Embed Size (px)
Citation preview
From Where We Sit Page 2
From the Capitol:
Transforming Legislation SB373 Page 5
Infection Control Page 6
Advantage Services:
VerticalWerks Changes its Name Page 7
Summer Meeting Twentythirteen The Road Ahead Page 10
Commercial Provider News Page 9
OHP Provider News Page 12
Election Results Page 16
New Providers Page 17
Classifieds Page 18
Calendar of Events Page 20
I n s I d e t h I s I s s u e :
O u r M i s s i O n : To provide dental leadership, service and access to care to our communities in a professional, entrepreneurial and sustainable manner.
Is the New HealthCare Paradigm Going to Freeze You Out of Private Practice?page 2
The AdvantageThe Advantage Community Newsletter
From Where We Sit: Is the New HealthCare Paradigm Going to Freeze You Out of Private Practice?
2nd Quarter 2013
2 | The Advantage 2nd Quarter 2013 | 3
“Only a society in dynamic
disequilibrium has stability
and cohesion” –The Daily Drucker, by Peter Drucker
What will dentistry and medicine look like
when the government and other payer’s
desired outcomes are more important
than the doctor’s recommendations?
We have heard many times that the payer
(usually government) is not getting the
desired outcomes they want for the money
that they are paying The current sick care
delivery system in America, pays for the
results of people’s behaviors—which, a
lot of times, can cause the illness or issue
being treated An example is a lost tooth
which can result in an implant, bridge or
complete or removable denture to be
performed The feeling is, 30% of what is
being done is not necessary, 50% of what
they want done is not being done and
every year the sick care delivery system
asks for more Soon the doctor will be
asked to produce a better outcome and
their pay will be tied to it
The new future is Patient Centered Primary
Care Homes (PCPCH) and Accountable
Care Organizations (ACO), who are willing
to accept the risk for a group of people
for the desired outcomes; and the PCPCHs
that will have a team of people to manage
a patient’s care So when the Oregon
Health Plan (OHP), Public Employee Benefit
Board (PEBB) and the Oregon Education
Employment Board (OEBB) transition
to this system, do you know how your
practice will fair? Will producing the
desired outcomes demanded by these
organizations force you to join a larger
organization such as Advantage Dental,
ODS Dental, Willamette Dental or a like
organization?
Does this relationship put you in direct
competition with lesser paid technicians
such as the mid-level provider and will
the dentist become a commodity like all
others? Do you feel this relationship will
allow you to use your doctorate degree or
will your degree become equal to that of
the technician?
What happens if dentistry becomes
institutionalized and made a commodity?
And what happens when the system
performs like the individual dentist is?
What is happening now to the dentist
is like what happened to physicians An
interesting book to consider reading is
“The Death of the Private Practitioner” It is
about physicians, but it will be of interest
to you
The lone wolf practitioner will have to
get big enough, have a special skill set
or limit what they do; or we suspect
they may perish Soon, requirements for
getting paid by a third party, such as the
Government, will become too onerous
When the government and other payer’s
begin to dictate the outcomes, the
individual practitioner may not be able
to keep up with the resources needed
to compete Whether it is technology,
procedures or equipment the individual
practitioner will be burdened by
compliance with additional regulatory
requirements Meeting these requirements
may affect quality of patient care and the
practitioner’s ability to run a profitable
business However, there could be safety in
numbers Group practitioners’ affiliations
with independent practice associations
(IPA) or cooperatives like Advantage Dental
could become the individual practitioner’s
safe haven
A good example of this is the current issue
surrounding an oral surgeon in Oklahoma,
who is accused of not following the
appropriate sterilization procedures and
allegedly exposing his patients to multiple
communicable diseases This incident
illustrates the issue of how your patients
will know that your office meets standards
Additionally, how are the government
Don’t Get LeftOut in the Cold
Is the new HealthCare Paradigm Going to Freeze You out of Private Practice?
By Dane Smith, K yle House, Mike Shirtcliff
From Where We Sit:
agencies and other payers going to know
you are meeting the standards?
So, Advantage Dental is sending you
a recently published, State of Oregon
Board of Dentistry, infection control rules
document; and asking you to attest, in
writing, that your practice is in compliance
If you do not comply with this request
it puts Advantage Dental in a difficult
situation The company will not be able to
assure the various government agencies
and others, such as other insurance
companies, that you are in compliance
In addition, Advantage Dental will have
to implement an audit process to ensure
that those that attest they are complying
are in fact doing so If no audit process is
implemented, our fear is that the State will
begin to perform inspections and assign
valuation grades similar to those you see
in restaurant windows Can you imagine
the sticker grade on your front window or
glass door rating you A, B, C or D like
a restaurant?!
The future of Advantage Dental will be a
delivery system made up of contracted
and/or owner dentists and its own
clinics—providing an organization that
can provide the support and resources
to meet the requirements of the various
payer types
It used to be a relationship between
the doctor and the patient, now it is a
relationship between the doctor, the
patient and the entity paying the bill It’s
a strange new world that everyone will
need to learn to navigate
4 | The Advantage 2nd Quarter 2013 | 5
Transformation Legislation SB373As you may remember, the Oregon
legislature passed two pieces of legislation
(HB3650 and SB1580) which created
the Oregon version of an Accountable
Care Organization called a Coordinated
Care Organization (CCO) This legislation
consolidated all Medicaid contracts with
the Oregon Health Authority (Physical
health, behavioral (mental) health and oral
health) into one organization for the OHA
to contract with To date, 16 CCO’s have
been created around the state
What it would take to get dentistry and
the Dental Care Organization (DCOs) to
support this transformation? Two things
were asked for Since this transformation
of the Health Care delivery system was to
begin with Medicaid and the DCOs were
the organizations that provided care for
Medicaid, it was asked that the DCOs be a
part of governance And, because of the
complication of physical health and the
hospitals; the complications of Mental
Health and the county Mental Health
Authority and the fragility of the Dental
OHP delivery system, the DCOs asked for
adequate time to transition
The legislative intent seemed to offer
the DCOs as a major component of the
health care delivery system; and thus a
spot in governance The legislation did
give the DCOs until July 1, 2014, to become
contracted with a CCO It also seemed to
give the DCOs until July 1, 2017, to exist as
a DCO under the CCOs—and prevented
the CCOs from contracting with anyone
other than a DCO
In August of 2012, the OHA obtained an
assistant attorney general opinion that
said that once a CCO contracted with one
DCO they could contract with anyone
they wanted to With this the CCOs, by
and large, have ignored the intent of the
putting a DCO member on governance
PAC-078_DENTAL_AdvantageDentalNewsltr_4.625x3.5_Q2-2013.indd 1 4/24/13 3:52 PM
D E N T S P LY T U L S A D E N TA L S P E C I A LT I E S C O N T I N U I N G E D U C AT I O N
Portland, October 11-12, 2013A Ground-Breaking 2-Day CE Course
Pathways to Success
The First Comprehensive Endodontic CE Course of its Kind.Pathways to Success is unlike any other endodontic CE course you’ve experienced. Its revolutionary approach takes you far beyond effi cient techniques to the science that drives successful treatment.
Dr. Troy McGrewDr. TrTTTrTroyoyoy M GM GM GM GMcGMcGMcGrewrewrew
To Register and For More Information Contact DENTSPLY Tulsa Dental Specialties at 800-662-1202, press 1 for Customer Service or visit us online at register.TulsaDentalSpecialties.com
14 CEU
©2013 DENTSPLY Tulsa Dental Specialties, Inc.
From the Capitol
Every procedure is different, and with the newPrime&Bond Elect™ Adhesive you instantly have thepower to choose selective, total or self-etch. Built on the clinically proven chemistry of Prime&Bond® NT™
adhesive, control and flexibility are back in your hands.
Visit www.primeandbondelect.comfor more information.
I N T R O D U C I N G
Prime&Bond Elect™
Any etch.Any procedure. One bottle.
BUY 1 Prime&BondElect™ intro kit or 50-count unit dosepackage, GET 1 free.(CNP12082) Free goods same as purchase.
Purchase must be made from your authorizedDENTSPLY distributor between 10/1/12 and 12/31/12.For program details, please visit www.caulk.com. ©2012 DENTSPLY International. All rights reserved.
Advantage Dental was able to prompt
Senator Bates of Medford to introduce
legislation (SB373) that would give DCOs
a contract until July 1, 2017, for sure; and
make it a requirement for the CCOs to
contract with all DCOs before they could
contract with anyone else
Many of you sent in letters supporting
this legislation and Advantage Dental
would like to thank you for your continued
support in this matter Sadly, it looks like
this legislation may not pass In fact, when
you read this newsletter this issue will have
been decided one way or another
Planning on coming to the Summer Meeting Dinner Auction for ASK?
We have some fantastic auction items available that we can’t wait to share with you. Two very talented artists have donated works for the auction. Come to the Summer Meeting and don’t miss your opportunity to bid on these paintings.
Please visit AdvantageSmilesforKits.org for more information.
Middle Fork of the John dayBy: Paul Zegers
16”H x 20”W
Media: Oil on Linen
paulzegers.com
North Umpqua ReflectionsBy: Andrew “Andy” Duclos
12”H x 24”W
Media: Oil
andrewduclos.com
Auctio
n Preview
6 | The Advantage 2nd Quarter 2013 | 7
The Oregon Board of Dentistry (OBD) recently sent out
an email regarding infection control guidelines because
of a recent event in Oklahoma regarding the failure to
test heat sterilizing devices for proper functioning In
addition to the event in Oklahoma, the OBD has found,
while doing several recent investigations that a few
dental offices were not testing their heat sterilizing
devices for proper functioning on a weekly basis Failure
to test on a weekly basis is a violation of OAR 818-012-
0040, and could result in Board action
818-012-0040 INfectIoN coNtRol GUIdelINes
In determining what constitutes unacceptable patient
care with respect to infection control, the Board may
consider current infection control guidelines such as
those of the Centers for Disease Control and Prevention
and the American Dental Association Additionally,
licensees must comply with the following requirements:
(1) Disposable gloves shall be
worn whenever placing fingers
into the mouth of a patient or
when handling blood or saliva
contaminated instruments or
equipment Appropriate hand
hygiene shall be performed
prior to gloving
(2) Masks and protective eyewear
or chin-length shields shall be
worn by licensees and other
dental care workers when
spattering of blood or other
body fluids is likely
(3) Between each patient use,
instruments or other equipment
that come in contact with body
fluids shall be sterilized
(4) Heat sterilizing devices shall be
tested for proper function on
a weekly basis by means of a
biological monitoring system
that indicates micro-organisms
kill
(5) Environmental surfaces that
are contaminated by blood or
saliva shall be disinfected with
a chemical germicide which is
mycobactericidal at use
(6) Impervious backed paper,
aluminum foil, or plastic wrap
may be used to cover surfaces
that may be contaminated by
blood or saliva and are difficult
or impossible to disinfect The
cover shall be replaced between
patients
(7) All contaminated wastes and
sharps shall be disposed of
according to any governmental
requirements
Advantage ServicesWhat membership can do for you
Look here each quarter for information about available resources to help you, your staff and patients.
Greetings from Local Fresh!
That’s right, Verticalwerks is now Local
Fresh Our name has changed, but
not our commitment to bringing local
businesses cutting-edge marketing ideas
and customer service Vist our new online
home at http://localfresh com/
So why the change? Small businesses
are the lifeblood of most communities
and we’re committed to helping them
grow organically Our goal is to leverage
search opportunities by bringing fresh
marketing ideas to local businesses As
our new tag line states; “Local Fresh
empowers small and local businesses
with fresh web design, search marketing
and results-driven, integrated marketing
programs”
So what does this mean to our current
clients? Not much, other than a name,
brand identity and e-mail address
changes As of August 1st, 2013, you
will no longer see communication
from Verticalwerks If you are a current
client, we will be introducing new
email addresses (for instance, support@
localfresh com) All current emails
for [person]@verticalwerks com will
be forwarded, so we’ll still get those
communique too
If you are not a client, we would welcome
the opportunity to provide a no-cost
consultation on our online marketing
services (i e dental websites, mobiles
applications, reputational management
services, etc )
If you should have any questions about
any of the above, please do not hesitate
to contact us at 800-380-6841
Thank you in advance for your attention
to this change, and please help us usher
in our new brand identity into the market
place We appreciate your continued
support of our marketing products
and services!
Vertialwerks is now LocalfreshName chaNGe bRINGs a fResh commItmeNt to sUppoRtING the maRketING Needs of local bUsINesses
now
localfresh.com800-380-6841
Local Fresh empowers small and local businesses with fresh web design, search marketing and results-driven, integrated marketing programs
8 | The Advantage 2nd Quarter 2013 | 9
Commercial Provider News
New pacificsource Web page for dental providersPacificSource has developed a new web page dedicated
to dental providers The web page can be accessed at
PacificSource.com/DentalProviders The web page includes
commonly requested information conveniently located on one
place, including:
• Claims guidelines
• Practice guidelines
• Preauthorization information
• Administrative forms
• Dental Bulletin newsletters
• And more
silver Nitrate Update:During the April 19, 2013 Oregon Board of Dentistry meeting,
the Board approved moving proposed rules that would allow
dental hygienists and dental assistants to apply silver nitrate to a
public hearing Please note that the current prohibition against
dental hygienists and dental assistants applying silver nitrate will
remain in effect until after the public hearing and will change
only if the Board of Dentistry votes to approve the proposed rule
changes A date for the public hearing has not been announced
New oregon board of dentistry Rule on Use of benzodiazepines or Narcotics in children under 6 years of age:During the April 19, 2013 Oregon Board of Dentistry meeting, the
Board approved the following rule change to OAR 818-026-0020
Presumption of Degree of Central Nervous System Depression:
(4) A licensee that does not hold a Moderate, Deep Sedation or
General Anesthesia Permit may not administer, for purpose of
anxiolysis or sedation, Benzodiazepines or narcotics in children
under 6 years of age
//STEP 1: INNOVATION IN SHAPING.
//STEP 2: INNOVATION IN IRRIGATION.
//STEP 3: INNOVATION IN OBTURATION.
© 2012 DENTSPLY International, Inc. ADENDO2 4/12 Rev. 1
IRRIGATING SOLUTION
//STEP 1: INNOVATION IN SHAPING.
//STEP 2: INNOVATION IN IRRIGATION.
//STEP 3: INNOVATION IN OBTURATION.
© 2012 DENTSPLY International, Inc. ADENDO2 4/12 Rev. 1
IRRIGATING SOLUTION
//STEP 1: INNOVATION IN SHAPING.
//STEP 2: INNOVATION IN IRRIGATION.
//STEP 3: INNOVATION IN OBTURATION.
© 2012 DENTSPLY International, Inc. ADENDO2 4/12 Rev. 1
IRRIGATING SOLUTION
r
Watkinson Laird Rubenstein
Baldwin & Burgess, P.C. Announces the Addition of
New Shareholders:
James R. Dole
John J. Christianson
Jane M. Yates
New Offices In:
Portland and Grants Pass
Providing legal services to healthcare practices,
individuals, and businesses throughout Oregon
in the areas of:
• Health Law
• Employee Benefits and Personnel Issues
• Real Estate and Business Transactions
• Estate Planning and Asset Protection
• Litigation and Family Law
Eugene Roseburg Redmond
Portland Grants Pass
www.WLRLaw.com (800) 270-7418
SPONSORED BY:
SAVE THE DATE Thursday | September 12th 2013 Friday | September 13th 2013
For more information please visit the web site at www.AdvantageDental.com/OHS
Speakers:
Dr Peter Milgrom
Dr R Mike Shirtcli�
Dr Phil Weinstein
Dr Coleen Huebner
Dr Christine Riedy
Marilynn Sutherland
Darlene Smolen
Kate Moore
Tom Kuhn
Don’t miss this opportunity to meetour keynote speaker,Burton Edelstein DDS MPHProfessor of Dentistry & Health Policy, Columbia University and Founder of the Children’s Dental Health Project
July 26th at 7AM, Eagle Crest Resort, Juniper Hall
Dr. Edelstein is a Board Certi�ed Pediatric Dentist.
His academic and consulting contributions focus
on public policies that a�ect children’s oral health
and their access to care.
JULY 26TH AND 27THEAGLE CREST RESORT, REDMOND, OR
NEW THIS YEARCE Classes will be o�ered through 4pm on Saturday with a complementary boxed lunch included.
This year ASK is ra�ing 2 Hawaiian Vacations* valued at $6,213 each. That’s 2 drawings and 2 prizes! Each of the Vacations include:
• 2, 1st class, non-stop, airline tickets to the Island of Maui
• 1, $2,500 gift card for lodging at your choice of resort properties: The Four Seasons at Wailea or The Grand Wailea
• $500 cash• A travel bag full of goodies
Purchase your ra�e tickets at:
www.AdvantageSmilesForKids.org
Ra�e Tickets $20.00
Take advantage of this opportunity to get needed CE, meet the Advantage Dental Preferred Vendors and find out about Advantage Dental Cost of most CE is included with your registration fee New this year, CE Classes will be offered through 4pm on Saturday with a complementary boxed lunch included
REGISTRATION FEES:
Contracted Advantage Dentists $100 00
Non-contracted Advantage Dentists $150 00
Contracted Dentist’s staff $25 00
Non-contracted Dentist’s staff $40 00
CPR (renewal and re-certification) $50 00
EAGLE CREST RESORT:
To Book Your Accommodations, go to:
eagle-crest com
or call Eagle Crest Resort at
855-682-4786
Mention the Advantage Dental Summer Meeting to
receive our special meeting rates
CE CLASSES OFFERED INCLuDE:CPR (renewal and initial certification for uncertified & lapsed certificate holders)OSHA 2 creditsProper Administration of Nitrous 4 creditsRisk Management 3 creditsMedical Emergencies & Patient Care Prior to EMS Arrival 4 creditsUpdates from the Oregon Board of Dentistry 1 creditOregon Healthcare Law Changes & How They Affect Your Practice 2 creditsMedical Management of Caries & Prevention Techniques 2 creditsCulture of Poverty 2 creditsGetting to the Root of the Problem in Dentistry through Integrated Care 2 creditsImproving Tobacco Cessation Interventions for Medicaid Clients 2 creditsAiming for Success: Radiographic Techniques from Analog to Digital 3 creditsDirect Restoratives and Adhesives 5 creditsAdvanced Dental Information Network Demo 1 creditBest Practices for Promoting Dentistry Online 1 creditProper Record Keeping from the Oregon Board of Dentistry 1 credit
Register today at www.AdvantageDental.com/summermeeting2013DISCLAIMER FOR ASK RAFFLE: Reservations are subject to availability. Proceeds benefit Advantage Smiles For Kids. Drawing will be held at the Eagle Crest® Conference Center, Redmond, Oregon on July 26th, 2013 at 9pm.
Oregon Health Plan Provider News Oregon Health Plan Provider News
12 | The Advantage 2nd Quarter 2013 | 13
should be clearly indicated on the
referral form
Understandably, providers would like to
do all the fillings; however young children
that cannot be managed in the office
should be hospitalized and treatment
performed in the hospital
Recently, studies that support these
changes have been published in the
professional literature Work done at the
Mayo Clinic shows general anesthesia can
have an impact on the young developing
brain And, there is new information that
shows when dentistry is done, without
preventative intervention, new decay can
start as early as six months after the initial
treatment has been completed
Advantage Dental asks that you keep
in mind that the ultimate goal is to get
the disease under control and not have
to continually redo the work that has
already been done; and to deliver care for
better oral health in your patients
The risk assessment and preventative
protocols that Advantage recommends
are available on-line at www
AdvantageDental com For any questions,
or to sign up for training on medical
management of caries, please contact
Advantage Dental’s Customer Service
Department on the Provider Only Line
at 888-480-4478
In the new Coordinated Care Organization
(CCO) world, a cavity and resultant
filling is considered a failed outcome
This standard will be held equally for a
child treated in the hospital or surgery
center operating room, or patients
being seen in the hospital emergency
room The economic incentives will
reward methodology
that produces a different
outcome and the new
mantra, “Right Treatment
at the Right Time in the
Right Place ”
As a part of Advantage
Dental’s efforts to
meet the standard, it is rethinking how
it provides for care and revisiting the
process for hospital referrals In the past,
children, 3 and under, were allowed to
be sent to the hospital without having a
preventative treatment plan (PTP) in place
and without having a failed attempt for
treatment in the office This will no longer
be the case; now both the PTP and a failed
attempt for treatment in the office will be
required
The silver nitrate/fluoride varnish medical
management of caries process in young
children, who have less invasive caries,
should
now be
used as a
treatment
attempt
The goal is
to manage
the caries
process until the child gets older and can
be treated in the dental office using in
office sedation protocols (if needed) Also,
a written pre-op and post-op preventative
treatment plan will be required
If you are treating a patient on referral
from the Primary Care Dentist (PCD) you
should get the PTP from the PCD; and it
needs to be part of the referral If you are
the PCD acting as the specialist, then you
will need to develop your own PTP
Before claims will be paid, this PTP will
need to be included The standard referral
form has been redone so that the PTP
becomes part of the record If you are
suggesting a PTP that is different from the
standard, you will need to include it in
the referral
It is suggested, where practical, to have a
record of the silver nitrate/fluoride varnish
treatment series attempted before the
patient is taken to the hospital The only
exception to the above requirements will
be those patients with medical conditions
or behaviors that interfere with office
treatment, such as an abscessed tooth in
the very young or those with a disability
When any of these conditions exist they
“Right Treatment
at the Right Time
in the Right Place.”
Required with Hospital Referal Submission:• Completed Hospital Referral Form
• Referral from PCD to Specialist (not required if PCD is acting as Specialist)
• Pre-op Radiographs (if available)
• Completion of the Preventative Treatment Plan (PTP)
Just a reminder: it is the responsibility of the PCD, when sending referrals to the specialist, to include all of the necessary
information, as well as assisting the patient being referred with scheduling an appointment with the specialist
2013 Hospital Dentistry Referral Process
2013 GOALS pcd UtIlIzatIoN RepoRt: fIRst QUaRteR, JaNUaRy thRoUGh maRch
The goals for 2013, will be the same as those for 2012, namely utilization of gross cap versus encounter (CAPGrvsENC green column),
not to exceed 100% and referral to specialists versus cap (RefvsCap yellow column), not to exceed 20% Also, the percent for
preventive visits for pregnant women, and percent of preventive visits 0-11 years old, should increase by 10 % over the
2012, numbers
The Quality Improvement (QI) and Payor Relations committees will be meeting during 2013, to work on the new outcome measures
for 2014, when Advantage starts contracting with Coordinated Care Organizations (CCOs) Payment Methodology will probably
change dramatically in the future, but for now, it remains to be seen There will be much more emphasis on access to care,
preventive measures, Hospital usage etc , but we will keep you posted as this progresses The chair of the QI committee is Sam
Scott and the Payer Relations Committee is Ron Tribble If you have interest in this conversation please let Sam or Ron know
14 | The Advantage 2nd Quarter 2013 | 15
Silver Nitrate SpillsDear Fellow Silver Nitrators, You probably already know this, but the Sudsy Ammonia cleaning solution removes silver nitrate stains on counter tops! A light buffing with a scrubber seems to help. The wonders of an internet search!
—Dennis W Clark, DDS
Oregon Health Plan Provider Newsvault
SafeRelax.Know your dental practice data is offsite &
866-227-1168www.continu.net
R Approved by Advantage Dental
R Call for a 30 day demo
BUY $1,999 in Bonding, Composites, Impression Materials, or Temporary Materials, GET 1 SmartLite® PS curing light free!
Product Categories:Bonding: Prime&Bond® NT™, Prime&Bond Elect™
Composites: TPH Spectra™, Esthet•X® HD, SureFil® SDR® flowImpression Material: Aquasil Ultra, Aquasil Ultra XtraTemporary Material: Integrity®, Integrity® Multi•Cure
You must buy from at least 2 product categories, minimum of $200 in each category.
Required retail purchases are based on actual distributor invoiced price. Purchasemust be made from an authorized DENTSPLY distributor between 4/1/13 and 6/31/13.Purchase must be made on ONE (1) DENTSPLY distributor invoice. To redeem your freegoods, mail or (toll free) fax your invoice noting promotion code and free product(s)desired to: Mail: DENTSPLY, Attn.: Cross Category Q2, 38 West Clarke Ave., Milford, DE19963. FAX: DENTSPLY, Attn: Cross Category Q2, 1-800-788-4110. Invoices must bereceived no later than 7/30/13 to claim free goods. Limit 2 redemptions per offer. Offersvalid in the 50 United States only. These offers may not be combined with any otherDENTSPLY offers or contract agreements. All free goods fulfilled through DENTSPLY.Allow 4-6 weeks for delivery. ©2013 DENTSPLY International. All rights reserved. Code CFP13014
Your preferred handling composite
with simplified shading.
• Dual handling options
• Simplified shading
• Stain resistance
• Excellent polish
A flexible solution for all your
bonding applications.
• Can be used in total-etch, self-etch
or selective-etch mode
• High bond strength to dentin and enamel
• Virtually no post-operative sensitivity
Benefit ChangesThe final version of the benefit
changes that were implemented on
April 1, 2013 and the new Covered and
Non Covered Services List have been
posted the Advantage Secure Provider
Portal Several changes were made to
the rules this year, and some will more
than likely impact your offices
amalGams
In the 2012 rule book change the most
significant rule change was to the
coverage for posterior fillings; allowing
amalgams only Over the past year
Advantage has allowed composites
on posterior teeth and reduced them
to the amalgam rate for those of you
who did not have the capability for
amalgam in your offices
DMAP has changed the ruling to
allow one surface composites on
posterior teeth (for patients on the
Plus and Reduced Plans); these will be
reduced to the amalgam rate Because
Advantage still is not receiving the
credit for any composites that are done
on posterior teeth from DMAP, any
composites on posterior teeth that are
more than one surface will no longer
be allowed If your patient requests
tooth colored fillings they will need to
pay for it—unless you decide not to
charge them If you decide to charge
them, make sure you have them sign
the Patient Responsibility Waiver
and document the decision in the
patient’s chart
addItIoNal chaNGes
There are a few other services that
have been changed that may or may
not affect you
D4212 (Gingivectomy of Gingioplasty
to allow access for restorative
procedure) is no longer allowed as a
separate service, it must be included
in the charge for the restorative
procedure
D2955 (Post Removal) can no longer
be billed as a separate service
D2799 (Provisional Crown) is no longer
a covered service
QUestIoNs aboUt the chaNGes
If you have questions please contact
Customer Services at 888-480-4478
No Matter Where You Are...Brad visits practices from Central Oregon all the way to the coast. His unsurpassed commitment and personable style is welcomed by all. If you are looking for a bank that goes the distance, give Brad a call.
www.columbiacommunitybank.com
Brad Volchok 503-924-2320Email: [email protected]
Advantage Dental ad_5-13-13_F.pdf 1 5/15/2013 10:22:13 AM
Marketing and Business Materials Customized for Your Practice
Postcard MailersE-Mail BlastsBrochuresAdvertisement DesignBranded Promotional Items
StationaryBusiness CardsReminder CardsAppointment CardsApparel
e-coriant.com [email protected]
New Preauthorization, Referral and Case Review System through the Advanced Dental Information Network (ADIN)Effective July 1st, 2013, all providers must use the
new ADIN system for Preauthorization, Referrals
and Case Reviews Also, anytime an OHP recipient
is told a procedure is not covered by their plan; a
preauthorization must be preauthorized no matter
what the service is This is so Advantage Dental can
meet current state and federal regualtions on what
is called a Notice of Action (NOA) This is requried
anytime an OHP recipient is told a service is not
covered because Advantage Dental must send a
NOA each time
Training was available in June If you were unable to
attend a training session please contact Customer
Services at 888-480-4478
16 | The Advantage 2nd Quarter 2013 | 17
Advantage Community Holding Company, LLC Region 1:
Sam Scott, DMD of Coos Bay, OR
Ron Tribble, DMD of Winston, OR
Region 2:
Tamara Abbett, DDS of Medford, OR
Don Lanahan, DMD of Grants Pass, OR
Region 3:
J Kyle House, DDS of Hood River, OR
James Petersen, DMD of Prineville, OR
At Large Region (Entire State of Oregon):
John “Jack” Bauer, DMD of Burns, OR
Thomas Tucker, DMD of Klamath Falls, OR
Lay Managers:
Bruce Hanna, Roseburg, OR Mike Gordon, CoosBay, OR Rob Keith, Lebanon, OR John Thomas, Eugene, OR
Advantage Consolidated, LLCRegion 1A: Dane Smith, DDS of North Bend, OR
Region 1B: David Washburn, DMD of Roseburg, OR
Region 1C: Cedric “C L ” Hayden, DMD of Fall Creek, OR
Region 2A: Greg Bigelow, DMD of Grants Pass, OR
Region 2B: Richard Leong, DDS of Medford, OR
Region 2C: Neil Walle, DDS of Klamath Falls, OR
Region 3A: Mark Crompton, DDS of Hood River, OR
Region 3B: John “Jack” Woll, DMD of Madras, OR
Region 3C: Brian Kruse, DMD of La Grande, OR
Region 4: Randy Morgan, DMD of Newberg, OR
B unit Non-Voting Manager: Sylvia Goedeck of Prineville, OR
At Large Region: Cedric “Ced” Hayden, DDS of Springfield, OR
Matthew Hayden, DDS of Hermiston, OR
Advantage Community Holding Company, LLC Operating Agreement Changes, 2013The Owner Members of Advantage Consolidated, LLC voted in favor of allowing Region 4 to have one manager on the Advantage Community Holding Company, LLC Management Committee once the region has $1,115,000 in newly issued Class A Units, and a second voting manager when the region’s Consolidated Members collectively have purchased $2,230,000 in newly issued Class A Units from Consolidated. At this time, Region 4 does not qualify for a manager under this motion, as its Consolidated Members have not collectively purchased $1,115,000 in newly issued Class A Units.
Pledge of Assets in Refinancing, 2013The Owner Members of Advantage Consolidated, LLC voted in favor of re-pledging substantially all assets as security in new loans if the Company refinances its debt.
Vote Approved for One Board of Managers The unit owners for Advantage Consolidated, LLC
voted to approve going to one Board of Managers
New elections will be held July 1st through July
15th at 5pm There will be 17 members on the new
Board of Managers The voting owners of Advantage
Consolidated, LLC will elect 2 owner dentists from
Super Regions I, II, & III; as well as 2 owner dentists
from the entire state At-Large Two additional
owner dentists will then be appointed by the Board
of Managers The dentist members of the Board
of Managers will then appoint 5 lay members
The Board of Managers will then select a B Unit
Representative This B Unit Representative and the
President will serve as non-voting members
CuRReNt MANAgeMeNt CoMMIttee MeMbeRSThis Quarter’s Newly Contracted Providers
Akhtar, Rahil,DMD, Meridian, ID
Allen, James, DDS, Rexburg, ID
Ballas, Natalie, DDS, Clackmas, OR
Barlow, Bradley, DDS, Post Falls, ID
Barsalou, Luke, DMD, Eagle Point, OR
Berg, Keith, DMD, Medford, OR
Bird, Brian, DMD, Meridian, ID
Brimhall, Wesley, DMD, Meridian, ID
Bruce, Steven, DMD, Boise, ID
Burtenshaw, Bryce, DDS, Idaho Falls, ID
Carson, Chalene, ”RDH, EPP”, Roseburg, OR
Christensen, Lynde D., DDS, Meridian, ID
Christensen, Michael, DDS, Roseburg, OR
Cockrell, Todd, DMD, Gresham, OR
Colwell, Bruce, DMD, Aloha, OR
Couch, H. Keith, DMD, Idaho Falls, ID
Daby, Brett, DDS, Portland, OR
Dayley, Blake, DDS, Boise, ID
Devereux, Michael, DDS, Eugene, OR
Dickie, Stephenie, DDS, Boise, ID
Distler, James, DDS, Spokane, WA
Dixon, Lorin, DMD, Idaho Falls, ID
Dixon, Melissa, DDS, Idaho Falls, ID
Dixson, Jeromy, DDS, Eugene, OR
Dowdle, Douglas, DMD, Meridian, ID
Drew, Katrina, DDS, Eugene, OR
Elliott, Kevin, DMD, Boise, ID
Fife, Brian, DDS, Meridian, ID
Firestone, Jeffrey, DDS, Portland, OR
Forsyth, Anna, DDS, Aloha, OR
Frachella, John, DMD, Bend, OR
Frisinger, Kyle, DMD, Redmond, OR
Garpetti, Dennis, DDS, Boise, ID
Ghavam, Mehdi, DMD, Talent, OR
Gonzales, Monte C.,DMD, Wilsonville , OR
Greene, Tera, DDS, Meridian, ID
Hahn, Kai-Uwe, DMD, Gresham, OR
Hess, Julie, DMD, Meridian, ID
Janecke, Dennis, DDS, Butte, MT
Johnson, James K., DMD, Medford, OR
Judd, Melinda, DMD, McMinnville, OR
Karam, Aziz, DMD, Oregon City, OR
Kennedy, Cristina, DMD, Gresham, OR
Krawski, David R.,DMD, Prineville, OR
Lee, Deanna, DMD, Portland, OR
Marfo, Victor, DDS, Tigard, OR
Marfo, Victor, DDS, Oregon City, OR
Marfo, Victor, DDS, Wilsonville, OR
McKim, Cynthia, DMD, Boise, ID
Mikesell, Quinn, DMD, Rigby, ID
Mortensen, Wayne, DMD, Boise, Mortensen & Meridian,ID
Nance, Keith, DDS, St. Maries, ID
Nelson, Steve, DDS, Grants Pass, OR
Pantleo, Paul, DDS, Bandon, OR
Park, Douglas, DDS, Gresham, OR
Parry, Tristan, DDS, Lebanon, OR
Parsons, Shane, DMD, Cottage Grove, OR
Patel, Tim J., DDS, Fremont, CA
Permann, Erik, DDS, Twin Falls, ID
Ra, Jennifer, DMD, Lynnwood, WA
Rehrer, Brandon, DDS, Gresham, OR
Relyea, Russell, DDS, Boise, ID
Richardson, Bruce, DDS, Meridian, ID
Richins, Lester, DMD, Meridian, ID
Ririe, Robert, DDS, Boise, ID
Ritter, William, DDS, Meridian & Boise, ID
Rooks, Shon D.,DDS, Ontario, OR
Rowley, Emerson, DMD, Cornelius, OR
Savage, Tracy, DDS, Twin Falls, ID
Sproul, Sonja, DDS, Eugene, OR
Sproul, William, DMD, Eugene, OR
Staley, Galen J., DDS, Idaho Falls, ID
Sullens, Shelly, DMD, Roseburg, OR
Summers, T. Brook, DDS, Idaho Falls, ID
Susanto, Melisa, DDS, Hood River & The Dalles, OR
Teeples, Tyson, DMD, Kennewick, WA
Thomason, Christopher, DMD, Meridian, ID
Tieu, Thomas, DMD, Portland, OR
Tran, Lan, DMD, Portland, OR
Vivona, Elizabeth, DDS, Eugene, OR
Weaver, James, DDS, Meridian, ID
Whitman, Anastacia M., DMD, Gresham, OR
Wortham, Franklin, DDS, Boise , ID
Wright, Wayne, DDS, Burley, ID
Please welcome the newest providers to the Advantage Dental Community.
18 | The Advantage 2nd Quarter 2013 | 19
Practices For SaleWheeler, Or—Cash practice with very low overhead and growing collections. This 2 operatory practice shares the building with a long-term care center, medical clinic, compound-ing pharmacy, physical therapist, and chiropractor.
For more information, please contact Randy Wadsworth at [email protected]
AssociateshipsBrOOKINGS, Or–Full-Time on the beautiful Oregon Coast.
Brief Job/Practice Description: We are a private office looking for a full time (4 days per week) dentist. You will work with a well seasoned staff with two hy-gienists, 2 front office, and 2 - 3 assistants. You will perform all aspects of general dentistry that you wish. This is a fee for service office with no OHP. You will be able to perform dentistry at the highest quality level. Salary starts at $10,000 per month or 30% of production (not collection), whatever is greater. The guaran-teed salary goes up depending on experience. There is enough patient flow for you to earn more than $20,000 per month! There is also a signing bonus of $5,000, and a generous stay-on bonus after the first year and after the 2nd year. There is the ability for frequent 4 day weekends. If you wish, you can have every 5th week off (unpaid, however). To apply or receive more informa-tion contact:
Devin Brice DMD 1090 south 8th street, Coos Bay, Or. 97420
Phone: 503-989-2921 Fax: 541-756-0760
Email: [email protected]
VArIOUS lOCATIONS IN Or & WApediatric dentist: A Kidz Dental Zone/Advanced Pediatric Dentist-ry, a multi-site group practice in the Pacific Northwest, is looking for compassionate and motivat-ed pediatric dentists interested in opportunities to provide care focusing on prevention and com-munity involvement. We provide all the support our doctors need so that they can focus on building their community reputation and delivering quality care in our state of the art clinical environments. With us, a pediatric dentist can concentrate on patient care and patient care alone. We offer a competitive salary with quarterly bonus potential, Health Savings Account, 401(K) retirement plan, company paid professional liabil-ity insurance, paid vacations and continuing education reimburse-ment. The opportunity for future partnership is an option as well. We currently have openings in Hood River, The Dalles and Herm-iston, Oregon and the Tri-Cities, Washington. For inquiries please contact Dr. J. Kyle House at (541) 387-8688 or send resume to [email protected].
orthodontist: Advanced Pediat-ric Dentistry, a rapidly growing Pediatric dental clinic currently located in Pasco, Washington with a pending expansion to Richland, Washington, has an excellent opportunity for an or-thodontic provider. Our practice is fully outfitted with state of the art equipment, a pediatric facility on one side of the facility and a dedicated orthodontic facility on the other. The Orthodontic Practice is comprised of a ded-icated digital pan/ceph, 5 chair bay with a 6th chair in the exam/consult office, separate steriliza-tion facility and fully integrated computer network with Dolphin practice management software. The clinics do share their lab, server, equipment and waiting rooms to decrease overhead. This is an opportunity to practice fully
Equipment For SaleDeNTAl eqUIPmeNT fOr SAle:Local offers are prefered due to shipping costs. If interested please call the Middle Creek Dental clinic in Nampa, ID at 208.466.7424 during normal busi-ness hours; or call Dr. Christensen directly at 208.466.7424; e-mail at: [email protected]
(1) ADEC 12 o’clock cabinets, $1, 000 ea.
DeNTAl eqUIPmeNT fOr SAle—2 each, 2008 Forrest Dental Delivery Carts for Sale. Used 1 year. 5 hole instrument hose. Self contained clean water system, Kavo fiber optics, heated syringes. Cart features new U shape stand that is height adjust-able.
$1500 or BO
1-2008 Forrest Dental Hygiene Delivery Cart: Used 1 year. 5 hole instrument hose. Self contained clean water system with heated syringe. High speed suction and saliva. Adjustable shelf.
$1700 or BO
For for more information contact Sandy at Timm Family Dentist-ry at 541-382-1991 or [email protected].
fOr SAle-BIOlASe IlASe lASer—The personal Laser for everyday soft tissue procedures.
New Never Used, full warrenty: Retail Value $4, 995
Offered at $4, 500
To inquire about this item cocn-tact Dr. Igor Shishkin at 541-326-
perfect working order and was professionally maintained and uninstalled, $7500 or best offer. Please contact [email protected] for more information.
fOr SAle:—Dentrix Im-ageCAM intraoral camera for sale: Unit is in perfect working order and takes great images. Includes:
Camera Docking Station PC capture card and wireless foot pedal
$1500 or best offer.
Additional docking stations are available for $500 or best offer per unit.
Please contact [email protected] for more information.
8882 or email him at [email protected]
DeNTAl eqUIPmeNT NeeDeD (1) Mid Mark 11 auto clave,
(3) X-Rays 097Bel-Ray intra oral 31” arm with three pass through mounts,
(2) 1040 ADEC Radius Cascade chairs with 6300 radius lights with assistance radius arm
(1) Air Techniques A/T 2000 XR film processor,
(2) Bel-Med 5142-S Nitrous Oxide flowmeters with 4 yoke stand with rubber goods,
doctor stools assistance chairs and assistance tables.
Please contact: [email protected]
fOr SAle—Velopex Exra-X, x-ray Processor/developer (Day-light loader included): Unit is in perfect working order. Processes and develops all types and sizes of dental films. $1850 or best offer. Please contact [email protected] for more information.
fOr SAle—2002 Belmont EX2000 Panoramic/Cepha-lometric X-ray unit: Unit is in
integrated early and adolescent orthodontic care while building an adult base. Our ideal candidate should possess excellent clinical skills, a collaborative personality, have a community oriented prac-tice philosophy and be licensed in both Washington and Oregon. We offer a competitive salary based on experience with quarterly bonus potential, Health Savings Account, 401(K) retirement plan, company paid professional liabil-ity insurance, paid vacations and continuing education reimburse-ment. To apply, please contact Dr. J. Kyle House at (541) 387-8688 or send resume to [email protected].
To Advertise in The
Advantage Classifieds
Submit your ad for
review to kimberlyk@
AdvantageDental.com no
later than 2pm the last Friday
of the month prior to the end
of the quarter
If you have any questions
about advertising please call
us at 866-268-9616
classifieds classifieds
Beautifully versatileto meet the needs of your practice.
Filtek™ Supreme UltraUltra Universal Restorative
Scotchbond™ UniversalAdhesive
www.3MESPE.com/Filtekwww.3MESPE.com/Scotchbond
Customer Care Center: 1-800-634-22493M, ESPE, Filtek and Scotchbond are trademarks of 3M or 3M Deutschland GmbH. Used under license in Canada. © 3M 2012. All rights reserved.
One composite can really do it all.
If only we could bottle versatility. Wait, we just did.
Quality Products at Amazing Prices. Case after Case.
100% full-milled, pure Zirconia Crowns...with no porcelain overlay...no porcelain fractures!
Starting at $105.00 milled on site
• Less than half the price of a gold crown
• Indications: Single posterior crowns, crowns with limited occlusal clearance & up to 5-unit bridges.
www.assureddentallab.com
877.283.5351
Your Source for
ADL5076-AdvantageAdR2_ADL5076-AdvantageAd 5/9/13 10:58 PM Page 1
20 | The Advantage
Calendar of Events
To Advertise in The Advantage Classifieds
Submit your ad for review to [email protected] no later than 2pm the last Friday of the month prior to the end of the
quarter If you have any questions about advertising please call us at 866-268-9616
July 26th & 27th
Summer MeetingWith Keynote Speaker: Burton Edelstein, DDS MPHEagle Crest Resort, Redmond, OR
September 12thOral Health SummitSt Charles Hospital Bend, OR
September 13th7–8amGrand RoundsSt Charles Hospital Bend, OR
10am–2pm Oral Health SummitAdvantage Dental Headquarters Redmond, OR
October 4thOregon Oral Health Coalition’s 8th Annual Fall ConferenceWith Keynote Speaker: Paul Glassman, DDSLane Community College Center for Meeting and Learning4000 East 30th Avenue, Eugene, OR 97405Registration Details Coming Soon from OrOHC
ACCOMODATIONS
503-644-3340Debbie Kutnyak, Beatty Group Int’l
REGISTER FOR CE
866-268-9616Kimberly Krueger, Advantage Dental
Presents
The CE is free for Advantage Dental Owners and their Staff and only $150 per office for all others.
Accommodations are at the Hyatt Regency Maui; 7 night double occupancy packages �art at $3,000 and include a mid-sized car, partial ocean view rooms with breakfa�.
“Our prime purpose
in this life is to
help others.
And if you can’t
help them,
at least don’t
hurt them.”
—Dalai Lama
