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Why Your Dentist Costs So Much
cbs market watch ^ | 7-6-11 | Sarah Lorge Butler

Posted on 07/08/2011 2:19:10 PM PDT by WOBBLY BOB

Back in April I wrote about a person near and dear to me — yes, my husband — who needed two new crowns for $3,442. I published his experience in a post, Is Your Dentist Ripping You Off? Dentists howled in protest at the provocative headline, though most agreed with the content of the story.

(Excerpt) Read more at shine.yahoo.com ...


TOPICS: Health/Medicine
KEYWORDS: cost; dentist; herbie
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To: WellyP

My current dentist has an associate. He is a graduate of the University of Pennsylvania dental school. He is $250,000 in school debt. Add to that the income he was not earning in the 8 years he was in school and the diminished income of his residency.

I wonder what that amounts to per working hour ( plus the interest) over the 20 to 30 of his career. ( Just wondering).


61 posted on 07/08/2011 5:02:18 PM PDT by wintertime
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To: wintertime
I wonder what that amounts to per working hour ( plus the interest) over the 20 to 30 of his career. ( Just wondering).

Say 30 years at 50 weeks per year is 1500 weeks. And at 30h per week that is 45,000 hours. His debts, then, without interest, on just the $250,000, would be about $5.55 per hour.
62 posted on 07/08/2011 5:07:21 PM PDT by aruanan
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To: WOBBLY BOB

To start with, many dentists today have just been nuked with student loans. A generation ago, while a dentist might have left school penniless, it was all uphill from there. As is, they might start out owing anywhere from $150k to a quarter million dollars.

A holdover from that time were a few dentists who would buy and sell a percentage of their group practice. Thus new dentists would only pay, say, just a third of the costs of the practice, and buy more of the business as other dentists either moved elsewhere or retired. Then they could return the favor to other new, poor dentists.

Today, not so much. If they want a piece of a practice, they probably have to take out yet another loan and pay cash up front.

Yet the irony is that some physicians today are slashing their overhead by refusing Medicare, Medicaid, and insurance at all. They save so much money that they can cut their prices by 50% and still make more money.

I can imagine many dentists going this route. But they still have very high expenses, some of which are hard to avoid.


63 posted on 07/08/2011 5:52:12 PM PDT by yefragetuwrabrumuy
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To: I still care

sounds like the same boat I’m in.

insurance cover nothing , so I’m going to check out those dental plan options.


64 posted on 07/08/2011 7:06:44 PM PDT by WOBBLY BOB ( "I don't want the majority if we don't stand for something"- Jim Demint)
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To: aruanan

You conveniently forgot to include all the LOST wages from not working while in school. And...interest.


65 posted on 07/08/2011 7:42:24 PM PDT by wintertime
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To: aruanan

The amount of time in school is 8 to 10 years. These are his lost wages.


66 posted on 07/08/2011 7:43:52 PM PDT by wintertime
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To: wintertime
You conveniently forgot to include all the LOST wages from not working while in school. And...interest.

I didn't "conveniently" (whatever that's meant to imply) forget anything. I stated exactly how I was limiting the calculation. Someone who is going to dental school would not have lost much wages unless he or she had been a relatively high earner before dental school. In many cases the entire cost of the loan can be forgiven in less than five years by working for either the U.S. military or in one or another geographical area deemed to be in need of the services the new dentist has become trained to supply. Someone who doesn't arrange for such a loan is being rather short-sighted or calculates that his income over those years minus the costs of loan repay is going to be the same or more than participating in such a tuition program (which includes tuition, books, fees, medical insurance, and an adequate stipend to pay for food, rent, and other incidentals). The costs of my Ph.D. program were erased by my 4 years work in my post-doc fellowship of neurobiology.
67 posted on 07/08/2011 7:53:56 PM PDT by aruanan
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To: wintertime
The amount of time in school is 8 to 10 years. These are his lost wages.

What you never get is nothing that is lost. He may incur debt over those years, but that's part of the cost of doing business, in this case, the business of securing a profession. Still, there are many programs available that can make the loan repayment only a matter of a few years.
68 posted on 07/08/2011 7:59:46 PM PDT by aruanan
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To: aruanan

but that’s part of the cost of doing business
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

Yep! And....In all businesses that cost is passed on to the customer.


69 posted on 07/08/2011 8:06:48 PM PDT by wintertime
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To: wintertime
Yep! And....In all businesses that cost is passed on to the customer.

Except in the case of many medical and dental school loans in which the debts are forgiven (I was exploring this for medical school, so I know what it involves). And even when they aren't, the dentist still has to fit in with prevailing local or regional costs. Most of the time they don't initially go into business themselves but work as a salaried employee of a corporation. In that case, their dental school debts have nothing whatsoever to do with the costs set by the corporation. I have two cousins who are dentists and two friends (brothers) who are dentists (one has his undergraduate degree as a mechanical engineer from Georgia Tech, the other has his Ph.D. in Pharmacology from Columbia). And what either has failed to earn while in school for training is not a cost that gets passed along.
70 posted on 07/08/2011 8:22:54 PM PDT by aruanan
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To: Jim from C-Town

Well if you’re not going to believe the facts that’s you’re own damn fault.


71 posted on 07/09/2011 8:09:43 AM PDT by discostu (Ph'nglui mglw'nafh Cthulhu R'lyeh wgah'nagl fhtagn)
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To: I still care

Dental insurance stinks. It’s usually got a low cap (how far is 2K REALLY going to go in fixing up a mouth?) and NEVER have I not gotten a letter a few months later saying how the amount was figured wrong and I owe $400 or so for bad estimates, for work I already had done.
*********************************************************

If you have been getting these absurd demands for services and payed them then you have been marked as a “fish”.

Why on earth would you give them a dime more then what you were originally quoted? If the Dentist made a mistake then he absorbs it not you.

If he does a crown for you and in a month it falls apart, can you go back to him and have it repaired for free?

I didn’t think so.


72 posted on 07/09/2011 1:40:53 PM PDT by 101voodoo
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To: discostu

I know the facts. They are over priced. End of story!


73 posted on 07/09/2011 9:07:55 PM PDT by Jim from C-Town (The government is rarely benevolent, often malevolent and never benign!)
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To: Jim from C-Town

No that’s your assumption based on emotion. The facts actually run exactly the opposite. But you find those facts inconvenient so you stick your fingers in your ears and yell LALALALALALA hoping they go away. But they don’t, the facts stay, and you stay wrong.


74 posted on 07/10/2011 11:00:47 AM PDT by discostu (Ph'nglui mglw'nafh Cthulhu R'lyeh wgah'nagl fhtagn)
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To: discostu
You are shilling for an industry of professional thieves. Please, stop doing their evil bidding.
75 posted on 07/10/2011 12:40:34 PM PDT by Jim from C-Town (The government is rarely benevolent, often malevolent and never benign!)
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To: discostu

As I said, everyone in business has overhead, A dentist may have to spend a hundred grand on a piece of equipment, but he only buys one or two for an entire career. A dental chair will last for decades. A drill for at least a decade and an X-ray machine for many years. A new autoclave every century and let’ not forget that oh socostly rubber gloves.

Two dollars of composite for a low low $200. An hour for a root canal, that will be $750, Oh and lets not forget the $1,200 gold crown complete with $50 worth of gold. Highway robbery. Straight up theft. An industry of collusion and crime. Dentists the new Cosa Nostra.


76 posted on 07/10/2011 12:48:52 PM PDT by Jim from C-Town (The government is rarely benevolent, often malevolent and never benign!)
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To: Jim from C-Town

The average income of a dentist nationwide is about $125,000. He spends $250,000 for his education and twice that again for the equipment and building for his practice.

How are they overpriced? Maybe you are just a cheapskate looking for freebies? A liberal, I take it?


77 posted on 07/10/2011 2:31:56 PM PDT by CodeToad (Islam needs to be banned in the US and treated as a criminal enterprise.)
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To: Jim from C-Town

“A drill for at least a decade and an X-ray machine for many years. A new autoclave every century”

1. Drill tips are expensive and the machines do not last for 10 years without repairs.

2. X-Ray machines do not last forever. They require inspections and repairs.

3. Autoclaves also require repairs and inspections.

You obviously have never run a dental office much less any business.


78 posted on 07/10/2011 2:35:32 PM PDT by CodeToad (Islam needs to be banned in the US and treated as a criminal enterprise.)
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To: CodeToad
Not a liberal, an honest business man not a member of the new Cosa Nostra, The criminal dentist.

Lighten up Francis.

If you don't like being a dentist get a different job. of course theft in most other areas of society generally rewards with a trip to prison, so I bet you will keep drillin’ for dollars.

79 posted on 07/10/2011 3:32:54 PM PDT by Jim from C-Town (The government is rarely benevolent, often malevolent and never benign!)
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To: Jim from C-Town

Wow, looks like every single statement is wrong. Most dentists are running at least 3 chairs so you’ve got the count wrong. Drills don’t last that long. X-Ray machine technology keeps improving so they wind up needing to be replaced, it ain’t 2 dollar composite and you’ve studiously ignored the staff they need to pay the insurance and the building.

It’s really cute how dedicated you are to your fictional beliefs. But you’re wrong across the board.


80 posted on 07/10/2011 3:39:57 PM PDT by discostu (Ph'nglui mglw'nafh Cthulhu R'lyeh wgah'nagl fhtagn)
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