Free Practice Assessment

Note: We respect your privacy. The information provided here will be completely confidential. We do not sell or lease information or lists to manufacturers, distributors, or any other parties.

Success comes to those who take action to resolve issues and achieve excellence in all aspects of their practice.

Please fill out the simple form below indicating the nature of the challenge you are facing.

Once you complete the form, click on the Submit button at the end of the section. We will call the doctor to discuss his/her specific situation.

You may choose either Option I or Option II to submit this form.

If you don't have the time to gather detailed info and data regarding your practice, you may choose option 1, which is easier to do.

Option 1: No Data Required

* = required fields

Owner Doctor's Name: *


Number of years in practice:

What do you see as the # 1 challenge for your dental practice? Please check ( the appropriate box. If there are multiple issues, you may check more than one box.

    Scheduling
    Staff Productivity
    Front Office Training Issues
    Other Staff Issues
    Too many broken appointments
    Hygiene Production May Be Low.
    Case Acceptance
    Accounts Receivables
    High Overheads
    I want to increase office production.
    I need help with Systems.
    I am not sure, but practice is not doing as well as I'd like it to.
    I want our office to be #1 in the local community.

Other Comments/Notes:


E-mail address: *
Doctor's Office Phone: *
Doctor's Cell Phone: *

You will receive a call from Visionary Management within 2 business days to discuss your situation.


Option 2: Data Required

Please fill out the following questionnaire using data from your Practice Management software. This does take some work, but it provides us a better picture of your practice. Once we have looked at this data, we will be able to provide accurate feedback regarding areas of your practice that need improvement.

* = required field

Owner Doctor's Name: *


Type of Practice:

    General
    Oral Surgery
    Orthodontics
    Perio
    Endodontics

Number of years in practice:

Number of dentist treatment hours per week (average):
(If more than one dentist, state the total treatment hours for all doctors combined)

Number of hygiene hours per week (average):
(State the total hygiene hours for all hygienists full-time and part-time combined)

Total number of front desk/business staff:
full-time
part-time (< 20 hours)

Total number of dental assistants:
full-time
part-time (< 20 hours)

Total number of equipped treatment rooms:

Total number of active patients:
(who have been seen at least once during the past 12 months)

Number of new patients per month

(average over 12 months)

Number of PPO plans office participates in



Number of DMO plans office participates in



Total Practice Gross Production $/month:
(average over past 12 months)

Total Hygiene Production $/month:
(average over past 12 months):

Total $ collected per month:
(average over past 12 months):

Street address:
City: State: Zip:
Phone: *
Cell Phone: *
E-mail address: *

What do you see as the # 1 challenge for your dental practice?


You will receive a call from Visionary Management within 2 business days to discuss your situation.


 

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Dental Practice Management, Pennsylvania, Delaware, New York

Visionary Management Inc.
109 Juliet Road
Morrisville, PA 19067
Phone: 215-295-6975
Fax: 215-295-2758
peter@visionary-management.com
 
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