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re: dentists - the resurgence of wealthy

Posted on 7/6/14 at 2:45 pm to
Posted by Mizz-SEC
Inbred Huntin' In The SEC
Member since Jun 2013
19257 posts
Posted on 7/6/14 at 2:45 pm to
quote:

There is no doubt that fraud is rampant. I've had parents bring in kids with a treatment plan of a dozen fillings from another dentist, and I'd find 2 or 3 teeth that actually needed fillings. With some dentists, if a patient came in for a second opinion you knew what the situation would be before they walked in the door. Many want to crown any tooth with a moderately large filling, or put a stainless steel crown on any kid's tooth with a cavity. Likewise with insurance fraud. In dental school, the cheating was on a level that I've never seen in my life. There are very few dentists that I would trust.


Damn. That's depressing. What would you suggest be done to bring ethics back into the situation?
Posted by Hopeful Doc
Member since Sep 2010
14970 posts
Posted on 7/6/14 at 2:52 pm to
quote:

It tells you in the first sentence of the article


Sorry. What I meant to say was "that seems to differ somewhat starkly with the medscape data I've seen"
Posted by yellowfin
Coastal Bar
Member since May 2006
97694 posts
Posted on 7/6/14 at 3:11 pm to
It looks pretty in line with that map you posted
Posted by VetteGuy
Member since Feb 2008
28289 posts
Posted on 7/6/14 at 3:11 pm to
Those BLS deals are bullshite. It's a voluntary booklet that you have to fill out and they are a PITA.

A lot of people just put whatever...

ETA: I meant to say involuntary. It's like a census. They are real chickenshit if you don't send them in.
This post was edited on 7/6/14 at 3:34 pm
Posted by Martini
Near Athens
Member since Mar 2005
48861 posts
Posted on 7/6/14 at 3:19 pm to
Anyone worried about being sold cosmetics, go see Branstetter in mall city. He ain't selling a million dollar smile. He just fixes shite and he's good. And getting old but hey so are my teeth.
Posted by Hopeful Doc
Member since Sep 2010
14970 posts
Posted on 7/6/14 at 3:27 pm to
Right. Which was just for Internal Medicine, one of the lowest paying specialties. Here's everyone:
Posted by The Third Leg
Idiot Out Wandering Around
Member since May 2014
10056 posts
Posted on 7/6/14 at 3:32 pm to
There are more classified as IM/FP/PC providers than all others combined, I would imagine.
Posted by Hopeful Doc
Member since Sep 2010
14970 posts
Posted on 7/6/14 at 3:40 pm to


About 37%

And no geographical area reports an average less than $204,000 among all physicians.

Posted by 911Moto
Member since Sep 2013
5491 posts
Posted on 7/6/14 at 3:50 pm to
There's really no way to infuse ethics into those without ethics. As a patient, there are a couple things you can do. If anything seems questionable, get a second opinion. If the second opinion is vastly different, don't let it slide - call out the first dentist on it. Call the state board, explain, and ask what's up. Go to a dentist with an intraoral camera, and when he diagnoses a problem, ask him to show you and explain.
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
4278 posts
Posted on 7/6/14 at 3:50 pm to
Isn't wealthy generational wealth? I mean 200-300k per year is a good living, but not necessarily wealthy. Wouldn't wealthy mean at least $10mm in assets?
Posted by SmackoverHawg
Member since Oct 2011
27378 posts
Posted on 7/6/14 at 4:24 pm to
quote:

Right. Which was just for Internal Medicine, one of the lowest paying specialties. Here's everyone:

Those are still low IRL. I mean you can just work ER full time here in south Arkansas and make over $300k. I know FP's that make less and some that make waaaaay more. I would say the specialist pay is skewed VERY low. The Ortho's I know make at least $600k and a few well over $1million. The interventional cardiologist here make around $1million. I would double those numbers for private practice specialist. But that's just what I see in my experience. It really does vary widely, but all these numbers seem to be the low end of each field.
Posted by Hopeful Doc
Member since Sep 2010
14970 posts
Posted on 7/6/14 at 4:28 pm to
quote:

It really does vary widely, but all these numbers seem to be the low end of each field.



I agree. In the conversations I've had with ones in Private Practice, these numbers are low. Anecdotal data from a small subset isn't as strong as anecdotal data from a larger survey, though.
Posted by Dr. Shultz
Baton Rouge, La
Member since Jun 2013
6391 posts
Posted on 7/6/14 at 4:30 pm to
I know 3 personally. One started a few years ago in Shreveport at a big practice and made 200k in his first year (very rare I would assume)

Then I met two while shadowing one made 160k with 600 per day or 33% production and the other made around 120k with 500 a day or 35% production I think?

Of course the two places I shadowed at aren't overly saturated. I would think a beginner associate in louisiana in a non oversaturated area could make 120k+ pretty easily.

I think the norm for associates is around 500 a day now but i could be off.


Eta: just saw where you said new dentists were starting at 350 a year? The seems really low to me but maybe it's just the area I'm in or I'm just not as informed as I thought
This post was edited on 7/6/14 at 4:36 pm
Posted by Bonnie Blue
Nashville
Member since Apr 2011
183 posts
Posted on 7/6/14 at 4:34 pm to
I'm a dentist and I can definitely attest that there are plenty of bad dentists out there that don't give a shite about anything but money. I moved out of state a few years back and went to one dentist and didnt tell him that I was a dentist. He told me I needed several teeth restored which I knew was bullshite. I asked him to show me the bitewings and promptly told him he needed to learn the difference between cervical burnout and decay. His face was priceless. Walked out and never went back.
Posted by SmackoverHawg
Member since Oct 2011
27378 posts
Posted on 7/6/14 at 4:35 pm to
quote:

agree. In the conversations I've had with ones in Private Practice, these numbers are low. Anecdotal data from a small subset isn't as strong as anecdotal data from a larger survey, though.


Those look more like starting salaries. Hell, I made over $225k as a 3rd year resident with moonlighting and a night clinic.
Posted by The Third Leg
Idiot Out Wandering Around
Member since May 2014
10056 posts
Posted on 7/6/14 at 4:39 pm to
One thing you guys are not taking into consideration here is the contingency labor market that exists in the realm of locum tenens.

Though compensated handsomely on an hourly scale, they often experience lulls of no income and seldom work full time, 2,000 hrs per annum.

There are shitty doctors working shitty, low wage jobs in corrections, occupational health. Garbage wages for MDs, sometimes as low as $60-80/hr.

The labor force is widely dispersed.
Posted by VetteGuy
Member since Feb 2008
28289 posts
Posted on 7/6/14 at 4:40 pm to
Unfortunately, most patients won't question a filling or two.

It took me a few years to figure out a lot of 'em were FOS.
Posted by VetteGuy
Member since Feb 2008
28289 posts
Posted on 7/6/14 at 4:41 pm to
Are you in education or do you work for the federal government?
Posted by SmackoverHawg
Member since Oct 2011
27378 posts
Posted on 7/6/14 at 4:45 pm to
quote:

There are shitty doctors working shitty, low wage jobs in corrections, occupational health. Garbage wages for MDs, sometimes as low as $60-80/hr. The labor force is widely dispersed.


True. When you factor in the foreign docs that will come here and work for peanuts or guys that have been in trouble for whatever reason or those that are just lazy/not worth a shite, it definitely affects those averages.
Posted by The Third Leg
Idiot Out Wandering Around
Member since May 2014
10056 posts
Posted on 7/6/14 at 4:46 pm to
Nope, my style doesn't fly in those settings.
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