Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast - podcast cover

Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast

Grab a cold beer and join us as Dr. Casey Goetz sits down to discuss all things pediatric dentistry. Topics include uncensored and unscripted conversations with special guests regarding start-ups, practice management, finances, hot topics and clinical pearls in pediatric dentistry. Our profession might not always be pretty, so might as well drink beer and have some tipsy tiny teeth talk. New episodes released weekly.
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Episodes

The Legendary Dr. Art Nowak

Dr. Art Nowak has been practicing pediatric dentistry since the mid 1960's, back when there were only seven residency programs. He taught pediatric dentistry at the University of Iowa for almost 50 years, during which he published "Infancy Through Adolescence." This textbook is a staple in our profession, and Dr. Nowak literally "wrote the book" on comprehensive pediatric dentistry. We have a great discussion on how pediatric dentistry has changed through the years. Dr. Nowak expresses his conce...

Jun 11, 202449 min

Dropping Dental Insurance, with Dr. Kristine Grazioso

Dr. Kristine "Love Peace" Grazioso is a pediatric dentist with a large practice in Massachusetts. She practiced for years as contracted provider with Delta, Blue Cross Blue Shield, and Medicaid. In 2020, she made the decision to drop all insurances and go completely FFS, in order to provide better care for her patients. Even though she practices in a competitive area, her practice is busy and thriving. Dr. Grazioso shares her story about how she made this transition. She gives pointers and advic...

May 28, 202445 min

Ultimate Guide to Starting Your Own Practice

You see it all the time on iPedo... "I'm tired of my associate job and I want to start my own practice, but I'm not sure where to start." It's no surprise that a large void exists for knowledge and content relevant specifically for pediatric dentists who want to start their own practice. Well we have some huge news to share on the podcast today. For the last 6 months, Dr. Corey Hastings and I have been working tirelessly on building a comprehensive course specifically for pediatric dentists who ...

May 14, 202424 min

If You Build It, They Will Come

Thad Harker is a project advisor at Primus Dental, a design and build full-service construction company that has built close to a 1000 dental offices across the Midwest. Thad and I have a great conversation about dental office design and construction. He emphasizes that the construction process is all about managing people. We talk about how things have changed with higher interest rates and construction costs, but that it still makes financial sense to not lose opportunity cost and get yourself...

Apr 30, 202454 min

The Non-Dentist Spouse Episode

Where would we be if we didn’t have the support of our non-dentist spouse/significant other/partner? This episode is specifically for them! Today my wife, Jenna Goetz, reflects on her impact on my journey to become a pediatric dentist. We talk about when does it make sense for the spouse to work in the office, pursue his or her own career, or to stay home with kids. Jenna gives some advice to young power couples and how to get the most out of this journey. We also joke about how annoying dentist...

Apr 16, 202430 min

Asking the Tough Questions About DSO Partnerships

Chip Fichtner is the co-founder of Large Practice Sales and a return guest on the podcast. His firm helps practice owners complete transactions and partner with DSOs and "invisible" DSOs who allow the doctor to maintain autonomy and a minority position. We last spoke on the podcast about two years ago. Because of our episode, his firm closed a $50+ million dollar deal on a large pediatric office. Chip has a tight pulse on what's going on in the DSO world. I wanted to get an update on what DSOs a...

Apr 02, 202444 min

What's the Deal with the Soan?

Everybody in pediatric dentistry is talking about the Soan right now, so I had to learn more. On today's episode, I hosted Dr. Ann Bynum and Chris Malzone from NuSmile. Chris had sent me a demo model to try out, so I took this opportunity to talk with him and Ann about the technology. The Soan is an cordless electronic anesthetic pen. It allows you to give intraosseous injections to kids without collateral numbness. I specifically talk with Ann about the benefits of the device, technique questio...

Mar 19, 202440 min

Growing Your Practice, Medicaid Decreasing Rates, and Practicing in Dallas

Dr. Benjamin Morgan joins us on the podcast today. He's a pediatric dentist and the owner of Rockwall Pediatric Dentistry in the greater Dallas, Texas area. Ben comes on to talk about a variety of topics, including his journey to practice ownership, why he dropped Texas Medicaid, creative ways that he increases his revenue, how he structures a 2-doctor practice, and what life is like being a pediatric dentist in a crowded Dallas market. We also discuss his decision NOT to build a 15,000 sq ft fa...

Mar 12, 202448 min

A Case for Oral Sedations, with Dr. Sarat "Bobby" Thikkurissy

Dr. Bobby is a pediatric dentist, speaker, and authority on oral sedations. After 8 years as a pediatric dentist in the air force, he transitioned to an academic roll at Ohio State and now Cincinnati Children's Hospital. He frequently lectures for the AAPD at their sedation courses. Dr. Bobby cracks a beer with me and we talk about some great topics, including life in academics, changing parent expectations that make our job difficult, and how he uses oral conscious sedation to manage those kids...

Feb 27, 202451 min

Where is the Best City to Start a Practice? With Kent Miller of Dentagraphics

Kent Miller is the Co-Founder of Dentagraphics. His company helps dentists research and identify areas of opportunity for practice start-ups. We discuss what services they provide, and how they work with new and existing dentists to analyze demographics and quantify the potential opportunity that the area offers. I try to ask Kent some tough questions, like what areas of the country does he see potential, and where is the competition. We talk about how important things like family, growth, and h...

Feb 13, 202440 min

Dealing with Helicopter Moms, with Dr. Greg Psaltis

I had the pleasure of hosting the great Dr. Greg Psaltis on the podcast today. Dr. Psaltis came recommended by 3 different listeners of the podcast, so I figured let's give the people what they want to hear! Dr. Psaltis recently retired after a 40 year career as a pediatric dentist. He is an accomplished speaker and lectures on behavior management all across the country. Today we discuss how behavior management has changed over the decades. Dr. Psaltis gives some tips and guidance on dealing wit...

Jan 30, 202447 min

An Interview with a Holistic Pediatric Dentist

Ok the title is a bit of a click-bait, but I did have the pleasure of interviewing Dr. Staci Whitman on the podcast. Dr. Whitman is a practicing pediatric dentist in Portland, Oregon. She is a "functional" pediatric dentist who practices in a demographic that caters to more natural and holistic modalities. Her practice is heavy in dietary guidance, vitamin supplementation, ozone therapy, tie/lip tie release, myofunctional therapy, hard tissue lasers, and also traditional SSCs and general anesthe...

Jan 16, 202459 min

Dental Cooperatives vs Private Equity Buyouts

Dr. Alex Otto and her husband, Tim, are previous guests on the podcast. Dr. Alex is a pediatric dentist, they own and operate four offices in the Austin, Texas area. Tim has an MBA and a strong business background working with fortune 500 companies. They join me on the podcast to discuss their latest project, Alcan Dental Cooperative. Alcan is a cooperative model in which pediatric dentists can join in exchange for a minority equity position. Unlike DSO/PE buyouts, a dental cooperative works by ...

Jan 02, 202444 min

Unpopular Financial Opinions, with Chris Sands of Pro-Fi 20/20

Chris Sands joins us today to talk debt, taxes, and wealth building. Chris is the founder of Pro-Fi 20/20, a multi-disciplinary CPA firm which helps dentists grow and increase profitability. We talk through 3 different scenarios and Chris gives his opinion on the best way to build wealth at different stages of a dentist's career. 1. Does a resident or young dentist pay off student loans at the higher interest rate, or invest in retirement? 2. Does a new practice owner focus on paying off practic...

Dec 19, 202351 min

Ways I'm Increasing Revenue in 2024

I have a short solo episode today over a cold Christmas beer. As a practice owner, you will always have pressure to do better dentistry and deliver more of it. I review five creative ways I'm going to increase my top-line revenue in 2024.

Dec 05, 202320 min

Reflections of a Retiring Pediatric Dentist After a Successful Career, with Dr. Dennis Carreras

Today I have the pleasure of hosting my former boss, but current friend and mentor, Dr. Dennis Carreras. Dennis started and ran a large practice with four offices in central Minnesota for years before recently selling his practice equity to his partner. I worked for their office after residency prior to COVID and starting my own practice in Missouri. Dr. Carreras retired in Florida where he spends his time on the beach, while making sure to stay busy with dental mission trips and teaching back i...

Nov 21, 202349 min

More Chocolate, No Cavities, with Dr. Roger Lucas

Dr. Roger Lucas is a pediatric dentist and practice owner in the state of Washington. He is a trained biochemist and is passionate about advocating for dietary modification to help his patients. Seven years ago he wrote a book titled "More Chocolate, No Cavities." Dr. Lucas and I discuss the key concepts in the book, and the importance of educating our parents on the harmful effects of sticky processed carbohydrates.

Nov 07, 202342 min

Mom... Your Kid Needs Sedated, with Dr. Casey Rhoads

Ok the title might be a bit click-baitey, but today we are talking all things IV sedation. Dr. Casey Rhoads is a pediatric dentist and owner of Honey Bee Pediatric Dental Co. with two practices in the Kansas City area. Her and her fellow practice partner, Dr. Rebecca Ferns, do 6-7 days of in-office IV sedation cases (open airway) per month. She shares her practice journey with us and how they have structured sedations in their busy new practice. We talk about what verbiage to use, treatment plan...

Oct 24, 202345 min

How to Open a Tongue-Tie Clinic, with Dr. Richard Baxter

Dr. Richard Baxter is a previous guest on the podcast. He is a young pediatric dentist leading the charge to educate and bring awareness to the tethered-oral-tissue movement. He is the author of the best-selling book Tongue Tied, founder of the Alabama Tongue-Tie Center, and prominent speaker. He has performed over 10,000 lip and tongue ties in his career. On today's episode, we talk about when it makes sense to scale your practice and expand to create a stand-alone tongue and lip-tie clinic. Ri...

Oct 10, 202356 min

Eating Meat as the Solution to Orthodontic and Airway Problems, with Dr. Kevin Stock

Dr. Kevin Stock is a general dentist, social media influencer, and founder of Meat Health. He is an advocate for a meat-based "Carnivore" diet and has eaten a strict diet of red meat, eggs, and raw milk for nearly six years. He is passionate about educating about the harmful effects of a modern, highly-processed diet on oral health. Dr. Stock discusses how our diet can influence and shape the way our teeth and jaws develop. His premise is that our modern diet of highly-processed, soft foods lead...

Sep 26, 202352 min

The Legendary Howard Farran Talks Pediatric Dentistry!

Howard Farran is an icon in the world of dentistry, and a guest that I've wanted to interview for a long time. He's the founder of Dental Town, an international speaker who has lectured in over 50 countries, author, host of the Dentistry uncensored Podcast, and just an all around cool personality. Dr. Farran joins Dr. Casey Goetz for a discussion of all things pediatric dentistry. We talk about how pediatric dentistry has changed as a profession, practice ownership, DSOs, student loans, and the ...

Sep 12, 20231 hr 11 min

Tips for Perfecting Your Composite Game, with Dr. Josh Solomon

Dr. Josh Solomon is a pediatric dentist and the owner of Pediatric Dentistry and Orthodontics of Livermore in Livermore, California. Over his 20 year career he has developed a reputation for being a leader and educator in advanced restorative techniques related to pediatric dentistry. He frequently hosts online and in-person CE courses and specializes in using the Bioclear matrix system. Dr. Josh is currently building a brand new office that includes a teaching center where he can host his cours...

Aug 29, 20231 hr 1 min

Sedations at the Mexican Border and Going All In on Bitcoin

Joe Sparacino is a general dentist who joins me for what may be one of the most interesting conversations I've had yet on the podcast. Dr. Joe started a large practice out of dental school down at the southern Texas border providing care to underserved kids with Medicaid. He built two large practices before selling and putting his practice proceeds into bitcoin back in 2019. He since has bought and sold four other practices and has walked away from clinical dentistry (at least for now). He has s...

Aug 15, 202350 min

A Portland Start-up Journey and Leasing vs Building, with Dr. Brandon Schwindt

Dr. Brandon Schwindt is a pediatric dentist who practices in Portland, Oregon. He started Kona Kids Dentistry from scratch in 2003, and practiced for 6 years in a leased space before making the investment and buying land to build a new office. He discusses the conversations he had with his financial team to determine if building a large office was the right move from a growth and tax perspective. In 2011, he completed the building with 3800 sq ft and 8 op chairs plus a hygiene bay. He practices ...

Aug 01, 202343 min

The Crazy Value of Early Dental Visits, with Dr. Elizabeth Wilkinson

Dr. Elizabeth (Liz) Wilkinson is a coresident and close friend of mine who I finally convinced to hop on a podcast episode with me. She practices as an associate in Kansas, where she lives with her husband and two young children. Her husband, Paul, is an orthodontist at a busy ortho practice. Dr. Liz and I catch up for a bit before she shares her practice journey about how she found the right fit as an associate. We talk about treatment planning, hall crowns, glass ionomer, class IIs, the challe...

Jul 18, 202350 min

How to Crush it as a New Practice Owner

In this episode, Dr. Casey Goetz gives a virtual lecture to a group of pediatric dentistry residents discussing his journey through practice ownership. He reviews how he has been successful in a rural setting, how he designed and built his office, and general advice for those looking to either start or acquire a pediatric practice. Other topics discussed are the 5 benefits of practice ownership that associates don't have, a simple recipe for practice success, why taking out a practice loan and g...

Jul 04, 202337 min

Updates in Practice Financing, and Answering Listener Lending Questions

Danny Cammarosano is a regional director of practice finance for Provide. Provide is a tech company that has entered the dental practice lending space and has grown to be one of the top players for financing dental practices. Provide sets itself apart from the other big players like BOA and WF by offering better customer service and a more practical approach to lending. Danny shares updates to what's been changing in the practice lending space in this new era of high build-out costs, inflation, ...

Jun 20, 20231 hr 3 min

How Good of a Pediatric Dentist are You? A Score System Breakdown

In this solo episode, I wanted to review a scoring system I created that allows pediatric dentists to reflect and compare their own attributes. Some pediatric dentists are great at running a business, some are excellent clinicians, some have great behavior management with the kids, and some are extremely efficient with their time. But often times as dentists we fail in other categories where we should be trying to improve. For example, just because somebody can see 80 patients a day and produces...

Jun 06, 202343 min

Practicing with Hearing Loss and How a Cochlear Implant Changed My Life, with Dr. Jay Crews

Dr. Jay Crews is a pediatric dentist who has been in private practice for 20 years. He owns a large practice in Owensboro, Kentucky, where he lives with his wife who is also a pediatrician. Dr. Crews discovered that he had worsening and profound hearing loss during his pediatric residency. He began wearing hearing aids and dealt with progressive hearing loss until it got to the point where he was nearly unable to function. He spent his days at the office lip-reading and relying on his staff to h...

May 23, 202350 min

Three Start-ups in Three Years, with Dr. Alex Otto and Tim Otto, MBA

Dr. Alex Otto is a pediatric dentist who with her husband, Tim, have opened three pediatric dentistry practices since 2020. They have offices in Buda, Kyle, and Austin Texas with plans to continue expansion while providing a 5-star patient experience. Dr. Alex was a GP and an associate who worked at multiple practices before going back and completing her pediatric residency in Alaska. Her husband, Tim, worked in the corporate business world with multi-million dollar companies after obtaining his...

May 09, 20231 hr
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