The differences in the Sarrell experience start long before patients arrive in the waiting room. The cornerstone of Sarrell’s strategy is to keep its dental chairs occupied as much as possible. “It's Business 101,” says Parker. “If your revenues are declining—and, per patient visit, ours certainly are—there's only one way to operate on lower margins, and that's to see more people.” The quest to keep patients coming through the door begins with a community outreach team member, a role that’s unique in American dentistry.