The Best Practices Show with Kirk Behrendt

When patients don’t accept treatment, most dentists assume it’s about money — but the real breakdown often happens earlier in the process. In this episode, Kirk Behrendt brings back Dr. Jim McKee to share the five questions that determine whether a patient will say yes and whether you should take the case. You’ll learn how to diagnose the real problem, frame expectations, evaluate timing and affor...

When your schedule is packed, it’s easy to assume your practice is healthy—but “busy” can hide low productivity and weak profitability. In this episode, Kirk Behrendt brings in ACT Dental coach Robyn Theisen to explain why volume masks inefficiency longer than any other metric, how “busy” becomes a false proxy for performance, and what to measure instead. You’ll learn how to compare number of visi...

Dental insurance rules are changing fast, and “dental loss ratio” (DLR) is becoming a key issue dentists can’t ignore. In this episode, Kirk Behrendt sits down with Shelley DeGroff of PPO Advisors to explain what DLR is, how it works, why states are adopting it, and what it could mean for premiums, access to coverage, and the future of PPO participation. You’ll learn how DLR is measured, what acco...

Do you ever catch yourself thinking, “Why am I even doing this?” When dentistry becomes all noise—production goals, staffing issues, and nonstop mental load—it’s easy to lose your purpose and drift into burnout. In this episode, Kirk Behrendt brings back practice coach Miranda Beeson to explain how reconnecting to service—without sacrificing yourself—restores energy, strengthens leadership, and ma...

Letting insurance fee schedules become your “real” fees creates bad data, bad decisions, and an unnecessary production treadmill. In this episode, Kirk Behrendt coaches with Robyn Theisen on why every practice — even PPO-heavy practices — must use a master fee schedule, bill full fees, and track adjustments correctly so you can see the true gap between UCR and contracted rates. You’ll learn how in...

AI is showing up everywhere in dentistry, but how far should you go with it in HR—and where does it create risk? In this episode, Kirk Behrendt brings back Alan Twigg, HR professional and leader at Bent Ericksen, to unpack practical, low-risk ways to use AI in a private dental practice, where it can backfire, and why compliance and culture still require trained human judgment. You’ll learn what AI...

Turnover is expensive, disruptive, and often blamed on “the staffing market”—but what if the real issue is your internal culture and leadership systems? In this episode, Kirk Behrendt sits down with coach Heather Crockett to explain why turnover isn’t a staffing problem—it’s a culture problem—and to walk you through the practical framework that attracts the right people, keeps them, and helps them...

Are you producing at a high level but still feeling tight on cash? In this episode, Kirk Behrendt brings back Carlie Einarson, ACT Dental coach, to explain why strong production doesn’t automatically mean strong cash flow. You’ll learn the two metrics that reveal what’s really happening—collections percentage and AR days—plus the practical steps to tighten your financial systems so the money you’v...

Building an amazing dental team is hard when everyone is “busy” but daily friction, miscommunication, and inconsistent expectations keep getting in the way. In this episode, Kirk Behrendt sits down with coach Jenni Poulos to explain how written team agreements create alignment, reduce conflict, and make accountability easier. You’ll learn why individual, unwritten expectations create expensive ope...

AI is moving fast, but most dentists still don’t know what to use, what to ignore, or how to avoid wasting time on tools that don’t help the practice. In this episode, Kirk Behrendt sits down with Travis Wentworth, an AI and cybersecurity expert (with a doctorate in chemical engineering and a background in data modeling), to explain how AI has evolved beyond chatbots into practical “coworker” tool...

When patients don’t say yes to treatment, it’s easy to assume the problem is fees, timing, or motivation—but the first place to look is your data. In this episode, Kirk Behrendt sits down with ACT coach Carlie Einarson to break down two key performance indicators that reveal where case acceptance is actually breaking down: diagnostic percentage and case acceptance percentage. You’ll learn how to d...

Dentistry is full of big-ticket purchases, but many clinicians overlook the most expensive and valuable “equipment” they own: their body. In this episode, Kirk Behrendt sits down with Dr. Uche Odiatu to reframe the equipment conversation around physical health, and to lay out practical, sustainable habits that protect performance over a long career. You’ll learn why sleep and light exposure are fo...

Hiring in dentistry is harder than ever, especially when you hire for skill and end up firing for attitude. In this episode, Kirk Behrendt talks with coach Heather Crockett about how to hire for culture fit using a structured system, including four essential types of interview questions that reveal credentials, technical ability, experience, and behaviors tied to your core values. You’ll learn how...

Metrics don’t create pressure—unclear expectations do. In this episode, Kirk Behrendt talks with Robyn Theisen, coach at ACT Dental, about how role-specific KPIs reduce stress by creating clarity, ownership, and accountability. You’ll learn why teams feel pressured when success isn’t defined, how to use metrics as a “scoreboard” for standard of care and performance, and how to build meeting rhythm...

Most practices spend thousands each month on supplies but still don’t have a documented ordering system—so spending becomes reactive, inconsistent, and hard to control. In this episode, Kirk Behrendt talks with co-host Miranda Beeson, Director of Education at ACT Dental, about what a GPO (group purchasing organization) is, where it fits in your ordering system, and how to combine budgets, accounta...

Do you ever feel like your team is technically doing their jobs—but they’re not pulling in the same direction, and performance still falls short? In this episode, Kirk Behrendt talks with Miranda Beeson, ACT’s co-host and practice coach, about how to shift a practice from “working with each other” to “working for each other.” You’ll learn how a “me” mindset creates invisible walls, why vulnerabili...

Do you feel busy all day, yet your production doesn’t reflect it? In this episode, Kirk Behrendt brings in Robyn Theisen, practice coach and co-host, to break down why “busy” is a false proxy—and how to replace it with intentional productivity. You’ll learn how to use two key metrics, production per day (PPD) and production per visit (PPV), to spot schedule problems, reduce day-to-day production s...

Is your schedule “full” but still feels chaotic, stressful, and unproductive? In this episode, Kirk Behrendt talks with ACT Dental coach Robyn Theisen about the real reason your schedule feels like chaos—and how to fix it by designing your day with intention, predictability, and clear scheduling agreements. You’ll learn how to work backwards from annual goals to daily targets, use block scheduling...

As a dentist, you can present the best treatment plan—and still lose case acceptance if your team “translates” it differently after you leave the room. In this episode, Kirk Behrendt sits down with Debra Engelhardt-Nash, educator and founder of the Nash Institute for Dental Learning, to unpack what’s really being said in the operatory when you’re not there. You’ll learn how belief systems and “wal...

Case acceptance slows down when patients don’t fully trust the diagnosis or understand the outcomes they’re buying—not just the treatment they’re paying for. In this episode, Kirk Behrendt talks with Miranda Beason, ACT’s Director of Education, about why low case acceptance is often a trust problem and how to fix it with better value communication, co-discovery, and consistent team language. You’l...

One of the hardest parts of running a dental practice is producing dentistry consistently while cash flow stays unpredictable because you’re not collecting what you’re actually owed. In this episode, Kirk Behrendt brings in Ashley Bond, founder of Wisdom Dental Billing, to explain where revenue leaks happen inside the billing and collections process and how to tighten up your systems so production...

Dental teams are feeling the hygienist shortage, and many practices are reacting with shortcuts instead of fixing what’s actually driving clinicians away. In this episode, Kirk Behrendt sits down with Katrina Sanders, a dental hygienist, educator, and clinician with AZ Perio, to unpack what’s behind the shortage, why “oral preventive assistant” roles miss the point, and what leaders can change rig...

Overhead feels too high, and many dentists try to fix it by cutting costs in the wrong places. In this episode, Kirk Behrendt talks with co-host Miranda Beeson about how to evaluate overhead through two lenses—spending and collections—so you can reduce overhead without compromising the practice. You’ll learn what “high overhead” actually looks like, where practices typically leak revenue, what to...

Weekly team meetings often get skipped, squeezed into lunch, or treated as optional — and that creates misalignment, unresolved issues, and reactive decision-making. In this episode, Kirk Behrendt brings back ACT Dental coach Carlie Einarson to explain why a structured weekly team meeting is the key rhythm for “practice care” (not patient care). You’ll learn when to schedule it, what to cover, how...

Do your patients feel cared for — or are you just taking care of them? In this episode, Kirk Behrendt interviews Dr. Bryan Laskin, dental author, tech entrepreneur, and patient-advocacy leader, about why dentistry is losing patient trust and what to do about it. You’ll learn how private equity and spreadsheet-driven decisions can quietly degrade the patient experience, why “clarity” is the biggest...