Dental Law Discussion w/ David Cohen – What You Need To Know!

Dental Law Discussion w/ David Cohen – What You Need To Know!

David Cohen of The Cohen Law Firm has transacted hundreds of dental associate employment and independent contractor agreements (and specialist employment independent contractor and employee agreements), as well as negotiated and reviewed hundreds of the same.

They also have incorporated hundreds of dentist and specialist business entities. They regularly write and review purchase and sale and title documentation for dentists and specialists buying or selling their dental building properties or practices.

They also just as regularly write and review lease documentation for dentists and specialists leasing or sub-leasing their properties.

Another area of their expertise is forming and maintaining dentists’ non-profit organizations.

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Bill (00:03):

Hello everyone, this is Bill and I’m with KickStart Dental Marketing. Thank you for joining us on our consultant network. Today, we have David Cohen of Cohen Law Firm, who specializes in serving dentists and dentist specialists with various legal needs such as business formation, transition services, partnerships and sales. David serves dental practitioners nationwide and has also spoken to audiences across the country.

Bill (00:27):

So thank you for joining us on our show today, David. Welcome.

David Cohen (00:32):

Absolutely. Thanks for having me.

Bill (00:34):

Thank you. I know we’ve had some brief discussions. In getting a little bit more familiar with you and your practice, I quickly realized the critical role you play, or your services play, throughout a lifetime of a dental practice. From the initiating of the dental practice, events that happens throughout regarding partnerships and transitions and so on, all the way through to an exit, when they’re retiring, the selling of the practice, and so on and so forth.

Bill (01:04):

Before we start to cover some of these topics, why don’t you tell us a little bit about how you started and why you created a firm that specializes in the dental industry?

David Cohen (01:14):

Sure. I grew up in a dental family, my father’s a periodontist. I always grew up going to meetings and such. He actually, aside from being a periodontist, is the starter of a continuing education business, so I had grown up going to meetings with dentists, and I always loved interacting with them and they’ve become longtime friends.

David Cohen (01:37):

So when it came to graduating from law school, I wondered how I could get back to dentistry without being a dentist and how I could interact with them. So I began to work for the CEO of a firm who just happened to have many clients who were dentists, even though we weren’t doing dental related things. By doing that, I was able to see what their general needs were in their lives, and I took that and ran with it and decided to start my own law firm to focus on those needs. And those needs typically being business related, practice transition, partnerships, formations of businesses, employment situations, just to name a few.

David Cohen (02:24):

So in 2011, I started my own law firm that specialized in those areas in helping dentists and specialists. That’s where I stand today.

Bill (02:37):

That’s awesome. Great. Hey, I know that we’re talking and I know that you’re located primarily in Dallas. I did see a reference to the Seattle area. I know you have clients across the country. But, do you spend time in both locations?

David Cohen (02:51):

I do. You nailed it though, that my clients are all over the country. We do really most of our business on the phone and via email, so location hasn’t been an impediment so to speak. But yes, as far as physical locations are concerned, we have a location in Seattle, we have a location in Texas, and I do spend time in both places.

Bill (03:16):

That’s great. You know, I heard a conversation of yours a little while back, I think it was with Howard on Dental Town. You were talking about the three phases of a deal, and I’d really love that to be the conversation that we talk about today on our podcast. But, I’d like to break it up into two phases.

Bill (03:36):

The first being the startup or a new dentist, someone who is starting a new practice. And I guess, a lot of the focus on that section will be on phase one, which you call the beginning or the formation. And then, the second half of our time today, I want to talk about existing or established practices and how some of the events that happen to them regarding partnerships, or associates and stuff like that, can influence the parameters of those deals, phases one through three. And then, we’ll conclude today in letting everybody know how they can contact you best about your services. So how’s that sound?

David Cohen (04:15):

Sounds great.

Bill (04:17):

All right, so let’s begin with the dentists, they’re just starting out. There’s basically two options, when we remove the associate part. It’s really a startup, they have 300 to 500,000 in capital, whether it’s a loan or whatever. Or, their other option is acquisition, I can acquire another practice, take over a practice from somebody whose retiring, or so on and so forth.

Bill (04:43):

Let’s talk about that, from a startup standpoint. I noticed in looking at some of your information, you really focus on the forming of the practice but you also help them with possibly some of their real estate needs, and so on and so forth, equipment. How does that work?

David Cohen (04:59):

Yeah, that’s correct. When we work with clients who are doing startups, we work with them in a couple of capacities.

David Cohen (05:04):

Number one, as you mentioned, forming the appropriate business in the state that they’re in to own their practice with. Every state has different requirements and different options regarding what types of businesses doctors can have. So what we do is we give that client the options and we talk to them about what might be the best for their situation. And then, once we’ve done that there’s always a real estate component, whether that client is buying real estate or leasing. Whichever the case may be, we then help them review … Usually it’s a review, because the landlord or the seller is the one that drafts the documents. We help with the review of those documents.

Bill (05:52):

Okay, perfect. So then when you look at the other option, an acquisition, the terms are basically the same. You might be talking to a person who actually owns a building or they’re under an existing lease, and so on and so forth. There’s typically equipment involved.

Bill (06:08):

And then, I want you to touch base, too. I’m not as familiar, but I’ve heard terms in reference to how they’re purchasing a practice, whether it’s on a flat rate basis or a per chart basis. Maybe, if you could touch base on residual compensation, and some of the things that they might have to face in acquiring a new practice.

David Cohen (06:31):

Well, yeah. When a client is buying a practice, usually they’re buying assets and usually the assets that they buy consist of furniture, fixtures and equipment, supplies, goodwill. And sometimes, accounts receivable, it really depends on the situation in whether they’re buying those or not.

David Cohen (06:54):

Also, they acquire records. And every state has different requirements with regard of who owns records and if those can really be bought or acquired, or if just the rights are assigned. There are other things to consider, but as far as records are concerned, as you mentioned, from time to time I have doctors who are going to acquire somebody else’s patients and bring them over to their office, and not do the traditional method where they buy somebody else’s practice and actually establish themselves in that location.

Bill (07:30):

Gotcha.

David Cohen (07:30):

When that happens, when they’re only doing a transfer of records, there are different ways that I see clients operate as far as purchase price is concerned. I’ve seen routes where the CPAs come up with specific numbers and it’s just like any other sale, the buyer pays the purchase price in consideration for the interest in those records. And then, I’ve seen a hybrid model where a purchase price is paid, but it’s perhaps only a fraction of what maybe the total could be. And then, the remainder of the purchase price is based on a formula of per patient, that comes to actually be treated by the purchaser. And then, I’ve seen the other extreme where a purchaser buys records and the entire purchase price is based on how many patients actually come and visit that purchaser’s office for a treatment. For a dental practice, at least getting hygiene treatment and usually the baseline of that.

David Cohen (08:35):

So I’ve seen all three different ways. And, based on the situation, based on the practice, based on the numbers, that’s how it’s determined as to which route they go and what actual price they’re going to be putting on the records. The most difficult thing to do is records are not like equipment, where it’s difficult to come up with an exact number that a chart is worth. All the parties, the teams involved, particularly the financial people do the best that they can to come up with a fair and equitable number based upon that practice.

Bill (09:15):

Yeah, that makes total sense. You know, you can definitely see that it’s a revolving dynamic based on the circumstances of each deal. That’s very good.

Bill (09:24):

So moving from the startup or the acquisition, I want to start talking about this, I want to go into details more about what you call phase two and three in this segment, also. Although, phases two and three are also applicable to the startup and acquisition. We’ll cover them in this scenario a little bit better.

Bill (09:48):

When you talk about existing or established practices, here at KickStart Dental Marketing, we also specialize in helping dental practices grow. We just do it through digital marketing efforts for new patient acquisition so we talk to all of our clients about their growth strategies. In the majority of the cases, in addition to what we do for them, many of our clients have also handled growth in different capacities. As they’ve worked with us in the past, they’ll get new clients or their work threshold will increase to where they’re looking into adding an associate, and so on and so forth. We’ve also had clients who’ve added a strategic partner.

Bill (10:34):

One of my very first clients was a pediatric dentist here in Colorado, actually. She added an orthodontic specialist into her practice in making a more holistic solution for pediatric services.

Bill (10:52):

So when you’re doing that, now you have an existing practice, or two existing practices. I know that in the past, you’ve talked about adding an associate, a partner, a merger. This is where the buy-in option also comes into play. Let’s talk a little bit about how that dynamic now changes, from the beginning standpoint when it’s talking about a partnership from either a buy-in or a merger, or so on and so forth.

David Cohen (11:21):

Yeah. With a partnership, there’s really three ways into the deal. A merger, merging existing practices. Startup, which is partners starting up brand new together. And then, a purchase where one doctor buys into another doctor’s practice. The most common of those three is the purchase.

David Cohen (11:41):

There’s typically purchase documentation drafted to effectuate the buy-in. That purchase documentation typically consists of either a stock sale or an asset sale. Usually, it’s an asset sale. What that means is that the actual practice, the actually company that the seller owns is not being sold, but actually an interest in the assets that the seller owns is being sold. That’s not always the case. Sometimes, stock sales happen and purchasers buy interest in the actual company of the seller. The teams that are involved in the deal are often going to come together to find the best resolution.

David Cohen (12:30):

It’s typically better for a buyer to buy assets then to buy the stock. There’s tax reasons for that, and also buyers want to steer clear of all liabilities from prior. If they’re just buying assets, then they are not responsible for the liabilities of the seller’s corporation prior. The seller likes to sell stocks because they’re not worried about the buyer in protecting themselves for liabilities, they’re more worried about their taxes and they usually are better off from a tax standpoint if they sell stock instead of selling assets.

David Cohen (13:09):

Now, that’s the usual. That doesn’t mean that it’s that way in every single case. I always encourage people to consult their advisors to make sure that they are doing the right thing in their circumstance.

Bill (13:22):

Sure, sure. Now, before we move on to what you call phase two of the deal, what’s the most common thing that you’re seeing? I’ve seen studies and I’ve heard that there are more people opening dental practices, so starting in dentistry, than they are retiring. Are you seeing a lot more from a startup or acquisitional buy-in as independents, or are you seeing a lot more from partnership, association, merger aspect, in the dental field since you’ve been practicing over these years?

David Cohen (13:55):

I’m mostly seeing buy-ins. I certainly have clients that do startups and do mergers, mergers probably being the least common. It’s mostly that I see buy-ins happening.

David Cohen (14:08):

As far as more people buying than retiring is concerned, I don’t have data on that so I can’t confirm that with certainty. I will say that the numbers may be skewed a bit because some people may have existing practices that are looking to expand and buy multiple practices, and that might be considered acquisition. And if they buy three practices, then that may look like there’s three more acquisitions going than sales happening from a retiring doctor. But, I think that it wouldn’t surprise me if that was the case. You have a lot of people that are entrepreneurial now coming out of school that really want to own, they’re not interested in associating in practices, and so they’re hungry to own practices. I can see that being the case, where acquisitions might outweigh retirement.

Bill (15:04):

Sure. Yeah. We’ve had several clients who, like I had mentioned earlier, used one aspect or another of the situation as a growth strategy, whether it’s acquisition or partnership. Which is very interesting as we talk to phase two of the deal, when you have a dynamic like that. I think that you reference this as operational, or the time during the deal. You’ve established a deal and now you’re operating within this deal.

Bill (15:32):

What are the things that are evaluated during that? Costs, and so on and so forth.

David Cohen (15:40):

Yeah. When clients go to stage two, which is operations through the deal, they’re mainly going to focus on management decision making, and how the costs and the money are split. With regard to management decision making, it can be based on majority consent, which means that whoever owns more of the company makes the decisions. Or if there are multiple, more than two, I guess two would be multiple as well, but if there are more than two doctors in the practice, then majority would just consist of more than 50% voting on something to make it effective. And then, there are other practices where they base their management decision making based on unanimity.

David Cohen (16:24):

There are positives and negatives to both. If you base things on unanimity, then everybody has a say, which obviously everyone is happy with. But then, it could frustrate the progress of the practice because if not everyone can agree on something, then it doesn’t happen. On the flip end, majority consent typically makes things happen, makes things go. But then, often times you have a party who doesn’t agree with what is happening, and how material that decision is could obviously impact how upset somebody might be that it didn’t go their way. Obviously, if it’s a very material decision they may be very unhappy. If it’s something that’s not a big deal, then they may be less unhappy, so it varies. That’s how I see management decisions being made.

David Cohen (17:15):

And then, when we move on to how costs and the money are split, that’s where I always recommend that clients bring a team in on their deal, one of the teammates is a CPA or financial based person who knows numbers, and it’s always great to confer with them based upon the practice, what the best scenario as far as splitting the money and the costs are concerned. Typically, I see practices that are purchased or owned as investments, where the doctors aren’t actually practicing in those locations. They usually just split the money and the costs based on percentage ownership.

David Cohen (17:49):

In practices where the doctors are actually working, I seldomly see the doctors split the money and the costs based on ownership. The reason why is because you could then have a doctor that’s producing 70% of the work and one’s producing 30, and then getting paid equally. And then, that causes a problem because the 70% producer is not happy because they’re getting less than they’re producing. And the lower producer is obviously happy because they’re getting more than they’re producing, and they’re less incentivized to work hard because why work harder when you’re getting more anyway for doing less. Usually, I see doctors split money based on production, and even split costs based on production.

David Cohen (18:34):

But, I often see hybrid models too, where there maybe carve out of a certain amount of money, or a profit pool so to speak, that is known money that comes in based on percentage ownership, every say month, where the parties know exactly what they’re getting, they know they’ll have something to pay their expenses. Buyer and younger associates that are buying in can service their debt. But then, the majority is based on production.

David Cohen (19:01):

That’s usually what I see. Again, this can be done in any way and the parties have to do what’s best for them, under their circumstances. But, I’m just mainly speaking on what I typically see.

Bill (19:11):

Gotcha. Yeah, it could be very, very complex. You know, as with any deal, there’s always the exit. Whether it’s retirement, or a partner retires and some of the complexities of one person continuing in practice, one person leaving. I’ve heard circumstances regarding non-compete in those situations.

Bill (19:32):

Why don’t you talk to us a little bit about phase three, the exiting of the deal so to speak?

David Cohen (19:38):

Sure, I’d be happy to. Exiting a deal consists of five things. Retirement, death, disability, disagreement and default.

David Cohen (19:47):

And just going through those, starting with default. Default would be something that a member of the company conducts an action or fails to take action on something that could materially adversely affect the goodwill of the practice. That’s usually what it’s based on. So for instance, if a party loses their license, or if they commit a felony or something like that, those are typically reasons for kicking someone out of a company, and they’re called default. Usually, the non-defaulting partners have the option to buy that person out, usually at a discount, because the goodwill has been affected if there is a default, which also holds all the parties accountable.

Bill (20:33):

Sure.

David Cohen (20:34):

Moving on to disagreement. Disagreement is probably the toughest thing to govern in these deals because you can map it out however you want if the parties don’t get along, but by the time the parties don’t get along, whatever plan that was implemented for the beginning may not be realistic or reasonable anymore, or fair to everyone, which is the key. One example would be that if it’s a multi-location practice and the parties decide that, if they break up, they’re going to split the parties among all the different locations. That might be fair on day one, but on year five, maybe it’s not an equitable deal anymore.

David Cohen (21:16):

I typically encourage parties to come to the table and try to work out an equitable resolution. Of course, their partnership agreement will have provisions that govern what happens in a dispute, and usually a dispute resolution provision that says the parties will go to mediation first, and then arbitration, et cetera. Or, maybe it’ll just say that you go to arbitration. Whatever the case may be, they’ll typically have that implemented. The issue is all of the things I just mentioned usually cost time, money and headaches. And usually the parties, even when things are most contentious, are more prone to want to come to the table and work something out before they go that route because they do save time, money and headache.

David Cohen (21:59):

Moving on to death. Death is typically governed by life insurance. Usually, the parties get cross insurance policies on the lives of one another. In the event somebody dies, the estate of the descendant then is paid the proceeds of the policies from the other partners in exchange for the interest in the practice. That way, the estate doesn’t own the practice anymore, which in some states they can own it for say up to a year, which nobody really wants. And that way, the interest goes back to the other partners and the estate gets paid out, which is usually what they want, and they go their separate ways.

David Cohen (22:35):

Why is this effective? Because death is often times sudden, or unexpected, and when that happens it’s difficult to come up with the financing to buy a partner out. But if they’re just paying premiums on a policy, they can just take the proceeds from the premiums and buy out the estate, and just continue to move forward.

David Cohen (22:57):

Moving on to retirement, or just transferring interest, usually the parties conduct some sort of plan to have a notice, where one party has to give X amount of notice to the other party that they’re going to retire. This gives the other party the time to buy them out, or to find a replacement partner, et cetera. That notice is really key, and then the parties come up with a valuation methodology as to how a retiring doctor’s going to be bought out of the practice.

David Cohen (23:31):

I usually see the same methodology used for disability. If a party gets disabled, they usually get bought out under the same methodology as retirement. You may ask well, why don’t they just do a disability policy like they do for life insurance? The reason why is because it’s often cost prohibitive. It usually costs so much to pay premiums on a disability policy that it doesn’t make sense to do so. But, the doctor can obviously always look into that and see if that is a possibility.

David Cohen (24:02):

In a nutshell, that’s really the five ways out of the deal and how I see them usually administered. Again, as I’ve continued to say, the parties have the liberty to do and handle these areas however they want and whatever works best for them, and they don’t have to do the norm or what I typically see. But, one thing that I do recommend is that they govern each of these areas in their contract. It’s really important to A, have a contract and B, govern the key areas in their contract.

Bill (24:32):

Sure. Yeah, it’s very interesting. Hopefully, regarding all of the different opportunities that you just discussed there in phase three or exit, hopefully retirement is the situation that those people listening today will be pursuing.

Bill (24:49):

You know David, thank you so much for spending some time with us. I really wanted to cover the three phases of a deal, I think that’s going to be very good for those listening on the podcast. I know that you are known throughout the industry as the trusted dental law professional, so for those of you listening, if you have any questions or need any legal advice at all, definitely contact David. He can be found at cohenlawfirmpllc.com, his number and email are there.

Bill (25:21):

I know typically as a courtesy, you’ll chat with people regarding their circumstance and give them guidance on how to pursue different circumstances that they may be facing with their practice.

David Cohen (25:34):

Yeah, that’s right. I’d love to chat with people. And if they have any questions about their certain situations or want to just talk about their certain situations, always happy as a courtesy to talk about their situation and see if it’s something that I’m able to help with or not.

Bill (25:51):

[inaudible 00:25:51]. Well thanks again, David, for joining us on the show today. It’s been a pleasure having you, and thanks for sharing such great information. I know that a lot of our listeners will find it very useful. So you have a wonderful day, and we’ll be talking to you soon.

David Cohen (26:03):

Thanks so much for having me. Take care.

Best Practices For Using Digital Marketing To Grow Your Dental Practice

Best Practices For Using Digital Marketing To Grow Your Dental Practice

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You are listening to Hooked On Startups, where every week, you’ll hear from some of the most talented, inspiring and successful entrepreneurs who share their real life stories, how they overcame challenges and failures and how they’ve mastered success. Get ready for some of the best business tips, tricks and tactics and some frank unscripted discussions. Here’s your host, Matthew Sullivan.

Matthew Sullivan:

On Hooked On Startups this week, we have none other than the illustrious Chris Pistorius. Chris, welcome to the show.

Chris Pistorius:

Thank you. Thanks for having me. And you got my name right the first time. So it’s always a good sign.

Matthew Sullivan:

Well, I tell you what, it’s such a, it sounds like victorious.

Chris Pistorius:

Yes, I like that.

Matthew Sullivan:

It’s a combination of luck. I actually did look it up because I’ve got so much time on my hands. Apparently is Latin, pistor is Latin for baker, I believe.

Chris Pistorius:

I’ve heard that. I’ve heard a couple of different versions between German and South African and Greek, I don’t know. It depends where you at.

Matthew Sullivan:

It’s latinized. And of course that was that famous, was it Oscar Pistorius?

Chris Pistorius:

Yes.

Matthew Sullivan:

The guy with the blades.

Chris Pistorius:

Yes. Blade Runner?.

Matthew Sullivan:

Absolutely. Well, welcome, and all of you, welcome.

Chris Pistorius:

Thank you.

Matthew Sullivan:

So I’ve got your mind cheat sheet here, which really, all it talks about is just skill in marketing, design, ads, digital marketing, digital strategies. As you can see from your hat, you’re CEO, and owner, founder, boss of Kickstart Dental Marketing. So first of all, what got you involved? What made you get started into dental marketing?

Chris Pistorius:

I’m asked that a lot, actually.

Matthew Sullivan:

Was it the love of the sound of drills? Did you watch Mountain Man over and over again thinking, I just have try and recover this.

Chris Pistorius:

No. What’s ironic is that I really hate being in a dental office at all, even when I go to visit my clients. It’s like, I’m not a dentist person. I mean, I go to the dentist, of course, but I don’t like it, okay. So it wasn’t because of my love of dentistry, let’s put it that way. But no, when I first started this agency, almost, I guess a little over 12 years ago now. I left Corporate America and i had a nice job. And it was pretty safe. And at the time, I had two little kids at home. And I decided to jump ship and start my own agency.

Matthew Sullivan:

Is that because you wanted your wife just to go, “Chris, what a brilliant idea.”

Chris Pistorius:

It was quite the opposite of that, actually, she thought I was nuts. It was just, I knew I wasn’t wired for Corporate America my whole life and the grind. And I just wanted more out of my career, really.

Matthew Sullivan:

Yes.

Chris Pistorius:

But what’s funny is that when I started the agency, and I took on anybody I could, anybody that would pay me and would be willing to let me learn.

Matthew Sullivan:

Sorry to interrupt, but when was this? When did when did you, now, of course, big question, did you make the leap or were you pushed? You don’t have to answer.

Chris Pistorius:

No, I wasn’t pushed at all, no, no. But I made the leap. I knew I was going to do it. It was 12 years ago, this month, actually, this is our 12th year anniversary, but I knew I was going to do it a few months prior. So I had some ducks in a row in terms of having clients at least ready to be on our platform, if you will, right.

Chris Pistorius:

But, it was a lot of winging it, and just trying to figure things out in the beginning, but that’s how I got into dentistry is that, we took on anybody that would pay us and every time we did another industry, we’d have to learn the industry, right? Like the lingo and what works, what doesn’t. And sometimes, unfortunately, by the time we figured it out, it was too late and the client wasn’t getting the results that they wanted. So I was like, “Look, we’ve got to niche this down and really be an expert in something, right?” Not just try to figure it out.

Matthew Sullivan:

How do you market dental offices? Do you have an ad that says, “I promise you it will hurt you more than me?” Just kidding.

Chris Pistorius:

I might use that, that’s pretty good, actually.

Matthew Sullivan:

In brackets, just kidding, come find out.

Chris Pistorius:

No, we’ve got a lot of cool strategies that we use. Everything that we do is digital marketing. So think of us as like the website, social media, review management, online presence kind of people. And we get pretty creative with that stuff. And we actually have clients in Canada as well.

Chris Pistorius:

And what’s interesting is that they have a set of laws in Canada that really restricts on how you can market a dental practice. You can’t do certain things like you can do here in the United States. Just learning nuances like that and legalities in the U.S. in terms of like HIPAA laws, things like that, is huge and specialized.

Matthew Sullivan:

It’s brilliant over here. Because I’ve been over here for seven or eight years now. And it’s great. The marketing, as a dental office, you can say, “Don’t go down to Dr. Schwartz. He’s awful. We’re much better, come to us.” And you got to say stuff like that. So you got much more flexibility, but 12 years ago, so that would have been what? 2007? Something, is that right? No, 2009.

Chris Pistorius:

2009, right.

Matthew Sullivan:

I was applying a different set of mathematical rules.

Chris Pistorius:

Right. I could tell, it’s advanced mathematics.

Matthew Sullivan:

Advanced mathematics, the world will catch up at some point. So that way, I’m just trying to think about who were the major players in terms of digital? Because this whole concept of digital advertising, then, probably would have been something like ad words, or because, I don’t think Facebook had any real defined platforms. So you started off with a new client base, you’ve got to think of new strategies, and you’ve got a completely open field in terms of what’s out there. So where did you start?

Chris Pistorius:

With a blank piece of paper for the most part, but no, I mean, I had been in marketing for years, I used to work for America Online, AOL, back in their heyday, that’s really where I got my start in digital marketing. And back then really, nobody knew what the heck to buy or sell online, they just knew they needed to be a part of the internet, right. And so we sold basically, back then it was just banner ads.

Matthew Sullivan:

That’s right, God, I remember.

Chris Pistorius:

So we just put them anywhere we could and hope for the best for our clients. And we track things like how many times somebody saw the ad, or how many times somebody clicked the ad, basic things like that. And everybody thought we were heroes, and we weren’t. In terms of dental marketing strategy, I’ve been working with local businesses pretty much all my career. So I understood that, it’s not so much about branding and building a brand. I mean, that’s important, even in local marketing, but really, it’s all results driven marketing and direct marketing, and getting people into your store, into your office, whatever it may be. And so I sat down and designed a set of strategies that I thought could do that. And it’s worked out very well thus far.

Matthew Sullivan:

And you stayed with dental marketing. I mean, obviously, it’s a very big, I’m not sure if you would describe it as a niche business. But are you not tempted to move into other verticals like doctors, dentist, obviously, there’s other types of health care providers where, I guess, their skill set is pretty much focused on drilling large holes in your teeth, as opposed to figuring out how to market themselves.

Chris Pistorius:

Well, that’s it, and you just hit the nail on the head. I’ve entertained ideas of broadening it, but I’ve never really seen a need for it. In fact, I was very close to doing a veterinary marketing business, because I’m very passionate about animals and an animal lover, and I’ve really wanted to try that, but I didn’t do it. But the thing is that these kids that go to dental school, they come out as dentists, right, they’re very good at that. The problem is that they learned very little about business or running a business.

Chris Pistorius:

And one of those things is marketing. And in the United States, that’s one of the biggest killer of small businesses is knowing how to be a technician in your business and doing the work really well, but not understanding how to grow and scale and hire and fire and all of that other stuff, marketing, certainly. And that’s why most businesses fail. So there was definitely a need for this in dentistry, because like other small businesses, maybe even more so, these dentists just want to be a dentist, they don’t want to figure out how to market themselves and spend money here or there or anywhere else. And that’s where we fit in nicely for them.

Matthew Sullivan:

And I think really, that’s true, because you’re absolutely right that running a dental practice is a business. Now, you can come in as an associate or as a partner, and in many cases, the practice that you join will probably have that infrastructure in place. But as you grow, and as you set up your own business, this whole concept of digital marketing. If we look at where we are today, where are the most effective strategies for this vertical? Because I would imagine if it works for something as narrow as dental practitioners, you could apply that same logic to others.

Matthew Sullivan:

And I’m sure that my listener, or my viewer, because I’m sure I have at least one on this show, will be absolutely fascinated to find out, is it AdWords? Is it Facebook? Is it a combination of online and offline? Is it Instagram, showing pictures of before and after? Where do you find the real impact and what’s most surprising? I’m going to continue with questions, I’m never going to let you answer. But what is the most surprising outcome of all of the work that you’ve done, the thing that really made you think, “I never expected that?”

Chris Pistorius:

The thing that really impacts me the most is, we have a motto here of leaving dentists better off than when we found them, in terms of their overall financial health, in terms of their business, and also personally, in terms of what are 10 more patients a month mean for you personally too, right? And so I think what really keeps me going and motivated are the folks that we pick up that are struggling with one practice, maybe. And we see over months and years if they stay with us, and they grow, and not only is that practice successful, but they buy other practices.

Chris Pistorius:

And so now they own two or three or even more practices. And in a very short amount of time, they’ve gone from struggling to that. And I know that we at least have a small part in that, and that is really cool. And that’s what really keeps me going every day is that, we have tons of stories like that. And it’s just cool. We’re a startup atmosphere, even though we’ve been here 12 years. We’re a boutique agency, we only take on so many new clients a year, and we try to keep it really close knit and done from scratch type marketing. But that’s the thing that really gets me going.

Matthew Sullivan:

And what is the difference, because I would have thought that referral marketing would be a very powerful, so that’s very offline. And how much of a role has referral marketing played, because digital marketing is where you’re casting your net very wide. And you’re trying to bring in people really using a different set of messages than you would do. So how much of your overall strategy is based on referral, as opposed to general digital marketing?

Chris Pistorius:

You’d be surprised at how much digital does blend into referral, though. And you’re right when you say that, especially with the dental practice, almost always, the majority of their new patients come from referrals, come from family members, friends, whatever may be, and that should be that way.

Chris Pistorius:

However, we’re in this digital age where everybody can see everything. So if Aunt Sally refers me to a dental practice, I’m not just going to take her word anymore, pick up the phone and call. You know what I’m going to do, is I’m going to go online, I’m going to check them out, I’m going to look at their website, I’m going to look at their online reviews, I’m going to look at all kinds of stuff before I even pick up the phone and call them.

Chris Pistorius:

So a lot of what we do not only attracts new patients, but it also tells a compelling story for people like referrals to us that, they’re not just found, but they’re also want to be chosen. So we help them build great online reviews from their patients. In fact, we’re about ready to launch a brand new way to get video reviews from patients, and just help tell their story to people. So there is a blend there of even digital marketing helping out with referral patients too.

Matthew Sullivan:

Excuse me. Do you think that people trust other referrals less now than they trust online reviews? So historically, you’d say, you knock on your neighbor’s door and say, “Do you know a good dentist?” If I’ve just moved to the area. Now, do I trust that person more or less than the Trustpilot reviews or the Google reviews?

Chris Pistorius:

That’s a good question. I think it depends on the person. But I also believe that it depends on the source. Google reviews are pretty legit. A few years ago, they had a little spam issue where people could go in and fraudulently put reviews, that’s become harder to do now. Yelp is really the leader in that, they’re so strict with their reviews, that sometimes a lot of actual real reviews get filtered out because they show them as spam.

Chris Pistorius:

But there’s other sources that aren’t as reliable, that still will allow those types of reviews. But I think on a trust factor, I think we’re in a pretty good landscape now where people are believing those reviews, and especially the video reviews where they can actually see somebody and feel the emotion and see what they went through. Video reviews help a ton.

Matthew Sullivan:

And those video reviews that you put together, and those are the ones that you feature on the… I mean, because all of these things that you’re talking about here are relevant to all sorts of other businesses, businesses where trust, I think is the primary driver. So you’ve got price driven decisions, you’ve got trust driven, you’ve got location, all sorts of people buy things for all sorts of reasons. But would you say that trust is a primary driver for your particular vertical?

Chris Pistorius:

No question, especially with COVID. People want to be able to see and feel where they’re about ready to take their family for a health related service, right? So video allows us to show them that, and we really do our best to get doctors to do a quick two minute video on their iPhone if they need to, just to introduce themselves to the practice. Because at the end of the day, people still buy from people. And I know dentistry you don’t feel like you’re buying something, but you really are. And if people do buy from people, and you really believe that, then you need to make your online presence as personable as possible and video is a huge way to be able to do that.

Matthew Sullivan:

So that’s amazing, because the traditional understanding of digital marketing is essentially distanced marketing or depersonalized marketing where you’re trying to game the system to a certain extent. And what I mean by that is that you’re using Google AdWords. So when someone types in the word dentist, you go, “Aha, here’s an ad.” So we’re saying, this has now evolved, so is almost gone full circle, where you’re just moving back to people dealing on a Mano-a-Mano basis, but through a digital medium.

Chris Pistorius:

That’s absolutely right. I mean, we do Google ads as well. And it’s a very complex beast, Google ads. And for us, just typing in the word, a dentist, and a city isn’t necessarily going to be a dental patient, right? It could be some kid writing a term paper. So we really try to take some strategy and bid on long term keywords like, how much is a root canal? Or how many days do I have to have Invisalign on? Long term search words like that. But yes, you’re right. And we try to make this whole strategy as personable as possible.

Chris Pistorius:

There’s 100 dentists in every city, right. And we don’t believe a dentist is a dentist, we believe each dentist has a unique selling proposition of why they’re different and why they’re better than their competition. And the more clear that story is, the easier it is to market that practice. So that’s where we really try to start. And then we market to whatever we can with that USP. And in some cases, we just signed on with a dentist who does at home dental care, they do house calls, which is unheard of. They do some special needs dentistry, things like that. So we really try to target that type of a market to help them stick out from the crowd a little bit.

Matthew Sullivan:

And how much of those decisions are driven by you and how many are driven by them? So in other words, how many dentists say, I think this is going to be my unique selling point. How many people that you come across are not familiar with that term, with that concept, with that need?

Chris Pistorius:

I would say 98.9% of people have no idea what I’m talking about when I say unique selling proposition, dentists, especially because again, they’re not in the mindset of selling a product or a service. And they shouldn’t be, they’re really not. What they are, though, is they’re selling a solution to a problem. Somebody has a toothache, somebody wants to have a better smile. That’s a solution to a problem.

Chris Pistorius:

And so sometimes I’ll pull analytical data and I say, Dr. Jones, there’s 112 dentists within a three mile radius of your office, what are we going to do to be able to compete with those people? And I get that deer in the headlights look and say, well, that’s what we have to figure out first. And that really is the first step of our process.

Matthew Sullivan:

And you’ve got a certain advantage as a dentist, because it is a person to person transaction. The transaction is do I trust this person with my dental care? Now, how do your programs work with the industries which don’t have that personal touch? So let’s take something like, I don’t know, like finance, for example, or something where there’s still that requirement for trust, but you haven’t got the benefit of actually having the ability to, maybe it works, do videos work just as well with someone who’s not going to be having that same close interaction with you?

Chris Pistorius:

I mean, studies show that it does. I mean, obviously, I haven’t done a marketing campaign outside of dentistry for a while. But I do know, I’m part of a group that’s a bunch of other agencies like mine, but they focus on different industries, and we get together every quarter and talk about trends and best practices and things that are working and things that aren’t.

Chris Pistorius:

And I can tell you that across the board, video is a big, big way. I mean, I know a guy that runs a marketing agency for Tax Pros, right? And they’re using videos. I think if a Tax Pro can use video and benefit themselves, just about anybody could.

Matthew Sullivan:

And do you think that’s a result just generally of people being saturated by ad after ad after ad, saying the same thing in whatever industry you care to mention?

Chris Pistorius:

Yeah, without question. I mean, the big news in marketing right now is the latest update to the iPhone, right, where people are able to opt out from Facebook, tracking your every move and serving you ads based on your behavior, right? And I think a lot of businesses that relied on that type of marketing, which we did not, are going to have a tough time at it, and they’re going to have to probably change their ways.

Chris Pistorius:

So I think what we’re seeing in the market is people are tired of going to a hotel’s website and then jumping onto Facebook, and all of a sudden you see ads from that hotel for the next few days. It’s creepy a little bit, but I just don’t think people like it. And I’m not sure that’s the best way to effectively market a local business.

Matthew Sullivan:

I mean, you should expand on that, because that’s actually a fundamental change in the way that Facebook has to operate. I mean, can you tell us a bit more? Because it is, I think it is. I mean, certainly, it’s the beginning or it’s the definition of the tension between those two huge companies, between Apple and Facebook. And this will impact millions of millions of advertisers who rely on, precisely that, the ability to serve ads based on cookies, based on you go into a site, picking up this cookie that says, “I looked at this hotel for ever more.” So explain what’s happening, because it’s only recently happened.

Chris Pistorius:

So what’s happening, you just said it. I mean, essentially, in the past with Facebook, especially, they can track where you go, what you do, and these cookies are put onto your local computer, if you will, in a sense, and they know what websites you’ve been to. And so then when you hit Facebook, it can read what products and services you’ve looked at or shopped for, and it can then serve ads to you personally, based on your search history.

Chris Pistorius:

Well, now with Apple’s most recent update, they can’t do that any longer, you have to physically opt in to allow that to happen. And most people don’t want that to happen, so they don’t let it happen. Now, the other side of Facebook, though, the way that we use it, for our market, is that when you sign up for Facebook, you pretty much tell them your life story when you sign up. They know how old you are, where you live, how many kids you have, all kinds of stuff because the brilliance behind it is because other people are going to see that, people that you haven’t seen for years, and you want to keep them up to date on what’s going on. So that information is very accurate.

Chris Pistorius:

So when we use Facebook ads for a dental practice, we target things like age, if they own their own home, where they live, if they’re brand new parents. And that’s the data that I believe anyway, really drives results. And that’s the way that we use it. We don’t really do remarketing in terms of where they’ve been and where they’ve shopped, we’re more interested in the fundamentals about their demographic profile.

Matthew Sullivan:

And on that note, you touched on two things. You talk about audience selection, and you talk about copy or there’s the message, what is more important?

Chris Pistorius:

Both.

Matthew Sullivan:

You can’t say that.

Chris Pistorius:

If it’s either pick one or the other, it would be the copy for sure.

Matthew Sullivan:

I think so. Because the question is that you still have to have that message. So even though you can target specific demographics based on age, geography, the fact that I like watching The Wives of Dental Officers in New York, there’s some new show, I wasn’t there. But it is the copy, the message. And what do you think is the message that resonates best with all of the ads that you run? Is there some magic or some clear strategy that works pretty much across the board for most now [crosstalk 00:23:54]?

Chris Pistorius:

There isn’t. There really isn’t. What works for one dental practice may not work for another. Each market is a little different. That’s one of the benefits of partnering with a company like mine. Shameless plug.

Matthew Sullivan:

Good stuff, dental marketing.

Chris Pistorius:

Yes, right. We’ve got 12 years of experience in running these types of campaigns, and in all kinds of different size markets from tier-1 cities to tier-3 cities. And we’ve got the history of those campaigns. And we can see what’s worked well, and what hasn’t worked well in the past for similar size markets. So that allows us to hit the ground running. We still test everything, and we make changes on the fly as we go. But we have a pretty good idea what’s going to work. It’s not always that simple, but it definitely helps.

Matthew Sullivan:

And you’re right. I mean, the key word there is testing. Because there’s a lot of assumption that goes into marketing. We assume, based on an audience of one, or a sample of one, in other words, me, that if I like this than everyone else, out there will like this. And so from your perspective, talking to dentists, how difficult is it to get across that? Or to get over that view that the dentist always knows best?

Chris Pistorius:

I’m surprised by it, because it doesn’t happen very often in dentistry, maybe we’re getting a little bit better at setting the expectations of, “Hey, we’re the experts, follow our lead here.” But when I was doing other industries, it was hard sometimes, like attorneys especially, is that, “Hey, this is a type of television ad that I like, this is the one that I want to run.” Well, it doesn’t matter what you like, it’s what the consensus of your potential customers like.

Chris Pistorius:

And sometimes that’s a tough conversation to have. And early on, I’d made the mistake of allowing that to happen, because guess what, I wanted to be paid, right? Well, now that we’ve got at least a little bit of success, we have those conversations of, look, you’re not going to run this show, you need to rely on us to do this for you, we will get better results. And if that’s not the way you want it to run, then maybe we’re not the best fit. So we have very candid conversations about strategy. And most of the time, we don’t have any feedback at all from that, they trust us, and we’ve been around for a long time. And I think that that helps, too.

Matthew Sullivan:

And again, that also touches on something else, just on a wider spectrum, just dealing with people where the tail doesn’t wag the dog. So in other words, you start off in any business where you just want the customers, you want the clients, so you’re willing to do what you think they want. But the problem, then is that the outcome, as you were saying, it doesn’t always work. So how hard is it? And what advice have you got for people who are in that stage where they’re building something, maybe it’s a business like yours, where they feel that the customer is tugging them in a direction that they don’t necessarily want to go?

Chris Pistorius:

My advice would be stick to your guns and be passionate about what you do and be nice to them. But let them know that you’re the expert and that’s why they’re hiring you, right? Is for that expertise. What I’ve found is that if you don’t do that, we’ve got clients that have been with us nine years, right? And we have clients that haven’t been with us nine years, and some of those people that have left us have been like that. And what I found is that the people that do push back and want to enforce their own strategies are the people that probably aren’t going to be with you long term.

Matthew Sullivan:

But do they come back? Ultimately, cap and gown.

Chris Pistorius:

I’ve had several come back, yes.

Matthew Sullivan:

Which is good, because that proves that you are an expert. And did you think, 12 years ago, that you would still be doing this 12 years later? In the same group of people? Or did you have visions of becoming an agency dealing with all sorts of different verticals?

Chris Pistorius:

Well, certainly in the beginning, I didn’t have any idea that I was going to niche down, that really wasn’t had anything to do with any of the business plan. And in fact, our first very business plan was just to be a social media company. And while that’s certainly an aspect of what we do is what we found out is that people don’t just want one service from one company and another marketing service from another company. They’re really looking for somebody who can handle most of their marketing in one place. And that’s where we made that adjustment. But I don’t know, I don’t think I was thinking 12 years ahead about anything. So I don’t think I am now. So it’s like I’m trying to get out of the month to month type thinking versus the hour to hour, I guess.

Matthew Sullivan:

Long term strategies like next month.

Chris Pistorius:

Right, exactly.

Matthew Sullivan:

I think what you’re doing, though, is something that is really admirable. In other words, being able to become a specialist in a particular field because it’s so easy to try and be all things to all people and I think the money is actually finding a niche, or a niche, I believe as it’s pronounced.

Chris Pistorius:

Either way.

Matthew Sullivan:

One of those two things, and just becoming an expert in that area, because ultimately you outlive everybody who’s tried all sorts of different things, and you develop so much expertise, and so much experience based on just real life feedback. And so ultimately, you then become unassailable. So no one is going to have the same amount of experience as you do, because they haven’t been doing it for as long. So that creates success. I’m going to stop talking now, sorry.

Chris Pistorius:

No, no, you’re right on, that’s absolutely correct. And my advice would be anybody that’s starting a marketing company like mine right now is find that niche as soon as possible and just go with it, make it work. Dentistry is one of the most competitive places to sell anything to, right? And it’s one of the most elusive because you can’t just walk in or call a dental practice and talk to the doctor, you’ve got like three or four gatekeepers that are trained to keep you out of there.

Chris Pistorius:

So it’s very competitive, it’s hard to sell to them. And there’s tons of people trying to do it. So I picked one of the hardest ones. But is it was a big deal when we niched down and we can really talk results about other dental practices in specific like there’s and it helps a ton. So my advice would be definitely pick a niche and go for it.

Matthew Sullivan:

Yes. And also, you can then see results. So the most important thing is that, as far as the dentist is concerned, when the results start coming in, presumably, you get that movement from being skeptical to like, “Oh, my God, please, here’s [crosstalk 00:30:49].”

Chris Pistorius:

Because we pick up a lot of clients that have unfortunately been burned by other companies, and they haven’t gotten the results that they wanted. So it’s like the sales process and those first couple of months, people are like this, right, in defense mode. And they’re like, “All right, I’ve been through this before, I’m not getting burned again.” Type thing. And we’ve got to work through that.

Chris Pistorius:

So we’re very transparent with what we do. We have strategies that work short term, and then while we’re also waiting for a longer term strategy to take effect. So we have the ability to help bring patients in quickly, while we’re working on a longer term strategy, which will probably be more cost effective down the road. And my client success managers, these are the people that take care of our clients. They’re awesome. They go over above and beyond, just answering questions and making sure they’re updated on what’s going on. And that’s been a huge, huge contribution to our success.

Matthew Sullivan:

Yes. You mentioned earlier that, obviously, dental surgeries are a business, you provide a particular service. Do you see yourself expanding within that dental framework to other areas, like tax? Just general business advice in terms of growth, acquisitions? Or do you think what you’ve got is something that’s going to keep you busy forevermore?

Chris Pistorius:

What we’ve got now is going to keep us pretty busy. But what I try to do is, I told you, I’ve got a podcast show as well, I do on a weekly basis. And what I try to do there is bring in people like you just mentioned, like dental brokers, they help dentists buy and sell practices, right? Or insurance people or other people in the industry that can provide great information to my base, and people are potentially going to hire me.

Chris Pistorius:

And so that’s how I try to tackle a lot of that. And so we do that weekly podcast show. And that helps a ton. But I like to be the innovator, right? I like to be the cool tech guy. And in fact, I was just working on this new software, I just mentioned a little bit of it, where we can actually just send a link to a potential new patient. And they can tap on the link, and they can use their phone and actually leave a video review for the doctor. And that’s cool, because we have the doctor shoot a quick little video saying, “Hey, thanks for doing this. Here’s the questions I’m going to ask.” And it takes them through step by step.

Chris Pistorius:

And that’s going to be the next cool thing. I think, not just in dental, but I think that’s something that can be applied to just about any business. So it’s things like that, where I think I’m going to see the growth within dentistry and just adding on and innovating what we have now. The other thing with that is that what we find is sometimes with dental practices is that their front desk are great people, but they’ve never really been professionally trained on how to deal with new patients that call them and don’t already know who they are. So they’re just finding them online, right. And so that’s a different conversation than when Aunt Betty calls in as a referral. Right?

Chris Pistorius:

So we also have developed an online training course for front desk professionals to go through and teach them on how to close, if you will, more new patients when they call in just asking general questions. So we’re trying to go full circle, as you, I believe you said from, I will help you generate more leads and get more patient conversations. But we’re also going to help you close those new patients too, and actually get their butts in your chair.

Matthew Sullivan:

And that’s, again, a hugely important part, because, as you mentioned earlier, the front desk, and it was almost like it’s a particular breed of person, like a sales prevention officer. So you’ve got to try and unravel decades of training that’s designed to fend people off rather than invite them in. So I suppose that’s probably the hardest challenge, isn’t it? Getting the front desk people to smile, or to?

Chris Pistorius:

Well, I’ll tell you we actually help sometimes with hiring, so we’ll run Facebook ads, trying to get front desk people or hygienists, whatever it may be, and they ask us our opinion on that. And with hygienists, obviously, you got to go to school for that or anything like that. But with front desk people, a lot of times we recommend hiring people with no experience. And they look at us like, “Are you crazy?”

Matthew Sullivan:

There’s no predefined view of this is how I should act.

Chris Pistorius:

You can get them cheaper, and then you can train them just the way that you want them. You got to spend a little bit more time and training. But what we found is that if you have somebody that comes in with 10 or 15 years of experience, it’s hard to mold them into the way that you want them and to teach them new tricks, if you will.

Matthew Sullivan:

Now, do you think that because of the intense personal relationship that the dentist has with the patient, at the time that they’re doing the surgery, and the amount of trust that’s involved, and the amount of cost that’s involved. I mean, these are potentially big ticket deals, these aren’t small purchases, 1000s and 1000s of dollars. So, do you think the marketing that you’re bringing to this group is actually at the cutting edge of digital marketing? In other words, your doing over the next few years will trickle down into other verticals that have that same trust requirement?

Chris Pistorius:

Without question. I think it already is. There’s a fine line between cutting edge and what works, right? Like for instance, we won’t actually deploy any strategy with one of our client’s money without knowing that it’s going to be effective. And right now, we’re testing on our own dime. TikTok and marketing, then. There is a segment of the population that it does very well for, and we’re still trying to figure that out. But we’re going to be one of the first dental marketing companies and there are others, that will go into TikTok and be able to produce results out of it. Most companies are unable to do that.

Matthew Sullivan:

And I get that, that’s what I mean. You’re spearheading all your, I know exactly what you mean. What you don’t want to do is have your clients be the guinea pigs because you’re all about results. But I just think just listening to what you’re saying that there’s so many ways that people market their services, and it’s stale, and what you’re doing is innovative, is delivering results. And it’s something that is very transferable to other types of businesses, where trust is important, where the ability to train people how to react, where your video concept. So, I think that’s really interesting. Well, I’m pleased to say actually, Chris, that we’ve now graduated to the final part of the interview, this is where I ask my quickfire questionnaire.

Chris Pistorius:

Oh, I’m in trouble. I didn’t study.

Matthew Sullivan:

No. These are one word answers.

Chris Pistorius:

All right.

Matthew Sullivan:

That’s fine. There are 10 questions. Don’t worry, it’s simple, though. And we have the power of the edit.

Chris Pistorius:

Perfect. That’s true. This isn’t live. I like that.

Matthew Sullivan:

No, that’s fine. Well, we can pretend it is live.

Chris Pistorius:

Oh, yes, it is live. That’s right.

Matthew Sullivan:

Exactly. But anyway, so my 10 questions. Just to wrap up what has been an incredibly interesting interview. Question number one. Chris Postorius, what is your favorite word?

Chris Pistorius:

Favorite word is innovation.

Matthew Sullivan:

Perfect. Number two, what is your least favorite word?

Chris Pistorius:

Anything negative. I just don’t like negative people and anything with a negative tone. Take you’re pick.

Matthew Sullivan:

Number three. What are you most excited about right now?

Chris Pistorius:

All this business. 12 years ago I started and hopped out of bed and couldn’t wait to get started and I still have that feeling.

Matthew Sullivan:

That’s great. Every day you still have that driving, that passion.

Chris Pistorius:

Absolutely.

Matthew Sullivan:

So number four, what turns you off right now?

Chris Pistorius:

Negativity. I hate social media. I’m in the business. The only reason I’m part of social media is because I have to be, but what I’ve experienced over the last few months with politics and COVID, and what I’ve seen and how other people act is just repulsive. And it’s horrible. And I think that’s probably my biggest thing there.

Matthew Sullivan:

Number five, what sound or noise do you love?

Chris Pistorius:

Whenever we bring on a new client, there’s a little noise that my contact management software makes and I always love to hear that.

Matthew Sullivan:

Ka-ching!

Chris Pistorius:

Well, it’s not bad, but it’s similar. I can’t describe it.

Matthew Sullivan:

Question number six, what noise or sound do you hate?

Chris Pistorius:

These guys that have these little, my apologies if you are one of these people, but these people that have these little cars that they souped up, and it sounds like a weed eater, like the rrrng nngg! And it’s a car that’s going by, I’m like, “What’s going on there?” So I don’t like that.

Matthew Sullivan:

I used to do that when I was a kid. I used to drill holes in my exhaust pipe. But you graduate from that when you’re about 16 or something.

Chris Pistorius:

Right. But that makes more of a like a manly girl sound. These new things with these little street racers, they sound like weed eaters, they really do.

Matthew Sullivan:

You’ll like this, number seven. What is your favorite curse word?

Chris Pistorius:

Wow.

Matthew Sullivan:

You can plead the fifth if you like.

Chris Pistorius:

That’s a toughy, because I can go deep there.

Matthew Sullivan:

No one listens to this anyways, so we’re fine.

Chris Pistorius:

I’m going to go with the S word. I use that a lot, it seems like.

Matthew Sullivan:

It’s good. I mean, these good, multifunctional words. Number eight, what profession other than your own would you like to attempt?

Chris Pistorius:

I’d like to be a manager of a professional baseball team. I help coach my son’s little league team now, and I know that’s nowhere near, but I played baseball in high school in college. I think that’s what I’d like to try.

Matthew Sullivan:

That’s fantastic. Number nine, what profession would you not like to attempt?

Chris Pistorius:

Geez, anything that’s just like a daily grind, I think. Anything in Corporate America, I’m pretty anti that. But specifically, probably like a management type job.

Matthew Sullivan:

I can imagine that, just hell on earth.

Chris Pistorius:

I don’t think I can do it.

Matthew Sullivan:

Now talking of that, question 10, the final question. If heaven exists, what would you like to hear God say when you arrive at the pearly gates, cut.

Chris Pistorius:

Welcome in, would be good, I guess, take care.

Matthew Sullivan:

Here’s a star.

Chris Pistorius:

Versus the wrong exit, you got to go the other way, I think.

Matthew Sullivan:

That’s pretty. Well, Chris, thank you so much for being such a brilliant guest. Final question, how do people get hold of you? What’s the best way of contacting you and kickstart and learning more about how you can benefit their practices and their businesses generally?

Chris Pistorius:

The best way is just go to the website, kickstartdental.com. There’s several opportunities there to schedule what we call a strategy session, that’s our first stop. And actually it’ll be with me personally, I talk to every new client in the very first conversation. And we’ll go over, I have some questions and just see where it goes and see if we might be a good fit for what you’re trying to accomplish. So kickstartdental.com.

Matthew Sullivan:

Fantastic, good. Thanks once again, it’s been an absolute pleasure having you on and I look forward to following your progress and staying in touch.

Chris Pistorius:

Thanks so much for having me.

A Very Exciting Week So Far!

A Very Exciting Week So Far!

Hey guys, it’s Chris Pistorius with dental marketing company, KickStart. I want to give you a quick update on what I’ve been up to this week. I’m actually in Miami, Florida, I am with about, I don’t know, 50 other agency owners. We all get together every three or four months or so. We go over the latest in local marketing. And these are other agencies that are in all kinds of industries, not just dental. We go over what’s working well, what’s not working well. What the latest marketing technologies are, the latest cool things in terms of website, design, and development, and really what’s out there on the horizon in terms of marketing for local businesses. So I want to share you share this with you because I’m so excited about what I’ve learned so far. I’m on day two, tomorrow will be our last day meeting and I’ve just learned a ton about things that I can bring in immediately to our clients to help them and us kind of zoom in if you will, to 2021.

So learning some great stuff here, I’m really excited. I’m going to unpack this for you when I get back. So you’ll see some more videos of me soon talking about the details of things that I’m learning and if you’re a client of ours now, you’ll definitely be hearing from me soon because we want to start, using some of this, some of these new learnings in our campaigns and just to drive even better results for you guys in 2021. So all good here in Miami and looking forward to unpacking this and talking to you soon. Thanks.

Also, if you would like to see how your practice is faring compared to others during the COVID pandemic, please check out the latest study from the ADA.

 

How Does Your Dental Practice Compare To Others During The COVID Pandemic?

How Does Your Dental Practice Compare To Others During The COVID Pandemic?

Some great data from the ADA on the current state of affairs (data as of 10/5/20) in the dental industry during the COVID-19 pandemic. KickStart Dental Marketing is proud to share this kind of important data with our visitors.

  • Recovery: As of the week of October 5th, 99% of dental offices in the U.S. were open and patient volume was estimated
    at 80% of pre-COVID-19 levels. Staffing was at 93% of pre-COVID-19 levels. These values have been roughly unchanged
    for several weeks and suggest we have reached a “steady state” of economic activity in dental offices.
  • Dentists are hiring: Roughly one-third of dental practices are recruiting dental assistants and one quarter are recruiting
    hygienists. DSO-affiliated practices and large groups are recruiting more heavily than non-DSO and solo practices.
  • Recruitment is a challenge: Recruiting dental team members is challenging. Among dentists hiring for any position (i.e.,
    hygienists, assistants, administrative staff, or dentists), the majority report that it has been extremely or very challenging
    compared to before the COVID-19 pandemic. Nearly 80% reported it was extremely or very challenging to recruit
    hygienists, and roughly 70% said the same for assistants.
  • Patients are willing to get vaccinated at the dental office: Consumers are open to the idea of vaccination at the dental
    office as part of their dental visit. If an annual flu shot could be incorporated into a routine dental visit, the majority of
    consumers report they would be interested in that option. If a COVID-19 vaccine were available and patients could get the vaccine at their dentist’s office during their appointment, the majority would be interested.

As of the week of October 5th, 99% of dental practices in the U.S. were open. Less than half of the open practices reported “business as usual” in terms of patient volume. This has declined over the past month.

 

Patient volume in dental practices is at 80% of pre-COVID-19 levels as of the week of October 5th.

 

Staffing in dental practices was at roughly 93% of pre-COVID-19 levels the week of October 5th. This has been stable for several weeks.

 

79% of people are either “recently active” or “ready to go” in terms of visiting a dentist’s office. 

 

Consumers are open to the idea of vaccination at the dental office as part of their dental visit. If an annual flu shot could be incorporated into a routine dental visit, the majority of consumers report they would be interested in that option. If a COVID-19 vaccine were available and patients could get the vaccine at their dentist’s office during their appointment, the majority would be interested.

Also, don’t forget to check out Chris’ latest blog post on how to hire dental front desk staff to enhance your dental marketing efforts!

 

A Quick Thought On Hiring Front Desk Staff

A Quick Thought On Hiring Front Desk Staff

Hey guys, it’s Chris with the top rated dental marketing agency, KickStart Dental Marketing. I just got off the phone with the dentist of a potential brand new practice. And we talked about front desk staff and what they should do when they’re looking to hire a front desk staff. And I thought, “Why not shoot a minute or two video on my thoughts on this. And it might help somebody else in our community?”

So, I wanted to talk about that really quickly in the sense that most dental practices, what we’ve found over the last 10, 11 years that we’ve been doing dental marketing is that, a lot of dental practices will hire front desk people, but they won’t think about these front desk folks as having sales skills. And I think that’s a mistake because truth be known, if you’re doing marketing or if you’re on insurance lists, things like that, you should be getting a good influx of phone calls and inquiries into your practice from people that don’t know who you are. And you need somebody that’s very skilled at that front desk position in sales to help portray your value, schedule those appointments and get them into your chairs.

So, you may want to think about the next time you’re hiring a front desk staff person in that, do they have sales skills? And if they don’t, that’s okay. But are they coachable? Will they be willing to learn new skills and get better at their jobs? So, it can be literally a make or break for a dental practice that is looking to grow of having somebody that’s answering the phones that has some skills in terms of turning cold leads into new patients. So, just some thoughts on that. I hope it helps you. And let me know if you have any questions.

Be sure to check out my interview with Jordan Armstrong with Sky 5 Cleaning on how to keep your office “COVID clean”.

 

A Dental Practice Should Be The Safest Place To Be During COVID – Interview With Jordan Armstrong Of Sky 5 Cleaning

A Dental Practice Should Be The Safest Place To Be During COVID – Interview With Jordan Armstrong Of Sky 5 Cleaning

Hi everyone. Chris Pistorius here again, with KickStart Dental Marketing. Today, I want to talk about something that’s very COVID-related in terms of dental practices. A lot of our clients ask us right now, “What’s the best way to show our potential new patients and our existing patients some of the safety precautions that we’re taking to make sure that our patients are safe when they come to see us?”. And unfortunately, most people or the general public don’t really realize that actually, a dental practice is probably one of the safest places to be during COVID, just because of all the extra precautions and measures that dental practices are taking.

Chris Pistorius:

So, I thought today it’d be a great idea to bring on Jordan Armstrong. He is the managing partner of Sky5 Cleaning, and they specialize in commercial cleaning in health care. They do a lot of cleaning with dental practices. So, Jordan, thanks so much for being a part of this today.

Jordan Armstrong:

Yeah. Thank you, Chris, for having me on.

Chris Pistorius:

Sure. I know you’re really busy right now because of all the COVID stuff going on. But again, I appreciate you coming on and just maybe help educate some of our listeners about what they can do specifically to help make sure that their practices are staying clean, and maybe give them some tips on the things that you do for your clients to make sure everything’s staying clean. So, why don’t you, first of all, just tell us a little bit about your business and how you do things?

Jordan Armstrong:

Sure. So, Sky5 Cleaning Systems, we are a commercial cleaning company. And as you mentioned earlier, we have a lot of clients within the healthcare spectrum, and we provide everything from janitorial services to specialty services, such as deep cleans. A lot of our services right now are related to COVID-19, going in there and disinfecting and providing a safe space for patients.

Chris Pistorius:

Okay. That’s great. I mean, I know that environmental things certainly will make businesses pivot and change, and being in the cleaning industry, I’m sure you’ve seen a lot of that change and pivot towards COVID-specific measures with healthcare facilities. I know that we were talking off-air, just before we started the recording here, about how you got pulled in late last night to go to a healthcare provider and do some emergency cleaning because of a breakout they had. Could you maybe detail what it is that you do specifically in healthcare when you go to a situation like that? What kind of products do you use? I mean, are there specific cleaning methods? How does that work?

Jordan Armstrong:

Sure. Yeah, so one of our clients had an outbreak, and because it’s a healthcare space, there’s a lot of regulations, a lot of procedures that you must follow. So, I’ll just give you an example. Last night we have to suit up, we have to make sure that we have all the necessary chemicals that adhere to the CDC guidelines. And when you walk in, you want to be as cautious as possible. And really, you’re covering the entire building. It’s not just the floor, it’s not just high touchpoints, but you ultimately want to fog… We use foggers and they’re very efficient, especially in certain facilities because of the fact that you can cover so much without getting all this expensive equipment, computers, all of that, wet. So, you want to make sure that you have the right equipment when you’re performing these services because they do vary from clinic to clinic.

Chris Pistorius:

Right.

Jordan Armstrong:

So, not only will we do that, but before we even do that, Chris, we like to start with a clean building. And I like to educate clients that before we can disinfect, the clinic must be clean. So, our janitorial service crew will perform a high level deep clean at that facility before we’ll have our disinfectant specialist team go in there and really focus on that.

Chris Pistorius:

I see. So, it’s important, I guess, that makes sense, you wanted to start with the clean surface and then you can go over and sanitize it from there with the fogging. On TV I’ve seen some of the videos of using those fogging machines. It’s interesting how those work. Are there any special chemicals or solutions that you’re using specifically for COVID, or is the stuff that you had been using for years previous to this, is that effective against COVID?

Jordan Armstrong:

Well, look, every vendor has its own different products that they use. The most important thing is to make sure that it adheres to the CDC guidelines and the other guidelines. But for us, we’ve tested so many different products. We wanted to go with something that’s stronger, that is able to disinfect at a 30-second touchpoint level, which was ultimately the reason why we gravitated to the product that we’re using. I’m happy to that with you outside of this.

Jordan Armstrong:

But we like to use that because, here’s the deal, some of those disinfectant chemicals, they have a dwell time of, say, 10 minutes. Well, that’s a lot of time if you have a big facility to cover. So, we want the highest quality product in the least amount of time. So, we want efficiency and that’s why… Look, we’re always looking to test out new products.

Chris Pistorius:

Yeah, no, I think it’s good to stay up on the trends. A client of mine brought this up the other time, they were curious, Chris, we’ve had our same cleaning crew for 15 years or so, and they were a little concerned that, does that cleaning crew do a good enough job of really protecting their office from COVID, in terms of at least cleanliness versus maybe using a commercial company like yours? I’m assuming that you guys probably have done a little bit, at least, special training on the COVID stuff. Maybe you could talk about that a little bit?

Jordan Armstrong:

Yeah. So that’s what we like to really pride ourselves on, is our training program. We’re part of ISS [inaudible 00:07:18], we’re members of all of these different organizations that… We want our staff to be educated. And we also want to help educate our clients. And so, we go through, we call it like a 15 step checklist of everything from general cleaning, all the way down to if a fire goes off, what is your role? What do you need to do? Because everything like that happens.

Jordan Armstrong:

And so, we want to put our staff in a position where they know how to do it, but more importantly, they know why they’re doing it. Because anyone can go in and just perform a cookie-cutter clean if you will. But you really might be hurting your client and even yourself, if you don’t know why you’re using that chemical or that tool. And so, for us, education is the foundation. We care about the safety of everyone.

Chris Pistorius:

Right. No, that makes a lot of sense. How often do you think, without saying there wasn’t an outbreak or any known cases from an office, how often should a practice go through deep cleaning like this? Is this a daily thing, weekly thing, monthly thing? What do you see?

Jordan Armstrong:

So, that’s an interesting question, because you’re going to get all of these different answers. I like to start with almost looking at it like Forensic Twain. I use that because it depends on the amount of traffic, how many people are really coming in? If it’s a smaller clinic, and you’re not seeing a lot of patients, maybe you don’t need a deep cleaning every single day. Maybe you just need it once a month, once every three months.

Jordan Armstrong:

What I always say, have a good janitorial daily clean. Your deep cleans can range from doing it a month or doing it quarterly. We have some clients that do that biannually. So, it really just depends. And then you have your massive high traffic clients where they might be disinfecting every week, could be daily, because of the vulnerability and other factors like that.

Chris Pistorius:

Right. No, that makes sense. Okay. Well, thanks, Jordan. I really appreciate all the information you’ve given us here. Anything else that you’d want to cover, or talk about in terms of how a dental practice could maybe stay clean if you will?

Jordan Armstrong:

Yeah. I would just say, make sure that your staff understands how important it is to, I know it sounds routine, but wash their hands, make sure they’re not cross-contaminated, and really step back and ask yourself, “Do we need to have maybe an expert come in and at least provide a consultation because maybe there are some things that we’re not doing, and we’d like to know how we can keep our patients safer.”

Chris Pistorius:

Yeah. No, that makes sense. And Jordan, that brings up a good point. I think that you said that typically for people watching this segment, and may have some questions for you, number one, what’s the best way to reach you? And the number two, I think you said you’d be willing to do even a free kind of, I don’t want to say analysis, but estimate on what it might cost to do, and how often they should probably think about doing it based on the traffic, and how busy they are?

Chris Pistorius:

So, how can we get ahold of you, first of all? And then secondly, if you could talk about how that estimation process goes?

Jordan Armstrong:

Sure. The best way to reach Sky5 and myself included is jordan@sky5cs.com. That’s my email. Or you can go over to our website, that’s sky5cs.com, and I’m happy to provide all my contact info. As I mentioned, we’re all seeing the numbers, here in Colorado, go up, and so, during this time, I’m more than happy, same with our staff, to provide a free site consult, and just kind of go over it with them and see if it makes sense.

Chris Pistorius:

Okay. Sounds great. And that’s the number 5, right? Not spelled out five.

Jordan Armstrong:

Yep.

Chris Pistorius:

Okay. And I’ll put it in the comment section too. Well, Jordan, I really appreciate your time. Again, I know you’re busy, but I think this is going to be very helpful. Just, if nothing else, for dental practices to know if they’re kind of following the right procedures or not. So, thanks for the information, and maybe we can have you on in the next few weeks, kind of see where we are with COVID, and see if anything’s really changed for you if that’s okay?

Jordan Armstrong:

Yeah, absolutely. Thanks again, Chris.

Chris Pistorius:

Sure thing.

Jordan Armstrong:

Will talk to you soon.

Be sure to see our recommendation for dental credit card processing. Chris Pistorius interviews Billy Parra of Elite Payment Group!