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This is Laura Dirdle with the Becker's Healthcare

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podcast. I'm thrilled today to be joined by

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doctor Kartik Nathani, who's the owner and practicing

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dentist at Napa Family Dental of Albuquerque. Doctor

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Nathani, it's a pleasure to have you on

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the podcast today.

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Good morning, Laura. Thank you for having me.

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Absolutely. Now I'm looking forward to our discussion

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because I know so many things are happening

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in the dental industry right now, and, certainly,

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it's just a unique time, to be in

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in dental. But before we dive in, I'm

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wondering, could you tell us a little bit

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more about yourself and your background?

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Yes. Absolutely. Thank you for asking. So, my

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name is Kartik Gantani.

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I'm a practicing dentist, in New Mexico.

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It's been 10 years or so since I've

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graduated.

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Let's see. I was raised in New Jersey

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to my dental school there, which was

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a great experience in my opinion, to my

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residency there, which was an even better experience,

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and relocated to New Mexico.

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And, since the last 10 years within the

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last 10 years, I've practiced in urban settings.

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We're very rural, suburban,

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DSOs.

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I've practiced in my own practice now for

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a few years. So kinda seen,

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a lot of the landscape and it's all

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it's it's exciting to see how things go

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with the future with dentistry.

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Absolutely. That that's great to hear. And, you

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know,

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leads us right into our first question. What

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are some of the biggest issues that you're

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following in the dental industry today? What's really

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top of mind for you as you think

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of your practice and how the industry has

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trended overall?

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You know, I think there's there are so

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many issues that come up in dentistry just

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whether you're an associate or a practice owner

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or even in academia.

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But I think to me, the main concern

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right now that I have is

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staffing

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issues, but not only that, the distribution of

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dental health care providers.

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And, of course, you know, everyone has staffing

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issues. It's it's not just our industry.

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But what worries me more specifically to our

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industry and or maybe in health care

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is the distribution

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of

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health care providers. We have

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so many underserved areas where there's a high

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need,

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and

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yet,

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more and more new grads are sticking to

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areas where

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it's already saturated,

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which,

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can become a health care access issue to

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the public.

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And, of course, if you're thinking about from

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a business perspective, then if you're if you're

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in an area where you're

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competing

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with, you know, a high number of similar

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professionals,

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or in a high cost of living area,

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then you're really doing yourself a disservice. So

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in my opinion, I think the issue that

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worries me the most currently

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is the the distribution of health care providers

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in dentistry.

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Absolutely. And that makes a lot of sense.

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You know, when you think about,

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that access to care issue and certainly

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look at different areas that maybe don't have

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the right,

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or enough dental

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professionals there to serve the patient population,

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how do you see those spaces evolving? You

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know, what do you see as the future

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for some of these areas,

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especially nonurban areas that, you know, really do

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need additional dental support for their communities?

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Well, you know, I don't know,

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the right answer. Obviously, this this is a

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very personal choice for where someone wants to

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practice, but

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the trend, I think, is that over time,

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people are finding

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it it,

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worth it to go to more underserved areas.

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And I'm hoping that the trend continues

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where, you know, in time, there's a reliable

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factor

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of being able to provide health care to

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underserved communities.

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And in a way that's,

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not entirely profit driven,

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but perhaps

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more in line with the patient's best interest.

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So that's what I'm I'm hoping for, and

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I think the trend

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over time is that

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whether it's public

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health centers, federally qualified health centers, Indian Health

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Services, VA,

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or private equity groups now looking at DSOs

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that are more

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rural based.

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There are ways to curtail this issue,

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that are that seem to be becoming more

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and more predictable.

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In the long run, I still think you'll

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have issues.

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I think the hardest part here is just

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finding

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good providers,

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good doctors, hygienist assistants.

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And I I think that's if that's taken

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care of, which,

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you know, seems to be heading in the

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right direction,

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then more people will have access to to

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health, like, health care they need.

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Absolutely. That's, you know, really great to hear.

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And I know the other

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issue you mentioned was looking at the workforce,

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and and staffing issues. That was something that

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so many different organizations, whether in dental and

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health care or,

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you know, outside of those spaces are really

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trying to figure out and troubleshoot right now.

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From your perspective, is there anything that you've

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done at at Napa Family that, you know,

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has really been,

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successful in either recruiting or retaining staff?

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You know, we currently, I'm, I'm focused on

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my main office, but at our highest

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both rate, we were at 3 locations, and

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and that was a little bit

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more unique because we were able

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to perhaps hire someone from,

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let's say, the Albuquerque area and then have

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them

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help us out in more rural areas by

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having,

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commute stipend, for example.

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And I think by having,

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you know, these little fringe benefits such as,

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a stipend for commuting to rural areas or

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in

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for associate doctors being giving them a

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a stipend for travel, you know, that and

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being a little bit more lenient with vacation

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days.

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Adding these benefits

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seems to sweeten the deal,

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and, of course, paying competitively helps a lot

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as well.

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And

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in in my opinion, the people that may

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want to relocate

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or be willing to work in in a

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safe area,

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they

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will think that the salary is important, of

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course, but

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adding benefits, especially for doctors,

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is

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super beneficial.

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You know, a lot of the

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saturated areas may not be able to provide

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that.

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Things like continuing education reimbursement,

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like I mentioned before, travel stipend,

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sign on and retention bonuses. All of those

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little things can add up to make a

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nice package.

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In terms of recruiting,

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you know, having a good,

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a good recruitment strategy is very important. But

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what worked for us mostly is

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internal recruiting.

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Having systems in place where

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if an

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employer if an employee refers

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someone that they know and it ends up

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working out, then they both get rewarded for

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it. It's a little bit more difficult to

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do for associate doctors, but for

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auxiliary personnel, it worked out great.

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That makes a lot of sense. And, you

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know, thank you so much for sharing that.

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I think, you know, it is really helpful

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to think along those lines and understand, what's

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meaningful for for doctors and staff members as

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well. Now when looking to the future, what

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are you most excited about, or what makes

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you nervous?

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You know, currently, the most excited for the

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way technology is being incorporated into dentistry.

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You know, we we know all about the

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scanning and the 3 d printing and the,

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photogrammetry,

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all of the clinical stuff, but also

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I'm more excited to find out how AI

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and

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advancing technology can help with the running of

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business.

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Clinical dentistry is great,

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but

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sometimes it's hard for

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it to be adapted.

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So for example,

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3 d printing dentures and doing the same

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day conversions can be challenging for a lot

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of practices.

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But

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in terms of running a business, things like

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better AI assisted,

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marketing,

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better AI assisted

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front office duties, such as insurance verification,

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patient intake,

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AR.

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Those things can really make a big impact

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on a on a small or or even

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a large business

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if adapted correctly

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while not driving up the costs of of

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entry

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too much. You know, for example, right now,

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we

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are beta testing this amazing

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AI powered kind of a do it all

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program, which started out by being a marketing

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question of who's calling, what are they calling,

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and what's happening with the patient.

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And now it's turning into

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a very smart,

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AI receptionist.

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And it's and a chatbot, which is not

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just,

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exciting, but it's also important

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to

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incorporate into your practice because what if you

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have someone else sick?

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Or what if, a lot of your patients

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are asking very similar questions

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which can be easily answered

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on the phone with it is with a

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nice,

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human sounding

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natural sounding AI receptionist.

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So as we beta test these products into

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my practice, I noticed that it takes a

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big burden off my team.

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And it may not be perfect, but any

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burden lifted is is a is a blessing

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most of the days. Right?

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What am I more nervous about? Yeah. I

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think times

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are are changing. They they have been changing

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for the last few years pretty pretty rapidly.

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I don't think there's anything in particular that

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makes me more nervous than

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the overall commodification of our profession.

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You know, it's already difficult to get patients

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to go to the dentist, the general population

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to go to the dentist, whether it's an

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access access issue by being rural or just

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the perception. You know, people sometimes don't go.

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And my concern is that

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as the insurance reimbursement landscape changes, as

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marketing landscape changes, as

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dentistry itself evolves,

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my biggest fear is that it becomes

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commodity.

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And that would be very unfair because

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what we're doing now

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is on the we're on the

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forefront of a lot of things that

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would have been taken for granted.

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And I'm afraid that if we don't address

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these issues, they'll be taken for granted again.

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I'll give you a simple example.

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Dentists and sleep apnea

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has become more and more evolved recently.

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And

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now you're in a position to help save

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someone's life or make their life better or

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someone of of their loved ones' lives better.

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But if we continue to become a commodity,

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then I'm afraid that we may lose that,

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that provenance, that

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cutting edge that we're trying to develop.

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And so that's what makes me the most

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nervous. And then you can dissect that into

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other things such as insurance and

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marketing and public perception and

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x, y, and z. But I think overall,

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it's a commodification of the profession that makes

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me the most nervous.

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That's really fascinating to hear. And, certainly, you

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know,

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I know dentistry plays such an important role

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as you mentioned in the overall health of

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a person in so many different ways that

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it can truly be,

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a challenge if people aren't keeping up with

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their,

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their oral hygiene and and dental health. So,

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really, really interesting from perspective and and definitely

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something to keep an eye out for. You

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know, when you look at the next 2

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to 3 years or so,

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anything that you think is important for effective

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health care leaders to be successful overall, especially

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as some of these landscape changes and,

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things continue to evolve?

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Yeah. I think, any effective leader, whether it's

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one practice or multiple locations or, you know,

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whatever you're doing,

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you've gotta be able to adapt.

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I think that's gonna be the most important

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thing, maybe

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more important for the next 2 to 3

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years, but just in general.

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Being able to adapt,

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change with the situation,

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keep up with the times, embrace new technology,

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you know, figure out

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some leaky spots in your pocket and and

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try to try to solve the issues as

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you go, but be adaptable

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and

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don't let your ego get into it.

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It's completely okay to have to,

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change the way you're running your business

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to keep up with the times, especially if

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they're not really under your control anyway.

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So I think being adaptable will be the

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most important thing in my opinion, you know,

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for for any good leader in the next

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couple years.

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Absolutely. That makes a lot of sense. Doctor

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Antani, thank you so much for joining us

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on the podcast today. This has been really

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a fascinating discussion, and I look forward to

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connecting with you again soon. Oh, thank you

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so much for having me, Laura.