Podcast/Blog Posts

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Financial Distress, Insolvency & Bankruptcy
So, you decided to pursue an affiliation with a group and things are not going as planned?  Worse yet, it appears that the larger business is now struggling with leverage issues you were told “not to worry about” as you were going through your process.  Maybe it was even discussed when you were...  Read More
For anyone facing the , or living with a gap already, the idea of a dental implant can sound appealing and intimidating in equal measure. It is reassuring to know that an implant can restore a missing tooth so completely, but the surgical nature of the process raises understandable questions....  Read More
Braces are so familiar that most people never stop to wonder how they actually work. We know they straighten teeth, but the mechanism behind that transformation is genuinely fascinating, and understanding it makes the whole process feel less mysterious. The science is more elegant than you might...  Read More
Deciding to begin , and once the decision is made, a little preparation goes a long way toward a smooth start. Whether the treatment is for you or your child, knowing what to expect and getting a few things in order beforehand can ease the transition and set you up for success. This practical...  Read More
Cost is often the first concern people raise when they think , and it is an entirely reasonable one. Straightening teeth is a meaningful investment, and the total figure can feel daunting at first glance. But focusing only on the upfront number misses the larger picture of what that investment...  Read More
When most people think of orthodontics, a single image comes to mind, a teenager with metal braces. That picture is decades out of date and dramatically understates what a modern orthodontic practice actually does. Today's providers offer a wide range of treatments suited to different ages,...  Read More
Built vs. Bought
You can function just fine without getting involved with a group (“DXO”) or private equity! If you are not interested in pursuing an affiliation with a group practice - read no further - this note is not designed for you.   If you are open to pursuing options with group practices there is one...  Read More
Most people begin the search for  the same way they begin almost any search these days, by typing a few words into their phone and scanning the results. It is a perfectly sensible starting point, but the list that comes back is just a starting point, not an answer. Knowing how to evaluate those...  Read More
Sausage Making 101
Valuation Metrics to Consider Multiples Revenue or Collections  - As reported for tax purposes, does not capture any barter or “off the books” income - Doctor-to-Doctor transactions have historically been in the range of 80-100% of revenue - Group transactions typically exceed this range...  Read More
1697 Nigel Kennedy : Dentistry Uncensored with Howard Farran
1697 Nigel Kennedy : Dentistry Uncensored with Howard Farran In this episode, Howard Farran sits down with Dr. Nigel Kennedy, affectionately known as "No Pain Nigel," who retired in 2025 after a remarkable 46-year career dedicated to transforming the experience of anxious dental patients. Nigel...  Read More
Second BiteTheory
Probably the most overhyped/oversold reason to join a group dental practice is the "second bite" or “equity story”.   Having done this for too long, I’ve been able to witness the evolution of deal structures and terms.  Trendy new acronyms to describe the same thing - the tortured mental...  Read More
A few years into my career, a patient in his early fifties came in with severely inflamed gums. He had been putting off  for years, and the infection was advanced. During our conversation, he mentioned that his cardiologist had actually been the one to urge him to see a dentist. His doctor had...  Read More
Group Premiums - Reality or Yeti?
Group Premiums   A common topic of discussion revolves around how much more groups are willing to pay for a given practice versus an independent dentist - a/k/a the "Group Premium".   Group Premiums have nothing to do with fundamental value.   Group Premiums represent the incremental equity risk...  Read More
Most people believe that if their teeth look clean, they probably are. A bright smile, no visible stains, and a quick brushing routine can create a sense of confidence. But oral health is not always that straightforward. There is often a fine line between teeth that appear clean and teeth that are...  Read More
1692 Productive Dentist Academy : Dentistry Uncensored with Howard Farran
Episode #1692 : Dentistry Uncensored with Howard Farran, Victoria Peterson of Productive Dentist Academy shares powerful insights on building a practice that’s not just profitable—but truly sustainable. From honoring the legacy of co-founder Dr. Bruce Baird to navigating private equity, AI, and...  Read More
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