Browse by Topic: DSO & M&A · Practice Operations · Hygiene Career Track · Practice Finance · Regulation & Compliance

The Equipment-Versus-Retirement Worksheet: Seven Numbers to Run Before You Sign equipment & capital planning practice finance retirement & tax Oct 13, 2026

Most equipment decisions get made on one number, the price at the bottom of the quote.

This piece gives you the other six. The worksheet below (free, in Excel, with the formulas showing) takes about ten minutes and tells you whether a new operatory adds to your retirement or costs it, using your own...

Continue Reading...
Same Chair, Three Ages: What a $22,700 Operatory Does to Your Retirement at 38, 52, and 61 practice finance practice transitions & valuation retirement & tax Oct 09, 2026

The same chair is a different purchase at 38, at 52, and at 61.

Here's the direct answer. The break-even on a staffed operatory barely moves with your age. It lands between about 2.5 and 2.7 added visits a week whether you're 38 or 61. What moves is everything around it: how much the room can add t...

Continue Reading...
The Deduction Trap: How Section 179 and Your Retirement Plan Compete for the Same Dollars equipment & capital planning practice finance retirement & tax Oct 02, 2026

A tax deduction returns 24 to 37 cents on a dollar you've already spent.

Here's the direct answer. Under current law, most dental equipment can be written off in the year you put it in service, thanks to 100% bonus depreciation and a 2026 Section 179 limit of about $2.56 million. That sounds like fr...

Continue Reading...
What Does a New Dental Operatory Cost Your Retirement? The Math Nobody Prints equipment & capital planning practice finance retirement & tax Sep 29, 2026

Every dollar you put into a chair stops working somewhere else.

Here's the short answer. If you pay cash for a $22,700 operatory and it never sees a patient, you've given up about $88,000 of retirement wealth, assuming that money would have earned 7% for 20 years before taxes. That's the worst case...

Continue Reading...
Same-Day Dentistry by the Numbers: Intraoral Scanners, Chairside Milling, and 3D Printing dental technology equipment & capital planning practice finance Sep 18, 2026

The cheapest machine in this article will probably pay for itself before the most expensive one gets unboxed.

If you're short on time: an intraoral scanner runs roughly $20,000 to $37,500 and is the entry ticket for everything else digital. A dental 3D printer costs $3,500 to $12,000 as a complete ...

Continue Reading...
CBCT and the Diagnosis Gap: When 3D Imaging Actually Pays in a General Practice dental technology equipment & capital planning practice finance Sep 11, 2026

The scan fee is the smallest check a CBCT will ever write you.

So, is CBCT worth it for a general dentist? A unit runs roughly $80,000 to $200,000 installed, and financing an $80,000 unit over seven years comes to about $1,256 a month. At the ADA's reported median fee of $275 for a limited-field sc...

Continue Reading...
The Sixth Room: How Few Patients It Takes for an Extra Dental Operatory to Pay for Itself equipment & capital planning practice finance practice operations Sep 08, 2026

Every practice I've ever walked has a room that's losing money by sitting there quietly.

Here's the short version. Finance a mid-tier operatory package over five years at today's rates and the payment runs somewhere between about $455 and $1,000 a month, depending on the brand and tier. With roughl...

Continue Reading...
The 2026 Fiscal Squeeze: Why Your Revenue Grew and Your Real Profit Didn't dental economy insurance & ppo practice finance Aug 10, 2026

Every quarter the ADA publishes two index numbers side by side and every quarter the industry press reprints them without doing the arithmetic. The Q2 2026 report is no exception.

Here they are. Since January 2021, prices for dental equipment and supplies rose 23%. Hourly earnings for dental office...

Continue Reading...
Dentistry Is Losing the Health Care Wallet, and It Has Been for a Decade dental economy insurance & ppo practice finance Aug 09, 2026

Most of what gets written about the dental economy is cyclical. Good quarter, bad quarter, confidence up, confidence down. The ADA's Q2 2026 report contains one chart that isn't cyclical at all, and it's the one I'd put in front of anybody making a ten-year decision about this industry.

Over the de...

Continue Reading...
Dentists Said They'd Drop Insurance in 2026. Most of Them Didn't. dental economy insurance & ppo practice finance Aug 08, 2026

There's a slide in the ADA's Q2 2026 report that almost nobody is writing about, and it's the most revealing page in the deck.

In Q4 of 2025, the Health Policy Institute asked owner dentists what they planned to do in 2026. Then, six months later, they asked the same group what they'd actually done...

Continue Reading...
Dentists Are Buying Software Instead of Operatories in 2026 dental economy equipment & capital planning practice finance Aug 07, 2026

I spent twenty-five years on the manufacturing side of this industry, which means I've sat through a lot of forecast meetings where somebody held up a survey showing dentists planned to buy equipment. Those forecasts were usually wrong in a predictable direction.

The ADA's Q2 2026 report just publi...

Continue Reading...
The Pillars of Dental Strategy: A Framework for Practice Owners and DSO Operators dental economy dso & m&a practice finance Aug 06, 2026

Dental strategy is the set of financial, operational, and regulatory decisions that determine whether a dental practice survives, scales, or gets sold on someone else's terms. It breaks into six working pillars: practice transitions and DSO affiliation, equipment as a capital asset, insurance and re...

Continue Reading...
1 2 3