Log In
Header Logo
STRATEGY CALL DHC COMMUNITY BOOKS TIPS BLOG CONTACT
← Back to all posts

The Hidden Leak That Was Costing Me Thousands

Nov 11, 2025
Connect

A few years into ownership, I thought I had it all figured out.
We were getting 75 to 90 new patients a month, no paid marketing, just SEO. The team was slammed, the numbers looked great, and I was feeling pretty proud of myself.

Then I installed Practice by Numbers.

Within five minutes, I realized my “success” was built on a shaky foundation.
Retention? Terrible.
Case acceptance? Bad.
Cancellations? Out of control.

But I didn’t notice any of it because new patients hid every problem.
When the schedule stays full, you assume everything is fine.

The truth?
High new patient flow can give you a false sense of success.
It masks inefficiency, hides weak systems, and delays the freedom you’re actually chasing.

Once I fixed the holes in our retention, cancellations, and case acceptance, we hit capacity fast.
I brought on my first associate sooner, cut my clinical days, and finally started running a business that worked without me.

If you’re telling yourself, “I just need more new patients,” you might be missing the real opportunity sitting right in front of you.

Here’s your checklist for this week:
- Look at your numbers. Don’t fly blind.
- Audit your retention, cancellations, and case acceptance.
- Fix the leaks before you pour in more.

True growth doesn’t come from more new patients.
It comes from maximizing the ones you already have.

Listen to the episode to hear exactly how I found and fixed the leaks in my practice:

The New-Patient Trap: How "More Leads" Can Hide a Leaky Practice

Ever felt like your dental practice would finally take off if you could just get a few more new patients through the door? That seductive...

podcasts.apple.com

Thank you everyone, I hope you are all doing well!  Thanks for your continued support of the podcast!

 

The Math Behind Your Production Goal
Have you ever noticed how some dentists pick a production goal out of thin air? “I want to do 2 million this year.” Okay, based on what? Most people cannot tell you their required dollar per hour to hit that number, or how many days they actually need to work. That is the issue. If you cannot calculate it, you cannot manage it. Until you know your practice math, your goal is just a wish.  Annua...
How Patients Decide When to Say Yes
Case acceptance is bigger than an on-the-spot yes. In our latest episode, I break down one of the most underused concepts in dentistry: next time case acceptance. This is for the patients who hesitate because they are not fully bought in yet, not because they are the problem. The common mistake is trying to close harder in the moment. More explaining, more convincing, more pressure. You can fee...
The Most Expensive Metric You’re Not Tracking
Most dentists assume their phones are being answered just fine. The phone rings, the team is busy, and patients are coming in. So it feels handled. Here is the problem. If you haven't looked at your missed call rate or listened to any calls, you're probably losing more new patients on the phone than you ever lose to marketing, fees, or competition. The worst part is you do not feel it happening...

Dental Practice Heroes Newsletter

Dr. Etchison will share tips, strategies, and give a summary of the DPH content and upcoming events for the month.
© 2026 DPH Coaching LLC
Contact Terms of Use Privacy Policy Tips Newsletter Blog

Join The FREE Challenge

Enter your details below to join the challenge.