Shared Practices | Your Dental Roadmap to Practice

In this episode of the Shared Practices Podcast, Dr. George Hariri answers listener requests to strip away group practice bias and focus entirely on elite solo dental practice management. Many practitioners mistakenly believe that a multi-provider clinic is the only route to high-level profitability, but optimizing a solo model can create an incredibly low-stress, high-income asset. George outlines the precision growth pathways and details how transitioning from a standard solo dentist to a "productive solo" or "smart solo" can elevate your take-home pay to $400,000 and beyond. To break out of the low-revenue trap, you must learn how to manipulate the core levers of dental practice management. Implement these critical solo growth metrics and systems in your practice: Build the 2-2-2 Operational Balance: Scale your patient base to seamlessly support two full-time hygienists, two front office team members, and two dental assistants to perfectly balance your diagnostic and administrative workflow. Master Hygiene Benchmarks: Understand that there are roughly 200 active patients per day of hygiene. Target a base of 1,600 active patients to completely fill two full columns of hygiene working four days a week. Hit Case Acceptance Targets: Elevate your presentation style to consistently achieve an 80% patient acceptance rate (patients saying yes to at least one treatment item) and a 30% to 40% total dollar value treatment acceptance rate. Lock In Diagnostic Consistency: Develop clear, research-backed clinical diagnostic protocols so your hygiene team can confidently co-diagnose and tee up treatment plans before you even enter the room. Maximize Time Efficiency: Unlike group practices that focus heavily on analytical data points, a solo practitioner must treat their personal clinical time as the most valuable asset in the building by delegating every legally allowed task to auxiliaries. Transforming your solo office requires moving past basic survival and adopting highly intentional dental practice management strategies. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

In this episode of the Shared Practices Podcast, Caitlin Embree interviews Max Dempsey, the rockstar office manager for Dr. Jaspreet Parmar’s two growing practices. Max provides a rare, behind-the-scenes look at dental practice management from the perspective of an elite team member navigating an ownership transition. With 29 years of experience, she shares how she evolved from a lead dental assistant into a multi-practice manager by mastering front-office billing, insurance communication, and team leadership through targeted coaching. For any dentist evaluating dental practice acquisitions, this episode highlights how crucial it is to establish a unified culture from day one. Here is your masterclass in team-driven dental practice management: Establish Core Values Early: Do not let your team wallow in uncertainty during a transition. Dr. Parmar took his team out on day one to collaboratively define the clinic's core values, instantly proving his commitment to structured leadership. Master Fee-for-Service Verbiage: Running an out-of-network practice requires flawless communication. Train your team to respond to insurance questions by offering to verify benefits and calculate estimated copays, ensuring a "wow factor" patient experience. Delegate and Trust: True dental practice management scaling requires the owner to step out of the daily administrative weeds. Dr. Parmar built trust with Max to the point where she now handles major HR issues independently, allowing him to focus strictly on clinical production. Hire for Personality: Never make desperate hires. Prioritize candidates who fit your culture and exhibit a strong desire to learn, as technical skills can always be taught through effective dental practice management systems. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

In this episode of Ask George, Dr. George Hariri shatters the industry myth that achieving more than 10% same-store growth is impossible. For the modern dentist, transitioning from an exhausted clinician to a strategic CEO requires executing targeted dental growth strategies. Rather than forcing generalized systems onto your team, true leadership means diagnosing your clinic's unique bottlenecks. To scale efficiently, stop treating every operational issue equally and focus your administrative time on the constraints that generate massive dental practice profitability. This episode serves as your survival guide for mastering dental practice management. George reveals the four operational levers that guarantee sustainable dental practice growth: - Patient Flow: Implement the Retain, Open, Fill method. Lock the back door by mastering hygiene reappointment rates, then open new columns. - Case Acceptance: Empower your staff to co-diagnose. When the team leads patient education, doctor production becomes completely predictable. - Consistency: Close the performance gap between your best and worst clinical team members to instantly elevate the practice floor. - Efficiency: Play "Whac-A-Mole" with your metrics. Identify massive operational leaks, like a high missed call rate, and resolve them immediately. Elite dental business strategies require you to leverage your time. If you only spend a few hours a week working on the business, you must direct that energy toward your weakest links. Customizing your dental growth strategies to target these precise inefficiencies guarantees predictable expansion year after year. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

In this episode, Caitlin Embree and Cory Pinegar, CEO of Reach, dive into integrating virtual support to elevate your dental practice management. With operating costs rising roughly 87% since 2001 and insurance reimbursements remaining stagnant, the modern dentist is getting squeezed. To maintain dental practice profitability, owners must rethink their traditional staffing models. Cory explains why conventional outsourcing fails and how embedding a dedicated virtual team member transforms your dental practice management. By delegating repetitive front-desk tasks, your in-office staff can focus exclusively on the patients directly in front of them, driving sustainable dental practice growth. Here is your blueprint for implementing elite dental business strategies using virtual support: Capture Missed Revenue: Over 60% of Reach's clients start by delegating inbound phone calls because the industry average for missed calls is 33%. Define Success Metrics: Before hiring, clearly outline whether your goal is saving money, buying back time, or driving revenue to ensure a measurable ROI. Customize Your Training: Provide the final 20% of practice-specific training, such as exact verbiage and software nuances, to fully integrate your virtual assistant. Embrace AI as a Tool: Combine the efficiency of AI technology with the empathy of human virtual assistants rather than treating them as opposing forces. Treating virtual assistants like actual human team members is the missing link in modern dental practice management. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

In this Ask George episode, we tackle the ultimate debate in dental practice ownership: have you built a highly profitable business, or just a high-paying job? Dr. George Hariri breaks down the reality of "key man risk," proving that if your office relies on your personal clinical energy to generate revenue, you are acting as an employee. For a future owner, making the shift to CEO requires mastering advanced dental practice management so your team performs efficiently without your oversight. This ultimate survival guide for mastering dental practice ownership shows you exactly how to shift from a stressful owner-driven clinical model to an autonomous, team-driven powerhouse. To achieve sustainable dental practice growth, implement KPI accountability: Missed Call Rate: Track front office metrics to capture inbound leads. Reactive Retention: Consistently monitor your overdue recare efforts. Proactive Retention: Push daily hygiene reappointments past a 90% target. To cement your dental practice ownership, delegate case acceptance entirely. When hygienists are calibrated to co-diagnose, they educate patients before you arrive, massively boosting dental practice profitability. We also highlight why the associate to owner transition fails without an Office Manager handling HR and payroll, ensuring scaling does not create more work. Embrace entrepreneurship for dentists by building systems that leverage your team's time. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

The "Busy" Trap in Dentistry For Future Dental Practice Owners, a packed schedule feels like success. Yet, a booked day lacking strategic production leads to clinical burnout. Dr. Andrew Clingan and Caitlin Embree reveal why being merely "busy" destroys dental practice profitability. Moving from clinician to empowered CEO means stopping the cycle of stepping over dollars to pick up pennies. This requires mastering dental practice management through intentional scheduling. Your Scheduling Survival Guide: If your days are chaotic but collections are stagnant, your systems are failing. Allowing patients to cancel restorative work without consequence is why dental practice profitability drops. You cannot achieve sustainable dental practice growth if your team scrambles for supplies instead of prepping same-day treatment. To implement elite dental business strategies, engineer your operations: Implement Block Scheduling: Define daily "rocks" and "boulders" to hit goals before filling gaps. Enforce Front Desk Protocols: Separate doctor time from assistant time to end bottlenecks. Demand Accountability: Stop absorbing no-shows by collecting upfront deposits for major cases. Optimize Back-Office Systems: Standardize inventory so your team can add same-day treatment. Dr. Clingan shares how these systems turned a routine limited exam into a prepaid $17,000 case in ten minutes. This operational mindset lays the foundation for scalable dental business ownership and predictable dental practice profitability. It is vital for the associate to owner transition. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

In this episode of Ask George, Dr. George Hariri breaks down the common—yet avoidable—trap where adding an associate leads to a massive drop in dental practice profitability. George shares his own Dental Moneyball cautionary tale: how he went from a thriving income to making zero dollars after hiring his first associate. This episode serves as a survival guide for any dentist moving from clinician to CEO, ensuring that your associate to owner transition actually results in more freedom, not just more expenses. George explores the "perfect storm" that kills dental practice profitability: rising overhead costs paired with a less efficient provider seeing your patients. You will learn specific dental business strategies to mitigate these risks, including the "two-to-one" hygiene-to-restorative ratio and how to expand your office capacity by modifying your schedule. We discuss why owner doctors are typically more efficient and how to train your team for co-diagnosis so that your associate walks into a well-oiled system of case acceptance. Whether you are looking to work fewer days or simply want to scale your net worth, George provides the roadmap for delegating lower-level procedures while keeping your high-production hourly rate intact. Stop guessing and start using data-driven insights to ensure your next hire is a catalyst for dental practice profitability rather than a drain on your bank account. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Caitlin Embree and Morgan Hamon from EAG Dental Advisors bridge the gap between daily operations and proactive financial management for dentists. Transitioning from clinician to CEO requires deep financial clarity. Most owners only speak to their CPA during tax season, but advanced financial management for dentists transforms raw data into insights that fuel long-term dental practice profitability.   If your goal is sustainable dental practice growth, this is your survival guide. Morgan explains how specialized CPAs act as your financial radiologist—diagnosing cash flow bottlenecks—so your dental practice management team can perform the operational surgery. We explore why standard profit and loss statements hide critical metrics like debt service.   Here is your blueprint to master dental business strategies and dental practice ownership: Master the Rule of Threes: Hygienists must produce three times their total pay to sustain dental practice profitability.   Calculate Cash Reserves: Keep one to two months of break-even capital, combining operating expenses and debt service, to eliminate stress.  Optimize Distributions: Implement structured monthly or quarterly distributions to maximize personal wealth.   Demand Strategy: Stop accepting tax-season surprises. Demand year-round communication to track liabilities as you scale.   Proactive financial management for dentists protects your revenue. Contact Morgan Hamon at morgan.hamon@eisneramper.com or visit https://eagdentaladvisors.com/.   Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Transitioning from a clinician to a CEO requires a fundamental shift in how you view your bank account. In this episode of Ask George, Dr. George Hariri reveals the "survival guide" for mastering dental practice profitability. If you’ve ever felt the frustration of a packed schedule and high production that never seems to translate into a growing bank balance, you are likely missing the "Moneyball" discipline required for true dental business ownership. George shares his personal journey from a revenue-only focus to becoming a disciplined CFO, providing the roadmap for every future owner to follow. The core of dental practice profitability lies in understanding three financial pillars: the Income Statement, the Balance Sheet, and the Cash Flow Statement. George explains why your practice management software might lie to you about your revenue and how to reconcile bank deposits with collections. By mastering financial management for dentists, you can stop guessing and start leading. This episode breaks down the "one month break-even" liquidity rule, ensuring you have enough cash on hand to weather the volatility of dental practice management without the stress of payroll cycles or credit card bills. For those looking to scale, George explores dental growth strategies that prioritize cash-on-cash returns over "paper wealth." He discusses how to utilize a quarterly distribution schedule to accumulate cash before deciding whether to reinvest in the practice or take a personal draw. This approach to sustainable dental practice growth ensures that every dollar you spend—whether on a new operatory, marketing, or coaching—acts as a soldier sent out to bring more soldiers back. Don’t let your practice be a high-revenue trap. Learn the dental business strategies that separate struggling associates from wealthy owners. By focusing on dental practice profitability through the lens of cash flow and disciplined reinvestment, you can build a business that generates consistent, predictable wealth. Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Transitioning from a clinician to a CEO is the ultimate hurdle in dental practice ownership. In this episode of Practice Underwater, Dr. George Hariri and Elizabeth navigate the "logistical nightmare" of scaling an eight-month-old practice that is already bursting at the seams. With 3,000 patients and only six operatories, Elizabeth faces a pivotal choice: stay in a challenging second-floor space or chase a "shiny object" real estate deal with mismatched timelines. George reframes the traditional dental business ownership mindset by challenging the urge to move too soon. They break down the ROI of a $43,000 construction project to add two operatories versus the capital-intensive trap of buying a building that doesn't fit the long-term vision. This is a survival guide for any dentist wrestling with dental growth strategies and the fear of patient attrition. The conversation pivots to the "Mega Group" concept, where George introduces the power of the 12-operatory model. For those pursuing sustainable dental practice growth, reaching 12 operatories allows for a three-doctor rotation, providing the owner with the "school schedule" flexibility they crave without sacrificing dental practice profitability. Elizabeth gains clarity on why settling in her current space—for now—is the fastest way to hire an associate and preserve her patient base.  Ready to scale your dental practice ownership? Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.

In this episode of Practice Underwater, Dr. George Hariri sits down with a dentist, Elizabeth, to discuss the initial hurdles she faced following an associate to owner transition. They analyze her impressive growth as a new dentist, jumping from a projected $1.2M to a $1.4M finish within eight months, while exploring dental business strategies to manage a bursting 3,000-patient base with only 11 hygiene days. The core strategic debate centers on whether to simplify the schedule via a fee-for-service model or expand into a multi-doctor setup by hiring another dentist, a dilemma complicated by real estate constraints discussed through a Shared Practices framework. This is a must-listen for any dentist weighing the long-term flexibility of group practice against the streamlined profitability of staying solo. In this episode: • Scaling production from a projected $1.2M pace to over $1.4M. • Managing a bottleneck of 3,000 patients with only 11 hygiene days. • The strategic debate: dropping insurance versus hiring an associate. • Evaluating real estate options for a growing team. • Balancing clinical autonomy with family flexibility. Whether navigating an associate to owner transition or vetting acquisitions in dentistry, this is your survival guide. Ready to scale your dental practice ownership? Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.

Welcome back to the Shared Practices podcast. In this episode of Ask George, we’re diving into a question we hear all the time from aspiring owners: How do you build a real business instead of just buying yourself a job? Whether you’re preparing to purchase your first practice or thinking about expanding into your second or third location, this conversation will give you a clearer, more honest picture of what ownership really looks like today. Dentistry has changed a lot over the years. With more options like DSOs, choosing private practice is no longer the default—it’s a decision. And for many, that decision means stepping into the role of an entrepreneur. That comes with real challenges: managing rising staff costs, dealing with insurance reimbursements, and navigating tighter margins, especially in a post-COVID landscape. But at the same time, it creates an opportunity to build something that can grow beyond your own clinical work. So what’s the difference between a job and a business? If everything depends on you being in the chair day in and day out, it’s still a job—no matter how successful it looks on paper. A true business is built to operate and generate income even when you’re not there. That shift in mindset is what separates operators from owners. George breaks down a practical path to get there, including how to build around multiple providers, improve efficiency, and create systems that support long-term growth. From bringing on associates to optimizing your space and team, it’s all about creating a structure that doesn’t rely solely on you.  Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.

Patients aren’t rejecting you—they’re asking for trust. Caitlin and Dr. Andrew break down cost, fear, and “not now,” plus the simplest tech moves that turn objections into yes.

Am I too late to build real wealth in dentistry? George explains why you’re on time, the “golden way,” and the best paths today: DSO equity, one mega practice, or multi-location growth.

What is the best first job if your goal is dental practice ownership? Andrew Clingan breaks down associate options, clinical skill development, financial preparation, and how new dentists should prepare for buying a practice.

Thinking about buying a practice? Learn how to avoid the “messy middle,” pick a ready-to-grow opportunity, and decide if you’re built for ownership in today’s market.

Adding an associate sounds exciting—until everything breaks. Andrew and Caitlin unpack the “ugly duckling” stage: lost cases, team tension, delegation, and the systems you must fix.

Ask George on dental CPAs in practice ownership: tax planning, embezzlement prevention, deposit ratios, expense categories, and why operational KPIs matter more than accounting for growth.

George finally drops the answer: minority equity + a workhorse anchor doctor. If recruiting is your bottleneck, this episode shows how to expand reach and close the right hire.

A returning Practice Under Water guest breaks down five associate hires, rapid growth to $3M, and why scaling a dental practice can still trap owners in the chair.