Prosthodontist

Job Description

Job Description

Role Title Reports To Department Classification FLSA Status

Full-Time Prosthodontist Owner / Surgeon, Dr. Alexander Heatrice, DDS, MPH, MS Clinical / Restorative Salaried / Full-Time W-2 Exempt*

Schedule Full-time clinical schedule established by Premier Institute based on patient demand and business needs. Role supports

restorative, crown/bridge, implant, AOX/full-arch, consultation, delivery, and follow-up care. *Final FLSA classification should be confirmed

by employment counsel/payroll advisor.

Position Summary

The Full-Time Prosthodontist leads Premier Institute's advanced restorative and prosthodontic service line. The position provides comprehensive crown and bridge, implant restorative, full-mouth rehabilitation, removable prosthodontic, implant-placement, and AOX/full-arch services while working closely with Premier Institute's oral surgeons and dental laboratory.

This role is intended to retain appropriate restorative treatment within Premier, expand the practice beyond surgery-only care, convert suitable implant leads into restorative treatment when AOX is not indicated, and build a sustainable patient base through clinical excellence, internal referrals, external referrals, patient education, and marketing participation. The Prosthodontist is accountable for clinical quality, patient experience, documentation, schedule utilization, and the financial performance of the service line.

Key Responsibilities

Restorative, Prosthodontic & Implant Clinical Services

• Provide comprehensive crown and bridge treatment, including diagnosis, preparation, provisionalization, final seating, occlusal adjustment, and management of complex restorative cases

• Provide implant restorative care, including implant crowns, multi-unit implant restorations, implant-supported bridges, removable implant prosthetics, locator attachments, immediate/provisional restorations, and final prosthetic delivery

• Participate in AOX/All-on-4 and other full-arch cases from diagnosis and treatment planning through provisionalization, final prosthetic design/delivery, maintenance, and restorative follow-up; place implants when clinically appropriate and within approved training, credentialing, privileges, and Missouri licensure

• Provide full-mouth reconstruction, occlusal rehabilitation, denture and partial-denture treatment, and other advanced prosthodontic services appropriate to the provider's specialty training and Premier Institute's scope

• Collaborate with Dr. Heatrice and the surgical team on interdisciplinary implant cases; review imaging, restorative space, implant position, prosthetic design, surgical-restorative sequencing, and patient-specific risk before treatment proceeds

Documentation, Compliance & Laboratory Coordination

• Complete all clinical notes, diagnoses, treatment plans, procedure documentation, consent verification, materials, postoperative instructions, and follow-up plans in DSN on the date of service unless a documented emergency prevents completion

• Coordinate closely with Premier Institute's dental laboratory on digital records, prescriptions, shade, design, materials, prosthetic requirements, remake prevention, turnaround time, and quality control; escalate material lab delays or case discrepancies promptly

• Participate in chart review, treatment-plan review, case staging, complication review, and quality-assurance processes for complex implant, crown/bridge, and full-arch cases

• Comply with Premier Institute infection control, OSHA, HIPAA, consent, sterilization, controlled-substance, patient-safety, and clinical protocols at all times

• Maintain active and unrestricted Missouri licensure, professional liability coverage, and all permits, registrations, certifications, and credentials required for services personally performed; promptly report any change in status

Patient Communication, Growth & Marketing

• Conduct restorative, prosthodontic, and implant consultations using clear patient education, visual aids, imaging, and treatment alternatives; build trust while preserving informed consent and independent clinical judgment

• Work with the Treatment Coordinator to support appropriate case acceptance, clarify clinical recommendations, and create treatment pathways for patients who are not AOX candidates but may benefit from crown/bridge, implant restorative, partial rehabilitation, or full-mouth reconstruction

• Participate in reasonable marketing and patient-education initiatives, including website/video content, social media, media appearances, testimonial or educational filming, patient events, and practice campaigns designed to grow the restorative and implant service line

• Help develop and protect referral relationships by communicating professionally with referring dentists, providing specialty-level restorative support for complex cases, coordinating care, and honoring Premier Institute's referral-protection protocols

Required Qualifications

• Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) with completed accredited prosthodontic specialty residency

• Active, unrestricted dental license in the State of Missouri with qualifications required to practice prosthodontics and perform the assigned procedures

• Demonstrated proficiency in crown and bridge, implant prosthetics, full-mouth rehabilitation, removable prosthodontics, complex restorative treatment planning, and full-arch/AOX prosthetic care

• Demonstrated implant-placement experience or documented advanced implant training sufficient for any implant-placement duties assigned by Premier Institute; implant privileges remain subject to credentialing and approval

• Experience with digital dentistry, CBCT-based planning, intraoral scanning, implant systems, dental laboratory communication, and full-arch restorative workflows strongly preferred

• Current professional liability/malpractice insurance in amounts acceptable to Premier Institute; DSN or comparable practice-management documentation experience preferred

Core Skills, Behaviors & Performance Expectations

• Clinically precise, detail-oriented, and capable of independently managing advanced restorative and prosthodontic treatment while collaborating effectively with surgeons and the care team

• Expected to arrive ready to work at the scheduled start time, maintain dependable attendance, use clinical time efficiently, and protect continuity for multi-visit restorative and full-arch cases

• Communicates findings, complications, treatment changes, and laboratory issues proactively; does not allow preventable problems to remain unresolved until a later visit

• Completes documentation same day and understands that incomplete records create patient-safety, compliance, financial, and continuity-of-care risk

• Comfortable participating in patient education and marketing as part of building a new Premier service line; presents professionally on camera and in referral/community interactions when reasonably requested

• Business-minded without allowing financial goals to override clinical judgment. Tracks and responds to performance data including schedule utilization, new-patient volume, show rate, case acceptance, production, collections, case mix, lab cost, patient experience, and referral source

• Annual performance expectation: achieve at least $1,100,000 in Net Adjusted Production during each full calendar year of employment. Premier Institute will monitor monthly and year-to-date production, case mix, schedule utilization, patient experience, and service-line profitability throughout the year. For an initial partial calendar year, the annual production expectation will be prorated based on the number of calendar months employed. The production expectation is a management performance standard and does not create a monthly bonus or guarantee patient volume.

Compensation & Earnings Opportunity

The Prosthodontist compensation structure is designed to provide a strong guaranteed base while rewarding sustained annual production. The position includes a $200,000 annual base salary. After Net Adjusted Production exceeds $1,100,000 during a full calendar year, the Prosthodontist is eligible for an annual bonus equal to 10% of Net Adjusted Production above $1,100,000, subject to the terms and eligibility requirements of the Employment Agreement.

Illustrative annual earnings examples:

$1.1 million production: $200,000 total compensation (base salary; no production bonus)

$1.5 million production: $40,000 bonus; $240,000 total compensation

$1.8 million production: $70,000 bonus; $270,000 total compensation

$2.1 million production: $100,000 bonus; $300,000 total compensation

$2.5 million production: $140,000 bonus; $340,000 total compensation

These examples are for illustration only and do not guarantee any level of production, bonus, or total compensation. Actual bonus eligibility and payment are governed exclusively by the Employment Agreement and Premier Institute's Net Adjusted Production calculation.

Acknowledgment

I have read and understand the responsibilities, expectations, performance standards, and requirements of the Full-Time Prosthodontist position at Premier Institute of Oral & Facial Surgery. I agree to perform the duties described to the best of my ability, exercise independent professional clinical judgment, and follow Premier Institute's clinical, documentation, operational, patient-experience, and compliance standards.

At Premier Institute of Oral and Facial Surgery, we are committed to delivering high-quality, patient-centered care in a modern surgical setting. Our practice specializes in a full scope of oral and maxillofacial procedures, including dental implants, wisdom tooth removal, corrective jaw surgery, and treatment of facial injuries and conditions.
Our team is led by experienced oral surgeons and supported by highly trained surgical assistants and clinical staff. Together, we provide advanced care using state-of-the-art technology and in-office IV sedation to ensure a safe, comfortable experience for every patient.
We are dedicated to creating a caring, supportive, and educational environment—both for our patients and our team. Patient education is a key part of our approach, as we believe informed patients feel more confident and comfortable with their treatment.
At Premier, we also value professional growth and continuous learning. Our team members gain hands-on experience in a fast-paced surgical environment, working closely with skilled providers and developing both clinical and communication skills.
Our mission is simple: to help patients live healthier lives by providing exceptional care in a compassionate and respectful setting

Company Description

At Premier Institute of Oral and Facial Surgery, we are committed to delivering high-quality, patient-centered care in a modern surgical setting. Our practice specializes in a full scope of oral and maxillofacial procedures, including dental implants, wisdom tooth removal, corrective jaw surgery, and treatment of facial injuries and conditions.\r\nOur team is led by experienced oral surgeons and supported by highly trained surgical assistants and clinical staff. Together, we provide advanced care using state-of-the-art technology and in-office IV sedation to ensure a safe, comfortable experience for every patient.\r\nWe are dedicated to creating a caring, supportive, and educational environment—both for our patients and our team. Patient education is a key part of our approach, as we believe informed patients feel more confident and comfortable with their treatment.\r\nAt Premier, we also value professional growth and continuous learning. Our team members gain hands-on experience in a fast-paced surgical environment, working closely with skilled providers and developing both clinical and communication skills.\r\nOur mission is simple: to help patients live healthier lives by providing exceptional care in a compassionate and respectful setting