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Should We Ever Do This At The First Visit?

Should We Ever Do This At The First Visit?

In this episode, Dr. Rich shares a question he got from an attendee at a recent seminar – is it ethical to do a prophy on the first visit? To answer, Rich shares an interesting event from The Madow Brothers’ history.

Then the theme continues on the secret shopper calls. A patient is trying to find an office that will do a cleaning on the first visit. The results? You gotta listen to find out what happened, but let’s just say they were pretty dismal. If you have a question for “The Fixers,” please email us at We’d love to hear from you!

Highlights from “Should We Ever Do This At The First Visit?”

0:11 – Dr. Richard Madow starts The Dental Practice Fixers Podcast with episode 92.  What do you mean I can’t get a cleaning on the first visit?  Have you ever had a patient say that?

0:45 – Rich talks about his trip to Florida.  He was a keynote speaker and at one of the sessions this question came up, which is what today’s episode will be discussing.

1:00 – One way to keep low monthly credit card processing fees is by using STAX by Fatt Merchant as your credit card processing service.  Find out more at

2:00 – If your dental office has an influence in your local chapter and would like Dr. Madow to speak at your study group, local chapter, dental meeting, etc… please email him at

2:40 – One of the questions from one of the breakout sessions was should we do a cleaning on a new patient’s first visit?  One dentist said yes, the other dentist said no.  Rich gives his advice on this topic.

8:40 – Rich will be making secret shopper calls and wanted to know if they would be doing cleanings on the first visit.  See what happens.

10:56 – In case you didn’t know, The Madow Center of Dental Practices does dental coaching.  Have you gotten a dental practice snapshot?  If not, check it out at

Check out to learn more about ways to help your dental practice.

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