The math on PPO participation gets worse every year. Write-offs that once felt manageable now consume 35 to 45 percent of production in many markets. Fee schedules that haven't moved in a decade are being applied to a cost structure that has. And yet the conventional wisdom — that you can't exit PPO...

You negotiated hard. You got a strong multiple. The letter of intent is signed, due diligence is underway, and closing is scheduled for next quarter. The total consideration looks excellent on paper — but a meaningful portion of it isn't paid at closing. It's deferred, contingent on future perf...

Every dentist eventually hears the pitch. A well-dressed rep from a regional or national dental support organization sits across from you, slides a deck across the table, and starts talking about "partnership." The numbers look interesting. The promises sound reasonable. And somewhere in the back...