The Best Practices Show with Kirk Behrendt

Hygiene production problems don’t start this week — they were built months ago through leading indicators you can track and influence. In this episode, Kirk Behrendt sits down with ACT Dental coach Ariel Siegel to explain why hygiene production is a lagging indicator and how to improve it by focusing on reappointment rate, perio diagnosis, and perio acceptance. You’ll learn what hygiene breakdown...

Embezzlement can feel like a cash-only problem—until it isn’t. In this episode, Kirk Behrendt sits down with David Harris of Prosperident to explain what dental thieves steal besides cash, why modern payment methods create new vulnerabilities, and what behaviors can signal elevated risk inside your practice. You’ll learn how thieves think, where they tend to steal (revenue vs. expense), why compar...

In dentistry, many problems aren’t caused by the procedure itself—they come from what wasn’t discussed before treatment started. In this episode, Kirk Behrendt brings back Dr. Dennis Hartlieb, a general dentist and educator, to share four communication tips that help you set expectations, reduce misunderstandings, and protect the practice before you ever pick up a handpiece. You’ll learn how to gi...

Do your numbers look good on paper, but the practice still feels heavy day-to-day? In this episode, Kirk Behrendt brings back ACT coach Ariel Siegel to explain why “busy” doesn’t automatically mean “healthy,” and how the effort gap between gross production and net production creates exhaustion, tight cash flow, and a constant hamster-wheel feeling. You’ll learn how to calculate your effort gap, tr...

Occlusion cases stall when dentists focus only on how the teeth fit, instead of why the bite doesn’t fit in the first place. In this episode, Kirk Behrendt brings back Dr. Jim McKee to explain the #1 thing dentists get wrong about occlusion—and why it’s not the teeth. You’ll learn how to redefine occlusion beyond tooth contacts, how disc displacement changes the bite, why many “malocclusions” shou...

A growing number of dentists are reconsidering PPO participation as costs rise and reimbursement falls. In this episode, Kirk Behrendt sits down with dental consultant Deborah Engelhart Nash to unpack why a reported 29% of surveyed dental practices stopped taking insurance in 2025, what fears keep dentists stuck, and how to transition the right way. You’ll learn how to evaluate your patient mix, i...

Many dentists track annual patient value (APV) but don’t use it to make a clear decision about what kind of practice they want to build. In this episode, Kirk Behrendt talks with Miranda Beason, ACT’s co-host and education leader, about what APV reveals about your business model, why it impacts stress and schedule design, and how to calculate it using your last 12 months of collections and active...

Have you ever felt like your team is “getting along” but no one is saying what they really think? That’s artificial harmony, and it quietly creates frustration, drifting standards, and eventual blowups. In this episode, Kirk Behrendt brings back coach Miranda Beason to explain the difference between toxic positivity and productive conflict, why unresolved issues always become a crisis, and how lea...

Do you know exactly where money can slip through the cracks in your practice—and what to do about it before it becomes a major problem? In this episode, Kirk Behrendt brings back David Harris, dental-exclusive forensic investigator and embezzlement expert, to break down the division of duties in a dental practice and explain how to apply it in real workflows. You’ll learn the six-step revenue cycl...

Most practices have plenty of numbers but still feel unclear about what to work on next. In this episode, Kirk Behrendt talks with Miranda Beason about why many dental practices don’t have a data problem — they have a focus problem — and how to use quarterly priorities and the right metrics to create alignment, reduce chaos, and make steady progress toward annual goals. To learn how to set focus,...

Private practice is getting squeezed by complexity, competition, and promises that “bigger is better.” That pressure is pushing more dentists to consider selling, scaling, or giving up control. In this episode, Kirk Behrendt talks with Dr. Christian Coachman, dentist and educator, about why celebrating independent private practice matters, why quality in dentistry isn’t scalable, and what private...

Are you relying on the sale of your practice to fund your retirement? Before you accept an attractive offer from a DSO, it’s critical to understand what those numbers really mean — and what alternatives exist. In this episode, Kirk Behrendt interviews Dr. Bob Margeas, founder of Iowa Dental Group in Des Moines, Iowa, about how he evaluated multiple DSO offers, broke down EBITDA and earn-outs, and...

Many dental practices feel surprised by their numbers at the end of the month, even when they review reports regularly. In this episode, Kirk Behrendt sits down with Miranda Beeson, leadership coach at ACT Dental, to explain the difference between leading and lagging indicators and why relying too heavily on historical data creates stress, reactivity, and missed opportunities. They break down how...

Is online continuing education enough to elevate your dentistry? With unlimited access to webinars, social media cases, and on-demand videos, it’s easy to believe you can master complex procedures from a screen. But is that really how clinical excellence is built? In this episode, Kirk Behrendt interviews Dr. Adamo Notarantonio, educator, clinician, and faculty member at the Kois Center, about the...

Running a dental practice can feel like an endless cycle of putting out fires, reacting to problems, and repeating the same frustrations day after day. In this episode, Kirk Behrendt sits down with Christina Burn, Director of Operations at ACT Dental, to explain why most of these daily issues stem from a lack of clear systems, not people. Together, they break down how systems create predictability...

Many dental leaders make decisions based on how the day feels instead of what the data shows. In this episode, Kirk Behrendt is joined by Miranda Beeson, ACT Dental coach and leadership advisor, to explain why leading from emotion creates reactive leadership and how metrics create clarity, consistency, and confidence for teams. You will learn how data removes emotion from decision-making, how to p...

Most dentists treat sleep as optional until performance drops, patience gets shorter, and focus slips. In this episode, Kirk Behrendt talks with Dr. Uche Odiatu, health and fitness educator for dentistry, about sleep hygiene fundamentals that improve energy, cognition, metabolic health, and daily productivity. You will learn why seven hours is the minimum, why “sleep debt” can’t be repaid on weeke...

Leaves of absence are complicated, highly regulated, and often misunderstood in dental practices. In this episode, Kirk Behrendt sits down with Alan Twigg, HR expert at Ben Erickson Administrative Services, to explain how leaves of absence actually work, why documentation matters, and how dentists can protect their practices while treating team members fairly. You’ll learn how to identify protecte...

Marketing costs can easily drift without clear benchmarks, clear goals, or reliable data. In this episode, Kirk Behrendt continues the Metric Monday series with practice coach Ariel Siegel to break down marketing percentage as part of overall overhead. They explain what marketing percentage actually measures, why the benchmark matters, how internal and external marketing must align, and how to eva...

Poor communication can quietly undermine trust, case acceptance, and long-term relationships with patients — even when the clinical work is excellent. In this episode, Kirk Behrendt sits down with Dr. Christian Coachman, dentist, dental technician, and founder of Digital Smile Design, to identify the most common communication mistakes dentists make with patients and teams. You’ll learn why context...

Great dentistry doesn’t sell itself if patients can’t see it. Many dentists struggle to explain conditions, earn trust, and grow into the type of practice they want because their communication relies too heavily on words. In this episode, Kirk Behrendt sits down with Dr. Zach Sisler, cosmetic dentist and educator, to break down the three lessons he learned the hard way about dental photography. Yo...

When overhead is high, you buy cheaper supplies. But there's a better way! In this episode, Kirk Behrendt brings back Ariel Siegel, one of ACT’s amazing coaches, to continue the series on overhead and break down supplies percentage. She shares why your numbers may be high, how that impacts your practice, and what you can do about it. For the treatment plan to reduce waste and overspending on suppl...

Success isn't just about the medals. In this episode, Kirk Behrendt brings back Dr. Amanda Seay, president of the AACD, and Dr. Zach Sisler, board chair of the AACD, to share their journeys and lessons of the accreditation process and the importance of investing in yourself for your future. To learn what success could look like for you, listen to Episode 999 of The Best Practices Show! Learn More...

Your expenses go up year over year — and so should your fees! In this episode, Kirk Behrendt brings back Miranda Beeson, ACT’s director of education, to help you think better about your fees and provide tips for when and how to raise them. To learn how to start owning your value and charging what you're worth, listen to Episode 998 of The Best Practices Show! Learn More About Miranda: Send Miranda...

Your accountant says your practice is profitable. So, why doesn't it feel like it? In this episode, Kirk Behrendt brings back Miranda Beeson, ACT’s director of education, to break down the cash flow gap, what it is, and how not understanding it affects your practice. To learn how to close your cash flow gap so you can grow your practice, listen to Episode 997 of The Best Practices Show! Learn More...