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PRESS RELEASE: Henry Schein One Unveils The Catalyst Index, a Look into Dentistry’s Top 10%

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AMERICAN FORK, Utah–(BUSINESS WIRE)–Henry Schein One today announced the launch of The 2025 Catalyst Index, its exclusive report offering dental practices an unparalleled view into the strategies transforming performance across the industry. Built on years of trusted benchmarking and informed by Henry Schein One’s most connected platform, the fourth annual report, The Catalyst Index, raises the bar by revealing the specific actions that distinguish the top 10% of DSOs and private practices.

“We’re at a turning point in dentistry,” said Dr. Ryan Hungate, Chief Clinical and Strategy Officer, Henry Schein One. “Practices can no longer afford to operate without clear insight into what separates top performers. The Catalyst Index gives them that competitive edge. It’s like peeking behind the curtain at how the best practices operate.”

Transforming Care Through Insights

According to the report, top-performing practices significantly outpace their peers in both patient growth and revenue, even while seeing fewer patients than the previous year.

Top performers are focused on simplifying the full patient experience, including faster appointment access, streamlined forms, improved billing clarity, and flexible scheduling. This contributed to stronger patient retention, better reviews, and greater acceptance of care plans. The most profitable practices are also operating more efficiently as a team.

The takeaway is clear: there’s a huge opportunity here. Here are just a few of the insights uncovered in the full report:

  • Nearly 60% of patients decline care due to ineffective education, lack of pricing clarity, and a frustrating overall experience.
  • Month-long appointment lead times are common among average practices, while top performers prioritize access for new and emergency patients.
  • Patient experience directly impacts performance. Practices that offer online forms, transparent billing, and flexible scheduling see stronger retention and treatment acceptance.
  • Chairside revenue potential remains underutilized. On average, daily gross production is nearly four times lower than that of the top 10%.

“If you’re average, get mad and fix it. The amount of production being left on the table is mind-boggling,” said Joshua Gwinn, CEO, Optimize Practice Alliance. “The top 10 percent are absolutely crushing it, and it’s not a secret why. They follow a process, build the team, execute, hold people accountable, and analyze their data. If you don’t do that, you’ll stay average or below.”

Driven by Data, Designed for Care

Henry Schein One’s annual benchmarking reports continue to empower thousands of dental practices to measure their performance, identify opportunities, and chart paths for growth. The Catalyst Index expands on previous reports by not only benchmarking results but also highlighting the concrete strategies that drive success.

With its deep commitment to creating the most connected platform in dentistry, Henry Schein One continues to help practices automate and simplify workflows, secure patient data, and drive profitability, delivering technology that allows clinicians to refocus on what matters most: patient care.

“Being recognized as part of the top 10% is a reflection of the steps we’ve taken to simplify and strengthen how we run our organization,” said Evelyn Lahiji, COO, Children’s Dental Fun Zone. “Centralized billing and AI-supported diagnostics have made a big difference for our team and our patients. The Catalyst Index does a great job of showing what’s possible, and I think it will give other practices a practical way to evaluate what’s working and where they can improve.”

The Catalyst Index is Now Available

Click here to explore the full Catalyst Index and find out where your practice stands.

About Henry Schein One

Henry Schein One, a leader in dental software, empowers dentists to focus on patient care, ensuring practice success.

With its simple and integrated software, practices are finally more seamless, more efficient, and more profitable—meaning patients and practitioners are happier. With comprehensive solutions: demand generation, patient experience, practice management, revenue management, dental analytics, and clinical workflow, dental practices will be running smoother than ever before.

Henry Schein One, LLC, is a joint venture between Henry Schein, Inc. (Nasdaq: HSIC) and Internet Brands. The company’s portfolio of leading brands includes Dentrix®, Dentrix Ascend®, Jarvis Analytics™, TechCentral™, Lighthouse360+, and DentalPlans.com®, along with solutions offered through international companies, including Dentally and Software of Excellence, among others. For a full list of our brands, please visit our website or connect with us on LinkedIn.

Contacts

Claire Barbier, Communications Manager, Henry Schein One, Claire.barbier@henryscheinone.com, (631) 559-2942

For Dental Entrepreneurs, A Wake-up Call from The Top 10%: Stop Being Average 

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Attention: Dental Entrepreneurs: “If you’re average, get mad and fix it.” 

That’s a line in the recent Business Wire article that I stand by 100%.  

I said that in response to the newly released Catalyst Index by Henry Schein One—a data-backed breakdown of what separates the top 10% of dental entrepreneurs from everyone else. Spoiler alert: the gap is massive. And it’s not about talent—it’s about intentional action. 

The numbers are clear, and they should light a fire under all dental entrepreneurs who want to grow, scale, and eventually sell their practice for what it’s really worth. 

Let’s break down a few of the standout findings—and what they mean for you.

Catalyst Index 2025 for Dental entrepreneurs

1. 60% of Patients Decline Care Due to Ineffective Education 

That’s not a patient problem. That’s a communication problem. Patients don’t say “no” to treatment—they say “no” to things they don’t understand or see value in. 

The best way to fix this is with patient education strategies that connect, convert, and build trust at every single touchpoint in your patient experience, starting with your marketing. If you’re not actively educating your patients in a way they get, you’re leaving money on the table—period. 

Most treatment plans don’t fail because patients can’t afford them. They fail because patients don’t understand them. According to the Catalyst Index, nearly 6 out of 10 patients walk away from care—not because they don’t want it, but because no one translated the value of the treatment in a way that clicked. This is one of the most common—and most costly—gaps we see in average practices. 

The top 10% of practices and dental entrepreneurs are winning because they’ve built systems and scripts that explain care in terms patients can emotionally and logically buy into. They leverage visual aids, digital presentations, clear language, and consistent messaging across every touchpoint—from the first call to the final follow-up. 

When you educate with empathy, clarity, and structure, your case acceptance doesn’t just increase—it skyrockets. 

2. Top Performers Prioritize Access. Average Practices Have Waitlists. 

If your patients have to wait a month to get in, they’ll find someone else—or just forget about treatment altogether. Meanwhile, the top 10% of dental entrepreneurs are designing access around convenience, not tradition. 

They’re proactive. Nimble. Smart about systems. This is exactly the kind of operational agility we coach with in our Practice Optimization Process tm when we work with our consulting clients. Working with Wincrest Orthodontics in Plano, TX, we focused on their patient experience.  By transforming a few key areas in the patient journey, they were able to gain a 7x increase in starts over 2024.

Read the Case Study.

What’s the use of an amazing treatment plan if the patient can’t get on your calendar until next month? Access is everything. According to the Catalyst Index, long lead times are killing momentum for average practices. When patients are ready to say yes, any delay becomes friction—and friction kills conversion. 

In contrast, top 10% of dental entrepreneurs are engineering access into their daily operations. They use advanced scheduling systems, reserve time blocks for high-priority patients, and design their workflows to accommodate same-week (and sometimes same-day) appointments. 

This isn’t about working longer hours. It’s about structuring your schedule so it serves both your production goals and your patients’ timelines. It is absolutely possible to rework your scheduling models to maximize availability without burning out your team.  

3. Patient Experience Drives Revenue 

Your patients aren’t just judging your clinical work—they’re judging your front desk, your follow-ups, your technology, your vibe. The best-performing practices in the country are obsessed with experience, and the numbers back that up.  

They create a culture patients want to return to and refer their friends to. That’s not fluff. That’s scalable brand equity. Here’s a truth most dentists don’t want to hear: your clinical skills matter—but your experience as dental entrepreneurs matters more. 

The Catalyst Index found that the best-performing practices treat patients like VIPs from the moment they call to the moment they leave. 

Think about it—patients don’t just evaluate your dentistry. They’re judging your customer service, your follow-up, your payment options, your digital forms, your team’s attitude, your office design, and even your Spotify playlist. 

The top 10% of dental entrepreneurs are dialing in every detail to create an experience that builds loyalty and referrals. They know that patients won’t remember the exact margins on a crown—but they will remember how your team made them feel. 

Learning to build experience-first cultures that translate into retention, reviews, and revenue is essential in a successful dental business. It’s what keeps your patients coming back, your teams happy and your practice scalable and profitable.  

4. Chairside Revenue Is Being Ignored 

The Catalyst Index found a fourfold difference in average daily gross revenue between average dentists and the top 10%. Four times more—same number of hours in the day. 

Why? Because the top 10% of dental entrepreneurs know how to maximize every chair, every hour, every treatment opportunity. No guessing, no coasting. 

This isn’t about working harder—it’s about working smarter with systems that support production without burnout. 

The most shocking Catalyst Index stat? Top 10% of dentists are making almost 4x more in average daily production than their peers. Same chair. Same number of hours. Radically different outcomes. 

So what gives? 

Top performers don’t just hope for revenue—they engineer it. They know how to spot production opportunities in hygiene. They cross-train their team to recognize when a patient needs same-day treatment. Furthermore, they optimize chair flow, tighten turnover times, and use data to set production targets that actually mean something. 

On the flip side, average dental entrepreneurs are bleeding money because their chairs aren’t working at full potential. Too many holes in the schedule. Too few upgrades. Too much “I’ll just wait” from patients. 

At Optimize, use a tool called the Practice Optimization Process tm. It helps you map your chairside revenue potential and install systems that ensure you’re not just busy—you’re productive. 

The truth is, being average in today’s market isn’t safe. It’s a slow bleed. And it’s avoidable.  

If your practice isn’t growing the way you want, you’re not broken—but your systems probably are. At Optimize Practice Alliance, we work with dental entrepreneurs every day to fix what’s not working and install what is—so you can grow with confidence. 

The Bottom Line: It’s Time to Decide—Are You Average, or Are You Ready to Lead? 

The Catalyst Index didn’t just shine a light on what the best dental entrepreneurs are doing—it held up a mirror to the rest of the industry. And what it revealed is hard to ignore: 

Too many practices are operating far below their potential. 
Too many teams are frustrated but don’t know what to fix. 
Too many owners are working harder than ever—and still falling short. 

But here’s the truth: it doesn’t have to be this way. 

At Optimize Practice Alliance, we don’t believe in generic coaching or cookie-cutter solutions. We believe in partnering with bold, committed dental leaders who are ready to take ownership of their growth and play in the top 10%. 

If your gut tells you your practice could be doing better—you’re right. And if you’re mad about being average? Good. That’s your fire. 

Now let’s turn that fire into a plan. 

Ready to Stop Leaving Money on the Table? 

Book a free 30-minute strategy call with our team. We’ll give you a custom action plan, specific to your practice, with real strategies you can use right away. No fluff. No pressure. Just the clarity you’ve been missing. 

Stop being average—Let’s fix it. Together.  

BOOK YOUR CALL

The Biggest Mistake a Dental Entrepreneur Can Make When Measuring KPIs

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Table of Contents

As the CEO for Hero Dental Practice Services for several years, one of my many areas of interest were the metrics of success for our pediatric dental, vision and orthodontic providers. We knew where we were succeeding and where we needed to focus and redouble our efforts. And the same goes for my work as the CEO of Optimize Practice Alliance. I’m a self-proclaimed KPI dork and I  give no apologies. I love digging into numbers. I love to use the process of measuring the success of our partner practices to gauge where we’ve come from and where we want to steer our practices for greater success and profitability.

Everything, Including the Kitchen Sink

But sometimes you can get caught up in the data and start measuring everything that isn’t bolted to the floor, even if it doesn’t have much to do with outcomes or achievement. Knowing what to measure is just as important as the measuring itself. We’ve covered what you do measure this month…but what don’t you measure? Good question.

KPIs offer invaluable insights into your practice’s health and guide your strategic decisions. However, there’s one significant mistake you can make when measuring KPIs: focusing too much on vanity metrics.

What Are Vanity Metrics? 

Vanity metrics are numbers that look good on paper but don’t necessarily translate to meaningful business outcomes. They can be appealing because they often show impressive growth or high performance in certain areas, but they don’t provide actionable insights or reflect the true health of your practice.

Common Vanity Metrics in Dental Practices

  • Total Patient Count: While having many patients might seem like a positive sign, it doesn’t necessarily indicate patient satisfaction, loyalty, or profitability of your practice.
  • Social Media Followers: A high follower count on social media platforms can look impressive, but it doesn’t necessarily equate to increased patient acquisition or retention.
  • Website Visits: High traffic to your website is great, but if those visits don’t convert into bookings, they aren’t contributing to your bottom line.

The Right KPIs to Focus On

To truly gauge the health and success of your dental practice, it’s more effective to focus on KPIs that provide insights you can act on and that align with your strategic goals. Here are some productive counterpart metrics to prioritize:

1. Patient Retention Rate:

  • Why It Matters: Patient Retention Rate (PR) measures how many patients return to your practice for ongoing care. A high retention rate indicates patient satisfaction and loyalty, which are crucial for long-term success.
  • How to Measure: Track the percentage of patients who return for follow-up appointments or routine check-ups within a specific period.

2. Patient Satisfaction Scores:

  • Why It Matters: Gathering feedback through surveys or reviews helps gauge how happy your patients are with your services. High satisfaction scores often lead to more referrals and positive word-of-mouth.
  • How to Measure: Use post-appointment surveys, online reviews, and feedback forms to collect patient satisfaction data.

3. Average Revenue per Patient:

  •  Why It Matters: This metric helps you understand the financial value each patient brings to your practice, allowing you to optimize services and pricing strategies.
  •  How to Measure: Divide your total revenue by the number of patients within a given time frame.

4. Treatment Acceptance Rate:

  • Why It Matters: Measuring the percentage of recommended treatments that patients accept can indicate effective communication and trust between dentists and patients.
  • How to Measure: Track the number of accepted treatment plans against the total number of treatment plans proposed.

5. Appointment No-Show Rate:

  • Why It Matters: Identifying how often patients miss their appointments allows you to implement strategies to reduce no-shows and improve scheduling efficiency.
  • How to Measure: Calculate the percentage of scheduled appointments that patients do not attend without prior cancellation.

6. Case Acceptance Rate:

  • Why It Matters: This KPI measures the percentage of presented treatment plans that patients agree to proceed with. It reflects the effectiveness of your consultation and the perceived value of your services.
  • How to Measure: Track the number of accepted cases against the number of cases presented.

7. New Patient Acquisition Cost:

  • Why It Matters: Understanding how much it costs to acquire a new patient can help you optimize marketing efforts and budget allocation.
  • How to Measure: Divide the total marketing expenses by the number of new patients acquired during a specific period.
What KPIs to focus on in your Dental Practice


Taken from Positioning Systems‘ Strategic Discipline blog

How to Avoid the Vanity Metric Trap

  1. Set Clear Goals: Define what success looks like for your practice. Are you aiming to increase patient loyalty, boost revenue, or improve patient satisfaction? Clear goals will help you identify the most relevant KPIs.
  2. Regularly Review Metrics: Consistently review your KPIs to track progress and identify areas for improvement. Use this data to make informed decisions and adjust strategies as needed.
  3. Focus on Actionable Insights: Choose KPIs that provide clear insights and actionable steps. For instance, if patient satisfaction scores are low, identify the areas of dissatisfaction and develop a plan to address them.
  4. Educate Your Team: Ensure your team understands the importance of the chosen KPIs and how they impact the practice. This alignment can drive collective efforts towards achieving your business goals.

Learning to Measure What Matters 

Avoiding the pitfall of vanity metrics is crucial for any dental entrepreneur striving for sustainable growth and success. By focusing on KPIs that truly reflect your practice’s performance and aligning them with your strategic objectives, you can make data-driven decisions that enhance patient care, boost profitability, and secure the long-term health of your practice.

Remember, it’s not just about looking good on paper—it’s about building a thriving practice that delivers exceptional value to your patients and stands the test of time.

Sustaining Growth Starts with Mindset… and Measurement

Growth isn’t just about ambition, it’s about measuring what matters and learning from your numbers. The biggest mistake you can make as a dental entrepreneur is tracking the wrong KPIs, or not tracking them consistently at all. Sustainable growth happens when you have real data guiding your decisions, helping you spot opportunities, avoid pitfalls, and lead your team with clarity.

That’s why we created the OPA KPI Tracker, a free, easy-to-use tool designed specifically for dental practice owners. With this tracker, you can monitor the metrics that matter most for your growth, including patient retention, new patient flow, case acceptance, production, collections, and more. It’s your companion for building accountability, boosting team performance, and keeping your finger on the pulse of your business.

Ready to measure what truly drives your practice forward?
Download our free OPA KPI Tracker now and take the first step toward data-driven, sustainable growth.

Download Your KPI Tracker

Unlocking Success in your Dental Practice: The 1 Key Metric you Must Master 

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One Metric that Spurs Growth in your Dental Practice

In my experience as a multi-practice dental practice owner, there was always one metric we chased, lived by, constantly focused on and many times simply baffled us. But let me back up. This month we’re looking at measuring success in your dental practice. There are a myriad KPIs or Key Performance Indicators that dental practices monitor: Daily Gross Production; how many patients got booked vs. your monthly goal; number of new patients; and even EBITDA for the entrepreneurial-minded dentist looking to grow his or her dental practice. And so many more metrics it makes your head swim.  

Why Patient Retention Rate Matters in your Dental Practice

Metrics drive success, period. You can’t improve what you don’t measure. We all know that by now. However, there is one key metric that dentists and specifically dental practice owners must master for a successful dental practice to thrive. That one metric is Patient Retention. PR is the most vital metric in your practice. And I’m going to tell you why and how to use it.  

Cost-Effectiveness 

Retaining existing patients is significantly more cost-effective than acquiring new ones. The expense of marketing campaigns and advertising to attract new patients can be substantial. In contrast, keeping your current patients satisfied and loyal requires comparatively less investment. 

Revenue Stability 

Regular patients provide a steady stream of revenue through routine check-ups, treatments, and other dental services. High retention rates ensure a more predictable and stable income, essential for your practice’s financial health. We’ll get into how offer a better patient experience below.  

Patient Lifetime Value (PLV) 

Patients who stay with your practice over the long term have a higher lifetime value. They are likely to spend more on dental services over time, especially as they develop trust in your practice and are more open to accepting higher-value treatments and services. And giving them an outstanding patient experience from the moment they pick up the phone to call you for the first time begins that invaluable relationship they are looking for.  

Referrals 

Satisfied, long-term patients are your best advocates. They are more likely to refer friends and family to your practice, helping you grow your patient base organically without the need for expensive marketing efforts. You can also offer your long-term patients incentives for their referrals. This is typically called a referral program and can be a lucrative part of your marketing strategy.  

Feedback and Improvement 

Long-term patients provide valuable feedback that can be used to enhance services and the overall patient experience. Positive word-of-mouth from happy patients boosts your practice’s reputation and attracts new patients. But you also must provide easy avenues for leaving feedback. Things like an anonymous feedback box or anonymized feedback form on your website work great. Having a robust reviews system is also key to improvement.  

Reviews systems provide a proper way for patients to find you and review you on social networks as well as search engines like Google. You can also generate a QR code specifically for your business that you can place on your website and around your office to make it easy for patients to review you. You can gain powerful feedback and insights from a reviews system.  

How to Measure and Improve Patient Retention Rate 

Figuring out how to measure patient retention used to be a much more time-consuming process. But there are many tools and trackers available online now to help the dental entrepreneur really dig into the data and find what they’re looking for. Companies like Carestack, Jarvis and Dentrix all have software that allows you to track and measure KPIs and arrange and filter them according to your needs.  

Calculate Patient Retention (PR) Rate 

To track patient retention, you need to know how many patients return for follow-up appointments or ongoing treatments over a specific period. By regularly calculating this metric, you can monitor trends and identify areas needing improvement in the patient journey. The formula to calculate retention rate is: 

Patient Retention in your Dental Practice

 

Strategies for Patient Retention

Enhance Patient Experience 

Delivering exceptional patient care is paramount. This includes minimizing wait times, providing a comfortable and welcoming environment, and ensuring that all staff members offer professional and compassionate service. But enhancing the patient experience goes beyond the superficial. Questions to ponder for your practice may include:  

  • Do you offer a comprehensive Ortho program?  
  • Do you have an in-house lab for quicker turnaround times 
  • Do you offer competitive rates? Do you know what competitive rates for your area are?  
  • Do you offer enhanced services like Cosmetic Dentistry?  
  • Does your marketing program include a comprehensive reviews and feedback system?  
  • Is your team happy and fulfilled? Happy and satisfied teams give back tenfold to their customers.  
  • These are all important questions to address when enhancing the patient experience.  

Follow-Up Strategies 

Implement effective follow-up strategies to keep your patients engaged. This could include appointment reminders via text or email, personalized follow-up calls to check on patients after treatments, and periodic check-ins to ensure they are satisfied with their care. Staying in touch is key to retention.  

Loyalty Programs 

Consider offering loyalty programs or incentives to encourage regular check-ups and treatments. This can include discounts on services, special promotions for long-term patients, or a points-based reward system where patients can earn points for each visit that can be redeemed for services or products. You can also offer gift bags to new patients with trial size products you recommend and offer in your practice.  

Feedback Mechanisms 

Regularly solicit feedback from your patients and act on it. Use surveys, comment cards, and direct communication to understand their needs and identify areas for improvement. Showing patients that their feedback is valued and acted upon can significantly enhance their loyalty. It shows them that they are heard and seen and that their input is invaluable to the success of the practice. There are many company out there that create a and support reviews channels for your patients, as well as listings, social media, messaging and referrals. We think one of the best is Birdeye. But there are several very good services to choose from in this space.

Measure What Matters Most 

Focusing on patient retention is the key to building a successful dental practice. It ensures cost-effectiveness, revenue stability, higher patient lifetime value, increased referrals, and valuable feedback. By measuring and improving your patient retention rate through exceptional patient care, effective follow-up strategies, loyalty programs, and feedback mechanisms, you can create a loyal patient base that will sustain and grow your practice for years to come. 

Build a Resilient Practice by Measuring What Moves You Forward

One of the most powerful ways to sustain growth—and maintain balance as you scale your practice—is to track the numbers that truly matter. While patient retention is the cornerstone of long-term success, it’s just one part of the bigger picture. Sustainable growth comes when you consistently monitor not only your retention rates, but also metrics like new patient flow, case acceptance, production, collections, scheduling efficiency, and no-show rates.

That’s why we created the OPA KPI Tracker, built specifically for dental entrepreneurs who want clarity and confidence in their decision-making. With this simple, practical tool, you can see at a glance how your practice is performing, where you’re gaining momentum, and where you can take action for even greater results.

Ready to take control of your practice’s future?
Download our free KPI Tracker now and start tracking the metrics that will sustain your growth, empower your team, and keep your practice moving forward.

 

Download Your KPI Tracker

Understanding EBITDA: 3 Key Dental Practice Metrics for Measuring Success

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The dental practice industry is rapidly moving toward massive consolidation. Most dental practices operate at 50% of their potential with slim profit margins, typically 15-25%. The root cause of these outcomes is a lack of entrepreneurial focus and understanding of how to operate a business.  

We at Optimize see an urgent problem in this, which is, dentists need to learn quickly how to fulfill their potential, increase profit and build a sustainable exit strategy to protect their assets and retirement prospects. The hard part is…How? How do you increase your potential, while increasing revenue, while building a sustainable exit strategy? That’s a lot.

Think Like an Entrepreneur 

There are many ways to increase revenue, you can scale your business model and open a second or third location; plan and execute an expansion of your practice in another way, like adding an associate or hygienist; or you can implement and aggressive marketing strategy. There are a few effective ways to expand efficiency, fulfill your potential and increase your profit and revenue. And some of these will create a successful exit ramp when you’re ready.  

Measure Twice, Cut Once 

And in dentistry, you need to be measuring, like, all the time. But there is one key metric to look at, gauge and increase as you look to grow, build and exit. It’s called EBITDA.  

This is the one essential financial metric for evaluating the performance of your practice and figuring out what you’re fiscally prepared to take on. EBITDA is a magical formula that allows you to measure the actual and fiscal success of your business. So, what is it?  

What is EBITDA? 

EBITDA stands for Earnings Before Interest, Taxes, Depreciation, and Amortization. It is a financial metric used to measure a company’s operating performance by excluding certain expenses that can vary widely between different businesses. EBITDA provides a clearer picture of a company’s core profitability and operating efficiency. 

dental entrepreneur

Why is EBITDA Important for your Dental Practice? 

In the context of dental practices, EBITDA offers valuable insights into the business’ financial health and performance. And if you’re interested in fulfilling the potential of your practice, which leads to an increase in profitability which leads to an increase of protecting your most valuable asset on your way to retirement, then it’s EBITDA that will allow you to see the big financial picture and track the value of that asset.

“Dentists need to learn quickly how to fulfill their potential, increase profit and build a sustainable exit strategy to protect their assets.“

~ Josh Gwinn, CEO, Optimize Practice Alliance

Three Invaluable Tools in One 

EBITDA does three things – 

  • Focuses on Core Operations: By excluding non-operating expenses such as interest, taxes, depreciation, and amortization, EBITDA focuses solely on the core operations of the dental practice. This allows practitioners to assess how well the business is performing in terms of generating revenue from patient care. 
  • Facilitates Comparisons: EBITDA provides a standardized measure that allows dental practices to compare their performance with industry peers or benchmark against historical data. This comparative analysis can help identify areas of strength and areas needing improvement. 
  • Simplifies Financial Analysis: Calculating EBITDA simplifies financial analysis by removing the impact of non-operating factors that can distort profitability metrics. It provides a clearer picture of the underlying profitability of your dental practice, making it easier for practitioners to make informed decisions. 

How to Calculate EBITDA for Your Dental Practice 

Calculating EBITDA for your dental practice involves several steps –

  • Start with Net Income: Begin by determining your practice’s net income, which is the total revenue minus all operating expenses, including salaries, supplies, rent, utilities, and other overhead costs. 
  • Add Back Depreciation and Amortization: Next, add back depreciation and amortization expenses to the net income. These are non-cash expenses that represent the gradual reduction in value of assets over time. 
  • Add Back Interest and Taxes: EBITDA excludes interest and taxes, so you’ll need to add them back to the net income. Interest expenses represent the cost of borrowing, while taxes are statutory payments to the government. 
  • Adjust for Non-Recurring Expenses: Finally, adjust for any one-time or non-recurring expenses that are not reflective of the normal operating performance of the practice. 

Once you’ve completed these steps, you’ll arrive at your practice’s EBITDA figure, which can be used to assess its financial performance. 

Use EBITDA to Measure your Success 

Now that you understand how to calculate EBITDA for your dental practice, let’s look at tactics for how you can use this metric to measure success – 

  • Monitor Trends Over Time: Track your practice’s EBITDA over different time periods to identify trends and patterns. A consistent increase in EBITDA indicates improving profitability and operational efficiency. 
  • Set Performance Goals: Use EBITDA as a benchmark to set performance goals for your practice. Establish targets for EBITDA growth and strive to achieve them through strategic initiatives and operational improvements. 
  • Identify Areas for Improvement: Analyze your practice’s EBITDA to identify areas where costs can be reduced, or revenue can be increased. This may involve optimizing staffing levels, improving billing and collection processes, or expanding service offerings. 
  • Inform Strategic Decision-Making: EBITDA provides valuable insights that can inform strategic decision-making for your dental practice. Whether it’s expanding into new markets, investing in technology, or negotiating favorable terms with suppliers, EBITDA can guide you in making informed choices that drive long-term success. 

EBITDA is a valuable metric for measuring the success of your dental practice or organization. By focusing on core operating performance and excluding non-operating factors, EBITDA provides a clearer picture of profitability and operational efficiency. By calculating and monitoring EBITDA, dental practitioners can make informed decisions to drive growth, optimize performance, and ensure the long-term success of their practices. 

One Tool – Three Powerful Uses

This is one powerful way you can focus on the three areas: low potential, slim profit margins and little to no exit strategy. But by using this one metric effectively, you are switching your mindset from dentist to dental entrepreneur. You are getting out of the dentist’s chair and taking a 10,000-foot view of your practice or organization.  

And it’s imperative you take this step, for yourself, for your family, for your team and for your legacy. My business partner, Dr. Jack Bayramyan, and I believe the future of dentistry belongs with dentists. Using EBITDA is one way to keep that future safe.  

One More Tool to Measure Growth in your Dental Practice

Understanding and tracking your practice’s financial metrics, like EBITDA, is essential for sustainable growth. But making real progress means consistently measuring what matters most, so you can spot trends, identify opportunities, and make confident, data-driven decisions.

That’s why we created our KPI Tracker. This free, easy-to-use tool helps dental entrepreneurs like you monitor the key performance indicators that drive profitability, efficiency, and long-term value. With the OPA KPI Tracker, you’ll have a clear picture of your numbers, empowering you to make smarter choices as you grow your business.

Ready to move beyond guesswork and take control of your practice’s success?

Download Your KPI Tracker

The 10x Rule: Supercharging Your Dental Practice for Success

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The 10x rule is a powerful concept that can take your dental practice to the next level. So, let’s look at how it can work for you.  

Do you think of yourself as an entrepreneur? Do you think of yourself as an investor? If not, why not? You’re a business owner. Your dental practice is a business. For this post, I would like you to see yourself as an investor and see how you can apply the principles discussed below to your dental organization, no matter how big or small it is. Deal?  

The 10x rule has a simple but game-changing premise: Instead of aiming for small, gradual improvements, aim to multiply your efforts and results by 10 times. It’s about setting audacious goals and taking massive actions to achieve them. 

Ultimately though, the 10x approach is really about adopting an investor mindset when you’re optimizing your dental practice. This might be a little challenging to think about at first. As a dental practice owner, you may not think of yourself as an investor; you may not even see your business as scalable. Yes, it can be done, yes, you’ve seen it happen in other practices, but how do you do it yourself? How do you begin to change your thinking and start taking action like an entrepreneur and investor in your practice?  

Changing your mindset is the first step. Learning to apply a growth mindset to your thinking and then to your business is life changing. That shift in mindset can change the trajectory of your life. Are you ready?  

Let’s dive into the deep end of the pool and look at ways that you can begin to see your dental practice as an investment and every dollar you’re spending in your practice as a down payment on that investment.   

The size of your dreams must always exceed your current capacity to achieve them. If your dreams don’t scare you, they’re not big enough.”

~Ellen Johnson Sirleaf, Africa’s first woman president

The 10x Rule for Your Dental Practice 

Yes, 10x is about maximizing your investment but it is also about making sure every dollar you spend is necessary and a reinvestment into your practice. Here’s why, for every unnecessary dollar you spend on your practice, that is one dollar less that you will get back when it’s time to exit. Likewise, for every necessary dollar you spend, that is one more dollar that goes into your pocket when you exit.  

So, the question becomes, how do you invest and reinvest in your practice wisely, so you maximize your investment? And remember, we want big, audacious goals. Jim Collins has a term for this, Big, Hairy, Audacious Goal or BHAG. In his book, Built to Last, Jim talks about setting these goals for yourself to think big and create a plan for long-term success. Big goals are not short-term hops, they are long-term leaps that keep teams focused thereby giving your organization tighter restraints to achieve them.  

Setting 10x Goals for Your Dental Practice 

When setting a goal for your dental practice, the goal, at first glance, might seem almost impossible to achieve. This could mean setting a goal to increase your patient base by 10 times or to generate 10 times the revenue you’re currently making. Keep in mind, these are audacious goals, not modest ones.  

If you want to read firsthand how one dental practice did this, take a look at this case study.

The Power of Massive Action in your Dental Practice 

Once you’ve set your 10x goal, it’s time for massive action. To achieve such an audacious goal, you need to take massive, consistent, and persistent actions. For instance, if your goal is to increase your patient base, you might need to ramp up your marketing efforts, improve your online presence, and offer exceptional patient experiences to attract and retain more clients. All those elements need to be taken into consideration.  

Take a look at the graphic below. This graphic shows the BHAG my partner and president of Optimize Practice Alliance, Dr. Jack Bayraymyan, designed when he was scaling his dental practice organization.

BHAG for your Dental Practice

This looks extremely ambitious, and it was. However, taking a very long view of what Jack wanted to build was the beginning of an incredible and ultimately successful journey. It took this level of vision to accomplish what he eventually accomplished. But he didn’t do it alone.

The first and most vital step after creating your audacious goal, is making sure your team is on board. You need to analyze your team and ensure that everyone is in the right job for them. Next, you need to be confident they are ready, willing and able to fight for your goal as hard as you are going to fight for it. Your team is the most vital component of reaching your goal.  

Embrace Innovation for Your Dental Practice  

To truly leverage the 10x rule, embrace innovation in your practice. Explore technologies and techniques that can help you stand out in the industry. Invest in the latest dental equipment and software that can enhance patient care and streamline your operations. Innovate not just for the sake of it but to drive real results and efficiencies. And remember to do it wisely. If you can find a gently used version of the same technology that is a strong investment because you’re saving money that will eventually end up back in your pocket.  

Digital Transformation in the Dental Industry 

Given your role in optimizing and growing the online presence of your dental organization, digital transformation is a key aspect of implementing the 10x rule. Here are some strategies to consider: 

  • Social Media Presence: Use social media platforms to showcase your practice. Share educational content, patient testimonials, and behind-the-scenes glimpses. Engage with your audience to build a loyal following. 
  • Website Excellence: Ensure your website is user-friendly, informative, and optimized for search engines. A well-structured website is your digital storefront, and it can attract new patients. 
  • Online Scheduling: Implement an online appointment scheduling system to make it convenient for patients to book appointments.
  • Telemedicine: Explore telehealth options for consultations and follow-ups, providing flexibility for patients and expanding your reach. 
  • Patient Reviews: Encourage satisfied patients to leave positive reviews on platforms like Google My Business. Positive reviews can significantly boost your credibility and attract more clients.  

Building a Strong Team 

Remember, having a strong, resilient and cohesive team is the main component of reaching your audacious goal. Communication, transparency, compassionate leadership and the free flow of ideas and feedback are the elements that will help you build a team that will drive your goal. If you have a team that fights for your vision, there is no end to what you can achieve.   

The 10x rule for your dental practice

10X Growth Requires 10X Clarity

The 10X Rule isn’t just about working harder, it’s about directing massive effort toward the right activities. If you want to scale your practice, expand your vision, and take your organization to the next level, you need absolute clarity on what’s actually driving results.

That’s why we created the Optimize KPI Tracker for dental entrepreneurs. This tool helps you focus on the metrics that truly move the needle, so your time, energy, and leadership are applied where they create the greatest impact. When you track the right numbers consistently, you stop guessing and start executing with precision. 10X growth requires discipline, accountability, and visibility. The KPI Tracker gives you all three.

What are you willing to achieve? Now, raise the bar 10x higher than that. You got this.  

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