to Dental Practice Solutions

Welcome to dentistry’s largest dental hygiene practice management resource center! We are the leading dental hygiene consultant/coaching business.

We will increase your TOTAL dental practice profitability without working more hours or days each year.

- Debbie Seidel-Bittke, RDH, BS, Speaker, Author. Dental Hygiene Coach & Consultant

Dental Practice Solutions - Debbie Bittke

Dental Hygiene Consultant | Your Dental Practice Profitability Compass

By: Debbie Seidel-Bittke, RDH, BS

November 29, 2017

How much time did you spend planning your last vacation?

Did you map it out?

Or, did you just throw some clothes in a suitcase and take-off in your car headed in what you thought was the quickest path to your destination?

I bet that you took many hours to plan your last vacation and you started packing probably the week before you left.

In today’s world of technology, you pulled up your map using your mobile device and maybe you printed the directions on your laser printer.

How much time do you spent planning your day at the dental office?

Does your team have a practice profitability compass?

Your Compass

The compass we provide our clients is what you probably know as a “team huddle.”

Once you have this system in place, it should take about ten minutes to plan your day.

The entire team will audit their area of expertise.

Here are a few suggestions to organize your team huddle:

  1. Begin with the financial coordinator (Office manager or similar position) reporting on production/ collections: Monthly goal and your current month-to-date production/collections. Talk about what went well the previous day and what did not go well, etc.
  2. Scheduling coordinator reports on open holes in today schedule and in the near future. Let the team know about ER patient availability. Provide doctor with a list of new patients for him/her to call before their 1st (Yes! This is something different and you will stand out among other dentists in your community if you do this one thing!)
  3. Hygienists come to this meeting with an understanding and communicate to the team about which patients need: new medical history, Oral ID™ FMX/BWX, doctor exam, perio charting, outstanding restorative needs, family members who also need a hygiene appointment or restorative care, post-op call update (For all patients who received local anesthesia), etc.
  4. Assistants audit their schedule to share and inquire about patients with special needs, local anesthetic needed, type of impression needed, results of post-op calls from the day before, which patients have family members who need a hygiene or restorative appointment, etc.
  5. Yes, even doctor has a part in the morning team huddle. We suggest that our doctor call all new patients scheduled during the week prior to their 1st appointment. Doctor will report on the outcome of this quick call to welcome the new patient.

When everyone takes time to look at their schedule and review their patient needs as listed above, you will discover adjunctive and necessary services your scheduled patients and their family members need.

When you look at your practice profitability compass you can work together as a team to close various gaps in meeting your goals. You will also be able to serve your patients at a much higher level.

Closing the Gaps

Maybe you are still scratching your head. Some of you think meetings are a waste of time.

What I am suggesting is that everyone let the team know what is needed to make the day profitable, efficient and provides the best care for the patients.

Your morning team huddle will help navigate your day and eliminate any un-necessary bottlenecks which might occur.

This compass is what makes a day that has a smooth landing without turbulence.


Debbie Seidel-Bittke, RDH, BS is a dental consultant, coach, speaker and author. She is also CEO of Dental Practice Solutions. Debbie is a world-class leader in creating profitable hygiene departments. She is well-known as a former clinical assistant professor at USC in Los Angeles and a former hygiene department program director. Dentistry Today recognizes Debbie as a Leader in Dental Consulting.

Be sure to grab this free 3-part hygiene video department training, webinar on the Gingivitis Code plus flowchart on training the patient with gingivitis and Strategic Planning Session: http://www.dentalhygiene.solutions/

You can reach Dental Practice Solutions to schedule a complimentary strategic planning session by calling 949-351-8741 or you can send an email to: admin@dentalpracticesollutions.com

You can also go to the website: www.dentalpracticesolutions.com

More compliance. Less defiance. Innovative model for case acceptance by patients…the path of least resistance.

By: Debbie Seidel-Bittke, RDH, BS

November 22, 2017

By Steven Ury, DDS, Periodontist
      Randy Nolf, DDS, Periodontist

Dentists and hygienists are using a simple to complete analytical software making discussions with the patients easier…making the progression to treatment compliance easier… and enabling a practice to substantially increase case acceptance for periodontal therapy. This technology makes available a single language, with everyone “on the same page”, to discuss periodontal disease, and the necessary treatment.

The software allows for thoughtful and readily understandable discussions with patients thus improving the progression to treatment acceptance through a path of least resistance.

Implementing innovative technology into the practice, using risk and disease severity health scores as clinical support, will no doubt increase patient compliance.

PreViser™ Corporation www.PreViser.com provides their web enabled Oral Health Information Suite (OHIS) software for free. The use of the technology provides three (3) numbers, or scores, indicating patients’ risk of future periodontal disease, existing disease state and their ongoing oral health stability. With these 3 scores, patients then have a clearer idea of the severity and comprehensiveness of their problems. In other words, they know how things are going.

A nice feature of the OHIS is that it allows practitioners to recalculate the risk scores, just as if the patients had completed the advised treatment. So, a patient can visualize what will happen without treatment compared to what will occur with the recommended care. That’s when the fun begins. These scores predict whether the treatment plan will be working. Outcomes are the key.

Dental practices are utilizing this powerful method to impact a patient’s decision to proceed with care for a lifetime of oral health. Case acceptance is markedly improved providing more treatment for periodontal disease by the dentists and hygienists including any necessary subsequent restorative care.

Why now? Well, there’s a new sheriff in town. Patients and practitioners, as well as insurance companies and employers, are relying less on subjective findings to determine if periodontal care is working.  Welcome the new law of the land – objective findings derived by an analytical software. Practitioners are accurately communicating with patients about their risk of disease and the outcomes of treatment. Everyone’s “on the same page”. We’re talking Evidence Based Practice here; the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care.

Instead of dentists and hygienists potentially disconnecting on a diagnosis, a treatment plan or a prognosis, they can agree and provide an easy to use, objective and reproducible way to measure, understand and communicate patients’ risk and disease level as simple numeric scores.

People relate to scores and knowing their numbers gets them involved. Physicians supply blood pressure, cholesterol, and diabetes numbers to their patients to follow their progress. Now dental patients will know their periodontal disease scores and look for improvement in the numbers.

More and more dentists in the know are advocating the principles of a medical model of healthcare for dentistry. Less repair and more interception and prevention. Consider the PerioCentric™ practice, defined as a best practice in which treatment revolves around sound periodontal diagnosis and treatment, utilizing metrics to evaluate treatment outcome.  It employs a simple step by step, reproducible, algorithmic approach to care we call the PerioBlueprint™.

When implemented it provides dental professionals the knowledge and tools to discover undiagnosed and untreated periodontal disease in an existing practice. The appropriate care for these conditions will result in improved health for patients as well as production and revenue for the dental practice that may prove to increase exponentially.

Dentistry is adjusting to a new paradigm that is better for patients by shifting focus away from procedures for repair of disease… to a model of interception and prevention of disease.

There is unprecedented demand for increased care for periodontal disease. The most recent data from the Center for Disease Control revealed that 47.2% of adult Americans exhibit periodontal disease and the disease increases to 70.1% of adults over 65 years. Contemporaneous insurance company data reports only about 7% obtain periodontal treatment…Only 7%.

Dentistry has a busyness problem. Nationally, approximately 1 in 3 dentists say they are not busy enough. Imagine the increase in production and revenue when discovering that perhaps 50% of patients require some form of periodontal care. And not just code 1110 “prophy” care – we’re talking anesthetized scaling/root planing, pocket reduction and tissue grafting surgery. LANAP, and more. Of course, when maintenance starts, using the obligatory code 4910 will result in more comprehensive visit than a code 1110 “cleaning” and thus, improve hygiene production.

We are in a time of transformational change in healthcare and tremendous opportunities for enhanced collaboration among healthcare providers exist. Dentists have a chance to fundamentally rethink their role within the healthcare system and take advantage of these new opportunities. It would not only help peck away at dentistry’s busyness problem but would also allow dentists to contribute much more significantly to whole-body health. And really, isn’t that what it’s all about.



Dr. Steven Ury, Periodontist
Dr. Randy Nolf, Periodontist
PreViser Corporation and AdViser Corporation Co-Founders
Directors, The Synergy Academy (www.TheSynergyAcademy.com)



About Dr. Ury

Dr. Steven R. Ury, Periodontist

Academic Faculty Director, The Synergy Academy

An entrepreneur at heart, Steve Ury altered his career from engineering to focus on the potential of the burgeoning dental industry. He earned a degree in dentistry, owned a general practice and then became a periodontist with an office in NY.

During his leadership of dental study groups and as past president of the largest periodontal organization in the northeast United States, Dr. Ury interacted with other dental professionals. He foresaw the changing landscape of periodontal care and referral.

As co-founder of PreViser Corporation, he witnessed the development of analytic software to help expose undiscovered periodontal disease. More disease revealed equates to more treatment rendered resulting in more healthy patients.

Lack of busyness is problematic in dental practices. Realizing periodontal disease concerns approximately 50% of the adult population but only about 7% have related care, he considered the possibilities. Dr. Ury believes that dentists could easily increase production and revenue by administrating in-office, non-surgical and basic surgical periodontal treatment.


About Dr. Nolf

Dr. Randy Nolf, Periodontist

Clinical Faculty Director, The Synergy Academy

As a periodontist, Randy Nolf has witnessed the changing dental industry as an opportunity is expanding for general dentists and specialists alike. Dr. Nolf believes that the same is true for dental education which is at the dawn of a major shift to less centralized, more affordable, and rapid practice adoption model of delivery.

He has continually been involved with teaching since he received his advanced certificate in Periodontology from Temple University in 1981. His outstanding credentials include a certificate from the gIDE Master Clinician program and as co-founder of the PreViser Corporation.

Dentistry is adjusting to a new paradigm, better for our patients by focus shifting away from repair to interception of disease. Interception as a treatment model is possible through sensitive artificial intelligence permeating into our practices. Randy is gratified to witness this evolution in part through software he created and now being adopted throughout the Us and UK.

Dr. Nolf has been an advocate of supporting general dentists with in-office training as well as on-site surgical procedures his entire career. 35 years integrated into dentists’ offices has led to a new system of training called “Synchronized Dental Learning™” facilitating rapid adoption of new surgical procedures into general practice.

In-Office Dental Training | Preventing Alzheimer’s Disease: A Team Approach

By: Debbie Seidel-Bittke, RDH, BS

November 13, 2017

November is National Alzheimer’s Disease Awareness Month.

According to the Alzheimer’s Association, the number of people with the disease has soared to nearly 5.5 million.

Lifestyle changes can make a difference and as healthcare providers we are on the forefront of educating our patients.

We also have much research that states inflammation in the mouth causes inflammation in the body.

A team approach to prevention of Alzheimer’s Disease is how we can conquer disease in our world today. Our team approach includes a discussion with our patients about the mouth-body connection.

Studies are very encouraging as they have shown that it is easier than you think to prevent the disease. It is much easier in today’s world to keep your mind sharp and engaged as you age.

Although currently there is no cure for Alzheimer’s, here are some simple strategies that may help reducing your risk:

Be Active

It’s important to include 150 minutes of moderate exercise each. This is the single most important thing you can do for prevention. The Alzheimer’s Research & Prevention Foundation suggests that regular exercise can reduce your risk of developing the disease by as much as 50 percent. While cardio is an important aspect of overall health, including weight training to increase muscle mass works towards maintaining healthy brain functions.

Share a Cup of Tea


Encourage your patients, family and friends to socially engage with others. It’s too difficult in today’s world of technology to sit and text our family and friends let alone, play around on social media. Time passes quickly when you are pre-occupied with technology so put exercise on your calendar. If you want to sustain healthy cognitive functions you must get out there and be with people who can stimulate your senses. When you remain socially active it becomes your defense against Alzheimer’s even later in life. And while you’re at it, make a pot of green tea to share. 2-4 cups of green tea a day has been proven to sharpen memory and slow the brain’s aging.

Healthy Eating

You can adopt simple eating habits that will improve your brain’s overall health. Put a halt to eating foods loaded with trans fats and refined sugar as much as possible. Both of these lead to brain inflammation. Be sure to include foods high in Omega-3 fats. Salmon and Omega-3 rich foods contain DHA. Omega-3 fats and DHA prevent Alzheimer’s. Increase your intake of fruits and vegetables, especially berries and leafy greens, which contain antioxidants that protect your brain.

Challenge Your Brain

The more obscure and unfamiliar the challenge, the better it is for your brain health. Learning something new causes your brain to create new pathways. Try reading a new book, solve a puzzle, learn to play an unusual instrument or learn a foreign language. Mental stimulation and continued learning throughout life have shown promising results in preventing Alzheimer’s.

Get Your ZZZZZZZ’s

A routine sleep schedule can help reduce memory problems in more than a few ways. Research shows that lack of sleep may actually be a risk factor in developing Alzheimer’s Disease. Sleep loss slows your ability to think, creating a negative effect on your mood, two factors that contribute to developing Alzheimer’s later in life.

Humor. LOL

Humor is one of the best ways to curb stressful situations and avoiding chronic stress is essential to Alzheimer’s prevention. Daily stress causes shrinkage in areas of the brain that cause memory loss. Stress also inhibits the growth of nerve cells. Laugh, smiles a lot and don’t take yourself so seriously.

We live in a time of expanding research and recent studies give promise to a potential cure for Alzheimer’s. Prevention is the most significant step you can take in controlling the future of your mental health. Let’s not wait until there is a cure for Alzheimer’s Disease.

As healthcare professionals, let’s work together as a team and educate our patients, our family and friends about the mouth-body connection.


Debbie Seidel-Bittke, RDH, BS is an international dental consultant, coach, speaker and author. She is also CEO of Dental Practice Solutions. Debbie is a world-class leader in creating profitable hygiene departments. She is well-known as a former clinical assistant professor at USC in Los Angeles and a former hygiene department program director. Dentistry Today recognizes Debbie as a Leader in Dental Consulting.

Dental Consultant | How Do We Bill It and Get Reimbursed?

By: Debbie Seidel-Bittke, RDH, BS

November 3, 2017


Please join Founder of Dental Practice Solutions, Debbie Seidel-Bittke and Consultant, JoAnn Leon
for the course
“How Do We Bill It and Get Reimbursed?”

JoAnn Leon will walk attendees through the correct treatment and billing sequence for reimbursement to occur is a timely manner.

Proper sequence must occur for many services so patients insurance will reimburse the service rendered.

The following topics and challenges offices often face will be covered at the upcoming course:

  • Extractions – Routine or Surgical: Why you may not be getting paid.
  • Bone Graft at the Time of Extraction: What is your billing sequence and information submitted to insurance co.?
  • Ortho Extractions: Are you getting paid? JoAnn will share exactly how these need to properly be submitted to insurance for expedited insurance reimbursement.
  • Dry Sockets: Are you getting paid? JoAnn will discuss the proper method for reimbursement.
  • Offices with Invisalign: How are you billing? Steps to expedite reimbursement.
  • Emergency visits: How to use the after hours code.
  • Proper Billing for Occlusal Adjustment.
  • And so much more!

Course Information

Course Date: November 30, 2017
Dinner Begins at 6:00 PM
Course: 6:30 PM – 8:30 PM
2 CE Credits

Click Here to Register

**Limited Seats Available**

We ask that those attending bring their billing challenges as JoAnn will take time to personally work with you to ensure these claims are reimbursed.

We look forward to seeing you there.