Why Wager Practice Systems Exists
I’m Courtney Wager, founder of Wager Practice Systems, an RDH with two decades of clinical experience.
Wager Practice Systems was built to solve a problem many dental practices feel every day: underutilized hygiene capacity.
After years working as a high-producing clinician, I’ve seen what’s possible when hygiene schedules are optimized — when wasted chair time is removed, and hygienists stay focused on their highest-value clinical work.
Clinical Foundation
20 years in clinical practice
Working within a two-column assisted hygiene model
Consistently producing over $330 per clinical hour Board of Directors, Southeastern Component — MDHA (2008–2015)
Served as Co-Chair during this time
Founder — Boston Orofacial Myology (2011)
First RDH in Massachusetts to be IAOM certified in Orofacial Myology
IAOM Board of Directors (2013–2017)
Local and International Lecturer
Boston Institute of Aesthetic Dentistry, Moscow Russia
University of North Carolina, Dental Hygiene Students
ENT Open Forum (Boston) Various Study Clubs
With 20 years as a Registered Dental Hygienist in clinical practice, I specialize in two-column hygiene - a systematic approach that maximizes patient flow and hygiene profitability.
Expertise in Two-Column Hygiene
Production-Based Solutions
I understand the operational dynamics of a dental office. I focus on real, measurable improvements that increase patient capacity and production, without burning out your staff.
Practical Implementation Over Theory
Unlike many consultants, I don’t just deliver advice. I implement. And I’ve used this exact system myself for twenty years in clinical practice. I work hands-on with your team to put these systems into place that produce results, not just ideas.
Who I Work Best With
I work with dental practice owners and their teams who recognize there is opportunity for growth, are motivated to optimize hygiene operations and revenue, but aren’t sure how to do so within their current system. I work best with practices that are:
—— Experiencing demand for care but limited by how hygiene is currently scheduled
—— Wanting to grow without hiring additional providers, extending hours, or burning out their team
—— Looking for practical, measurable changes — not theory or short-term fixes