GDA Action August 2011

ACTIONACTIONTHE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION AUGUST 2011

GDAction 0811 B.qxd 8/25/11 7:06 PM Page 1


AFTCO Transition Consultants . . . . . . . . . . .27

Atlanta Age Management Medicine /

Dr. Ana Casas . . . . . . . . . . . . . . . . . . . . .9

Atlanta TMD Dentist—Dr. Padolsky . . . . . . .13

Center for TMJ Therapy . . . . . . . . . . . . . . . .25

The Doctor’s Safety Net . . . . . . . . . . . . . . . .14

GDA Dental Recovery Network . . . . . . . . . . . .8

Georgia Academy of Cosmetic Dentistry . . . .9

Georgia Mission of Mercy . . . . . . . . . . . . . . . .2

Georgia Dental Insurance Services . . . . . . . .28

Great Expressions Dental Centers . . . . . . . .15

Law Office of Stuart J. Oberman . . . . . . . . .20

Med Tech Construction . . . . . . . . . . . . . . . . .25

Paragon Dental Practice Transitions . . . . . .22

Professional Practice Management . . . . . . .23

Southeast Transitions . . . . . . . . . . . . . . . . . .24

UBS Financial Services, Inc. . . . . . . . . . . . . .16

index of advertisers

GDA ACTION (ISSN 0273-5989) The official publication ofthe Georgia Dental Association (GDA) is published monthly.POSTMASTER: Send address changes to GDA Action at7000 Peachtree Dunwoody Road N.E., Suite 200,Building 17, Atlanta, GA 30328. Phone numbers in state are(404) 636-7553 and (800) 432-4357. www.gadental.org.

Closing date for copy: first of the month preceding publicationmonth. Subscriptions: $17 of membership dues is for thenewsletter; all others, $75 per year. Periodicals postage paidat Atlanta, GA.

Dr. Jonathan Dubin Delaine HallGDA Editor GDA Managing Editor2970 Clairmont Rd 7000 Peachtree Dunwoody Rd NESuite 195 Suite 200, Building 17Atlanta, GA 30329 Atlanta, GA 30328

2011-2012 Georgia Dental Association Officers Michael O. Vernon, DMD, PresidentSidney R. Tourial, DDS, President ElectMarshall H. Mann, DDS, Vice PresidentJames B. Hall III, DDS, MS, Secretary/TreasurerJonathan S. Dubin, DMD, Editor

GDA/GDIS/PDRS Executive Office Staff Members

Martha S. Phillips, Executive Director

Nelda Greene, MBA, Associate Executive Director

Delaine Hall, Director of Communications

Skip Jones, Director of Operations (PDRS)

Courtney Layfield, Director of Member Services

Victoria LeMaire, Medical Accounts Manager

Melana Kopman McClatchey, General Counsel

Denis Mucha, Director of Operations (GDIS)

Margo Null, Property and Casualty Accounts Manager

Patrice Williams, Administrative Assistant

Phyllis Willich, Administrative Assistant

Pamela Yungk, Director of Membership & Finance

GDA Action seeks to be an issues-driven journal focusing on current mattersaffecting Georgia dentists, patients, and their treatment, accomplished throughdisseminating information and providing a forum for member commentary.

© Copyright 2010 by the Georgia Dental Association. All rights reserved. No partof this publication may be reproduced without written permission. Publicationof any article or advertisement should not be deemed an endorsement of theopinions expressed or products advertised. The Association expressly reservesthe right to refuse publication of any article, photograph, or advertisement.

9 Dentists Care:

2011 Georgia Mission of Mercy

12 Informed Consent and the Use of

Family Members as Translators

13 Non-Covered Services and Prompt

Pay: Questions About Implementation

15 GDA Connects with GHSU President

Azziz and Dental Dean Drisko

18 GDA Strategic Plan: Open for

Dentist Review and Comment

19 Alliance Plans Mix of Events

for Dentists, Dental Spouses

4 Parting Shots

5 Editorial

6 News and Views

8 Calendar of Events

21 Classifieds

26 Breaking the Mold

The GDA held its first Georgia Mission ofMercy August 12 and 13. Our GMOMexceeded all expectations by providingfree dental care to an unbelievable 2,179Georgians suffering from oral diseaseand pain. There were more than 1,500volunteers on hand! The dental volunteers,including 300 dentists, provided cleanings,fillings, extractions, limited root canaltherapy, and lab procedures valued at $1.5million. The media coverage was extensiveand the experience for all volunteerswas unforgettable. More about the clinicwill appear in future issues of Action, buttake a quick glimpse at GMOM statisticsand photos on pages 10-11.

ACTIONACTIONTHE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION AUGUST 2011

other features sections

on the cover

Member Publication American Association of Dental Editors

ACTION

V O L U M E 3 1 , N U M B E R 8 • A U G U S T 2 0 1 1

Note: Publication of an advertisement is not to be construed as anendorsement or approval by the GDA or any of its subsidiaries, com-mittees, or task forces of the product or service offered in the advertise-

ment unless the advertisement specifically includes an authorizedstatement that such approval or endorsement has been granted.


4 GDA ACTIONAUGUST 2011


“Oh, put me in, Coach, I’m ready to playtoday …”

That’s one of my favorite lines from asong, actually from John Fogerty’s Centerfield.I heard it again the other day and it evokedseveral thoughts coupled with thoughts Iheard from our new GDA president duringhis inaugural speech in July.

Mike Vernon has stepped up to the platein volunteering his time and efforts to becomethe GDA president from July 2011 to July2012. In his speech, he asked that we find somenew, younger dentists who would be willing tovolunteer some time to make the GDA, andhence dentistry, better in the coming years.

Mike is so right. We have a wealth of volunteersand leaders who have enriched our professionby protecting it from those who willingly orunwittingly would interfere with the doctor-patient relationship and the quality of carethat we strive to maintain for the citizens thatwe serve. But we also need to develop theplayers of the future. Some teams rebuild, butwe cannot afford to rebuild—only to reload.Dentistry needs those with commitment andpassion to be active in advocating for what webelieve to be right. If not, perils await.

Only recently, the Federal TradeCommission (FTC) took the North CarolinaState Board of Dentistry to court (albeit anFTC court). The reason? That state’s boardtried to protect North Carolina citizens fromthose who would practice dentistry without alicense by providing tooth whitening services.

In a Summer 2011 decision, the FTCjudge ruled in favor of the FTC statingthat a board made up of dentists (even with anon-dentist serving on the board) is inherentlyunfair because it seeks to protect dentists.

The FTC seems to view dentistry as a‘trade,’ and not a ‘profession.’ And while theNorth Carolina lawsuit will be appealed andultimately may be decided by the U.S.Supreme Court, I believe the FTC tipped itshand here. With this decision, the FTC in myopinion has hinted at an ultimate goal toremove all state boards and have one nationallicensing board with minimal representationfrom dentistry.

Does this ruling not make your bloodboil? The FTC actually ruled that a statedental licensing board is not fulfilling itsmission to protect the public but rather actingin collusion. It is ironic that the FTC, which issupposed to protect the public, seems to betrying its best to dissolve a state licensingboard that actually is protecting the public.

Without concerned professionals payingattention, issues like this could remain unexamined.Regulators could make decisions that place ourpatients at the mercy of individuals performingwhat amounts to the practice of dentistry withoutfirst obtaining the necessary education andmoving through the licensing oversight process.Profession diminished into trade. Ballgame over.

So what is to be done? Support the GDAwith your continued membership. Step up tothe plate when asked, and volunteer to servein some capacity. Always ask dentists that youmeet if they are members. If they are not,explain where they would be without theADA, the GDA, and your district. TheADA is taking an important stand aboutdentists performing irreversible procedures,for one. Anyone remember the $300 x-rayregistration fee that the state tried to slaponto dentists? The GDA knocked that oneout of the park. Our districts support us withcolleague interaction, continuing education,and many chances to become involved. Andour dental leaders are our eyes and ears.

Finally, take an interest in a young dentistand encourage them to be active and becomea GDA member. The GDA and GHSUCollege of Dental Medicine have a newmentoring program. Look into matching upwith a dental student and helping a studentsucceed. There are numerous reasons andrewards for that.

Grab a bat, step up to the plate. “Put mein coach, I’m ready to play today … Look atme, I can be, centerfield.”

Centerfielders

5GDA ACTIONAUGUST 2011

Jonathan S. Dubin, DMD

editorialperspective

“We must educate

consumers as to

how to better care

for their health, but

is it not of even

more importance

to teach them the

value? If we cannot

change their

mindset on value,

how can we expect

the statistics

to change?”



The GDA hosts several events to transitionsenior dental students at Georgia HealthSciences University into the wonderfulworld of organized dentistry before gradu-ation, and the Eastern District does aswell. EDDS Editor Rhoda Sword reportsthat district dentists recently had a greatget-together with the senior dental studentsand dental spouses, and members are stilltalking about the fun everyone had enjoyingoysters and shrimp from Rhinehart’s OysterBar. The district invited several GHSUfaculty members in addition to privatelypracticing dentists in the area, and welcomedGHSU Dental Dean Connie Drisko as aspecial guest.

David Pumphrey, DDS, was recentlyhonored with the 2011 American Academyof Periodontology Educator Award. Thisaward was given to Dr. Pumphrey in hiscapacity as a faculty member of theGeorgia Health Sciences University(GHSU) College of Dental Medicine inAugusta for his outstanding teaching andmentoring of periodontal residents. Dr.Pumphrey is a 1984 graduate of the EmoryUniversity School of Dentistry and gradu-ated from Emory’s periodontology residen-cy program in 1987. He maintains a privateperiodontal practice in Atlanta.

Angie Gribble Hedlund, DMD, recentlyjoined dental continuing educationprovider The Dawson Academy as anAssociate Faculty member. Dr. Hedlundreceived her DMD from the MedicalCollege of Georgia School of Dentistry andcompleted a program in AdvancedGeneral Dentistry at Baylor College ofDentistry. She practiced with Goldstein,Garber & Salama for 16 years and recentlyopened a private practice in Atlanta.

The district is holding its fall meetingon Friday, September 16 in Tifton. Themeeting will feature the CE course “TheImpossible is Nothing … The Reality ofLasers for Everyday Dentistry” by Dr. L.Don Wilson. Early bird registration ($150for GDA members) ends August 26; afterthat, the cost per member dentist is $180.The course is 8:30 a.m. to Noon and 1 to4 p.m., with a lunch and dentists’ businessmeeting from noon to 1 p.m. Dentists fromall districts are invited. Questions about

generalnews

SWDDSSouthwestern District

EASTERNEastern District

NORTHERNNorthern District

(L to r): Dr. Phil Hanes, Dr. Marion Pinson, Dr. Celia Dunn, and Dr. William Holden.

(L to r): Dr. Glenn Maze, InterimChairman of the GHSU Department ofPeriodontics, Dr. David Pumphrey, andDr. Kobi Stern, GHSU AssistantProfessor of Periodontics as Dr.Pumphrey receives his AAP EducatorAward for outstanding work at theschool.

(L to r): Dr. Micah Shaw, Dr. Melissa Shaw, Dr. and Mrs. Stephen Blank, Mrs. LauraDoss, Dr. Adam Doss, and Dr. Alison Grubbs.



registering? Call Dr. Alan Sanders at (229)227-9070 or visit www.gadental.org (calen-dar section).

A new study in the Journal of DentalResearch finds bone fluoride levels are notassociated with osteosarcoma, a rare bonecancer more prevalent in males.

A team of researchers from HarvardUniversity, the Medical College ofGeorgia, and the National Cancer Instituteanalyzed hundreds of bone samples fromnine hospitals over an eight-year periodfrom patients with osteosarcoma and acontrol group to measure fluoride levels inthe bone.

Considered the most extensivestudy to date that examines a potentialassociation between fluoride levels inbone and osteosarcoma, the resultsindicated no correlation. Threebranches of the National Institutes ofHealth were involved in the study. TheNational Cancer Institute (NCI)approved the design of the study, andfunding for the research was provided bythe NCI, the National Institute ofEnvironmental Health Sciences, andthe National Institute of Dental andCraniofacial Research.

“As a science-based profession, wemust always examine new evidenceand consider it along with existing sciencein order to evaluate guidelines andrecommendations for patient care,”states Raymond Gist, DDS, president ofthe American Dental Association (ADA).“This new study adds to an alreadystrong base of scientific evidence thatfluoride is safe and effective at preventingcavities.”

An inconclusive animal study con-ducted 20 years ago first raised thequestion of an association betweenfluoride and osteosarcoma. Since thattime, other studies have examined theissue; however, this new study, usingactual bone to measure fluoride levels inindividuals with and without osteosarcoma,is considered by researchers to be the bestscience to date because a more accurateand reliable scientific method was used tomeasure exposure from all sources offluoride.

The Foundation Board, made up of dentist,Alliance, and GHSU representatives,met on June 5 to vote on scholarshipdisbursements. The funds donated to theFoundation from GDA members via their2011 dues statements, which goes directlyto student scholarships, declined from$51,601 in 2010 to $44,700 in 2011. Inlight of this reduced funding, theFoundation board elected to cut theamount of dental hygiene scholarshipfunding from $500 per school to $400 perschool, and maintain the previous years’commitment to Georgia Health SciencesUniversity dental student scholarships.This encompasses $500 for an EisenbergScholarship to one student, $6,000 for aStan Hopkins Scholarship to one student,and $50,000 in general scholarships to beawarded to students selected by the dentalschool administrators. The board willtake money from the Foundation’s moneymarket account to make up the differencein GDA dentist donations and allow thescholarships to be funded as voted.

Dentists are encouraged to supportthe Foundation with financial donations,which may be made via the GDA web siteor by mailing a check (made out to FisherFoundation) to P.O. Box 1204, Rome,Georgia 30162. Your donations go directlyto dental students.

(From Georgia Health News) NavigantConsulting has won a $3.3 million contractto study options for redesigning the state’sMedicaid and PeachCare programs.

Department of Community Health(DCH) Commissioner David Cook hasstated that he wants to look at alternativesto the Care Management Organization(CMO) structure supported by formerGov. Sonny Perdue. Under that structure,the state pays three CMOs more than $2.5billion a year to serve Medicaid andPeachCare patients.

The Navigant contract, if confirmed,is for one year, with two possible one-yearrenewals.

The $6 billion Georgia Medicaidprogram (including federal funds) faces

continuing budget problems. It also con-fronts a significant expansion of Medicaidbeginning in 2014—perhaps 600,000 newenrollees—as mandated by federal healthcare reform law, if the Affordable Care Actof 2010 survives court challenges.

In recent months, leaders of somemedical provider groups in Georgia haveexpressed interest in North Carolina’sMedicaid program as a possible model forGeorgia’s. Their Medicaid program uses a“medical home’’ concept and divides thestate into 14 nonprofit, doctor-directedregional care networks. Care managersvisit patients in their homes in an attemptto keep them healthy and out of hospitalemergency rooms. Physician panels decidequality parameters.

Commissioner Cook, at a recentDCH board meeting, expressed interest inIndiana’s program. Healthy Indiana has abenefits package modeled after a high-deductible, health savings account insur-ance plan. It covers Medicaid beneficiariesand low-income uninsured adults.

ADAFluoride

MEDICAIDState Contracts

FISHER FOUNDATIONDental Education

In Memoriam

Robert M. Davis, DDS, who diedJuly 5, 2011, at the age of 81. Dr.Davis was a 1957 Emory UniversitySchool of Dentistry graduate and anoral surgeon in Rome before hisretirement.

Jack M. Reeves, DDS, who diedFebruary 23, 2011, at the age of 79.Dr. Reeves was a 1961 EmoryUniversity School of Dentistrygraduate and a member of the GDAthrough the Western District. He wasa general practitioner and a retiredAmerican Dental Association LifeMember.

William E. Walker, DDS, who diedMarch 21, 2011, at the age of 90. Dr.Walker was a 1951 Emory UniversitySchool of Dentistry graduate and amember of the GDA through theNorthern District. He was a generalpractitioner and a retired AmericanDental Association Life Member.



September 5 (Monday): GDA OfficeClosed for Labor Day Holiday.

September 8 (Thursday): Central DistrictMeeting—Official GDA Officer Visit,Riverside Golf Club.

September 8-10 (Thurs-Sat): ADA FifthDistrict Caucus Meeting, Atlanta (AL, GA, MS delegations).

September 12 (Monday): NorthernDistrict Executive Council Meeting,GDA Office.

September 14 (Wednesday): NorthernDistrict CE Meeting, Villa Christina.

September 15 (Thursday): WesternDistrict Meeting—GDA Officer Visit.

September 16 (Friday): SouthwesternDistrict Membership Meeting.

September 16 (Friday): Alliance / GHSUStudent Spouse Event, Augusta.

September 22 (Thursday): NorthernDistrict Leadership Conference, Druid Hills Golf Club.

September 23 (Friday): Grand OpeningCeremony, GHSU College of Dental Medicine.

October 10-13 (Mon-Thurs): ADA Annual Session, Las Vegas, NV.

October 23 (Sunday): Fisher DentalEducation Foundation Meeting, GDA Office, 11AM.

October 27 (Thursday): Northern DistrictMeeting—GDA Officer Visit, Druid Hills Golf Club.

October 29 (Saturday): AllianceVolunteers Assemble Legislative Dental Kits, GDA Office.

November 3 (Thursday): Western DistrictLegislative Reception, Infantry Museum,Columbus.

November 4 (Friday): SpokespersonTraining, GDA Office.

November 4-6 (Fri-Sun): Alliance Well-Being Conference, Madison, GA.

November 5 (Saturday): GDA Board ofTrustees Meeting, GDA Office.

November 8 (Tuesday): Eastern District(Augusta) Legislative Reception.

November 9 (Wednesday): NorthwesternDistrict Meeting—GDA Officer Visit.

November 10 (Thursday): SouthwesternDistrict (Albany) Legislative Reception.

November 14 (Monday): NorthernDistrict Executive Council Meeting,GDA Office.

November 15 (Tuesday): Eastern District(Athens) Legislative Reception.

November 17 (Thursday): SouthwesternDistrict (Valdosta) Legislative Reception.

November 24-25 (Thurs-Fri): GDAOffice Closed for Thanksgiving Holiday.

November 29 (Tuesday): Central DistrictLegislative Reception.

December 1 (Thursday): NorthernDistrict (Hall County) LegislativeReception, Chattahoochee Country Club,6-9PM.

December 2 (Friday): Atlanta DentalStudy Group Winter Meeting, Ritz-Carlton Buckhead.

December 7 (Wednesday): NorthwesternDistrict Legislative Reception, ClarenceBrown Center, Cartersville.

December 8 (Thursday): SoutheasternDistrict Legislative Reception, HarperFowlkes House, Savannah.

December 14 (Wednesday): NorthernDistrict Legislative Reception, DruidHills Golf Club, 6-8PM.

December 23 (Friday): GDA OfficeClosed for Christmas Holiday.

December 26 (Monday): GDA OfficeClosed for Christmas Holiday.

December 30 (Friday): GDA OfficeClosed for New Year’s Holiday.

January 2 (Monday): GDA Office Closedfor New Year’s Holiday.

January 7 (Saturday): GDA Board ofTrustees Meeting, GDA Office.

January 8 (Sunday): GDA Winter Houseof Delegates Meeting.

January 9 (Monday): Opening Day,Georgia Legislative Session.

Upcoming Dental Events





Dr. Jack Bickford hard at work caring for aGMOM patient. Dr. Bickford’s wife Mollyheaded up a team of volunteers who caredfor the children of patients and volunteers atGMOM.

Dr. Robert Grollman multitasks while seeing aGMOM patient.

Drs. Jan Mitchell andAndrew Kokabi discuss aGMOM patient file.

Drs. Doug Depew, Donnie Brown, and Brook Corbett in theGMOM prosthodontics laboratory.

President Mike Vernon with Debbie Vernon; practice partner Dr. ChrisMoldovan; daughters Julia Vernon and Sarah Vernon, RDH; and staffersAndrea Landon and Debra Whitehead.

GDA volunteers celebrate with the last patient whose treatment was completed on the restorativeclinic floor (her doctor was Dr. Troy Schulman).



Georgia Mission of Mercyby the Initial Numbers

1,500 Volunteers• 300 Dentist Volunteers

• 700 Dental Staff Volunteers

• 500 Community Volunteers

2,197 Patients Seen• 794 Male

• 1,385 Female

• 23.9% Ages 31-40

• 22.3% Ages 41-50

• 18.9% Ages 21-30

• 16.7% Ages 51-60

• Average Age 38.2 Years

Dental Care Provided• Volunteers provided cleanings, fillings,

extractions, limited root canal therapy,and lab procedures valued at $1.5 mil-lion. The exact numbers of procedures arestill being tallied.

Majority of Patients from Georgia• Patients visited from Alabama, California,

Connecticut, Florida, Iowa, Louisiana,Mississippi, New Jersey, and Virginia but2,159 patients were from Georgia. Patientsvisited from 151 Georgia towns.

Dr. Tom Broderick, Abby Halpern, and Dr. Stan Halpern.

Dr. Richardson Odum performs an endodonticprocedure for a GMOM patient.

GMOM Co-Chair Dr. Karyn Stockwell with herparents Al and Dorothy.

A screenshot of GMOM Co-Chair Dr.Jonathan Dubin being interviewed onthe NBC Nightly News.



Member dentists frequently contact theGDA office with a variety of patientinteraction questions. One doctor recentlyasked a question regarding a non-English-speaking patient and the use of a familymember to translate the dentist’s commentsto the patient. This question, and theanswer provided by GDA staff, is offeredhere to help other dentists who may findthemselves in a similar situation.

Q: I have a friend who heard ata meeting that if he sees anon-English-speaking personfor an examination and uses arelative as a translator he may beopening himself up to a lawsuit.The reason given at the meetingwas that since a “non-medical”person was translating that theymay not get the medical informationcorrect. Our office occasionallysees non-English-speaking patients,and we typically allow whoeveraccompanies the patient to serveas a translator. What should we do?

A: Often a claim for dental malpracticeincludes a charge that the dentist failed toobtain a patient’s informed consent. Infact, failure to get informed consent is oneof the top three reasons dentists get sued.Although the informed consent processmay seem daunting, if the circumstancewarrants it, obtaining informed consenthas a number of positive risk managementeffects. The informed consent discussioncan manage patients’ expectations fortreatment outcomes and reduce misun-derstanding. Patients who have an under-standing of the risks and benefits of treat-ment will generally be less likely to file alawsuit if one of the described risks actuallyoccurs.

It is important to recognize that if apatient is not able to comprehend informationa dentist presents regarding proposed

treatment because of a language barrier,courts may consider the patient unable toprovide informed consent. It does notmatter whether the patient speaksFrench, Chinese, Spanish, Russian, oreven English—if the treatment warrantsobtaining informed consent, a dentistwould still have the same duty to discussthe treatment with the patient, acknowledgepatient understanding, and obtaininformed consent. If a family member isinterpreting for the patient, there is a riskthat his or her lack of dental knowledgewill hinder a full understanding by thepatient of the risks and benefits of thetreatment.

Aside from informed consent, theremay be other risks lurking when a providerrelies on a layperson without dentalunderstanding to interpret. Not being ableto effectively communicate with thepatient can lead not only to dental errorsbut to other legal issues as well. Title VI ofthe Civil Rights Act of 1964 is one of thosepotential legal issues. This law makes itillegal for any health care provider whoreceives federal dollars (includingMedicaid and Medicare reimbursement)to discriminate against patients on thebasis of national origin. Importantly, theU.S. Supreme Court has opined thatfailure to accommodate a patient’s languageneeds may constitute national origindiscrimination. What Title VI and U.S.Health and Human Services’ guidelinesrequire is for physicians, dentists, andother HHS providers to take “reasonablesteps” to ensure meaningful access to theirpatients with limited English proficiency.

Clearly there is a risk (the size ofwhich depends on the population of yourpatients and the languages they speak)in using family members who are notprofessional interpreters to translate yourcommunications. So what do you do whena patient does not speak English?

There are a number of options forproviders to ensure that there is effectivecommunication with patients without

resorting to use of a family memberwho tags along with the patient. Forinstance, GDA-endorsed Medical Protectiverecommends a company called DTServices (formerly called Deaf Talk). DTdoes not require a subscription or aminimum number of minutes of translation.They have a large number of interpreters,all of whom have training in medicaltechnology. DT Services can also translatedocuments for dental offices, such asinformed consent or patient educationforms. They also have translation services(sighted; it works from a screen) for thedeaf; hence their original name. One pointof interest is that DT Services givesMedical Protective insured dentists aservice discount.

Another option is to seek out organi-zations that work with immigrant orrefugee populations. These can includeassociations, community centers, courtsystems, and even places of worship. Manyof these organizations have resourcesfor volunteer or paid interpreter services.Hospitals also often have paid interpreterson staff. It may be worthwhile to check withyour landline phone or cellular provider tosee if they offer paid interpreter services.

This article is not intended to providelegal advice and should be treated asinformational only. For legal advice,dentists must consult with their privateattorneys.

Informed Consent and the Use of Family Members as TranslatorsMelana Kopman McClatcheyGDA General Counsel



During a stormy 2011 legislative session,where lawmakers dealt with difficultdecisions about the budget, education,taxes, and immigration, the GDA wassuccessful in pushing through two keybills. One was HB 189, the non-coveredservices bill, which aimed to stopinsurance companies from cappingfees on services not covered in their plans.The other was HB 167, the prompt paybill, which aimed to expand Georgia’sprompt pay requirements to third partyadministrators (TPAs).

Since Governor Nathan Deal signedboth bills, dentists have contacted theGDA office with questions about the laws,and how insurance companies are address-ing implementation. Some of thesequestions are published below to assistdentists dealing with similar issues.

Q: Can an insurer make a dentistchoose to sign either a contractthat requires them to continuegiving a discount on Non-CoveredServices or one that does not?

A: No. HB 189 prohibits any health careprovider contract that would require adentist to provide a discount on Non-Covered Services.

Q: Is an alternative benefitpayment considered a CoveredService?

A: Yes. For instance, let’s say that acomposite restoration is a Non-CoveredService. If the insurer company will paythe amount of a Covered Service such as

an amalgam toward the composite treat-ment, the composite restoration is thena covered service. Ultimately, this meansthat the dentist will have to accept thediscounted price for the composite.

Q: Can an insurer in Georgiasend an Explanation of Benefitform that tells the dentist togive a discount on Non-CoveredServices?

A: No. Georgia is the only state in thecountry that has specific language in itsNon-Covered Services law that prohibitsan insurer from sending Explanation ofBenefit forms that directly or indirectlyimply that a dentist may, or should, extenddiscounts to patients for Non-CoveredDental Services.

Q: When else must a dentisthonor the discount for anotherwise Non-Covered Service?

A: The new law requires dentists to honorthe discounted price for a treatment if theservice would be considered covered butfor a contractual limitation such as adeductible, a waiting period, annual orlifetime maximum, or frequency limitation.

For instance, say a patient’s insuranceonly covers cleanings in the first sixmonths. After six months, the insurancewill cover restorative care. During theinitial six-month period, the patient needsa filling. Since the restoration would havebeen a Covered Service but for the waitingperiod, the dentist must treat the serviceas covered and honor the discounted ratefor a filling.

Non-Covered Services and Prompt Pay:Questions About Implementation

IMPLEMENTATIONContinued on page 14



Q: Georgia already has a PromptPay law. Does HB 167 affect medifferently?

A: HB 167 expands Georgia’s Prompt PayStatute from traditional insurers to includeThird Party Administrators (TPAs) for self-insured, ERISA plans. Under the currentlaw, traditional insurers have 15 workingdays to pay a claim or give written notice ofwhy the claim will not be paid. Beginningin January 2013, TPAs will have to paypaper claims within 30 days and electronicclaims within 15 days, respectively, oraddress why they are unable to do so with-in the same time frame.

Q: Can you tell me how a cleanclaim is defined?

A: Generally a clean claim is defined as aclaim received by a plan for adjudication,

in a nationally accepted format in compli-ance with standard coding guidelines andwhich requires no further information,adjustment, or alteration by the providerof the services in order for the plan toprocess and pay the claim.

Q: Is HB 167 really a good thingfor dentists?

A: The GDA strongly believes so.Traditional insurers are approximately35% of the insurance market whereasTPAs of self-funded ERISA plans consti-tute the majority of the market. Before HB167, Georgia had no deadline for a TPA topay a dentist or provider for a claim. Nowall insurers and TPAs alike will be requiredto promptly pay claims. Georgia’s new lawis the first of its kind in the nation.

Q: Is there a penalty for an insurernot making prompt paymentsaccording to the law?

A: When an insurer or TPA processes lessthan 95% of claims in compliance with HB

167, that entity will be responsible for pay-ing interest to the provider dentist. Theamount of interest would be 12% perannum on the amount owed to the dentist.

Q: What should a dentist do if aninsurer refuses to honor theNon-Covered Services or PromptPay laws?

A: While the GDA has not had a significantnumber of complaints regarding non-compliantinsurers, there is a process for those whoare experiencing difficulties. Dentistsand other health care providers shouldcontact the state Managed Care Unit ofthe Office of Insurance and Safety FireCommissioner at (404) 656-2070 andrequest a Provider Complaint Form.Health care providers should not use thecomplaint form that is posted in theConsumer Services section of theCommission’s web site.

IMPLEMENTATIONContinued from page 13



Dr. Ricardo Azziz was named Presidentand CEO of Georgia Health SciencesUniversity (GHSU) in July 2010 and hasjust completed his first year on the job. InJune, then-GDA President JayHarrington, President-Elect Mike Vernon,Vice President Sidney Tourial, andExecutive Director Martha Phillips metwith President Azziz and GHSU Collegeof Dental Medicine Dean Connie Driskoto discuss the goals and objectives of theGHSU dental program.

The GDA leadership found Dr. Azzizto be very forthcoming about his vision forthe future. He believes that his roadmapfor the future of GHSU involves seekingsolutions in four primary areas: educationexcellence, research growth, clinical inte-gration / development, and workforcedevelopment.

Dr. Azziz told the assembled GDAleaders that, “GHSU has to proactivelymanage our brand; perception is reality.”In discussing his plans for the university it

was clear that he believes leadership muststep up and make sure that the facultyunderstands its role in advancing thevision. While this is not the exact quote heoffered in the meeting, the quote from thesummer / fall issue of MCG Today doesimpart the message he gave: “Leadership:We need to get the wrong people off thebus and the right people on the bus … andin the right seats.”

In speaking of the faculty, Dr. Azzizsaid they fall into three categories: clinical,scientific / research, and administration /educators. He was very clear that there is arole for all three, but he was equally clearthat there was no role for amateurs whowant to dabble in research. He alsobelieves facilities must be translational andinterdisciplinary.

Dr. Azziz also stated that GHSU hasmany of the budget problems that otherstate entities are experiencing and he seessolving the financial needs of the institutionas one of his biggest challenges. GHSU’sbudget is currently $1.1 billion. The statecontributes about $145 million in fundingto the university. As the leadership sees it,research grants can certainly contributeto the university’s bottom line but won’tgenerate all of the needed income.

As stated on the GHSU web site,tuition at the dental school is approximately$30,000 a year for in-state students (seetable at left). For many years, GHSU(formerly the Medical College of Georgia)has accepted only Georgia residents intotheir dental program. Beginning with theentering 2012 class, however, the Collegeof Dental Medicine will accept up to 5percent of students from out of state. TheGDA leadership learned that tuition forout-of-state students will be around$70,000 per year.

Dr. Azziz is quick to say that he isinterested in admitting out-of-state studentsto increase diversity within the school.

GDA Connects with GHSU President Ricardo Azzizand Dental Dean Connie Drisko

GDA CONNECTSContinued on page 16



However, the tuition funds generated bythe students must be seen as a positive interms of additional funding for the dentalschool.

The College of Dental Medicineaccepted 80 students for the 2011 freshmanclass. Prior to this, each dental school classaveraged around 62 students. The GHSUdental program accounts for about one-fourthof the dentists who receive dental licensesin Georgia each year.

In the GDA leaders’ meeting with Dr.Drisko she was very clear, as was Dr. Azziz,that GHSU and the College of DentalMedicine are businesses and must be runas businesses. Both individuals stated thatthis may mean that the GHSU dental pro-gram and the GDA may not always agree.While discussing the role of the dentalschool, Dr. Azziz was clear that he did notsee their mission as being a safety net forthe state’s Medicaid and PeachCare pro-grams. He said the school would alwaysprovide care to these patient populations,but his goal is to carve out a “niche” thatwill attract patients from all across thecountry to receive their health and dentalcare at GHSU.

He referenced the University ofAlabama Birmingham (UAB) at this pointin the conversation. He commented thatGHSU is about 20 years behind UAB, buthe thinks he can accomplish his vision forGHSU in seven or eight years.

The GDA leadership asked DeanDrisko about a proposed program to trainforeign-educated students at GHSU. DeanDrisko said a program was under discussion,but had not been presented to Dr. Azziz atthe time of discussion. Dr. Drisko statedthat such a program would be structuredto allow foreign-educated dentists tocomplete the last two years of dentalschool leading to a degree in dental medi-cine which would allow them to take theCRDTS or other regional licensure exams.She stated that if such a program isimplemented, these students would beintegrated into the class at the juniorlevel and would be counted as within theanticipated 100 student class limit.Foreign-educated students would payout-of-state tuition rates.

Dr. Azziz additionally stated thatGHSU needed a presence in Atlanta. In a

GDA CONNECTSContinued from page 15Snapshot: Dr. Ricardo Azziz

(from www.georgiahealth.edu)

Dr. Ricardo Azziz is the 8th President of Georgia Health Sciences University

and CEO of the MCG Health System. GHSU includes the Medical College of

Georgia, the 6th largest medical school in the U.S., and Georgia’s only

College of Dental Medicine. Having assumed the leadership of GHSU July

2010, Dr. Azziz has moved rapidly to integrate the university and its

health system, jumpstarting efforts to enhance the national recognition

and standing of the university and its education, research, and clinical

programs. He is also re-energizing philanthropy, and is driving efforts to

broaden the university’s reach statewide and globally. He has heightened

the university’s commitment to civic and university engagement, embraced

sustainability, and demonstrated a strong commitment to partnership within

and beyond the university’s walls.

A recognized clinician, biomedical researcher, and health care executive,

Dr. Azziz serves as Professor of Obstetrics, Gynecology, and Medicine at

GHSU. He came to GHSU from the Cedars-Sinai Health System and UCLA

where he guided the transformation of the department of obstetrics and

gynecology at Cedars to a nationally ranked and recognized academic

department. Renowned not only for his androgen excess-related research,

long-funded by the National Institutes of Health, Dr. Azziz also is recognized

for his strong commitment to leadership and faculty development.

Previously, Dr. Azziz served on the faculty of the University of Alabama at

Birmingham, where he focused on his research and clinical practice—and

where he completed an MBA and an MPH.

A native of Uruguay and an accomplished artist, Dr. Azziz brings a global

and creative perspective to his leadership of Georgia’s only public academic

health center and health sciences university.

(From MCG Today): Dr. Azziz’s vision for GHSU is “to become a top tier

academic health center and a top 50 research university, while leading

the transformation of the institution and the region into a health care and

biomedical research destination.”



step toward accomplishing this goal, theuniversity acquired office space for GHSUin the Coverdell Legislative OfficeBuilding, which is directly across from theState Capitol. Dean Drisko also stated thatthe GHSU College of Dental Medicine isseeking locations across the state to set upprograms. She stated that one goal is toexpand from 46 residency slots to 73 slotsby 2014. She was clear that the dental pro-gram needed these off-site venues to allowfor this expansion.

Opening ceremonies for the new den-tal school will be on September 23, 2011,and Dr. Drisko is already concerned abouther first year’s operational budget. The$1.9 million in maintenance expenses werenot funded for the first year.

There is no doubt that Dr. Azziz,Dean Drisko, and everyone associatedwith GHSU are under pressure to performat the highest level and to produce resultsin several areas sooner rather than later.All parties ultimately agreed that it isimportant for the GDA and the university,in particular the College of DentalMedicine, to have open and frequent com-munication and everyone committed tomake this happen.



Strategic planning is an organization’sprocess of defining its direction, and mak-ing decisions on allocating its resources topursue this direction. The current GDAStrategic Plan, created in 2007, has beenrevised by the 2011 Strategic Plan TaskForce chaired by Dr. Donna ThomasMoses. The revised plan was presented tothe Summer 2011 House of Delegates forreview. All GDA members are alsorequested to review the proposedplan and submit suggestions forchanges by September 21, 2011.Dentists are encouraged to submitsuggestions to the task force member fromtheir district (listed below). The GDA willincorporate goals from the Strategic Planinto committee and other Association activities.

Central, Dr. Mike Loden ([email protected])

Eastern, Dr. Mike Vernon([email protected])

Northern Dr. David Pumphrey([email protected])

Northern Dr. Carol Wolff([email protected])

Northwestern Dr. Niles Woodall([email protected])

Southeastern Dr. Larry Schmitz([email protected])

Southwestern Dr. Chris Hasty([email protected])

Western Dr. David Fagundes ([email protected])

2011 GDA STRATEGICPLAN: DRAFT DOCUMENT

PROPOSED VISION STATEMENT:Georgia: A state with optimal oral health.

(A Vision Statement is a long-termview, sometimes describing how theorganization would like the world tobe in which it operates. For example, acharity working with the poor mighthave a vision statement which reads “A

World without Poverty.” A Visionstatement outlines what the organizationwants to be, or how it wants the world inwhich it operates to be. It concentrates onthe future. It is a source of inspiration.From wikipedia.com.)

PROPOSED MISSION STATEMENT: The Georgia Dental Association is thepremier professional organization ofdentists in the state committed toimproving oral health in Georgia andcontinuously promoting the higheststandards of dentistry through education,advocacy, and professionalism.

(A Mission Statement defines the fun-damental purpose of an organization or anenterprise, succinctly describing why itexists and what it does to achieve itsVision. From wikepedia.com.)

PROPOSED GOAL 1: PROTECTAND ENHANCE DENTAL CAREFOR ALL GEORGIA PATIENTS• Ensure Georgia patients receive diagnosis,

treatment planning, and irreversibleprocedures from a dentist licensed inthe state of Georgia.

• Maintain the dentist as the head of thedental team, as the dentist is the onlyteam member educated to diagnose,treatment plan, and provide irreversibleprocedures.

• Protect patients’ freedom to choose theirdentist.

• Promote and preserve the doctor-patientrelationship.

• Inform legislators on how to protect thepatients of Georgia.

• Educate the public of the connectionbetween oral health and overall health.

• Promote the value of volunteerism.

PROPOSED GOAL 2: IMPROVEGDA OVERALL STRENGTH ANDEFFECTIVENESS• Promote the value of GDA membership

and explore ways to increase that value.

• Increase overall membership.

• Maintain the financial stability of theGeorgia Dental Association throughfiscal responsibility.

• Enhance communication among dentists,the Board of Dentistry, legislators, policymakers, and public / private entities.

• Strengthen the governance of the GDAthrough involvement of the House ofDelegates, the supreme governing bodyof the Georgia Dental Association.

• Promote advocacy at the state and federallevel.

• Promote involvement by GDA andAlliance members in GADPAC andADPAC.

• Promote Alliance membership.

• Maintain and provide for an efficientAssociation staff.

PROPOSED GOAL 3: PREPARE FOR THE FUTURE OF DENTISTRY AND THE GDA• Consider future models for the practice

of dentistry and dental education andtheir impact on quality, comfort, andlongevity of patient care.

• Consider meaningful and necessary oralhealth care education for the citizens ofGeorgia.

• Maintain an effective legislative strategy.

• Encourage involvement in organizeddentistry.

• Consider future staff changes within theGDA and strategies for their implemen-tation and transition.

• Develop and maintain a strong relationshipwith Georgia Health Sciences University.

• Remain current with developments intechnology and communication.

• Continue to promote GDA subsidiariesand non-dues revenue.

Note: The current

GDA Strategic Plan

may be viewed at

www.gadental.org.

GDA Strategic Plan: Review and Comment



2011-12 GDA Alliance President Helaine Sugarman invites allGDA member dentists, and their spouses, to take part in theAlliance activities scheduled over the next few months. Thisdynamic organization supports the GDA in advocacy, dental healtheducation, and well-being of the dental family activities. Interesteddentists and spouses may visit the Alliance page on the GDA website at www.gadental.org, or email Mrs. Sugarman [email protected], for more details on events.

GHSU Student Spouse Event in AugustaThe Alliance has held several successful events that encouragedental spouses to get involved in Alliance activities. The Alliancechapter at GHSU is very active, and has great leaders. This eventwill be held on Friday, September 16 at the home of GHSUDental Dean Dr. Connie Drisko. Please email Helaine Sugarmanif you are interested in attending this event.

Charitable Clinic Social MixerAlliance members and dentists are invited to learn about the vol-unteer opportunities available at Atlanta-area charitable dentalclinics and enjoy fine wine! Hear certified wine educator LisaAllen, owner of the Big Boat Wine Company, and get the scoop onhow you can best volunteer your time at Atlanta’s many charitabledental clinics. The event is Sunday, September 25, at 5:30 p.m.at The Borghese on 3286 Northside Parkway in Atlanta (30327).The cost is $35 per person. Mail your check (made out to GDAAlliance) to Fran Brown, 1690 Redbourne Dr, Dunwoody GA30350 by September 20.

AADA Conference Takes Place in Las VegasThe Alliance of the American Dental Association (ADA) conven-tion is October 9-13 in Las Vegas, NV, at the MGM Grand Hotelduring the ADA Annual Session. Georgia’s own Debbie Torbushwill take office as AADA President at this meeting! For details onconference registration, and the AADA “We Care for You fromHead to Toe” charitable event, visit www.allianceada.org.

Dental Kit Day is October 29, 2011 Alliance and dentist volunteers will assemble legislative dental kits atthe GDA office in Atlanta on Saturday, October 29 at 9 a.m. Therewill be breakfast snack items and beverages. All you need to bring isyour desire to assemble nearly 900 dental kits containing power brushes,paste, and floss! Please email Helaine Sugarman at [email protected] you can attend this fun and valuable advocacy event.

Alliance Plans Mix of Events for Dentists, Dental Spouses

gdaalliance

ALLIANCEContinued on page 20

Thanks to all Alliance GMOM volunteers!

There were many great Alliance dental spouses

pitching in to make sure that the Georgia Mission of

Mercy enjoyed success August 12 and 13. Our Past

President Molly Bickford served as Hospitality Chair for

the event, and Alliance members Julia Davis (Food /

Beverage), Jennifer Mason (Child Care), Tish Shirley

(Massage Therapy), and Janelle Kauffman

(Entertainment) served as GMOM Leads. They and

many more dental spouses made sure that patients

and volunteers were well fed, looked after, and happy!

(L to r): GMOM volunteers and supporters Dr. RichardSmith, Nancy Ferguson, Molly Bickford, CindyJernigan, Janelle Kauffman, Gigi Kudyba, HelaineSugarman, Dr. Karyn Stockwell, Mary Percy, Dr.Jonathan Dubin, and Mrs. Martha Phillips with acheck showing the amount of money the Alliancehelped generate for GMOM during a silent auction thegroup staged.



Alliance Well-Being ConferencePlan to attend the Second Annual Alliance Well-Being Conferenceat the historic James Madison Inn in Madison, Georgia. The datesare Friday-Sunday November 4-6. Janelle Kauffman and MaryPercy are planning what we know will be a wonderful weekend!Among the planned activities:

• A welcome wine and cheese event at a local antique mall.• Chances to explore Madison’s shops and historic buildings.

The initial Well-Being Conference in North Georgia drew manyAlliance members who enjoyed Bunko, wellness classes, yoga,shopping, incredible meals, and fellowship. Questions about thisgreat event? Email [email protected] or [email protected]. To make Inn reservations, call the hotel directly at(706) 342-7040.

Dental Health Day at the Capitol Dental Health Day is January 9, 2012, the first day of the leg-islative session. GDA and Alliance volunteers gather at the Capitoland distribute dental kits to every legislator and legislative staffmember. Last year, the first day of the session was snowed out!

Hopefully, we will have better weather in 2012 and see a largeturnout of Alliance members ready to participate in this advocacyevent. If you can attend, please email [email protected].

Alliance LAW DayThe Alliance and the Northern District Hall County Branch willhave a GDA Legislative Awareness (LAW) Day at the Capitol onWednesday, March 28, 2012. We have had recent LAW Days inJanuary and February, but not March. We hope to have a terrificturnout on this Wednesday following the Hinman Dental Meeting.A LAW Day features a buffet breakfast, an issues orientation fromGDA staff, and the chance to speak to state legislators about issuesimportant to dentistry. To RSVP for the LAW Day, email yourname to [email protected]. It is important to RSVP so you willhave a nametag and information packet waiting for you, and also soyou can be informed if the LAW Day must be altered to fit the leg-islature’s schedule.

AADA Spring 2012 Conference Save the date! The Alliance of the ADA Spring Conference isApril 10-14, 2012, at the Evergreen Marriott ConferenceResort in our very own Stone Mountain, Georgia! The eventwill feature continuing education for dentists, courses for spouses,and entertainment! Look for more information about this fantasticevent in future GDA Action issues and on the GDA web site.

ALLIANCEContinued from page 19



Dental Related Services

X-RAY SAFETY CERTIFICATION forassistants is required by Georgia law.This up-to-date take-home course haseffectively certified thousands of x-raymachine operators. Send $149.99 per reg-istrant with name(s) to: Dr. Rick Waters,385 Pinewood Circle, Athens, GA 30606.Visit www.gaxray.com for credit card pay-ment or to use the immediate-accessonline version. Call (706) 255-4499 formore information.

Dentists Availablefor Locum Tenens

Dentist will fill in for illness, vacation, orcontinuing education. Licensed, insured,DEA #, call (404) 786-0229 or [email protected].

Dentist Available Daily (DAD): Dentistavailable during vacations, emergencies,and CE courses. Leave your practice inwell-trained hands. I am licensed, insured,and have a DEA registration number so Ican write prescriptions. Call Dr. RichardPatrick at (770) 993-8838.

DENTIST: Need Part Time Fill In?Vacation, Illness, Maternity? GENERALDENTIST SOLD LONG ESTAB-LISHED PRACTICE. GA & DEALICENSED. (Available Expanded AtlantaArea.) Cell: (404) 219-4097. Home: (404)842-1196. Jesse Hader, DDS.

Dentist available during emergencies,vacation, CDE courses. I have a currentlicense, DEA certificate, and insurance.Contact me at (706) 291-2254 or cell (706)802-7760. I hope I can be of service to you.Patrick A. Parrino, DDS, MAGD.

Equipment for Sale

FOR SALE: PC-1000 PanCeph Machine,Panorex is Digital Ready, Can removeCeph and Pan can be converted to digital,Approximately 5 years old, Sold as-is nowarranty, Call (404) 233-1155.

Positions Available

TIRED OF THE RAT RACE? Well-established practice in the mountains forsale. Friendly patients who appreciatewhat you do for them. Motivated, cross-trained staff. Modern equipment in abeautifully constructed, high-image, glassbuilding well-located for public awareness.Computers in all operatories. Ideal for soloor group practice. 10,000 foot buildingavailable separately or package deal forboth building and practice. Growing com-munity. NO long commute and NO 8-lanefreeways. Excellent school system. Lowcrime rate. Tons of family / sportsman out-door recreational opportunities. Closeenough to larger towns to go to the mall,but far enough away to avoid all the bigcity hassles. (706) 745-6848.

NEED YOUNGER DENTIST, passionateabout dentistry, to buy out my 40+ yearsSandy Springs practice. Interested partyplace initial response to [email protected].

Pediatric Dental office in Newman,Georgia, would like for a new familymember to join our team! We are offeringan outstanding Part-Time to possible Full-Time opportunity for a Pediatric / GeneralDentist. We are seeking a special, motivat-ed, energetic, personable individual to joinour team. We are a “Family practice” withpotential for growth. Looking for that spe-cial individual who takes pride in theirwork and can provide comprehensive den-tal care to our adolescent and teen popula-tion. For those who want to become a partof our compassionate and loving family,please email C.V. to [email protected] or call (404) 597-7105.

classified ads

How GDA members canplace classified ads

AD FORM: Submit all ads on a GDA ClassifiedAdvertisement Form. To obtain a form,call Skip Jones at (800) 432-4357 or (404)636-7553, or email [email protected].(Note: The GDA may accept or reject anyad for any reason and in its sole discretion.)

AD DEADLINE: Ads and ad check payments are due by thefirst of the month before the publicationmonth (i.e., Dec. 1 for January).

AD RATES: ADA member dentists pay $75.00 per60-word ad per month. There is a 25 centsper-word charge for each word over 60.Non-dentist-owned companies (real estatefirms, etc.) pay $195 per 60-word ad permonth (additional word charges as above).Non-member dentists may notplace ads.

LATE FEE:Ads for which full prepayment is notreceived by the first day of the ad’spublication month (i.e.; Nov. 1 for aNovember ad) will incur a $25 late fee inaddition to the ad rate.

FORMS OF PAYMENT: Submit a check or money order with the adform. (Make checks payable to GDA.)Credit cards are not accepted as payment.

WEB SITE PLACEMENT: Prepaid ads will appear on the GDA Website www.gadental.org for the month thead appears in print. Non-prepaid ads willNOT be placed online.

CLASSIFIEDSContinued on page 22



Fee for service private dental office isin need of a dentist to work Saturdays.Also if interested could offer occasionalFridays and possibly 4-5 weeks during thevacation periods of owner dentist. We aredigital, paperless, CEREC, and rotaryendo and have a great staff. Owner worksM-Th 8:30 a.m. - 5:00 p.m. We have aFriday associate who works 3 Fridays permonth (8-3) and would love to offerSaturday hours to our patients. (Chooseyour own hours.) Must be win, win, win forowner, associate, and patients for this towork. If interested [email protected] and we willmake it work to everyone’s benefit.

Georgia licensed dentists needed forimmediate openings in all areas ofGeorgia. Part-time or full-time. Startingsalary of $700 / day with equipment, sup-plies, assistant, and training provided. Ourcompany, Dynamic Mobile Dentistry, pro-vides on-site preventative, restorative,prosthetic, and surgical care for nursinghome residents in the nursing facilities.Call (478) 330-5038 or (478) 737-0552 oremail [email protected] for moreinformation and / or interview.

Fast growing Dental Practice in theCumming GA area looking for anAssociate Dentist to join our team in aPT / FT position. We practice general den-tistry with a wide variety of procedures.We have a great office team and are look-ing for a Dentist to join our loving andcompassionate staff. Please fax resume to(770) 889-6687.

Very busy Dental Office with multiplelocations in South Central Georgialooking for a productive GeneralDentist. We offer outstanding guaranteebase pay of $400 / day plus incentive com-pensation based on percentage of collec-tions. Possibility of partnerships in futureendorsements. Ideal candidate—Must becomfortable working in all phases ofGeneral Dentistry, Pedo, Pros, Endo, OralSurgery, Implants, and Restorative.Integrity and the ability to develop a goodrapport with patients and the team areessential. Only those dentists who takepride in their work and provide qualitydental care will be considered. Candidatewill need to be able to work at least Friday,possibly Saturday, and can work at least 4days a week. Interested applicants need tosend their C.V. to [email protected] or fax to (229) 868-6984.

CLASSIFIEDSContinued from page 21



Exceptional Opportunity for AssociateDentists. Join Dr. Mark Shurett’sAssociate Team to provide treatment tochildren throughout Georgia. Wellequipped and maintained offices. Positionsinclude F/T, P/T, and Locum Tenens.Multiple locations available. Friendly staffwith no daily office / overhead challenges.Contact Tina Titshaw [email protected], call (678) 413-8130,or fax resume to (770) 760-1375.

Associate Dentists—Opportunities avail-able in several areas of North Carolina instate-of-the-art, digital general practicestreating underserved children and youngadults. A desire to work in a positive, teamoriented environment a must. Full-timepositions in a number of our seven NClocations. Exc. salary / benefits package.Signing bonuses available in select loca-tions. Contact Roger Walters,SmileStarters at (704) 395-6000 or [email protected]. Newgrads encouraged; a great place to startyour career!

ASSOCIATE DENTIST NEEDED:General family practice with locations inPeachtree City and Newnan looking for apart-time general dentist. Two days perweek with future growth. Candidate mustpractice all aspects of dentistry. Greatopportunity for a new graduate. Pleaseemail resume to [email protected].

Dentist Position Available in Implant,Cosmetic, and Reconstructive Practice.Paperless office, great growth opportunity,minimum of four (4) years of clinical expe-rience is required. Proficiency inEndodontics (all teeth) and extractionsrequired. Benefits available. Fax resume to(770) 381-7744.

Practices/Office Space Available

Duluth, GA. Modern Pediatric DentalOffice Space—2,620 sq ft and lots of stor-age. With Lease Hold Improvements,Equipment, Furnishings. Easy start upwith min. costs. High traffic area nearGwinnett Place Mall. Available Now.Tammy or Fran at (770) 497-9111.

FIRE-SALE! * CUMMING Total of 4operatories, 2 equipped. This is a spacewith equipment. There are limited patientsand no financials on the practice. Locatedin a small strip center on a busy road.Seller must sell quickly—price is $140K.For more information call (678) 482-7305,email [email protected] orvisit www.southeasttransitions.com.

CLASSIFIEDSContinued on page 24



NORTH OF GAINESVILLE, GA—North GA MOUNTAINS This practicehas consistently collected $1M for the last5 years. No Recession here! Five (5) oper-atories, updated equipment, Digital X-rays. The seller would like to retire. Thebuilding is also for sale. For more informa-tion call (678) 482-7305, email [email protected] or visit www.southeast-transitions.com.

Periodontal office for sale in SaintMarys, Georgia. Three operatories, digi-tal x-rays, satellite for specialty practice orstart up office for general practitioner atfraction of the cost. For additional info,email [email protected].

ORAL SURGERY: Atlanta Suburb OralSurgery Practice available for purchase.Long-established practice grossing $480K(approximately) on 3.5 days per week.Spacious 2400´ office with 3 ops (6 poten-tial). Seller is motivated to sell and will pro-vide some financing. Contact Dr. DavidGriggs; (727) 593-5852, (727) 560-0823(cell), or [email protected].

Norcross Dental office for sale orlease: Beautiful 2,800 square foot, singlestory, brick building. Five operatories,office, lobby / reception, two lab prepareas, three restrooms, breakroom andstorage areas. Not part of an office com-plex so all fifteen parking spaces are yours.Call Mike at (770) 815-4940.

Available: BUCKHEAD: Beautiful,prime location. GAINESVILLE: Grossing$720,000, 3 operatories. GWINNETT:Grossing $823,000, 8 operatories. MARI-ETTA MERGER: Grossing $736K. MID-TOWN MERGER: Grossing $680K.NORTH FULTON: Grossing $878,000,free standing building. SNELLVILLE:Merger into beautiful new facility. SUWA-NEE: Grossing $575K, 4 operatories.MERGERS: Buckhead, Duluth,Peachtree City. Contact RichaneSwedenburg, New South DentalTransitions: (770) 630-0436, Check newlistings, www.newsouthdental.com;[email protected].

CLASSIFIEDSContinued from page 23



Practices for Sale: ATLANTA #8490—Gross Collections $$1.08M; 4 days; 5 oper-atories. ATLANTA #8558—Gross Collections$785,966; 4 days; 6 operatories; 2,780 sq.ft. ATLANTA #8108—Gross collections$654,993; 4 days; 5 operatories; 2,200 sq.ft. office space. ATLANTA #8765—GrossCollections $1.45M; 4 days; 6 operatories;2,780 sq. ft. AUGUSTA #8747—Gross col-lections $1.28M; 6 days; 7 operatories;5,000 sq. ft. office space. SOUTHEAST-ERN GEORGIA #8172—Gross collec-tions $752,638; 4 days; 5 operatories; 1,732sq. ft. office space. NW GEORGIA#8562—Gross collections $670,375; 4days; 6 ops; 2,881 sq. ft. office space.Savannah Area #8779—Gross Collections$1.05M; 4 days; 5 operatories; 2660 sq. ft.office space. NORTH ATLANTA #8804—Oral Surgery practice for sale. For infor-mation, call Dr. Earl Douglas, (770) 664-1982 or email [email protected].

Looking for an upscale, quality officein which to see your patients? Newoffice with operatories to spare for Part-Time Dentist, one with kids or one lookingto avoid hassles of ownership. Duluth /Suwanee. Dr. Bob Finkel at (770) 497-9111.

FLOWERY BRANCH / HOSCHTON /BRASELTON, GA: 20,000 square footdental office building for lease in the #4most economically developing area in thecountry! Under construction and will beopen November 2011! Great lease rates &TI allowance available. Goal is to create a“one-stop” dental facility in the fastestgrowing area around! Looking for PERIO,ENDO & ORAL SURGEON. In a highlyvisible area where NO specialists are locat-ed at this time! Be the first in the area fora promising long term career location.Whether you want 1,500 or 5,000 squarefeet, space will be tailored to each individ-ual’s needs. Perfect location for a new prac-tice startup or a 2nd satellite location!Close to the newly approved satellite loca-tion for Northeast Georgia MedicalCenter. Demographics are off the chartsand schools are unbelievable … literallyone of the most sought after locationsaround! Priority will be given on a firstcome / first serve basis. Please e-mail:[email protected] more information or call (678) 612-2277.



breaking the mold

Dr. Bruce Ashendorf remembers his fifthgrade music teacher sending a note hometo his parents. Luckily for him, the notedid not contain any bad news about behav-ior. Instead, the teacher wrote that she hadsubmitted Dr. Ashendorf’s name toMaestro Fletcher Wolfe, the esteemeddirector of the Atlanta Boy Choir.

“The note said that the choir directorwould call my family and schedule anaudition,” said the Atlanta general dentist.“He did, I auditioned, and suddenly I waspart of the performing choir.”

The Atlanta Boy Choir was foundedin 1953 by George Crawford, who wassucceeded as director by Mr. Wolfe shortlythereafter. Fletcher Wolfe conducted thechoir until 2001, retired, then un-retired toretake the conductor’s podium again in2009. Since its founding, the choir hasearned a reputation as one of the world’sfinest choral groups, singing beforepresidents and popes and all over the world.

Dr. Ashendorf was heavily involved inthe choir during sixth and seventh grades,traveling around the United States andEurope to perform. “I never had a voicelesson, but music runs in my family,” hesaid when asked if he ever had vocal training.“Everyone was in the church choir, orplayed an instrument. My mother playspiano by ear.”

After two years, Dr. Ashendorf’s voicechanged, and he left the choir. “I went to afew concerts, but then I moved on to highschool and college and dental school andpractice, and that was the end of myinvolvement,” he said. “Or so I thought.”

In 2001, upon Fletcher Wolfe’sretirement, the Atlanta Boy Choir hired anew director. That director and the choir’sboard of trustees started on a high note,but the relationship deteriorated as thefinancial standing of the group weakenedduring the decade. In 2009, with the choirmore than $250,000 in debt, that directorand the choir parted ways. Mr. Wolfeoffered to return as director, pro bono, atage 78. He suggested adding a men’s

group to the choir as one way of generatinginterest in the struggling group and addinga stabilizing influence. Dr. Ashendorfended up receiving an invitation to takepart in the choir once again.

“The men’s group that initially formedwas made up primarily of choir alumni,”said Dr. Ashendorf. “I agreed to take part,but it was awkward at first. I had notperformed in such a long time. I mean, Ileft in seventh grade, and returned at age56. But there were three other alums fromthe time I was on the choir who came backon board, and with practice, things soundgood. I’m a second tenor now with thegroup and enjoying the experiencequite a bit.”

The choir practices once a week onTuesday evenings from 7:30 to 9 p.m. atthe group’s long-time Atlanta home onPonce de Leon Avenue. Mr. Wolfe and hiswife, who live in Sky Valley, make theweekly trek to Atlanta for a few days tooversee choir operations and practice.

“Mrs. Wolfe always has a snack ordinner for us after practice,” said Dr.

Ashendorf. “She has always done that.”Dr. Ashendorf also serves on the

choir’s board of trustees in addition tosinging with the group. The choir hasstabilized now financially, is again touring,and continues to gather accolades for itsperformances.

“We performed in Italy in 2010, withconcerts at St. Peter’s Basilica in Rome andat the basilica of St. Francis of Assisiamong others,” said Dr. Ashendorf. “I hadtaken a similar trip with the choir when Iwas young, so it was good to return. WhenI was younger, I did not realize what agreat experience this all was. It has beenwonderful to become involved again,continue to have great experiences, andensure that the choir can go on to inspireand impact other young men.”

Want to hear the choir perform? Visitwww.youtube.com and search for AtlantaBoy Choir. There are several performancesfrom the 2010 Italian tour posted online.

Making Beautiful Music:Dr. Bruce Ashendorf Sings with Atlanta Boy Choir

Dr. Bruce Ashendorf (standing, top row, third from left) rejoined the Atlanta Boy Choirin 2009 as part of a new alumni group. The choir’s founding director, who hadreturned as director to re-energize a debt-riddled organization, created the alumnigroup and invited Dr. Ashendorf to take part. The choir is shown here performing in2010 at Sunday Mass in St. Peter’s Basilica in Rome, Italy.



Suite 200, Building 17, 7000 Peachtree Dunwoody RoadAtlanta, Georgia 30328-1655

www.gadental.org

ACTIONInside This Issue

• Informed Consent and UsingFamily Members as Translators

• GDA Leaders Discuss Issues with GHSU President Azzizand Dental Dean Drisko

DATED MATERIALPLEASE DELIVER AS SOON AS POSSIBLE


GDA Action August 2011

Documents

dental spouses

implementation15 gda

atlanta tmd dentistdr

executive directordelaine

dentists care

pm page

peachtree dunwoody rd

executive directornelda