Maximize Your Practice’s Success
“Meeting Josh Gwinn and joining together with Optimize Practice Alliance has been the most pivotal and monumental decision I have made for my group practice as we begin to scale to the next level”
~ Dr. Bobby Garofalis, owner, Hampton Roads Pediatric Dentistry
what you get
Our proven Practice Optimization Process ™ consistently leads our clients to achieve 50% year-over-year growth and more.
- Full Day Vision Session with the company's leadership team; quarterly Focus Days thereafter.
- Implementation of the Practice Optimization Process™ including Weekly Practice Optimization Calls and accountability
- Valuable coaching and mentorship from experienced consultants who have been where you are and navigated through the challenges you face
- Help in the Development of Processes and Procedures Necessary for Practice Success
Our Consultants Coordinate Alignment in Every Key Area of Optimization
Our clients consistently see an increase in patient retention, team satisfaction and year-over-year revenue. What you can expect:
- Operational Strategy
- Clarity and Execution of Vision
- Diagnosis and Agreement of Areas of Focus
- Project Management Structure for Defined Projects
Read our case studies here.
Meet Your Consultants

Joshua Gwinn
Fractional CEO Expert
With a proven track record in scaling and leading organizations, Josh Gwinn combines hands-on leadership expertise with strategic insight. His experience gives him a versatile and adaptable approach to solving business challenges.
- Specialized Focus on Dental Organizations
- Expertise in Systemization and Scaling
- Results-Oriented Approach with Strong Expertise in KPIs
- 20+ Years in Leadership Experience

Tamera Davis
Hygiene Expert, Leadership & Operations Consultant
Tamera Davis has a unique and exceptional ability to transform complex organizational challenges into streamlined, efficient solutions. Her expertise ensures that practices are not only efficient but also primed for growth, scaling, and success.
- Proven Operational Expertise
- Deep Knowledge of Dental Practice Dynamics
- Tailored & Customized Solutions for Growth
- Collaborative Leadership

Rebecca Balliet
Fractional Chief of Staff, Operations and Marketing Consultant
Rebecca Balliet has exceptional skill in leadership, operational expertise, and the ideal ability to align business strategies with organizational goals. She combines operational acumen, strategic vision, and leadership to help dental organizations achieve their vision.
- Comprehensive Organizational Expertise
- Strategic Problem-Solving
- Strategic Focus on Growth and Scalability
- Comprehensive Knowledge of Practice Dynamics
Frequently Asked Questions
Dental Practice Owners
Optimize Practice Alliance works right beside you as an operational partner — not a consultant who hands you a binder and walks away. Built on the Practice Optimization Process™ and led by consultants who have owned, scaled, and sold dental practices themselves, Optimize brings hands-on, week-to-week accountability to your operations, team, and growth strategy, exclusively within the dental and health center space.
The Practice Optimization Process™ (POP™) is Optimize Practice Alliance's structured consulting framework that guides dental practices from their current reality to a defined vision of success. It includes a full-day vision alignment session, weekly coaching calls, quarterly focus days, and operational tools that build systems for sustainable, scalable growth. Learn more at optimizeps.com/opa-services/the-practice-optimization-process.
Most Optimize Practice Alliance clients see measurable operational improvements within the first 90 days. Results vary by practice size and starting point, but clients have reported production increases of 32% or more within months of engagement. Sustainable growth — the kind that holds — typically develops over a 6–12 month consulting relationship built on consistent accountability and execution.
Extraction was written by Dr. Jack Bayramyan for dental practice owners at every stage — from solo practitioners building their first systems to multi-location operators and group practice owners planning their next phase of growth or exit. Dr. Bayramyan scaled his own organization from one practice to ten before selling, and the book reflects that full-spectrum experience.
Optimize Practice Alliance begins every multi-location or DSO engagement with a comprehensive operational assessment across all locations, identifying performance gaps, workflow inconsistencies, and scaling opportunities. From there, a tailored roadmap is built with clear priorities, defined ownership, and a structured implementation plan. Weekly coaching and quarterly focus days maintain momentum across the entire organization.
Optimize Practice Alliance clients have achieved a 32% monthly production increase and 35–74% year-over-year collections growth at Levy Dental Group, a 150% increase in patients seen at Centro Medico Community Health, a 69.7% increase in patient encounters at Tri-State Community Health, and a 50% year-over-year growth at Hampton Roads Pediatric Dentistry. Full case studies are available at optimizeps.com/case-studies.
Yes. Optimize Practice Alliance works with solo practitioners, multi-location group practices, and DSO groups. The Practice Optimization Process™ is designed to scale with your organization — whether you are optimizing one practice or standardizing systems across ten locations. Engagements are tailored to your specific structure, stage of growth, and goals.
The complimentary 30-minute consulting call is a focused strategy session where Optimize Practice Alliance consultants review your practice's strengths, diagnose key opportunities and risks, and deliver an actionable 90-day growth plan you can implement immediately. There is no sales pitch — just a direct, experienced look at where your practice stands and what your next move should be.