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Dental Coach | How to Handle Last Minute Cancellations – Charge or Not Charge

Clocks
Clocks

You arrive to the office Tuesday morning ready for a full day. At 8:05 the phone rings and Ms. Smith is calling to say she cannot make her 10 am crown prep appt – and it was for 3 crowns! Or at lunch Mr. Jones leaves a message that he cannot make his 2pm SRP hygiene appt that has been blocked for 2 hours.

Sound familiar? Happens all the time. And most front office team members spend a ton of time working to fill these last minute openings.

What should an office do? Do you charge a Missed Appt or a Broken Appt fee? Do you let them off the hook and fill that opening day after tomorrow? Charging becomes a punishment for bad behavior. I recommend rewarding for wanted behavior. And if you write if off once, it is now expected and loses the reason for it to begin with.

It is all about expectations. At the office, we become frustrated when patients do not show, however, we shrug it off and say something like “Well, we had them sign a form stating they would be charged”. Do you remember everything you signed? Most likely not or there wouldn’t be so much anguish over PPO requirements for reimbursement!

Here are the steps you can take to help retrain your patients:

  1. Build value for the next reservation. It is not a cleaning, it is a 6 month hygiene services reservation with your periodic exam, visual oral cancer screening, bone and gum health check, and your necessary hygiene services.
  2. Get your confirmation when you make the reservation. “Ms. Smith, we have you scheduled with Susy Hygiene on October 14th at 2pm for 60 minutes. That time is reserved just for you. You will be able to make the reserved time, correct? Thank you. You will receive your reminder about 2 weeks before the time you have reserved, so if you have a conflict you have time to adjust your schedule. Please respond to that reminder so we know you plan on showing up. If we do not hear from you, your reservation may be removed and I would hate that to happen to you. Can you do that for me? Perfect! If for any reason you choose to not to keep this reserved time and you do not let us know 2 business days (or whatever time your office chooses before the time of the appt) it will result in a longer wait time for your next scheduled time with Susy.”
  3. If the patient has more than 2 broken or last minute cancels, I would seriously consider not rescheduling them. They have shown they do not value your time. Ms. Smith, if for any reason you choose not to keep this reserved time and you do not let us know at least 2 business days before, I will not be able to reschedule you.
  4. If your patient values your time, you need to value theirs. Do not run late. If you are, call the patient and give them a heads up.
  5. Thank your patient for showing up ON TIME! If you appreciate it and they know it, they will want to repeat the behavior.
  6. If you do choose to charge, consider a set fee that the office matches as a donation to a local animal shelter or food bank. At least some good can come of it!

If your office needs help with Scheduling or Phone Skills and Customer Service training, Dental Concierge Coach can help. Contact us for more information on coaching and innovative team training.

941-888-3395
www.DentalConciergeCoach.com

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We're Here to Help.

Contact our office today to schedule your complimentary 60 minute consultation. Not sure what problems in your practice are a priority? No worries! We can prioritize your needs and put together a customized action plan that works for you AND with you!

Your Patients Deserve a Concierge Experience.

Your dental team will quickly develop the skills they need to improve your profitability, develop powerful communication, and boost your patient retention. By implementing systems and protocols through training that is personalized for your unique goals, you can push toward practice growth together as a team.

Develop Clear Systems, Protocols and Solutions

Enhance the everyday efforts of your team by incorporating proven systems, flawless customer service, and ethical practice values.

Become a Problem Solver

You will learn to spot leaks in your overhead, negotiate insurance fees with confidence, and fill your schedule with ideal, loyal patients.

Here's What You Can Expect:

one

Complimentary Discovery Call

You will have a 60 minute call with Dana to dig down and determine what your ultimate goals are and a clear picture as to next steps to get you started on achieving your success.

two

In-Office Evaluation As Needed

Coming into the practice allows us to see the office in action - what works well and what can be improved - firsthand. This allows us to best determine the actions needed to effect change in your practice. Our goal is your office running smoothly!

three

Create an Action Plan

After meeting with Dana, a collaborative customized plan based on your needs is created with you, your team and your budget in mind.

Build the Front Office of Your Dreams

At the Dental Concierge Institute, your front office associates will learn powerful tactics to improve their productivity and their customer service. Our empowered coaching can boost your patient retention and allow your front office to fill your schedule easily and effectively.

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See What Clients Just Like You Are Saying

Working with Dana was the best decision I  made for my office.  She listened to my frustrations and helped to get my team, not just the front office, on a plan for improvement that is creating a more productive and efficient workplace.  The team is happier and the systems implemented make the day easier to work and schedule changes don't interrupt the entire day any more.  I highly recommend working with Dana! 

 -Dr. Christie S.

Attention dental practice owners who want to do better: this review is for you!  Dental coach Dana Russell has helped take my practice to the next level through accountability, setting proper expectations, systems, and extraordinary customer service.  Dana has helped me achieve my goals of creating an exceptional patient experience, practice growth, and better work/life balance.  I am grateful to be working with a coach that is relatable for my team while having a patient-centered approach.  I highly recommend Dana Russell for your practice, team, and patients!

-Dr. Ryan

Enhancing Patient Care Through a Five-Star Concierge Dental Experience

August 19, 2026

The landscape of dentistry is evolving continually, and practices must adapt to meet higher patient expectations. Providing outstanding care means more than just clinical precision; it is about creating an experience that leaves patients feeling valued and respected. A five-star […]

Enhancing Patient Care with a VIP Treatment Approach in Your Dental Practice

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Providing an exceptional dental experience goes beyond clinical expertise; it requires a committed approach to hospitality and personalized care. Implementing a VIP treatment approach for every patient can significantly enhance satisfaction, loyalty, and referrals. Dental Concierge Coach focuses on transforming […]

Dlogo

We're Here to Help.

Contact our office today to schedule your complimentary 60 minute consultation. Not sure what problems in your practice are a priority? No worries! We can prioritize your needs and put together a customized action plan that works for you AND with you!

Your Patients Deserve a Concierge Experience.

Your dental team will quickly develop the skills they need to improve your profitability, develop powerful communication, and boost your patient retention. By implementing systems and protocols through training that is personalized for your unique goals, you can push toward practice growth together as a team.

Develop Clear Systems, Protocols and Solutions

Enhance the everyday efforts of your team by incorporating proven systems, flawless customer service, and ethical practice values.

Become a Problem Solver

You will learn to spot leaks in your overhead, negotiate insurance fees with confidence, and fill your schedule with ideal, loyal patients.

Here's What You Can Expect:

one

Complimentary Discovery Call

You will have a 60 minute call with Dana to dig down and determine what your ultimate goals are and a clear picture as to next steps to get you started on achieving your success.

two

In-Office Evaluation As Needed

Coming into the practice allows us to see the office in action - what works well and what can be improved - firsthand. This allows us to best determine the actions needed to effect change in your practice. Our goal is your office running smoothly!

three

Create an Action Plan

After meeting with Dana, a collaborative customized plan based on your needs is created with you, your team and your budget in mind.

Build the Front Office of Your Dreams

At the Dental Concierge Institute, your front office associates will learn powerful tactics to improve their productivity and their customer service. Our empowered coaching can boost your patient retention and allow your front office to fill your schedule easily and effectively.

bodylogo
quote

See What Clients Just Like You Are Saying

Working with Dana was the best decision I  made for my office.  She listened to my frustrations and helped to get my team, not just the front office, on a plan for improvement that is creating a more productive and efficient workplace.  The team is happier and the systems implemented make the day easier to work and schedule changes don't interrupt the entire day any more.  I highly recommend working with Dana! 

 -Dr. Christie S.

Attention dental practice owners who want to do better: this review is for you!  Dental coach Dana Russell has helped take my practice to the next level through accountability, setting proper expectations, systems, and extraordinary customer service.  Dana has helped me achieve my goals of creating an exceptional patient experience, practice growth, and better work/life balance.  I am grateful to be working with a coach that is relatable for my team while having a patient-centered approach.  I highly recommend Dana Russell for your practice, team, and patients!

-Dr. Ryan

Enhancing Patient Care Through a Five-Star Concierge Dental Experience

August 19, 2026

The landscape of dentistry is evolving continually, and practices must adapt to meet higher patient expectations. Providing outstanding care means more than just clinical precision; it is about creating an experience that leaves patients feeling valued and respected. A five-star […]

Enhancing Patient Care with a VIP Treatment Approach in Your Dental Practice

August 17, 2026

Providing an exceptional dental experience goes beyond clinical expertise; it requires a committed approach to hospitality and personalized care. Implementing a VIP treatment approach for every patient can significantly enhance satisfaction, loyalty, and referrals. Dental Concierge Coach focuses on transforming […]