What EBITDA Actually Means in a Dental Practice — and Why Your Tax Return Doesn't Show It practice finance practice valuation May 21, 2026

EBITDA. You'll see it in every DSO letter of intent. You'll hear it in every M&A conversation. And if you ask most practice owners what their EBITDA actually is, you'll get a shrug and a rough number that's almost certainly wrong.

That's not an insult — it's just the reality. EBITDA is a financial c...

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The Real Cost of Staying In-Network: How to Run a PPO Profitability Analysis on Your Own Practice insurance & ppo practice finance May 20, 2026

I've had this conversation a hundred times. A practice owner tells me they're "pretty sure" they're making money on their PPO contracts. They're staying busy, the schedule is full, and the collection numbers look reasonable. Everything seems fine. Then we sit down and actually run the numbers. And u...

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How to Value a Dental Practice: What the Number on the LOI Actually Means practice valuation May 19, 2026

Every dental practice owner gets a number eventually. It might come in the form of an LOI from a DSO. It might come from a broker during a preliminary conversation. It might be a figure your accountant throws out at year-end as a rough estimate of what your practice is worth.

The question isn't whet...

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What Is a DSO Earn-Out — And Why Most Dentists Don't Understand What They're Signing dso & m&a practice valuation May 18, 2026

The letter of intent arrived on a Thursday. It looked good — 7x EBITDA, a two-year earn-out with solid upside, rollover equity with a projected second-bite return. The dentist called his accountant, who said the number looked reasonable. He signed the LOI the following week. Eighteen months later, h...

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Why DSOs Are Flying Blind on Equipment — And What the Smart Ones Are Doing About It capital planning dental equipment dso & m&a May 17, 2026

If you run procurement for a dental group — or you're the CFO signing off on capital requests — you already know the problem I'm about to describe. I've spent more than 25 years working inside and alongside dental organizations of every size. And in all that time, one operational blind spot shows up...

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The Hidden Liability in Every Dental Practice Sale: Equipment No One Has Actually Valued dental equipment practice valuation May 15, 2026

I've sat across the table from a lot of dental practice transactions — as an advisor, as a consultant, and now as the person who built the software that tries to solve a problem I watched happen over and over again. Here it is: nobody actually knows what the equipment is worth. Not the seller. Not u...

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The RAP Plan Panic: What Every Dental Student Needs to Know Before July 1 early career & student loans Apr 17, 2026

 

You've heard it. Or you're about to. Someone in your class drops the phrase "RAP plan" and suddenly the whole table goes quiet. Because nobody really knows what it means, and everybody's scared to admit it.

July 1, 2026 changes everything about how dental students borrow and repay federal loans....

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What Is Adjusted EBITDA in a Dental Practice Sale — and Why Every Add-Back Is Worth Seven Times Its Value practice finance practice valuation Apr 17, 2026

If you've received a letter of intent from a DSO, you've seen the term EBITDA. You may have nodded along as your broker explained it. You may have accepted the number your accountant produced without fully understanding how it was derived.

This matters more than almost anything else in your trans...

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How to Read a DSO Earn-Out Agreement — What Every Clause Is Actually Doing to Your Money dso & m&a practice valuation Apr 16, 2026

You got the letter of intent. The number looks right. The buyer's team has been professional, the process has moved quickly, and everyone keeps telling you this is a strong deal.

Then the Asset Purchase Agreement arrives — three hundred pages of legal language — and somewhere in Article 6 is the ...

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Dental Hygienists & Business Economics: Driving Practice Revenue hygiene practice finance Apr 03, 2026

 

What the Hygienist’s Role Means for Your Practice's Bottom Line

One of the biggest drivers of practice revenue is hygienists -- they're responsible for roughly a third of it. But in most hygiene programs, they don't tell you what that means, or why it should matter to your paycheck, your career,...

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Your Comprehensive Guide to a Dental Check-Up: What to Expect and Why It Matters dental costs dental health dentalquotecheck patient education preventive care Apr 02, 2026

Your Comprehensive Guide to a Dental Check-Up: What to Expect and Why It Matters

A regular dental check-up is far more than just a quick polish of your teeth; it's a fundamental pillar of your overall health and well-being. Many people view a trip to the dentist as a reactive measure—something to

...
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Understanding Dental Support Organizations: A Comprehensive Guide Apr 01, 2026

 

 This guide aims to provide a complete overview of DSOs, addressing the dual needs of today's dental professionals. For those seeking foundational knowledge, it will clarify what DSOs are and how they operate. For those considering strategic business decisions, such as a partnership or sale, it

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