Our Blog - Everything DSO

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...

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...

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...

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...

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...

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...

Dear Reader, For many dentists, “value” is a simple equation. If collections are high, the practice must be worth more. It feels intuitive. After all, more revenue should mean more profit, and more profit should mean a higher sale price. But when it comes to selling to a DSO, this assumption can be dangerously misleading. DSOs do not base their valuations on top-line revenue alone. They look deeper....

Dear Reader, The dental market is shifting again. The frantic, gold-rush phase of DSO acquisitions is giving way to something more selective, more strategic, and far less forgiving. In 2026, simply having a good practice will not guarantee a premium offer. Buyers are sharpening their pencils. Capital is tightening. Competition among sellers is increasing. The practices that thrive will be the ones...

How much is your dental practice worth? The value can be drastically different depending on who is asking. Here are some factors that determine your practice’s valuation when selling. Dentists and DSOs There are two main types of buyers of practices: Doctors and DSOs. Other dentists may want to buy your practice. Traditionally this is how it was done for many years. However, times are changing...