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<blockquote data-quote="drm313mac" data-source="post: 91107" data-attributes="member: 5830"><p>Type-IV stone: Patients understand one thing above all others, that being FIT. Type-II stone has a setting expansion 10 times higher, and this is one of the reasons dentures do no fit. All steps are additive, all errors cumulative. Given the minimal difference in costs between the 2 stone materials, why not use the better product?</p><p></p><p>Extractions and costs: The denture mills (local) charge $85 for s simple extraction, and I charge $150. To the price shopper I flat out tell them to go to say Affordable Dentures. The average fee for private practices is what I charge, and they do NOT perform a bone graft. If they offer it, the graft is charged @ $300 - $800 per socket. Therefore, to answer your questions, (1) the profit margin is low as the grafting materials are expensive, though I seriously doubt you have ever priced these out, (2) the grafts are the norm in higher end practices and so you are mistaken here as well. If the graft is not performed the adjacent teeth will lean over, the ridge will resorb at an accelerated rate.</p><p>Tell you what. You deal with a fair amount of periodontists, so ask them. They will tell you I am charging damned little given what I am doing.</p><p>Or price these out for yourself. I buy a lot from Pearson. Surgical dental plaster as the matrix, allograft, metronidazole, and periacryl. Price these out, then tell me I am getting rich.</p><p></p><p>Cash discount of 30%: (1) I greatly reduce the AR, (2) I am not losing a dime.</p><p></p><p>Denture Mill: Our dentures are vastly superior, yet offered at prices that are competitive for the lowest cost denture. @ $300 cash price, production costs eat up all of it, as you well know. Again, we will try to upsell to a higher model, one where we actually show a profit, and where we fail to upsell, there is a rather substantial tax write-off that offsets elsewhere.</p><p>I offer products at their prices, to get them in the door. Even if I break even on this denture, I am helping that customer. No, I do not expect you to understand the concept.</p><p></p><p>Pay rates: I pay by the hour + paid holidays and vacation + medical benefits. Benefits and paid time off are based on 40 hours per week, meaning, for every 20 hours per week worked I contribute 33%, so for the person working 60 hours per week I pay 100% of their benefits costs. Do YOU offer this to your staff? I though not.</p><p>For stuff we send out, obvious we pay that lab the charged costs.</p><p></p><p>You are also wrong as to the time to produce Economy vs Premiere dentures. You of all people should know this. The economy has basic contouring, all the way to the other end, the premiere has full characterization, AND, you know full well the time to set monoplane teeth are NOT the same as to articulate say 30 degree teeth.</p><p>John, I expected better from you.</p><p></p><p>Chair-side: Impressions are 30 minutes, tops, if you are competent. Wax try-ins? Delivery is fast. For a full set you have 1.5 hours, max?</p><p></p><p>Adjustments: Each tech is responsible for their own adjustments. But, if the impressions are accurate, as is the model, if everything we do is toward accuracy, how many adjustments are there? If the tech is busy, yes, there are assistants who can do these.</p><p></p><p>My Economy denture is geared to competing in price with the mills, 3 of which are nearby. I offer the same price, though I try to upsell. The next denture, also excellent fit, is still a cheap denture in terms of both price as well as esthetics, but more durable due to 3-layered teeth (Economy is 2, and the mills all use single-layered teeth). Yes, the next 2 models (the 2 top units) are as you say, over $1,000.</p></blockquote><p></p>
[QUOTE="drm313mac, post: 91107, member: 5830"] Type-IV stone: Patients understand one thing above all others, that being FIT. Type-II stone has a setting expansion 10 times higher, and this is one of the reasons dentures do no fit. All steps are additive, all errors cumulative. Given the minimal difference in costs between the 2 stone materials, why not use the better product? Extractions and costs: The denture mills (local) charge $85 for s simple extraction, and I charge $150. To the price shopper I flat out tell them to go to say Affordable Dentures. The average fee for private practices is what I charge, and they do NOT perform a bone graft. If they offer it, the graft is charged @ $300 - $800 per socket. Therefore, to answer your questions, (1) the profit margin is low as the grafting materials are expensive, though I seriously doubt you have ever priced these out, (2) the grafts are the norm in higher end practices and so you are mistaken here as well. If the graft is not performed the adjacent teeth will lean over, the ridge will resorb at an accelerated rate. Tell you what. You deal with a fair amount of periodontists, so ask them. They will tell you I am charging damned little given what I am doing. Or price these out for yourself. I buy a lot from Pearson. Surgical dental plaster as the matrix, allograft, metronidazole, and periacryl. Price these out, then tell me I am getting rich. Cash discount of 30%: (1) I greatly reduce the AR, (2) I am not losing a dime. Denture Mill: Our dentures are vastly superior, yet offered at prices that are competitive for the lowest cost denture. @ $300 cash price, production costs eat up all of it, as you well know. Again, we will try to upsell to a higher model, one where we actually show a profit, and where we fail to upsell, there is a rather substantial tax write-off that offsets elsewhere. I offer products at their prices, to get them in the door. Even if I break even on this denture, I am helping that customer. No, I do not expect you to understand the concept. Pay rates: I pay by the hour + paid holidays and vacation + medical benefits. Benefits and paid time off are based on 40 hours per week, meaning, for every 20 hours per week worked I contribute 33%, so for the person working 60 hours per week I pay 100% of their benefits costs. Do YOU offer this to your staff? I though not. For stuff we send out, obvious we pay that lab the charged costs. You are also wrong as to the time to produce Economy vs Premiere dentures. You of all people should know this. The economy has basic contouring, all the way to the other end, the premiere has full characterization, AND, you know full well the time to set monoplane teeth are NOT the same as to articulate say 30 degree teeth. John, I expected better from you. Chair-side: Impressions are 30 minutes, tops, if you are competent. Wax try-ins? Delivery is fast. For a full set you have 1.5 hours, max? Adjustments: Each tech is responsible for their own adjustments. But, if the impressions are accurate, as is the model, if everything we do is toward accuracy, how many adjustments are there? If the tech is busy, yes, there are assistants who can do these. My Economy denture is geared to competing in price with the mills, 3 of which are nearby. I offer the same price, though I try to upsell. The next denture, also excellent fit, is still a cheap denture in terms of both price as well as esthetics, but more durable due to 3-layered teeth (Economy is 2, and the mills all use single-layered teeth). Yes, the next 2 models (the 2 top units) are as you say, over $1,000. [/QUOTE]
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