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Hello. This is Cameron Cortejano with the Becker's

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Dental and DSO review podcast.

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I'm thrilled to be joined today by doctor

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Keith Kalas, CEO and dentist at SmileMakers Dental

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Center. Doctor Kalas, thank you so much for

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being here today.

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Thank you, Cameron.

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Just to start us off, can you introduce

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yourself and tell us a little bit about

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your background?

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Sure.

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First, I would like to thank you, Cameron.

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I am thankful and grateful to you and

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to

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Biggers Health for giving me this opportunity.

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I am Keith Gowas,

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founder and CEO of SmileMakers

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Dental Center.

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SmileMakers Dental Center is an emerging

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dental organization

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of six locations

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throughout

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Northern Virginia,

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providing general and specialty dentistry.

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We have general dentist and specialist covering all

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dental services.

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At the

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moment, beside we are focusing on vertical

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growth for the current locations,

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we are in growth mode,

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searching for

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fit dental practices to acquire

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through the state of Virginia at this point.

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My background,

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I'm a general dentist,

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been in private practice for over thirty years.

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Beside being CEO of SmileMakers,

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I am chief dental officer of the organization

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where I set

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the systems,

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the processes

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for all clinical

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practices.

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Same time, I'm, mentoring

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the associate dentist in the organization,

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helping them to reach their best

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level

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of clinical skills,

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leadership

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effectiveness,

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and financial growth

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by utilizing systems based on best practices,

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benchmarking,

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quality control, and six sigma.

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And same time as a CEO, I work

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closely with leadership team

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and leaders throughout the organization

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to create systems

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and make

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all the system work flawlessly.

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Awesome. Thanks for that.

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As we're almost a third of the way

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through 2025,

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what are some of the biggest issues in

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dentistry that you've been following through the first

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couple of months, and and what issues

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are you giving an eye on for the

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rest of the year? As I said, I

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am a

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dental

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officer for the organization, and I am a

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CEO. So as a,

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the dental officer, the way, I see, things

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that I want

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the old procedure

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to

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be in the best way for patients

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and making also all my associate to go

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through

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a systems

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of

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making those procedures,

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making the right diagnosis.

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So in order to do that so following

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all

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technologies

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and adopt those technologies from the AI, digital

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scanning, three d printing

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that lead to comprehensive

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treatment planning.

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And same time,

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we want to provide

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the most sophisticated treatment.

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So this is from one side. The other

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side as a CEO, so following multiple issues.

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One of the most

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important issues that all

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dental practices suffering from now is the staffing

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shortage from dental assistant to hygienist

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to quality dentist.

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So

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looking for that and making programs how we

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can attract the

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talents,

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develop them, making them working

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beautifully in in our organization.

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Same time, I'm following with

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global and local economy

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and how this is gonna be

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an effect on

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rising

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the overhead

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cost.

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Same time, I'm,

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following the,

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the insurance

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reimbursement

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cost

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that is not

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getting any more. That's been maybe for

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thirty, forty, fifty years, the same. That low

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yearly

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amount

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benefits is not getting any more,

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and this is getting all always a concern

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for all dental practices.

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And then I'm,

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also following the interest rate,

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and this is very essential to,

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acquire any new practices.

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And as emerging,

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dental organization

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looking for

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more practices to acquire, so also

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I am following

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the big DSOs

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activities,

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and their,

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way of finding,

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expanding,

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or just

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being

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in

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in a just,

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mode of vertical

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growth versus

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acquiring more locations.

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And finally that, I'm always,

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following,

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my leadership team, how we can

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adopt new

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systems

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using technologies

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based on

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data and how we put it together in

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getting all of our systems

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and processes in a better way.

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Yeah. Definitely. I think those are all topics

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that I'm hearing other other leaders in in

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the space kinda following and talking about as

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well.

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Something that I'm curious to get your thoughts

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on are what are you most excited about

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when it comes to dentistry right now, and

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what are some things that are making you

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a little nervous?

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So when it comes to excitement,

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I am very excited about the future of

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dentistry.

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I think we are coming into,

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the best time yet.

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And this is when my,

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younger son came and said, dad, I wanna

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go to dental school. I said, this is

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the way you do it, Richie. This is

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I see a great future. And,

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I see

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dentistry is gonna be changing more and more

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from

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an

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art

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based on science to science based on technology.

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So right now with those

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AI

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X rays diagnosis help,

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we can

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just discover

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30 some softwares gives you 30

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different dental conditions. Some others gives you maybe,

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60

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different dental conditions.

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So

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we can develop

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more

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accuracy.

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We can,

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get into

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sophisticated system to follow.

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Patients will accept those more because this is

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nonbiased

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recommendations.

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Dentistry is changing dramatically. It's gonna get better

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and better.

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So this is from the clinical side

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and how it's

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reflecting on dentist and dentistry in general.

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Now when it comes to

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acquiring

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other practices and putting those practices together,

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this is also

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very exciting to me.

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The way

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you go and you look and you analyze

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and

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you

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acquire and then how you change the systems,

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how you make

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it working

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for

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self run

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practices

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all based on

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technologies.

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It it's it's really very rewarding and very,

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it's it's something

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makes me really, really,

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happy day today. And getting those

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team around

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me with leadership qualities and make them better

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and develop systems for my,

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all team members customized system for all team

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members from doctors to who hygienist, dental assistant,

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admins, even virtual team,

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creating those systems that we created system systems

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with a permit of success for each team

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member and

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based on

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best practices

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and all measure measurable

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data,

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and then

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build those,

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blocks of the pyramid little by little to

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get them to

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the most successful level.

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I am

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nervous about one thing, maybe a couple of

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things, but but I am nervous about

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our industry. Our industry is very fragmented.

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We don't have that structure that all working

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toward one goal. And then you have that

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difference between

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a one practice

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mentality

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to those

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big DSOs, and that's a huge difference between

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the two.

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The the small practice is limited

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in their,

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research and development, and they're

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acquiring,

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recent technologies

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in getting into

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different levels of treatment to

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providing the best treatment sometimes.

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So they just refer out

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to, insurance negotiations.

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So it's so limited

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where the DSOs,

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they have all the resources,

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but sometimes limited

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in

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getting the

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small

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office

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feel. And so between those two, that's it's

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a huge gap.

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And then the other thing that when it

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comes to patients say some patients just

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due

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to financial reasons, they

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go for,

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smaller procedures

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versus

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a more sophisticated procedures.

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So, like, you have a big filling versus

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a crown, so you go for the that

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big filling

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instead.

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Those those are things that makes me really

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sometimes

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worried what's how we can solve that.

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Yeah. I think those are some good points,

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especially with the, you know, the differences between

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the smaller practice

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and and the big DSOs and kinda how

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the industry can kinda connect the two maybe

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going forward.

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Absolutely.

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Awesome. And then our last question that we

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have today,

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in in your view, what will the most

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effective health care leaders need in order to

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be successful over the next two to three

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years?

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So health care leaders,

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they work always on balancing

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between

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patients from one side and

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all team members from one side.

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So always those patients come in for services,

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and you have that big team. So and

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that team sometimes in a small practice, very

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small, and sometimes they're really big.

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So it's you have

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the people in the front from the admin

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to the assistants to to

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the doctors,

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and then you go behind the scene. You

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have multiple levels also of team members.

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How

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the

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health care leaders

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can get

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everyone

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in this

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dental,

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or medical health care

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organization

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working

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together to help patients

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receiving the best care,

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the best customer service.

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So this is

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the most important thing for the,

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leaders is to get this

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systems

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processes working

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toward

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best of patients.

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So for that, you create

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levels

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of steps,

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monitor it and tweak it and perfecting it.

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To do that, you need to do,

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00:12:37,430 --> 00:12:39,690
so the to do multiple

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work from enhancing

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your knowledge as a health leader

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to be dynamic

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in making decision,

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the using

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new things that we never had before now.

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00:12:52,934 --> 00:12:54,235
It's a the AI.

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00:12:54,855 --> 00:12:56,554
Now the the software

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that's cloud based,

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the, virtual team members.

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Now this is we are getting depending

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on virtual team members quite a bit these

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days.

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And,

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of course, you need to keep following

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the changes in the regulations,

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00:13:14,235 --> 00:13:14,735
policies,

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00:13:15,914 --> 00:13:17,134
what's going around.

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00:13:17,514 --> 00:13:18,894
So all of this

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00:13:19,674 --> 00:13:20,174
make

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that

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health leaders in a better standing.

369
00:13:25,595 --> 00:13:28,470
Yeah. Definitely. I totally agree, especially with the

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adoption of technology and those kind of things.

371
00:13:31,990 --> 00:13:32,490
Yeah.

372
00:13:32,870 --> 00:13:34,950
Awesome. Well, thank you so much for joining

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us today, doctor Kalas, and sharing your valuable

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expertise and and insights into the dental and

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health care spaces.

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00:13:41,684 --> 00:13:43,605
It's been a pleasure speaking with you, and

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00:13:43,605 --> 00:13:45,605
I look forward to connecting with you again

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00:13:45,605 --> 00:13:46,345
in the future.

379
00:13:47,044 --> 00:13:48,105
Thank you, Cameron,

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00:13:48,565 --> 00:13:51,205
very much. I had the pleasure and the

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00:13:51,205 --> 00:13:53,365
honor to be with you. Awesome. Thank you

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00:13:53,365 --> 00:13:54,804
so much again for your time. I really

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appreciate it.