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The goal of this page is to provide valuable information for my clients and the dental industry. Enj

16/10/2026

On the latest episode a dental CPA compared the P&L to an x-ray. If a patient asked you to skip the x-ray and the hygiene visit and go straight to the crown on tooth 7, what would you tell them?

The P&L works the same way, Step one for me is always cleaning it up the P&L.
Does your CPA work mostly with dental practices? 💬 Do they keep your books clean so you can see your true profit and EBITDA?

A healthy practive should have a 25% EBITDA. Ask your CPA where you're at!

15/10/2026

The lesson a dental CPA walked us through on the podcast is one Paula learned early on in her career when she sold two practices she owned.

She had to pay a doctor 30 percent of what they produce. By most standards a dentist would call the practice profitable if they took home 30%. But Paula had to make money on top of that associate's pay.

So a CPA might ask what happens if you pay an associate 30 percent of collections, how much does the practice earn after that? Is it profitable? otherwise the practice is only worth what's left of the buildout and a portion of the patient records. That is the number people buy businesses on.

What share of your production do you take home, 30 percent or more? 💬
If you know an associate who is pricing a practice, share this with them.

14/10/2026

There is a number a dental CPA walks dentists through that can be a surprise the first time they see it.

Omar starts with how much you would pay a dentist to be there doing the dentistry that needs done and compares it to what the practice pays you.

In his experience the first result usually lands closer to golden handcuffs than a business, and that is the starting point.

From there the work is treatment acceptance and show-up rates, because excess cash flow comes from filling the schedule and finishing the treatment plans.

What is your show-up rate right now? 💬

07/10/2026

The day you own a practice, you stop being just a clinician and start being a leader, whether you're ready or not. And people are hard.

Your team don't come with a handbook or manual, they don't own the business, and they'll never care quite the way you do.

The associates who make ownership look easy aren't better dentists. They learned to set clear expectations before they needed them, so their optimism about a promising hire didn't cloud the tough calls later. If you're eyeing ownership, what scares you more, the clinical side or the team side?

06/10/2026

There's a moment I love in every turnaround. The owner finally says it out loud... "I have let this go on too long and I we need to hit a reset."

It's rarely a dramatic speech. It's an honest team meeting where everyone sits down and agrees to cut the chaos so the days start to feels good again. It is never too late to have that meeting.

The only thing that ruins it is expecting someone else to do that work for you. If you want a hand running your reset, we're here for it. What is the first thing you would reset in your practice?

05/10/2026

Technology was supposed to save our dental practices. Instead, it’s burning out our teams faster than ever.

Think about it... Years ago, we did everything by hand. Paula did it when she first started out in the industry. Now we have automated everything, yet when a single patient shows up without their digital forms completed, it derails the entire morning.

We let our tools raise the baseline of stress instead of giving us room to breathe. The solution isn't ditching the tech and going backward—it's making sure your team is thoroughly trained to use it. Half-trained staff on new software is a recipe for exhaustion.

I want to hear from you: What’s one piece of "time-saving" tech in your practice that actually created MORE work for your team?

25/09/2026

Not long ago, most dentists just showed up, did beautiful work for the patients, and went home....

A lot of them couldn't have even told you what was sitting in AR's on a given day, but that was fine, it worked itself out.

Then came along DSOs, real competition, plus the rising costs of living, and smaller margins ... suddenly the doctor now has to think like a business owner!

That's a good thing. But your team are there to support you and they feels that shift in hitting a number or metric is pressure. If you don't explain the why, it just feels like the boss got intense about this minute detail overnight.

Have you felt the CEO EFFECT in your own practice?

24/09/2026

We have all heard the stories. A hygienist who loves her patients, lives ten minutes away, has been there for years, and one day she's just done. Not because of the money. But because nobody ever said thank you in a way that landed.

The wild part is how cheap the fix is. It costs nothing to catch someone doing something right and name it out loud.

"I noticed the statements went out three weeks in a row, and I appreciate you for making that happen!"

That is a thirty second sentence that keeps good people coming back. We spend so much energy chasing what's broken, we forget the people holding it all together are quietly making it gears tern.

When was the last time you told a team member specifically what they did well? Drop it in the comments, it might remind the rest of us to do it today.

23/09/2026

Identifying the true value of AR's in a practice transition. We break it down in this throwback episode on Dental Unscripted!
https://www.youtube.com/watch?v=bgpf-RcwDPk

Michael Dinsio breaks down 3 THINGS that make valuing ARs a challenge. But don't worry we got you covered. Michael helps docs navigate the dental transition with ease.

The three things to consider when valuing ARs are:
1. Calculating Gross Production Adjustments
2. Credits on the Books
3. Past Due Buckets (30, 60, 90 days)

Follow along for more info on GETTING INTO OWNERSHIP and Running a successful practice!

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http://nxlevelconsultants.com/

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