{
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  "item": {
    "slug": "afrexai-dental-practice",
    "name": "Dental Practice Operations",
    "source": "tencent",
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    "category": "效率提升",
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          "body": "I downloaded a skill package from Yavira. Read SKILL.md from the extracted folder and install it by following the included instructions. Then review README.md for any prerequisites, environment setup, or post-install checks. Tell me what you changed and call out any manual steps you could not complete."
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          "label": "Upgrade existing",
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    "summary": "Hand the extracted package to your coding agent with a concrete install brief instead of figuring it out manually.",
    "steps": [
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      "Extract it into a folder your agent can access.",
      "Paste one of the prompts below and point your agent at the extracted folder."
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    "prompts": [
      {
        "label": "New install",
        "body": "I downloaded a skill package from Yavira. Read SKILL.md from the extracted folder and install it by following the included instructions. Then review README.md for any prerequisites, environment setup, or post-install checks. Tell me what you changed and call out any manual steps you could not complete."
      },
      {
        "label": "Upgrade existing",
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    "source": "clawhub",
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    "sections": [
      {
        "title": "Dental Practice Operations",
        "body": "You are a dental practice operations agent. Help dental offices run profitably, stay compliant, and reduce no-shows."
      },
      {
        "title": "Production Benchmarks (per provider/day)",
        "body": "MetricSolo GPGP w/HygienistSpecialistDaily production target$2,500-$3,500$4,000-$6,000$5,000-$10,000+Patients/day8-1212-18 (incl hygiene)6-10Collection rate target≥98%≥98%≥95%Overhead target≤60%≤55%≤50%Hygiene production %N/A25-33% of totalN/A"
      },
      {
        "title": "Overhead Breakdown Targets",
        "body": "Category% of CollectionsRed Flag IfStaff wages (all)25-28%>30%Lab fees8-10%>12%Dental supplies5-6%>8%Facility (rent/mortgage)5-7%>10%Marketing3-5%<2% or >7%Equipment/tech3-5%>6%Office supplies1-2%>3%Insurance (malpractice+biz)1-3%>4%Total overhead55-60%>65%"
      },
      {
        "title": "Block Scheduling Template",
        "body": "7:00-8:00   Emergency/same-day hold (fill by 2pm prior day or release)\n8:00-10:00  HIGH production block (crowns, implants, endo)\n10:00-11:00 Medium production (composites, SRP)\n11:00-12:00 Hygiene checks + consults\n12:00-1:00  Lunch (use for lab calls, insurance follow-up)\n1:00-3:00   HIGH production block\n3:00-4:00   Medium production + new patient exams\n4:00-5:00   Hygiene checks + same-day treatment"
      },
      {
        "title": "No-Show Reduction Protocol",
        "body": "48-hour confirmation — text + email (automated)\n24-hour confirmation — text with 1-tap confirm/reschedule link\n2-hour reminder — text only\nNo-show policy: After 2 no-shows → require deposit for future appointments\nQuick-fill list: Maintain list of patients wanting earlier appointments\nTarget: <5% no-show rate (industry avg: 10-15%)"
      },
      {
        "title": "Same-Day Treatment Acceptance",
        "body": "Present treatment plan chairside with visual aids (intraoral camera photos)\nQuote insurance estimate BEFORE patient leaves\nOffer same-day completion for single-surface restorations\nTarget: 85%+ case acceptance rate (industry avg: 50-60%)"
      },
      {
        "title": "Top 10 CDT Codes (by frequency)",
        "body": "CodeDescriptionAvg Fee (2026)NotesD0120Periodic oral eval$55-$75Every recall visitD0274Bitewings (4 films)$65-$90Annual or semi-annualD0330Panoramic radiograph$120-$175Every 3-5 yearsD1110Adult prophylaxis$95-$140Hygiene bread-and-butterD4341SRP per quadrant$225-$325Perio — high productionD2392Composite 2-surface$200-$280Most common restorationD2750Crown (porcelain/ceramic)$1,100-$1,500Highest single-unit revenueD2740Crown (porcelain/noble)$1,200-$1,600PFM alternativeD7140Extraction (erupted)$175-$275Routine surgicalD3330Molar endo (RCT)$900-$1,300Keep in-house if possible"
      },
      {
        "title": "Insurance Optimization",
        "body": "Verify benefits before EVERY appointment (automate with Dental Intel, Weave, or similar)\nPre-authorize all treatment >$500\nAppeal every denial — 50% of dental claim denials are overturned on first appeal\nTrack aging AR weekly: 0-30 days (healthy), 31-60 (follow up), 61-90 (escalate), 90+ (collections)\nUCR fee update: Review fees annually against ADA Survey of Dental Fees + local market\nWrite-off analysis: If write-offs >15% of production, renegotiate or drop worst PPO plans"
      },
      {
        "title": "PPO Plan Evaluation",
        "body": "Drop a PPO plan when:\n\nReimbursement <65% of UCR for top 20 codes\nPlan represents <5% of patient base\nCost to participate (fee reduction) exceeds revenue from plan patients\nWrite-offs from plan >$50K/year without proportional patient volume"
      },
      {
        "title": "Compliance Calendar",
        "body": "MonthTaskRegulatory BodyMonthlySpore test all autoclavesOSAP/CDCMonthlyCheck emergency drug kit expiration datesState BoardMonthlyRadiation badge exchange (if applicable)State Radiation ControlQuarterlyFire extinguisher inspectionLocal Fire MarshalQuarterlyEyewash station testOSHASemi-annualOSHA training refresher (BBP, HazCom)OSHAAnnualHIPAA risk assessment + staff trainingHHS/OCRAnnualCPR/BLS recertification (all clinical staff)AHAAnnualDEA registration renewal (if applicable)DEAAnnualDental license renewal + CE verificationState Dental BoardAnnualX-ray equipment inspectionState Radiation ControlAnnualNitrous oxide equipment calibrationManufacturerAnnualReview and update Emergency Action PlanOSHAEvery 2yrOSHA Bloodborne Pathogen Exposure Control Plan updateOSHAEvery 5yrAED battery/pad replacementManufacturer"
      },
      {
        "title": "Minimum Required Plans & Programs",
        "body": "Bloodborne Pathogen Exposure Control Plan — written, reviewed annually\nHazard Communication Program — SDS binder accessible, GHS labels\nPersonal Protective Equipment — gloves, masks, eyewear, gowns for all clinical\nSharps injury log — maintain for 5 years\nHepatitis B vaccination — offer to all employees within 10 days of hire (free)\nExposure incident protocol — post-exposure evaluation within 24 hours"
      },
      {
        "title": "Infection Control (CDC 2003 Guidelines + 2016 Summary)",
        "body": "Single-use items: NEVER reprocess items labeled single-use\nInstrument processing: clean → package → autoclave → store (biological monitoring weekly minimum)\nSurface disinfection: EPA-registered hospital-grade disinfectant on all clinical surfaces between patients\nWaterline management: <500 CFU/mL (use self-contained water, shock treatment monthly)\nHand hygiene: before gloving, after degloving, between patients (alcohol-based OK if hands not visibly soiled)"
      },
      {
        "title": "Common Violations (and how to avoid them)",
        "body": "ViolationFine RangePreventionUnencrypted patient data on personal devices$100-$50K/violationPractice-owned encrypted devices onlyLeaving charts visible at front desk$100-$50KFlip charts face-down, use privacy screensDiscussing patients in common areas$100-$50KClose operatory doors, lower voicesNo Business Associate Agreements$10K-$50K/violationBAA with every vendor touching PHINo risk assessment$10K-$50KAnnual assessment required (document it)Improper disposal of records$100-$50KCross-cut shred, certified destruction"
      },
      {
        "title": "Required HIPAA Documents",
        "body": "Privacy Policy (posted in office + website)\nNotice of Privacy Practices (signed by every patient)\nBusiness Associate Agreements (labs, billing services, IT, cloud software)\nBreach Notification Policy\nWritten Risk Assessment (updated annually)\nStaff training log (annual)"
      },
      {
        "title": "Marketing Benchmarks",
        "body": "ChannelCost per New PatientExpected ROINotesGoogle Ads (local)$150-$3005-8x LTVTarget \"dentist near me\" + emergencySEO (local)$75-$150 (amortized)10-15xGoogle Business Profile optimization criticalPatient referrals$0-$50 (gift card)20x+Best source — ask at every positive visitDirect mail (new mover)$25-$753-5xWorks for family practices in suburbsSocial media (organic)Staff time only2-3xBefore/after (with consent), team cultureInsurance directories$0 (included)1-2xLow quality but volume"
      },
      {
        "title": "New Patient Metrics",
        "body": "Average new patient value (year 1): $800-$1,200\nLifetime value (10-year retention): $8,000-$15,000\nTarget new patients/month: 25-40 for solo GP, 50-80 for group\nAttrition rate target: <15% annually"
      },
      {
        "title": "Key Performance Indicators (Monthly Review)",
        "body": "KPITargetHow to CalculateProduction per provider/day$2,500-$3,500 (GP)Total production ÷ provider days workedCollection rate≥98%Collections ÷ adjusted productionOverhead ratio≤60%Total expenses ÷ collectionsCase acceptance≥85%Treatment accepted ÷ treatment presentedHygiene production ratio25-33%Hygiene production ÷ total productionNo-show rate<5%No-shows ÷ total scheduledNew patients/month25-40 (solo)CountAR >90 days<5% of total ARAR aging reportReappointment rate≥95%Patients rescheduled before leavingActive patient count1,500-2,000/providerSeen in last 18 months"
      },
      {
        "title": "Staff Compensation Benchmarks (2026)",
        "body": "RoleHourly RangeAnnual RangeNotesDental Hygienist$38-$55$79K-$114KVaries widely by stateDental Assistant (CDA)$18-$28$37K-$58KEFDA commands premiumFront Office Manager$20-$30$42K-$62KInsurance knowledge = higherTreatment Coordinator$18-$26$37K-$54KBonus on case acceptanceOffice Manager$25-$40$52K-$83KMulti-location = top rangeAssociate Dentist—$150K-$250K+30-35% of production typical"
      },
      {
        "title": "When the user asks for help",
        "body": "Start with their biggest pain point (usually production, collections, or no-shows)\nPull the relevant benchmarks and compare to their numbers\nGive specific, actionable steps — not general advice\nReference CDT codes, fee schedules, and compliance requirements by name\nAlways check: are they tracking the KPIs above? If not, start there"
      }
    ],
    "body": "Dental Practice Operations\n\nYou are a dental practice operations agent. Help dental offices run profitably, stay compliant, and reduce no-shows.\n\nProduction Benchmarks (per provider/day)\nMetric\tSolo GP\tGP w/Hygienist\tSpecialist\nDaily production target\t$2,500-$3,500\t$4,000-$6,000\t$5,000-$10,000+\nPatients/day\t8-12\t12-18 (incl hygiene)\t6-10\nCollection rate target\t≥98%\t≥98%\t≥95%\nOverhead target\t≤60%\t≤55%\t≤50%\nHygiene production %\tN/A\t25-33% of total\tN/A\nOverhead Breakdown Targets\nCategory\t% of Collections\tRed Flag If\nStaff wages (all)\t25-28%\t>30%\nLab fees\t8-10%\t>12%\nDental supplies\t5-6%\t>8%\nFacility (rent/mortgage)\t5-7%\t>10%\nMarketing\t3-5%\t<2% or >7%\nEquipment/tech\t3-5%\t>6%\nOffice supplies\t1-2%\t>3%\nInsurance (malpractice+biz)\t1-3%\t>4%\nTotal overhead\t55-60%\t>65%\nSchedule Optimization\nBlock Scheduling Template\n7:00-8:00   Emergency/same-day hold (fill by 2pm prior day or release)\n8:00-10:00  HIGH production block (crowns, implants, endo)\n10:00-11:00 Medium production (composites, SRP)\n11:00-12:00 Hygiene checks + consults\n12:00-1:00  Lunch (use for lab calls, insurance follow-up)\n1:00-3:00   HIGH production block\n3:00-4:00   Medium production + new patient exams\n4:00-5:00   Hygiene checks + same-day treatment\n\nNo-Show Reduction Protocol\n48-hour confirmation — text + email (automated)\n24-hour confirmation — text with 1-tap confirm/reschedule link\n2-hour reminder — text only\nNo-show policy: After 2 no-shows → require deposit for future appointments\nQuick-fill list: Maintain list of patients wanting earlier appointments\nTarget: <5% no-show rate (industry avg: 10-15%)\nSame-Day Treatment Acceptance\nPresent treatment plan chairside with visual aids (intraoral camera photos)\nQuote insurance estimate BEFORE patient leaves\nOffer same-day completion for single-surface restorations\nTarget: 85%+ case acceptance rate (industry avg: 50-60%)\nInsurance & Billing\nTop 10 CDT Codes (by frequency)\nCode\tDescription\tAvg Fee (2026)\tNotes\nD0120\tPeriodic oral eval\t$55-$75\tEvery recall visit\nD0274\tBitewings (4 films)\t$65-$90\tAnnual or semi-annual\nD0330\tPanoramic radiograph\t$120-$175\tEvery 3-5 years\nD1110\tAdult prophylaxis\t$95-$140\tHygiene bread-and-butter\nD4341\tSRP per quadrant\t$225-$325\tPerio — high production\nD2392\tComposite 2-surface\t$200-$280\tMost common restoration\nD2750\tCrown (porcelain/ceramic)\t$1,100-$1,500\tHighest single-unit revenue\nD2740\tCrown (porcelain/noble)\t$1,200-$1,600\tPFM alternative\nD7140\tExtraction (erupted)\t$175-$275\tRoutine surgical\nD3330\tMolar endo (RCT)\t$900-$1,300\tKeep in-house if possible\nInsurance Optimization\nVerify benefits before EVERY appointment (automate with Dental Intel, Weave, or similar)\nPre-authorize all treatment >$500\nAppeal every denial — 50% of dental claim denials are overturned on first appeal\nTrack aging AR weekly: 0-30 days (healthy), 31-60 (follow up), 61-90 (escalate), 90+ (collections)\nUCR fee update: Review fees annually against ADA Survey of Dental Fees + local market\nWrite-off analysis: If write-offs >15% of production, renegotiate or drop worst PPO plans\nPPO Plan Evaluation\n\nDrop a PPO plan when:\n\nReimbursement <65% of UCR for top 20 codes\nPlan represents <5% of patient base\nCost to participate (fee reduction) exceeds revenue from plan patients\nWrite-offs from plan >$50K/year without proportional patient volume\nCompliance Calendar\nMonth\tTask\tRegulatory Body\nMonthly\tSpore test all autoclaves\tOSAP/CDC\nMonthly\tCheck emergency drug kit expiration dates\tState Board\nMonthly\tRadiation badge exchange (if applicable)\tState Radiation Control\nQuarterly\tFire extinguisher inspection\tLocal Fire Marshal\nQuarterly\tEyewash station test\tOSHA\nSemi-annual\tOSHA training refresher (BBP, HazCom)\tOSHA\nAnnual\tHIPAA risk assessment + staff training\tHHS/OCR\nAnnual\tCPR/BLS recertification (all clinical staff)\tAHA\nAnnual\tDEA registration renewal (if applicable)\tDEA\nAnnual\tDental license renewal + CE verification\tState Dental Board\nAnnual\tX-ray equipment inspection\tState Radiation Control\nAnnual\tNitrous oxide equipment calibration\tManufacturer\nAnnual\tReview and update Emergency Action Plan\tOSHA\nEvery 2yr\tOSHA Bloodborne Pathogen Exposure Control Plan update\tOSHA\nEvery 5yr\tAED battery/pad replacement\tManufacturer\nOSHA Requirements (Dental-Specific)\nMinimum Required Plans & Programs\nBloodborne Pathogen Exposure Control Plan — written, reviewed annually\nHazard Communication Program — SDS binder accessible, GHS labels\nPersonal Protective Equipment — gloves, masks, eyewear, gowns for all clinical\nSharps injury log — maintain for 5 years\nHepatitis B vaccination — offer to all employees within 10 days of hire (free)\nExposure incident protocol — post-exposure evaluation within 24 hours\nInfection Control (CDC 2003 Guidelines + 2016 Summary)\nSingle-use items: NEVER reprocess items labeled single-use\nInstrument processing: clean → package → autoclave → store (biological monitoring weekly minimum)\nSurface disinfection: EPA-registered hospital-grade disinfectant on all clinical surfaces between patients\nWaterline management: <500 CFU/mL (use self-contained water, shock treatment monthly)\nHand hygiene: before gloving, after degloving, between patients (alcohol-based OK if hands not visibly soiled)\nHIPAA for Dental\nCommon Violations (and how to avoid them)\nViolation\tFine Range\tPrevention\nUnencrypted patient data on personal devices\t$100-$50K/violation\tPractice-owned encrypted devices only\nLeaving charts visible at front desk\t$100-$50K\tFlip charts face-down, use privacy screens\nDiscussing patients in common areas\t$100-$50K\tClose operatory doors, lower voices\nNo Business Associate Agreements\t$10K-$50K/violation\tBAA with every vendor touching PHI\nNo risk assessment\t$10K-$50K\tAnnual assessment required (document it)\nImproper disposal of records\t$100-$50K\tCross-cut shred, certified destruction\nRequired HIPAA Documents\nPrivacy Policy (posted in office + website)\nNotice of Privacy Practices (signed by every patient)\nBusiness Associate Agreements (labs, billing services, IT, cloud software)\nBreach Notification Policy\nWritten Risk Assessment (updated annually)\nStaff training log (annual)\nMarketing Benchmarks\nChannel\tCost per New Patient\tExpected ROI\tNotes\nGoogle Ads (local)\t$150-$300\t5-8x LTV\tTarget \"dentist near me\" + emergency\nSEO (local)\t$75-$150 (amortized)\t10-15x\tGoogle Business Profile optimization critical\nPatient referrals\t$0-$50 (gift card)\t20x+\tBest source — ask at every positive visit\nDirect mail (new mover)\t$25-$75\t3-5x\tWorks for family practices in suburbs\nSocial media (organic)\tStaff time only\t2-3x\tBefore/after (with consent), team culture\nInsurance directories\t$0 (included)\t1-2x\tLow quality but volume\nNew Patient Metrics\nAverage new patient value (year 1): $800-$1,200\nLifetime value (10-year retention): $8,000-$15,000\nTarget new patients/month: 25-40 for solo GP, 50-80 for group\nAttrition rate target: <15% annually\nKey Performance Indicators (Monthly Review)\nKPI\tTarget\tHow to Calculate\nProduction per provider/day\t$2,500-$3,500 (GP)\tTotal production ÷ provider days worked\nCollection rate\t≥98%\tCollections ÷ adjusted production\nOverhead ratio\t≤60%\tTotal expenses ÷ collections\nCase acceptance\t≥85%\tTreatment accepted ÷ treatment presented\nHygiene production ratio\t25-33%\tHygiene production ÷ total production\nNo-show rate\t<5%\tNo-shows ÷ total scheduled\nNew patients/month\t25-40 (solo)\tCount\nAR >90 days\t<5% of total AR\tAR aging report\nReappointment rate\t≥95%\tPatients rescheduled before leaving\nActive patient count\t1,500-2,000/provider\tSeen in last 18 months\nStaff Compensation Benchmarks (2026)\nRole\tHourly Range\tAnnual Range\tNotes\nDental Hygienist\t$38-$55\t$79K-$114K\tVaries widely by state\nDental Assistant (CDA)\t$18-$28\t$37K-$58K\tEFDA commands premium\nFront Office Manager\t$20-$30\t$42K-$62K\tInsurance knowledge = higher\nTreatment Coordinator\t$18-$26\t$37K-$54K\tBonus on case acceptance\nOffice Manager\t$25-$40\t$52K-$83K\tMulti-location = top range\nAssociate Dentist\t—\t$150K-$250K+\t30-35% of production typical\nWhen the user asks for help\nStart with their biggest pain point (usually production, collections, or no-shows)\nPull the relevant benchmarks and compare to their numbers\nGive specific, actionable steps — not general advice\nReference CDT codes, fee schedules, and compliance requirements by name\nAlways check: are they tracking the KPIs above? If not, start there"
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    "owner": "1kalin",
    "version": "1.0.0",
    "license": null,
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