Hygiene Department Red Flags

• Giving away perio in “Super Prophies”
• Hygiene production < 25%-35% of gross
• Perio is < one third of hygiene production
• Hygiene salary > one third of hygiene production
• Total office salary > 20% of collections (3-5% additional for benefits/payroll taxes)
• More than 2 patients cancel per week
• Gaps in the hygiene schedule
• No openings in hygiene schedule—booked too far into the future
• Dwindling patient base
• Haven’t increased number of hygiene days in past 12 months
• Lack of a systematic end-point-directed perio program
• Whitening acceptance at recall < two pts per day per hygienist
• Undone dentistry in files—poor enrollment
• Patients say, “I only want what my insurance will pay for”.