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Scaling Your Dental Practice: Avoid 5 of the Biggest Business Mistakes

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Scaling your dental practice for success is our deep dive for January. Each week we’re diving into one aspect of scaling: benefits, mistakes, strategies, etc. to give you a better understanding of why scaling your dental practice is so vital to your vision, your success and your legacy.

You want to scale your practice, but you want to do it right and avoid the mistakes, obstacles and oversights that can come with scaling and growing a single practice into a thriving dental organization.  

One of the reasons that dentists in particular face challenges after deciding to scale is because they’re never taught how to design a scaling protocol in dental school. To truly understand the complexities of scaling a practice a dentist would have to go back to school and study business after getting a degree in dentistry. Who has time for that?  

That’s where an organization like us, Optimize Practice Alliance, comes in handy. We optimize your raw materials, talents, teams and existing infrastructure; listen to your vision and goals for the future; and then design a strategic plan to scale your dental practice according to what is going to work for you, your team and your community while lending our leadership, expertise and knowledge base.  

One Great Resource for your Dental Practice Growth 

But if you decide to go it alone, we’ve still got you covered. We offer tools and resources to help you, where you’re at and with the talents, teams and know-how you’ve already got at your disposal. In fact, one of the resources we offer is sort of a step-by-step guide to avoiding the pitfalls of scaling, my book, Extraction: The Surprising New Formula to Systemize, Scale and Sell Your Business.  

I wrote Extraction as a road map for dentists and dental practice owners for scaling and growing a successful dental practice organization. And I’ve gotten great feedback from dentists who’ve used it to scale their practices, grow their teams, and even sell their organizations. And stick around to the end of this post, I’m going to offer another free tool to assist you in your scaling efforts.  

Are you Serious About Scaling your Dental Practice?    

According to the international business management firm, McKinsey & Company, only 22% of businesses launched in the last decade have successfully scaled their operations. That is a frustrating problem since most of the value created in building a new business is created during the scaling process. So, how do you avoid being one of the 78% of businesses who fail to scale their model?  

Let’s start with the mistakes to avoid in the scaling process.  

Ignoring Market Research    

One of the biggest mistakes businesses make is assuming that what worked in the past will automatically work when scaling up. Neglecting thorough market research before you create your strategic plan can lead to missteps in understanding your target audience, competitors, the community and industry trends.  

When creating your strategic plan keep in mind where your new locations could be; study the surrounding areas; figure out where your next practices might best serve the community; and take some time to study market trends not just for where you want to locate your next practice, but who your community is and what they want and need in a dental practice.   

Neglecting Team Experience and Training  

As you plan for scaling your dental practice you will also need to plan to scale your team. Scaling to a second location will not work with a team of 5 people. You will need to hire people for that second location, of course, but you will also need to designate team members to help with scaling operations.  

Poor team management and training can lead to the wrong people being in the wrong seats or being on the wrong bus altogether. Focusing on quantity over quality can result in a team that lacks cohesion and shared values. But it can also hinder growth. A strong team has bought into your vision. They are as excited as you are to reach your vision. Without your leadership, the bus doesn’t know where to go and lacks the motivation to get anywhere.  

Take the time to find individuals who not only possess the necessary skills but also align with your company culture, values and vision. Your team is the backbone of your dental practice. Build out your strategic plan to include scaling your team, providing adequate training for their new roles and staying on top of team cohesion and mindset so they are part of the journey with you.  

Mission, Values, Norms for your Dental Practice

Not Budgeting for Technology Upgrades and Scalable Systems in your Dental Practice 

As your dental practice organization grows, so should your technology infrastructure. Ignoring or delaying necessary upgrades can lead to inefficiencies and bottlenecks. While detailing your strategic plan, budget for technology that streamlines your operations, enhances patient- communications systems, and provides robust and nimble processes for your business including AI, where you can incorporate it.  

But this is also a time to research and find new technologies to introduce to your patients: new diagnostic tools that simplify and enhance your abilities; new treatment options; and new advances in cosmetic and teledentistry. It is truly a brave new world in dentistry and delving into these advances will be an exciting experience for you and your team.  

Successful scaling requires scalable systems. If your processes and systems can’t handle increased demand, you risk compromising the quality of your products or services. Invest in systems, apps, programs and vendors that can grow alongside your business, ensuring seamless rollout and expansion. 

Scaling is an opportunity to innovate and stay ahead of the competition. Businesses that rest on their laurels and fail to embrace innovation risk becoming irrelevant. Encourage a culture of continuous improvement and explore new ways to add value to your offerings and business structures.  

Read this post to learn more about emerging technologies in the dental field.

Losing Sight of the Patient Experience 

Word of mouth might not create more business for your practice if you’ve got a robust marketing strategy, but it can most definitely break a dental practice, if you’re not careful. Losing sight of patient experience is like losing sight of the goal post. One of the major goals and benefits of scaling your organization is a desire to ensure a positive patient experience. Personalized care, a welcoming environment, and clear communication systems and technologies contribute to patient satisfaction, fostering loyalty, positive reviews and robust word of mouth. 

Detailing a patient-centric approach in your strategic plan, as you grow, ensures that you and your team continue to provide excellent service and meet or exceed patient expectations. This part of the plan will involve researching the best vendors and CRMs (Customer Relationship Management programs) to fit your budget, your needs and your patients’ preferences.  

Not Investing in a Robust Strategic Plan 

Scaling your dental practice requires a significant financial investment. Ensure you have a clear understanding of your cash flow, expenses, and revenue projections before scaling while you’re analyzing options for growing your business. This will help you make informed decisions and weather the inevitable challenges that come with expansion. 

One part of strategic implementation will come when you begin to measure your lead and lag KPIs. You need to study and understand the measures that got your dental practice to the point where it is ready to scale while also understanding what might come around every corner ahead.

Before you create your strategic plan, you will need to undertake a better understanding of these areas of your dental business:  

  • KPIs 
  • Your practice’s EBITDA 
  • Your teams 
  • Market Research 
  • New and emerging technologies 
  • What your practice can utilize and what it won’t need 
  • Profit vs. Revenue vs. Expenses 

Once you study and understand all of these aspects of your dental practice, you’re ready to create your Strategic Plan. A strategic plan is an overarching blueprint for scaling your dental practice. It is your roadmap from point A to point B and it will become your and your team’s bible for accomplishing your vision.  

I was able to develop a successful strategic plan to scale my dental organization to 8 practices across two states. If you’d like to read about how I did that, I detail it in my book Extraction. But I was also extremely lucky to get introduced to Dan Sullivan and his invaluable annual conferences for entrepreneurs (yes, you are a dental entrepreneur) Strategic Coach. Check out Strategic Coach for another incredible resource offering insights, tools and community while you develop your entrepreneurial skillset.  

SA specifically offers many tools and materials that help you develop your strategic plan. Arguably, a strategic plan is the single most important document and piece of information you will create to scale your dental practice. It is not the first step, but it is the most important step. Without a plan, it’s just a dream.   

One More Mistake to Avoid in Scaling Your Dental Practice 

Scaling your dental practice into a thriving organization is a complex process that demands careful planning, execution, and the ability to learn from both successes and setbacks. By steering clear of these five common mistakes, you position your practice for sustainable growth and long-term success. Remember: the journey matters just as much as the destination and with the right support and tools, it can even be enjoyable.

One of the most powerful ways to keep your growth on track is to regularly monitor your practice’s key numbers. Relying on guesswork or gut instinct isn’t enough, successful entrepreneurs use real data to make decisions, identify opportunities, and catch issues before they become costly problems.

That’s why we created the OPA KPI Tracker. This easy-to-use template is designed specifically for dental entrepreneurs, helping you measure what matters, see your progress clearly, and guide your team with confidence.

Ready to take the next step in scaling your practice?
Download your free OPA KPI Tracker now and set yourself up for a smarter, data-driven path to growth.

DOWNLOAD YOUR KPI TRACKER

Scaling Your Dental Practice: 6 Actionable Benefits to Unlocking Your Growth, Prosperity and Legacy

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Scaling a dental practice might seem daunting in today’s economic mine field of private equity takeovers, the possibility of recession constantly on the distant horizon, a labor-driven economy and slim profit margins. But it may be the smartest move you consider planning for right now.  

Scaling a business is akin to nurturing a thriving garden. Your dental practice must be in good shape before you develop a strategic plan to scale. After all, scaling, in essence, is duplicating the success you’ve already created. You don’t want to duplicate your past stagnation. You want to figure out why and how you created your success and then duplicate that.  

It requires careful planning, consistent effort, and the right conditions to flourish. For dental practice entrepreneurs, the decision to scale is a pivotal moment that opens doors to a myriad of benefits. Let’s delve into the advantages of scaling your dental practice and why it’s a strategic move for your long-term success and your legacy.  

Increased Revenue and Profitability for your Dental Practice 

The whole point of scaling your dental business is to introduce new revenue streams. As you expand your services, reach new demographics, and explore additional revenue channels, the financial health of your organization receives a significant boost. 

As your business grows, you now have the ability tap into new markets, attract more customers, and offer additional services. This diversification of revenue streams will help stabilize your profit margins and create a foundation for sustained profitability. In essence, it’s the age-old idea of spending money to make money. Using this strategy smartly allows you to grow your dental organization comfortably.  

In designing your strategic plan for growth, you will consider incorporating new dental services, exploring different locations that align with your market and patient profile, and researching innovative treatment solutions. This not only caters to a broader patient- base but also opens up opportunities for higher-priced services, contributing to a healthier bottom line while attracting and keeping a diverse patient population.  

Enhanced Brand Visibility 

A scaled dental practice commands attention in the marketplace, elevating your organization’s visibility. This heightened recognition not only attracts new patients but also establishes your dental organization as a prominent player in the industry as well as the communities your organization serves. A strong brand presence fosters trust and confidence among both existing and potential patients. 

And this includes online visibility. For a scaled dental practice organization, a strong online presence is crucial. Scaling provides an opportunity to invest in digital marketing strategies that can significantly boost your visibility and engagement. Consider expanding your social media presence, investing in targeted advertising, and optimizing your website for search engines. 

 Include in your strategic plan, strategies for patient-nurturing programs, social and traditional media marketing efforts as well as community outreach programs to affiliate with your organization. 

Operational Efficiency and Cost Optimization 

Scaling your dental practice will require streamlining and optimizing your business processes. A proper strategic plan for growth will lead to improved operational efficiency across your organization, reducing costs and minimizing waste. You can leverage tools and technologies to automate repetitive tasks, allowing your teams to focus on more strategic and creative aspects of your online presence.  

Explore project management tools, diagnostic tools, and analytics software to enhance your teams’ abilities to meet demand not just efficiently but also effectively. And with the advent of new AI technologies constantly coming online, this could prove to make these analyses and tasks easier to navigate. This exploration and implemenation will ensure your teams, as well as patients, are happy with the results. Efficiency gains not only save time but also make your operations more agile and responsive to patient needs and market trends. 

Creating a strategic plan for scaling necessitates a thorough examination of your operational processes. This evaluation alone can often lead to increased efficiency, better resource utilization, and cost optimization. Whether it’s implementing advanced technologies like AI or streamlining administrative tasks, the result is a leaner, more agile organization. And a lean, agile dental practice is ready to scale.  

The dental industry is dynamic, with trends and patient preferences evolving rapidly. Scaling your business ensures that you remain adaptable to these changes. Whether it’s adopting cutting-edge dental technology or introducing innovative service offerings, scalability enables your organization to stay ahead of the curve. 

Talent Acquisition and Development 

As you scale your business, you will need to expand your team. Undeniably, this will mean figuring out how to attract skilled and motivated professionals. There are two aspects to this process: attracting the team members you want and figuring out how to retain them. You will need to integrate professional development, training programs, and career advancement within your organization to attract the people you want.  

Keeping them means fostering a culture of continuous learning and development through Investing in training programs, mentorship initiatives, and employee benefits.  

While you’re implementing these initiatives give thought to yourself and your leadership skills. Because retaining the kind of professionals you want means developing a top-down structure of accountability, inclusion and diversity. Taking the time to understand and integrate the values that you want reflected in your workplace will mean greater team buy-in when you introduce your team to your strategic plan for growth.  

If your team sees themselves reflected in your strategic plan for scaling they’re more likely to take on these efforts and own them, thereby helping you share the scaling challenges and labor efforts. My business partner, the President and Founder of OPS, Dr. Jack Bayramyan, has written an excellent book on his personal experiences scaling his single practice to a thriving dental practice organization spanning two states.

The last chapter in his book is dedicated to the dental practice owner turned investor and entrepreneur. In it, he delves into the tools, strategies and experiences that shaped his leadership style and helped him achieve his astounding success. Learning to shape is leadership gave him the skills to assemble the team that ultimately drove his success. Give it a read.  

Extraction by Dr. Jack Bayramyan - Dental Practice

Improved Patient Experience 

Scaling your dental practice allows you to enhance the overall patient experience. Learning to Implement customer feedback systems to gather insights and make data-driven improvements to your services will greatly enhance your understanding of what patients need and want.

At the same time, the type of outreach shows patients and potential patients that you are interested in what they have to say and what they are looking for. In referral-based marketing this kind of outreach goes along way with the communities your organization serves.  

In your strategic planning, research and invest in technologies that facilitate smoother appointment scheduling, communication, and follow-ups. Personalize your interactions with patients through tailored communication strategies as well as new dental technologies to enhance patient-experience and entice new patients. Building a positive and memorable experience for your patients not only encourages loyalty but also generates positive word-of-mouth referrals, a powerful tool in dental care. 

Risk Mitigation for your Dental Practice Organization 

Diversifying your dental practice through scaling can act as a risk mitigation strategy. Relying on a single service or a limited market exposes your practice to potential downturns. Scaling allows you to spread your risks across various services, locations, and patient segments. 

Diversifying allows you to stay ahead of the competition, which can feel like a perpetual challenge. Scaling provides a competitive advantage by positioning your dental partnership organization as an industry leader.  

In developing your strategic plan, think of scaling as a necessity for risk-mitigation as well as organizational health and longevity. Your plan for the long-term survival and health of your dental practice must include scaling. The challenges you’ll face while scaling are much more exciting than the ones you inevitably face if you do nothing in an era of exponential growth and development.  

A Strategic Plan for Scaling your Dental Practice  

The dental industry is no exception to wildly fluctuating market forces at any given time. If you do nothing, you risk losing everything you’ve worked for to this point including your legacy. In this moment of incredible technological upheaval there are those ready to take advantage of this upheaval and those that will fall by the wayside; very similar to what we saw during the pandemic. Scaling your practice, as I stated, is a direct and effective way to avoid becoming irrelevant while ensuring your future success.  

If you do plan to scale your practice, you need to start with creating a strategic plan.  

Scaling your dental practice is a strategic move that unlocks a myriad of benefits. From financial prosperity and enhanced brand visibility to operational efficiency and adaptability to industry trends, the advantages of scaling are vast and transformative. As you embark on this journey, remember that scaling is not just about getting bigger; it’s about building a foundation for sustainable success and ensuring your legacy.  

Track What Matters Most to Scale Your Dental Practice

There are countless challenges you’ll face as you scale and implement your growth strategies—but you don’t have to navigate them blindly. One of the most effective ways to overcome obstacles and accelerate your progress is by consistently tracking your practice’s key performance indicators (KPIs).

The right KPIs help you see what’s working, spot opportunities, and address issues before they become costly. That’s why we created the OPA KPI Tracker—a simple, powerful tool designed for dental entrepreneurs who want to make data-driven decisions and unlock new growth.

Ready to gain clarity on your numbers and take control of your growth?
Download the OPA KPI Tracker below and equip yourself with the insights you need to scale your dental practice with confidence.

DOWNLOAD YOUR KPI TRACKER

For Dental Practice Owners: 3 Scary Mindsets that Stifle Growth 

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As a dentist, dental practice owner, entrepreneur and now the founder and president of OPS, I talk with other dentists all the time. More to the point, I to listen to dentists. And one thing I’ve come to realize is that much of what holds dentists back from growing and scaling is their own mindsets.

The Biggest Obstacle to Growth and Opportunity

In my experience, there is one type of mindset that destroys hope and possibility in professionals and entrepreneurs in every industry. I call it growth fear and it is a very real phenomenon. I want to address 3 limiting growth fear mindsets in particular in this post.  

Inaction breeds doubt and fear. Action breeds confidence and courage. If you want to conquer fear, do not sit home and think about it. Go out and get busy.” 
~Dale Carnegie 

Fear is an effective action-killer. Once fear has its grip on you, you’ve stopped before you’ve even begun. It’s one of the most time-consuming and pointless wastes of energy. Yes, fear is a useful emotion not to be ignored. It alerts us to immediate and long-term danger whether physical or emotional. It can also teach us a lot about ourselves. We need to pay attention to fear when it arises.  

However, paying attention to it is not the usual focus we take in business. When fear arises in us or in our business dealings, we usually don’t immediately understand it, address it or remove the cause of it. When we feel fear in business we ignore it, push it aside or belittle ourselves for having it if we do acknowledge it at all.  

Why is that?

Fear is the First Step in a Challenging Situation

I think the answer is that we don’t recognize fear for what it is when it comes up while we’re working. Fear shows itself in other ways in our business lives: we push plans aside; we repudiate ideas from others as unattainable or far-fetched; or we conveniently forget or ignore valuable insights that can spur growth, risk or investment.

All these responses can be justified as “safe” or “down-to-earth” or “rational” choices. And sometimes they are. But sometimes, many times, these responses are not ‘rational’ but an unconscious reaction to the fear that arises in us when we think about the risk, the work, or the delegation it would take to achieve a goal that triggers fear in us.  

Let’s look at these three fundamental fears and how they affect our business growth and dental practice function.  

The brave man is not he who does not feel afraid, but he who conquers that fear.” 
~Nelson Mandela 

Growth Fear #1: Nothing Will Be in My Control in My Dental Practice

When you’re feeling out of control in your business that is a sign of fear or trepidation. It’s time to take a pause. Step back from your duties, your work and your busy day. It’s very easy to get into a groove, or more accurately, a rut in our businesses and get stuck. This experience has plagued every business owner at one time or another. You get stuck working in your business and forget or ignore working on your business.  

What’s the difference?  

Working in your business means you’re sitting in the chair looking into mouths day after day. This is a fine place to be until your dental practice is coming apart at the seams because you haven’t hired a new associate in months; you haven’t thought about raises for your team and they’re starting to revolt; appointments are dropping because you haven’t paid attention to training your staff on a recall program.

There is a part of you that knows action needs to be taken but you are not taking the action required because it means monetary investment, or stepping up and out of your dental chair which is where you’re most comfortable; or you rationalize that the time away from the chair will hurt your income and profit. But that’s where the thinking stops because you’re too afraid to dig into the feelings and discomfort that these situations bring up.  

The solution is to give yourself time and patience to learn to work, not just in your dental practice, but to work on your dental business. Sometimes, taking the leap from dentist to dental entrepreneur is scary and uncomfortable. But it is a necessary step for your success.  

Growth Fear #2: Growing My Dental Practice Means More Work for Me 

This is a big and often unconscious fear for dental practice owners. The thinking goes, “if I try to grow or scale my dental practice, I will just be giving myself more work.” So, they put that idea aside for “one day.”  

More work with growing your practice is a distinct possibility. However, that is not the only possibility. It is possible, preferable and optimal to grow your dental practice after having identified and delegated the goals and responsibilities for growth to your team. This step requires that you get agreement and buy-in from your team members. And asking them to see and agree to your vision and assist you in that attainment is scary. It means putting yourself, your dreams and your personal desires on display and asking people to agree with you and fight for your vision alongside you.  

That’s a big ask and it requires your vulnerability. So scary. I remember coaching a dentist on this very issue. And it took a while to uncover that this was actually the issue. We were working on ways to establish more revenue and profit for his practice. I offered up the idea of scaling his business and almost immediately started offering excuses as to why it wouldn’t work.  

We took a break from our coaching session for lunch where we both got a chance to breathe and relax. I asked him why he didn’t think scaling was an option for him and in all honesty, he said that it would mean more work for him while he was already feeling spread too thin in his current responsibilities. There it was. We got to the core of his fear – more work. I explained that this need not be the case and we went back into our coaching session focusing on solutions that ensured no added responsibilities to his workload. It turned out to be a very productive session for him.  

Growth Fear #3: Growing My Dental Practice Will Cost Me Big 

The final area where fear stealthily stifles growth is the thinking that growing your practice cuts into profit and revenue with no guarantee of ROI. You may have had thoughts of growing your practice in the past and the minute you have those thoughts you think, “welp, it’ll be too expensive to implement those changes. Never mind.” And you move on as quickly as you start thinking about it.  

On the face of it, that thinking is logical, obvious and safe. Yes, growing your practice does incur expense and require investment, but that is the initial short-term aspect of all growth. If you were to stop there then, of course, you would never see the ultimate results of your investment or work.  

But I challenge you to look at this fear in another way. Your fear of not seeing a return on your financial investment might very well be rooted in your lack of confidence in your or your team’s ability to see your actions through to the end.  

Why do I say that?  

Nothing in life is to be feared. It is only to be understood.“ 
~Marie Curie  

Because a financial investment in your dental practice is a bet on your abilities. Full stop. You’re betting that you’ve got the courage, the know-how and the endurance to build, test and grow your systems until they start yielding the results you want. So, what’s the real fear? The real fear here is you wondering if you’ve got what it takes. But once again, you can’t grow your practice alone or in a vacuum. It takes an entire team to bring your vision into reality.  

And the sooner you can be honest with yourself about the root causes of your fear the sooner you can address them and begin to take effective action in the direction of your choosing. And that is what real freedom is about, isn’t it? The ability to respond as you choose.

It’s Only the Entrepreneurial Unknown You Fear

In fact, all these fears are rooted in questioning yourself and your abilities. Why? Because, most likely you’ve never done this before! You leave dental school striving to be an expert in dentistry and then spend years perfecting your craft. Where is that same level of expertise, perfection and mastery for your business??  

Many dentists come by their business acumen through trial and error and many mistakes and missteps. It takes years of exhaustive efforts to build a successful dental practice. So, when you start to ask yourself bigger questions about growth, the fear leaps up and instantly quashes the hope and then camouflages itself as something else: non-interest, overwhelm, logic or practicality.  

Conquer Growth Roadblocks with Clarity, Not Fear

After exploring the mindset traps that quietly sabotage progress, it’s clear that lasting growth doesn’t come from wishful thinking or simply hoping things will get better. It comes from bringing clarity to your business—understanding what’s working, what’s not, and having the confidence to act on real data.

If you’re ready to stop letting uncertainty or fear dictate your next move, the fastest way forward is to measure what matters most in your practice. When you know your numbers, you can spot early warning signs, address challenges before they become costly, and empower your team to reach new levels of performance.

That’s why we developed the OPA KPI Tracker, a practical, user-friendly tool designed specifically for dental entrepreneurs. This is the very tool we use when we consult with our partner practices so they gain real insight into how the business of their practice is actually going. With it, you can:

  • Track your production, case acceptance, scheduling efficiency, and more, all in one place.
  • Identify the small tweaks that can make a big impact on your growth.
  • Turn unknowns into actionable next steps, so you always know where you stand.

Ready to move past fear and lead with clarity?
Download your free OPA KPI Tracker now and take the first step toward a more resilient, data-driven, and successful practice.

You don’t have to navigate this journey alone. With the right tools and a mindset focused on progress, you can transform uncertainty into opportunity, starting today. 

Download Your KPI Tracker

The #1 Most Powerful Secret Ingredient for Scaling Your Dental Practice

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Are you planning on scaling your dental practice? Whether you are or you’re not, keep reading because I will be making the case for growing your practice no matter what your plans.  

One of the most difficult aspects of being an entrepreneur is your mindset. Bet you didn’t think I’d say that, right? There are a lot of challenges and obstacles when it comes to being an entrepreneur, but every single solution starts in the same place…a growth mindset.  

If you don’t have a growth mindset, every single challenge will be exponentially harder to defeat because you will be meeting that challenge with a never-ending supply of resistance. 

 

Growth Mindset for your Dental Practice

What’s that saying? “There’s as many as excuses as there are…” you get the idea. If you’re going to scale, grow, expand or do anything of importance for your business, yes dentistry is a business, you’ve got to start at the root of stagnation…your mindset.  

That’s a nebulous, cloudy proposition, though, isn’t it? How do you change your mindset? Glad you asked! There are all kinds of ways to get started in creating a mindset shift. You can read some wonderful books on entrepreneurism and mindset; You can attend lectures, conferences and retreats dedicated to this topic; You can hire a coach; In fact, one of the most effective ways to challenge an old mindset and shift your thinking is by joining a mastermind. More on that a little later.  

All these solutions are effective because they allow you to take action without taking any risks in the business; and they allow you to learn and grow from others who have done exactly what you want to do. These two qualities: action and proximity to opportunity and knowledge help you build the courage to take the risks you need to grow your dental practice organization.

The #1 Strategy for Scaling Your Dental Practice 

I have another strategy for shifting your mindset in addition to the ones above. This strategy allows you to bounce ideas off someone else, just like a mastermind does; you get the opportunity to brush up on new skills, just like going to a retreat or conference would; and this strategy allows you to work on your business, not just in your business, much like working with a coach would.  

But the quality that makes this secret strategy the most effective one is…this strategy will actually make you money as opposed to all the other strategies which will cost you money. Now, tbh, the above strategies are fantastic and effective and the cost is worth the Investment. But this strategy is designed to increase sales, expand your practice and change your mindset. So, what is it?  

If you want to scale your practice, but you can’t even envision what that will look like much less begin executing a plan, start with hiring an associate dentist. Hiring an associate dentist is the fastest way to grow your practice while allowing you the time to evolve your thinking and shift to a growth mindset. How?  

Josh Gwinn, Co-founder, CEO of OPS on the advantages of hiring an associate for your dental practice

Learning to Shift into a Growth Mindset in Your Dental Practice  

With an associate, you will have someone to bounce ideas off of when you start thinking about making changes to your practice. In fact, just making room for an associate may bring up other areas of your practice that need your attention. You may have to do a bit of remodeling; you’ll need to make room on your website for the new addition to your team; this might be a good time to talk about your pricing structures, making sure they’re up-to-date and comprehensive; and the new associate may bring her own ideas and inspirations to the discussions. Opening discussions with your new associate will allow you both to engender trust, share ideas, troubleshoot problem areas and brainstorm on solutions.  

Learn New Leadership Skills for Your Dental Practice 

When you take on an associate, there may be some subtle shifts in the power dynamics within your team structure. This is totally normal. Questions from your team may arise, like, “who do we answer to now?” “Does this mean you are stepping back?” “Are we getting a new hygienist?”  And there will definitely be questions coming from your new associate as well.  

This period of transition offers you an opportunity to step into a leadership role. If you have not already taken on a leadership role in your practice now is the time for you to step up. You went to dental school; you may have started out as an associate yourself; you started your own practice; but all of that doesn’t necessarily allow you to flex your leadership muscles.  

Taking on a new associate means your team just got bigger; you will be looked at to make the big decisions. Your leadership may have up to this point seemed almost like a by-product of your dental practice, a necessary aspect that you need to revisit from time to time. However, with an associate, there will be no mistaking that you are the person in charge, and you are the one who makes the big decisions.  

This can feel uncomfortable at first, but with time, you will accept this new role and more importantly, so will your team and your new associate. Leadership takes practice and having a new associate will allow you to figure out what kind of leadership style fits you best. Enjoy the process and everyone will be that much more comfortable while you grow into your new authority.  

Learning to Delegate will Improve Your Dental Practice 

The last area of growth that comes with taking on a new associate is in delegation. You will now have someone else who can take on more work! This will free up your brain in so many ways. You will finally get the opportunity to start thinking bigger when it comes to your practice. Why? Because now you’ll have the time and mental clarity to start working ON your business, not just IN your practice.  

This is a huge leap forward when it comes to expanding or scaling your practice. Now, you’ll watch the creative juices start flowing when it comes to ways your practice can expand and grow. This will be an exciting time because this is one of the most immediate and expansive results of taking on a new associate. You will suddenly start to look for other ways you can grow your dental practice as well we your mindset.  

Expanding your dental practice = expanding your mindset. You can’t have one without the other. Whether you want to scale your practice by adding new locations or expand your single practice by adding more dentists and operatories, taking the leap and welcoming a new associate will give you the growth mindset you need to achieve your goals and reach your vision. By taking on the responsibility of hiring a new associate to join your team you’re already taking the steps to expand your mindset, and when you expand your mindset, you expand what is possible for your business.  

One More Way to Activate a True Growth Mindset

A growth mindset isn’t just about thinking differently, it’s about giving your ambition a direction. Without clarity, even the most motivated dental entrepreneurs can find themselves working harder without making real progress.

That’s why we created the Extraction GPS. This tool helps you clarify your values, assess where your practice is today, and define a clear path forward, so your growth mindset is supported by a real plan. When you know where you’re going and why it matters, momentum becomes sustainable instead of exhausting.

Scaling your practice requires more than optimism. It requires intention, alignment, and a roadmap that keeps you focused when challenges show up.

Ready to turn your growth mindset into purposeful action?

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The #1 Astonishing Trick I Used in my Dental Practice Organization to Improve my Leadership and Obliterate Challenges  

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Are you doing this in your dental practice? You should. I had my first big lesson as an entrepreneur during the first 6 months of owning my first dental practice. This mistake almost cost me everything. I was in the process of building my first practice and setting the tone for my leadership and team-building when my office manager abruptly quit.  

My Biggest Mistake as a Dental Practice Owner 

She walked out with practically the entire business in her head: the insurance codes, the vendor relationships and everything else I needed to keep our billing on track and money coming in every month.  

Money is the lifeblood of a business. Without capital, your business is paralyzed. I was stuck and we needed answers fast. Unfortunately, my lack of knowledge regarding billing and insurance codes cost me a lot. For 6 months, I ran my practice 5 days a week and then spent my evenings and weekends panicking and trying to learn the billing code system. By the time I had figured out the process, we had passed the deadline to collect our reimbursements for many of our patients. What a costly mistake.  

I was not about to repeat that experience. I spoke with my cousin who was a software engineer, and he created a program that allowed me to track, measure and bill with the correct insurance coding. He got free dental care for life.

This mistake was not due to my lack of knowledge or experience as a dentist. This had nothing to do with learning or mastering dentistry. It had everything to do with being an entrepreneur and business owner. This mistake happened because I didn’t understand how to run a business and it’s a mistake that can happen to any business owner at any level of experience. This mistake was compartmentalizing and not having the proper redundancy any business needs to not have “all of its eggs in one basket” so to speak.  

Improve Leadership in your Dental Practice

Why Every Dental Entrepreneur Needs Systems—Not Just Skill 

I learned the hard way that being a great clinician is not enough to run a thriving dental practice. Most of us never receive any business training before opening our doors. And it’s easy to assume that as long as you know your craft, everything else will fall into place. The reality is, running a business is a completely different skill set.

If you don’t put the right systems in place—from day one—you risk losing not just time and money, but also your peace of mind. My mistake was not building processes that protected my practice from unexpected disruptions. All it took was one person walking out the door to reveal just how vulnerable my business was.

Redundancy isn’t just a buzzword; it’s an insurance policy for your operations. When only one person knows your billing codes, your vendor relationships, or your day-to-day systems, you’re one resignation away from chaos. That’s why dental entrepreneurs need to think like business owners, not just providers. It means documenting everything, cross-training your team, and tracking what matters, so no single point of failure can bring your practice to a halt.

But systems and documentation alone aren’t enough. To really know how your practice is performing, you must be able to measure your progress, spot problems early, and make adjustments in real time. That’s where most practices struggle: they don’t have clear, accessible data on what’s truly moving the business forward.

“You can’t improve what you don’t measure.”
~Peter Drucker

From Chaos to Clarity: Using KPIs to Drive Your Dental Practice

So, what should you actually be measuring?

The answer is KPIs—Key Performance Indicators. KPIs aren’t just numbers on a spreadsheet. They’re the vital signs of your business, telling you where you’re winning, where you’re leaking energy (or money), and where you can grow.

The Best KPIs for Dental Practices

While every office is unique, there are a handful of indicators that always matter:

  • Total In-Office Encounters: How many patients are you actually seeing?
  • New Patient Flow: Are you attracting enough new patients each month?
  • Recall/Recare Visits: Are your patients coming back for preventive care?
  • Walk-In Visits & Telehealth: Are you leveraging every access point?
  • No-Show Rates: How often are appointments going unused?
  • Scheduling Efficiency: Are your appointment slots being maximized?

Tracking these numbers regularly gives you a real-time dashboard for your practice health.

Not all KPIs are created equal. To truly get ahead—and not just react to problems after they happen—you need to understand the difference between lead and lag indicators. Let’s look at the two different types of indicators and how they both function in your practice.

Lead vs. Lag Indicators: What’s the Difference?

Lag indicators are the results—they tell you what happened after the fact. Think: total production, monthly revenue, or collections. They’re important, but by the time you see a drop, the damage may already be done.

Lead indicators are the early warning signs—they track behaviors and processes that predict future outcomes. In a dental practice, this might mean tracking:

  • Number of recall calls made each week
  • Number of new patient appointments scheduled
  • Daily case acceptance rates

By focusing on lead indicators, you can make changes now that improve your lag results later. It’s about being proactive instead of reactive.

Bottom line:
When you combine solid systems with regular KPI tracking, you don’t just survive the unexpected—you grow stronger from it.

Track What Truly Drives Your Dental Practice Forward

If you’ve made it this far, you already know that growth isn’t about chance, it’s about keeping a pulse on what really matters. That’s why we put together our KPI Tracker built specifically for dentists. It’s not fluff; it’s a clear way to monitor the health of your practice across the metrics that actually drive sustainability and scale.

With this tracker, you’ll be able to keep tabs on total in-office encounters, new patient flow, recare visits, walk-ins, telehealth activity, and more. It even factors in scheduling efficiency and no-show rates so you’re not just looking at production—you’re tracking the behaviors that fuel it. Think of it as a dashboard that gives you clarity on where you’re gaining momentum and where small adjustments could unlock growth.

You can grab the KPI Tracker for free today. Along with it, we invite you to book a short call with our team, where we’ll walk you through how to use it effectively in your practice. This way, you’re not just downloading another spreadsheet, you’re setting yourself up with a system to actually measure, understand, and improve.

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Follow 3 Principles to Build a Strong Dental Practice Culture: The Power of Mission, Values, and Norms 

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You have the power to create a world-class dental practice or dental organization. In this post I’m going to delve into three foundational principles that will allow you to build and run a premier dental organization. Our current economic environment is one filled with incredible opportunities for growth; as well as challenges in keeping talented, committed and passionate staff. To meet that challenge, we must also be mindful as business owners to provide the right conditions for our employees to stick around. Both aspects of running a successful dental practice are a lot to think about, balance and juggle.  

The 3 Drivers of Successful Dental Practice Culture 

So, how do you strike that balance between attacking opportunity and nurturing a thriving organizational culture? It starts with the basics: your mission, your values and your norms. These three foundational elements are the backbone of your decisions, your priority-setting and your business cadence. Without them, your organization runs the risk of being a rudderless ship foundering in the shallows. So, let’s look at each of these principles one by one, starting with your mission statement.  

Your Mission Statement Defines Culture in Your Dental Practice 

Your mission statement serves as the north star for your dental practice. It defines the purpose and direction of your business. This may seem a bit arbitrary for a dental practice, after all the mission is sort of built into your business structure: take care of people’s teeth. But a mission statement encompasses not just what you do but how your company approaches its work, the purpose of your practice’s existence and its overall objectives.  

When writing your mission statement, make it clear, simple and inspirational. Your statement should align your purpose and goal with your values. It should also be imbued with a sense of passion that inspires your team and rallies them around your goal and vision. A mission statement isn’t just for your patients to understand you, it’s for your teams to align themselves with what you want to accomplish.  

Values Set the Tone for Team Culture in your Dental Practice 

Values are the principles by which your actions are guided every day, and they are a reflection of your life and what you hold dear. Your company’s core values are the guiding principles that dictate how your employees and your organization operate. They are the moral compass of your business. One big advantage in defining your values and setting guiding principles is that it gives your employees an understanding of what you expect from them and what they can and should expect from you.  

Defining your company’s core values might be daunting if you don’t have a clear understanding of your own personal values. Harvard Business Review has a step-by-step guide to help you assess your personal values.  

Here are some elements to consider when defining your dental practice’s values:  

  • Identify the values that are most important to your organization (yourself). They could be honesty, innovation, customer-centricity, or any other principles you hold dear. 
  • Integrate your company values into your daily operations. This means that every decision, from hiring to product development, should align with these values. 
  • Communicate your values effectively to your team. Encourage them to embody these values in their work. Spend some time examining where, in your practice, you and your team can incorporate your practice values and make them known to your patients and prospects.  
  • Define your core values to give your teams the knowledge and confidence in knowing how you want business conducted on your behalf. This will instill your teams with confidence and allows your teams the freedom to act according to the roadmap you have given them.

Norms: The Everyday Behaviors That Build Trust, Communication and Cadence in your Dental Practice  

Norms are the behaviors that govern how your teams interact and work within your dental practice. Norms help set the tone for your practice culture. To establish effective norms: 

  • Create norms that promote inclusivity, respect, and collaboration. Encourage open communication and diversity of ideas. This norm allows your team to feel fully engaged and, well, included in the day-to-day execution of your mission.  
  • No sacred cows: Allows anyone on the team to call out behavior, patterns or ideas that aren’t working anymore and bring something new to the table. Practicing allowing everyone on your team to have a voice might take a minute to establish as a norm, but it allows for greater efficiency, communication and creativity.  
  • Consistency is key to all functions of running a smooth dental practice. So, making consistency a practice norm is key to team behavior and practice management.  
  • Adaptability is another norm that encourages creativity, problem-solving, open communication and efficiency. Be open to ideas to reevaluate and adapt systems, operations and functions as your practice grows and evolves. 

Gallup has a wonderful assessment to help you determine and define what norms are currently working in your practice’s team culture and what are not. Having a starting position of current norms allows you to keep what’s working, while building on that foundation to include what might be missing.  

The Synergy of Mission, Values, and Norms for Your Dental Practice Operations

When you combine a clear mission, well-defined values, and strong norms, you create a synergy that transforms your dental practice culture. Aligning your mission, values, and norms fosters a shared sense of purpose and passion among your team. Engagement stays high when employees understand and believe in what your practice stands for and what they’re working toward. This alignment fuels higher productivity, satisfaction, and a culture where everyone is motivated to contribute their best.

A strong, values-driven culture not only attracts and retains top talent, it also enhances your reputation in the community. Over time, this foundation makes your practice more resilient and adaptable, even when circumstances change.

Culture truly is your practice’s identity. It sets the tone for how you do business, how you care for your team, and how you serve your patients. Mission, values, and norms are the building blocks that shape a practice people want to work for and patients want to visit. Invest in nurturing these elements, and you’ll see your practice flourish.

If you’re ready to clarify your practice’s vision, values, and mission and chart a path to your “point B” we invite you to download our free Extraction GPS worksheet.

This step-by-step tool is designed to help dental entrepreneurs like you get clear on what matters most, set a bold vision for your future, and define the concrete goals that will get you there. Use it to bring your leadership team together, make confident decisions, and guide your practice toward long-term success.

Ready to set your destination and accelerate your journey?
Download our Extraction GPS worksheet today and take the first step toward building the dental practice and legacy you truly envision.

Download Our Extraction GPS Worksheet

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