Does Your Dental Practice Really Need Another Hire?

Dan Johnson explores why dental practices may need to rethink staffing, administrative work, and how teams use their time.

Aug 18, 2026

A dental practice can have good employees, a full schedule, and talented clinicians and still feel understaffed.

The problem often appears in ordinary moments. A patient is standing at the front desk while the phone rings. An insurance verification needs attention. A claim requires follow-up. A recall list is growing. Someone needs to return a patient call, but another patient has just arrived.

None of these responsibilities is unusual. The challenge is that they compete for the same limited resource: the attention of the people already working inside the practice.

Dan Johnson has seen this problem from several sides of business. Before entering dentistry, he owned and operated seven KFC restaurants. He later helped grow a dental group from one location to four practices, built and sold a dental marketing company, and became an owner of a dental assisting school. Today, he is the founder of Peak Performance VA, a company created around a question that emerged from those experiences:

Does every administrative responsibility in a dental practice really need to happen inside the four walls of the office?

Johnson believes that question deserves more attention.

"Most dental practices don't have a people problem. They have good people with too much on their plate."

The Hidden Cost of Administrative Overload

Dental teams often juggle phones, insurance, scheduling, recalls, claims, and patient communication all at once. As practices grow, that workload can leave good employees overwhelmed.

"Great people matter, but great people without great systems eventually become overwhelmed," Johnson says.

The solution may not always be another person in the office. Sometimes, it starts with asking where the work should happen.

Insurance verification, claims follow-up, recall outreach, scheduling support, patient communication, billing assistance, and other administrative workflows do not always require someone to be physically present in the practice. When handled remotely by someone familiar with dental systems and processes, these responsibilities can become part of a broader team structure.

The goal is not to replace the front office. It is to separate work that requires physical presence from work that requires expertise, consistency, and follow-through.

"Not every job in a dental practice needs to happen inside the four walls of the practice."

This thinking ultimately led Johnson and his partners to develop Peak Performance VA. The company grew from their experience using remote dental professionals to support administrative functions inside their own practices.

What This Looks Like in a Real Dental Practice

The idea becomes more meaningful when viewed through actual practice results.

At Tewksbury Dental Associates, the addition of a dedicated Peak Performance VA was associated with a significant improvement in claims management. The practice reduced claims over 60 days to almost zero and cut claims over 30 days by approximately half. Office Manager Donna Lizotte estimates that the VA saves the in-office team between 10 and 30 hours every week.

“We have cut any claims over 60 days to almost zero, and anything over 30 easily in half from where it was before she joined our team.”

A similar example comes from Dr. Chad Latino, who operates a fee-for-service dental practice in Waco, Texas. His practice uses two dedicated Peak Performance VA virtual assistants and maintains more than $2 million in annual production, while Latino typically practices three clinical days per week.

His team estimates that the VAs save more than 30 hours of in-office team time each week. During a 90-day period, more than $40,000 was recovered from outstanding and denied claims.

For Latino, the impact extends beyond operational numbers.

“My VAs give me the freedom to work 3 days, grow my practice, and still be present for my family.”

These examples are not a promise that every practice will produce the same results. They illustrate a broader point: when recurring administrative work receives dedicated attention, the people inside the practice may have more time to focus on patients, clinical responsibilities, and the work that genuinely requires their presence.

The Goal Is Not To Replace Good People

The conversation about virtual assistants can easily become misunderstood.

For Johnson, the argument is not that dental practices should replace existing employees with remote workers. He sees the greater opportunity as helping those employees focus on the responsibilities where their presence and expertise matter most.

"The goal isn't to replace the people inside the practice. It's to remove the work that keeps great people from doing what they do best."

Consider an experienced front office employee who is excellent at patient communication, coordination, and problem solving. If that person spends hours each week on repetitive administrative work, the practice may be underusing one of its most valuable resources.

The larger idea is simple: good staffing is not only about how many people a practice has. It is about whether the right people are doing the right work.

Dan Johnson leading a business meeting with a Peak Performance VA strategy presentation behind him.

A Different Way To Think About Growth

Johnson's career has reinforced that principle across different industries.

"I've spent most of my career learning the same lesson in different businesses: great people matter, but great people without great systems eventually become overwhelmed."

In restaurants, dentistry, marketing, and education, he has seen how growth can expose weaknesses in staffing, systems, and processes.

"Growth exposes everything. If you don't have the right people and systems behind the growth, adding more patients can actually create more problems."

That is why Johnson sees the future of dental practice operations as something broader than a conversation about virtual assistants.

It is a conversation about how practices should be designed.

What work genuinely requires someone to be in the office?

Which responsibilities could be completed remotely without compromising patient communication?

How much of the team's day is spent responding to interruptions rather than completing important work?

What tasks continually get pushed to tomorrow?

Where are claims sitting longer than they should?

How much time is being spent on insurance verification, recall, scheduling, billing, or phone calls that could be handled through a different workflow?

These questions can reveal opportunities that are easy to miss when staffing is viewed simply as a headcount issue.

Dan Johnson seated in an office overlooking a city skyline with the Peak Performance VA logo.

The Question Dental Leaders Should Ask

Peak Performance VA is ultimately a product of that thinking.

"We were dental practice owners before we were a virtual assistant company. We built the solution because we needed it ourselves."

That origin is important because the company's model emerged from the operational challenges of growing real dental practices. The goal was not simply to add remote labor. It was to help create a team structure in which good employees could spend more time on work that truly required them.

For Johnson, however, the larger lesson matters more than the service itself.

Dental practice owners do not necessarily need to begin by asking, "Do I need a virtual assistant?"

They can start with a more useful question:

"What could my team accomplish if I took 20 or 30 hours of administrative work off their plate every week?"

The answer will look different for every practice. For some, the pressure may come from insurance verification. For others, it may be claims, phones, scheduling, billing, or recall.

The important step is identifying where valuable employee time is being consumed by work that does not necessarily require an in-office presence.

The future dental practice may not be defined by having more people inside the building. It may be defined by having a better understanding of which people should handle which responsibilities, where that work should happen, and how technology can connect the entire team.

Before adding another person, perhaps the more important question is not, "Who else do we need?"

It is, "Are our best people spending their time on the work only they can do?"

Dental practice owners and office managers can explore Peak Performance VA's approach at peakperformanceva.com or connect with the company through Facebook.

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This article features partner, contributor, or branded content from a third party. Members of the USA News’ editorial staff were not involved in the creation of this content. All views and opinions are those of the contributor alone.

This article features partner, contributor, or branded content from a third party. Members of the USA News’ editorial staff were not involved in the creation of this content. All views and opinions are those of the contributor alone.

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