March 2014 Nugget by Sacramento District Dental Society (SDDS)

the

March 2014

Debt Hanging Over Your Head Part of the dental dream Inside: Student Debt Stories PLUS: Top 10 Things Employers Do To Get Sued A publication of the Sacramento District Dental Society

don’t miss these upcoming events! dentists in business march 7, 2014 Build Your Own Employee Handbook Workshop Presented by: Mari Bradford (CEA)

8:30am–12:30pm • 4 ceu, 20% SDDS Classroom

golf tournament

Swing for Smiles to benefit the SDDS Foundation

May 2, 2014

www.sdds.org/GolfTourney.htm

Dentists Do Broadway

general meeting

BLUE MAN GROUP March 2014

March 11, 2014

SISTER ACT April 2014

Nutrition Prescription for the Dental Team and Your Patients Presented by: Charles “Cy” Carpenter, MD

WICKED June 2014 To sign up visit: www.sdds.org/SDDF_Broadway.htm

Learning Objectives: • Describe what obesity is • How to tell the difference between sick fat and healthy fat • Understand the link between obesity and diabetes and heart disease • Identify key components of a healthy eating lifestyle • How to counsel patients on healthy eating

5:45pm – 9:00pm • 3 ceu, Core Sacramento hilton — arden west bring a guest!

Dental Day at Raley Field

June 12, 2014 7:05pm

www.sdds.org/RiverCats.htm

continuing education march 14, 2014 What’s New in Denture Implant Prosthetics Presented by: Joseph Massad, DDS, FACD, FICD

8:00am–1:30pm • 5 ceu, Core SDDS Classroom

Sacramento

October 18, 2014 A Gala Benefiting the SDDS Foundation

Contents March 2014

Volume 60, Number 3

Features

Cover PHOTO CREDIT: istock photo

Nugget Editorial Board James Musser, DDS • Editor-in-Chief Paul Binon, DDS, MSD Donna Galante, DMD Matthew Hall, DDS Alexander Malick, DMD James McNerney, DMD Hana Rashid, DDS Ash Vasanthan, DDS, MS

Editors Emeritus William Parker, DMD, MS, PhD Bevan Richardson, DDS

Awards

International College of Dentists (ICD) 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics

2007 • Overall Newsletter 2007 • Outstanding Cover 2007 • Golden Pen, honorable mention

Drop Out to DDS and Debt Matt Hall, DDS

Student Loans are the Answer

Never Give Up On Your Dream of Practice Ownership

Sydney Moore, DDS

Dan Parish, DDS

Specials:

14-16 Top 10 Things Employers Do To Get Sued HRCalifornia © California Chamber of Commerce

The SDDS Classroom Works

Regulars: 5 6 7 12 13 17 18–19 20

President’s Message Cathy’s Corner From the Editor’s Desk Ethics Corner You Should Know An Ethical Dilemma Foundation Update YOU: The Dentist… the Employer

22 24-25 27 30 31–33 34 35 36

We’re Blowing Your Horn! Committee Corner Membership Update Advertiser Index Vendor Members Job Bank Classified Ads SDDS Calendar of Events

Article / series of articles of interest to the profession

The Nugget • Sacramento District Dental Society • www.sdds.org

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4 | The Nugget • Sacramento District Dental Society

Protecting dentists. It’s all we do.

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President’s Message By Kelly Giannetti, DMD, MS 2014 SDDS President

Dentistry Might Mean Debt

but it’s worth the rewards

hope everyone is having a healthy start to “WHY would anyone want to be a dentist?” 2014! This month The Nugget addresses the It is an important question. What can we do? burden of debt and how it affects recent We must ALL work together to nurture our graduates’ employment decisions. The level of recent graduates and training programs. Poor debt and cost of higher education nowadays is choices are easier when saddled with debt. As astronomical. For instance, one year of out-of dentists, we can donate our time and talents state tuition is $50,000 to training programs. for undergraduates We can open our we can donate at tend i ng publ ic offices to mentor universities. One year others. This being our time and talents to training of dental school can be said, universities need $98,000, not including programs. We can open our offices to reconcile training living expenses! Not costs with future only are our new to mentor others. This being said, income potential. dentists graduating universities need to reconcile training L a st ly, st udent s with $500,000 in student loans, they costs with future income potential. must realize that graduation does not have four to seven years mean easy street. of opportunity costs to recoup. These numbers seem daunting and In my opinion, there are many professions that buying a practice seems like a pipe dream. have less stress and more financial stability. With these numbers, you may ask yourself, But NONE are more rewarding. 

As dentists,

www.sdds.org • March 2014

Cathy’s Corner

Leadership President — Kelly Giannetti, DMD, MS Immediate Past President — Gary Ackerman, DDS President Elect / Treasurer — Viren Patel, DDS Secretary — Wallace Bellamy, DMD Editor — James Musser, DDS Executive Director — Cathy Levering

By Cathy B. Levering

SDDS Executive Director

Debts, Bills,

priorities and perspectives

s I read the articles in this issue of The Nugget (by the way, great job Dr. Galante, Dr. Hall and all!), I am so proud and happy that our members can share their experiences with one another. You all can learn (even we, the “old ones!”) from each other! As new members join SDDS and come to visit me, to sign up for membership, to transfer, to look and be part of our job bank, and to ask questions, I enjoy each conversation and learn so much about their worries, challenges, opportunities, and excitement to be a dentist in a wonderful community. Yes, the new dentists have debt to deal with. But, in perspective, the “old dentists” did as well. While the numbers have inflated exponentially (looking back, debt was a huge concern for the dentists beginning their careers in the ’40s, ’50s, ’60s, ’70s, ’80s and ’90s), it just consisted of fewer zeroes! They had school loans, personal loans, new families, new practices or partnerships, homes and cars as well. And, talking to any dentist today who is over 50, it was about making priorities, sticking to a plan, being conservative, saving and investing (if only just a little bit each month). Debt for the 50, 60, 70-year-olds now (of which I am part of that 60 club) is a different kind of debt. Long-term care insurance, investments that are just coming back into the black, waiting out stock investment turnarounds (from 2008), funding retirement, office liabilities, practice and equipment debt (for upgrading old technology) and much more. And then there are your grandchildren (which I don’t have… yet). My point is debts, bills and liabilities need to be looked at in the proper perspective. Your life, through all the turns, the ups and the downs, is a gift. Your family is a gift. And when you look back at the “hard times,” they weren’t so hard. In every decade there will be decisions to be made, and various challenges. Get through it, laugh, live and love—and learn. 

6 | The Nugget • Sacramento District Dental Society

Dean Ahmad, DDS, MS Nancy Archibald, DDS Wai Chan, DDS Margaret Delmore, MD, DDS Jennifer Goss, DDS Bryan Judd, DDS Beverly Kodama, DDS Peter Worth, DDS Robert Gillis, DMD, MS Terry Jones, DDS CPR: Greg Heise, DDS Ethics: Volki Felahy, DDS Leadership Development: Gary Ackerman, DDS Membership: Lisa Laptalo, DDS Peer Review: Brett Peterson, DDS

EXECUTIVE COMMITTEE

Board of Directors

Trustees Committees Standing

CE Task Force: Carl Hillendahl, DDS 1T1B Medical Outreach: Guy Acheson, DDS Amalgam: Wai Chan, DDS / Viren Patel, DDS Dental Careers Workgroup: Robin Berrin, DDS Budget & Finance Advisory: Viren Patel, DDS Bylaws Advisory: Gary Ackerman, DDS Fluoridation Advisory: Victor Hawkins, DDS Forensics Advisory: Mark Porco, DDS GMC Denti-Cal Task Force: Terry Jones, DDS/ Warren McWilliams, DDS Legislative: Mike Payne, DDS Strategic Planning: Wallace Bellamy, DMD / Viren Patel, DDS

Advisory Task Forces Workgroups

Foundation: Kevin Keating, DDS, MS Golf Tournament: Damon Szymanowski, DMD SacPAC: Matthew Campbell, Jr. DDS Smiles for Kids: Donald Rollofson, DMD

Special Events Other

Cathy Levering | Executive Director Della Yee | Program Manager/Executive Assistant Julia Marino | Publications Manager/ Graphic Designer April Carpenter | Membership Manager/ Smiles for BIG Kids Coordinator Kristen Calderon | Member Liaison/ Smiles for Kids Coordinator Shelly Farrand | Administrative Assistant

SDDS Staff

Advertising rates and information are sent upon request. Acceptance of advertising in the Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement. The Nugget is an opinion and discussion magazine for SDDS membership. Opinions expressed by authors are their own, and not necessarily those of SDDS or the Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted. The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825 (916) 446-1211. Subscriptions are free to SDDS members, $50 per year for CDA/ADA members and $125 per year for non-members for postage and handling. Third class postage paid at Sacramento, CA. Postmaster: Send address changes to SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825.

From the Editor’s Desk Is Student Debt Changing

the landscape of dental practices?

By Donna Galante, DMD Associate Editor

I was fortunate to graduate from college way back in the dark ages (1980) without incurring any debt during college. Back in those days you could actually work in the summer and save your earnings and pay a good portion of your tuition.

cholarships back then were also given out for academics and often would cover a large part of the overall tuition and room and board. Just to give you an idea, my tuition, room and board for a small private college in Pennsylvania was a little more than $4,000 per year. Today, that same school will cost a student $40,000 per year. It was when I decided to go to dental school in 1980 that the debt burden began for me. This was the era of 18 percent interest rates and gas lines. While tuition for my dental school program at the University of Pennsylvania was $8,000 my first year, by the time I finished in 1984, it had doubled to $16,000 a year. Add living expenses, books, supplies, and all the dental equipment we needed, it added an additional $1,000 a month (back in the ’80s!) When I decided to go back to school and do a specialty program in Orthodontics at Penn Dental, I had another two years of tuition to pay, which totaled another $50,000 in debt. The grand total for me at the end of all my schooling was around $100,000 of student loan debt at 18 percent interest compounding the day I signed off on the loan. Not the best start to my career in dentistry. Like most newly-minted dental professionals, I got a job, actually several of them. With all of my debt and no equity in anything except for a beat-up Chevy Chevette (did anyone else have one of these cars?), I was not the best candidate for a practice start-up loan.

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So I associated for several years, saved some money, started the pay down of my loans and actually bought a real car, one of the first Toyota Camrys. When I finally decided that I wanted to have my own practice, it took me more than a year to secure financing. This was during the Savings and Loan crisis that hit around 1988. Many banks went under during this time due to bad loans (sound familiar?) and they were hesitant about lending money to start-up dentists who owed a lot of money and had no equity. Persistence and a good friend with contacts enabled me to get a business loan to start my first practice. My very first loan was for $150,000 in 1988 to start my practice in Philadelphia. The reason I give you all of these numbers and the dates is to help you put your thinking cap on and begin to question whether it is worse today for new graduates or has there always been this debt burden that impedes our ability to start or buy a practice. The American Dental Education Association (ADEA) has data from 2006 indicating that students who graduate from public dental schools, on average, will incur $120,000 of debt, and those at private institutions, on average, will leave with more than $174,000 in student loans. Of course, those numbers are based on data from 2006 and do not include college debt. Recent graduates from dental school and specialty school will tell you that costs to attend dental school range from $50,000 to $100,000 a year when you add up living expenses, instruments, supplies and books. While we don’t presume to have all the answers, we do know that the debt that doctors have after leaving their formal schooling is changing the landscape of how dentistry (and medicine) is delivered.

January 2014

So is debt just part of the “American Way” of doing school? Po werful two

be A CE

days!

superhero

At the 34th annual MidWinter Convention & Expo 2014 A publicAtion of the SAcrAmento DiStrict DentAl Society

www.sdds.org/NUGGET.html

In this issue we have several articles regarding the “debt burden” of dentists coming out of school today and how it has impacted their career decisions and their personal lives. The truth about student debt will be revealed in the following pages and how debt is changing the landscape of dental practice today.  www.sdds.org • March 2014

Student debt

Dropout to DDS and Debt

The truth about a high school dropout who becomes a dentist My dental school class boasted a fair amount of diversity, with people from all over the country and world, but I was the only high school dropout. In this issue about the student loan debt, I want to tell my (somewhat different) path to the DDS; specifically, what it cost and how I view my considerable debt.

F By Matt Hall, DDS

lash-back to 10 years ago: there I was, bouncing along a dirt trail (road would be too generous) in my ‘97 Honda Civic. Orwell’s “1984” was playing on the cd player, which was a reading assignment I had totally blown off in high school. I was playing catch-up at the local community college, trying to undo the damage done by an unfinished education. I was 18 and living with my new girlfriend (now my wife) in a 5th-wheel trailer in the Santa Cruz Mountains. We were trying to save money by caring for horses, goats, and crops in lieu of rent, but it was turning out to be quite the adventure. Chasing escaped horses, being frightened photos: Dr. Matt Hall volunteers for by lurking meth-heads, and sliding backwards 100 meters down an Smiles For Kids Day embankment in her SUV in pouring rain are just a few examples on Feb. 1, 2014 at DiTomasso Dental. of the fun we had living in the mountains.

8 | The Nugget • Sacramento District Dental Society

That year was one of growth for me. Escaping my dysfunctional family allowed me some much needed perspective. I soon found that, contrary to my K-11 experience, I possessed passion and skill for learning. My girlfriend and I were working three jobs each, trying to make ends meet in the Bay Area. We had fallen in love, and it frustrated me to be unable to better contribute financially. I realized that remaining a high school dropout was preventing me from being the kind of partner I wanted to be. Higher education was my only path upward. Community college can be a great place to start an education if you have a plan. Tuition is cheap, and in a few semesters I had finished all my prerequisites for transferring to a university. A grant paid for my books, and by juggling various jobs, I had no debt (yet)!

I was proud of my achievement, but I was also concerned that I had not gone far enough. During my senior year, Kelly and I decided to start a family, and I worried that my new lab job would fall short of providing all the things I wanted my daughter to have. Even though it meant more debt, further education seemed the right path. As a mixture of art and science, dentistry was the best match for me -- and I noticed that dentists appeared to have balanced lifestyles, too. $4K worth of application costs was a big expense for our little family, but throughout the onerous application process, I kept my sights aimed at the bright future a career in dentistry would provide.

It turns out that balancing parenting ideals and academic studies in dental school was more difficult than I imagined. At the university level, even on a spaghetti and rice diet, paying All-nighters are nigh impossible when one must wake the next for school and minimal living expenses was easier said than done. day to participate in potty training. And 15 weeks of external Financial assistance exists for students who come from truly dire rotations during my fourth year, while educational for me, were exceedingly taxing on my wife as family situations (wards of the state, for she ran her law practice from home. sometimes example), and many others have parents Perhaps because dental school is so who pay for at least part of college. A difficult, debt-filled, but often rigorous, it is easy to lose sight of how good deal of students, unfortunately, fall much debt is accumulating over the hilarious journey—really, it was just course of four years. While you are through the cracks. Like me, they do standing in the grading line, clutching the prelude to what will surely be not have parents who contribute to their your dentoform and mumbling a educations, but they do not qualify for an exciting and rewarding career. prayer to the ivorine gods, you are grants and other extensive aid. Working less concerned about student loan through school is an option, but, in the repayments than you are about the sharpness of your chamfer. end, loans are often still necessary. And so, I began acquiring But the debt is there, stacking on top of itself like casts in a dental student debt, but I also progressed quickly toward a degree. Just student locker. five years after having dropped out of high school, I completed my While I was at Virginia Commonwealth University, for BS in biology, with minors in chemistry and psychology. example, the cost of attendance was about $65,000 a year for non-residents; with added living expenses, the cost of my DDS was over $90,000 a year. Over the four years, I paid over $30,000 in clinic and education related fees, without exposure to such (not so recent) advances as Cerec dentistry and warmfill gutta percha. In other words, expect the cost of dental education to continue to increase!

It was a long

The grand total of all my student loans is just over $500, 000, and on a 10-year standard repayment plan, I would pay back $6,000 a month. On top of my wife’s loans for law school, our family budget would be crippled. Thankfully, there is some relief in the form of income-based repayment plans (known as IBR) for those with a qualifying debt to income ratio. It reduces what would be spine-numbing monthly payments into more reasonable monthly payments, albeit, more than 25 years. I look at it like a 25 year mortgage—like a house that provides shelter and security for a family, this profession allows me the ability to give my daughter (“AQ” as I call her) a truly bountiful life. So far, AQ promises to practice dentistry with me some day (it would be a joy), and it is my aim to give her the leg up that I believe all children deserve and should expect. And so you have the very abridged version of how Matt the dropout became Dr. Hall, the dentist. It was a long, sometimes difficult, debt-filled, but often hilarious journey—really, it was just the prelude to what will surely be an exciting and rewarding career.  www.sdds.org • March 2014

student TRANSITIONS debt

By Sydney Moore, DDS

Student Loans are the answer

The only way I could have attended dental school was through the use of student loans. I often hear people tell me, “I would love to go to dental school, but cannot afford it.” The reality was I could not either.

ut thankfully, due to the student loan program offered by federal government through Sallie Mae, I was able to secure more than $266,000 in student loans to cover my tuition at University of Pacific Dental School and also my specialty training at Boston University in Pediatric Dentistry.

Let’s talk specific numbers. At the University that I of the Pacific, my tocould pay back these loans and tal loan amounted to $206,000. At the time still have a successful career it seemed like a shockingly large amount of in my chosen profession. . money, but at interest rates between 1.62 percent and 2.75 percent, it was too good to pass up. Furthermore, the counselors at the school advised us to extend our payments for as long as possible so we would not be “strapped” for money to pay the basic bills. This made sense to me, since the interest rates were so low at that time.

I was confident

My two years at Boston University added another $60,000 to my overall debt. I graduated with a total debt burden of $266,000 in 2004. However, I was confident that I could pay back these loans and still have a successful career in my chosen profession. I was fortunate to have both my mom and dad actively practicing pediatric dentistry in Roseville. I had planned all along to come back to California and practice with them. At first I joined as an associate and began to pay back my student loans and establish myself in the community and in their practice. In time, my father retired and I

10 | The Nugget • Sacramento District Dental Society

bought him out and became a 50 percent partner of the practice. While my student loans were being paid (about $1500 a month was budgeted), I began to build equity in a private practice, purchase a house and even begin to invest in retirement savings. Many of my colleagues will take additional debt in starting a practice or purchasing a practice that needs updating. While my situation sounds ideal (purchasing from a parent), the office was not “state-of-the-art” and needed updating of the facilities and equipment. With student loan debt, it can be difficult to secure loans for practice improvements. I have not wanted to increase my debt burden, so when we make improvements to the practice, it is often with cash that we have saved through the practice. It might not be a perfect situation (i.e. all new equipment and fancy reception area), it is my practice and I was able to establish equity and autonomy despite a heavy student loan burden. My advice for those who are recent dental graduates is to be persistent and focused on your practice goals and believe you can do what you have dreamed about since you started dental school. Your goal could be private practice, partnership, a corporate model or an associate dentist. Whatever you choose, know that it is possible despite student loan debt. Stay focused, make a plan to pay back your loans and know that someday they will be gone. Be thankful that you have been given the opportunity to go to dental school through a student loan program. For me, it was the only way I could have succeeded in achieving my professional and personal goals. 

By Dan Parish, DDS

Never Give Up On Your Dream of practice ownership

As a senior in dental school, I anticipated that getting financing to start my first practice out of school would be tough, but I didn’t know it’d be quite this tough.

graduated from The University of California San Francisco School of Dentistry in June of 2013. I wasn’t your typical dental student by any stretch.

In 1998, at the age of 19, I saw an opportunity to take a hobby and turn it into a business. I was heavily into the sport of paintball and discovered there were few places to buy the supplies. I received permission from the owner of the hardware store I worked at to bring a small selection of paintball product into his store, as long as I paid for the initial product investment. The business grew rapidly and I ultimately ended up owning three paintball stores in the Sacramento area, an e-commerce site selling paintball supplies and the rights to operate two paintball fields on leased land. Unfortunately, I wasn’t able to continue the success of the business throughout the economic downturn, and I slowly closed my operations after five years. It was at this point in my life I refocused and went back to school to pursue my dream of becoming a dentist. I was 30 and married with a 4-year-old son and a newborn when I started dental school. I moved to San Francisco from a life in the suburbs to start my path toward dentistry, and, along with my family, also brought $25,000 worth of student loans with me from my undergrad years.

knew wasn’t going to be extraordinary in those first few years after graduation) these programs would take what would normally be a crippling monthly loan payment and allow it to be reduced based on income-making the monthly payments more affordable as I grew my business. I’d certainly need those programs because my total amount of student loans after all was said and done, was $365,000. Despite this large number, I knew that I’d want to start my own practice as soon as I came out of school. My dream has always been to own and operate multiple dental practices and to ultimately help new grads like myself open up their own dental practices down the line. So before I could start searching for financing, I had to figure out what my monthly student loan payment would be. With the income based repayment programs I mentioned above, I calculated that my initial monthly payment of $3,650 would be lowered to less than $500 a month for the first year—a totally manageable number. With this program, the ratio that is used is to establish a monthly loan payment will be no more than 15 percent of disposable

I knew I’d need a lot more loans during dental school to support a family in one of the most expensive cities in the country. We needed to take out additional loans for childcare along with basic living expenses for a family of four. I wasn’t uncomfortable with this added debt because, since I didn’t have anyone knocking down my door trying to pay for my education, this was the only way I’d ever achieve my goal of becoming a dentist. In addition, I’d also done quite a bit of research and learned how the income-based repayment programs work for student borrowers. I discovered that with loan payments based on my income (which we all continued on page

www.sdds.org • March 2014

| 11

student TRANSITIONS debt continued from page

income. Also, for the first two years in the income-based repayment program, the government subsidizes the payment so the loan balance will not grow. This is a prime opportunity for students like me that feel confident and ready to start a dental practice or purchase a small practice right out of school. I had started my practice search even before I graduated by subscribing to the local practice brokers Western Practice Sales and Henry Schein contacts lists. This way I am notified whenever any new practices in my area come up for sale. I also had a location for a start-up picked out back in my home town. Shortly after graduation I started approaching banks for financing. Not surprisingly, I found that they all wanted me to be employed while I was starting a practice. Though understandable on their end, this proves difficult as most employers outside of corporate outfits don’t like to take risks on new grads without one to two years of experience (though that does beg the question—how might I get experience if nobody wants to hire a new grad?) Also, most employers don’t want to take the time to train a new grad only to have them leave and become a potential competitor. Thankfully I have an uncle who is a dentist who offered to employ me for two days a week while I searched for the perfect opportunity. There is only one big national bank that has a lending program for new dental grads with limited experience and 100 percent financing, and it is Wells Fargo. The maximum amount they will lend in the program for a new grad is $300,000. When I did the math on a practice that I could purchase for $300,000 and income I would generate from that, I found it would be next to impossible to get any bank to approve my numbers unless I had additional income from another job. Another big bank flat out denied my application, wanting more experience or a lot more money down. At this point I had a choice to pause my plans to open a practice and grind out an income to save up until I had two years of experience (the amount most banks want a dentist to have before he or she starts a practice) or try to find other funding sources. I’m not one that is easily deterred, so I chose to try and find other sources of funding. I was able to secure family funds of $20,000 and kept searching for a lender who would join me on my practice journey. After submitting my financing information to many, many banks, I am optimistic at time of press that First US Credit Union with their SBA loan department will get me approved for a local practice that is for sale. I was required to put down $26,500 for a loan of $265,000 and required to have a guarantee on my loan as I don’t yet own a house for collateral. Though I’m not sure I’m yet an expert on this topic, if any new grads were to ask my advice, I’d encourage them to explore big banks and local credit unions first. Small banks tend to approach dental lending conservatively and require significantly more collateral to lend against. I’d also suggest finding a bank that has experience in dental practice loans. It will make for less time explaining yourself and your plans if you have a lender that is familiar with how a practice runs. The most important thing I’d say it’s to just keep plugging away. This has been and continues to be a frustrating process, but the most successful people in life will tell you when it gets hard to just keep on going. The best things in life come from hard work, and the rewards for perseverance are plentiful. 

12 | The Nugget • Sacramento District Dental Society

ETHICS

CORNER Correction: In the Ethics Corner in the February issue of The Nugget, we regret that we left out the quotation marks and attribution for the quote that appeared in the opening paragraph. The article should read as follows:

Billing For Services Not Rendered

By Jagdev Heir, DMD (Ethics Committee Member) Under section 7 of the CDA Code of Ethics, advisory opinions: 7.A.3., “Billing For Services Not Rendered: A dentist shall avoid billing for services not rendered. If payment has been received for a service that is ultimately never rendered, the dentist shall arrange to refund any overpayment immediately.” Back when I started dental school in 1991, the Internet was just coming out, Yahoo just formed into a company, eBay was not around and, oh yeah, a dentist was regarded higher then any other profession or in the same ranks as police officers and clergy. Boy, have times changed. Technology has advanced. However, in my opinion, while our profession grows from the benefits of technology, we have regressed in other aspects. It is now quite common that patients go for second opinions to other doctors, and it surprises me how often the patients have come back and said that the other doctor will treat them for less then what I charge, and then say, “Cut me a deal and I’ll have you do the surgery.” I know this occurs at car dealerships, but wow, in our profession? Of course, I would never try to “cut a deal” if my child was having surgery, however, these are our times and these are our fellow “professionals.” I have heard general dentists, endodontists, as well as periodontists speaking of similar scenarios. Of course, it would be easy to blame the patient for making such a request, however, it is our own fellow “professionals” that are the root cause. I have often spoken that we are doctors first, and if we want to be treated like professionals, we have to constantly act as such. This is why the opening clarification by the CDA Code of Ethics just boggles my mind. Of course, we need to have guidelines because just as there is more than one treatment option, there in more than one type of doctor with different sets of values. I don’t think the above statement requires clarification, other than that it is obvious that if you do a treatment and then charge, you don’t then give the patient their money back. Would we expect otherwise if we were in the chair?

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Know

you should

Use of Botox in dentistry is a fine line Reprinted with permission from Risk Management Staff (TDIC). As questions increase about the use of Botox in dentistry, The Dentists Insurance Company advises California dentists that the use of preparations such as Botox and Dysport must be within the scope of dental practice. “If doctors are practicing legally within the scope of their dental license, there is coverage under TDIC’s professional liability policy,” said TDIC Underwriting Director Dora Earls. However, Earls noted that if the Dental Board of California determines that use of Botox or similar drugs is not within the scope of dental practice, there is no TDIC coverage. In California, dentistry is defined by the California Business and Professions Code section1625. The dental board lists the pertinent language of the code as, “diagnosis or treatment, by surgery or other method, of diseases and lesions and the correction of malpositions of the human teeth, alveolar process, gums, jaws or associated structures; and such diagnosis or treatment may include all necessary related procedures as well as the use of drugs, anesthetic agents and physical evaluation …” The board states that a dentist may use any legally prescribed drugs to treat patients as long as the treatment is within this specified scope of practice. Additionally, in California dentists may not use Botox cosmetically without an Elective Facial Cosmetic Surgery permit issued by the dental board. Licensed dentists who have completed residencies in oral and maxillofacial surgery and additional criteria outlined by the dental board can apply for an Elective Facial Cosmetic Surgery permit. There are two categories for these permits. Category I relates to cosmetic facial surgery, such as contouring of the osteocartilaginous facial structure, and Category II relates to cosmetic soft tissue contouring or rejuvenation. The details of this system can be found in

the California Business and Professions Code section 1638.1. Currently, there are 26 dentists in California with these permits, according to the dental board. The dental board also states, “Some permit holders may not be authorized to perform all cosmetic surgery procedures within the scope of the Elective Facial Cosmetic Surgery permit.” Additionally, the dental board notes that all procedures authorized under the Elective Facial Cosmetic Surgery permit must be performed in an acute care hospital or a certified surgical center as defined in California Business and Professions Code section 1638.1(f). Botox and Dysport are commercial preparations of botulinum toxin derived from the bacterium Clostridium botulinum, a nerve “blocker” that binds to the nerves and prevents the release of acetylcholine, a neurotransmitter. The result is muscle paralysis, according to the National Center for Biotechnology Information. Botulinum toxin is approved by the FDA, and its most common use is in applications to minimize fine facial wrinkles. Concerning professional liability coverage and training or certification for dentists to use Botox or similar drugs, TDIC’s endorsement states: “Before performing the alleged injection(s), you must have obtained any license, permit, certification or training required by the state dental licensing authority where you practice.” For more information or if you have questions regarding this topic, contact the TDIC Risk Management Advice Line at 800.733.0634. The Dentists Insurance Company offers policyholders a free advice line at 800.733.0634 for assistance with questions or concerns about potential liability. TDIC risk management analysts will work with policyholders to develop a solution.

New ADA Resources for Practice Valuation and Associateships Reprinted with permission from the Los Angeles Dental Society and ADA. ADA has two new resources to assist dentists with some of the toughest transitions of their careers. The ADA Practical Guides to Valuing a Practice helps dentists understand a practice’s true value, not just its monetary worth. Both buyers and sellers get a balanced view of practice valuation. Refuting many common valuation myths, the book raises awareness of possible legal and tax issues that may arise during the process. It also provides guidance on selling or buying an entire practice, a portion of a practice, and planning a future buy-in or buy-out.

Both books can be ordered on the ADA site: catalog.ada.org

ADA’s other resource, The ADA Practical Guide to Associateships, demonstrates the risks and rewards of adding or becoming an associate - from both points of view. The book provides dentists with information to help them build a successful partnership. Strategies are offered for tackling both logistical issues (such as type of associate arrangement, compensation, contract terms, and buy-ins) and intangible issues (interpersonal considerations and compatibility, developing a practice philosophy, and conducting a goals assessment, for example). www.sdds.org • March 2014

| 13

Top 10 Things Employers do to get sued

By CalChamber Legal Editors HRCalifornia © California Chamber of Commerce

Employers unintentionally may violate employment laws, simply by trying to provide some flexibility for an employee, save money for the company, or just be nice.

ere’s a list of the top 10 mistakes that may lead to employment lawsuits. Keep in mind that this list will not apply to all employers, as regulations and collective bargaining agreements may override these general rules.

Classify all employees as exempt, whether they are or not.

It is easier to pay everyone a salary, rather than dealing with meal and rest breaks, overtime, time records and such. Why not just pay everyone a salary? They’ll like the fact that they always make the same amount of money each pay period, and it won’t be a problem. Under both state and federal law, certain types of positions may be exempt from overtime requirements, as well as meal and rest breaks. Other positions may be exempt only from overtime. An exempt employee is usually someone who is paid a specified amount of money, regardless of the number of hours worked in a week. An employee who does not qualify for one of the exemptions is considered to be nonexempt and therefore subject to overtime, as well as the required meal and rest breaks and time-keeping requirements. Merely paying someone a salary does not guarantee that employee is truly exempt, nor do job titles. An exempt employee is normally someone who is a high-level executive, administrative or professional employee. Additionally, certain artists and outside sales staff may be exempt. Employers sometimes designate employees as “nonexempt salaried.” This status does not exist. A nonexempt employee must be paid for all hours worked in the pay period, including over time. A nd, there is a specific CalChamber is here to help. requirement in California that all We hope you found this information hours worked and helpful. As a CalChamber member the corresponding or an HRCalifornia subscriber, you rates of pay be can request a personal tour of the included on the HR compliance tools on HRCalifornia detachable portion of by calling (800) 649-4921, Monday the employee’s check. through Friday, 8 a.m. to 5 p.m. PT. To access current information on More employers are California employment laws and more, being sued for failsign up for a free trial of HRCalifornia. ure to provide meal and rest periods for

14 | The Nugget • Sacramento District Dental Society

nonexempt employees. This may result from improper classification of an employee as exempt. If an employee is truly nonexempt but classified as exempt, the employer is neither tracking the hours worked, nor meal and rest breaks, since exempt employees are not subject to such requirements. Once the employee challenges the exempt status of the job, the additional wages and penalties start to add up. These include back pay for overtime, penalties for failure to pay overtime, additional “wages” for failure to provide meal and rest breaks, and penalties for failure to pay all wages at termination, if the employee is no longer with the company. There are also penalties for failure to provide employees with the required wage statement information. The nonexempt employee may be joined by other employees who wish to challenge their exempt status. The class-action lawsuit on the basis of missed meal and rest breaks as well as exempt status is rapidly becoming popular with plaintiffs’ attorneys. To make sure you know which employees are exempt and nonexempt, use the Exempt/Nonexempt Wizard on HR Library.

Be nice to employees — let them take lunch whenever they want to.

Employees must be provided at least a 30-minute, unpaid off-duty meal period if they are employed for a work period for more than five hours. The meal period must be provided no later than the end of the employee’s fifth hour of work. Failure to provide the meal break within this time frame can result in one additional hour of wages owed to the employee at the employee’s straight time pay. The additional wage must be paid in the pay period in which the missed meal break occurred. Your record keeping practices should reflect that you provide your employees their meal break before the end of the fifth hour of work. “Late lunches,” after the end of the employee’s fifth hour, are not permitted. “Early lunches” may be allowed, as long as the lunch is provided no later than the end of the fifth hour of work.

Check the HR Library on HRCalifornia for more information on Meal and Rest Breaks.

Make everyone an “independent contractor” because having employees is too much trouble.

Just because you want the employee to be one, or because the employee prefers independent contractor status, does not make it so. This is another area of the law just ripe for claims and/or litigation. The “independent contractor” is quite happy until money is an issue — such as a workers’ compensation claim, unemployment insurance, state disability insurance or paid family leave benefits. Another problem scenario is when the Franchise Tax Board or the Internal Revenue Service want tax money, but the “independent contractor” hasn’t been paying his/her quarterly payments, owes lots of money, can’t be found or has no assets. The employer has money and failed to make the required tax withholdings — so now the employer owes. Independent contractor status does not have a fixed definition by all the government entities that may have a claim for money owed. The primary determining factor is degree of control: Who determines the manner in which the work is performed, how it is performed, who supplies the tools or equipment, and where is the work performed? Also important in determining employee or independent contractor status is whether the work is a regular part of the employer’s business. If your company makes a product and you hire an independent contractor to help make the product, chances are the individual is an employee. But if you make a product and you hire someone to paint your building, that person is an independent contractor. Not sure if someone is an independent contractor? See the Recruiting & Hiring section of the HR Library.

Don’t bother providing training about harassment and discrimination to managers and supervisors. They won’t need the information.

The best defense you have against a discrimination or harassment complaint is usually your first-line supervisors because they are the eyes and ears of the organization. Invest in training on topics such as sexual harassment, discrimination, disability, safety and wage-and-hour laws if you want to provide an additional layer of protection from lawsuits. Employers with 50 or more employees are required by law to provide two hours of training on sexual harassment for their supervisors. This training must be conducted every two years. For example, Supervisor Susie is standing in the employee lounge when one of her employees, Frank, tells an offcolor joke to Brenda, a new female employee. Because Brenda laughs, Supervisor Susie does not say anything to Frank or to anyone else in the organization. Several months later, Brenda quits and files a claim against the company for sexual harassment. The lawsuit claims that the company permitted a hostile work environment that included inappropriate jokes and comments. An investigation, after the claim is filed, reveals that Frank and several other male employees had been telling inappropriate jokes, sending sexually oriented emails through the company’s computers and posting inappropriate cartoons and jokes in their work area, where Brenda was the only female employee. The law presumes that once Supervisor Susie is aware of the harassment, the company is also aware and has a duty to correct the problem. Because Supervisor Susie did not look into the matter after she overheard the comments, the employer is at risk. Learn how to stay out of trouble and avoid discrimination and harassment in the workplace. Make sure to provide mandatory supervisor sexual harassment training. continued on page 16

www.sdds.org • March 2014

| 15

continued from page

Let employees decide which hours and how many they want to work each day.

wages for every day that the check is late (calendar days, not business days), up to 30 days.

Most employees are restricted by law as to the number of hours they can work without payment of overtime.

This money goes to the employee.

One exception to overtime laws is an alternative workweek schedule. However, employees can’t simply decide that they want to work four days a week, 10 hours each day. A valid alternative workweek schedule requires that employers follow specific steps to institute such a program. Failure to meet the specific requirements can mean back pay for overtime, as well as penalties.

Employees may request make-up time and work without payment of overtime if they are taking time off for personal reasons under certain special conditions: they make up the time in the workweek in which the time is to be or was missed; they work no more than 11 hours in a day or 40 in the week; the employer agrees; and the request to do so is in writing. Find rules regarding proper payment of employees in the Pay & Scheduling section of the HR Library. If you do not know what Wage Order applies to your business, use our Wage Order Wizard.

Terminate any employee who takes a leave of absence, whatever the reason. It is too much trouble to administer leaves of absence, and who knows if the employee will return.

Employees have legal protection when they are away from work for various reasons, including workers’ compensation, disability, pregnancy, family and medical leave, military leave, jury duty, and many more. The laws also provide protection from retaliation for taking the leave — thus the employer cannot wait and terminate the employee once the employee returns to work. If you terminate an employee while the employee is on a protected leave, or soon after the employee returns to work, you will have to prove that the termination was for a legitimate, nondiscriminatory business reason, unrelated to the protected leave. Learn more about employee rights regarding leaves of absence in the HR Library.

Don’t give employees their final check if they fail to return company property.

Employees who quit or are terminated often don’t turn in company property such as laptops, cell phones, pagers, uniforms and tools. Holding their final paycheck until such time as the items are returned seems reasonable. However, in California, final paycheck deadlines carry a hefty penalty if the deadline is not met. If an employee is terminated or quits and gives more than 72 hours’ notice (calendar days, not business days), the employee’s final check must be ready on the last day of work. If you terminate an employee, the final paycheck is due the moment the words “You are fired” come out of your mouth. The final check(s) must include payment for all hours worked through the last day, including any overtime, as well as any accrued and unused vacation.

Check the HR Library for more information on final pay. Provide loans to employees and deduct the money from their paycheck each pay period..

California’s Labor Code section 224 permits deductions authorized by law and those authorized by the employee for benefits such as health insurance or benefits. No other deductions are permitted. State and federal law require some withholdings, such as federal and state taxes, Social Security and state disability insurance. Others fall into the benefits category that are permitted by law, such as 401(k) and flexible spending accounts. Other deductions are required to comply with child support orders and wage garnishments. Deductions for loans made to employees are not permitted and therefore cannot be made. If you decide to loan money to an employee, or make any other type of payment for which repayment may be required, you should have the employee sign a promissory note that has been reviewed by your legal counsel. The employee should then make payments to you, according to the specified payment schedule. Learn more about proper deductions from wages in the HR Library.

Use non-compete agreements to protect confidential information such as business secrets, customer lists and pricing information, and prevent employees from working for the competition.

Non-compete agreements are prohibited in California, with only a few exceptions. There are ways to protect trade secrets — such as customer lists and pricing information. Prohibiting an employee from working from someone else is limited because it infringes on the employee’s ability to work and earn a living. You cannot force employees to stay with you, nor may you prevent them from earning a living if they choose to leave your company.

Implement a “use it or lose it” vacation policy and avoid paying out all that money at termination.

A “use it or lose it” vacation policy is not permitted in California. If the employee has accrued vacation, it is a form of wages and cannot go away. You may place a reasonable cap on the accrual of vacation, which stops the accrual of vacation when a certain level of accrual is reached. But you cannot take away what the employee has already accrued. All accrued and unused vacation must be paid out at termination at the current rate of salary. There is no limit on how far back in time the employee can make a claim for unused vacation.

If an employee quits without giving at least 72 hours’ notice, you have 72 hours to prepare the final check. This can be problematic if your payroll service cannot prepare a check and get it to the employee in a timely manner, or if your payroll department is located out of town or out of state. There are no exceptions for such logistical problems.

To limit your liability, the best option is to implement a reasonable cap on vacation accrual. “Reasonable” is open to interpretation, but it is usually one and one half to two times the annual accrual. For example, an employer’s policy provides for up to two weeks of accrual each year. The employer implements a policy that caps the accrual at four weeks. If an employee has four weeks (20 days) accrued and unused, the accrual stops until such time as the employee takes vacation and falls below the cap.

If you do not provide the final check to the employee, as required by law, waiting time penalties start accruing. The penalty is one day of

Learn more about Paid Time Off (PTO), Vacation, Sick Leave and Holidays in the Leaves of Absence section of the HR Library. 

16 | The Nugget • Sacramento District Dental Society

an ETHICal

Gordon Stevenson, Senior VP

Real Estate Healthcare Specialist Dental/Medical Office Building Sales/Leasing

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dilemma What Would You Do?

Introduction by Volki Felahy, DDS (Ethics Committee Chair)

In an effort to inspire healthy dialogue regarding ethics in dentistry, the SDDS Ethics Committee is changing the focus and format of the ethics section of The Nugget. We now present to you a new section, An Ethical Dilemma: What Would You Do?, which will illustrate an ethical dilemma commonly faced by dentists today. We will include possible courses of action and ask, “What would you do?” What we want to hear from readers like you about how you would handle the featured ethical dilemma. The ensuing discussion could only help us dentists in our ongoing pursuit of ethical dentistry. By Sirisha Krishnamurthy, DDS (Ethics Committee Member)

Ethical Dilemma #1: You are a new dental graduate saddled with student loan debt and recently started your own dental practice in a highly saturated area of dentists with a strong belief that there is always room for ethical and compassionate dentistry! Within a few weeks of opening, you experience a variety of challenges ranging from marketing traps, new patient demands for discounted dental services, and insurance plans that downgrade the recommended procedures. How can you practice your ideal dentistry without compromising your financial obligations to keep your practice afloat and not just survive, but thrive? You are now facing an Ethical Dilemma. Check the course(s) of action that you would recommend and fax this page to 916.447.3818 or email your answer to sdds@sdds.org. Please send your response by Friday, March 14 and check back for the Ethics Committee recommendation in the following issue. 1.___ Connect with local peers who started off similarly and just follow their footsteps 2.___ Check with your local dental society to make sure you understand the legal implications before making important decisions in the areas you are unfamiliar with 3.___ Do whatever it takes to make the practice successful

www.sdds.org • March 2014

| 17

Foundation of the Sacramento District Dental Society

By Kevin Keating, DDS, MS

President, Foundation Board

Foundation Campaign Begins for perpetual endowment fund

over the past few years, our SDDS Foundation has been able to fund our charitable projects using the funds we have been awarded through various grants we have applied for and been awarded. Since 2004, we have received more than $700,000 in grants for our Foundation’s various projects, programs, education and outreach.

The following members have made pledges to contribute or have given to the Endowment Campaign already. If you have an interest in helping our community’s underserved receive some level of dental care, then we would welcome your pledge and / or gift to help us ensure that our Society and Foundation continue its charitable and most important work.

As we move forward, grant funding is changing and large funding sources are shifting their focuses toward sponsorships and direct funding opportunities. As we continue to collaborate with organizations for these funds, our Foundation Board has begun a capital campaign to grow our Perpetual Endowment Fund so that we can continue our charitable projects and programs for now and into the future. We strive to achieve a large corpus where the income from the endowment can be used to fund our charitable efforts. The campaign has already had huge success and we are definitely on our way to the target of raising ONE MILLION DOLLARS in the Endowment. I would like to take this opportunity to acknowledge those who have already given and THANK them for their commitment to giving back to the needy of our community by contributing to the Foundation’s Endowment Campaign.

Pledges and contributions received from: Dr. Matthew Campbell Dr. Steven Cavagnolo Dr. Victor and Bev Hawkins Cathy and Bruce Levering Dr. Kevin and Sue Keating Dr. Dan Miyasaki Oates Family Charitable Trust Dr. Dennis Wong Dr. Herb and Inez Yee Family Trust Dr. Wes and Nancy Yee

Ways to support the Foundation

for our community

• Make a pledge to the perpetual endowment campaign • Make a memorial contribution • Consider the Foundation when doing your estate planning

• • • •

Become a Foundation Member ($75/yr) Play in the Annual Golf Tournament Attend a Broadway show! Attend the Smiles for Sacramento Gala!

For more information on how to give to the SDDS Foundation, visit: www.sdds.org/GiveSDDF.htm

18 | The Nugget • Sacramento District Dental Society

A charitable 501-C3 organization

Puppy Praise!

The Foundation received an adorable thank you card from Smiles for Kids site host Dr. Jan Work and staff. (Thank YOU Dr. Work!)

Smiles for Kids Day The 2014 Smiles for Kids Day on February 1 was another shining success! Stay tuned for SFK stories and more in the May issue of The Nugget! www.sdds.org â&#x20AC;˘ March 2014

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you

You are a dentist. You are also an employer. Employee evaluations, hiring and firing, labor laws and personnel files are an important part of that. This monthly column, will offer current employment

the dentist, the employer

law information pertinent to you — the dentist, the employer.

FMLA and Other ‘ Triggers’ For Leaves of Absence

Member fit! Bene

SDDS HR Hotline FREE to SDDS members!

1.800.399.5331

address employee requests for leave with caution By Risk Management Staff, TDIC

The Family and Medical Leave Act (FMLA) operates under the principle that workers are not just contributing to the success of a business, but are also contributing to the health and well-being of their families.

igned into law in 1993 by President Bill Clinton, FMLA basically applies to businesses with 50 or more workers. According to the U.S. Department of Labor, FMLA provides eligible employees up to 12 weeks per year of unpaid leave to manage an illness or for other domestic needs, most commonly to care for a child or other immediate family member. Many dental practices, because of their small size, may not be required to provide FMLA benefits to employees. However, Risk Management analysts at The Dentists Insurance Company advise dentists to address any request for a leave of absence with caution. There may be other laws that do apply to employee leave, such as the Americans with Disabilities Act or workers’ compensation. There are also state laws that may come into play, such as the Fair Employment and Housing Act in California. In navigating the laws relating to employee leaves of absence, experts advise employers to seek the assistance of a legal or human resources professional. While the laws are complex, dentists can help protect themselves and their practices by carefully assessing an employee’s request for a leave of absence. The basic practices of communication and documentation are essential. Engage the employee, ask questions and seek to “reasonably accommodate” the

employee’s request. Document your efforts in the employee’s personnel file. For indepth information about the reasonable accommodation process, watch for the fall issue of TDIC’s Liability Lifeline newsletter. These steps are often referred to as the “interactive process” and are in line with the intent of FMLA, which seeks to positively impact the lives of workers without imposing an undue burden upon employers, according to the Department of Labor. The department last year surveyed 3,000 employees and 1,800 employers nationwide and reported that most employers give FMLA high marks. According to the survey, 91 percent of employers report compliance with the FMLA as positive in terms of employee absenteeism, turnover or morale. Some employers surveyed said the act did not have a noticeable effect. Employers surveyed also reported that misuse of FMLA is rare, with fewer than 2 percent of covered workplaces confirming misuse of the law. According to the Department of Labor, FMLA allows the following conditions to eligible employees: •

20 | The Nugget • Sacramento District Dental Society

Workers may take up to 12 weeks of unpaid leave to bond with a newborn, newly adopted or newly placed child; care for a seriously ill child, spouse or parent; or care for their own serious health condition without fear of losing their jobs.

•

Amendments to FMLA extend the protections to allow workers with family in the military to take time away from work to attend to a parent, spouse, son or daughter’s foreign deployment and up to 26 weeks of leave to care for a service member with a serious injury or illness.

•

During FMLA leave, employers must continue employee health insurance benefits and, upon completion of the leave, restore employees to the same or equivalent positions.

•

Covered employers: The FMLA applies to private employers with 50 or more employees working within 75 miles of the employee’s worksite.

•

Covered individuals: Employees of business with at least 50 workers are eligible to take FMLA leave if they have worked for their employer for at least 12 months, and have worked for at least 1,250 hours over the 12 months before the leave. 

HR Webinar Pregnancy & other leaves for the dental office

April 17, 2014

$35

HR Webinar Member Price

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Olson Construction, Inc. is a design/build construction firm who can take your office from design to finish. They have proven themselves to be the go-to company when you want your dental office done on time and within budget.

David Olson, General Contractor License #822960 (209) 366-2486 www.olsonconstructioninc.com

Switch to a stronger banking relationship.

Personalized attention. Customized banking services. And the strength of a solid financial partner. When it comes to managing your money, switch to the bank that’s been a part of Sacramento and the California landscape for well over a century. In fact, Union Bank has been helping Californians succeed for nearly 150 years. We’re deeply invested in the local communities we serve. And with our proven history of sound financial policies, we’re ready to put our strength to work for you. Isn’t it time you switched to a bank that puts your best interests first? Business Banking Group – 700 L Street, Suite 300, Sacramento, CA 95814 Melonie Smith, VP & Business Client Advisor, 916-449-1346 Sacramento Downtown Branch – 700 L Street, Sacramento, CA 95814 Lydia Ramirez, VP & Branch Manager, 916-321-3145

www.sdds.org • March 2014

| 21

We’re Blowing

Your Horn! Congratulations to...

Back in time…

Dr. Brenda Ho on opening her new practice, Greenhaven Pediatric Dentistry, and passing her board exam and becoming a Diplomate of the American Board of Pediatric Dentistry! Liz Bassey, SDDS Member Liaison and Graphic Designer, who gave birth on January 27 to a beautiful baby boy. Max Davis Bassey, who was also eagerly welcomed by his 3-year-old brother Cody, weighed 9 pounds, 12 ounces and was 21 inches long. (photo #1) CSUS Pre-Dental Club for delivering almost 600 backpacks to Smiles For Kids Day sites for “Project Backpack.” The backpacks included school supplies for Smiles for Kids patients. The club will host their annual Wine Tasting Fundraiser on April 12, 2014 to benefit the program. Svetlana Guevara, CSUS Pre-Dental Club Past President, who got accepted to the UCSF School of Dentistry!

Can you identify this SDDS Member? The first SDDS member to call the SDDS office (916.446.1227) with the correct answer wins $10 off their next General Meeting registration. Only the winner will be notified. Member cannot identify himself.

Watch for the Answer in the April 2014 Nugget! Congratulations to Dr. Sonney Chong who guessed the answer from the February 2014 issue: Dr. Herbert Yee

Save the Date! CSUS Pre-Dental Club Wine Tasting Fundraiser

April 12, 2014 Sac State Alumni Center Proceeds benefit “Project Backpack,” providing school supplies to children in the Smiles for Kids program!

HIPAA Privacy and Security: A Toothache? Call us for cost effective Triage; Risk Assessment to full Treatment Tel 916 608 9902 – www.xTerralink.com email:HIPAA@xterralink.com

22 | The Nugget • Sacramento District Dental Society

re 75 ly . ai 6 d. 4 co 12 m

Every purchase you make earns rewards!

0. .7

Start the year right with our exclusive rewards program for our SDDS members. Don’t wait - call now for more information and program details.

The more you buy, the more you EARN!

SDDS member

rewards earn up to 5%

IN CASH-EQUIVALENT REBATES www.sdds.org • March 2014

| 23

See insert to sign up or visit our link of the month! www.sdds.org/GolfTourney.htm

SDDS Committee Meetings Standing Committees

Leadership

Task Forces

Advisory Committees

CPR April 5 • May 20 • Aug 2 • Nov 2

Board of Directors March 10 • May 6 • Sept 2 • Nov 4

Continuing Education April 22

Mass Disaster / Forensics May 6 • Sept 29

Ethics April 7 • Sept 29 • Nov 19

Executive Committee April 11 • Aug 22 • Oct 17 • Dec 12

1st Tooth 1st Birthday Schedule as needed

Fluoridation Schedule as needed

Membership March 17 • May 20 • Sept 29 • Nov 19

Foundation

Amalgam Advisory Schedule as needed

Nugget Editorial April 22 • Sept 22

Foundation Board April 7 • Sept 8 • Dec 3

GMC Denti-Cal Schedule as needed

Strategic Planning Schedule as needed

Workgroups / Speakers Bureau

Budget and Finance Schedule as needed

Leadership Development March 18 • April 2

Peer Review March 20 • April 24 • May 15 June 19 • July 17 • Aug 20 Sept 18 • Oct 16 • Nov 20

Foundation Gala March 24 • Oct 18 (Gala) Golf Tournament March 18 • June 17

Other Sac Pac Schedule as needed

24 | The Nugget • Sacramento District Dental Society

Dental Careers Schedule as needed

Geriatric Outreach Schedule as needed

Bylaws Schedule as needed Legislative GRASSROOTS Meeting Dates and Times TBA

Meet the 2014 Standing Committee chairs! Superhero Name: Dr. Code of Ethics Dude

(aka Dr. Volki Felahy)

Super Personality: Ethics Committee Chair Super Power: Sweeping out decay one tooth at a

time

Origin Story: Raised in Lodi/Stockton and gained

super powers at UOP Dugoni School of Dentistry

Sidekicks: Sebastian, 6, and Ava, 8 Alter-Ego: Sailor Costume: Foul weather gear, loupes and gloves Trademark Tool: Sailboat Main Enemy: Bacteria and broken teeth

Superhero Name: Dr. Mom

(aka Dr. Lisa Laptalo)

Super Personality: Membership Chair Super Power: Empowering a HUGE committee

Superhero Name: Jawcutter (aka Dr. Greg Heise) Super Personality: CPR Committee Chair Super Power: Delicately dancing around the Inferior Alveolar Nerve Origin Story: Born in San Francisco and granted superpowers at UC San Francisco

Sidekick: Dr. Craig Alpha Alter-Ego: Daddy to twin 7-year-old girls Costume: White coat and scrubs Trademark Tool: #15 Blade Main Enemy: The dreaded dry socket

Superhero Name: Dr. PR (aka Dr. Brett Peterson) Super Personality: Peer Review Chair Super Power: Organizing a committee of 24 Sidekick: Encrypted password and favorite laptop

to engage SDDS members

Costume: A penlight and tongue depressor

Origin Story: Grew up in Sactown, gained superpowers at Tufts Dental School

Trademark Tool: Lots of passwords for Peer

Sidekick: Dr. Luko Laptalo, husband and

Main Enemy: Peer Review timeline

biggest fan

P o w!

Review documents

Alter-Ego: An octopus (super multi-tasker) Costume: Maternity clothes Trademark Tool: Childrenâ&#x20AC;&#x2122;s dental accoutrements

Main Enemy: Childhood decay, the calendar, diapers

Superhero Name: Dr. Gary Ackerman Super Personality: Leadership Development Chair Super Power: Knocking out decay

Coming in April: Meet the Task Force, Advisory Committee and Workgroup Chairs!

Origin Story: Raised on a farm in Lodi, Dr. Ackerman received his superpowers at LLU in 1986. Sidekick: His children Taylor, 18, and Nikki, 15 Alter-Ego: Skier Costume: Scrubs, mask and gloves Trademark Tool: Harley Davidson Road King Main Enemy: Plaque

www.sdds.org â&#x20AC;˘ March 2014

| 25

volunteeropportunities CDA Cares, Solano Volunteers needed: Dentists, hygienists, assistants and lab technicians to work April 25–26, 2014 at the CDA Cares event in Solano, CA. Contact info: www.cdafoundation.org/cda-cares

Smiles for Big Kids

Smiles for Kids

The Gathering Inn

Volunteers needed: Dentists willing to “adopt” patients for immediate/emergency needs in their office.

Volunteers needed: Doctors to “adopt” patients seen on 2013 Smiles for Kids Day for follow-up care.

Volunteers needed: Dentists, dental assistants, hygienists and lab participants for onsite clinic expansion.

To volunteer, Contact: SDDS office 916.446.1227 • sdds@sdds.org

Contact info: SDDS office 916.446.1227 • smilesforkids@sdds.org

Contact info: Ann Peck, Volunteer Coordinator 916.296.4057 • annpeck49@aol.com)

Additional Information:

www.sdds.org/Volunteer.htm

Converge Medical Solutions offers online as well as onsite infection control, workplace safety and “CAL-OSHA” compliance trainings, which includes continuing education units for our clients.

ber mem fit bene

30% DISCOUNT on full service waste & compliance program for SDDS members.

Normally $270; now $189 per month (Includes complete OSHA Compliance Training, Bi-Monthly BioWaste pick-up & ONE 5-gallon Amalgam disposal service annually)

20% OFF off all services and products

26 | The Nugget • Sacramento District Dental Society

Welcome to SDDS’s new members, transfers and applicants.

New Members

Alan Fahndrich, DDS

General Practitioner 11155 International Drive Rancho Cordova, CA 95670 (916) 861-2590

Back! Welcome

Dr. Fahndrich graduated from Ohio State University College of Dentistry in 1978. He is currently practicing at Delta Dental of California in Rancho Cordova.

New Affiliate Members Kevin McCURRY, DDS

Back! Welcome

March

2014

new members for 2014: 9 total membership (as of 2/1/14): 1,625 total active members: 1,338 total retired members: 215

Important Numbers:

General Practitioner Now residing in Wyoming

SDDS (doctor’s line) . . . . . (916) 446-1227

We all know Dr. Kevin McCurry! (He is our SDDS Past President for 2007.)

total affiliate members: 9

New Applicants

total student/ provisional members: 4

William Bratton, DDS Grant Irwin, DDS Sandra Fouladi, DDS Noureddin Ighani, DDS Madhavi Yellamanchili, DDS

total current applicants: 5

ADA . . . . . . . . . . . . . . . (800) 621-8099 CDA . . . . . . . . . . . . . . . (800) 736-8702 CDA Contact Center . . . . (866) CDA-MEMBER (866-232-6362) CDA Practice Resource Ctr . cdacompass.com TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631

total Dual members: 3

total dhp members: 56

Recently Retired in 2014

Market Share: 80.5%

Ellsworth Hew, DDS, MS

Keep us

updated! Moving? Opening a new office? Offering new services? Share your information with the Society! We can only refer you if we know where you are; and we rely on having your current information on file to keep you informed of valuable member events!

Save the Date!

2014 New Member RECEPTION april 2, 2014 (6:00 – 8:30 pm)

SDDS Office • New Members FREE! • Contact SDDS for more info (916.446.1227)

CLIP OUT this handy NEW MEMBER UPDATE and insert it into your DIRECTORY under the “NEW MEMBERS” tab.

Give us a call at (916) 446-1227 www.sdds.org • March 2014

| 27

28 | The Nugget â&#x20AC;˘ Sacramento District Dental Society

Our Classroom!

From fine dining and committee meetings to CE courses and storage space, the new SDDS classroom serves staff and members in more ways than one!

2 4

1. Dr. Andrea Smith participates in the CE course “Adult Oral Sedation” taught by Dr. Anthony Feck on Oct. 5, 2013. 2. The SDDS classroom was transformed into an elegant restaurant with candles, fine linens and cuisine for the Northern California Caucus of the House of Delegates dinner on Nov. 6, 2013.

3 5

3. Valerie Billeci practices CPR during the CPR BLS Renewal Course held in the SDDS classroom on January 24, 2014. 4. During Smiles for Kids Shopping Day on January 27, 2014, Smiles for Kids Day sites stopped in to fill up on dental supplies. The classroom was used as SFK storage space for days leading up to the event. 5. The SDDS classroom serves as storage space for the MIdWinter Convention signage, decorations and materials.

Destroy all records to meet HIPAA requirements!

We deliver the most secure mobile confidential document destruction service, at affordable prices. Please call: 916.631.0800 or 916.722.2737 www.sdds.org • March 2014

| 29

Advertiser Index Dental Laboratories

Vendor Member Infusion Dental Arts . . . . . . . . . . . . . . . . . . . . . . . . 31, 32

OWN YOUR OFFICE!

Dental Supplies, Equipment, Repair

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Benco Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Burkhart Dental Supply . . . . . . . . . . . . . . . . . . . . . . . . 32 DESCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32, 34 Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Procter & Gamble Distributing Co (Crest / Oral B). . . 32 RelyAid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23, 31, 32

1200 sq. ft. office for lease with option to buy & also option to expand!

Dental Services

Vendor Member Pacific Dental Services . . . . . . . . . . . . . . . . . . . . . . . . 33

Education San Joaquin Valley College (SJVC) . . . . . . . . . . . . . . 30

Volunteering Los Medicos Voladores . . . . . . . . . . . . . . . . . . . . . . . . 5

Financial & Insurance Services

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Anders Accounting Inc. . . . . . . . . . . . . . . . . . . . . . . . 33 Bank of Sacramento . . . . . . . . . . . . . . . . . . . . . . . . . . 32 California Dentistsâ&#x20AC;&#x2122; Guild . . . . . . . . . . . . . . . . . . . . 17, 32 Dennis Nelson, CPA . . . . . . . . . . . . . . . . . . . . . . . . . 32 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . . . . 32 Financial Management Associates, LLC. . . . . . . . . . 32 First U.S. Community Credit Union . . . . . . . . . . . . . 32 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . . . . 23, 32 TDIC & TDIC Insurance Services . . . . . . . . . . . . . . 4, 33 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . 21, 32 Wells Fargo Bank . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Building Sales / For Lease Dr. Bobby Boozer & Dr. Glen Tueller . . . . . . . . . . . . . 30 TRI Commercial . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Human Resources

Vendor Member California Employers Association (CEA) . . . . . . . . . . . 33

Legal Services

Vendor Member Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . 28, 33

The Goldman Law Firm. . . . . . . . . . . . . . . . . . . . . . . 17

Medical Gas Services

Vendor Member Analgesic Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . 32

Office Design & Construction

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Andrews Construction . . . . . . . . . . . . . . . . . . . . . . . . 33 Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 24, 33 Healthcare Cabinet Co. . . . . . . . . . . . . . . . . . . . . 33, 34 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . 21, 33

Practice Sales, Lease, Management &/or Consulting

Vendor Member Henry Schein Wagner . . . . . . . . . . . . . . . . . . . . . . . . . 34 Vendor Member Western Practice Sales . . . . . . . . . . . . . . . . . . . . . . 33

Publications & Media

Vendor Member Sacramento Magazine . . . . . . . . . . . . . . . . . . . . . . . 33

Staffing Services

Vendor Member Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . . 33

Technology

Vendor Member Pact-One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

xTerralink. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Waste Management Services Absolute Shredding. . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Vendor Member Converge Medical Solutions, LLC . . . . . . . . . . . . 26, 33 Vendor Member Star Group Dental Refining . . . . . . . . . . . . . . . . . . . . . 33

30 | The Nugget â&#x20AC;˘ Sacramento District Dental Society

Dr. Glen Tueller 916.488.7900 3311 Watt Avenue Dr. Bobby Boozer 916.973.0525 gardentooth@yahoo.com Location: Near Del Paso Country Club

vendor member spotlights:

Infusion Dental Arts, LLC was established in January 2014 in El Dorado Hills, CA by the owner Dennis Amatulli, CDT. Dennis completed a four-year study at the Otto-Umfried Schule Nuertingen in Germany, earning his German Dental Certification in 1995. He began his professional career in laboratories in Southern Germany, working with a number of highly acknowledged dental technicians and dentists. In 2008, he immigrated to the U.S. and started working for one of the leading high-end dental labs nationwide located in the Sacramento area. Over his six-year employment, he became the head ceramist of the dental studio. Infusion Dental Arts incorporates ideas in today’s dentistry into their own ongoing studies and dental restorations.

Products and Services: • Crowns, bridges, implants, veneers, inlays, onlays • Custom shading

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members: 25% Discount on trial cases Special pricing negotiable.

Dennis Amatulli (916) 724-9096 infusiondental@yahoo.com www.infusiondental.com

NEW this year!

RelyAid was established in 1988 as a family-owned and operated company. For many years, the company exclusively supplied dental practices with protective gloves, infection control products, and other supplies.

Products and Services: • Protective gloves • Infection control products

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members: • Special discounts • Free freight

879 F Street, Ste 120-A West Sacramento, CA 95605 (800) 775-6412 phone (888) 775-8020 fax Ursula Klein — COO, CFO ursula.klein@relyaid.com (916) 868-0200 ext. 140 direct line

we love

our SDDS Vendor Members!

www.sdds.org • February 2014

| 31

Kyra Gauldin, Operations 916.784.8200 www.burkhartdental.com

Lauren Herman • 209.969.6468 Kevin McKittrick • 916.765.9101 www.dentalcare.com

DESCO Dental Equipment

Henry Schein Dental

Tony Vigil, President 916.259.2838 www.descodentalequipment.com

Mark Lowery, Regional Sales Manager 916.626.3002 www.henryschein.com

Vendor A / since 2012

Crest / Oral B

Dental

Vendor A / since 2011

Robert Kiddoo — Regional Manager 800.462.3626 www.benco.com

Vendor B / since 2005

Geary Guy, VP / Steve Shupe, VP 888.928.1068 www.asimedical.com

Vendor B / since 2013

Burkhart Dental Supply

Vendor B / since 2004

Benco Dental

Vendor B / since 2002

Dental Supplies, Equipment, Repair

Analgesic Services, Inc.

Ted Darrow, Client Relations/Marketing 916.985.9559 www.fmacentral.com

Vendor a / since 2009 Vendor a / since 2011

This could be you!

Dennis Nelson, CPA, APC

Fechter & Company

Dennis Nelson, CPA 916.988.8583 www.cpa4dentists.net

Craig Fechter, CPA 916.333.5360 www.fechtercpa.com

D ENNIS NELSON

CPA, APC PLANNING & CONSULTING ASSOCIATES

First US Community Credit Union Gordon Gerwig, Business Services Mgr 916.576.5650 www.firstus.org

Vendor a / since 2011

Vendor B / since 2013

32 | The Nugget • Sacramento District Dental Society

Shelley Laurel, SVP 916.648.2100 www.bankofsacramento.com

Mann, Urrutia, Nelson, CPAs John Urrutia, CPA, Partner Chris Mann, CPA, CFP, Partner 916.774.4208 www.muncpas.com

Vendor a / since 2010

Financial Management Associates, LLC

Dennis Amatulli, Owner 916.724-9096 www.infusiondental.com

Vendor a / since 2005

Layla Shirazi 510.465.9021 www.cadentistsguild.org

Ursula Klein, COO, CFO 916.616.6845 • 800.775.6412 www.relyaid.com

Bank of Sacramento

VENDOR B / since 2014

California Dentists’ Guild

Infusion Dental Arts

www.descodentalequipment.com

Anders Accounting Inc Ben Anders, CPA 916.346.4005 admin@andersaccounting.com www.andersaccounting.com

RelyAid

4095 Del Mar Ave. #13 Rocklin, CA 95677

Vendor B/ since 2011

Financial & Insurance Services

James Ryan 800.736.4688 www.pattersondental.com

Vendor a / since 2003

Patterson Dental

Vendor a / since 2009

916-624-2800 800-649-6999

Vendor B / since 2014

The Dental Equipment Specialists

Wood & Delgado

Kim Parker, Executive VP Mari Bradford, HR Hotline Manager 800.399.5331 www.employers.org

Patrick J. Wood, Esq. Jason Wood, Esq. 800.499.1474 • 949.553.1474 www.dentalattorneys.com the #1 Dental Law Firm in the Nation

Andrews Construction, Inc. Todd Andrews 916.743.5151 www.andrewsconstructioninc.com Patrick J. Wood & Jason P. Wood

Attorneys at Law

Call today for a free phone consultation

www.DentalAttorneys.com

Healthcare Cabinet Co.

Marc Davis / Morgan Davis / Lynda Doyle 916.772.4192 www.bluenorthernbuilders.com

Gordon St. Cyr and Gary St. Cyr 916.853.9556 www.dentalcabinets.biz

Olson Construction, Inc. David Olson 209.366.2486 www.olsonconstructioninc.com

Western Practice Sales

Koert Takkunen / Melanie Duval 916.203.4246 www.PacificDentalServices.com

Debbie Kemper 916.993.4182 www.resourcestaff.com

Tim Giroux, DDS, President John Noble, MBA 800.641.4179 www.westernpracticesales.com

Mark Movassate 408.436.2000 www.convergemedical.com

Star Group Global Refining VENDOR A / since 2014

Waste Management

Dan Edwards, President 866.722.8663 www.pact-one.com

Converge Medical Solutions, LLC

Vendor B / since 2003

Resource Staffing Group Vendor a / since 2012

Pacific Dental Services

Pact-One Solutions

Vendor a / since 2013

800-499-1474 or visit us online at

Blue Northern Builders, Inc. Vendor a / since 2007

Vendor Members support Sacramento District Dental Society through advertising, special discounts to members, table clinics and exhibitor space at SDDS events. SDDS members are encouraged to support our Vendor Members as OFTEN AS POSSIBLE when looking for products and services. For more information on the Vendor Membership Program, visit www.sdds.org/vendor_member.htm

Vendor a / since 2004

SDDS would like to extend a Special Thank You to Patrick Wood of Wood & Delgado for lecturing at our Mid-Winter Convention

There is a reason why we are “the leading dental attorney firm in the nation” We have represented more dentists in buying and selling their practices than any other law firm in the country.

Vendor Member support keeps your dues low!

Vendor a / since 2007

Specializing in Practice Acqusitions/Sales • Partnerships Business Transactions • Lease Negotiations Estate Planning • Transitions

Philip Kong 916.533.6882 - cell philip.kong@wellsfargo.com www.wellsfargo.com

Jim Ryan, Sales Consultant 800.333.9990 www.stargrouprefining.com

www.sdds.org • March 2014

Vendor a / since 2009

THE AUTHORITY IN DENTAL LAW

Vendor a / since 2002

Office Construction

Becki Bell, Marketing Director 916.452.6200 www.sacmag.com

Vendor b / since 2002

Sacramento Magazine

PROTECTING, PROVIDING AND PROVING TO BE

VENDOR B / since 2013

Vendor B / since 2004

CA Employers Association

Vendor a / since 2010

Lydia Ramirez, Vice President 916.321.3145 www.unionbank.com

Vendor a / since 2011

Chris Stafford 800.733.0633 www.tdicsolutions.com

Wells Fargo Bank

Union Bank

Vendor b / since 2011

Financial, Cont’d HR & Legal Media & Marketing Practice Sales / Admin Technology

The Dentists Insurance Company

| 33

Job Bank The SDDS Job Bank is a service offered only to SDDS Members. It is published on the SDDS website (www.sdds.org) and provides a forum for job-seekers to reach other Society members who may be looking for dentists to round out their practice, and vice versa. If you are a job seeker, associate seeker, selling or buying a practice, contact SDDS at (916) 446-1227 or complete the SDDS Job Bank form insert in this issue of The Nugget and cash in to the SDDS Job Bank!

associate positions available Rina Ambaram, DDS - Sacramento - part/Wed - GP Kids Care Dental - Sacramento - part - Pedo and Ortho Barry Chang, DDS - Davis - part - GP Monika Gugale, DDS - Woodland - part/full - GP/Perio Yan Kalika, DMD, MS - Natomas, Arden, Roseville - part/full - Ortho Alexander Kaplan, DDS - Sacramento - full - GP Blair Moser, DDS - Fair Oaks - part/full - GP David Roholt, DDS - Auburn - full - GP Brian Steele, DDS - Sacramento - part - OMS Steven Tsuchida, DDS - Elk Grove - part - GP

DOCS SEEKING EMPLOYMENT Russell Anders, DDS - temp/ fill-in work; M-F - GP Andrea Azevedo, DDS, MPH - part; 1-2days/wk. - GP & Pedo Gene Gowdey, DDS, MA - temp/fill-in work (32 yrs exp.) - GP Rupinderjit Kaur, DDS - part/full - GP Aouse Khalil, DDS - part/full - GP Shahryar Khodai, DDS - part/full - GP Steve Murphy, DMD - part/full - Endodontics John Nerwinski, DDS - part - GP Victor Fong, DDS - part/full - GP Andrea Sosa, DDS - part/full - GP

Custom Dental Cabinets and Medical Cabinets Great quality

Great prices

DOCS looking to buy a practice

Great warranty

Custom design built-in cabinets j New Office Designs j Solid Surface j Soft close hardware j Reface where applicable j Plumbing and electrical

Victor Fong, DDS - part/full - GP Shahryar Khodai, DDS - Sacramento - GP

services available

5% discount for all sdds members

practices available

Plus complimentary CAD drawings with every signed contract

I. Ray Ramsey, DDS - Pocket/Greenhaven - GP Gary st. cyr (209) 810-5936 For contact information of any of the job bankers listed below please check our website at www.sdds.org and click on â&#x20AC;&#x153;Job Opportunities

34 | The Nugget â&#x20AC;˘ Sacramento District Dental Society

Gordon st. cyr (916) 871-7039

email us at info@dentalcabinets.biz

www. d en t a l ca b i n e t s . b i z

Classified Ads Practices for Sale

Professional Services

For Lease

dentists serving dentists — Western Practice Sales invites you to visit westernpracticesales.com to view our practices for sale and see why we are the broker of choice in Northern California. Please call (800) 641-4179. 03-09

Learn how to place implants in your office or mine. Mentoring you at your own pace and skill level. Incredible practice growth. Text name and address to (916) 952-1459. 04-12

Sacramento dental complex has one small suite which can be equipped for immediate occupancy. Two other suites total 1630 sq. ft which can be remodeled to your personal office design with generous tenant improvements. 2525 K Street. Please call for details: (916) 448-5702. 10-11

medical hardship sale. 5-yr lease available. Low overhead, parking, 2 ops, small lab, X-ray, waiting room, 2-room office. 15 years goodwill. Good starter practice. $40,000. Placerville. 1 (530) 957-7703. 02-14

Equipment for sale

Dental office in carmichael—1160 ft. This is a three operatory office with some equipment. New paint, countertops and flooring. Lease price is $1800 per month. Includes water, sewer and garbage. Call Brian Fahey, DDS at (916) 483-2484. 06/07-13

Employment Opportunities for sale — FOUR ADEC CASCADE RADIUS CHAIRS with the

LOCATION, LOCATION, LOCATION: DENTAL OFFICE AVAILABLE, 3000 L Street 1,535 sf with 5 operatories, recently remodeled. Fully serviced lease with ample free parking. Contact Kelly 03-13 Gorman (916) 929-8100.

complete package including computer monitors, four X-ray units and four operatories. Mint condition. Call Dr. Khodai at (916) 771-0330. sacramento dental office is seeking a part-time RDA. We are a general office that handles all procedures. The position requires a current license and a minimum 2 years experience chairside. Must have exceptional communication skills. Email resume to Greenhavendental@yahoo.com 11-13 Orthodontist — Kids Care Dental seeks local ortho to join our team beginning in March/April. Established patient base with instant income and TONS of consults! Great opportunity for the right person to hit a real home run. 8 days/month to start growing to FT in December. Must be comfortable with early treatment options. Great office, great staff, and great pay! Email dboyes@ kidscaredentalgroup.com. 3-14

02-14

Positions wanted

Excellent dental opportunity — Available at a proven dental location, 1676 sq. ft., free standing building across from Marshall Medical Center, remodeled, granite, five operatories. 1045 Marshall Way, Placerville. Call Gil: (530) 677-4256; (530) 903-0401. 02-14 southland/florin dental building — recently remodeled, 4 op, 950 sq ft., dental office for full-service lease. Includes 2 X-rays, comp, vac, phones, furniture, electricity, w/s, some equipment. Lease price $1,750/mo. Perfect for startup. Call Lawrence Chu, DDS at (916) 216-2665. 01-14

Locum tenens. UOP grad to work in your office while you are on vacation, sick or maternity leave or emergency. Great references. Please call (530) 644-3438. 04-13

To place an ad in The Nugget Classifieds, visit www.sdds.org/NUGGET.html

HOWE PLAZA DENTAL OFFICE — 1,480 sqft 4 operatory office, centrally located, equipment remains. Intro lease rates as low as .99/sqft for long-term tenant. Contact Nicole 02-14 (916) 541-4567. WOODLAND DENTAL OFFICE. Exceptional building and location. 1160 sq ft. 3 operatories. Call Dr. Richard Portalupi at (530) 662-9191. 02-14

Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the

SDDS member dentists can place classified ads

for free!

SDDS office at (916) 446-1227. www.sdds.org • March 2014

Member Benef it!

| 35

PRSRT STD US POSTAGE PAID PERMIT NO. 557

2035 Hurley Way, Suite 200 • Sacramento, CA 95825 916.446.1211 • www.sdds.org

SACRAMENTO, CA

Address service requested

sdds calendar of events March 7 Build Your Own Employee CE Handbook Workshop 8:30am–12:30pm / SDDS Classroom

april

12 Dentists Do Broadway: Blue Man Group 8pm / Sacramento Community Theater 14 What’s New in Denture Implant Prosthetics 8:30am–1:30pm / SDDS Classroom C

4 What We Never Taught You in Dental CE School: Practical Pediatric Dentistry 8:30am–1:30pm / SDDS Classroom

7-8 CDA Board of Trustees Sacramento

17 Membership Committee Meeting 6pm / SDDS Office

10 Is it Time to Brand - Or Rebrand? 6:30pm–9:00pm / SDDS Classroom

10 Board of Directors Meeting 6pm / SDDS Office

18 Leadership Development Meeting 6pm / SDDS Office

11 General Meeting: Guest Night CE Nutrition Prescription for the Dental Team and Your Patients Charles “Cy” Carpenter, MD Hilton Sacramento Arden West 5:45pm Social / 7:00pm Dinner & Program

18 Golf Tournament Meeting 6pm / SDDS Office 24 Gala Meeting 6pm / SDDS Office

26 HIPAA and HITECH: Creating Your Practice Privacy Policies & Procedures 11am-1:30pm / SDDS Classroom

11 General Meeting: Alma Mater Night Oral Head and Neck Cancer: CE Is it True What They Say? Darren P. Cox, DDS, MBA Hilton Sacramento Arden West 17 HR Webinar Pregnancy & Other Leaves for the Dental Office CE Noon–1:00pm

For more calendar info and to sign up for courses ONLINE, visit: www.sdds.org

Save the date for the 35th annual MidWinter Convention Tons of CE & a great time! you won’t want to miss it! February 19–20, 2015 earn

ce units!

March 11, 2014:

Nutrition Prescription for the Dental Team and Your Patients

Presented by: Charles “Cy” Carpenter, MD

Learning objectives: • Understand the difference between sick fat and healthy fat

• Describe the pathogenesis of obesity and related diseases 5:45pm: Social & Table Clinics 6:45pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)

• Identify key components of a healthy eating lifestyle • Learn how to counsel patients on healthy eating

March General Membership Meeting: guest night BRING YOUR SPOUSE!

Guest Night