Rick KushnerRick KushnerPresident, Founder, CEO, and CFO of Comfort Dental

L M Disk 7

PDF · 6 Oct 2026

In this presentation, the speaker outlines a comprehensive approach to growing a dental practice through strategic referral incentives, efficient appointment scheduling, and concise case presentations. He advocates using low‑cost, branded coffee mugs delivered via UPS to both referring patients and their workplaces, creating a lasting promotional tool and a sense of obligation that reduces no‑shows. He explains when a formal diagnosis appointment is warranted—primarily based on the projected case fee and patient financial concerns—and stresses that dentists should personally handle case presentations until they can do so effortlessly, warning against delegating this critical function to non‑clinical staff or external practice‑management consultants. The talk then details how to condense multiple treatment steps (exam, diagnosis, operative, hygiene) into fewer visits without skipping any required steps, using a flexible flowchart. Central to the diagnosis is addressing the three patient barriers—cost, pain, and time—through a brief, non‑technical presentation that focuses on these concerns rather than detailed clinical explanations. He emphasizes that excessive talking harms collection and that staff should prioritize hands‑on work. Throughout, the speaker critiques reliance on non‑dentist practice‑management advice and urges dentists to stay deeply involved in financial and patient‑relationship aspects of their practice.

Topics

Referral Gift Strategy: Coffee Mugs as Ongoing Promotion

Using low‑cost, branded coffee mugs sent via UPS to referring patients and their workplaces to create a lasting visual reminder and promotional tool.

Timing and Delivery Tactics for Referral Incentives

Coordinating the gift shipment so it arrives before the new patient’s next visit, leveraging the referral relationship to boost the new patient’s commitment.

Cost‑Effective Gift Selection and Branding

Choosing inexpensive mugs ($4‑$5) and printing the practice’s phone number and logo to maximize ROI while maintaining a professional image.

Formal Diagnosis Appointment: When and Why

Guidelines for scheduling a separate diagnosis visit based on case fee thresholds (e.g., $300‑$400+), patient financial cues, and clinical suspicion.

Dentist‑Led Case Presentation vs. Delegation

Advocating that dentists personally conduct case presentations until they can do so effortlessly, warning against handing this role to non‑clinical staff or external consultants.

Practice Management Philosophy: Dentist Involvement Over Outsiders

Arguing that dentists must stay engaged in financial, staff, and patient‑relationship aspects of the practice, and that reliance on non‑dentist experts leads to mediocrity.

Condensing Multiple Treatment Steps into Fewer Visits

Combining exam, diagnosis, operative, and hygiene appointments when case complexity is low, while preserving each required step in the flowchart.

Three Core Patient Concerns: Cost, Pain, and Time

Focusing diagnosis conversations on the three primary barriers to dental care, aligning presentation content with what patients truly care about.

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