The Thriving Dentist Show

Most dentists believe their dental practice overhead is under control. Gary Takacs scrubbed the P&L of a two-doctor practice that said exactly that, and found $7,000 a month going straight back to profit. He walks through where it hid: software subscriptions still billing after they were replaced, merchant services fees that had never been shopped, supplies bought on Amazon, and a $169 bouquet tha...

Dental patient financing is in nearly every practice, and Gary Takacs says very few offices use it to grow. On The Thriving Dentist Show, Gary and Naren Arulrajah compare dentistry with the car market, where 83% of new cars are financed. Gary makes the case against in-house financing and puts CareCredit's 9.9% discount rate next to the real cost of a lost case. He also shares the treatment coordin...

Should your practice hire offshore dental team members? Gary Takacs and Naren Arulrajah take the question on. Gary's 2018 test put a trained remote team member on his phones when the office was missing close to 30% of calls during business hours. The standard today is 10% or lower. They cover dental insurance verification, revenue cycle management, rising staff compensation, and the 28 to 30% wage...

Is a dental practice partnership the right practice model for you? Gary Takacs and Naren Arulrajah cover the benefits of the partnership model, from lower associate turnover to a 3-day doctor week. They also explain how to vet a potential partner before any equity changes hands. Learn why partnerships don't have to be 50/50, the $5,000 decision-making rule that replaced a 98-page legal agreement,...

Should you run Google Ads for your dental practice? Gary Takacs and Naren Arulrajah settle paid search vs organic SEO: why ad patients cost 5 to 10 times more, the four cases where Google Ads make sense, the 15% cap on ad management fees, and the five ways dentists waste ad budget. Book a free marketing strategy meeting at ekwa.com/td or a free coaching session with Gary at thrivingdentist.com/csm...

Two thirds of dentists in the largest private dental Facebook group said they would not advise their own son or daughter to become a dentist. Gary Takacs reads that as a work-life balance problem and argues balance may be the wrong goal. Gary and Naren Arulrajah separate work-life balance from work-life integration: a practice you enjoy so much you have no reason to escape it. They work through Da...

Dental practice scheduling is the difference between a $2,000 day and a $7,000 day in the same eight hours. One solo dentist saw 41 patients and finished feeling like he'd been run over by a Mack truck. Gary Takacs gives five specific scheduling recommendations - a defined daily production goal, a dedicated scheduling coordinator, rock production blocks, new patient blocks, and protected time to f...

Dental practice cybersecurity is a patient-retention problem, not an IT problem. Health and Human Services counts a ransomware infection as a reportable breach, and Dr. Lorne Lavine has watched practices lose a quarter of their patients after mailing that notification letter. He and Naren cover why an out-of-date operating system is a HIPAA violation by definition, why patient information can neve...

Gary Takacs and Naren Arulrajah on the startup vs acquisition decision that shapes a dental career. The three situations where a startup actually makes sense, and why most dentists do not qualify for any of them. A real coaching client who was collecting $700,000 on $1 million in production, replaced $300,000 in annual PPO write-offs with $15,000 in Ekwa SEO marketing, and grew collections to $1 m...

Gary Takacs and Naren Arulrajah on the one question that separates thriving dental practices from stuck ones: if your practice was as good as it could be, what would that look like? Three real coaching case studies — Invisalign starts from 3 to 29, solo to two-doctor, PPO-heavy to fully out of network by June 30th. The 68% statistic. The office manager hallway story. Why PPO plans are 30 times mor...

Gary Takacs and Naren Arulrajah on the five marketing numbers every dental practice should track and most do not. The two-chasms model. The conversion grading scale: A is 70%, national average is 33%, failing is below 50%. A coaching client who went from 12 to 38 new patients per month with zero extra marketing spend after their team's first real phone training. Plus, the bonus problems: missed ca...

In 2025, 60% of all high-value cases across Gary Takacs's coaching client base came directly out of the hygiene exam. This episode covers the full system: intraoral camera protocol, verbal pass-off, the personal detail that makes patients feel remembered, AI-powered patient note preparation, and how to balance efficiency with genuine connection. Plus, Naren on the 40% of the population actively se...

Gary Takacs and Naren Arulrajah on the one strategic move that separates the happiest dental practices from the rest: the signature service. How to choose it by following your heart rather than market data, build it through lab-fee cases and the right ambassador patient, schedule around it with a dedicated template, and market it through consistent organic search presence, landing pages, before an...

Gary Takacs has coached dental practices in all 50 states through PPO resignation - and has seen what happens when it is done without preparation. One practice lost half its revenue. This episode is the checklist that prevents that. Five specific steps in sequence: know your numbers, assess your relationality, train every team member, find out the hygiene copayment plan by plan, and get your marke...

Most dental practice growth plans fail by January 10th. Gary Takacs and Naren Arulrajah explain exactly why, and exactly what to do about it. Four specific rocks, individual champions, a three-meeting cadence, and the team incentive that took one practice from two Google reviews a month to twenty-six. Plus, Naren on AI search for dental practices, the five benchmarks that define a real patient acq...

Most dental marketing advice focuses on getting the phone to ring. This episode covers what happens next. Gary Takacs and Naren Arulrajah break down the admin team traits that drive dental practice growth, the hiring mistakes that quietly cost practices new patients, and the systems behind one practice's jump from 25% to 76% phone conversion, more than tripling new patient acquisition from the sam...

Gary Takacs and Naren Arulrajah on the most requested topic from Thriving Dentist listeners: how to increase treatment acceptance. Three benchmarks, four common mistakes, the family member technique, Dr. Frank Spear's six photos, the hygienist script, the consultation room argument, the 60/40 split for high-value dentistry, and the stat that stops every practice owner: less than 6% of insurance pa...

Want to know how your dental practice really stacks up against your local competition? Gary Takacs and Naren Arulrajah walk you through a 30-minute dental competitor audit you can run yourself, covering keyword rankings, Google reviews, local SEO, and service landing pages, so you can find the gaps that are costing you new patients. Plus Dr. Jeff Buske on why patients say no to how treatment is pr...

Gary Takacs and Naren Arulrajah reveal how to make every year your new best year, from the four reasons growth matters to the exact strategies that take a plateaued practice to record production. You will also hear why 2026 is the year to master local search and what an appropriate marketing budget really looks like.

42% of Americans put off the dentist indefinitely because of fear and most of them are already in your market. In this episode, Gary Takacs and Naren Arulrajah unpack one of dentistry's biggest untapped opportunities: the anxious patient. They cover why fearful patients stay silent, the psychology of control and the simple "stop signal" that puts patients at ease, sedation options worth knowing, a...

Gary Takacs and Naren Arulrajah on the complete guide to hiring an associate dentist: why the DDS is not a hiring filter, the 54% indifference statistic, Gary's four-area screening framework, the #1 mistake practices make, compensation on adjusted production, and the mentoring rhythm that determines long-term success. Plus, Naren's AI search marketing segment.

Most dental practices lose new patients the moment a call goes unanswered - and most don't know it's happening. In this episode of The Thriving Dentist Show, Gary Takacs and Naren Arulrajah break down the after-hours and missed-call response system every dental practice needs in 2026. Inside: why 95% of new patients won't leave a voicemail, the 60-second response standard, when Book Now buttons he...

Gary Takacs and Naren Arulrajah dig into why dentists underprice their work, how the UCR percentile system sets fee ceilings in your zip code, what insurance companies actually pay (and where they downgrade), and why only 0.24% of dentists — 1 in 400 have fees set at the 80th percentile of their market. You'll also learn the annual fee-increase rhythm Gary recommends, how to handle the patient con...

Gary Takacs and Naren Arulrajah on how to stay visible and trusted in the new AI search era. ChatGPT, Claude, Perplexity, and Bing AI are already recommending dental practices and the signals they use are different from traditional SEO. This episode tells you exactly what to fix, what to build, and how to get your AI report card.

Gary Takacs and Naren Arulrajah on the three leadership mindsets that separate thriving practices from struggling ones: curiosity over judgment, humility, and a genuine embrace of experimentation. Plus, the solopreneur trap, how to evaluate AI and technology correctly, and the vision exercise that Gary uses with every coaching client.