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Published since 2010

Practice Builders · Spring 2015 Issue · 1,747 words

5 Things You Must Do to Successfully Market Your Practice

Solo ownership fell from 67 per cent of dentists in 1991 toward a corporate marketplace. Five things a solo practice must do, using the personal service corporations struggle to deliver.

Words by Kristie Nation
1 March 2015

”Corporate dentistry has done a much better job than MOST (but not all) solo practices in the way that they market and manage their offices. I believe that there is much that solo practices can do to use their differentiation to win-out over their corporate competition. But the solution requires attention to the local market conditions along with stepping up their game of messaging, promotion and administration. There is no answer that I can give that would apply to all markets, however. What we usually do when we are looking at marketing a practice (which includes internal and external practice promotion) is to find out the demographic and psychographic profile of the patient base and go from there. The answer lies in understanding the basic needs and wants of local people.”

At DentalTown.com (April 2014), Michael Barr, DDS, who has worked both in corporate dentistry and private practice, makes the argument that dentistry is a highly personalized service requiring the nurturing of relationships. The corporate profit-driven orientation often does not support that. Therefore, as long as private practitioners focus on developing patient relationships, there will be a place in the market for them.

Business Sophistication

The number of solo private practices is declining. In 1991, Kent Nash, Ph.D., wrote in the Journal of the American Dental Association that dentists in ownership positions represented 91 percent of all practicing dentists, and solo practitioners accounted for 67 percent of all dentists. In 2012, the ADA Health Policy Institute reported that the percentage of dentists who are owners decreased to 84.8 percent and the percentage of all dentists in solo private practice declined to 57.5 percent.

Private practice is evolving into more group dental practices. Marc B. Cooper, DDS, of The Mastery Company attributes more group dental practices to six factors:

sion-resistant, growing at an annualized rate of over 5 percent. Capital investors, entrepreneurs and professional senior executives see tremendous opportunity in managed group practice. 6. Dental school debt can be as high as $250,000 or more. The door is closing to entering dentists, which might explain why fewer than 20 percent of graduates are seeking practice ownership. And the door is closing on exiting dentists since there are fewer buyers. Managed group practice looks like the answer. Group practice by its very nature requires a more complex and sophisticated business model than solo practice. Managing people, setting and monitoring performance goals, strategic planning, and marketing for a group practice require greater sophistication and reliance on advice from business advisors.

In the future, private

practitioners will

have to employ more sophisticated marketing strategies

to set themselves apart from corporate

dentistry and attract

patients.

1. Dentistry always follows medicine. Although the economic engines are somewhat different, the basic practice models are the same. With increased government oversight through regulations and mandates, with third parties squeezing harder, and with the cost of doing business going up, solo dental practice is going to have trouble managing these forces. 2. Costs continue to go up. Equipment, staff, fixed costs, variable costs, supplies. Revenues are flat or declining. The only way to beat this is through economies of scale, which is only available in managed group practice (MSOs/DSOs). 3. Third parties will continue to exert downward pressure. PPOs are now 80 percent of the insurance landscape. More than 50 percent of the population has dental benefits. Of these 50 percent, 70 percent to 80 percent are the ones who see a dentist. 4. The dental industry is severely fragmented with 86 percent of the dentists (in private practice) practicing solo. Corporate dental companies see a clear financial windfall in coalescing these individuals into group expressions. 5. Dentistry as an industry is reces-

To succeed in this new world of dentistry and reap the rewards that dentistry has to offer the successful young dentist will:

  1. Get more engaged in personal financial planning
  2. Become more marketing savvy, and
  3. Develop more sophisticated business and management skills An experienced and knowledgeable CPA who understands the dental profession can help.

Edward C. Challberg owns and manages a CPA firm in San Rafael, California that exclusively serves dentists. Ed is a member of the American Institute of Certified Public Accountants (AICPA), the California Society of CPAs, and has been an active member in the Academy of Dental CPAs (ADCPA) since 2001.

Beginning the next phase of life as a new dentist is exciting, but careful planning is required to ensure you have priorities straight, realistic expectations and a (at minimum) a five-year plan. Whether you are starting your practice from scratch or purchasing an existing one, a cornerstone of your plans for the future – both short- and long-term – must be marketing.

You must be prepared and ready to sell your brand – which, in dentistry, is a combination of both yourself and the practice you run. There are thousands of things you can do to increase your chances of marketing success; but there are five things you must do, without which other efforts are useless.

1: Allocate a Budget A realistic marketing budget can range from $25K for an established practice in a region with little competition to $250K or more for a brand-new practice in a highly competitive area. Seem like a lot of money? It is. Building a brand isn’t cheap.

A huge factor when it comes to marketing costs is one that too few dentists think of when deciding where they want to practice – in many cases, they choose where they want to live first and then look for the closest spot available to establish or transition a practice. They fail to research each potential location, scope out the competition and weigh in the cost of necessary marketing.

If you will be the only option within a decent mile radius (normally less than 50 miles and in some cases less than 25) people are more likely to default – but that’s not a guarantee. People feel strongly about certain health care providers and are often willing to drive distances to use a dentist they are already familiar with and whom they trust.

However, if you are planning to practice in any decently sized city, town or suburb, there are likely to be established practices already in position. Convincing residents to switch can be difficult, and obtaining new patients can be expensive.

In either situation, a budget is an imperative – and you can’t count on simply dipping onto whatever working capital is left from your initial funding. Marketing needs to be part of your strategy from day one, and a generous allotment to cover the first year should be included in your acquisition costs.

2: Understand what “Brand” Really Means Your brand is your reputation, not a logo, slogan or picture of you. Unlike Nike or Pepsi, you can’t assume people will automatically have a reaction. It’s important to recognize that an established practice isn’t guaranteed to have a brand you like and, more importantly, a brand that patients will continue to trust after he is gone. Brand management takes consistent effort and the current owner may have let it slide in recent Do your research to figure out how much effort (and cost) you are in for.

Your goal is to be the dentist most recognized by your target audience – and for all the right reasons. This means building yourself and your practice up as the best option (not necessarily the most affordable). A good brand can take 5-10 years to build, which is why you need to embrace both short- and long-term marketing tactics.

3: Use the Web - It Exists for a Reason In the Internet age, you’d think having a practice website is a no-brainer, but it isn’t. Many, many practices are out there with little or no web presence, when a great website is a must.

Your site should be well designed and intuitive, so don’t cut corners when having it built. Make sure your web development team includes both reputable designers and expert copywriters. Then look for SEO / SMM specialists to help you build your website and practice image up on social media and search engines. You want to rank online not only for searches for dentists in your local

area, but for your name – word of mouth still hinges on “Go see Dr. so-and-so. He/ she is the best!”

advertising, on or off-line. Direct marketing can give you more bang for your buck. It’s less expensive, allows you to control both the message and the audience, has a significantly higher ROI and doesn’t waste thousands of impressions on an indifferent audience.

This is a long-term marketing investment. When you pay for a commercial, a radio ad or some space in the local newspaper, your marketing dollars pay for “limited-time” exposure. Money spent on building your online presence not only has a better short-term ROI (return on investment) than advertising, but it can keep working for you year after year.

5: Get Personally Involved Going to the dentist is scary enough without feeling like the person with their hands in your mouth is an unapproachable stranger. Dentists tend to worry about “corporate dentistry” taking over, yet fear to show the personal side of their practice. They don’t realize that transparency is the key to local success.

4: Advertising isn’t the Devil While building your online reputation should be a priority, advertising still has a valid role – especially for a new practice. If you don’t have any patients, advertising is the way to get them. It’s effective, especially if you have a broad demographic.

Personal doesn’t have to mean unprofessional. One of the best ways to gain acceptance in your community – which is also your most valuable source of patients – is to get involved. Show up for local

That said, most dentists don’t have the budget required for sustained commercial

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events, sponsor a youth sports league or hold your own charity drive. Let your patients get to know you, your team and your passions.

If you build your marketing plan around these five ideals, you can ensure both short- and long-term success as your branch out on your own. Remember, it’s not just, “If you build it, they will come,” but, “If you don’t market it, no one knows it is there!”


Kristie Nation

Kristie Nation Ms. Kristie Nation is the founder and CEO of myDentalCMO, a marketing consulting firm that provides strategic marketing evaluations,education, and marketing advice for dental practices..

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