Dental Practices · pre-sale diagnostic

See what a buyer or DSO would really pay for your dental practice.

A few minutes of read-only financials and a short questionnaire surfaces what a buyer would discount your practice for — whether the numbers still hold once a market associate-dentist comp replaces your chair time, how concentrated you are in one PPO plan, and the deferred operatory and CBCT spend they'll subtract. Preview is free.

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  • Read-only QuickBooks
  • $499 one-time
60-second estimate

What would a buyer pay?

Enter two numbers for an instant Dental Practices ballpark. No signup — the real number comes from your books.

Dental Practices Live
No signup, no email. The estimate stays in your browser.
5.0–9.0×
Where lower-middle-market dental practices trade on EBITDA. Your spot inside it is what we compute from your books.
37
Real checks a buyer would run, straight off your own QuickBooks — dialed in for Dental Practices.
$499
One-time, before any offer’s on the table. A formal earnings review from a CPA firm runs $25K–$75K — and it works for the buyer, not you.
The buyer’s playbook

The questions a buyer asks to pay you less.

We answer each one from your books first — so you fix the story before a diligence team writes the number.

The practice is really just you on the chair

If you personally produce most of the dentistry, a buyer isn't acquiring a business — they're acquiring your hands. They normalize a market associate-dentist compensation to replace your chair time, which deflates the EBITDA they'll actually pay on, and they price the risk that patients followed the departing owner. An owner doing 90%+ of production typically takes a 10–20% haircut versus an associate-leveraged practice.

Too much of your revenue runs through one PPO plan

Dental buyers underwrite the payor mix line by line. If a single PPO network — or a heavy Medicaid book — carries an outsized share of your collections, a buyer prices the risk that one fee-schedule cut or a network change resets your margin overnight, and that the relationship isn't theirs to control. Single-payor concentration is underwritten the way a buyer would underwrite a customer-concentration risk anywhere else.

The hygiene recall base is thinner than it looks

Hygiene recall is the closest thing a practice has to recurring revenue — a standing active-patient base that returns on a schedule. If the active-patient count is shrinking, recall isn't systematized, or new-patient flow rides on the owner's personal reputation, a buyer treats the top line as harder to repeat and prices it below a practice with a deep, front-office-run recall engine.

A deferred operatory and equipment bill

A financial buyer marks maintenance capex up to the replacement level and assumes a refresh of aging operatories, chairs, and digital imaging — CBCT, intraoral scanners, CAD/CAM — within a year or two. Without a documented equipment age and replacement schedule, they assume the worst and subtract it from the cash flow they're buying.

What it’s worth

The levers that move the multiple —
and what each is worth.

Each lever is sized for a typical $1.2m–$1.6m-collections general practice, ~15–20% owner-normalized ebitda — about $250K EBITDA. Same number whether we frame it as “what a buyer discounts” or “what you keep by fixing it.”

Medium effort
$75K$125K

Systematize the hygiene-recall engine

Turning a loose recall list into a measured, front-office-run system — tracked reactivation, pre-booked recall visits, and a membership plan for your uninsured patients — builds the durable, repeat-visit base buyers credit as recurring. It is the highest-leverage revenue play in a practice that has no formal contracts.

adds about 0.30.5× to your multiple · usually takes 12–18 months

Heavier lift
$125K$225K

Move production onto associate dentists

Recruiting and ramping associate dentists so you are not the only producer is what crosses a practice from 'buying the owner's hands' to 'buying a business.' Associate-driven production is the single biggest lever on the multiple — it moves a practice off Main-Street SDE pricing and toward DSO-platform normalized-EBITDA territory.

adds about 0.50.9× to your multiple · usually takes 18–36 months

Medium effort
$50K$100K

Improve the payor mix and clean the books

Shifting the mix toward fee-for-service and your better-paying PPO plans, dropping or renegotiating the worst fee schedules, and getting accrual-grade books with a documented add-back trail protects the price. Every buyer's team runs a quality-of-earnings pass, and a clean payor and add-back story is what prevents a mid-diligence re-trade.

adds about 0.20.4× to your multiple · usually takes 6–12 months

Typical impact ranges blended from lower-middle-market transaction data, sub-$50M M&A databases, and observed consolidator pricing in the $300K–$3M EBITDA band. Directional, not a guarantee — your memo computes your actual numbers from your books.

Industry positioning

Where you’ll be measured
against the Dental Practices benchmark.

The metrics buyers grade dental practices on. The diagnostic fills the “your business” column from your actual QuickBooks data.

MetricDental Practices benchmarkYour businessWhat it means
Recurring / contracted revenue~30% of revenueYour dataHigher is better — the top multiple lever
Gross margin~82%Your dataPricing and job-costing discipline
EBITDA margin~18%Your dataWhat flows to the bottom line
Healthy customer-concentration ceilingtop customer under 25%Your dataAbove it, buyers price the risk
Typical industry growth~4% / yrYour dataBeating it can add to your multiple
Typical sale multiple5.0–9.0× EBITDAYour dataWhere the bidding starts; the levers above move you up

Benchmarks are blended industry composites, service businesses $1M–$10M revenue, 2026-Q1 — directional, not a precise bar. Your memo measures you against your own books. Connect QuickBooks to fill in your numbers

What you get

A real work product —
and a deal room you control.

The diagnostic arrives as formats you can actually use, plus a private, scoped link to share a curated package with a specific buyer — you decide, card by card, what they see.

PowerPoint pitch deck

A branded slide deck, ready to present — for the buyer meeting, the lender, or the board.

Editable Word memo

A written diagnostic that holds up with buyers, yours to edit — plain-English summary, how we rebuilt your real earnings, every add-back listed.

Live Excel model

Live formulas, not a dead printout — the path from raw profit to your real number, plus the cash-tied-up scenarios a buyer can stress-test.

  • An interactive dashboard — click into every number, with an AI assistant that only answers from your books
  • A private, scoped buyer deal room — you choose, card by card, what each buyer sees
  • Record or upload voice & video walkthroughs — walk the shop floor from your phone
  • Your add-backs written up and ready to defend — every item traceable to the exact transaction
Know your buyer

Who actually buys dental practices.

Dental is one of the most actively consolidated healthcare niches in the country. Dental service organizations (DSOs) and dental partnership organizations — many private-equity-backed — acquire practices as add-ons and pay normalized-EBITDA multiples that step up with scale; a selling dentist often rolls a slice of the deal into the platform's equity and stays on clinically for a few years. Individual dentists, usually SBA-financed, buy solo and small group practices at collections- or SDE-based prices. Each underwrites your practice differently — the memo maps which type would actually look at a practice your size and how each tends to structure the deal.

How it works

From your books to a memo that holds up with buyers — in four steps.

1

Connect QuickBooks

Read-only, through Intuit. We never write to your books. About 5 minutes.

2

Answer a short Dental Practices survey

Just what the books can’t show — agreements, key accounts, who runs the crews.

3

See the free preview

Buyer-readiness score, normalized EBITDA, value range and top flags — instantly.

4

Unlock the $499 memo

The full engine, all three deliverables, the dashboard and the buyer deal room.

Pricing

A light Quality-of-Earnings report —
at a price that fits before any offer’s on the table.

Start with the free preview. Pay once — $499 — only when you want the full memo. No subscription, no per-seat pricing.

Try it first

Free preview

$0
  • Buyer-readiness score & normalized profit
  • A real value range from your actual books
  • Top flags — what a buyer would argue down
  • No signup, no email
Pre-sale diagnostic

The full Dental Practices memo

$499 one-time
  • Everything in the preview, in full
  • 37 checks from a buyer’s earnings review, dialed in for Dental Practices — every number traceable
  • A breakdown of what moves your price — in dollars — plus how to fix each
  • Editable Word + live Excel model + PowerPoint pitch deck
  • A private, scoped buyer deal room you control
  • Three documents yours to keep + 12 months of live dashboard access
Think of it as a light Quality-of-Earnings report. A formal QoE from a CPA firm runs $25,000–$75,000 and adds proof-of-cash testing and tax-exposure review we don’t include. What we build is the heart of that review — and it works for you, with your weak-spots list kept private by default.
FAQ

Dental Practices sale questions, answered.

Most Dental Practices businesses in the $1M–$10M revenue range trade at roughly 5.0× to 9.0× normalized EBITDA, with a typical deal near 6.5×. Smaller, owner-dependent shops sit at the low end; larger, manager-run businesses with recurring revenue reach the top. Your actual number depends on your books — that's what the diagnostic computes, blending recent lower-middle-market closings, main-street marketplace sales, and academic M&A survey data.

It depends on size and who the buyer is. A solo owner-operator practice sold to an individual dentist is priced on a percentage of annual collections (roughly 60–80%) or on SDE, because the buyer replaces the seller clinically. A larger, associate-leveraged practice that a DSO would acquire is priced on normalized EBITDA — and the single most important step is replacing the owner-dentist's clinical production with a market associate-dentist compensation before computing it. Un-normalized EBITDA badly overstates the multiple, which is why a raw 'EBITDA multiple' for dental looks nonsensical. Every figure traces back to your books, never a revenue rule-of-thumb.

Because the two numbers sit on different EBITDA. A DSO quotes a multiple on normalized EBITDA — your earnings after a market associate-dentist comp is subtracted for the work you personally do. Your reported EBITDA, before that adjustment, is much smaller (your clinical pay is buried in it), so the same dollar value looks like a huge multiple on the small number and a sane one on the normalized number. The multiple also steps up with size: sub-$1M normalized EBITDA practices trade lower than $1M+ platform candidates.

Associate-driven production so the practice survives your stepping back, a deep and systematized hygiene-recall base, a favorable fee-for-service / low-PPO payor mix, clean accrual books, and modern digital equipment with no deferred-capex overhang. The diagnostic scores where you sit on each and shows what moving up would be worth.

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