For multi-location dental group leaders

The DSO Operating System

The complete operational blueprint for multi-location dental groups that are done improvising at scale.

Book — $49

Get the Book — $49

Groups do not plateau because they stop growing

They plateau because they never built the infrastructure that growth demands — the SOPs nobody follows, the billing operation that cannot keep up, the org chart that made sense at five locations and falls apart at fifteen. This book fixes that.

What is inside

The systems that let a group run without you

A practical blueprint for the operating infrastructure a multi-location dental group actually needs.

SOPs people actually follow

How to document the processes that live in one person head, and build standard work that survives turnover and new locations.

A billing and A/R operation that scales

Structure the revenue cycle so collections keep pace with growth instead of leaking margin at every new site.

The org chart for 5 to 50 locations

Redesign leadership, roles, and reporting before the structure that worked early quietly breaks.

KPI discipline that keeps leaders honest

The metrics dashboard and cadence that turn a sprawling group into a business you can actually steer.

Companion tools

An 11-calculator tool suite — the book in Excel

Enter your actuals once and the dashboard updates automatically. Available as an add-on at checkout.

20-KPI Monthly DashboardTwelve months of history tracking across every core metric.
Location P&L ModelSee profitability by site, not just the blended group number.
A/R Aging AnalyzerSpot collection problems before they become write-offs.
EBITDA NormalizerBuild acquisition-ready adjusted EBITDA for deals.
180-Day Integration TrackerMilestone-track every new location through its first six months.
Staffing & CapEx ModelsPlan staffing ratios and capital spend with real inputs.

Who it is for

  • Owners and operators scaling past a handful of locations.
  • DSO leadership building the infrastructure that growth demands.
  • Integration and operations managers standardizing across sites.
  • Anyone tired of improvising the same problems at every new location.
About the author

Pete Volk

Pete is a dental industry veteran with more than 20 years across DSO strategy, dental office design, and practice valuation, and the founder of Dental Strategy Institute. He has advised some of the largest dental groups in North America. DSI publishes plain-language books, tools, and courses that give dental professionals the strategic edge the industry has long lacked.

Frequently asked questions

Questions group leaders ask

What is a DSO operating system?

It is the set of standardized systems — SOPs, KPIs, billing, org design, and integration playbooks — that let a dental group run consistently across many locations instead of depending on individual heroics.

When does a dental group need formal SOPs?

Usually earlier than owners expect. Once processes that lived in one person head have to be repeated across locations, undocumented systems start to break. The book covers how to build ones people actually follow.

How many locations before the org chart breaks?

There is no single number, but many groups find the structure that worked at five locations falls apart around ten to fifteen. The book shows how to redesign it before that happens.

Does this include the calculators?

The book and the 11-tool Calculator Suite are sold separately. You can add the suite at checkout to put the book into practice on your own numbers.

Is this legal or financial advice?

No. It is operational guidance and education, not legal, financial, or tax advice for your specific business.

Build the infrastructure your growth demands

The complete operating blueprint for multi-location dental groups — $49.

Get the Book — $49