In this episode of Beyond Bitewings, we’re bringing back some of our favorite advice from our episodes that discussed selling a dental practice to a Dental Support Organization (DSO), highlighting the significant differences between selling to a DSO and an independent buyer. The conversation covers how DSOs value practices using EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization), and why this can result in higher sale prices compared to traditional methods that use a percentage of collections. They also explain the importance of understanding value from the DSO and private equity perspective and warns practice owners about the risks of responding to unsolicited offers without proper representation.
The episode addresses key concerns for dentists, such as what to expect after the sale, how contracts are structured, and why it’s essential to shop around for multiple offers before committing. They discuss the impact of EBITDA calculations on a practice’s valuation, the role of lease agreements when the seller owns their building, and strategies to maximize the value of the transaction.
Key Topics Discussed:
- How DSOs value dental practices using EBITDA
- Differences between DSO and independent sales
- The structure of post-sale contracts and earn-outs
- Pitfalls of responding to unsolicited DSO offers
- The importance of getting multiple offers and proper representation
- EBITDA calculations and their effect on practice valuation
- Lease agreements when the seller owns the building
- Advice for maximizing practice sale value
- The changing dental industry landscape with the growth of DSOs




