Pediatric Dental Consulting for High-Volume, Insurance-Heavy Practices

Some days the practice runs you—the waiting room is full, the front desk is buried, and the pace is fast enough to hide what’s quietly draining the numbers.

Lana Rivera helps high-volume, insurance-heavy pediatric owners find it and build a practice that runs without wearing them down.

Lana Has Run a High-Volume Pediatric Dental Practice

Most consultants learned pediatric dentistry from the outside. Lana managed a high-volume pediatric practice herself—she’s lived this specialty’s pressures from the inside, not studied them from a general consulting framework.

She knows where the trouble hides because she’s had to find it herself, under the same pace you’re running now.

What Pediatric Dental Consulting Fixes

Under the volume, the same handful of things break. Here’s each one and what changes when the systems underneath are fixed.

Scheduling

Your busiest hours compress into the after-school window, and when the blocks aren’t built around real patient flow, the day turns reactive—patients are waiting, and the team is scrambling.

Lana builds scheduling templates around your true volume, so the schedule runs the day instead of the reverse.

Collections & Insurance

When insurance drives most of your revenue, delayed claims and a widening gap between production and collections pile up unnoticed—you’re producing, but not keeping it.

The work finds where revenue leaks, tightens claims and follow-up, and tracks the pediatric dental KPIs that keep the financial picture clear.

The Front Desk & Parents

The front desk juggles phones, insurance, scheduling, and a parent on every interaction — and without defined systems, it absorbs every gap until consistency and trust start to slip.

Clear roles, documented processes, and reliable parent-communication systems replace the daily improvising.

The Team

Everyone’s busy but not aligned — the same task handled three ways, communication breaking down the moment the schedule gets heavy. Explicit expectations and built-in accountability keep performance steady regardless of who’s working that day.

A Pediatric Owner Who Got Her Practice—And Herself—Back

A Los Angeles pediatric owner came to Lana with one goal: better profitability. What she didn’t expect was learning that her practice’s numbers and her own burnout shared the same root. Productivity improved, a new clinical procedure was brought on, and she found her way back to why she opened the practice in the first place.

“Working with Lana has been outstanding. She has been helping my pediatric dental practice with productivity and growth through her expertise and deep knowledge of the specialty. Although my main goal was practice profitability, I appreciate that she has also made my personal well-being a priority — focusing on ways to help me prevent burnout at the same time. Lana makes herself available to the office staff and me whenever her help is needed. I love that I can speak to her comfortably and candidly without feeling any judgment. Highly recommend.”
— Pediatric Practice, Los Angeles, CA

How a Consulting Engagement Works

  • Assess

    A detailed look at your scheduling, financials, and team: an honest picture of where the gaps are and what’s driving them.

  • Align

    Priorities set together and sequenced by impact, so you see results while the deeper work continues.

  • Implement

    Lana works alongside your team inside the practice, hands-on and specific enough that everyone knows what’s expected.

  • Sustain

    Ongoing tracking and accountability, so the improvements hold long after the engagement ends.

Consulting and Revenue Cycle Support—Better Together

Consulting and revenue cycle support are separate services — you don’t have to use both. But for pediatric practices facing both systems gaps and billing inefficiencies, they compound: consulting rebuilds what determines your revenue, and billing protects the revenue you’ve already earned. Together they close the loop between what you produce and what you keep.

“Lana and her team at NMG Practice Solutions has been so great to work with. When NMG stepped in it was a huge relief — they were able to find out where we have been missing out on collections and where we were spending resources we didn’t need to be without a return on investment. They were patient with our team and made the transition easy. NMG is helping our program to not only sustain but to thrive, allowing us to see more people and do more of what we love best.”
— Pediatric Practice, Bozeman, MT

Schedule a Pediatric Dental Consulting Call

If the practice is slammed and still feels harder to manage than it should, the answer isn’t working harder — it’s building better systems underneath.

A call with Lana is a straight conversation about where the pressure is and what it would take to lift it. No pitch, no pressure, just clarity.

The goal is simple: a practice that runs well, and an owner who isn’t carrying all of it alone.