat $1500

Glen Mulready $500 Cyndi Munson $1000 Casey Murdock $500 Tom Newell $1000 Monroe Nichols $250 Terry O’Donnell $1000 Leslie Osborn $1000 Mike Osburn $500 James Scooter Park $250 Eric Proctor $500 Brian Renegar $500 Sean Roberts $1000 Mike Rogers $500 Mike Sanders $1000 Emily Virgin $250 www.okda.org

33

THANK YOU 2016 DENPAC Members!

Dr Jeffrey Ahlert Dr Adelaide Allen-Steed Dr Jim Ambrose Dr Clay Anderson Dr Jamie Ariana Dr Marc Arledge Dr Glenn Ashmore Dr Douglas Auld Dr Lauren Avery Dr Jeffrey Baggett Dr Robert Baumann Dr Justin Beasley Dr William Beasley Dr Brandon Beaver Dr Kari Bender Dr Tamara Berg Dr David Bird Dr David Birdwell Dr Elizabeth Bohanon Dr Blaire Bowers Dr Ryan Brackett Dr Edmund Braly Dr C Todd Bridges Dr Nathan Brown Dr Richard Brown Jr Dr Steven Brown Dr Robert Bryan II Dr Blake Bullard Dr Adam Bulleigh Dr William Burchard Dr Bonnie Burton Dr Patricia Cannon Dr Wuse Cara Dr William Carter Jr Dr Mary Casey-Kelly Dr Conrad Casler Jr Dr Brian Chastain Dr Stephen Chastain Dr Tennille Cheek-Covey Dr Brian Coerver Dr Matthew Cohlmia Dr Adam Cohlmia Dr Ray Cohlmia Sr Dr Matt Cole Dr Debbie Corwin Dr James Corwin

Dr Lester Cowden III Dr Karen Cox-Haymaker Dr Stanley Crawford Dr Audrey Crawford Dr Jeffrey Danner Dr Russell Danner Dr Susan Davis Dr David Deason Dr Steven Deaton Dr Michael Dial Dr Myrna Domoney Dr Brian Drew Dr Timothy Fagan Dr Barry Farmer Dr John Folks Dr Richard Freeman Dr Emily Frye Dr Cathy Fuchs Dr Danny Fuchs Dr John Garrett Dr Chad Garrison Dr Tracy Gasbarra Dr Stephen Glenn Dr Michael Gliddon Dr Mark Goodman Dr Matthew Gray Dr Jerry Greer Dr Evangeline Greer Dr John Groves Dr Robert Gruenberg Dr James Hackler Dr Jacob Hager Dr Kevin Haney Dr Michael Hansen Dr Leslie Hardy Jr Dr Aaron Harman Dr Joe Harris Dr Edward Harroz III Dr Richard Haught Dr Somer Heim Dr Vernon Heim Dr Richard Henry Dr Robert Herman Dr Jeffrey Hermen Dr James Herndon Dr Richard Hollander

Dr Mathew Hookom Dr James Hooper Dr Clifford Hooper Dr Brad Hoopes Dr Mitchell Hoopes Dr Scott Hubbard Dr Donald Johnson Dr Eugenia Johnson Dr Krista Jones Dr Mohammad Karami Dr Mark Kelly Dr Thomas Kierl III Dr James Kierl Dr Larry Kiner Dr DeNae Kirkpatrick Dr Jennifer Koonce Dr Gene Koop Dr Mitchell Kramer Dr Jay Kruska Dr Robert Lamb Dr Ashley Lanman Dr Larry Lavelett Dr Grady Lembke Dr Dennis Leseberg Dr Marti Levinson Dr Robert Livingston Dr Eric Loper Dr Juan Lopez Dr Gary Lott Dr Pamela Low Dr James Lowe Dr Jeff Lunday Dr Steve Lusk Dr R Raymond Lyle Jr Dr David Maddox Dr Kevin Mailot Dr Joseph Massad Dr Mark Massaro Dr Stephen Mayer Dr Jandra Mayer-Ward Dr Eugene McCormick Dr Michael McKinney Dr Daniel McNair Dr Glenn Mead Dr Richard Miller Dr Robert Miracle

Dr Andrea Montgomery Dr Patrick Montgomery Dr Dennis Morehart Dr Robert Morford III Dr Jack Morrison Dr Paul Mullasseril Dr Warren Murray Dr James Murtaugh Dr James Nicholson Jr Dr Jana Oister Dr Alan Owen Dr Samuel Owens Dr Bennett Parks Dr Justin Parks Dr Garrett Phipps Dr Jeffrey Pierce Dr Raymond Plant Dr Justin Power Dr Karen Reed Dr David Reiter Dr Jimmy Richardson Dr H Grant Ritchey Dr Ryan Roberts Dr Erin Roberts-Svob Dr Thomas Rogers Dr Brant Rouse Dr Nicki Schafer Dr Robert Schick Dr Lance Schmidt Dr Terry Schreiner Dr Brandon Schultz Dr Andrea Scoville Dr Drake Sellmeyer Dr G Meghan Sellmeyer Dr Kyle Serfoss Dr Carrie Sessom Dr Paul Shadid Dr Greg Shanbour Dr John Sheets Dr Floyd Simon Jr Dr Lindsay Smith Dr Larry Smith Dr Brooke Snowden Dr Geoffrey Sparks Dr Rachel Standlee Dr Robert Steele

Dr J Michael Steffen Dr Daniel Stipe Dr Amy Stone Dr B Dan Storm Dr James Strand Dr Jackson Sullivan Dr Carla Sullivan Dr Marc Susman Dr Joe Swink Jr Dr Jim Taylor Dr Diana Thien Dr Paul Thomas Dr Kara Tims Dr James Torchia Dr Vic Trammell Sr Dr Steve Truong Dr Charles Tucker Dr Jonah Vandiver Dr Nathan Villines Dr Brett Warn Dr W Scott Waugh Dr Robert Webb III Dr Mark Weems Dr Robert Wells Dr Stephanie Wendt Dr Jonathan White Dr Robin White Dr Quint Whitefield Dr Susan Whiteneck Dr Mark Whitney Dr Daniel Wilguess Dr V Ralph Willcox Dr Vincent Willcox Dr Thomas Williams Dr Jack Willoughby Dr Ronald Winder Dr John Wood Dr Patrick Woods Dr William Wynn IV Dr William Yadon Dr Kendra Yandell

K

CAPITOL CLUB Names in Blue are 2016 OKCapitol Club Members

DENPAC works to elect state legislative and official candidates who understand the importance of dentistry and have proven through their support of our initiatives that they are friends of our profession. Regardless of party affiliation, DENPAC supports candidates who will be strong advocates for dentists and the patients we serve. Our DENPAC Board, in consultation with our ODA lobbyist, Scott Adkins, carefully reviews and determines which Oklahoma legislators receive our DENPAC contributions. The distributions are provided to those legislators who hold key policy making positions on committees of importance to our profession.

We will each receive our 2017 membership renewals in the mail next month. Please send in a contribution to DENPAC with your 2017 membership dues. Please pay your 2017 DENPAC/ADPAC membership of $170 ($50 to ADPAC) and please consider increasing your contribution to the OKCapitol Club level of $470 total. Together, we can work to preserve, protect and improve our profession for ourselves, as well as for the next generation.

- Lindsay A. Smith, DDS, DENPAC Chair 34 journal | November/December 2016

Are you Compliant with Section 1557?

The final rule of the U.S. Department of Health and Human Services Section 1557 of the Affordable Care Act protects individuals from discrimination in health care on the basis of race, color, national origin, age, disability, and sex, including discrimination based on pregnancy, gender identity, and sex stereotyping.

A dental practice is covered by the Section 1557 final rule if it receives certain kinds of government funds, such as reimbursement under Medicaid, or CHIP, or “meaningful use” payments. In addition, the government has taken the position that the final rule applies to a dental practice that receives reimbursement under Medicare Advantage (Medicare Part C), whether the plan reimburses the dentist or the patient.

The rule requires a covered dental practice to post two kinds of notices: •

A notice of nondiscrimination,

•

Taglines in the top 15 non-English languages spoken in the state indicating that language assistance services, free of charge, are available

The deadline to comply with the regulations was October 16, 2016.

The ADA developed a number of free materials and resources to help you comply with this new rule including a webinar, FAQs, and the state-by-state ADA sample taglines indicating that language assistance is available for patients with limited English proficiency who need interpretation or translation services.

For more information and all of the ADA members-only resources, visit ADA.org/1557.

O KLAHOMA H EALTH P ROFESSIONALS P ROGRAM Since 1983, the Oklahoma Health Professionals Program (OHPP) has provided services to over 1,000 physicians and health care providers with alcohol and chemical dependence. OHPP is an outreach program designed to support and monitor medical and allied health professionals throughout Oklahoma who are experiencing difficulty with substance abuse.

The OHPP continues to be a leader nationally in identifying problems, assisting in treatment, and returning to practice physicians who have suffered from substance abuse or dependency.

OHPP services are confidential and include expert consultation and intervention designed to encourage physicians to seek help for substance abuse and behavioral concerns.

When an individual contacts the OHPP about a physician or about himself or herself, the director or designated associate director assesses the situation and assists in guiding the physician.

Participation with OHPP is voluntary and confidential.

OHPP will strongly urge a professional who is ill to get help, and although OHPP does not provide direct treatment, we will suggest specific treatment options.

We respond to the concerns of families, colleagues, and hospitals by providing coordinated interventions and referrals to treatment.

In addition, OHPP hosts a number of support group meetings open to all professionals, medical students, residents in recovery as well as those seeking peer support.

OHPP recognizes the difficulty of reporting a colleague who may be impaired. Because of the potential risk to patient care, OHPP encourages medical professionals to make referrals if a problem exists, no matter how long there has been a problem.

Direct Line: (405) 601-2536 Confidential Fax: (405) 605-0394 Robert Westcott, MD - Director

OKLAHOMA HEALTH PROFESSIONALS PROGRAM For more information on this ANONYMOUS program available to ODA Members, please call the 24-hour hotline at 405.601.2536. www.okda.org

35

ODA MEMBER SPOTLIGHT

Miranda Ruleford, DDS Okmulgee, OK

By Tina Evans, Director of Communications and Education

It is not uncommon for Oklahoma dentists to care about their patients beyond their oral health. What might be considered uncommon is a dentist purchasing a car for a patient. But that is exactly what Dr. Miranda Ruleford did and, even more astounding, she had not ever met the patient before.

Tamra Johnson, one of Ruleford’s front office staff members, volunteers with Catholic Charities and heard about a mother of three who had recently fled a dangerous situation with her ex-husband.

Stephanie and her children had left their home with nothing but the clothes on their backs. Johnson shared this story with Ruleford and the Okmulgee Family Dentistry staff. Initially, Ruleford assisted the family with household items such as kitchen supplies and a television, stand and digital antennae.

Stephanie was now a single, working mother without a car in a city without public transportation. When Ruleford discovered this she began to shop for a suitable car for this family. She began by posting on Facebook asking if anyone had a

36 journal | November/December 2016

car for sale. Then one of her friends, Lauren Houston, offered to donate money toward the purchase of the car, so Ruleford decided to post again on Facebook to see if anyone else would do the same. Lance Russell, owner of International Dental Arts in Tulsa, and Wes Holmes, a personal friend, made sizable donations in response to Ruleford's request. The money she received allowed her to buy a car with title, have a few necessary repairs made, and pay for a few months’ worth of car insurance.

On the day Stephanie and her three children first visited Ruleford’s office, she and her staff presented Stephanie with her new car. Stephanie was completely shocked, and so thankful that she cried.

She told Ruleford that often she had to walk home five miles from work at night. “That impressed me that she was so dedicated when so many people just don't even seem to try to help themselves,” said Ruleford.

“Those are the people I enjoy helping the most, the ones that need a helping hand, not just a handout.”

Stephanie and her children are not the first family Ruleford and her staff have helped.

Dr. Miranda Ruleford gave a car to a single mother of three who left a dangerous marriage.

She has a few patients who foster children so she buys them clothes at the beginning of each new season; this year, she gave them each an Easter basket. She also helps her senior patients. The last few years her office staff has sponsored a local nursing home, Rebold Manor, and provided gifts of blankets, lotion and word searches.

Ruleford is a 2006 graduate of the OU College of Dentistry and worked for Creek Nation in Coweta for more than three years before joining a pediatric office in Tulsa. In 2014, she entered private practice in Okmulgee where she enjoys the small town atmosphere and the kindness of her patients.

Watch Dr. Miranda Ruleford and her staff present a single mother with a car. Visit the What's New section at okda.org

Dr. Sneha Patel to participate in the ADA's Institute for Diversity in Leadership Dr. Sneha Patel, a native of Yukon and 2015 graduate of the OU College of Dentistry, has been selected by the American Dental Association to participate in the 2016-17 class of the ADA Institute for Diversity in Leadership. Made possible through the generous support of Henry Schein, Inc. and Procter & Gamble, this competitive program is designed to enhance the leadership skills of dentists of racial, ethnic and/or gender backgrounds that have traditionally been underrepresented in leadership roles. About her selection Patel said, “I am so honored and excited to grow as a leader and network with like-minded individuals across the country.”

During the program year, Patel and 15 other Institute class members will develop their leadership abilities through faculty seminars and experience designing and leading projects for their dental associations or other community organizations. They will work with leading educators from Northwestern University’s Kellogg School of

Management and Duke University’s Fuqua School of Business.

“My primary goal is to plan and implement a project that helps to improve oral health in Oklahoma, if even in the slightest way,” Patel said. “I hope to inspire other dentists in our state to actively lead and promote oral health in their local communities.”

Patel has been practicing in her hometown of Yukon at Family Dentistry for the past 10 months. She is a seasoned volunteer, having served in organizations such as the Oklahoma Dental Foundation’s MobileSmiles program, the Good Shepherd Mission, OkMOM and Remote Area Medical. While in dental school, she was also very involved with the Staples Society, OUCOD’s community service organization.

Along with being a member of the ODA/ ADA, Patel is also a member of the Oklahoma Association of Women Dentists and the Academy of General Dentistry.

Patel believes in organized dentistry. “ODA/

ADA is the voice for me and every other dentist in our state and in the country,” said Patel. “When we unify, we can make the biggest impact in our communities and we can achieve the greatest results in addressing our goals.”

Congratulations Dr. Patel!

www.okda.org

37

Nico Gomez Resigns from OHCA The Oklahoma Dental Association would like to take this opportunity to express its appreciation to Nico Gomez, who retired from the Oklahoma Health Care Authority on September 30.

Gomez joined the OHCA in 2000, and in 2005 he was appointed by the Speaker of the House of Representatives to serve on a state Medicaid reform task force. By 2008, he had been named a deputy CEO for the agency.

During his tenure in that position, he was responsible for communicating with state legislative and congressional officials as well as leading several OHCA business units, including government relations, public

information, reporting and statistics, tribal relations and child health. On February 1, 2013, he was appointed Chief Executive Officer of the Oklahoma Health Care Authority.

Gomez has a degree in journalism and public relations from the University of Oklahoma, and a Master of Business Administration (health care administration) from Southern Nazarene University. In addition, he has served as a member of the board of education for Bethany Public Schools, and as a trustee for the Bethany Public School Foundation.

While the OHCA has gone through significant changes in funding and scope during his tenure, Gomez has always worked closely with Oklahoma dentists to protect the programs for underserved dental patients, particularly children. He has always been proactive in seeking the ODA’s input on the Medicaid dental programs, and for that, we will always be grateful.

Serving Dentists for Over 15 Years

The ODA wishes Nico Gomez well in his new endeavors in the private sector.

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39

ODA COVER STORY

Community Dental Health Coordinator Program

By Dr. Timothy Fagan and Dr. Jane S. Grover In 2004, the American Dental Association set up a task force to determine how best to meet the needs of dentally underserved rural, urban and American Indian communities. Two years later, the ADA established the Community Dental Health Coordinator (CDHC) Pilot Program as one component of a unified effort to break through the barriers that prevent people from receiving regular dental care and enjoying optimal oral health. That effort eventually became the ADA’s Action for Dental Health campaign.

The pilot program was conducted at three sites, including the University of Oklahoma College of Dentistry (OUCOD). While the political realities of conducting the pilot program were difficult, persistence and strong leadership won out. The program concluded in 2012, with analysis of data from over 80 case studies conducted the following year. Two clinical protocols taught in the pilot, placing interim restorations and periodontal scaling, were not well utilized during the internship phase of the program and were eliminated from the “basic” curriculum. Their removal has resulted in a curriculum that does not require a change to a state’s Dental Practice Act since there is no expansion of clinical scope of duties with the CDHC. (The revised program has brought national recognition not only to the CDHC concept but also to the OUCOD for its role in the program’s development).

The CDHC pilot program sought to develop community health workers with oral health knowledge. The thirty-four participants 40 journal | November/December 2016

that completed the program had diverse backgrounds; they included dental hygienists and assistants, and even individuals with no previous oral health background.

The curriculum was taught in an online format with several in-person meetings over the length of training. A certificate was granted after the program was completed. The program’s new CDHCs now work in eight states across the country, including several in Oklahoma. They are not “mid-level providers”.

CDHCs may provide preventive services, such as placing fluoride varnish, if their State

Since the pilot’s Dental Practice Act allows, but their true value lies in their community work, including oral health promotion and prevention, patient navigation and case management. conclusion, it is clear that the CDHC on community outreach, coordination of curriculum can care, educational and social interventions in be easily integrated into existing dental the community, and prevention. With the assistant or dental hygiene curricula. The expansion of Medicaid in so many states current online CDHC training modules and statistics showing that only half the break into “stackable” credits, which a people with commercial dental insurance community college or technology center actually use it, the time is right to discuss can conveniently overlay into their own the true value of this important new existing dental assisting or hygiene addition to the dental team. curriculum, so that their graduates can earn a CDHC certification.

CDHCs are trained to: CDHCs emphasize case management, patient navigation and community/ individual oral health prevention. They are trained to interact in the dentally underserved communities in which they work. As culturally competent professionals, they understand the people, language and barriers to oral health in these communities. In many cases, the CDHCs come from the very communities in which they interact. They know firsthand the challenges that people encounter daily when they seek to improve their oral and overall health. CDHC training also focuses

•

Access the oral health needs within a community and determine what resources are available;

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Work under a dentist's supervision in clinics, schools, and other public health settings with people of various ethnic, racial and cultural backgrounds;

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Collect information to assist dentists in triaging patients;

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Address social, environmental and health literacy issues to enhance patient understanding of oral health and its

Continue on page 42

ODA FEATURE

Therapeutic Treatment of Gingivitis: No Longer a Loss Leader

By Patti DiGangi, RDH, BS Empty chair time, particularly hygiene chairs, equals lost revenue for dental practices everywhere. It is easy to think that patients believe dental care is becoming too expensive and so they do not schedule or show up for appointments, yet research shows that patient priorities are changing. Understanding shifting patient priorities and a new CDT code can give your patients more reasons to return regularly.

Savvy Dental Consumers Getting patients to come in for routine hygiene care is the most common business strategy used by dentists to attract and keep patients. Although this loss leader strategy may have worked in the past, it has become less and less successful. Loyalty connections don't hold the same sway as they once did.

Dental patients are consumers. Being due for a hygiene appointment no longer motivates the majority of consumers to make and keep these appointments. Advertised cost savings might attract some but many will often not stay patients once the incentive is gone. Savvy consumers need specific reasons to return.

Dentistry needs to make sure our patients know the difference between preventive procedures intended to reduce the likelihood of disease and the actual treatment of that disease. Treating gingivitis, for example, may help prevent or at least reduce the risks of death from oral cancers, pre-term births, strokes and heart attacks, diabetes and Alzheimer’s disease, to name just a few. This provides tangible reasons to return.

Preventive vs. Therapeutic Coding has contributed to the confusion regarding the need for treatment. Imagine that your patient presents with inflamed, hemorrhagic gingiva, light-to-moderate subgingival calculus and generalized pseudopocketing. Throughout the history of Current Dental Terminology (CDT) coding, there have been no truly accurate codes for the treatment of this patient’s needs. This has affected both the patients and our own understanding and communication.

A persistent and erroneous view has been that because gingival disease can be

reversed, it is not serious. However, biofilm pathogenicity and oral-systemic effects are not limited just to cases where there is bone loss. This tenacious belief that gingivitis is not serious has been supported and perpetuated by having a single CDT code for prophylaxis as the only choice for both the preventive care and as the treatment for early disease.

In 2017, the story will change. A new dental benefit code, D4346, has been designated for scaling in the presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation*. This code will give us new opportunities to elevate the standard of care while also boosting our bottom lines.

This new code does not appear in CDT’s Preventive category with the prophylaxis codes; it is in the Periodontics section. This is significant because it recognizes the D4346 procedure as therapeutic, not preventive. The prophylaxis codes (D1110/D1120) designate preventive procedures intended to reduce the likelihood of disease; the new D4346 code defines a treatment procedure for a patient presenting with gingivitis, a diseased state that requires treatment.

Moderate to Severe Inflammation Studies from the Centers for Disease Control and Prevention estimate that 64.7 million American adults have periodontitis with moderate to severe bone loss. The remaining 50+% are being treated under D1110/ D1120 prophylaxis codes. How many of your patients can you accurately state have moderate to severe inflammation? That answer is not evident because inflammation has not traditionally been documented. You were basically flying blind when it comes to managing this disease across your entire patient base.

We know that many children have gingival disease. Biofilm pathogenicity is not limited by bone loss and also not limited by age.

How many children have moderate to severe inflammation? The answer is even less evident because documentation of periodontal conditions in children has not been our tradition. The new D4346 code does

not have age limitations and is applicable for the treatment of children. This may totally change our definition of who is at risk for periodontal disease and who we should screen.

Major Opportunities Ask a hygienist how many truly healthy patients they see; the number will likely be very low. Most patients present with some level of active disease. Using preventive procedures intended to prevent or reduce the likelihood of disease does not make sense when disease is already present. The horse has already left the barn, so to speak.

Code D4346 provides the opportunity to identify this disease process and treat it therapeutically. The code also provides a way to consistently communicate the importance of treatment of early disease and oralsystemic connections, and gives our savvy consumer patients reason to return to the practice. * License to use ADA CDT codes granted to Patti DiGangi, RDH, BS. The dental procedure codes (“Code”) are owned and published by the ADA in its reference manual Current Dental Terminology (“CDT”). The ADA is the exclusive owner and copyright holder of the CDT (including the Code) as well as of the ADA Claim Form.

Patti DiGangi, RDH, BS is an international speaker passionate about prevention who works with dental professionals to improve practice profitability. She is the author of the 2016 book A Gingivitis Code Finally!, the fifth book in the DentalCodeology series of bite-size books for busy people. She authored a chapter in CDT 2017 Companion. Patti holds publishing and speaking licenses with the American Dental Association for Current Dental Terminology and SNODENT Diagnostic Coding. She is a proud member of the National Speakers Association.

Patti DiGangi is presenting at the 2017 ODA Annual Meeting April 28-29, 2017 in Tulsa. Learn about her courses at okda.org/annual-meeting. www.okda.org

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Continued from page 40 importance to overall health; •

Provide dental health education and help people develop goals to enhance their oral health;

•

Coordinate care in accordance with a dentist's instructions; and

•

Help patients navigate the complexities of the health care system.

CDHCs may provide preventive services, such as placing fluoride varnish, if their State Dental Practice Act allows, but their true value lies in their community work, including oral health promotion and prevention, patient navigation and case management. These skills are explicit parts of the CDHC curriculum.

Why do patients need navigation and case management? Case management has been defined as the coordination of care that a patient may need to maximize access to care and overall health outcomes.

This includes explaining procedures in plain language, ensuring transportation to appointments, arranging translation services as needed, and following up with support services. As much as most dentists like to think that patients understand what treatment they need, studies prove that is not true in many cases.

In some circumstances, patients with commercial insurance may not know how to access a dental office. Just picking up the phone and making an appointment can be confusing and overwhelming for many people. They may be unsure of which dental office accepts their insurance and how to begin a treatment series. CDHCs help patients find dental offices that accept their insurance, have office hours that fit their work or school schedules, and answer questions regarding how long treatment may take.

With community mapping, oral health promotion and knowledge of program eligibility, CDHCs help patients navigate into the health care delivery system, public or private, that best fits their needs.

These personalized navigational skills have been shown to greatly reduce patient no show rates. As community health centers and public health clinics well know, patients express many barriers to keeping appointments. CDHCs are trained to effectively help patients overcome these obstacles and track patients to completion.

Medical/dental collaboration is a prime area where a CDHC’s knowledge of the importance of oral health to overall health comes to the fore. The ADA and the American Academy of Pediatric Dentistry agree that the first dental visit should occur by 12 months of age. Many pediatricians appreciate this policy, but guiding parents and young patients to dental homes typically involves only the pediatrician making the suggestion. With a CDHC’s assistance, these families may be directly appointed into the schedule of an appropriate dental office.

CDHCs often spend time in nursing homes or assisted living facilities performing oral health screening services (where permitted by their state’s Dental Practice Act) and making referrals to a dental office. Of added value is the CDHC’s ability to provide in-service training to nursing home personnel on oral health care, especially addressing the care and maintenance of dentures.

The ADA and the American College of Obstetrics and Gynecology collaborated on a Joint Consensus Statement several years ago that reinforced the importance of oral health during pregnancy, emphasizing that it is safe for women to receive necessary preventive, emergency

and restorative care throughout their pregnancies. This largely unknown information, coupled with the uncertainty of locating dental services, can be made available by CDHCs that could provide oral health education and navigation for pregnant women.

There are now seven states that currently or will soon offer the CDHC program.

These include: California, Arizona, New Mexico, Illinois, Virginia, Florida and Kentucky. Approximately 80 students are enrolled in these programs, with over 100 expected by the end of the year. Oklahoma has a high probability of a program “reboot” in the new format.

What additional information is important in this discussion? Four new dental case management codes were approved by the ADA’s Code Maintenance Committee this year and are now under consideration by third-party payers. Case management, coordination of care, health literacy efforts and motivational interviewing have been compensated in the medical world for years. Now, perhaps, the importance of these areas to dentistry will be realized as well.

Oklahoma dentists believe that ALL Oklahomans deserve dental care from or under the supervision of a licensed dentist. Through their efforts, CDHCs will aid dentists in this endeavor.

Timothy Fagan, DDS, MS is the District 12 representative to the ADA’s Council on Access, Prevention and Interprofessional Relations.

Jane S. Grover, DDS, MPH is the Director, Council on Access, Prevention and Interprofessional Relations (CAPIR) in the division of Government/Public Affairs at the American Dental Association.

For more information on the Community Dental Health Coordinator Program, visit

ADA.org.

42 journal | November/December 2016

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2 The 0% introductory APR applies to purchases and is valid for the first 12 billing cycles. The 0% introductory APR applies to balance transfers made within 30 days of account opening and is valid for the first 12 billing cycles. The introductory rate does not apply to cash advances. Thereafter, the APR may vary and as of 10-12015, the undiscounted variable APR for Purchases and Balance Transfers is 9.99% – 21.99% (based on your creditworthiness). The variable APR for Cash Advances is 23.99%. Cash Advance fee: 4% of each advance amount, $10 minimum. Convenience Check fee: 3% of each check amount, $5 minimum. Cash Equivalent fee: 4% of each cash amount, $20 minimum. Balance Transfer fee: 3% of each transfer amount, $5 minimum. There is a $2 minimum interest charge where interest is due. The annual fee is $0. Foreign Transaction fee: 2% of each foreign purchase transaction or foreign ATM advance transaction in U.S. Dollars. 3% of each foreign purchase transaction or foreign ATM advance transaction in a Foreign Currency. We apply your minimum payment to balances with lower APRs first, including promotional APRs. Amounts paid over the minimum payment will be applied in the order of highest to lowest APR balances.

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44 journal | November/December 2016

2017 ODA CE Getaway Choctaw Casino Resort Durant, OkLahoma June 9 - 11, 2017 Best local Casino Games Luxurious Rooms & Delicious Dining

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CLASSIFIEDS Looking to fill an open position in your office, need to sell dental equipment or a practice? Check out the latest listings below and visit okda.org/classifieds for additional listings.

JOB OPENINGS

JOB OPENINGS

EQUIPMENT FOR SALE

Dentists Wanted Renew Sleep Solutions is expanding nationwide, and soon opening centers in Tulsa and Oklahoma City. We bring relief to snorers and apnea sufferers by combining sleep medicine specialties under one roof; making them easily available to people who suffer from sleep disorders and associated health problems. We offer a one-stop-shop for the leading FDA approved custom oral appliance replacing CPAP and surgery for most patients. We are seeking seasoned, licensed dentists with exceptional reputation and chair-side manner to join our team as we expand across America – opening neighborhood treatment centers in proximity to our future patients Contracted dentists will have the opportunity to provide exceptional patient care and enjoy high earning potential; approximately 10-15 hours per week to start and the support of a team of registered dental assistants and practice managers all without the costs and stress of practice ownership or staff management. Your schedule will expand to three full days weekly as the practice grows. We would like to speak with you about opportunities to join our team if you are qualified and motivated to make a difference in this fast growing dental sleep medicine field of treatment.

Please email us your credentials or resume, and we would be happy to call you to discuss this exceptional opportunity. info@renewsleepsolutions.com

FQHC Opening in Tishomingo The Family Health Center of Southern Oklahoma in Tishomingo is currently looking to add a dentist to our team. We are an FQHC whose operating hours are Monday thru Thursday 7:30 am to 6:00 pm. We provide a wide range of services including basic restorative, removable prosthodontics, fixed prosthodontics, pediatric dentistry, extractions, and implant services. Benefits include paid health insurance, 401K match, paid vacation and sick time, and loan repayment. Any interested parties are requested to send resumes to Shanetha Collier at scollier@fhcso.org. Additional details, such as salary, can be provided to interested parties.

Questions can be directed to Shanetha Collier either via the email above or by phone at 580-3712343.

We specialize in repairing Kodak/Carestream, Dexis, Gendex & Schick CDR sensors.

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Associate Dentist Established in 1978, Stillwater Dental Associates is seeking associate dentist with desire to buy into practice. Initially 3-4 days per week. We are a relationship-based practice providing restorative services for families and individuals. Located in Stillwater, home of Oklahoma State University.

Super family oriented community, excellent downtown, emphasis on OSU and Stillwater school activities. Stillwater has a small town atmosphere without the large town problems and a short drive to either Tulsa and Oklahoma City. Email resume to: office@stillwaterdentalassociates.com.

Dental Office & Equipment for Sale in Norman Beautifully landscaped, stand alone, dental office for sale in Norman! 2408 Palmer Circle on the north side of town & just off Robinson & 24th St. NW. Aprox 3,000 square feet custom built in 1999: 6 operatories, private office, lab, sterilization area, business office, breakroom with kitchen, separate consult room. There is ADEC dental & provider chairs & delivery carts, Air Techniques air compressor, suction, computers....most of the necessities to start you to work!

For more information, call Susan Whiteneck at 405-321-6166 or 405-640-0788.

PRACTICES FOR SALE PRACTICE FOR SALE: TULSA. 6 OPS, DIGITAL AND Dentrix. Collecting more than $900K in 4 to 4 ½ day week with general dentistry. Located on busy street near Interstate. In attractive leased facility. Abundant parking Dr. retiring but may work for buyer on limited basis if desired.

Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE PRACTICE FOR SALE: ARDMORE, OKLAHOMA. $543,600 in a “casual” 4-day work week.

Untapped potential. Four operatories with Dentrix. Stand-alone building. Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE PRACTICE FOR SALE: NORTH-CENTRAL OKLAHOMA. $1M PLUS in 4-day work week.

Beautiful leased office with first class equipment, computers and support, staff, etc. This practice has it all!!! Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784.

FINANCING AVAILABLE PRACTICE FOR SALE: NEAR WICHITA, KS. $700K collected in year 2015 in 4- day week.

6- ops, 2 are for hygiene. Complete digital x-ray system (Shick) and Dentrix throughout office.

Custom dental office design and very unique to community. Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE PRACTICE FOR SALE: SW of Oklahoma City in a short commutable drive. Two part-time satellite practice. Very low overhead. Practice collected $722K in 2015 with very large profit margin. A serious money maker!! Call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784. FINANCING AVAILABLE THE OFFICES LISTED ABOVE MAY BE SEEN AT www.ppa-brokers.com or call Max or Jack at PROFESSIONAL PRACTICE ASSOCIATES at (405) 359-8784.

46 journal | November/December 2016

Submitting a classified ad is easy with our online form.

Find the submission form and more information at okda.org/classifieds.

Enjoy lunch, network with fellow women dentists and earn an hour of CE on leadership in dentistry from Cathy Jameson of Jameson Management

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TO REGISTER, CLICK HERE. FOR QUESTIONS, CONTACT KYLIE ETHRIDGE AT KETHRIDGE@OKDA.ORG OR CALL 405.848.8873

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48 journal | November/December 2016