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. Or the irony that the biggest PE haters on here have been getting bent over without lube by dental insurance for 3 decades and pretend like they have nothing to do with the state of dentistry these days.... TBH I dont think anyone here thinks PE is good for dentistry or any field. Are you saying because
April 28, 2026
Academy of Dental Management Consultants
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if they want that profit margin. We're doomed You must not take PPOs then. Dentists have figured out how to run lean. But we can't run lean enough to share 50% or more of our profit with a home office. No amount of supply savings or special insurance reimbursements make up for that. This is it. In dentistry
May 29, 2026
Academy of Dental Management Consultants
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the free gravy train, on the backs of general dentists for a couple of decades. Kind of funny. If they would have been a little more sensitive to the plight of the little ole GP and taken action like you suggested, we may have gotten some leverage over insurance. Instead they let it get to this point
April 20, 2026
Academy of Dental Management Consultants
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to a DSO to manage. That's what I was getting at with the OMFS example. He could have paid a consultant 10k to clean up his billing and insurance contracts, then pay an OM to manage, instead he paid a DSO way more every year in the form of profits. So they pay/give up 60% of profits with nothing
April 22, 2026
Academy of Dental Management Consultants
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an insurance or 2, worked less, made more, then sold private when he wanted. That's an extremely expensive insurance negotiator/consultant he bought. I believe he said the 90% up front was the difference. Every other offer it was the same PE deal shenanigans you all mention throughout this post. I don't
April 22, 2026
Academy of Dental Management Consultants
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Views: 195 | Replies: 2
in their article. The myth proffered by private equity was that of enlightened capitalists generously sharing wealth with workers. Apparently, Ownership Works (a nonprofit) helped sanitize the deal. Just as certain insurance companies abuse taxpayers as nonprofits, apparently so also for some public
April 21, 2026
Academy of Dental Management Consultants
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else. The front desk handles insurance, billing, scheduling, etc. Front and assistant handle ordering. I did spend quite a bit of time before our last hire putting together an office handbook, but that was a one off thing. Week to week I spend very little time on business stuff and most
April 30, 2025
Academy of Dental Management Consultants
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the opportunities in the profession still exist, and with a little bit of work and planning, can be realized. I don't think a lot of older docs understand the predicament a lot of young grads are in. From sky high home costs, to insurance to staff wages. IMO we are going to see a lot more bankruptcies
January 23, 2026
Academy of Dental Management Consultants
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reflect we are though. This thread is a dead horse beaten to oblivion lol. Do you members have insurance? What is included? How much do they pay? At my PCP here in a large metro area it means she has a limited panel of enrolled pts, I can come in pretty much whenever I need to, including later
October 07, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
reimbursement from Insurance carriers. Is that true? Seems to be unfair. Maybe illegal. Does Most Favorite Nations ACT apply to these situations? Covid shook up a lot of dentists and became a boon for the DSOs.... One can only hope Nate is correct.... PE destroyed medicine and will do the same
November 17, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. I look at trends. Other guys love the numbers and want to figure out hourly profit. I'd shoot myself if I had to run that way. This. Many docs take random distributions, have expenses come out at different times, different amount of days in a month/quarter etc, EBTs from insurance can be behind
April 29, 2026
Academy of Dental Management Consultants
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situation for all when that occurs. Dental insurance, cost of dental school and lack of competence by the ADA are much more detrimental to the future of our profession. The momentum with DSOs will continue whether offices like mine sell to them or not. I could sell to a doc who owns a few other
April 23, 2026
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
(it wasn't me, ie Mich Blue). And using terms like grift and slimy invite similar cliches or phrases to be used in response. It is the complete disregard for any benefits and strict denial that any exist that greatly reduce your effectiveness in these conversations. So I'll try answer your questions again
July 16, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
the practice from the bank. Again, all depends. Great YouTube video for your patients explaining insurance, DSOs, Private Equity and the inherent problems with all of these in dentistry. Shout out to Michael Davis DDS (who also has a very good guest appearance on this podcast 2 episodes back) as well
April 12, 2026
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
than a lone office. It's also more convenient for the insurance company to negotiate one time with a DSO with 50 offices vs 50 times with individual offices. If a DSO were to go OON for a particular insurance(say DD) in an area they dominate the market, most employers would look elsewhere
August 28, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
just move on. My bad. I got triggered when I read your comment about who I live with. I was thinking what does that have to do with DSO. Sorry. Please read your post. What percent of the population that has dental insurance doesn't care if their DDS in in or out of network? I went OON January 1. We
November 21, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
insurance companies are being comingled either. It is important to separate private- and publicly-funded patients in this discussion. Dental boards can directly impact DSOs through their actions, as necessary, on the individual dentists. I've always considered it a best practice to openly engage dental
June 11, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. that the DSO is offering. I crunched the numbers, and my overhead is less just paying for all those services piecemeal, and paying 40% more on supplies (doesn't end up being that much with Darby/Safeco/Ebay) than it would be paying a management fee and most of the profits. Our insurance breakdown doesn't
March 20, 2025
Academy of Dental Management Consultants
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Views: 352 | Replies: 3
. He may be retired by now, he really enjoyed selling equipment. It's not easy, he was hitting sales numbers I found impressive, and I am a wholesale guy. You may find something with a lot of applying, networking, and applying. Dental schools, insurance companies, public health, industry positions. But it is unlikely to pay as high as clinical dentistry. Bump
October 24, 2022
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
without insurance. By being transparent about treatment costs and emphasizing the value of your care, you can build trust and demonstrate that high-quality dental care doesnt have to break the bank. Finally, staying actively involved in the community can create a lasting impact. Whether sponsoring local
January 26, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. It will contribute but isn't the main cause. There will always be a large section of patients that want quality care and to see the same dentist. Esp in the profitable practices. Dentistry isn't like medicine. You dont really need dental insurance in your life because you wont go broke if you need
January 30, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
and need for it. There is a lot of idealism that I encounter, especially by people who have been in the industry a long time. I have not doubt it is possible to be successful by oneself, but given what has been allowed with insurances and the industry, it will not be the norm. New grads to try
July 30, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
comp - $329K of practice-level EBITDA or 14.0% - a typical full-time, 1-DDS/DMD GP practice usually generates +/- $225K of EBITDA depending on the MSA and insurance mix (no MA) Dave- Its the risk involved. When you have to replace the owner doc of a specialty you could lose most of your referral
July 02, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
and/or based on the patient's insurance status - e.g. true FFS or PPO. All else being equal, dentistry remains an amazing career opportunity. Just look at the chaos that other healthcare fields are facing right now from the pressure on CMS funding alone. I'm grateful that the industry is as healthy
July 14, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
a clarification would help. Malpractice, insurance, car, auto expense, medical insurance, 401k, profit sharing. CE. Employee spouse and family, Write off trips for CE. In your example, with 750k profit, you are saving 115,000 in taxes.... Even a more conservative profit of 250k you are saving
July 17, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
... Ownership tasks are taken care of by our staff... We focus ondentistryand only make the big decisions together for the practice... The contract is not terribly long but covers all the bases... We each have to maintain a 1M life insurance policy for example, to pay the family of the deceased partner
May 30, 2025
Academy of Dental Management Consultants
Message Board
Views: 70110 | Replies: 5147
get my feelings hurt, as everyone is entitled to their own opinion. But I think the idea of selling private practice out, in regards to DSOs is a facade. Private practice has been suffering from a thousand cuts as insurance reimbursement or allowed amounts have gone unchecked, education expenses
April 28, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
the insurance reimbursement goes up. We are doomed as a profession. Especially when our labor cost is going up like crazy. How feasible is it for all dentists to become fee for service? I don't know. End of the day, it feels like a constant game of selling if you wanna be profitable. Days of GPs running
December 16, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
models for different people. I find i enjoy putting on my different hats in the office. Had a slow afternoon (damn delta patient could not afford her copay and rescheduled) and have been doing EOB's all afternoon. I don't mind doing EOB's but I get real iratable on the phone with insurance
June 13, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
that process is laid out. But cool cool. Ahh so no non-clinical owners. Good luck turning that boat around. I also think insurances should increase reimbursements with the rate of inflation every year. We are back to the argument that the wheels are in motion and nothing can be done. I'm not going
April 29, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. There are ways around those rules. I see that is part of their mission statement. But look at their advocacy for legislation. None of it is directly related to independent dentists. Insurance loss ratio, reciprocal license, AOB, fluoride, consumer protection, ect. Nor does it say anything about PE
May 28, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
, but at some point you run out of rope. But this is where your thinking gets skewed. When you have the bargaining power of 600 practices, macro and micro economics both will play a roll. Health insurance premiums, supplies, insurance reimbursements, every single line item other than wages is/can be impacted
May 23, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
grow it enough to make up the difference. Not to mention the competition in many areas is very tough, interest rates are high, student loan debt is skyrocketing, insurance reimbursements are stagnant, and DSO's buy many of the good practices, or just start new ones and take more market share
March 19, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. Devils in the details. Dsos like ebitda but also obvious (preferably arbitrage) ways to increase bottom line. Easiest I assume would be insurance, bring on associate, reduce lab fees, overturn shit staff. A lean machine is not appealing to them unless you stay on forever which makes
July 10, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
, but also want to use insurances. Champagne taste-beer budget types, which is tough sledding. I hope I get brownie points for this Proposal for the Golden Ticket Dental Match Program A National System for Matching Senior Dentists with Aspiring Practice Owners Introduction: A Responsibility Beyond Our
April 26, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
, insurance, cell phone etc through my own side of the business. Perhaps Tim can correct any errors here. I just wanted to point out that the tax part isnt all a loss if you sell. This is where I didn't like the podcast as they will point out all the downfalls but nothing where it can equal out
February 22, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
for doing what they have to do to survive. Sell to a DSo, work for an insurance co, if you need to do it, do it. Butdo you NEED to work for PE to make it? I dont hate the player! But should I cheer on my friend as he does a 180 and goes fromhelpingdentists tohurtingdentistsandthe profession
May 08, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
? 200k before tax? What about after tax? Lets say you have 150k left over after tax...then you subtract 35k for student loans... Ok now you have 115k left over. Here is my expenditures as a middle of the road dentist in the middle of my career. 2k for health insurance a month for a family of 4. 4k
March 20, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
to dentistry with the idea that corps will take care of so many of the details unrelated to dentistry - hiring/firing, HR, medical insurance, vacation coverage, dental insurance processing, etc. - the stuff mentioned here. Were students 20-30 years ago recruited because they had more of what it takes
May 23, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
gain for him was 30% more than if he worked for 5 years. This is exactly how he explained it to me. He's very happy. He said they did drop some med insurance carriers and medicare which has affected his collections to the downside. He didn't say by how much. I'm not sure if his understanding
October 01, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
that drum. Education, projection, forecasting are all common business practices. None of which are fear based. Need and profitability structure are not synonymous. I consider what I did was partner, not sell. Do you see insurance reimbursement rates increasing in the near future? Do you see wages
June 19, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
and insurance fees were probably reasonable...some insurance plans haven't raised fees to keep up with inflation in 10-15 years. Buddy of mine said his Delta fees have gone up 3.5% in the last 8 years. Coverages have been $1500 for most plans for two decades. It's a different ballgame now. Yes
June 04, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
. I agree it 100% isn't for everyone, and I guess we are kind of lumping DSO and associateships into one umbrella. I really feel like the demographic it self is changing to where the attitude of this next generation is such that regardless of debt, insurance, etc, they will choose a different path
May 11, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
is generated by the hands of trained dentists. It is what it is. Money in dentistry doesnt grow on trees. Its called an office manager. . They also do insurance work, write checks, and take care of a ton of things so the dentist can focus 100% or close on the clinical work. The more things
June 11, 2024
Academy of Dental Management Consultants
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Views: 867 | Replies: 16
, I am not a fan of their idea that the dentist should be the one discussing financial and insurance specifics with patients. Some dentists that would work well for, I am not one of them. +1 to Breakaway. So far that has been the best overall management seminar I have attended. I don't agree
April 15, 2016
Academy of Dental Management Consultants
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, He has health insurance and a 401K. He can sell down to 15% if he wants at recap and make the same amount I sold him the last 20% for if he wants to, or just keep the full 20%. It's up to him. He can invest in MB2's sidecar funds (raise money for other acquisitions) that have previously returned
May 22, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
of this issue is caused by your generation of dentists allowing it to get to this point. If I didn't have exploding education costs and stagnant insurance rates and PPO infiltrating the profession like a plague we wouldn't be having this discussion. I am so tired of your misnomers, misinformation
June 03, 2024
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
working on patients to help add to the profit pool. Im glad things worked out for you. A heart scare can make you think for sure. I assume you also had disability insurance as do I. We cant control everything. I cant drive to work thinking Oh my God, I could crash my truck, so Id better sell
May 31, 2024
Academy of Dental Management Consultants
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luck. Get dat World Series trophy!! MLD1970, how can a DSO pay staff more if it has to provide a return to investors that you don't have to? Or support a large call center? Or a large regional HQ? A higher reimbursement from insurance companies or savings on supplies simply doesn't move the needle
September 17, 2025
Academy of Dental Management Consultants
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Views: 70110 | Replies: 5147
on any of my posts. But you can continue with the lazy deflection. The circle continues. The figure was 10-15% and that again was one persons opinion and strictly speaking to only considering financial aspects. Which also is under the assumption that the profit viability of the individual insurance
March 17, 2025
Academy of Dental Management Consultants
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