Shared Practices | Your Dental Roadmap through Practice Ownership
A bootcamp in small business ownership and practice management for dentists, giving the new graduate a roadmap to successful practice ownership. The podcast interviews the best dentists, experts, consultants and more on a weekly show. Topics covered across 8 seasons include first years as a dentist, thinking like a business owner, money and numbers, startups and acquisitions, internal systems, marketing and growth, leadership and culture, and beyond dentistry.
Episodes
Ask George: The Lonely Reality of Dental Practice Ownership
In this vulnerable episode of Ask George, Dr. George Hariri pulls back the curtain on the lonely, difficult realities of dental practice ownership that most doctors refuse to discuss publicly. Despite years of rigorous preparation, George found himself battling severe imposter syndrome on day one as a 25-year-old boss managing staff 30 years his senior. He openly shares his turbulent dent
Are You Making Financing Mistakes in Dental Practice Acquisitions?
In this episode of the Shared Practices Podcast, Dr. Andrew Clingan sits down with Steve Steinbrunner from Provide, Inc. to map out the financial realities of dental practice acquisitions and long-term dental practice ownership. Understanding exactly how a bank evaluates your risk profile is a critical piece of dental practice management, whether you are buying your first clinic or invest
Building a Dental Practice that Runs Without You featuring Dr. Paul Etchison of Dental Practice Heroes
In this episode of the Shared Practices Podcast, Dr. George Hariri interviews Dr. Paul Etchison, founder of Dental Practice Heroes, to uncover the secrets of elite dental practice ownership. Dr. Paul shares his incredible journey of growing a 2012 startup into a highly efficient dental practice, hitting $3.34 million in revenue out of just five operatories by 2017. He achieved this by mas
Are You Making First-Year Mistakes in Dental Practice Management?
In this solo episode of the Shared Practices Podcast, Dr. Andrew Clingan reflects on his three-year anniversary of practice ownership to share exactly what he wishes he knew during his first 90 days. For any dentist stepping into ownership, mastering the fundamentals of dental practice management is far more critical than chasing the latest trends. Andrew warns against the “shiny object s
Ask George: Is Dental Practice Management Coaching Right for You?
In this episode of Ask George, Dr. George Hariri tackles one of the most common questions from listeners: Is coaching right for me? If you are an ambitious dentist trying to master dental practice management alone, you are likely hitting a severe bottleneck. George breaks down the fatal flaw of the DIY mentality: an owner typically has only four hours a week to manage the business, while
Feelings vs. Facts: Dental Practice Management with Practice by Numbers
In this episode of the Shared Practices, host Caitlin Embree sits down with Dr. Aditi Agarwal, co-founder of Practice by Numbers, to discuss how analytics can completely transform your dental practice management. Dr. Agarwal shares how she evolved from pouring over confusing spreadsheets to creating an all-in-one dashboard that allows dentists to instantly diagnose bottlenecks, monitor te
Ask George: How to Survive Burnout in Dental Practice Ownership
In this episode of Ask George, Dr. George Hariri addresses a critical issue facing the industry: selling your practice early simply because you are tired. While the administrative and HR burdens of modern dental practice ownership drive many doctors to sell to DSOs, doing so prematurely cuts off your greatest wealth-building vehicle. George explains that burnout is not just a qualitative
Dr. George Hariri's Dental Business Strategies: A Roundtable with Pre-owners
In this rare and highly anticipated episode, Dr. George Hariri sits down for an exclusive roundtable with pre-owners Elijah Dunlap, Ben Vickery, and Josh Ward from the Business-Minded Dentist podcast. If you are a dental student or associate looking to transition into ownership, this conversation is packed with proven dental business strategies to help you avoid the common traps that caus
Generic IT vs Industry-Specific Dental Support with Josh Wallace of IT Harbor
In this episode of the Shared Practices Podcast, host Caitlin Embree interviews Josh Wallace, president of IT Harbor, to discuss why specialized IT support is a critical component of any successful dental organization. Josh shares how IT Harbor naturally transitioned into the dental sector after assisting with new practice builds, choosing to remain vendor-agnostic to provide the best, mo
How the World's Most Ambitious CEOs Think — And What It Means for Your Dental Practice
In this episode of the Shared Practices Podcast, we explore what it truly means to step into the role of CEO of Your Dental Organization. As a dental provider scaling from a solo operation to a multi-practice group, your leadership leverage increases significantly as you multiply your impact across a larger team. However, elite dental leadership requires shifting your mindset away from st
Are You Missing the Clarity of Vision Needed for Sustainable Dental Practice Growth?
In this solo episode of the Shared Practices Podcast, Dr. Andrew Clingan tackles one of the most insidious threats to sustainable dental practice growth: a lack of clear vision. Using a real-world example of a highly successful but directionless young practice owner, Andrew explains how relying purely on talent and willpower eventually leads to spinning in circles. When you lack clarity,
Ask George: Is a Fee-for-service dental practice Right For You?
In this episode of Ask George, Dr. George Hariri breaks down the pros, cons, and brutal truths of running a fee-for-service dental practice. While dropping insurance is a dream for many in dental practice ownership, George explains why going out-of-network is often like "swimming upstream". It becomes significantly harder to attract new patients and retain existing ones when they face hig
The Dental Menu Factor: Elevating Patient Retention and Practice Profitability
In this episode of Coach's Corner, Caitlin Embree interviews Paul Lowry, co-founder of Dental Menu, to solve one of the biggest bottlenecks in dental practice management: failing in-house membership plans. While dropping insurance is a common goal, data shows that unmanaged cash-pay patients only have a 12% retention rate over five years, compared to 64% for insured patients.To achieve su
Ask George: Maximizing Profitability Through Solo Dental Practice Management
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. Georg
Sitting Down with an Office Manager - Uncovering Dental Practice Pearls
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 den
Ask George: Unlocking Dental Growth Strategies with 4 Levers That Make a Difference
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 bott
Maximizing Efficiency: Implementing Virtual Dental Assistants for Success
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 exp
Ask George: How to Transition from a Job to Dental Practice Ownership and Profitability
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 requir
Being Clinically Busy vs True Dental Practice Profitability and Sustainable Dental Practice Growth
The "Busy" Trap in DentistryFor 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
Ask George: Why Hiring an Associate Can Hurt Dental Practice Profitability
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
Bridging the Gap: Financial Management for Dentists and the Role of CPAs
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 prof
Ask George: Revenue vs. Cash Flow: The CEO’s Guide to Real Dental Practice Profitability
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 li
Unlocking Group Practice Opportunities For A Solo Dentist - Part 2
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-flo
Unlocking Group Practice Opportunities For A Solo Dentist - Part 1
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 o
Ask George – How Aspiring Dental Practice Owners Can Build a Real Business, Not Just a Job
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 ho
The CEO Mindset: Mastering Dental Business Strategies to Close the Trust Gap
Transitioning from a skilled clinician to a successful practice owner requires a radical shift in how you view the operatory. In this high-stakes episode of Coaches Corner, Caitlin Embree and Dr. Andrew Clingan break down the essential dental business strategies that separate struggling associates from thriving owners. The secret isn’t just in the hand-piece; it’s in the psychology of cas
Ask George: The Real Reason Dental Practice Profitability Is Higher Today Than In The Golden Age
Are you worried that you missed the "Golden Age" of dentistry? Many dental students and associates look back at the 1980s with envy, assuming that high insurance reimbursements and low competition made that the only era for true wealth. In this episode of Ask George, Dr. George Hariri deconstructs this myth and explains why dental practice profitability in the 2020s actually offers a supe
How to Choose the Right First Job If Your Goal is Dental Practice Ownership
How do you bridge the gap between being a clinical student and achieving dental practice ownership? In this episode of the Shared Practices Podcast, Dr. Andrew Clingan returns to the mic to deliver a "survival guide" for D4s and associates planning their move from clinician to CEO. Andrew bought his practice straight out of school in 2023, and he’s pulling back the curtain on what it actu
Ask George - Does Dental Practice Ownership Still Make Sense Today?
Is dental practice ownership still a viable path for aspiring dentists in today's rapidly changing landscape? Join Dr. George Hariri as he navigates the complexities of dental practice ownership in the latest episode of Shared Practices. This enlightening discussion delves into the critical factors that every dentist must consider when contemplating their career trajectory in the field of
The #1 Reason Dental Practice Ownership Enters an Ugly Duckling Phase and How to Survive It
Adding an associate to your team should be the ultimate win for dental practice ownership, but it is often the exact moment where your existing systems begin to break. In this episode, Andrew Clingan and Caitlin Embree unpack the "ugly duckling" stage—that uncomfortable transition where your previous business strategies no longer scale to support multiple doctors. If you are navigating th
Ask George - Why Dental Practice Management Fails When Your CPA Is Your Only Advisor
Are you stuck in the "defensive" trap of dental practice ownership? In this episode of Ask George, Dr. George Hariri breaks down a controversial reality: your CPA should not be your most trusted advisor if your goal is growth. While dental CPAs are essential for tax compliance and embezzlement prevention, their inherent bias toward historical data often creates a "growth ceiling" for ambi
The Anchor Dentist Plan: A Dental Partnership Strategy for Sustainable Growth | Nate
The wait is over for the conclusion of Nate’s journey from a solo practitioner to a multi-million dollar dental group practice owner. In Part 2 of this Practice Underwater special, Dr. George Hariri reveals the high-leverage recommendation that will allow Nate to escape the "yo-yo" effect of clinical scheduling and finally achieve sustainable growth. While Nate’s practice is already a fin
The Anchor Dentist Plan That Can Unlock a $4–5M Dental Practice | Nate
Transitioning from a solo clinician to a CEO is a journey fraught with operational hurdles, particularly when navigating the "yo-yo" effect of doctor turnover. In this episode of Practice Underwater, Dr. George Hariri sits down with Nate, a 2011 grad who successfully grew his office from $700k to over $3.1M. Despite this massive financial success, Nate finds himself back in the "whirlwind
Ask George - Does Dental Practice Ownership Still Make Sense Today?
Is dental practice ownership still a viable path for aspiring dentists in today's rapidly changing landscape? Join Dr. George Hariri as he navigates the complexities of dental practice ownership in the latest episode of Shared Practices. This enlightening discussion delves into the critical factors that every dentist must consider when contemplating their career trajectory in the field of
Ask George | Are You Making These 3 Leadership Mistakes In Your Dental Practice Management Systems?
In this masterclass episode of Ask George, Dr. George Hariri pulls back the curtain on the "invisible" side of dental practice management—the leadership dynamics that dictate your take-home pay and your team’s sanity. For most, the associate to owner transition is a shock to the system because dental school teaches you how to prep a crown, not how to lead a human being. George provides a
Managing People vs Mastering Dental Business Strategies During the Associate to Owner Transition
In this episode of Coaches Corner, we dismantle the myth that clinical excellence alone is enough to scale a practice. As you move from solo clinician to the head of a growing group, your dental business strategies must evolve or your systems will shatter. Dr. Andrew Clingan and Caitlin Embree dive deep into the "Ugly Duckling" phase of ownership—that volatile period where adding an assoc
Solving for Dental Practice Profitability: Scaling to $8M With Dental Practice Acquisitions - Part 2
In Part 2 of this Practice Underwater episode, Dr. George Hariri continues his conversation with "Bob," a mega-group owner generating nearly $8 million in revenue. Despite scaling massive topline numbers, Bob faced severe burnout by failing to establish personal boundaries and neglecting his own dental practice profitability during acquisitions. By working clinically up to five days a wee
Solving for Dental Practice Profitability: Scaling to $8M With Dental Practice Acquisitions - Part 1
In this episode of Practice Underwater, Dr. George Hariri sits down with "Bob," a mega-group owner who successfully scaled from a single solo clinic into an $8 million powerhouse spanning 17 operatories. For the ambitious dentist, Bob’s journey is a masterclass in aggressive expansion and mastering dental practice profitability. He shares how he temporarily abandoned traditional accountin
Ask George: Why Your Dental Practice Management Goals Feel Hollow
In this deep-dive "Ask George" session, Dr. George Hariri tackles a silent epidemic among high-achieving dentists: hitting massive financial milestones only to feel a sense of emptiness. If you are navigating the complex associate to owner transition or currently feel trapped by your own success, this episode serves as your ultimate survival guide for evolving from a clinical workhorse to
Dental Practice Ownership: Scaling Up vs. Scaling Back for Profitability
Most ambitious dentists are taught that dental practice ownership success is a linear climb from one location to three, five, or ten. In this episode, Dr. Megan Timm joins Caitlin Embree to pull back the curtain on the "sexy" allure of the dental empire and explains why she made the difficult decision to offload two locations to return to a single-doctor model. If you are currently naviga
Ask George: How to Master Dental Practice Management and Scale Profitability Using AI
The transition from clinician to CEO is often paved with unexpected roadblocks: wage inflation, shrinking insurance reimbursements, and a staffing crisis that makes 2026 feel like a battleground for private practitioners. In this episode of Ask George, Dr. George Hariri breaks down why traditional dental practice management is no longer enough to stay profitable. If you are a future owner
Are You Making These 3 Costly AI Mistakes in Your Dental Business Strategies?
The leap from clinician to CEO is the most significant hurdle in any associate to owner transition. Most dentists enter ownership with world-class clinical skills but find themselves practicing blind when it comes to the business side of the chair. In this episode of the Shared Practices Podcast, Dr. George Hariri sits down with Dr. Aditi Agarwal, co-founder of Practice by Numbers, to dis
Ask George: Is Your Perfectionism Killing Your Dental Practice Management?
Are you the primary force rolling every "boulder" up the hill in your office? In this insightful Ask George episode, George and Richard explore why building leaders is the non-negotiable secret to exponential growth and true leverage. Most future owners struggle with the transition from clinician to CEO because they fear the "drop-off" in quality when delegating. However, effective dental
Dental Practice Management: Protecting Your Ownership from HR Liability and Team Drama
Transitioning from a skilled clinician to a successful CEO requires a fundamental shift in how you view dental practice management. Most dentists enter ownership to focus on patient care, yet they quickly find themselves bogged down by the "human" element of human resources. In this episode of Shared Practices, Richard Low sits down with Jill Hasselmann from HR for Health to dismantle the
Why Experienced Candidates Are the Problem in Your Dental Practice Ownership
Are you choosing the wrong candidates because you’re afraid you don't have the time to train the right ones? In this episode of the Shared Practices Podcast, Richard and Caitlin unpack why dental practice ownership often feels like an uphill battle—and how to fix it. We discuss the mindset shift required to move from "panic hiring" to building a continuous candidate pipeline, much like yo
The Ultimate Dental Growth Strategies to Scale from $700K to $2.5M | Thor
Think you could grow a suburban dental practice from $700K to $2.5M in four years without burning out? In this high-stakes episode of Practice Under Water, George sits down with "Thor," a high-intensity owner who has done exactly that. Thor shares the raw numbers behind his explosive associate to owner transition, revealing how he moved from 15 new patients a month to over 90 by mastering
3 Reasons Why Your Five-Op Facility is Blocking Sustainable Dental Practice Growth | Thor
Scaling a $2.5M practice while only working two clinical days sounds like the ultimate goal, but it often brings you face-to-face with a massive facility bottleneck. In Part 2 of Thor’s return to Practice Under Water, George and Thor break down the logistical gymnastics required to maintain sustainable dental practice growth when your building is bursting at the seams. Thor is currently m
Ask George: The CEO Survival Guide for Resetting Your Dental Practice Ownership
In this episode of Ask George, Dr. George Hariri guides you through "The Ownership Reset," a strategic process designed to align your dental practice ownership with your long-term life goals. As we head into 2026, George emphasizes that successful dental practice ownership requires more than clinical skill; it requires a clear vision and a refined sense of direction. Whether you are a pro
Why Dental Practice Management Depends on a Clear Strategic Vision
Richard and Caitlyn Embree discuss why effective dental practice management begins with a clear, articulated vision that the entire team can buy into.They break down a four-part framework for dental roadmap success, covering practice anatomy, philosophy of care, team culture, and the owner's desired lifestyle. By implementing better dental practice management systems, owners can identify
Ask George - How AI is Revolutionizing Dental Practice Management and Future Ownership
In this Ask George episode, Dr. George Hariri and Richard Low explore the ultimate cheat code for dental practice management: Artificial Intelligence. Moving from a clinician to a CEO requires scalable systems. If you are navigating dental practice ownership, AI is a mandatory survival guide for streamlining operations and writing SOPs. George argues that building Custom GPTs will vastly
Take PPO Power Back for Dental Practice Profitability: Clint Johnson’s Guide to Smarter Contracts
In this episode of Shared Practices, Richard Low sits down with Clint Johnson to unpack high-level dental business strategies and the core metrics driving true dental practice profitability.They dissect the exact financial impacts and administrative burdens of heavy PPO participation, revealing how properly organizing fee schedules can add $330,000 to a two-doctor bottom line over an 18-m
The Dentist Guide to Scaling a Clinic - Scuba Steve Part 2
Welcome back to Practice Underwater, where Dr. George Hariri sits down with Scuba Steve to unpack the operational hurdles every dentist faces when transforming a chaotic clinic into a thriving enterprise.Despite growing collections from a $500,000 baseline to a $1.3 million yearly pace, this dentist's journey into dental practice ownership reveals aesthetic challenges, missing systems, an
The Dentist Guide to Scaling a Clinic - Scuba Steve Part 1
Welcome to Practice Underwater, where Dr. George Hariri kicks off part one with Scuba Steve to explore the gritty realities of becoming a practice-owning dentist.Despite buying a messy, former Medicaid DSO-managed building, this ambitious dentist successfully transitioned into dental business ownership by immediately boosting collections from a historical $500,000 average to a $1.3 millio
A Guide to Chart Acquisitions in Dentistry: Structuring Deals and Expanding Hygiene Capacity
In this episode, Richard and Caitlin dive into a unique scenario within acquisitions in dentistry, focusing on the strategic and operational breakdown of chart mergers.They explore a case study involving a solo doctor with five operatories and 1,000 active patients looking to purchase 1,000 charts from a retiring dentist, offering tactics for acquisitions in dentistry like paying $125 per
Ask George - Dental Practice Management: The Doctor vs. Hygiene Debate
In this Ask George segment, Dr. George and Richard explore essential dental practice management for a multi-location, fee-for-service clinic navigating new patient bottlenecks.Analyzing specific metrics like a 72% pre-appointment rate and a $616 average diagnosis per exam, they reveal how current dental practice management might be adding friction to the hygiene schedule.The core strategi
Never Miss a Call: Essential AI Phone Tools and Automated Strategies Every Smart Dentist Should Use
In this episode of the Shared Practices podcast, Richard Low speaks with Richard May from Mango Voice to explore how AI phone solutions can help the modern dentist capture more leads.They discuss the staggering statistic that average practices miss over 30% of calls , illustrating how an AI receptionist and automated call summaries can drastically improve sustainable dental practice growt
Strategic Pathways For Sustainable Dental Practice Growth - Tom Part 2
Welcome back to Practice Underwater, where Dr. George Hariri helps Tom map out a plan for sustainable dental practice growth.After scaling his clinic from $1.1 million to $1.65 million , Tom realizes that true sustainable dental practice growth requires optimizing dental practice management rather than working grueling 10-hour days and half-staffed Fridays.They debate the merits of expand
Strategic Pathways For Sustainable Dental Practice Growth - Tom Part 1
Welcome back to Practice Underwater, where Dr. George Hariri helps Tom map out a plan for sustainable dental practice growth.After scaling his clinic's collections from $1.1 million to $1.65 million, Tom realizes that continuing this sustainable dental practice growth requires optimizing dental practice management rather than working grueling 10-hour days.They discuss the heavy toll of a
Ask George: Solving the Painful Realities of Dental Business Ownership
Dr. Richard Low welcomes back Dr. George Hariri for an "Ask George" episode focused on the painful underside of dental business ownership.The duo discusses why acquisitions in dentistry often fail when buyers lack due diligence, leading to negative equity and the stress of "building on top of broken" systems.Using Practice Underwater principles, George explains how to fix dental practice
Dental Practice Management Rules on How to Handle Cancellations and No Shows
In this episode of shared practices, hosts Richard and Caitlin dive into the critical world of dental practice management to help listeners navigate dental practice ownership by tackling the persistent operational pain point of patient cancellations.Caitlin shares her proven dental business strategies for minimizing schedule holes, detailing a framework that leverages a $50 hourly broken
From Overhead to Opportunity: Virtual Teams Boost Dental Practice Profitability for Dentists
For a future dental practice owner, the reality of shrinking margins is harsh. With insurance fees stagnant and labor costs skyrocketing, achieving dental practice profitability is incredibly difficult. Richard Low and Cory Pinegar, founder of Reach, explain how an international virtual workforce is the ultimate survival guide. Moving from a stressed clinician to an empowered CEO requires
Ask George - Practice Management vs True CEO Dental Practice Ownership Strategies
In this episode of Ask George, Dr. George Hariri and Richard Low redefine what it actually means to master dental practice ownership. Many dentists get trapped acting as the lead clinician and the daily manager, constantly playing whack-a-mole with operational fires. However, mastering true dental practice ownership requires stepping completely out of the "Technician" and "Manager" roles
Old Hygiene Tactics vs Modern Dental Growth Strategies for the Ambitious Dentist
In this episode, Richard Low and Alex Sharp tackle a critical question facing every ambitious dentist today: is hygiene-led growth dead? With rising labor costs and shifting insurance economics, many practice owners are reevaluating their dental growth strategies. Is a bustling hygiene department still the key to dental practice profitability, or is it just an expensive headache? The host
Empty Schedules vs Elite Dental Practice Management for the Ambitious Dentist | Alejandro Pt. 2
In this episode of Practice Underwater, Dr. George Hariri consults with Dr. "Alejandro," a solo dentist who has navigated dental practice ownership in the Midwest for over 20 years. Four years ago, Alejandro made the leap to drop Delta Dental and transition to a fully fee-for-service model. While this shift elevated his clinical freedom and defined his dental practice ownership style, it
Fee For Service vs PPO: Dental Practice Ownership and Profitability | Alejandro Part 1
In this episode of Practice Underwater, Dr. George Hariri consults with Dr. "Alejandro," a solo dentist who has navigated dental practice ownership in the Midwest for over 20 years. Four years ago, Alejandro made the leap to drop Delta Dental and transition to a fully fee-for-service model. While this shift elevated his clinical freedom and defined his dental practice ownership style, it
Ask George: Why Team Led Dental Practice Management Boosts Dental Practice Profitability
In this episode, George Hariri and Richard Low explore the transition from "muscling" your practice to achieving true team-led success. If you are a burnt-out clinician, your dental practice management strategy needs an immediate overhaul. Stop stepping in to solve every operational problem and start building the infrastructure necessary to empower your staff.To achieve sustainable dental
Ask George: Financial Management for Dentists and Sustainable Dental Practice Growth
In this episode of Ask George, Dr. George Hariri and Richard Low tackle a dangerous mindset trapping the modern dentist: treating your practice like a stressful job you must escape. True financial management for dentists dictates that your clinic is the ultimate wealth-building asset, not just a stepping stone to fund outside investments. When you rush to sell to a DSO or divert focus to
From Dental School to CEO: The Best Guide on How to Buy a Dental Practice
Are you wondering how to buy a dental practice out of school? Richard Low and Dr. Andrew Clingan share the reality of early dental practice ownership via Shared Practices. Mastering dental practice management provided Andrew a safety net while his clinical speed developed.Learning how to buy a dental practice requires looking past shiny equipment. Acquisitions in dentistry hide challenges
Ask George - Ready to Grow Practice: Smart Dental Practice Acquisitions
In this episode of Ask George, Dr. George Hariri and Richard Low redefine the approach to dental practice acquisitions for the modern dentist. Instead of buying a maxed-out, highly polished clinic, the key to sustainable dental practice growth lies in finding a "ready to grow" practice. Buying an under-optimized office with a massive overdue recare base allows you to rapidly increase dent
How One Decision Can Change Your Trajectory: A Dentist Guide to Dental Practice Ownership Reality
In this episode, Richard Low sits down with Dr. Brian Belsterling to unpack his journey from a VA hospital residency to successful dental practice ownership. Many ambitious young professionals feel pressured to rush into buying a clinic, but Brian proves that strategic patience pays off for the modern dentist. By prioritizing clinical maturity during his associate years, he avoided combin
Acquisitions in Dentistry: Turning Around Cash-Bleeding Offices with Nesto Part 2
Welcome back to Practice Underwater, where host Dr. George Hariri joins guest Nesto to analyze the messy operational realities of expanding your portfolio through acquisitions in dentistry.They break down critical dental practice management changes at Nesto's second office, exploring how he reversed a historical cash loss into a break-even operation while mapping out sustainable dental pr
Acquisitions in Dentistry: Turning Around Cash-Bleeding Offices with Nesto Part 1
Welcome back to Practice Underwater, a solo episode where host Dr. George Hariri steps up to detail the unconventional acquisitions in dentistry journey of Mastermind member Nesto.George explores the stark contrast between Nesto's two acquisitions in dentistry: a thriving $1.1M office with seven hygiene days and a slower practice losing $80,000 annually after a massive post-sale collectio
Ask George - Private Practice vs DSOs: Dental Practice Ownership for Wealth
In this episode of Ask George, Richard Low and Dr. George Hariri map out the complete financial timeline of a dentist's career. For the ambitious professional, understanding the financial phases of dental practice ownership is essential to building long-term wealth. The hosts break down the crucial transition from wealth accumulation—where you grow the clinic and pay down debt—to wealth s
Building Culture that Persists - Is it Possible in Dental Practice Management?
In this episode, Richard Low and Alex Sharp reveal how a resilient dental practice culture is the true engine behind elite dental practice management. Building a team of "missionaries" rather than "mercenaries" transforms your daily operations and ensures sustainable dental practice growth, even when facing unexpected staff turnover. For any dentist navigating the hurdles of dental practi
Thinking About Dental Practice Ownership? Financing Secrets Every Aspiring Owner Should Know
In this episode, Richard Low sits down with Steve Steinbrunner and Brian Carroll from Provide to demystify financing for the modern dentist. If you are preparing for dental practice ownership, navigating banks and loan requirements can feel overwhelming. However, securing the right funding is the ultimate key to unlocking sustainable dental practice growth.Whether you are planning a start
Execution vs Overthinking: Dental Business Strategies for the Ambitious Dentist
In this episode of Coach's Corner, Richard Low and Caitlin Embree tackle the ultimate productivity killer for the ambitious dentist: analysis paralysis. It is easy to confuse listening to podcasts or reading leadership books with executing actual dental business strategies. The hosts explain how endless "edutainment" acts as a sneaky form of procrastination, preventing you from implementi
Ask George - Ready to Grow vs Ready to Shrink: How to Buy a Dental Practice
In this episode of Ask George, Richard Low and Dr. George Hariri reveal how to buy a dental practice correctly to avoid acquiring a "ready to shrink" clinic. Too many buyers rely solely on financial profit and loss statements without evaluating the true health of the active patient base, resulting in massive post-acquisition revenue drops. A prime example discussed is a doctor who bought
Bold Moves, Light Laughs: How One Dentist Found His Calling
In this episode of Shared Practices, Richard Low interviews the multi-talented Dr. Brady Smith, a dentist who has mastered the art of bold pivots. From acquiring and eventually decoupling from a Comfort Dental franchise to launching a national stand-up comedy tour, Brady proves that successful dental practice ownership does not require a rigid, traditional playbook. Instead, true fulfillm
The Entrepreneurial Dentist: Balancing Wealth, Risk, and Fulfillment
In this episode of the Shared Practices Podcast, Dr. Richard Low and Dr. Alex Sharp tackle an important question: Once you’ve built a thriving practice and reached financial success, what’s next?Most dentists focus on growing their practice and increasing income, but after hitting a financial milestone, the next steps become less clear. Richard and Alex explore the challenges, mindset shi
Coaches Corner - Beyond Bonuses: How to Build a Culture of Buy-In
In this Coach’s Corner episode, Richard and Caitlin dive into one of the most common challenges for practice owners—getting their team to truly buy in. Spoiler alert: It’s not about throwing more money at the problem! They break down three key areas that drive real engagement: genuinely caring about your team, defining the “why” behind your practice, and clearly communicating your vision
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