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Since onboarding with Wisdom in October 2025, Next Level Dental has seen a dramatic shift in accounts receivable (AR).
At the start, the practice was carrying $146,913.68 in total A/R, with $124,023 sitting over 30 days and 49.77% in the 90+ day range. By 01/08/2026, total A/R dropped to $25,430.93, with just $8,643.80 over 30 days—and the 90+ day balance reduced to 2.76%.
There are dental offices that run on systems, and then there are dental offices that run on one person holding everything together.
For Dionne Ramsey, it was the latter.
She didn’t come into dentistry the traditional way. Her career started in the classroom, teaching. But when her husband decided he wanted to open a private dental practice, he turned to the person he trusted most to have his back.
Twenty-one years later, Dionne wasn’t just helping. She was the engine behind the operation – especially when it came to billing.
When Doing it all Stops Being Sustainable
For a long time, Dionne made it work, until it all became too much for just one person to handle.
“When I say I did everything, I mean everything: front office, back office, receiving the EOBs, checks, virtual credit card payment, managing the EFTs. I wore 25 hats.”
It wasn’t just one task, it was everything behind the scenes that keeps a practice running.
“Trying to do it solo had become a huge feat for me,” she said. “I kept this long list and it felt like after a week, there were 20 things to be done and I’d only hit two.”
That feeling of being behind without a chance to come up for air became costly as well as stressful. “We were losing out on timely filing,” she explained. “I just couldn’t keep up.”
The Turning Point
Like many practice leaders, Dionne didn’t outsource at the first sign of struggle…. Or even the second or third. She pushed through, working too many jobs, and even pulling in her daughter to help seasonally.
“The breaking point was just getting overwhelmed. I was already overwhelmed, but it got to a point where it felt like I could never catch up,” she explained. “I was thinking about this process for many years prior to me saying, I’ve got to pull the trigger.”
It got to a point where she couldn’t catch up anymore. She knew something had to change and started began researching her options.
Dionne initially approached outsourcing with a familiar sense of skepticism. “I was worried about how we were going to manage ‘strange people’ in our computer system, and how we were going to handle it,” Dionne said.
When it came to finding a partner, Dionne looked at all her options, understanding that “when you’re looking for these things, everyone says exactly what you want to hear,” adding that, “on paper, everything looks the same.”
But once she found Wisdom, it all fell into place:
“Once I spoke to someone personally, asked specific questions, and got direct answers, it just made sense.”
Enter Wisdom: A “Life-Changing” Experience
After partnering with Wisdom, the shift was almost instantaneous. Right away, doing her job felt easier.
“It’s been so easy to work with the staff. The team that was found for our office is an outstanding team – we communicate very well,” Dionne said. “Overall, everybody follows up and follows through on what they say.”
That shift wasn’t just operational, but personal.
Even with a remote team, Dionne shared that it feels like, “we’re working in the same office together. [My revenue specialist] cares, and asks how my vacations were.
“That means a lot to me because I am so customer oriented,” she added.
Dionne describes the experience as a shift in her day-to-day, but also in how she feels: “It’s been life changing for me. It’s taken a lot of stress off of my plate.”
Instead of doing everything alone, she finally had a system she could rely on.
And that constant pressure she carried for years started to subside: “A total weight that has been lifted. I can’t even express how freeing it is.”
The Biggest Difference: Follow-Up
For Next Level Dental, the biggest change was the follow-up, because follow-up is where the whole system either works, or breaks.
“You may have a batch of 10 EOBs, and out of 10, seven of them have been paid. So now I gotta follow through on those three. Lord, I don’t have time to do that.”
When you’re juggling too much follow-up is the first thing to slip. “I don’t have time to do [follow-ups],” Dionne explained. “I have someone else working on them now. That’s been a huge help.”
More Time For What Actually Matters
With billing follow-up under control, Dionne has been able to refocus on what’s next for her practice and what matters most day-to-day.
“I’m able to really reorganize the way some things are done, which gives me more opportunity to fine tune treatment planning, more time for follow through and follow up.”
And ultimately, more time for her patients: “I always focus on my patients, but now I give them 125% focus.”
Looking Back, She Wouldn’t Wait So Long
There’s a line Dionne repeats, and it carries the kind of truth you only get after you’ve lived through the hard part: “Why did I not do this sooner?”
If she could give her past self advice, she keeps it simple: “Girl, you better jump on that wagon.”
“Wisdom has been life changing for me and my office.”
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