EPISODE · Mar 2, 2026 · 19 MIN
1015: Metric Mondays: What APV Is Really Asking You to Decide? - Miranda Beeson
from The Best Practices Show with Kirk Behrendt
Many dentists track annual patient value (APV) but don’t use it to make a clear decision about what kind of practice they want to build. In this episode, Kirk Behrendt talks with Miranda Beason, ACT’s co-host and education leader, about what APV reveals about your business model, why it impacts stress and schedule design, and how to calculate it using your last 12 months of collections and active patient count.You’ll learn what low versus high APV typically looks like in day-to-day operations, what changes when you start improving it, and the first step to take this week to decide whether your current model matches your vision—listen to Episode 1015 of The Best Practices Show!Main TakeawaysAPV is calculated by dividing the last 12 months of collections by your active patient count.APV is not just a number; it reflects the business model your practice is operating within.A low APV often correlates with a high-volume, low-margin practice that feels constantly busy and stressed.A higher APV allows a practice to rely on fewer patient visits while improving collections and protecting time.Write-offs and insurance contractual adjustments are major drivers of a lower APV and can limit profitability.Improving APV typically requires greater consistency in diagnosis, a strong periodontal protocol, and intentional scheduling strategy.The first step is awareness: calculate your APV and decide if it aligns with the type of practice you want to build.Snippets00:00 Metric Mondays Intro01:24 Meet Miranda and The Big Question02:58 What Annual Patient Value Means05:11 How to Calculate APV06:51 Low APV Warning Signs09:01 High APV Benefits and Mindset Shift13:38 Real World Results and Freedom15:23 What to Do This Week17:27 Resources and Final Wrap UpGuest Bio/Guest ResourcesMiranda Beeson has over 25 years of clinical dental hygiene, front office, practice administration, and speaking experience. She is enthusiastic about communication and loves helping others find the power that words can bring to their patient interactions and practice dynamics. As a Lead Practice Coach, she is driven to create opportunities to find value in experiences and cultivate new approaches.Miranda graduated from Old Dominion University, and enjoys spending time with her husband, Chuck, and her children, Trent, Mallory, and Cassidy. Family time is the best time, and is often spent on a golf course, a volleyball court, or spending the day boating at the beach.More Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Best Practices Association: https://www.actdental.com/bpaUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
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1015: Metric Mondays: What APV Is Really Asking You to Decide? - Miranda Beeson
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