Join me this October for the P3 Certification!
October 16 and 17 · Three Certificates · Two Days · 15 Seats
Turn Your Hygiene Department Into Your Highest-Margin Revenue Engine
The P3 Hygiene Growth System™ is a 6-month consulting engagement that helps general practices and DSOs grow hygiene revenue 25–40% — strengthening EBITDA and adding six to seven figures of practice value.
Dr. Joy Void-Holmes, DHS, RDH — 29 years in dentistry · Licensed RDH since 1997 · Creator of the P3 Hygiene Growth System™
Most Practices Are Leaving Six Figures on the Table — In One Department
The math is simple, and most doctors know it intuitively: hygiene should be running 30–35% of total practice production. Many practices run at 22–28%. The gap is real money, every month, for years.
It isn’t a clinical skill problem. Your hygienists are competent. The problem is structural:
- No standardized clinical protocols, so production varies by hygienist
- Inconsistent perio diagnosis, leaving D4910 and D4341 revenue uncaptured
- Recare retention drops because the system depends on memory, not workflow
- Adjunctive procedures (sealants, SDF, fluoride) treated as optional add-ons instead of standard care
- KPIs that exist on paper but never reach the daily huddle.
When hygiene runs without a system, you don’t notice the leak. You feel it slowly — flat production, frustrated team, lower offers when the practice is appraised. The P3 Hygiene Growth System™ closes the gap on purpose.
The P3 Framework – Protocols , People, Performance
P3 is built on the principle that hygiene production is a system output, not a personality trait. Every high-performing department I’ve worked with shares the same three pillars in alignment.
P
Protocol
Evidence-based clinical standards, accurate perio coding and documentation, integration of technology (air polishing, ultrasonics, SDF), and standardized workflows that protect clinical quality while increasing predictable production.
P
People
Hiring profiles for high-performing hygienists, structured onboarding, leadership development for hygiene coordinators or lead RDHs, and team alignment around the why behind growth metrics so execution sustains itself.
P
Performance
Clear KPIs tied to revenue, profit, and retention. Monthly dashboards. Recare and perio tracking systems. Metrics that align with EBITDA and valuation multiples — not just clean teeth.
What’s Included in P3 Complete
A 6-month engagement built around your specific practice. Three phases. One outcome.
PHASE 01
Deep-Dive Assessment
( MONTH 1 )
I begin by analyzing your current hygiene department performance across all three pillars. We’ll review production per day per provider, per visit percentage, recare retention, and how hygiene impacts your bottom line and practice valuation.
Protocols – Clinical standards, coding accuracy, technology utilization, perio diagnosis and treatment acceptance
People – Team structure, training gaps, leadership development, hiring and onboarding systems
Performance – KPIs, profit per provider, recare effectiveness, scheduling efficiency, contribution to EBITDA
- Comprehensive hygiene department audit across Protocols, People, Performance
- KPI review: production per provider, perio percentage, recare retention, contribution to EBITDA
- Team interviews and workflow observation
- Written P3 Assessment Report with prioritized recommendations
- 90-day action plan tailored to your practice
PHASE 02
Customized Implementation Plan
( MONTH 2 – 3 )
Based on the assessment, I build a tailored roadmap to optimize your hygiene department for growth and profitability — translating insight into a practical sequence your team can execute.
Protocols – Evidence-based clinical standards and treatment protocols, accurate perio coding and documentation, integration of technology (air polishing, ultrasonic scalers, SDF, etc.) to boost efficiency and outcomes.
People – Hiring profiles and interview systems for high-performing hygienists, structured training and onboarding programs, leadership development for hygiene coordinators or lead RDHs, team alignment on the “why” behind growth metrics
Performance – Clear KPIs tied to revenue, profit, and retention goals, monthly dashboards and performance reviews, recare and perio treatment tracking systems, metrics that align with valuation multiples and EBITDA growth
- Evidence-based clinical protocols built for your patient population
- CDT coding decision guide and documentation standards
- Hiring and onboarding systems
- Leadership coaching for your hygiene coordinator or lead RDH
- KPI dashboards integrated with your current PMS
PHASE 03
Implementation Support
( MONTH 4 – 6 )
This isn’t a binder on a shelf. I work alongside your team to ensure the strategy becomes part of daily operations.
Training – Team training sessions delivered in-person or virtually, calibrated to your team’s current state.
Workshops – Optional P3 Clinical Methodology™ Workshops for hands-on skill development at the chair.
Cadence – Monthly or quarterly check-ins to track progress, adjust strategy, and reinforce systems.
- Bi-monthly strategy calls with Dr. Joy
- Async support for the doctor and team between calls
- One full-day P3 Hygiene Team Training on-site (a $4,500 standalone value)
- Monthly KPI review and adjustment
- Tools, templates, and SOPs you keep forever
Plus: The P3 Implementation Toolkit (Included)
Two implementation assets I deliver to every P3 client — built specifically for your practice, not pulled from a template library.
01
P3 Hygiene Department Diagnostic & 90-Day Action Plan
Custom assessment scored across all three pillars (Protocols, People, Performance), delivered with a personalized 90-day implementation roadmap. This is your starting point — the strategic anchor of the engagement.
02
Hygiene KPI Tracking Workbook
Pre-built spreadsheet template tracking the metrics that matter — production per hour, production per visit, perio diagnosis %, recare retention, hygiene-to-total-production ratio. Plug in your numbers, see the gaps, monitor progress monthly.
Both assets included at no additional cost with every P3 Complete engagement.
What P3 Clients Achieve
Practices that complete the P3 Hygiene Growth System™ engagement target measurable results in clinical performance, profitability, and practice value:
25–40%
Growth in hygiene revenue within a focused implementation period
10%+
Increase in diagnosed and treated perio percentage within the first 3 months of implementation
Improved recare retention
Leading to higher patient lifetime value
Highest margin
Hygiene shifting from cost center to one of the highest-margin services in the practice
EBITA & Cash flow
Stronger EBITDA and cash flow that supports higher valuation multiples
6–7 Figures
lift in overall practice value when you sell or recapitalize
Case Study: From Zero Hygiene Days to 40% of Practice Production
Single-doctor general practice · 2-year P3 engagement.
The starting point. The owner-doctor was doing his own hygiene and relying on temps to cover chairs when he couldn’t. He had never hired a permanent hygienist. There was no hygiene system, no recare strategy, and no way to grow beyond the doctor’s own chair time.
The intervention. A 2-year P3 implementation covering the full hygiene build-out — hiring, onboarding, clinical protocols, perio diagnosis standards, recare systems, KPIs, and team training.
The results at engaement completion:
Metric
Hygiene days per week
Hygiene schedule
Hygiene as % of total production
Perio diagnosis (% of recall patients)
Adjunctive services (% of hygiene production)
Result
0 → 6
Booked 6 months out
40%
48%
20–30%
Healthy Benchmark
—
—
30 – 35%
25 – 35%
Varies
What lasted. After the engagement ended, the practice continued to perform on the systems we built. Sustained excellence — not a temporary lift.
What this case proves:
Hygiene production is a system output — not a personality trait. With the right protocols and the right people, the numbers follow. The methodology behind this case has been refined for over two decades — the principles you see here are the same principles in every P3 engagement today. The question isn’t whether your hygiene department can hit 30–35% of production. The question is whether you have the system in place to make it happen.
What Happens When Hygiene Teams Bring P3 Back to Their Practices
“After attending the P3 Workshop, our team implemented [specific protocol change] in our practice. Within [timeframe], our [specific KPI — e.g., perio diagnosis percentage] went from [starting number] to [ending number]. Our doctor said it was the best ROI we’ve ever seen on team training.”
— [First Name], RDH [Practice descriptor — e.g., “Single-location general practice, Mid-Atlantic”]
P3 has trained 2,000+ hygienists since 2022. The protocols don’t stay in the workshop room — they go back to practices and produce measurable change.
Trusted by the Industry’s Leading Manufacturers, DSOs, and Conferences
VOCO • LM • Air Techniques • Medicom • Colgate • Directa Dental • Parkell • Ansell • Chicago Midwinter • ADHA • Yankee Dental • Greater New York Dental Meeting • RDH UOR • Star of the North • Texas Dental Association • Heartland Dental • Crest • Thrive Live by Henry Schein • PDC • Florida Dental Association • Pacific Northwest
The P3 methodology has trained 2,000+ hygienists since 2022 through partnerships with the dental industry’s most respected manufacturers, DSOs, and continuing education organizations. The methodology you’ll implement in your practice is the same methodology the industry’s biggest players have invested in.
The P3 Production Guarantee
You take real risk when you commit to a 6-month consulting engagement. So do I.
If your hygiene department hasn’t grown production by at least 15% — or $40,000, whichever comes first — within 6 months of P3 implementation, I continue working with your team at no additional cost until the result is delivered.
Conditions: practice must have implemented the protocols, attended scheduled calls, and submitted KPI data as outlined in the engagement. The work goes both ways.
This isn’t a marketing line. It’s how I structure every P3 engagement. My incentive is your hygiene production. If we don’t hit it, I haven’t finished the job.
Why I Cap My Engagements — and Why Now Matters
P3 Complete is a high-touch consulting engagement. To deliver the level of strategy, training, and on-site support included, I limit capacity intentionally.
I work with no more than 6 active practice engagements at any one time — to ensure every client gets the depth of strategic support, on-site presence, and async availability the system requires.
A note on transparency. P3 has trained thousands of hygienists since 2022 and refined the underlying methodology for over 20 years. The 6-month consulting engagement — P3 Complete — is the newest expression of that work, designed to give practice owners direct access to the full system. Founding clients receive my full, undivided attention as I build the consulting arm of P3 to scale. The methodology is proven. The consulting format is being built with you, not before you.
See What Your Hygiene Department Could Really Be Worth
In a 45-minute Hygiene Growth Call, we’ll review your current hygiene KPIs together — production per provider, perio percentage, recare retention, hygiene-to-total-revenue ratio — and outline what a realistic 25–40% revenue lift would mean in dollar terms for your practice.
You’ll leave the call with:
- A clear picture of your current hygiene performance vs. healthy benchmarks
- An estimated dollar value of the production gap in your department
- A specific recommendation on whether P3 Complete is the right next step
No pressure. No pitch deck. Just numbers and clarity.
Prefer to read the full breakdown? Download the 4-page P3 Hygiene Growth System™ Overview →(opens email-gated form). VA’s will send this to you)
Hygiene Production Benchmarks — The Numbers I Reference Most
What should hygiene production contribute to total practice revenue?
A healthy general dentistry practice runs hygiene at 30–35% of total production. Below 28% almost always indicates a system gap — either in protocols, scheduling, or perio diagnosis. The number itself is less important than the trend: if hygiene as a percentage of production is flat or declining year over year, something is leaking.
How much should each hygienist produce annually?
Industry benchmarks place a healthy hygienist at $250,000–$400,000 in annual production, depending on geography, patient mix, and adjunctive procedure adoption. Hygienists practicing without standardized protocols often run 20–30% below that range — not because of skill, but because of system inconsistency.
What should production per hygiene hour look like?
$200–$300 per hour is healthy. Below $150 indicates an undertreatment pattern — usually missed perio, missed adjunctive procedures, or coding inaccuracy. Above $300 is achievable in practices with strong air polishing, SDF, and ultrasonic protocols in place.
What should the average production per hygiene visit be?
$200–$300 per appointment is the healthy range. The variance comes from adjunctive procedure adoption — practices that consistently incorporate fluoride, sealants, SDF, and air polishing land in the upper half of that range. Practices that only bill prophy and exam land in the lower half.
What should my periodontal procedure mix percentage be?
In a typical adult patient population, 25–35% of recall patients should be on perio maintenance (D4910). Practices running below 15% are almost always under-diagnosing perio — either through inconsistent probing, charting that isn’t reviewed by the doctor, or hesitation around treatment presentation. This is one of the highest-leverage gaps to close.