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

North Carolina Just Opened the Gate — And Park Dental Walked Through It in 34 Days dso & m&a practice transitions practice valuation Aug 12, 2026

Thirty-four days.

That's how long it took. North Carolina's new law killing the dental board's pre-approval requirement for management agreements took effect on July 7, 2026. On August 10, Park Dental Partners announced it was buying Village Family Dental — twelve locations, forty-eight doctors, ea...

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The 2026 Fiscal Squeeze: Why Your Revenue Grew and Your Real Profit Didn't 2026 data ada hpi dental economy insurance & ppo practice finance practice valuation 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...

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Same Squeeze, Different Shock Absorbers: Private Practice vs. DSO in 2026 2026 data ada hpi dental economy dso & m&a practice finance practice valuation Aug 06, 2026

Every time the ADA publishes economic data, the comment sections split into two camps. One says the numbers prove independent practice is dying. The other says they prove corporate dentistry is overhyped and the independents are fine.

Both readings are lazy, and the Q2 2026 report is a good place to...

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There's Never Been a Kelley Blue Book for Dental Equipment. Until Now. dental equipment practice valuation Jun 06, 2026

By Dental Strategy Institute | June 2026 | 8-Minute Read


When you search for the value of a used car, you go to Kelley Blue Book. There is a universally accepted reference point. The market has a number. Everyone — buyer, seller, insurer, lender — consults the same source, and transactions happen...

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What Is My Used Dental Equipment Worth? How to Value What You Own dental equipment practice valuation May 29, 2026

Let me tell you how most used dental equipment pricing works in a practice sale.

The buyer's team walks through the operatories. They take notes. They go back to the office and apply rough age-based estimates to the equipment list — numbers drawn from a dealer rep's memory and whatever feels right ...

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Dental Equipment Depreciation: What It Means, How to Calculate It, and Why It Matters in a Practice Sale dental equipment practice valuation May 27, 2026

Walk into almost any dental practice transaction and you'll find the same blind spot. The seller has a number in mind — usually based on collections and EBITDA — and the equipment is essentially an afterthought. The buyer's due diligence team walks through the operatories, notes that the chairs are ...

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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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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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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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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 transact...

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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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