Our Blog - Everything DSO

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Your Hygiene Department: The Hidden Engine of Growth (or Decline)
Dear Reader, Every dentist knows hygiene matters. But very few understand just how much it impacts the long-term strength, stability, and valuation of their entire practice. If you’re a mature, established dentist, especially one who may consider selling sometime in the next 5 years, your hygiene department is far more than a routine cleaning schedule. It’s the heartbeat of your practice. It’s the...
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December Reactivation Blitz: The Hidden Growth Move Most Dentists Ignore
Dear Reader, You’re busy, the schedule looks full, hygiene is running… but the numbers don’t quite reflect the volume of work you’re putting in. That feeling is more common and more dangerous than most doctors realize. What many dentists don’t see is the silent, slow leak happening behind the scenes: Inactive patients. Lost treatment. Unscheduled dentistry. Hygiene drift. And if you’re even thinking...
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High-Value Dentistry: The Most Important Driver of Your Practice Valuation
Dear Reader, There’s a moment in every dentist’s career where the focus shifts. It’s no longer about “How busy can I stay?” It becomes: “Is my practice performing in a way that protects my future?” You start thinking about long-term stability. You start thinking about retirement timelines. You start thinking about whether selling in the next few years makes sense or whether it would be smarter to...
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What Your 2025 Numbers Are Really Telling You: A Year-End Reflection
Dear Reader, December is reflection season. The final pages of the calendar year have a way of bringing clarity, sometimes reassuring, sometimes uncomfortable, always valuable. If you’re an established dentist, this month offers something far more meaningful than holiday schedules and insurance reminders. It offers insight. A chance to step back, look at the year honestly, and answer a few simple...
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The Unspoken Checklist Every DSO Uses to Decide What to Pay You
Dear Reader, When a DSO evaluates your practice, they don’t just glance at your collections and throw out a number. Behind every offer is a structured, methodical checklist. It’s rarely shared with sellers, but it determines everything about the offer you receive. Most dentists never see this checklist. They assume that high revenue or a strong reputation is enough. But inside the DSO deal room, there...
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The Deal Timeline: What to Expect When You Start the DSO Sale Process
Dear Reader, Most dentists know that selling to a DSO can lead to life-changing financial outcomes, but very few understand the timeline that gets them there. They assume the process is as simple as receiving an offer, signing some papers, and handing over the keys. The reality is far more structured, and those who understand the stages in advance move through the process with less stress, stronger...
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Inside the DSO Deal Room: The Negotiation Traps That Cost Dentists Millions
Dear Reader, When the big offers start rolling in, most dentists think the hard part is over. They believe that finding the right buyer is the challenge and that once a Letter of Intent is signed, everything else is a formality. The reality is far different. The real game begins inside the negotiation room. DSOs do this every day. They have deal teams, analysts, attorneys, and experienced negotiators...
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Inside a 7-Figure DSO Deal: How One Doctor Tripled Their Practice Value
Dear Reader, Most doctors believe the value of their practice is fixed. They think a broker gives them a number, and that number represents their fate. In reality, strategic positioning can completely rewrite the outcome. I’ve seen practices increase their sale price by millions simply by approaching the process the right way. One recent deal stands out as a textbook example of what happens when a...
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How Relying on a Broker Valuation Can Cost You Millions
Dear Reader, For many dentists, the first step toward selling their practice is calling a broker and getting a valuation. It feels logical. Brokers have been around for decades. They know the market, they give you a number, and that number becomes the foundation for your expectations. But in today’s DSO-driven market, relying on a traditional broker valuation is one of the most expensive mistakes...
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Could Selling Now Maximize Your Practice Value?
Dear Reader, If you own a thriving dental practice generating seven figures or more, the decisions you make in the next twelve months could define the financial legacy of your entire career. Right now, the dental industry is in the middle of a massive consolidation wave. DSOs are buying aggressively. Private equity money is flowing in. And practice valuations for top-performing offices are at levels...
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