2014 wsda news issue 7 july mzd

the wsda news · issue 7, july · 2014 · www.wsda.org · 1

WSDAnews

Issue 7 · july 2014

The voice of the Washington State Dental Association

MEDICAID AUDITS:Will your practice be next?

2 · the wsda news · issue 7, july · 2014 · www.wsda.org

GENERAL DENTISTRY

PEDIATRIC

ORTHODONITIC

ENDODONTIC

PERIODONTIC

PROSTHODONTIC

COSMETIC DENTISTRY

MAXILLOFACIAL SURGERY

PREMIUM BUILDER OF DENTAL FACILITIES

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“... CBI was very responsive to all our questions and concerns, and were very professional throughout the entire process of my practice build out. They are an organized, well run company who follow through with their commitments.”

– DR. SARA CASSIDY, GREENLAKE ORTHODONTICS


4 editorial

5 guest editorial

6-15 pndc in pictures

17 wsda academy

18-19 wohf news

20-21 legislative news

22-29 cover story

30-31 members giving back

32 wdia news

WSDA News EditorDr. Mary Jennings

Editorial Advisory BoardDr. Victor BarryDr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert ShawDr. Mary Krempasky Smith Dr. Timothy Wandell

Washington State Dental AssociationDr. David M. Minahan PresidentDr. Gregory Y. Ogata, President-electDr. Bryan C. Edgar, Vice PresidentDr. D. Michael Buehler, Secretary-TreasurerDr. Danny G. Warner, Immediate Past President

Board of Directors Dr. Theodore M. BaerDr. Dennis L. Bradshaw Dr. Ronald D. DahlDr. Christopher DeleckiDr. Christopher W. HerzogDr. Gary E. Heyamoto

Dr. Eric J. KvinslandDr. Bernard J. LarsonDr. Christopher PickelDr. Lorin D. PetersonDr. James W. ReidDr. Ashley L. Ulmer

WSDA Staff: Executive Director Stephen Hardymon

Senior Vice President/Assistant Executive DirectorAmanda Tran

Vice President/Chief Financial Officer Peter Aaron

General CounselAlan Wicks

Vice President of OperationsBrenda Berlin

Vice President of CommunicationsKainoa Trot ter

Association Office: (206) 448-1914Fax: (206) 443-9266 Toll Free Number: (800) 448-3368E-mail: [email protected]/www.wsda.org

In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact [email protected].

The WSDA News is published 8 times yearly by the Washington State Dental Association. Copyright © 2014 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualifi-cation, approval or guarantee of either the advertiser or product. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash. 98107. ISSN 1064-0835

Member Publication American Association of Dental Editors. Winner: 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists

WSDA news

table of contents issue 7

, july 20

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Senior Vice President of Government AffairsBracken Killpack

Art Director/Managing EditorRober t Bahnsen

Manager of Continuing Education and Speaker ServicesCraig Mathews

Government Affairs CoordinatorMichael Walsh

Public Policy Coordinator Emily Lovell

Membership ManagerLaura Rohlman

Exhibits and Sponsorship Services CoordinatorKatie Olson

BookkeeperJoline Har tman

Office CoordinatorGilda Snow


issue 7 · july 2014

33 wdia news

37 newsflash

39, 41 in memoriam

45, 47, 49 classifieds

46 membership marketplace

50 parrish or perish

Cover story by Emily Lovell A Tale of Two Audits by Rob Bahnsen Cover photos by Bruce AndrePNDC photos by Anita Nowacka

a day in the life

Like us on Facebook:www.facebook.com/WashingtonStateDentalAssociation

Dr. Sammy Pak with Russell Wilson


Making my eyes twitch

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Every now and then a policy comes through that is so irritating that it makes my eyes twitch. The latest one comes from Medicare. Like most irritating policies, it was created with the best of intentions. The Affordable Care Act (ACA) changed the healthcare playing field in many ways. Several government agencies are struggling to write rules to fit this new act. One of the drivers for the creation of these new rules is cutting the costs created by fraud. A few months ago, the Centers for Medicare and Medicaid Services (CMS) asked the American Dental Association (ADA) and others to comment on rules it was creating for Medicare. Included in the rules was a proposal that would require providers who write prescriptions covered under Medicare Part D be enrolled or have formally “Opted out” of Medicare. Heretofore, Medicare honored the prescriptions written by non-registered providers for their Medicare patients. The fact that the patient was enrolled and needed medication seemed to be justification enough. Evidently, there was abuse of this system. So here we are. After the June 1, 2015 grace period, neither pharmacies nor patients will be reimbursed for any prescription a non-enrolled prescriber writes, unless the prescriber has opted out. In real life, that means that if you have no Medicare patients, you have no worries. The rest of us have to decide if it is less painful and more ethical to enroll (or opt-out) and help our Medicare patients, or not act and suffer their wrath. I understand what enrolling in Medicare is. If you look for the forms online it is over-whelming. While much of it may be explanatory information, the Medicare enrollment form is 29 pages long. On the other hand, the “Opt-Out Affidavit” option is only two pag-es, although it has to be resubmitted every two years. Opting out verifies us as legitimate practitioners and our prescriptions are covered. Enrolled practitioners can bill Medicare while practitioners who opt out cannot. Probably the best way to opt out for dentists is to fill out the “Ordering and Referring Form” since it is only thirteen pages and only has to be submitted once. The ADA, working with CMS, helped develop it several years ago as an alternative to the longer enrollment form. These changes caused hell amongst the yearlings (i.e. those of us who were perfectly content with the old system. The system most of us never billed and never had to bother belonging to.) The ADA pointed out that it was insensible and burdensome for the roughly 194,000 dentists in the United States to register for Medicare. The ADA argued that reg-istering dentists will not stop fraud and abuse because prescriptions written by dentists represent a tiny fraction of the Medicare prescription budget, administrative oversight would be costly, and it is simply not necessary. We all know that it would be problematic for Medicare patients who live on fixed incomes to pay out of pocket for prescriptions written by dentists. At one point, CMS withdrew the rule and we felt relieved. It was short lived. The final rule was issued on May 23, 2014. Despite our best efforts, registration of dentists was included. The effective date for the rule is July 22, 2014 with a June 1, 2015 grace period. In response to objections from the ADA and others, CMS responded by saying: “While we recognize the concern of these commenters, we do not believe dentists, psychiatrists, VA physicians, or eligible professionals should be granted special exemptions from 423.120. The issue of primary concern to us is not the typical volume of drugs these individuals prescribe but the need to ensure and confirm that Medicare payments are only made for Part D drugs that are prescribed by qualified physicians and eligible professionals.” I feel like an innocent bystander caught up in this fray. It is not about us. We are a small percentage of the prescription writers and probably even a smaller percent of fraudulent providers. This is just another irritating thing we have to keep up with. With the excep-tion of feeling good about helping our Medicare patients in need, there is no incentive for us to bother to enroll or opt-out. This rule makes an expensive program more expensive. Why do the good guys have to bear the burden instead of going after the creeps who forge prescriptions? What is that all about? To the good, this rule is harsh enough that there are strong points to argue to legislators and budget watchers. The other professionals who are affected will be complaining too. The ADA is putting their sharp, collective minds together to quash this rule. To the bad, government agencies are pedantic and justice rides a slow horse. Looks like I am going to have to sharpen my #2 pencil and sign up next spring if we have not eliminated this irritating thing by then. Like most dentists, my patient’s needs come before my own. I still think we have a good chance at turning this around. I look forward to the fight.

Dr. Mary Jennings, WSDA News edi-tor, welcomes comments and letters from readers. Contact her at her email address:[email protected].

Dr. Mary JenningsEditor, WSDA News

“ Heretofore, Medicare honored the prescriptions written by non-registered providers for their Medicare patients. The fact that the patient was enrolled and needed medication seemed to be justification enough.”


guest editorial ms. julia colson

A different perspective

“As an event manager at Seattle Center, I’ve been involved with some amazing experiences, but when I visited one of these free clinics in California run by Dr. Russell Webb I realized that this project would take the cake. Quite simply, it was the most inspiring moment of my life to witness the generosity, humanity and dignity of everyone involved.”

I’m not a dental professional, and I don’t play one on TV, but due to my role in the Seattle/King County Clinic with Remote Area Medical® that will occur this October, I find myself learning more than I ever anticipated about dentistry. Dr. Jeffrey Parrish and Dr. Michael Karr, the clinic’s Dental Directors, suggested I share my perspective as the Project Director about why we’re turning KeyArena into a giant free clinic for dental, vi-sion and medical care and why we want you to volunteer and join us. As an event manager at Seattle Center, I’ve been involved with some amazing experi-ences, but when I visited one of these free clinics in California run by Dr. Russell Webb I realized that this project would take the cake. Quite simply, it was the most inspiring moment of my life to witness the generosity, humanity and dignity of everyone involved. From my vantage point in the dental clinic I met professionals and patients alike and their stories continue to motivate me to this day. Early on, I saw the x-ray of a man who needed to have most of his teeth extracted, it was obvious even to me. I expected at the end of his procedure that he would feel miserable if for no other reason than the realization he no longer had any teeth! Quite the contrary, he repeatedly hugged the dentist and dental assistant then went around mumbling thank you and giving thumbs up to everyone he encountered. I discovered this effusive expres-sion of appreciation was a norm at the clinic. On the receiving end of this thankfulness, dentists also told me how exhilarating it was to work in that environment. They not only had fun working with friends from other offices, but liked that they got to focus on providing care rather than all of the other re-sponsibilities associated with a dental practice. One dentist said he tried to start a charity day at his office, but arranging it proved too complicated. He felt it was easier and more productive to bring his staff to work at the clinic for a couple of days. My favorite story is about a little boy who came up to ask me for some tape. I could only find blue painter’s tape, but he was content with that. In the waiting area he sat ripping up scrap paper and tape, then when the time came for his mom to be treated he went up to the dentist, shyly said something and held out his creation. The dentist teared up and put a haphazard paper crown on her head, where it remained for the rest of the day. Later the dentist said the mother had been in so much pain she was having a hard time functioning. The boy wanted to thank the dentist for helping her so he could “have his mommy back.” On my last night is when it struck me. Staff at my hotel stopped to thank me for help-ing at the clinic which many of them attended because, even with access provided by the ACA, healthcare costs were still too steep to get all of the care they needed elsewhere. That’s when I realized these people were just like my in-laws who worked in good jobs all of their lives, well into their seventies, until increasing health issues forced them to retire. Even with help from their children and the benefits provided by Medicare they don’t have enough money to cover the mortgage, utilities, food, medications, medical, dental and vision care that they require. It is a horrible and helpless feeling to see someone you love have to choose between the most basic needs, but even more so to be in that position. I know that dental professionals work day-in and day-out to provide care to people in need, they volunteer, take on charity cases and work to affect the system for the benefit of their patients. Yet despite all of these valiant efforts there are still many people in our community with unmet healthcare needs. I also recognize that a clinic like this is just one small piece of a very large puzzle. It’s not going to serve everyone, however, it will address pain and infection for hundreds of people so that maybe in that month they won’t have to choose between health and heat, or they can eat once again, or spend quality time with their children. As the Project Director it has been an honor to meet and work with such a tremendous array of people and organizations. Seeing the community rally around this project truly does, as one participant described, “demonstrate the dedication of a caring community.” We hope you’ll be a part of it too, October 23 – 26 at KeyArena! Information on how to volunteer is available at www.seattlecenter.org/volunteers or you can email me at [email protected]

Ms. Julia ColsonEvent Manager, Seattle Center


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Another amazing educational experience! For the second year, the Pacific Northwest Dental Conference was held in Bellevue, Wash., a short drive across the lake from Seattle. Attendees continue to tell us that they not only like the educational offerings, but they’re enjoying our new host city as well. Monica Salver, a dental assistant, said, “Downtown Bellevue is beautiful and clean! I loved all the outdoor art. I also loved that my badge earned me $2 off at the Bellevue Art Museum. I re-ally liked not fighting the traffic and construction in downtown Seattle. The Meydenbauer Center is a very nice location. I liked having lunch on Thursday outside on the terrace!”

Sip, Spend, Save! Attendees flocked to the Meydenbauer Center on Thursday night for the second annual “Sip, Spend, Save” reception, featuring signature cocktails spon-sored by Nakanishi Dental Lab and AmericanWest Bank, and tons of appetizers distributed throughout the Hall. Exhibitors like the event because it gives them additional face time with practice decision makers, and attendees go to party and play with colleagues and friends — it’s a great way to kick off the conference!

Complete the survey and be entered to win! If you attended the PNDC this year, we want to hear about it! Your feedback is essential to the suc-cess of the conference, and we value your opin-ions. Take our short survey before July 31 and you’ll be entered to win a 2015 PNDC Full Conference Badge. Take the survey here: https://www.survey-monkey.com/s/N7N7NL6.



pndc news pndc in pictures

2014 PNDCA look in pictures


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“Bellevue was a nice host city for PNDC. All the food I had was tasty and there were a lot of restaurant choices in the area which was convenient. The city was clean and the staff was very friendly.”

— Dr. Todd Garcia


“I really enjoyed PNDC. The staff did a fantastic job. The Bellevue area is nice and modern. The shops and din-ing choices are amazing, es-pecially for a “tourist” like my-self. The free gourmet coffee bar welcomes you with great hospitality. The shuttle bus was very helpful and easy to ac-cess. The parking options are much better than downtown Seattle. I will highly recom-mend PNDC to my Canadian colleagues.”

— Dr. Jones Young


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The Crowd Goes Crazy For Russell Wilson! The fans came dressed head to toe in Seahawks gear — bright-eyed despite the early hour — ready to hear the Superbowl Quarterback answer a wide range of questions, even some from audience members. Wilson was funny, gracious, humble, and reverent — and served to further solidify the perception that he’s a talent who hasn’t been corrupted by his ego or the media. Mobbed by fans as he exited the hall, Wilson stopped to sign many autographs along the way to the Foundation fundraising event that followed immediately after.


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“I got to meet Dr. Gordon Christensen — amazing man! Even got my picture taken with him! Kevin Henry was a powerful speaker, re-ally enjoyed his session. Best convention ever!” — Tracee Godfrey,

RDA



“I appreciated the PNDC shuttles to and from each facility. The trips were very quick and easy. The classes were great; and the shopping in Bel-levue is always fun. I do appreciate Bellevue as the host city, as I always feel safe walking around the city at any hour.” — Cindy Hedstrom, RDA

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Selfie fever at the PNDC When not snapping selfies with a cutout of Russell Wilson (best PNDC prop, ever!) attendees were busy capturing lighter moments during the two days, which were then posted to the Photo Wall in the Exhibit Hall. Next year, we’re going to make the experience even more interactive, just wait!



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WSDA NEWS JULY 2014

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ROFESSIONALRACTICE

PECIALISTS,INC.

1-800-645-7590Aaron Pershall - Randy Harrison

NEW! BELLEVUE, WA – Highlyprofitable G/P collecting $1.2M+ in2013. 4 ops, digital x-rays, all in astylish office space.

BELLEVUE, WA – Biologicaldental practice collecting $600K.Amalgam free/safe office features 7ops (5 equipped) and digital x-rays.

LEWIS COUNTY, WA - G/Pcollecting around $1.2M. Pano, 7ops, ample parking, great access.

OR COAST – Several opportunities.

WESTERN OR OMS - Tremendousgrowth potential. Great, easy accessbuilding with good off-street parking.

SW ALASKA – Great G/P situatedin a sportsman’s paradise! Collecting$700K+ working only 37 weeks peryear! Associateship also available.

KETCHIKAN, AK –G/P collecting$600K. 100% fee-for-service. Long-established office has 4 ops, updatedabout 5 years ago.

RURAL ALASKA – Collecting$350K+ working just 10 weeks peryear! Includes SUV and smallapartment. Perfect satellite practice!

ALASKA PROSTHODONTIC –Exceptionally productive practicecollecting $1.5M+ in 2013. Sellerwilling to stay for transition.

NEW! FAIRBANKS, AK – Longestablished, profitable G/P collecting$700K in 2013. 3ops. Great staffready to transition.

FAIRBANKS, AK – Associatewanted for busy endodontic practice!

JUNEAU, AK – G/P collecting $1M.5 ops, digital x-rays and pano.

HOMER, AK - G/P collecting around$550K in 2013. Wonderful, longestablished practice includes a greatstaff, digital x-rays, laser, and pano.

MAT-SU VALLEY, AK – ExcellentG/P collecting almost $400K in 2013.Newer equipment, 3 ops, pano anddigital x-rays. Seller relocating.

[email protected] [email protected]

www.WillametteDental.com/careers

Learn more about our dentist referral program or to apply: Nathalie La Chance, [email protected], 503-952-2172

Why a Career at Willamette Dental Group?

David Skvorak, DDSTraveling Dentist | OR, WA, ID

As a Traveling Dentist, I always feel like, and am treated like, a Hero! My assignments take me to of�ces where there is a need, especially for a dentist with experience. Dentistry allows me to enjoy a genuine feeling of satisfaction for the good services I provide; as a Traveling Dentist, I can say that feeling is double.

Practice proactive dentistry.


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sda academy

In the last issue of the WSDA News, we told you about the for-mation of the WSDA Academy, a statewide CE program directed to the needs of dentists out of dental school or their graduate/specialty program for a decade or less. Held in conjunction with the state’s 17 component societies, The Academy will offer 16 courses presented at no cost to participants at three locations in the state — the greater Seattle area, as well as Clark and Spokane Counties. The first event was held at the PNDC, and program coordi-nators were very pleased with the results of the sold-out event — “Everyone who took the survey following the workshop said they would attend another lecture by Dr. Little,” said Laura Rohl-man, Membership Manager for the WSDA. One of the doctors in attendance, Dr. Kim Trieu, said, “I was so fortunate to be one of the attendees to the sold-out course offering from WSDA Acad-emy. The first CE course available was provided by Dr. David Little. Having just graduated from dental school, it was great to learn along with the other dentists in the room, and it was mo-tivating to hear about their experiences. I made a few contacts that I hope to build lasting friendships upon. The only catch is that you have to check your WSDA e-mails frequently and sign up early. The spaces really do fill up quickly!” Registration for the cosmetic dentistry/smile design courses in August is now open. August 9: Salish Lodge, August 16: Great Wolf Lodge, August 23: Cour D’ Alene Resort. Register for the WSDA Academy here:www.wsdasource.org.

Questions about the WSDA Academy? Please contact Laura Rohlman at (206) 973-5218 or email her at [email protected].

2014 WSDA Academy Schedulewww.wsdasource.org

Puget Sound In association with Pierce County Dental Society, Seattle- King County Dental Society, Snohomish County Dental Society

8/9 Achieving Anterior Esthetic Excellence · Dr. Don Jayne

9/5 Practice Management and Marketing for Practice Owners Dr. Rhonda Savage and Sesame Communications

10/15 Dental Materials 101: Understanding What to Use and When for Direct and Indirect Restorations · Dr. Michael Johnson

11/13 Models of Dental Practice - How Dental Benefits Effect Your Business · Dr. Michael Perry

12/3 An Interdisciplinary Approach: Utilizing Orthodontics to Enhance Restorative Outcomes · Dr. Rebecca Bockow Spokane In association with Benton-Franklin Counties Dental Society, Spokane District Dental Society, Yakima Valley Dental Society

8/23 Introduction to Anterior Esthetics - Ceramic Veneers Dr. Ariel Raigrodski

9/25 An Interdisciplinary Approach: Utilizing Orthodontics to Enhance Restorative Outcomes · Dr. Duane Grummons


11/19 Dental Materials 101: Understanding What to Use and When for Direct and Indirect Restorations Dr. Michael Johnson

12/17 Dental Insurance: What Practice Model Is Best For You? Dr. Michael Perry Southwest Washington In association with: Clark County Dental Society, Lewis County Dental Society, Lower-Columbia District Dental Society, Thurston-Mason Counties Dental Society

8/23 Introduction to Anterior Esthetics - Ceramic Veneers Dr. Ariel Raigrodski

9/17 Dental Materials 101: Understanding What to Use and When for Direct and Indirect Restorations · Dr. Scott Dyer


11/20 An Interdisciplinary Approach: Utilizing Orthodontics to Enhance Restorative Outcomes · Dr. Duane Grummons

12/11 Models of Dental Practice - How Dental Benefits Effect Your Business · Dr. Michael Perry

FOR THE YOUNG DENTIST


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Clark County Takes the Prize...AGAIN We swear it’s not rigged, but the team from Clark County walked away with the Component Cup for the third time in the WOHF Golf Classic’s four-year history. Team regulars Drs. Dan Warner, Mike Warner and Mark Johnson were joined by Kurt Olson this year (top right, opposite page) at The Golf Club Redmond Ridge on Saturday, June 13 for a fun day golf, food and prizes to support the work of the Foundation across the state. Special thanks go out to event sponsors: Constan-tine Builders, Inc, Stuart Silk Architects, and Max Technologies, who make the day possible.


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WOHF GOLF CLASSIC

Clark County team takes the Cup…again!

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SENATOR ANDY HILLFundraiser hits the mark during PNDC


legislative news andy hill fundraiser

DentPAC would like to thank all of those who contributed to, and attended, the grassroots fundraiser for State Senator Andy Hill (R-Redmond). More than 25 dentists and dental students attended the June 12th event in Bellevue which was hosted by WSDA President, Dr. Dave Minahan, WSDA President-elect, Greg Ogata, SKCDS Past-President, Dr. Patrick Taylor, SKCDS President, Dr. Audrey Tatt, and SKCDS President-Elect, Dr. Judson Werner. Grassroots dentists from across the state attended the reception and raised over $6,000 for Senator Hill's reelection campaign. Senator Hill has been a friend of dentistry and small busi-ness throughout his career in public service. He is current-ly the Chair of the Senate Ways & Means Committee and was selected as the chief budget writer and negotiator in the Washington State Senate in 2013. As the architect of the 2013-15 operating budget, Senator Hill was able to help keep tuition rates flat in Washington's public universities and colleges, reinstated the Adult Dental Medicaid program and invested an additional $1 billion into K-12 education. If you were unable to attend the event and would like to show your support for Senator Hill's reelection, you can still contribute online at: https://www.completecampaigns.com/public.asp?name=HillAndy&page=31

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MEDICAID AUDITS:Will your practice be next?

If you’re a general dentist or a specialist accepting Medic-aid in the state of Washington, you may soon be the target of a federally mandated audit of your practice devised to ferret out fraud by providers in the system. And while as an Association we stand behind any effort to quash fraud per-petrated by dental professionals against the federal govern-ment, the results of two recent audits conducted on WSDA members seem to paint a more malevolent picture: with au-ditors alluding to prison time for non-compliance and query-ing staff about the personal spending habits of the doctors unrelated to the practice. And, as you will see, while initial claims well into the six figures have been disputed down to just a fraction of that amount (after lengthy procedures and wait times), neither dentist has received a final judgement — a year or more after the audits began.

— continued on page 24

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cover story medicaid audits: w

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Here, we’ll walk you through two types of audits you’re most likely to encounter as a Medicaid provider, and tell you what you can do to prepare yourself for the process. Editor’s note: These descriptions of the audit processes are in brief, sum-mary form. They do not contain all details in the rules, and should not be relied upon as a substitute either for legal advice or review of the specific rules. Note that time periods may be treated as cutoffs for the provider (time to appeal, etc), but are probably guidelines as to the auditor’s process. Also, there are other, distinct forms of au-dits which are likely to be in use in the next few years, but are beyond the scope of this article.

Medicaid Integrity Contractor (MIC) Audits

Background: Federal legislation known as the Deficit Reduction Act (DRA) of 2005, established the Medicaid Integrity Program (MIP), a pro-gram directed at reducing Medicaid fraud. Under the MIP, the Centers for Medicare & Medicaid Services (CMS) contracts and pays MICs for their activities in identifying fraud, waste and abuse. MICs are not paid on a contin-gency fee basis and their payments are unrelated to identified overpayments. There are three types of MICs:

• Review MICs — Auditors responsible for reviewing state Medicaid claims data to identify providers whom have received potential over-payments.

• Audit MICs — Auditors responsible for auditing specific provid-

ers identified by Review MICs.

• Education MICs — Auditors who educate providers and benefi-ciaries on program integrity issues.

Currently, MIC audits are being conducted in Washington state on dental providers and, according to the Health Care Authority (HCA), have been taking place since May of 2012. HMS Federal is the MIC in Washington state. When conducting audits, HMS is auditing claims from the past three years with a typical sample size of 250 claims.

MIC Audit Process:

1. Each month, CMS gives Review MICs a data analysis assignment in which CMS specifies the state, type of Medicaid claims data, and

range of service dates to be reviewed. After a lengthy audit tar-get selection process, CMS assigns audit targets to Audit

MICs.

2. An Audit MIC will contact the provider and schedule entrance conferences which may be conducted in-person or by phone. Providers will receive ten business days’ notice of intent to audit. Providers will also receive an initial notifica-tion letter and a records request which outlines the specific records which will be audited.

3. Audit MIC conducts audit including docu-mentation and records review. These audits

may be desk audits or field audits and should be conducted according to Generally Accepted Govern-

ment Auditing Standards.

4. Following the audit, the Audit MIC holds an exit conference in which the provider has the opportunity to comment on prelimi-nary findings and provide any additional information as needed. Providers have 30 days from receipt of the preliminary findings to submit an informal dispute.

Automated Audit A review of claims data without a review of records that sup-port the claim. Used for payment errors that do not require hu-man review of records.

Claim Each procedure or encounter billed by a provider.

CMS Centers for Medicare & Medicaid Services

Complex Audit A review used to find improper payments on claims that can-not be determined by a simple review and requires a manual evaluation of records and supporting documentation.

Confidence Level A statistical measure of the reliability of an estimate.

Desk Audit An audit in which those who are being audited send copies of requested records to the auditor’s office.

Extrapolation The methodology of estimating an unknown value by project-ing, with a calculated precision (i.e., margin of error), the results of an audited sample to the universe from which the sample was drawn (WAC 182-502A-0200).

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GLOSSARY:


5. An Audit MIC will prepare a Draft Audit Report if there is a potential overpayment. This report is reviewed by both the state and CMS. CMS determines the final overpayment amount and submits a final audit report to the state. The state then issues a final audit report to the provider and is responsible for collecting overpayment from providers and returning the federal share to CMS within one year.

6. Within 28 days of receipt of the final audit report, a provider may appeal audit findings and is entitled to full appeal rights un-der state law.

Medicaid Recovery Audit Contractor (RAC) Audits

*Please note that at this time the WSDA is unaware of any dental pro-viders being audited by a Medicaid RAC in Washington state. However, Medicaid RAC audits have been conducted on dentists in other states.

Background: The Affordable Care Act (ACA), which was passed by Congress in 2010, requires states to partner with Medicaid RACs to identify both underpayments and overpayments by the state Medicaid agency. In September of 2011, CMS published final Federal regulations which required states to implement their re-spective RAC programs by January 1, 2012. Medicaid RACs perform both automated and complex reviews. They are paid on a contingency fee basis, meaning they receive a percentage of identified overpayments. Accord-ing to CMS, states may pay contingency fees up to 12.5 percent. When conducting a RAC audit, a Med-icaid RAC must not review claims that are more than 3 years from the date the claim was filed unless it has received permission from the state, as is specified in CMS’s Final Rule. In determining what area of a state’s Medicaid program to tar-get, the states have full discretion in deciding the areas Medicaid RACs focus on. Therefore, any particular provider participating in a state’s Medicaid program could be subject to a RAC audit at some

point in time. CMS does not require states to announce in advance the audit areas which their Medicaid RACs will focus on. CMS does not have national guidelines in place for how a state conducts their Medicaid RAC audits. Each state is responsible for determin-ing guidelines for the audit process (such as how many records can be requested, the appeal process, etc.) for a Medicaid RAC audit.

RAC Audit Process:

1. Under WAC 388-502A-0600, providers receive 10 business days’ notice of intent to audit.

2. For desk audits, providers have 30 calendar days to submit re-cords. For on-site reviews, a RAC should schedule a review 30 days in advance.

3. Under federal regulations, Medicaid RACs have 60 days to notify providers of overpayment findings and send Pre-

liminary Review Results to the provider. Providers may request an Informal Dispute Review con-

ference within 30 days of the receipt of their Preliminary Review Results, providing any additional information they wish to have con-sidered.

4. Medicaid RACs will send Final Review Re-sults within 45 days of Preliminary Results notification or within 60 days of completing Informal Dispute Reviews.

5. Providers may request a formal appeal within 28 days of receiving the Final Review Results.

Appeal process in Washington state:

Under Washington state law, providers who have been audited have two opportunities to dispute audit findings: an informal dis-pute process and a formal appeal.

Field Audit An audit which is conducted on-site at a provider’s office.

Generally Accepted Government Auditing Standards General standards used for auditing private companies. The standards cover qualifications to be an auditor, standards of work product, standards of fieldwork, and information that should be considered before issuing a final report.

Health Care Authority A state organization responsible for overseeing various health care programs such as Medicaid and other medical assistance pro-grams.

Overpayment Any payment or benefit to a client or to a vendor in excess of what is entitled by law, rule or contract, including amounts in dispute, as defined in RCW 43.20B.010 (WAC 182-502A-0200).

Sample A selection of claims reviewed under a defined audit process (WAC 182-502A-0200).

Universe A defined population of claims submitted by a provider for payment during a specific time period (WAC 182-502A-0200).

cover story medicaid audits: w

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Provider Audit-Dispute Process (WAC-182-502A-1100):

• Providers may dispute draft audit findings by submitting a writ-ten request within 30 calendar days of receipt of the draft report.

• The provider must specify which findings they are contesting, supply documentation to support their position, and indicate whether a dispute conference is requested.

• The HCA/contractor may decline a provider’s dispute request.

• A provider must schedule a dispute conference within 60 days of receiving a written acceptance of the request for a dispute con-ference.

• If during the dispute conference an agreement is reached, the HCA/contactor will issue a final audit report. If an agree-ment between the provider and HCA/contractor can-not be reached during the dispute conference, and the provider has had the opportunity to raise all concerns, the HCA/contractor will close the dispute process and issue a final audit report.

Provider Audit-Final Report/Appeal (WAC 182-502A-1200):

• Upon receiving a final audit report, a pro-vider has 28 calendar days from the date of the report to appeal the overpayment.

• A request for an audit appeal must be in writ-ing, state the basis for contesting the final audit re-port and be served on the HCA within 28 calendar days in a manner which provides proof of receipt.

• During an audit appeal hearing, the provider will carry the burden of proving compliance with applicable federal and state statutes and regulations, billing instructions, fee schedules, and published memoranda.

Audit Methodologies:

There are several methods in which audits may be conducted. These methods include the use of algorithms, 100 percent review

of paid claims for a specific time period (claim-by-claim audit), and random sampling and extrapolation. According to recent doc-umentation from the HCA’s Office of Program Integrity, auditors often use random sampling and extrapolation.

WAC 182-502A-0900 lays out the following requirements when conducting audit sampling, extrapolation and claim-by-claim review:

• When conducting an audit, a sample size must be sufficient to ensure at least a ninety five percent confidence level.

• When calculating the amount to be recovered, the department totals all overpayments and underpayments reflected in the sam-ple and may extrapolate to the universe from which the sample was drawn.

• When the department uses the results of an audit sample to extrapolate the amount to be recovered, the provid-

er may request a description of all of the following:

(i) The universe from which the department drew the sample;

(ii) The sample size and method that the de-partment used to select the sample; and

(iii) The formulas and calculation procedures the department used to determine the amount

of the overpayment.

• When a claim-by-claim audit is conducted, specific claims are selected from the universe and

audit overpayments are not extrapolated.

• The department recovers overpayments identified in the final audit report.

• The department does not consider nonbilled or zero paid servic-es or supplies when calculating underpayments or overpayments.

• The department considers undocumented services to be pro-gram overpayments.

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How will I know if I am being audited? You will be notified by the contractor conducting the audit via correspondence, a telephone call or both.

How can I prepare for an on-site (field) audit? The Health Care Authority’s Office of Program Integrity has provided the following recommendations in preparing for an on-site audit:

• Provide a workspace or room, with table and chairs and ad-equate electrical outlets for audit equipment.

• Have key office staff available during the audit for the audit team to interview.

• If medical records are requested in advance, please have re-cords in alphabetical order placed in the designated work-space for the auditors.

• Have copies of current business license(s) and professional healthcare licenses of all perti-nent staff available for the auditors.

Should I have an attorney present during the audit? “Not everyone will choose to have an at-torney present during the early stages of an audit,” says Alan Wicks, General Counsel for the WSDA, “But engaging your attorney early can be very helpful later on, especially if there is a chance that you will need to contest the audit.” Generally, Wicks advises engagement of an attorney early on, and consultation about the degree of involve-ment in the early stages of the audit.

Will I be reimbursed for costs incurred during an audit? Under WAC 388-502A-0800, providers are not reimbursed for administrative fees such as copying fees for records requested during an audit.

What types of records may be requested during an audit? According to the Health Care Authority’s Office of Program Integrity, the following is a list of potential requested docu-ments. Please note this is not an all-inclusive listing.

• Prescription records

• Office visit notes

• Patient care plans

• Diagnostic test results

• Dental x-ray films

• Treatment records

• Durable and non-durable equipment/product delivery documents

• Transfer records/referral documents

• Medication administration records

• Financial report/accounting/billing records

• Third party insurance documents

• Credit balance reports

• Appointment books

• Ownership agreement/business license and professional staff licenses/certificates

• Office/facility policies/employment records

• Complete hospital medical records

cover story q & a

AUDIT Q & A:Information you’ll need in case of an audit


Editor’s Note: For this sidebar we spoke with two dentists who were audited in the past year, both were MIC Audits, and both audits were conducted by HMS Federal, an independent contractor hired by CMS to carry out the audits on their behalf. We cannot speculate or extrapolate to general popu-lations based upon these two cases, they are simply presented as caution-ary tales to allow you to prepare your practice for an audit. The dentists have asked to remain anonymous, and in this article they will be referred to as Dr. A and Dr. B.

Dr. A “Dr. A” is one member of a large, multi-dentist practice in a small, rural community in eastern Washington. With more than 50 employees and hundreds of pediatric Medicaid patients a day, Dr. A’s practice epitomizes the type of practice that is likely to be-come the target of an audit. In fact, they had already gone through an educational audit, a process they said was instructional and beneficial to the practice, “They made recommendations for posi-tive change,” he relates, “We were very open, and already looking to how we could work with our staff and retrain them. We were given constructive direction to do better and help more children. In contrast, this audit was not at all like the first. These second auditors said they worked for the federal government (in fact, they were contractors working for a corporation on behalf of the government) and informed us they would find mistakes and we would be fined because of them. Our feeling was that they could do anything they wanted, and they didn’t care if we improved our services or not – in fact, they didn’t want us to do better. They only wanted us to return income that was erroneously taken from the government. The difference in these two audits was in their intent. The first audit was to help our clinic improve and treat children better; the intent of the second audit was simply to find errors and generate fines to take money back from our clinic.”

Prison time During the second audit, the two auditors were in the practice for a week, and prefaced their visit by informing the partners that if they did not cooperate with them they could face additional fines,

A TALE OF TWO AUDITS


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other offices going through the same thing we didn’t reach out, but we should have.” While the auditors declined to name an exact fine based on the discrepancies they found in the audit process, by working with a consultant Dr. B was able to estimate that the initial figure was approaching $1 million, though that has never been confirmed. The problem was that more than 70 of the files the auditors had requested were not Dr. B’s patients — and proving that to the au-ditors was vexing. “Somewhere, our provider number was being used by a different practice, and there were problems on those files. We were associated with other offices at one time, and those offices had used our provider number.” While the auditor assured Dr. B that she could handle tracing the error, he wasn’t convinced. He explains, “They would come in at 8 or 9 and often take a two hour lunch, and then they would want to work until 3:00 or 4:00.” He continues, “And even though we knew the records in question were not ours, the auditor was adamant that we find and include them in the sample.” Ultimately, they were able to prove the patients weren’t theirs, but it took 46 hours of staff time to get it straightened out — working with the state to establish a tracer on the checks, and then working closely with the bank, which wrote a letter stating that they were not as-sociated with the patients. Dr. B, his wife, and their finance co-ordinator were also careful to make identical copies of every file requested and used in the sample by the auditors — something that was tremendously helpful in the dispute process.

A long process The process has been a long one and is still not complete more than a year after it began. Dr. B explains, “They first contacted us in March of 2013, and they conducted the interview and audits that April. My wife kept after them quite a bit, but we didn’t re-ceive the draft report until a year later, in March of 2014, and we were given 30 days to provide a rebuttal. One of the excuses for the time lapse was the government furlough. We still have not seen a final report, but we assume that it is being reviewed by the state at this time.” While it is possible that the fine could inch into six figures, he’s hopeful that with the help of a consultant hired to verify the auditor’s findings, that figure will be greatly reduced. Dr. B estimates paying 70 hours of staff time before the audit, 50 hours of his time after the audit, plus attorney and consultant fees of roughly $7,000 total. Still, Dr. B says he would not have gotten the attorney involved earlier. “I know our attorney, and he would have just told us to proceed. I don’t think getting a consultant involved any earlier would have helped us, but it’s hard to say if it would be helpful for another office.” He would, however, advise dentists being audited to bring in extra help during the audit procedure — his wife is not an integral part of his staff and was able to devote many hours to the audit, and his finance coordinator was involved from start to finish. Having another person there to help direct the day-to-day operations of the practice would have been helpful. But even though the audit process isn’t finished, Dr. B and his staff have used the experience as a teachable one, saying “We have been actively retraining our staff – each time something would come up in the audit, we would meet with staff and redirect them. We’ve looked at our billing procedures to clear up potential prob-lems. It’s been hard on the staff to go through this with us, we have to imagine that they have worried about the future. We’ll be grateful when it’s all over.”

In conclusion Review procedures often, and make a point to do random checks of your staff ’s work. Clerical errors and fraud — though vastly different — are treated identically in an audit. And if you do get audited, don’t take it personally, says Dr. B “We’re passionate, emotional type A people. We want to come out swinging because we’re so offended, but we need to take two steps back and look at it objectively.”

penalties, or even prison time. The auditors privately interviewed many staff members, asking if they knew if the partners were ethi-cal, and if they suspected the doctors of committing fraud in any way. Fortunately, Dr. A’s office manager was able to sit in on all in-terviews. When interviewing the dentists, they asked each doctor if they knew of any other doctors within the practice or elsewhere making false claims or mistakes. The auditors initially asked for 200 specific files, and when they arrived they requested 50 more that they had supposedly chosen at random. Dr. A’s office manager felt that they were looking for spe-cific, targeted problems. “Things like fluoride applications, limited exams, and chart verbiage were all red flags,” said Dr. A, “The audi-tors explained that they would take the deficiencies and extrapolate these mistakes to the general population of the practice to arrive at a fine, and bill us for that amount.” The news came as a shock to the partners: with 100,000 patient records in the practice, the potential fines were enormous. “We were instructed that we needed to devote staff members to the auditors for the entire week. This was probably less than $10,000 in lost salaries to the company. We were infinitely more concerned with the possible fines, given that the auditors were extrapolating errors from the files they pulled to the general popula-tion of the practice. If five errors were found in 200 charts — that would be 2.5 or 2,500 theoretical errors. If each error was only $5, the amount owed back would be $12,500. However, if there was a fine of $100 and a penalty for $300 per error, it would then become a $1 million slap on the wrist.” But fines and penalties aren’t Dr. A’s only concern — attorney fees could easily top that amount. He has learned of a dentist in Washington with initial errors/penalties/fines of $6 million —which were later whittled down to $750,000 in court — but the dentist still had to pay his lawyers in excess of $1 million dollars for his defense. But how did Dr. A arrive at the $10,000 salary loss figure? His office manager and other employees had to put all work on hold while the auditors were there, but worse than that, the auditor charged with scanning the records discovered that she hadn’t saved them in the right format. Dr. A had to pay his staff overtime to get everything scanned properly — they stayed all night to get it done. “This was a huge cost accrued to the practice which doesn’t help children at all — and that’s what we’re here to do.” he said. In hindsight, Dr. A says there are several things he would have done differently — including engaging an attorney from the very beginning. “We contacted attorneys after the audit, but they told us that there is little we could do at that point. They told us that it was inappropriate for the auditors to meet with staff privately, for instance. The problem is, the auditors made us feel that if we didn’t do everything they demanded, that we would be in viola-tion of the law.” Additionally, Dr. A did not realize that he was able to save an identical copy of the records the auditors took — some-thing the WSDA says can help your case (Dr. B did, and it helped tremendously when it came time to dispute the auditor’s findings). And while he knows it won’t make a difference in the outcome of his audit, one thing still rankles Dr. A — “I would really love to see what the purpose of the audit is – if it is to make money because Obamacare is failing that’s one reason to do it, but if it is to make dental offices better so that we can treat more high-risk children in the program that’s a completely different reason.”

Dr. B Dr. B has a small practice in an urban setting. He’s been highly active in the state’s ABCD program, so when the auditors first con-tacted him from HMS Federal, he felt confident about his practice’s billing procedures — after all, he had been trained by the state (and had even trained other dentists in the proper billing procedures). He was blind-sided by the outcome of the audit, saying, “Although they were polite,” Dr. B relates, “They asserted their authority on behalf of the federal government, and told us that not being in compliance could endanger our contract. As a flagship office we were happy to have them come in, we simply were not worried. Once we got the initial findings we were embarrassed, and since we didn’t know


Making a difference in Guatemala For the past 12 years WSDA Member and Loma Linda Dental School Adjunct Professor Dr. Kim Nordberg has been making short term dental mission trips to Guatemala and El Salvador with a group that has included his sons Peder and Eric; students from dental schools at Loma Linda, USC and UCLA; and fellow dentists from the Christian Medical Dental Association of Southern California. While there, they see as many as 400 patients a week, working with 20 or more students and other volunteers including church members, local Christian dentists, interpreters, and even mechanics and electricians, providing care in 15 ops with nomad x-ray and digital laptop sensors, among other high-tech equipment. Dentists interested in participating in trips with the group can contact Dr. Mike Roberts, CMDA Southern California Area Director at [email protected].

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MEMBERS GIVE BACK:


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wdia new

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Matthew FrenchDirector of Insurance ServicesWDIA

“Long Term Care Insurance will help you meet the cost of your spouse’s and your care should you need assistance with daily living. It gives you the flexibility to choose when and where you receive care and to provide emotional and financial support for your family.”

As you build your financial portfolio both for your financial security now and in anticipation of enjoying a long retirement, you need to factor in the cost of care for when you need assistance in your home or become a resident of a nursing home or assisted living facility. The average length of stay at a nursing home is 2.5 years, which in Washington State could cost you over $250,000. You can designate money in your portfolio to cover the costs or you can purchase Long Term Care Insurance. For 2014, the average annual cost of a nursing home in Washington is $102,000; an assisted living facility is $51,000 and in-home care with a health aide is $52,500. Long Term Care Insurance will help you meet the cost of your spouse’s and your care should you need assistance with daily living. It gives you the flexibility to choose when and where you receive care and to provide emotional and financial support for your family.

70% of people over the age of 65 will require long term care services at some point in their lives.

Long Term Care Insurance is similar to Disability or Life Insurance in that you are paying a monthly premium to have a pool of money available to you when you need it. Unfortunately, “Long Term Care” is not an accurate description of the benefits provided on a Long Term Care Insurance policy: “Family Freedom Coverage” may be a bit more accurate. This type of insurance frees you from the substantial financial burden of paying for care while it frees your family from the burden of caring for you at the detriment of their time, finances and physical and emotional well being.

41% of people receiving long term care are between the ages of 18 and 64.

Since the need for assistance, not age, is the trigger for receiving long term care benefits, this insurance will cover you should the unexpected happen at any age. For example, if at age 47 an illness or accident leaves you needing care, you would be eligible to receive benefits. This would allow your spouse to continue working or caring for your children while a professional caregiver came to your home to help you with your daily needs such as bathing, dressing or getting in and out of bed. Washington Dentists’ Insurance Agency strongly encourages you to add Long Term Care Insurance to your insurance portfolio. Along with Disability and Life Insurance, Long Term Care Insurance will protect your family and you from the large financial burden that an accident or illness may cause. Purchasing coverage will relieve your family of having to center their lives around your personal care while giving you the freedom to choose where you would your care to take place. To learn more about Long Term Care Insurance and to receive quotes, please contact WDIA at 206-441-6824 or 1-800-282-9342 or at [email protected].

Why you need Long Term Care Insurance



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The Goal: To draft as many non-member dentists to join organized dentistry with a grassroots approach that centers around you — the active WSDA member.

The Game: Have all 17 component societies compete for the largest increase in member-ship based on the recruitment efforts of the component’s members.

The Prizes: WSDA recruiters from the top three components will win pairs of tickets to a suite at a Superbowl Champions Seahawks game for the upcoming season, and everyone who recruits a new member can win cash and free badges to the PNDC.

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newsflashNews from the Alliance of the Washington State Dental Association The Alliance of the Washington State Dental Association (AWSDA) has created two funds to support the dental commu-nity of Washington State. Grant Guidelines:

• There is approximately $5500.00 in each fund. • Fund #1 is to supply toothbrushes to those in need – up to 500 per project. It may be for a free dental clinic, a safe house program, or other not-for-profit organization. • Fund #2 is to be used for grants of $500 to $1000 to support community dental health projects. Projects might be educating children about good oral hygiene or educating youth about the dangers of smoking and meth mouth.

• All toothbrushes and project grants must be used for dental health in Washington State. The Alliance believes in supporting our dental communities and looks forward to hearing from you. You can request a copy of the grant by writing to [email protected].

Koday named to post WSDA member Dr. Mark Koday was re-cently nominated and selected for member-ship on the Prevention Measures Technical Workgroup of the Washington Health Al-liance. The group is charged with recom-mending standard statewide measures of health performance by January 1, 2015. The measures will inform public and pri-vate health care purchasers, and will en-able identification of benchmarks to track costs and improve health care in the state. Congratulations to Dr. Koday!

Open Enrollment Period for Adding Adult Dental to Certain Individual Medical Plans The next Open Enrollment Period will be concurrent with the Affordable Care Act Open Enrollment Period of Novem-ber 15, 2014- February 15, 2015. If would like to add dental coverage to your existing Premera or Lifewise Individual coverage, WDIA highly encourages you to sign up this month, or you will not be eligible for cover-age until the next Open Enrollment Period. For more information or to add dental coverage to your individual medical plan, please contact WDIA at: 206-441-6824 or 1-800-282-9342 or [email protected].

IRS Clarifies Rules on Employers paying Employees’ Individual Medical Insur-ance Premiums Recently, the IRS clarified how em-ployers are allowed to pay for employees’

individual medical insurance premiums under the Affordable Care Act (ACA). In previous years, employers could pay an employee’s individual medical insurance premium with pre-tax dollars through an HRA (Health Reimbursement Account), but that is no longer legal in the majority of cases. While employers are still allowed to pay for an employee’s individual medical premium, those funds must be taxed. Dentists who choose to pay an employee’s medical premium can do so by giving them a raise or a stipend that will go toward their medical premiums. But these funds will be subject to payroll taxes for the employer and is considered taxable income for the employee. If you continue to pay your em-ployee’s individual medical premiums with pre-tax dollars you may be subject to a tax penalty of $100 per day, per employee. For more information, please see the following New York Times article as well as the IRS question and answer document on this rul-ing: http://www.nytimes.com/2014/05/26/us/irs-bars-employers-from-dumping-workers-into-health-exchanges.html, and http://www.irs.gov/pub/irs-drop/n-13-54.pdf Washington Dentists’ Insurance Agency recommends that you contact your accoun-tant for clarification on how this IRS ruling affects you. If you are interested in group or individ-ual medical coverage, please contact WDIA at 1-800-282-9342 or [email protected].

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Reserve your Webinar seat here: https://attendee.gotowebinar.com/register/1256027467384349442

The webinar will cover: • An introduction to student loan debt• A few comments on credit and financial wellness.• Review government repayment programs.• Introduction to SoFi and our joint program, cover the application process and discuss advanced debt reduction techniques applicable to dentists.

SoFi, WSDA’s newest endorsed company, consolidates and refinances student loan debt from both federal and private sources at markedly lower rates than those paid to-day, without charging the fees typically associated with loans — including application, origination or prepayment penalties — to its applicants and borrowers.

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Dr. Russell Paul “Russ” Esposito Esposito was born March 26, 1920 in Spokane, Washington. He was the son of Pasquale (Charles) and Angelina Esposito, both deceased. He was raised in the Gon-zaga University/St. Aloysius neighborhood, attending both St. Aloysius grade school and Gonzaga Prep before entering Gon-zaga University. He enrolled in pre-medi-cine and played at an end position during Gonzaga University’s final era of college football. After college he attended medical school in Portland, Oregon attaining a de-gree in dentistry. While there, he met his future wife Peggy Tallman. Upon completing his degree, they mar-ried on 11 November 1944 and he then joined the Army as a dentist during WWII. Later he transferred to the Navy and was stationed in San Diego. Following the war he returned to Spokane to open his prac-tice but was forced to close it when he was recalled to active duty by the Navy during the Korean conflict. He was stationed in Oakland California Naval Base where he operated out of a mobile medical van serv-ing the Naval Bay Area. After Oakland he returned to Washing-ton to attend the University of Washington where he completed a degree in Orthodon-tics specializing in maxillofacial surgery. His PhD thesis was photo-Elastic stress analysis. He practiced orthodontics in Spokane with Peggy as his medical assistant. The couple retired at age 65 and began to travel. Russ enjoyed his immediate family, the Migliuri clan on his mother’s side in Spokane and the Scarcello side belonging to his father’s sister near Rathdrum, Idaho. Esposito was an avid fisherman and hunter, traveling to Alaska with his brother, Joe. He loved his yard and gar-den and spent time relaxing with family and doing work on the family lake cabin at Twin Lakes, Idaho. He and Peggy trav-eled throughout the world visiting Europe, Australia, China, Canada as well as Africa and other locations, often to meet up with his uncle George Migliuri. He and Peggy took trips in their motor home around the county. He participated in charitable orga-nizations, including services to reconstruct cleft palate deformities in children. He and his father initiated the annual Gonzaga Prep spaghetti dinner. Following the death of his wife, Verna Felice, a long-time family friend, became his constant companion. He was preceded in death by his parents, wife Peggy and brother Joseph Anthony. He is survived by his brother Charles, sis-ter Gloria and her husband Richard Poole, sister-in-law Joyce Esposito, and close companion Verna Felice. Nieces and neph-ews; Charles’ children; Angela, Charles, Gina, Sarina and Anthony. Joe and Joyce’s

daughters; Kate, Molly, Jill, Sara and Amy. Gloria’s children; Richard, Brian and Kris-tina. He was blessed with numerous great nieces and nephews.

Dr. Charles O. Evans Dr. Charles “Chuck” O. Evans, was born in Dryden, Wash., September 13, 1931 to Gordon and Marjorie Evans. He gradu-ated from Dryden High School in 1949. He earned his DDS from the UWSoD where he was a member of the Sigma Phi Epsilon fra-ternity. After college he was commissioned in the Army as a Captain at Fort Lewis. He enjoyed working with his hands and was a gifted craftsman. In the 1960’s, he parlayed his talent into a successful and respected dental practice, where he was known for his skill and his artistry. Evans practiced for over 30 years in Parkland, Wash., providing service to his community and beyond, including state senators and congressmen who sought him out for his reputation. Upon retirement, he fully transferred his skill from tooth work to woodwork and felt most comfortable with a tool belt on and a hammer in his hand. He became “Mr. Fix It.” In 1954, he married Velma Meister. They were mar-ried 24 years. After Velma’s death, Evans married his beloved Josie, spending 35 full years with her exploring all that life has to offer. He competed nationally in downhill ski races. He piloted small planes, he biked with his friends, and nearly every day he got up early and went to work on his prop-erties. His first love was golf. He was one of the oldest members still playing golf at the Tacoma Golf & Country Club, where he was known for his golf game and his vi-brant clothing style. Evans is survived by his wife, Josie; his brother, Richard (Gail); his children, Mike (Laura), Marsha, Dan, Susan (Joe); his stepdaughter, Jill (Sam); his grandchildren, Natalie, Trisha, Luke, John, and Iain; his nieces, Tammy, Hannah and Cindy; and nephews, Mark, David, Rick, Ryan, Robert, Murray, Jessie and Mark.

Dr. M. L.“Westy” Westerberg Milton Leon Westerberg died peacefully on April 25, 2014. He was 91. Affectionate-ly known as Westy, he was born in Sioux City, Iowa on January 2, 1923. The family moved to Everett, Wash, where he gradu-ated from Everett High School. He served in the Navy during World War II and in the Army during the Korean conflict. He attended the University of Washington, and obtained his dental degree from Wash-ington University in St. Louis, where he met and married the love of his life, Jeanne

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Olympia General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique

practice with some of its patients.

Kitsap Peninsula OfficeFour days a week, great location,

state of the art facility,four operatories.

RedmondShared space in a beautiful office. Space that is shared is reception

room and staff lounge. Completely ready to use.

Associate positions available at once!

Concerned About Fraud?We can help review your records in a discrete manner. Call for a free list of items to help thwart embezzlement in your office.

In memoriam

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Loans subject to credit approval.

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KITSAP PENINSULA4 op GP in business district with new growth. Well established with strong hygiene department.

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U N I V E R S I T Y O F W A S H I N G T O N

S C H O O L O F D E N T I S T RY

UNIVERSITY OF WASHINGTON IS AN ADA CERP RECOGNIZED PROVIDER

Registration Information: Telephone: (206) 543-5448 Toll Free: (866) 791-1278

For more detailed course information and to register online visit www.uwcde.com

REGISTER NOW!

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

SCHOOL OF DENTISTRYUNIVERSITY of WASHINGTON

SEPTEMBER

6 Hollender Symposium – Oral Radiology, The Evolution Goes On. Where Are We Now?

Robert Langlais, DDS; John Ludlow, DDS, MS, FDS RCSED; Alan Lurie, DDS, PhD; Axel Ruprecht, DDS, MScD, FRCD(C); and Gerard Sanderink, DDS, PhD

12 Restorative Update 2014 Richard G. Stevenson III, DDS

22 Oral Pathology Evening Course: HPV-Induced Benign & Malignant Oral Lesions

Dolphine Oda, BDS, MS

OCTOBER

3 An Update on Implant Options for the Partially Dentated and Edentulous Patient Including Fixed Removable Prosthetics

Keith Phillips, DMD, MSD This course is offered in partnership with the

Seattle King County and Pierce County Dental Societies, and will be presented in Auburn.

17 Sixth Annual Washington Dental Service Practice Management CDE

Oral Health to Total Wellness: Discover the Links and Learn Practical Application

Susan Maples, DDS

27 Oral Pathology Evening Course: Oral Ulcers and Sloughing Epithelium: An In-Depth Evaluation of the Causes

Dolphine Oda, BDS, MS

31 Clues to Your Patients’ Health: The Most Common Physician-Prescribed Medications

Hal Crossley, DDS, PhD

NOVEMBER

1 Morning lecture: Management and Prevention of Gingival Recession: The Interactive Seminar

George K. Merijohn, DDS Afternoon workshop: Autogenous

Gingival Grafting: The KIWImethod™ Minimally Invasive Non-palatal Approach – a hands-on course

George K. Merijohn, DDS

7 Save the Day with Emergency Preparedness!

Bart Johnson, DDS, MS

14 Oral Cancer Eric Statler, RDH and Dolphine Oda, BDS, MS This course is presented in partnership with

the Washington State Dental Hygienists’ Association.

15 Provisionalization of Single Implants in the Esthetic Zone – a hands on course

Yen-Wei Chen, DDS, MSD and Sul Ki Hong, DDS

21 Perio Topics for Today’s Dental Practice

Morning: Perio Patient Information Management

Afternoon: Nutrition, Lifestyle and Perio: An approach that can change lives

Timothy Donley, DDS, MSD This course will be presented in Tacoma,

Washington.

Online Courses at www.uwcde.com including Bloodborne Pathogens!

CONTINUING DENTAL EDUCATIONFALL 2014

Plan Ahead for Sunshine and Oral Pathology in 2015!February 14-15, 2015 To Biopsy or Not to Biopsy: Soft tissue and Bone Pathology for all Dental PractitionersDolphine Oda, BDS, MS This course will be presented in Lahaina, Hawaii

Rowenhorst in 1946. He attended the Uni-versity of Minnesota, where he obtained his Oral and Maxillofacial Surgery and Medical degrees. He practiced at the Eye and Ear Hos-pital, as well as teaching at the University of Washington for 34 years. He was a member of the American Dental Association, Interna-tional College of Dentists, President of Wash-ington Dental Service and North Central Washington Dental Society. He was an entrepreneur, as well as an oral surgeon, and owned orchards. With three partners, he purchased the town of George. He started an equipment leasing company, eventually blossoming into the largest in the state and built the nine-story hotel next to the Wenatchee Convention Center. He loved Wenatchee. He was president of Wenatchee Chamber of Commerce, president of Wenatchee Little League, pres-ident of the Wenatchee Chiefs and a mem-ber of many Wenatchee organizations. One of his other interests was travelling and he and Jeanne traveled extensively around the world, seeing every state in the union, all provinces of Canada, throughout Europe and Asia, as well as the Arctic Circle and the North Pole. After retiring from his oral surgery prac-tice in 1989, he and Jeanne moved to Ari-zona. He was active in the Desert Palms Presbyterian Church as an elder, a deacon and chairman of the scholarship and mis-sion committees. He is survived by his best friend and wife of 67 years, Jeanne; his children, Su-san Baker (Gary) of Portland, Ore., Steve Westerberg of Wenatchee/Goodyear, Ariz. and Sheri Smith (Mark) of Wenatchee/Sun City West, Ariz; his six grandchildren, Jus-tin, Marit, Jeff, Malia, Camille, and Gar-rison; his great-grandchild, Zora; and his sisters, Anne Marie Lorentz and Bernice Martin. He was preceded in death by an infant grandson, Cameron Smith.

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SAVE THE DATEFEBRUARY 20,2015

2015 DENTAL ACTION DAY


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Architecture

Interior Design

Planning

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Endorsed Provider for Architectural ServicesStuart Silk Architects is WSDA’S

Finding a new location for your practice is rarely as simple as it seems and it is important to engage a qualified architect. We are pleased to offer a preliminary land use or tenant space code analysis exclusively to Washington State Dental Association’s members without charge or obligation. For more information, please contact Andrew Patterson at 206.728.9500. To read more about us and this special offer, go to www.stuartsilk.com/commercial/wsda.html.

Exclusive complimentary benefit for WSDA members!

2014 WSDA AD-1.indd 5 5/28/2014 1:53:15 PM


classifieds issue 7

, july 20

14

OPPORTUNITIES AVAILABLE OPPORTUNITIES AVAILABLEOPPORTUNITIES AVAILABLE

SEEKING ASSOCIATE/PARTNER DENTIST — Port Angeles, Wash. We are a small group of private practices in Western Washington dedicated to providing dentistry at the high-est level. We are seeking a long term associ-ateship/partnership with someone who is pas-sionate about providing excellent care and has the ability to relate to each and every patient. The facility is modern, digital, and most im-portantly has an experienced caring staff to support you. Please email resume and CV to [email protected].

GENERAL DENTIST — Seeking an experi-enced general dentist to join established group practice approximately 32 hours per week in Vancouver Washington. Please send CV to [email protected].

DENTIST NEEDED — As an industry leader, Gentle Dental provides a large network of re-sources, including an experienced practice man-agement staff, cutting edge technology, and out-standing benefits to help our affiliated dentists and employees grow in their careers. Are you a Dentist just wanting to focus on building relation-ships with your patients and providing quality care? With Gentle Dental, you can count on us to manage the nitty gritty of your office so that you can focus on dentistry. You will also have plenty of dental professionals supporting you to confer and collaborate with as you continue to grow in your career. **This position will be full time split between our Lakewood and Puyallup office. Gentle Dental has delivered high quality care with a personal touch for over 30 years. We have the resources you need to achieve true per-sonal and career success. We aim to provide our network of affiliated doctors and staff with a com-petitive benefits package, which include: medical, dental, vision, life insurance, 401K plan, PTO, CE credits, and career opportunities to advance with the company. We’ll handle the details, you focus on your patients, let’s practice together. Submit re-sumes to: [email protected].

PERIODONTIST/ORAL SURGEON — Do you possess outstanding clinical skills and a heart for people? Our highly successful and growing practice In beautiful Colville Wash-ington is seeking an Associate General Den-tist. Applicants must have great people skills and always put the needs and desires of the patient first. We provide an extremely high standard of care and offer a wide array of den-tal services including. Our incredible support team is dedicated to providing thoughtful care in a warm and friendly environment. Please e-mail a cover letter and resume immediately to: [email protected].

DENTIST NEEDED — Growing general den-tal offices are seeking caring, competent den-tist with great people skills to join our team at greater seattle area. Excellent opportunity for potential partnership.Please email resume to [email protected]

DENTISTS NEEDED — Light Dental Studios is a multi-practice dental company in South Puget Sound. We are a very special company with long-standing patients, doctors, and staff. We are seeking dentists for part-time and full-time positions in our existing 4 locations as well as expanding locations. We are look-ing for people with backgrounds of proven success in academics and/or work life. Up-ward corporate mobility, potential ownership, and other streams of compensation exist for individuals interested in being a greater part of our amazing company. Discover us at www.lightdentalstudios.com and check out our re-views online. Please email your resume with personal and professional references to Angie Dunn at [email protected].

GENERAL DENTIST NEEDED — Do you possess outstanding clinical skills and a heart for people? Our highly successful and grow-ing practice In beautiful Colville Washington is seeking a Periodontist / Oral Surgeon who specializes in implants for 1-2 days per month. Applicants must have great people skills and always put the needs and desires of the patient first. We provide an extremely high standard of care and offer a wide array of dental ser-vices including. Our incredible support team is dedicated to providing thoughtful care in a warm and friendly environment. Please e-mail a cover letter and resume immediately to: [email protected]

GENERAL DENTIST (.75) — Peninsula Com-munity Health Services (PCHS) is a non-profit, Federally Qualified Health Center dedicated to providing our patients with quality, com-passionate and affordable health care services. Our busy general dentistry clinic is in need of a part-time (.75) dentist to join our team of caring professionals. Applicants must have graduated from an accredited dental school, licensed in the state of Washington, possess a DEA certification and be comfortable working with young children. Prefer applicants with at least a year post-graduate experience in a den-tal clinic. This position offers a competitive salary with excellent benefits including health coverage, fully paid malpractice insurance, relocation assistance, continuing education stipend, and generous PTO. Site is eligible for NHSC loan repayment. Submit CV to: Susan Chesbrough at [email protected]/Fax: (360) 373-2096. www.pchsweb.org.

ASSOCIATE DENTIST — Downtown Seattle. Experienced associate dentist needed for a busy, well established, fee-for-service prac-tice in downtown Seattle. Long term, highly capable staff. 3-5 days a week. Great income opportunity. Please email CV [email protected].

ENDODONTIST SEATTLE — Gentle Den-tal is currently has multiple openings for En-dodontist for the Seattle area. As an industry leader, Gentle Dental provides a large network of resources, including an experienced practice management staff, cutting edge technology, and outstanding benefits. You will also have plenty of dental professionals supporting you to confer and collaborate with as you continue to grow in your career. We seek high-caliber professionals possessing degrees or certificates from accred-ited colleges or technical schools/programs (as well as valid/current state license) with at least 1 year of dental experience. We aim to provide our network of affiliated doctors and staff with a competitive benefits package. Contact: Ron Brush, phone: 971-295-9914 or email: [email protected] APPLY: http://interdent.force.com/careers/apex/ts2__JobDetails?jobId=a0xi0000001YWwcAAG

PEDIATRIC DENTIST — Seattle South. To provide the most comprehensive dental care in the industry means having the best dental spe-cialists working at our Gentle Dental affiliated offices. That’s why we take pride in working with Pedodontists nothing short of exceptional. As an industry leader, Gentle Dental provides a large network of resources, including an expe-rienced practice management staff, cutting edge technology, and outstanding benefits. You will also have plenty of dental professionals sup-porting you to confer and collaborate with as you continue to grow in your career. We seek high-caliber professionals possessing degrees or certificates from accredited colleges or tech-nical schools/programs (as well as valid/cur-rent state license). Gentle Dental has delivered high quality care with a personal touch for over 30 years. We have the resources you need to achieve true personal and career success. We aim to provide our network of affiliated doctors and staff with a competitive benefits package. Contact: Ron Brush, phone: 971-295-9914, email: [email protected]. APPLY:http://interdent.force.com/careers/apex/ts2__JobDetails?jobId=a0xi0000001YvdqAAC.

ASSOCIATE DENTIST (Tri-Cities/Yakima/Spokane/Seattle Areas)Smiles Dental (www.welovesmiles.com) is an award-winning group dental practice located throughout the Pacific Northwest. Smiles currently owns and operates fifteen practices and is aggressively growing throughout Washington, Oregon and Alaska. We are looking for a passionate, quality-fo-cused dentist with exceptional interpersonal skills and leadership ability to join our team. The position requires a minimum of 1-2 years of experience and the ability to provide a broad scope of dental care. Applicant must have a cur-rent license in Washington or be immediately eligible for a Washington dental license. Please send a cover letter and resume via email to [email protected], No phone calls.


MARKETPLACEmembership

GENERAL DENTIST — General dentist seeking associate position in private practice. Focused on providing conservative dental care with the patient’s best interest at heart. Confidence with providing dental care to children. Fluent in Mandarin. Email [email protected].

GENERAL DENTIST — Confident and personable student (graduation 6/2014) seeking associate-ship with path to ownership. Interested in practices north of downtown Seattle. Six months’ experience as provider in CHC. Email [email protected] for resume.

GENERAL DENTIST — Seeking associate position in private practice. Responsible, patient, compas-sionate, enthusiastic. Interested in Seattle&Eastside area position. USA and EU license. View my CV at http://chalakov.net/yankach.pdf Email: [email protected]

GENERAL DENTIST — Seeking associate position in private practice. Confident, friendly and patient-focused. Interested in Puget Sound area but all opportunities welcomed. View CV at http://tinyurl.com/ny28pts. Email me at [email protected].

GENERAL DENTIST — Seeking long-term associate position in private practice. Interested in great-er Seattle area. Compassionate, dynamic, patient-focused. CV available at http://tinyurl.com/mxg25ng. Email me at [email protected]. 206-972-3374.

MOTIVATED, PERSONABLE — Very motivated and personable graduate seeking associate position on the East Side. Comfortable doing OS, Endo, Pedo, Perio surgery, and Pros. Willing to work extra days and great addition to any staff. Email: [email protected]

ENDODONTIST — seeking long term associateship or buy-in/out in Washington State. I am also interested in providing care for an organization or multi-specialty center. E-mail me at: [email protected]

DENTIST ANESTHESIOLOGIST — 10,000+ hours experience in sedation and anesthesia. Na-tionally-recognized author. Safe and effective techniques. Comprehensive services in your office. Responsible for malpractice and DEA. www.northwestdentalanesthesia.com [email protected]

GENERAL DENTIST — UW Graduate ‘14 — Seeking associateship in private general practice. Keen to develop business skill. Oral medicine interest. Considering positions w/i 50 mi. of Seattle. CV available at http://tinyurl.com/kdn5e98. [email protected] 425.890.7205

GENERAL DENTIST — Seeking long-term associate position in private practice in King/Pierce County. Personable, people-oriented, skilled, and motivated to learn more about advanced dentistry. Graduation June 2014. For resume please email [email protected]

AEGD EXPERIENCED DENTIST — Welcome both full/part time associateship opportunities in South King and Pierce County. Strong fundamentals in general dentistry, including surgical extractions and endo. Contact [email protected] for CV

Each issue, the WSDA News will run up to 30 free classifieds for dental students and new graduates of dental schools who are seeking employment. To qualify, you must be a member of ASDA or the WSDA. Restrictions apply. Please contact Laura Rohlman at [email protected] for more information.

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PART TIME OPPORTUNITY FOR RESTOR-ATIVE DENTIST – High quality solo practice with top staff, facility and equipment seeks an experienced dentist to work at least one day a week routinely and willing to fill in for oc-casional vacation time coverage. Perfect for re-tired dentist or one with young children who may not desire a full time commitment. Easy to reach location, just north of Seattle. Please fax resumes to (425) 775-9615.

OLYMPIA, WASH — Seeking Associate/Part-ner Dentist. We are a well established practice with a large, growing patient base seeking a practitioner with exceptional interpersonal skills that is willing to commit to the potential of a long term partnership. Candidates must be comfortable and competent with all facets of general dentistry and share our passion for excellent patient care and superior dentistry. Our modern and attractive eight operatory facility is home to a dedicated, skilled, long term team. We take great pride in providing an amazing patient experience and would re-quire the same of any candidate. Experience is a must due to the pace we maintain and level of care we deliver. Please e-mail resume and CV to [email protected].

PORTLAND, ORE. — Dentist opportunity. Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. [email protected].

CLINICAL DIRECTOR NEEDED — As an industry leader, Gentle Dental provides a large network of resources, including an ex-perienced practice management staff, cutting edge technology, and outstanding benefits to help our affiliated dentists and employ-ees grow in their careers. We’re looking for a Clinical Director to help lead our region. Must have an active state dental license, a DDS or DMD degree from an ADA accred-ited dental school, 5-7 years clinical experi-ence working chairside, 1-3 years’ experience managing a team in a multi-location environ-ment. For a complete job description and to apply, visit: http://interdent.force.com/ca-reers/apex/ts2__JobDetails?jobId=a0xi0000001Z8RvAAK.

GENERAL OR PEDIATRIC DENTIST — Great opportunity on the east side of the cascades. Established and very busy group practice looking for an energetic and motivated general or pediatric dentist. We’ve got the patients, the chairs, and the best support staff possible ready to make your transition easy from the start. Great earnings potential if you are expe-rienced and efficient. We are also a great place to learn if you are a recent grad or just need a little brushing up on children’s dentistry. Our experienced dentists and orthodontists can help get you up to speed. Contact us today if you’re ready for a new adventure! Please con-tact Jolene Babka at [email protected] for further information.

WASHINGTON GENERAL DENTISTS — Our goal is to partner with our patients and practice proactive dentistry. We have excel-lent opportunities for skilled dentists and spe-cialists throughout Washington. For current practice openings please contact Nathalie La Chance: (503) 952-2172 or [email protected] and visit www.willamet-tedental.com/careers. See our ad on page 22!

DENTISTS NEEDED — Dental Profession-als is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.

ASSOCIATE DENTIST — Prosthodontic/IV Sedation. Practice seeks experienced dentist to practice in the Woodinville area, state of the art equipment and facility. Please fax re-sumes to (425) 485-0764.

PART-TIME GP IN BELLEVUE — We are looking for an associate in Bellevue to work 2.5 days Wed-Fri. More days possible. We are a top office in our area. Beautiful modern of-fice with state of the art technology. Fantas-tic patients and team. Fully digital. Must be highly skilled and experienced. Please email resume to [email protected].

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for ser-vice, group dental practice. Full-time position available. Excellent immediate income op-portunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Mod-ern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

GENERAL DENTISTS — Seeking FT and PT experienced general dentists for our offices in Lynnwood and North Seattle. Guaranteed sal-ary plus additional benefits. Please email your CV to [email protected] or call 206-407-6804 for more information.

OFFICES FOR SALE OR LEASE

FOR LEASE — North Seattle multi-tenant dental building for lease. 1,646 SF. $23.80/SF, NNN. Available June 1st. Three operatories, private restrooms, lab, central compressed air and vacuum. Two offices, reception. Contact Tom (425) 455-1777.

FOR LEASE —Vancouver, Wash. Next to Vancouver Mall. Brand new remodel 2,000 sq. ft., just move in equipment. Built-in cabi-nets, Pano room, private office. Very nice! [email protected].

FOR LEASE – Turn key, fully equipped den-tal office located in North Spokane. Physi-cal asset ownership. Immediate occupancy available. Excellent location close to north south freeway. Beautiful office with four fully equipped operatories. Two additional operatories for clinical or business use. Suite is 1800+ sq. ft. Great view of landscaping. Email: [email protected]

FOR SALE OR LEASE — Dental office for sale or lease in North Bend, an easy freeway drive from Seattle. Available for immediate occupancy. Ideal for auxiliary office or spe-cialist. Four operatories. (425) 495-2635.

FOR SALE — Unique opportunity. General practice. Semi-startup with four ops. 1,280 sq. ft in a growing community and busy traf-fic area of Renton. Please email to [email protected] or call (206) 229-2125.

FOR LEASE — Vancouver, Wash. high end dental office in densely populated area next to Wallmart, Winco. 2,500 sq. ft., five ops, private office, break room. Ready for immedi-ate use. Call Angela 808-203-4134.

PRACTICE SALE OPPORTUNITIES — Ev-erett general practice: four ops/collecting $435K; South Seattle general practice: four ops/collecting $560k; Snohomish County General Practice: four ops/prosthetic empha-sis. For more details and information please contact: Jennifer Paine at (425) 216.1612.

DOWNTOWN SEATTLE — Dental practice for sale. Long-established, small boutique practice with 3 operatories, Dentrix, Dexis, and Kavo handpieces. The office is nicely ap-pointed with Stelty cabinets, and monitors and computers in the operatories. Asking $225,000, send all inquiries to: [email protected].

FOR SALE - General practice in Tacoma. Established (13 years) Satellite practice near JBLM in Lakewood. Associate relocated re-cently. Three chairs. Lots of parking spaces. 185K. Call (206) 779-5742.

FOR LEASE — Turn key and fully equipped dental office in greater Olympia area. Located with close proximity to I-5; great visibility and easy access. Suite is 2,000+ sq.ft., five operatories, great natural light, ample park-ing, staff lounge, and private office. Ready for immediate use, space available February 2014. Email: [email protected] or call (360) 789-4841.

classifieds issue 7

, july 20

14

OPPORTUNITIES AVAILABLE OFFICES FOR SALE OR LEASEOPPORTUNITIES AVAILABLE


Helping dentists buy & sell practices for over 40 years. WWW.AFTCO.NET

AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career.

Call 1-800-232-3826 for a free practice appraisal,

a $5,000 value!

Robert J. Uhde, D.D.S. & Gurpreet S. Khurana, D.M.D.

have merged their practices - Bellevue, Washington

Matthew D. Richards, D.D.S. has acquired the practice of

Randal S. Rigler, D.D.S. - Woodinville, Washington

AFTCO is pleased to have represented all parties in these transitions.

Please Join The Executive Council of theSeattle-King County Dental Society (SKCDS)

at a fundraiser to benefit the campaign ofDr. Michelle Caldier

Tuesday, August 26, 20146:00 – 7:00pm

SKCDS Offices2201 Sixth Avenue, Suite 1210

Seattle, WA 98121

Dr. Caldier is a WSDA Member and Delegate representing Kitsap County and a former Executive Council member of

SKCDS who is running for the State Legislature.

Your financial support will help send Dr. Caldier to Olympia to become a strong voice in support of our profession!

If you are unable to attend, please consider donating to Dr. Caldier’s campaign by going to www.michellecaldier.com.

Please RSVP by emailing [email protected] or by calling 206.448.6620.


FOR SALE — Prosthodontic practice in the greater Seattle area. An outstanding practice with lo overhead and hi net collecting over $2 million annually. Building is in a great lo-cation with plenty of parking and visibility. Building would eventually be for sale to pro-spective buyer. Experienced staff will stay on with the practice. Owner also would stay on 1-2 days per week for up to a year to ensure a smooth and complete transition. Practice also has two full-time removable lab personnel on staff. Ideal practice for someone with implant surgery experience who could take this prac-tice to a whole new level. Contact: Buck Rea-sor, DMD, Reasor Professional Dental Servic-es, Cell: (503) 680-4366, Fax: (888) 317-7231. Email: [email protected].

SPACE SHARING OPPORTUNITY — Pres-ently working three days/ week and have ample room to share space in our five chair downtown Seattle general practice office with in-house lab and technician. Bring your patients and staff and share the rent, utilities and supplies. Contact Rick Nicolini, DDS at (206) 310-5709 or [email protected].

FOR LEASE — Burien, Wash. Brand new, 2,700 ft, six op dental office with pano room, lab, break room, two restrooms and private offices. Completely wired and plumbed for state of the art digital dental office. $10/ft NNN or $2,200/mo. Must see to believe and appreciate. Great opportunity for start up or relocation. Contact (206) 909-3863.

ROSEBURG OREGON PRACTICE — Very visible location on one of Roseburg’s east-west arterials. Practice uses Eaglesoft and is digital throughout. Digital sensors by Schick. Collec-tions have averaged in approximately $750,000’s for the past five years. Contact Rob (503) 781-7311 Green Sail Transitions, Portland, Ore.

NEXT/ANNIE MILLER & ASSOCIATES — Providing consulting services to the dental community for the past 35 years. New practice start-ups, practice transitions, sales and valua-tions. Dental space planning and architecture; real estate leasing and acquisitions, employ-ment benefits; staffing resources and training; financing. Call today for your free consulta-tion…we can’t mint money for you, but we can sure save what you have now! Annie Miller (206) 715-1444. Email: [email protected].

FOR LEASE — Great location, over 2000 square feet, five operating suites in beautiful Olympia, conveniently located on Martin Way close to St. Peter Hospital. Over 30 years of quality dental care provided here. Contact Don at [email protected].

OFFICE SPACE TO SHARE — Excellent op-portunity for specialist who wants to work one or two days a week or a start-up practice for any practitioner. Front office support. Con-tact Breezy at (425) 481-1038 or email [email protected].

classifieds issue 7

, july 20

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NEXT/ANNIE MILLER & ASSOCIATES — New dental practice listings and sites for sale in Bellevue, Kirkland, Federal Way, Renton and Tukwila. Call today for tours and info. Annie Miller, Re Max Eastside Broker’s Inc. (206) 715-1444 or email at [email protected].

FOR LEASE — Available for immediate oc-cupancy. A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This of-fice has exceptional exposure to the Southcen-ter Mall traffic. Call Diana at Medical Centers Management (253) 508-1293.

OPPORTUNITY — Dental office for sale in Burien. 15+ years in the same location. Gross-es over $350,000 a year, six operators and laboratory. Owner is retiring but will stay for transition. Some financial available. Call JD at (206) 992-8771.

FOR LEASE — New construction. Profession-al Building in Lynnwood by Alderwood Mall. 2,000-6,000 sq ft available. Ample parking. Private entry. High visibility and high traffic count. Each unit has up to 40 sq ft of signage on main-street. Ideal for specialist and/or group practice. Call Dr. Nguyen at 206-250-3282 or email [email protected].

FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other den-tists in building. Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (including utilities). Contact Dennis Schmuland (425) 417-1206.

USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, Dentalez, Porter, Air Tech, Midwest, Midmark and etc. Lab equip-ment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net.

FOR SALE — Brand new never been used Vis-ta Therma – Flow composite warming kit for sale. Including two composite syringes, 20 2X step downs and 20 4X step down tips. $595 or OBO. Please contact [email protected].

EQUIPMENT WANTED

EQUIPMENT WANTED — Looking for wide range of used equipment. Adec, Kavo, Midmark, Pelton Crane, Midwest, Gendex, Air Techniques, Apollo, Porter, Cerec, Sirona. If you want to sell equipment, call (206) 260-3563.

OFFICES FOR SALE OR LEASE EQUIPMENT FOR SALE

UNIQUE DENTAL OFFICE DESIGN — Not only will your design be uniquely yours through our exclusive space allocation we will also guarantee that your plans will go through plan check. We have successfully designed over 2,000 dental offices. Please visit our website to see our latest dental office which is in the Seattle area and give us a call. http://www.uniqueinteriorde-signs.com/

DESIGN SERVICES — Slater Interior Design uses a unique interactive and col-laborative process to create a design that expresses your story, personality, and brand. By exploring your likes, desires, and use of space, we will bridge the gap between functionality and design in your home or office space. Call today for complimentary consultation! 206-795-3245, or email us at [email protected].

HAVE SEDATION, WILL TRAVEL — Make fearful patients comfortable with IV Con-scious Sedation. I am set up to come to your office and sedate your patients so that you can perform needed treatments the patients avoid due to fear. I have over 19 years experience providing safe IV Conscious Sedation. Serving Washington and Oregon. Richard Garay, DDS. (360) 281-0204, [email protected]

GUEST DENTIST — Will fill in at your practice for maternity leave, injury, illness, family emergency, etc. 35 years of general dental practice experience. Personable and patient oriented. Dr. Ed Kardong (206) 842-6300.

OFFICE CONSTRUCTION

CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of expe-rience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that ex-ceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional in-formation and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.

SERVICES


Last month I asked—no pleaded—with you to sign up for the RAM Clinic at Key Arena, October 23-26. Many of you have; thank you. But we are not anywhere near hav-ing the 300 dentists and 300 assistants we need to make the clinic a success. So again I plead: go to www.RAMvolunteers.org and then onto our local link and sign up with your staff. Everyone needs to sign up individually. If you have no idea what I’m talking about because your assistant took last month’s WSDA News home to read her favorite author on the back page and left it there, go to http://seattlecenter.org/ram/ and find out. But many of you have pleaded, “I’d love to, Parrish, but I’ll be in [fill in the blank—pref-erably somewhere warm] in October and can’t make it. Sorry.” Hey, don’t feel guilty that you are going to be somewhere lovely while we are slaving away here in the drizzle and cold. Enjoy your trip; have fun; don’t get sunburned. A few weeks ago, Dr. Mike Karr and I had the opportunity to take a trip of our own to the hills of Tennessee for participate in a RAM clinic there. The dental needs were hor-rendous due to lifestyle, Mountain Dew by the gallon and probably drugs in more than a few. But what also stood out to us was there was one dental office and one public dental clinic for this entire area of Tennessee; in other words, there was little possibility for any follow-up. So therefore I am making another plea to those of you who can’t make the clinic: can you volunteer to TAKE ONE…JUST ONE. By that I mean, will you allow us to give your name just once to a RAM clinic patient. One of our goals is to provide every one of the 2000 patients we will see with a potential dental home. I don’t expect you to complete a full mouth reconstruction or provide any care for free; I am just asking that you volunteer to see one of our patients in the hope that they will eventually follow up with care and get on the road to better, more complete oral health. We will provide them with the Code: “RAM” so you might alert your receptionist if someone calls and says, “RAM”, it’s a referral from us. Now we all know that this population does not have a great track record following up. Probably less than half will ever contact a dental office. So the odds that you will ever hear from the patient we refer are less than 50/50. So there’s a pretty good chance that you won’t ever have to see our RAM patients so you are not at great risk. But I have no way of knowing which group a particular patient falls in [Go or No Go] so I need 2000 potential referrals. We need dental offices from all around the state. While we expect the majority of our patients to be from the Puget Sound area, we will have folks show up from all over the state. So you folks in Bellingham, Spokane, Yakima, Omak, Vancouver and everywhere in between can contribute as well by agreeing to Take One…Just One. WSDA, Seattle-King County Dental Society, WSDHA, WSSOMS, UW School of Den-tistry, WAGD and many others have all committed to make this event a big success. It is a chance to shine in the eyes of the community as there will be lots of media and public officials present. We need to present ourselves as a willing profession trying to deal with a huge deficit in our health care system: affordable dental care adequately paid for. But without adequate numbers of providers to provide follow-up care, we are going to look foolish and uncaring. Can we count on you please? All you merely need to do is email your office name, ad-dress and phone number to [email protected] with the subject line “TAKE ONE”. We will provide it to a patient who, hopefully, lives somewhere in your geographic area. I promise we will give out your name only once unless you offer otherwise. I thank you, and the patients that do show up will thank you.

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

Take one, just one!

Dr. Jeffrey Parrish

“If everyone is thinking alike, then somebody isn’t thinking.”

— George Patton

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Documents

2014 wsda news issue 7 july mzd