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Now is the time to decide on whether to raise your fee’s for 2006 and by how much.  It is best to raise your fee’s yearly in small increments than to raise them significantly every few years.  Most practice operating costs are rising at 4% per year, so if you don’t raise fee’s by at least that much, you will be making lees money in 2006, than in 2005.  I would recommend a 5 to ten per cent fee increase, depending upon the enhancements that have been implemented in the practice over the last year.