2484: The Future of DSOs and What It Means for You
The Dentalpreneur Podcast w/ Dr. Mark Costes
Release Date: 04/09/2026
The Dentalpreneur Podcast w/ Dr. Mark Costes
On today’s episode, Dr. Mark Costes sits down with Kyle Francis of Professional Transition Strategies to unpack the current state of the DSO and private equity marketplace. They dive into why valuations for single practices remain strong despite industry noise, how interest rates are impacting large group recapitalizations, and what’s really happening behind the scenes with private equity-backed DSOs. Kyle shares insights on deal structure, liquidity challenges, and why smaller practices continue to be highly attractive acquisition targets. The conversation also explores the pros...
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On today’s episode, Dr. Mark Costes sits down with Brent Saunier and Chris Sands from Pro-Fi 20/20 for a deep dive into one of the most misunderstood topics in dentistry—entity structure and tax strategy. In this conversation, they break down the critical differences between LLCs, S Corps, and partnerships, and explain why choosing the wrong structure too early can trap losses, limit deductions, and cost new practice owners thousands. They share real-world examples of common mistakes dentists make when starting or acquiring a practice, including relying on generic advice from the...
info_outlineThe Dentalpreneur Podcast w/ Dr. Mark Costes
On today’s episode, Dr. Mark Costes hosts another Ask Me Anything session, answering thoughtful and high-level questions from the dental community around growth, leadership, and finding balance. He dives into how to scale a practice to $3M and beyond without sacrificing culture, patient experience, or personal time, while also explaining how to recognize the difference between a healthy growth phase and a broken model. Mark also tackles deeper questions around defining “enough,” the tradeoffs of success, and how to transition out of the constant hustle phase by building the right...
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On today’s episode, Dr. Mark Costes sits down with Dr. Lior Tamir to unpack a remarkable journey from a struggling new grad during the 2009 recession to building a thriving $5M de novo practice in one of the most competitive markets in the country. Lior shares how stepping away from clinical dentistry to build a marketing tech company shaped his approach to growth, patient experience, and data-driven decision-making. He dives into the concept of “experiential dentistry,” revealing how small but intentional touches—from office design to giving away electric toothbrushes—fueled...
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On today’s episode, Dr. Mark Costes sits down with Steven Fey, VP of Business Development at Maverick Dental Lab, to explore the rapid evolution of dental lab technology, the growing role of AI, and what it takes to stand out in an increasingly competitive market. They dive into the shift from analog to digital workflows, the realities of AI in case design, and why maintaining a human touch is still critical for quality and customer experience. Steven shares insights on industry consolidation, sustainable growth, and how Maverick continues to thrive by focusing on relationships rather...
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On today’s episode, Dr. Mark Costes and COO Ashlee Hirschfeld kick off a back-to-basics series designed for both new and seasoned dental professionals, diving into the often-overlooked foundational principles of building a successful practice. They unpack the real meaning behind mission, vision, and core values—and why skipping these “fluffy” concepts can lead to chaos, toxic culture, and lack of direction. Mark shares hard-earned insights from years of coaching and practice ownership, explaining how culture forms (whether intentional or not), how to make it measurable, and why...
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On today’s episode, Dr. Mark Costes sits down with Timothy Boyle of Reva Global Medical to talk about how virtual staffing is helping healthcare practices reduce administrative overload, improve efficiency, and recover lost revenue. Tim shares his unique journey from professional hockey into healthcare sales, then explains how his team recruits and trains medically experienced virtual assistants to support practices with scheduling, insurance verification, patient follow-up, prior authorizations, billing, and accounts receivable. The conversation explores how understaffed teams often...
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On today’s episode, Dr. Mark Costes introduces a powerful talk from Bill Keith on one of the most important and often misunderstood topics in dentistry: practice valuation, consolidation, and ownership strategy. Bill breaks down why every dentist should understand their true net worth, how to properly value a dental practice, and why EBITDA, cash at close, rolled equity, and distributions all matter far more than flashy headline multiples. He also explains the current state of consolidation in dentistry, what lessons can be learned from other healthcare industries, and how different...
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On today’s episode, Dr. Mark Costes sits down with Joe Lynch, Head of Customer Success at Dandy, for a conversation about the future of dental labs, digital dentistry, and what it really takes to deliver better outcomes for dentists and patients. Joe shares his unique journey from Navy special operations to healthcare consulting and ultimately into the dental industry, where he now helps lead Dandy’s go-to-market strategy and customer experience. Together, they unpack how robotics, AI, machine learning, and vertically integrated workflows are transforming the lab space, while also...
info_outlineThe Dentalpreneur Podcast w/ Dr. Mark Costes
On today’s episode of Ask Me Anything with Dr. Mark Costes, he dives into some of the most insightful questions submitted by listeners, tackling the challenges dental practice owners face as they scale. Mark explores the most common bottleneck he sees—lack of delegation and redundancy—and shares how even highly profitable, low-overhead practices can quickly crumble without the right systems and depth on the team. He emphasizes the value of hiring great people when you find them and offers advice for empowering your leads so the practice can thrive without your constant presence. Mark...
info_outlineOn today’s episode, Dr. Mark Costes sits down with Kyle Francis of Professional Transition Strategies to unpack the current state of the DSO and private equity marketplace. They dive into why valuations for single practices remain strong despite industry noise, how interest rates are impacting large group recapitalizations, and what’s really happening behind the scenes with private equity-backed DSOs.
Kyle shares insights on deal structure, liquidity challenges, and why smaller practices continue to be highly attractive acquisition targets. The conversation also explores the pros and cons of selling to a DSO versus a doctor-to-doctor transition, including autonomy, risk, and long-term upside. This episode is a must-listen for any dentist considering a transition or trying to understand where the market is headed next.
Be sure to check out the full episode from the Dentalpreneur Podcast!
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