scaleyourbusiness

The Extraction Formula: The #1 Tool for Dental Practice Success

May 8, 2023 by Dr. Jack Bayramyan

The Obstacle is the Path in Your Dental Practice

If you’re a dental practice owner, have you read Extraction yet? Recently, I published my first book, Extraction: The Surprising New Formula to Systemize, Scale, and Sell Your Practice. The response from readers has been overwhelmingly positive, and we’ve made Bestseller status on Amazon in several categories! I’m proud of this achievement. It started as a simple enough idea. I had been working with my dear friend Sean Stephenson who was coaching me in my business. In fact, it was Sean who coined the title, Extraction.

His fundamental drive in life was to help others extract themselves from the prison of their own mindsets to achieve greater levels of personal freedom and fulfillment. Many times in my journey, I have found myself in my own self-imposed prison. For example, right after the pandemic, I injured my neck and hand and discovered that clinical dentistry was something I could no longer practice. I was at a loss; I was nervous about what my future may hold for me, and I was searching for new meaning.

Sean’s life and mentorship reminded me that meaning lies in what we do in service to a greater cause. Of course, we can always amass more: more wealth, more success, more money, more stuff. But we aren’t going to find much meaning in any of that. To find true meaning, we must train our abilities and skills to contribute to our families, communities, and society because purpose comes from serving others. And that was the spark of an idea that eventually became my book.

Why I Wrote Extraction

My injury became a blessing in disguise. It forced me to take stock of myself, my career, and how I can continue contributing differently as an author and entrepreneur as much as I did as a clinical dentist. I had to forge a new path for myself, and that path would be rooted in a principle I have stuck to my entire career, the true measure of one’s success is creating value in the lives of others.

I wrote Extraction mainly for Dental Entrepreneurs. I wanted to bring a set of strategies I used over two decades to build, scale, and finally exit a tremendously successful dental organization that continues to serve and thrive today. By laying out my strategies, mistakes, obstacles, and achievements, I can help other dental entrepreneurs avoid the same mistakes and challenges I faced.

Breaking Free from Your Dental Practice

There is another fundamental reason I wrote my book. While building my organization, I ran into a paradox. As I continued to build and scale my practice, I became increasingly enveloped with the day-to-day challenges of running a multi-practice organization. I needed to take a 10,000-foot view of my organization and where it was headed. I was, in fact, mired in the minutiae of daily operations. This needed to be more sustainable. I coined a term for this place I had landed in the trajectory of “success,” I call this place the dental entrepreneurial prison. I wrote about this concept in an earlier blog post.

It is deeply frustrating for an entrepreneur to work tirelessly day after day for years to find that the success you’re gaining is only giving you a ton more work and less meaning and fulfillment. So, how do you avoid getting locked in a prison of your own making?

A New Formula for Success

The formula I’ve created and defined in Extraction is designed to help you avoid this paradox and many others as you build your practice and organization. The first step in this formula is to define your Point A. Where are you in your life as an entrepreneur? Do you know how to define it? And where is your organization in its lifecycle? Determining where you and your practice(s) are will allow you to map out a path for where you want to go and, importantly, how you want to get there.

Defining the Roadmap, From Point A to Point B

After you honestly and fully understand where you are in your practice, your Point A, we define your vision. Dreaming big is imperative to your overall dental practice strategy and growth. But ‘big’ means different things to different people. In the book, I walk you through the steps of defining a personal vision for yourself and your dental organization that works for you, not your competitors, fellow entrepreneurs, or even what your family wants. We figure out what you want for your life and your business. Vision is not a destination. It sets the direction of your growth.

Next, we figure out how we will move toward your vision. And it is here where we ensure you stay focused on building your roadmap or strategic growth plan by assessing all the internal and external obstacles that stand in the way of realizing our vision. At this point, we’ve built your dream team to support you and implement your strategic plan. We also break down your company goals into yearly, quarterly, monthly, weekly, and even daily steps so everyone is transparent and accountable. Finally, you create a template of actionable steps to keep you on track to meet your goals and, eventually, execute your vision.

From Dentist to Dental Entrepreneur and Investor

Finally, we hone your skills as a leader. You invested time and money in dental school. But unfortunately, dental schools fail to teach us how to be a leader of successful teams. Dental schools also fail to teach us how to be an entrepreneur in a successful, scalable organization. That’s our job.

In my book, I lay out all of the values and principles that allowed me to become the leader I needed to be, not just for my organization or my teams, but for myself. I needed to find a way to break free from the dental entrepreneurial prison, and that meant becoming a leader that people trusted enough to carry out a vision that I laid out for them that they couldn’t quite see yet. They needed to trust me to hold that vision for them while they worked toward it. We did it, and you can too.

Invest in Yourself, Not Just Your Dental Practice

Avoiding the paradoxes of entrepreneurship is daunting while you’re building your practice and organization. But there are concrete steps you can take to avoid those traps; traps like stagnation in your business growth and the paradox of success. I wrote my book specifically outlining how to avoid those pitfalls or get out of them once you’re in.

But your business, practice, and organization will always have challenges and obstacles. The aim isn’t to remove all the obstacles. That’s an impossibility. The aim is to see those obstacles as the path to your success. Each obstacle becomes a lesson of growth. I hope I can assist you on your path and lighten your load as a dental entrepreneur.

The mind adapts and converts to its own purposes the obstacle to our acting. The impediment to action advances action. What stands in the way becomes the way.”
~Marcus Aurelius

In fact, I didn’t just write a book to help the dental entrepreneur; I built a company too. Optimize Practice Alliance is dedicated to assisting the dental entrepreneur in building a solid organization and a lasting legacy. Our motto is our mission, keeping the future of dentistry in the hands of dentists. Our goal is empower dentists to become the masters of their own destiny, however that looks to each entrepreneur.

Turn the Extraction Formula into a Clear Plan

The Extraction Formula isn’t just about working harder or adding more tactics, it’s about leading with clarity, intention, and alignment. Real growth happens when you know where you’re going, why it matters, and how each decision moves you closer to that vision.

That’s why we created the Extraction GPS. This tool is designed specifically for dental entrepreneurs who want to translate the principles of the Extraction Formula into a practical, actionable plan. It helps you clarify your values, define where your practice is today, map out your long-term vision, and break that vision down into annual and quarterly priorities you can actually execute.

When your vision is clear, leadership becomes easier. Obstacles feel more manageable. And your team can align around something bigger than day-to-day tasks.

Ready to put the Extraction Formula to work in your practice?

Download Your Extraction GPS

How Dental Practices Can Increase Their EBITDA and Why You Should Care: 1 Way to Scale

April 24, 2023 by Josh Gwinn

My Views on EBIDTA

I’m of the firm belief that using EBIDTA to measure the growth of your dental practice is an essential measurement for its health and success. You never want to overlook the amount of debt you’re taking on and how that is impacting your business. And you don’t want to use EBIDTA as your only measurement of growth. But it is an effective tool if you use it to increase your cost conserving measures and pay attention to your expenses and investments.

In the short video below, I discuss the importance of increasing your EBIDTA and two methods for increasing it. Not everyone uses this method of measurement in their practice, and I think that is a mistake. If you use it strategically to do monthly deep dives into your must-haves and nice-to-haves, you can get a very good idea of how effective your cost-cutting measures are month over month.

What is EBIDTA?

So, what is EBIDTA? Basically, it’s a way to measure your practice’s overall financial performance by stripping out interest, taxes, depreciation, and amortization –

Check out this article on Medium for a more broad context and understanding of EBITDA and how it generally works in business.

Strip out all these other factors and you will have a basic view of your dental practice’s profitability. In my mind, this is an important measurement because it helps you see gauge which cost-cutting measures you take are working. Also, when you strip out all the other numbers, you can focus on the essentials: your operating profitability and your cash flow.

This is by no means the only way you should measure the success and profitability of your dental practice. You still need to take into account the other factors, but this is another great tool for your entrepreneurial toolbox.

Increase EBITDA in Your Dental Practice

Why Should Dental Practices Increase Their EBIDTA Margin?

First, what does increasing your EBIDTA margin mean? Sounds complicated but it simply means lowering your operating expenses in relation to your total revenue. The margin is the percentage of expenses to revenue. So, increasing your monthly EBIDTA margin by 10% means you’re lowering operating expenses or increasing your topline revenue by 10% of your revenue.

It’s incredibly important for dental practices to be mindful of their operating costs in relation to their revenue. There will be times when your investments far exceed your revenue, but this is the exception rather than the rule. Buying a new piece of digital dental equipment that will increase the value of your offerings, or building out a new software system are essential to practices staying relevant and efficient, but these expenses should be taken in moderation at strategic times.

Two Methods for Increasing EBIDTA in Your Dental Practice

When I work with dental entrepreneurs, I like to show them two ways of increasing EBIDTA. These two methods are customized for dental practices and the unique challenges they face in an industry with quite large expenses and investments, especially at the outset of a business venture.

Learn and Earn –

See the advantage of learning while on the job; learning a new piece of equipment; learning a new dental technique; as an investment. By learning while you earn, you continue to develop your skills as a dentist and entrepreneur while increasing the value of your dental practice to the community you serve. The more value you provide raises your production, which attracts more patients, and increases revenue.

Deep-Dive Accounting –

On a monthly basis, make sure you take a deep dive into your expenses. Pay close attention to your must-haves, the essentials of running your practice on a daily basis. You cannot run your dental practice without them. But also make sure you pay attention to your “nice-to-haves” and see where you can cut these expenses. You don’t need them. Pay attention to your vendor pricing. I’ve seen prices go up without discussion, get paid, and negatively impact a practice’s valuation without the dentist even knowing it happened. They will enhance your dental practice, but they are not essential to daily operations. The more you manage these expenses the more you increase your EBIDTA margin.

These two methods increase your operating profit and your EBIDTA margin and that is an attractive measure for you as a dental entrepreneur and anyone looking to invest in your company.

Turning EBITDA Insight into Action

Understanding EBITDA is only powerful if you can actively influence it. Increasing EBITDA isn’t about chasing one big change—it’s about consistently improving the operational drivers underneath it: scheduling efficiency, case acceptance, patient retention, provider productivity, and cost control.

That’s why we created the Optimize KPI Tracker for dental entrepreneurs. This tool helps you monitor the metrics that directly impact EBITDA, so you can identify trends early, address inefficiencies, and make smarter decisions with confidence. When you know what’s driving your numbers, you’re no longer guessing, you’re leading strategically.

Ready to take control of your practice’s profitability and long-term value?

Download Your KPI Tracker

How to Scale Your Dental Practice Successfully: 5 Essential Building Blocks

February 24, 2023 by Josh Gwinn

Read this checklist before you start growing your dental practice. When successfully scaling a dental practice, the key is to focus on the patient experience and the business operations. You can successfully scale your dental practice by creating efficiencies, streamlining processes, and enhancing patient experience and team alignment. Let’s look at five ways you can lay the foundational groundwork that will allow you to scale your business successfully.

Develop A Strategic Plan for Your Dental Practice

The first step to scaling your dental practice is to create a strategic plan. Start by considering the current state of your practice, your current capabilities, and your future goals. Then, develop a plan to take you from where you are to where you want to go. One simple way to create your plan is to decide what goals you want to achieve over the next 3 years in terms of scaling your practice.

Next, and this is the fun part, work backwards to figure out what steps you need to take leading up to that 3-year completion. Determine what steps you need to take and goals you need to set in each year. Break those years down into monthly goals and then break those goals down into weekly goals and daily tasks to accomplish the weekly and monthly goals. Working backwards allows you to create a plan that you can chunk down with steps that you can create with your team and get everyone on board and excited about this growth phase.

Automate Your Dental Practice Systems

The next step is to look for ways to automate processes and create efficiencies. Automation can streamline tasks, decrease administrative costs and free up time for both staff and patients. For example, by automating appointment scheduling, billing and follow-up communications you can lighten the load of your team members so they can focus on ‘bigger rocks’ like the daily tasks needed to achieve that weekly and monthly goal chart bringing you closer to your 3-year scaling achievement.

Create and Refine an Excellent Dental Patient Experience

Creating a comfortable patient atmosphere is essential for a successful dental practice. Make sure your office is clean, comfortable and inviting. Patients should feel relaxed and at ease when they enter the practice, so provide comfortable seating and decor that reflects the practice’s values and mission. Offer convenient and flexible appointment availability. Patients want to be able to schedule appointments that fit their schedules. Offering flexible hours and options for online scheduling makes it easier for patients to set up appointments that work for them.

Also, utilize technology. Technology can be a great way to enhance the patient experience. Implementing an electronic health records app and offering other digital tools makes it easier for patients to access their records and schedule appointments much more effortlessly. You can also use digital tools to inform patients about their treatment and follow-up reminders. These automations add ease and control for your patients and streamline activity and effort for your team members.

Invest in a Marketing Strategy

Marketing is an essential component of scaling a dental practice. As a dental entrepreneur, focusing solely on providing the best possible services to your patients can be tempting. While this is undoubtedly important, you must also investing in marketing to help scale your practice. Here’s why: Marketing helps you reach more people. When you invest in marketing you increase your visibility in the local community. In addition, a robust online presence can help you establish yourself as a reliable and trustworthy practice.

Additionally, marketing can help you get the word out about new services, promotions, and other offerings that may attract new patients. Marketing also helps you build relationships with your existing patients and create new relationships with prospective patients. By creating content tailored to your target audience’s needs and interests, you can build a reputation of trust and loyalty in and among your community, both online and offline. Finally, investing in marketing can help you generate more recurring revenue over time.

Build Team Alignment within Your Clinical and Support Teams

Your scaling plan is only as strong as the team you’ve selected to implement and execute your strategic plan. You need a strong team capable of trusting your leadership through some rough waters. If you’ve got a team that can trust and execute in the tough times, that makes the more fluid times easier to navigate. I speak a lot about teams so I won’t go into too much detail here but team alignment and team strength is a fundamental requisite of any scaling plan.

These five essential and foundational activities: developing a Strategic Plan, automating where you can, refining patient experience, investing in offline and online marketing strategies, and building an aligned team all lay the groundwork for eventually scaling your organization successfully.

Once these systems and strategies are in place they are designed to free you and your teams up to focus on the new tasks and goals in your Strategic Plan that will allow you to scale and grow.

Scaling a business is a monumental task. These strategies will free you p to focus on your overall strategic plan. Once these strategies are implemented you, your teams and your whole organization will be more nimble and resilient to meet the challenges of scaling and growing your company. This is what it means to work ON your business rather than simply showing up to the dentist’s chair every day.

You are the leader of your organization and every leader needs a strategic plan.

Scaling Your Dental Practice Starts with Clarity, Not Speed

Scaling a dental practice isn’t just about growth, it’s about readiness. Many practices want to scale, but far fewer have the clarity, alignment, and structure required to do it sustainably. Without a clear understanding of where you are today and where you’re going, growth can create more stress than success.

Before you take the next step, it’s critical to define your Point A, clarify your long-term vision, and ensure your goals, team, and systems are aligned to support expansion. That’s exactly why we created the Extraction GPS.

The Extraction GPS is a practical planning tool designed to help dental practice owners assess their current reality, clarify their values and direction, and map a clear path forward. It gives you a framework to decide if, when, and how to scale, so growth is intentional, not reactive.

Thinking about scaling your dental practice?