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<blockquote data-quote="drm313mac" data-source="post: 91146" data-attributes="member: 5830"><p>"Low cost high end ... just doesn't exist."</p><p>In your lab, I agree. Perhaps where you are in California, this is totally true. Perhaps even in mosty of the country, you are correct.</p><p></p><p>By having excellent impressions, accurate models, WHY does an economy denture have to cost a lot? Basic monoplane teeth, very little additional tech time beyond the very basics, so why does it have to be expensive? Why is it nearly all believe a low-cost denture cannot fit correctly?</p><p>I am not saying my economy denture is a high end denture --- only that it fits correctly and will last longer than other economy dentures from the mills.</p><p></p><p>Grafting every socket is not the norm, and I agree to this. Then again, I have been grafting every socket since soon after leaving dental school, years before it became remotely popular. Why? Because it is the right thing to do. No? Had I grafted all the ridges of all your denture patients, your life would be so much easier.</p><p>It is the right thing to do.</p><p></p><p>Insurances: Your employees only have to work 40 hours to be eligible. Gee. Mine are eligible even if they work 1 hour per week, and what percentage they work determines the percentage I will contribute. 60 hours and they have no deduction. As for the specific benefits, I offer a cafeteria plan. For example the manager has excellent medical from her husband, and needs everything going toward retirement.</p><p>In other words you misread, again.</p><p></p><p>Cash discount: You misread and misunderstood, again, but what else is new? Let me attempt to explain in simpler English.</p><p>For X I require $300 minimum, and so I increase the price such that when I give a cash / telecheck discount of 30% the amount comes to $300, meaning the quoted price is $428 [$428 - 30% = $300]. Why? Why do it, that is? Different insurances signed on whereas they require a 15% discount, in return for which I receive payment in full in 15 days. Under this system the insurance company receives what they require, yet, the the cash customer is not being penalized. </p><p>That $128 is a tax write-off (optional),as it is discounted from the original sum. Basically, it can be, though I have never done so.</p><p></p><p>Now, in your states, this cannot be written off, and again, this is dependent on each state. While I practice in Ohio, the LLC is domesticated in Wyoming. I have never once taken the write-off, but legally I can, and no, I do not expect you to understand.</p><p></p><p>Chairside work. Upon training, any assistant can do certain intra-oral functions, and the same applies to techs, under direct supervision, and when certified (documented training) in certain areas, under indirect supervision. Besides, when I or another doc is present, WHY are you assuming a tech is not qualified to do the work?</p><p></p><p>1.5 hours was stated as the max time spent CHAIRSIDE, not the max spent making the denture. Duh.</p><p></p><p>I came here with the intent of asking specific questions, yet all you seem capable of is arguing. John, if you did not know the answer, a simple "I don't know" would have sufficed.</p></blockquote><p></p>
[QUOTE="drm313mac, post: 91146, member: 5830"] "Low cost high end ... just doesn't exist." In your lab, I agree. Perhaps where you are in California, this is totally true. Perhaps even in mosty of the country, you are correct. By having excellent impressions, accurate models, WHY does an economy denture have to cost a lot? Basic monoplane teeth, very little additional tech time beyond the very basics, so why does it have to be expensive? Why is it nearly all believe a low-cost denture cannot fit correctly? I am not saying my economy denture is a high end denture --- only that it fits correctly and will last longer than other economy dentures from the mills. Grafting every socket is not the norm, and I agree to this. Then again, I have been grafting every socket since soon after leaving dental school, years before it became remotely popular. Why? Because it is the right thing to do. No? Had I grafted all the ridges of all your denture patients, your life would be so much easier. It is the right thing to do. Insurances: Your employees only have to work 40 hours to be eligible. Gee. Mine are eligible even if they work 1 hour per week, and what percentage they work determines the percentage I will contribute. 60 hours and they have no deduction. As for the specific benefits, I offer a cafeteria plan. For example the manager has excellent medical from her husband, and needs everything going toward retirement. In other words you misread, again. Cash discount: You misread and misunderstood, again, but what else is new? Let me attempt to explain in simpler English. For X I require $300 minimum, and so I increase the price such that when I give a cash / telecheck discount of 30% the amount comes to $300, meaning the quoted price is $428 [$428 - 30% = $300]. Why? Why do it, that is? Different insurances signed on whereas they require a 15% discount, in return for which I receive payment in full in 15 days. Under this system the insurance company receives what they require, yet, the the cash customer is not being penalized. That $128 is a tax write-off (optional),as it is discounted from the original sum. Basically, it can be, though I have never done so. Now, in your states, this cannot be written off, and again, this is dependent on each state. While I practice in Ohio, the LLC is domesticated in Wyoming. I have never once taken the write-off, but legally I can, and no, I do not expect you to understand. Chairside work. Upon training, any assistant can do certain intra-oral functions, and the same applies to techs, under direct supervision, and when certified (documented training) in certain areas, under indirect supervision. Besides, when I or another doc is present, WHY are you assuming a tech is not qualified to do the work? 1.5 hours was stated as the max time spent CHAIRSIDE, not the max spent making the denture. Duh. I came here with the intent of asking specific questions, yet all you seem capable of is arguing. John, if you did not know the answer, a simple "I don't know" would have sufficed. [/QUOTE]
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