Clinical Direct Care interview prep.
General dentists, specialists (endodontists, periodontists, oral surgeons, prosthodontists), and orthodontists.
What interviewers look for
- Can the candidate execute procedures with clinical confidence + appropriate referral judgment?
- Do they show case-acceptance skill - patient education, treatment plan presentation, financial discussion?
- Are they productive at the chair - block scheduling, hygiene coordination, multi-quadrant treatment?
- Do they understand the economics - fee schedule, PPO write-offs, lab costs, overhead, doctor production target?
- Can they lead a chairside team (assistant + hygienist + front desk) without heavy structure?
- Is bedside manner + patient comfort evident - dental anxiety is real and a key satisfaction driver?
- Long-game fit - associate to partner or DSO career path? Solo aspirations vs group?
Behavioural questions to expect
Walk me through your training + practice so far.
What it tests: Story arc - dental training, externship / residency exposure, business / production awareness, what drew you to this firm.
Tell me about your current practice or most recent role.
What it tests: Self-aware framing - what you executed clinically + what production realities shaped you.
Why this kind of practice setting - solo, group, or DSO?
What it tests: Authentic alignment - autonomy vs structure, mentorship needs, business engagement, career goals.
Why this specialty / scope of practice?
What it tests: Specificity. Generic answers fail.
Why this firm?
What it tests: Real homework - ownership, comp, panel, technology - not name-drop.
What's your read on our comp + production economics?
What it tests: Business literacy - production target, % of collections, lab cost share, doctor-day vs hygiene-day economics.
Tell me what you understand about our technology + team setup.
What it tests: Practice ops read - digital workflow (intraoral scanners, CBCT, CAD/CAM), team structure, hygiene flow.
Tell me about a complex case you treatment-planned + executed.
What it tests: Clinical reasoning + procedural sequencing + multi-specialty coordination + case acceptance.
Technical concepts to master
Case acceptance + treatment planning
- Treatment plan presentation
- Structured presentation of clinical findings, recommended treatment, sequence, and fees.
- Co-diagnosis + visual education
- Showing the patient the findings (caries, perio, fracture) using intraoral photos, X-rays, scanner.
- Financial conversation
- Transparent fee + insurance + financing discussion as part of the treatment plan.
- Sequenced treatment plans
- Phasing - emergent / functional / aesthetic - lets patients commit progressively rather than reject a $15k plan outright.
Dental procedure + sequencing
- Stabilisation first
- Address emergent + symptomatic issues first - pain, infection, fracture.
- Perio before restorative
- Manage periodontal disease (SRP + maintenance) before extensive restorative work.
- Endo vs extraction + implant decision
- Per-tooth restorability assessment - root canal + crown vs extraction + implant.
- When to refer
- Recognizing scope limits - complex endo (curved canals, retreatment), surgical extraction, complex perio, ortho.
DSO vs private group vs solo - economic models
- DSO (Dental Service Organisation)
- Corporate-backed entity providing non-clinical management (billing, HR, marketing, supply) across a network of practices.
- Private group practice
- Doctor-owned multi-clinician practice with partnership track for associates.
- Solo practice
- Single-doctor practice, often with hygienist + assistant + front desk.
- Associate / production-based comp
- Typical associate comp = 25-35% of collections (or production); lab + supply may be deducted before %.
Practical drills
- A 47-year-old new patient presents with generalised moderate periodontitis, 3 carious lesions across 3 quadrants, a failed PFM on #19 with recurrent caries, and aesthetic concerns about anterior staining. They have PPO coverage with $2,000 annual maximum. Walk through your diagnosis, sequenced treatment plan, and presentation.
- A long-term patient has had 2 failed PFMs on #14 + #15 in 4 years. You're recommending crowns be replaced with monolithic zirconia + a perio referral first. They say 'I don't think I want to spend the money again.' Walk through your conversation.
- Your practice's recall rate has dropped from 78% to 62% in 18 months. Hygiene days have open columns. Design an intervention.
Smart-question anchors
- Setting + ownership - DSO equity vs partnership vs salary; future plans + growth
- Comp + production - structure, daily / monthly target, lab + supply share
- Procedural mix + scope - what stays in-house vs referred out, mentorship for new procedures
- Technology + workflow - digital impressions, CBCT, CAD/CAM, clear aligners, EHR
- Team + hygiene - hygiene capacity, assistant ratios, front-desk strength, recall systems
Sourced from
- ADA Practice Transitions + Dental Economics resources
- Dental Economics + DentalTown community benchmarks
- Levin Group + Pride Institute practice consulting benchmarks
- ADSO (Association of Dental Support Organisations) + DSO market reports
- AAE + AAP + AAO + AGD specialty + general dental scope guidelines
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