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The biggest financial mistake growing dental groups make?
Growing faster than their financial infrastructure.
You're adding:
→ New locations
→ Fresh debt
→ New hires
But you're still using:
→ The same weak reporting
→ The same outdated systems
→ The same manual processes
Your finance function MUST mature before growth—or you'll hit a wall.
Scale your infrastructure at the same pace you scale your business.
06/24/2026
🎙️New Podcast Episode Alert!
"Economies of scale" is the biggest lie in DSO growth.
George Hariri spent years as CFO of a dental group. Then he sat in rooms with private equity and learned the truth most operators never say out loud:
More locations = more expensive debt.
More locations = a whole executive team you didn't need before.
More locations = an extra cost layer sitting on top of every practice you already own.
Meanwhile your supplies got a little cheaper. That's it. That's the "advantage."
🎙️ Here's the truth that nobody is talking about:
→ Multi-location debt is more expensive — DSOs pay higher interest and carry a full executive layer on top of practice-level costs
→ "Maturation means centralization" is a trap — pushing work to a central team doesn't eliminate practice-level costs, it just duplicates them
→ Most General Practice acquisition groups buy the exact same practice profile, which means they all give private equity the exact same answer to "what makes you different?"
→ The old playbook — buy low, sell high, change nothing — is dead. Private equity now wants proof you add value, not just collect logos
AVAILABLE ON:
🎧 Website: https://www.accrudent.com/podcast-e42-the-dental-truth-project-dso-economies-of-scale-is-a-myth
🎧 Apple Podcasts: https://bit.ly/48h5HDD
💻 YouTube: http://bit.ly/43aXfSO
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project
🔥 New episode drops this coming Wednesday!
"Economies of scale" sounds great until you see the math.
300 employees. 260 in the practices. 40 in the central office.
That's not an advantage. That's a tax on every location you add.
George Hariri breaks down why bigger DSOs aren't automatically better ones — new episode of The Dental Truth Project, dropping soon. 🎧
🎧 Upcoming Episode: DSO: Economies of Scale Is a Myth (E.42)
Is cash basis accounting hurting your DSO?
Absolutely. Yes.
Most owners don't realize the damage until it's too late.
Cash basis shows: Where your money went
Accrual shows: What you actually produced and the value you delivered
One tells you history. The other tells you reality.
If you're still on cash basis, you're flying blind.
Time to fix it.
06/17/2026
🎙️New Podcast Episode Alert!
Most DSO operators don't talk about embezzlement until it's already happened to them.
Dr. Hardik Chodavadia, Co-Founder of Enamel Dentistry, built it to 10 locations in Austin. And somewhere along the way, a trusted, high-performing team member stole a significant amount of money from the business.
The worst part wasn't the money.
It was that the warning signs were already there — and the business was structured in a way that made it impossible to act.
One person had the keys to everything. And when someone is that embedded, you don't get to make clean moves. You just wait. And hope. Until you can't anymore.
🎙️ Here's the truth that nobody is talking about:
→ Embezzlement in dentistry is far more common than anyone admits. Most operators only hear about it after it happens to them
→ Never let one person hold the keys to everything — access, relationships, systems, and finances should never all live in the same hands
→ If removing someone feels impossible, that's the signal — not a reason to wait, but a reason to restructure now
→ Build in redundancy across critical roles so you retain the ability to make personnel moves without the business falling apart
AVAILABLE ON:
🎧 Website: https://www.accrudent.com/podcast-e41-the-dental-truth-project-he-stole-from-us-heres-how-we-let-it-happen
🎧 Spotify: http://bit.ly/42u62ix
🎧 Apple Podcasts: https://bit.ly/48h5HDD
💻 YouTube: http://bit.ly/43aXfSO
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project
🔥 New episode drops this coming Wednesday! A trusted employee.
10 locations.
A significant amount of money — gone.
And the hardest part?
The warning signs were already there.
Dr. Hardik Chodavadia, Co-Founder of Enamel Dentistry, a story he didn't have to share — but did anyway.
🎧 Upcoming Episode: He Stole From Us. Here's How We Let It Happen. (E.41)
06/10/2026
🎙️New Podcast Episode Alert!
Hundreds of new dentists graduate every few weeks.
They've spent years mastering the science.
They've watched every technique video on the internet.
But nobody taught them how to talk to a patient who's scared.
Nobody taught them how to read a treatment plan under pressure.
Nobody taught them what they actually need to earn just to keep the lights on.
They don't need more criticism. They need someone to say: I've been exactly where you are. And I've got your back.
That's exactly what Dr. Nazish Jafri is doing.
Dr. Nazish Jafri, CEO of Secure Dental and a working clinician of 8 thriving offices, says the dental industry has been abandoning its new graduates from Day 1 — and it's quietly costing the profession its next generation of great doctors.
🎙️ Here's the truth that nobody is talking about:
→ New grads are being shaped by social media "gurus" — expecting full-arch implant cases and veneer galleries on Day 1
→ Most can't answer: "What are your monthly expenses?" — yet they're negotiating salaries and signing contracts
→ Dental schools now test final exams on mannequins, not real patients — leaving grads dangerously underprepared for the chair
→ Sign-on bonuses sound like gold to hungry new grads — but the hidden clauses are "holding them by the neck"
AVAILABLE ON:
🎧 Website: https://www.accrudent.com/podcast-e40-the-dental-truth-project-why-new-grad-dentists-still-need-mentorship
🎧 Spotify: http://bit.ly/42u62ix
🎧 Apple Podcasts: https://bit.ly/48h5HDD
💻 YouTube: http://bit.ly/43aXfSO
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project
Board members don't just trust titles. They trust track records — and the people who vouch for them.
Colton Moore was doing the work. Building the skills. Stepping into leadership.
But in a room full of board members and senior leaders — credibility isn't just earned. It's vouched for.
Having Ken in his corner changed the dynamic entirely:
→ Not just a younger person stepping up — but someone backed by proven expertise
→ Trust built faster, walls came down sooner
→ The growth was real, and now the room believed it too
Mentorship didn't just make Colton better.
It made the organization believe in him sooner.
— Colton Moore, Controller | UME Dental
Watch the full case study interview here 👇
https://www.accrudent.com/case-study-ume-dental
🔥 New episode drops this coming Wednesday!
New dentists don't need someone to check their work.
They need someone who picks up the phone at 2PM when a file breaks mid root canal.
Who sits beside them before they enter the room — not after something goes wrong.
Who says you're doing great, keep going before doubt sets in.
Dr. Nazish Jafri, CEO of Secure Dental, built 8 offices on one belief — that the right mentorship doesn't just build better dentists. It builds dentists who stay.
🎧 Upcoming Episode: Why New Grad Dentists Still Need Mentorship (E.40)
06/03/2026
🎙️New Podcast Episode Alert!
Most dental practices hire for two things.
Clinical skill. People skills.
IQ and EQ have dominated the hiring conversation for decades — and they're not wrong. But they're not enough.
There's a third metric that nobody is screening for. One that doesn't show up on a resume, can't be faked in an interview, and reveals itself only when everything goes sideways.
Dave Gaspar, CEO of Smile Partners USA, calls it the Adversity Quotient, he's convinced it's the single biggest predictor of whether a dentist thrives or quietly burns out.
🎙️ Here's the truth that nobody is talking about:
→ A high-AQ dentist who thrives under pressure is your best candidate for a turnaround office — but placing a low-AQ doctor there is setting everyone up to fail.
→ Even after selling a practice, doctors can't fully abdicate — Smile Partners still needs you to be a leader, not just a provider.
→ Culture isn't a mission statement on the wall — it's what happens when the day falls apart and everyone still knows exactly what to do
→ Most struggling practices don't have a process problem — they have a people problem, and no marketing budget or DSO support system fixes a team that can't handle adversity
AVAILABLE ON:
🎧 Website: https://www.accrudent.com/podcast-e39-the-dental-truth-project-iq-gets-the-job-eq-gets-the-patients-aq-makes-you-last
🎧 Spotify: http://bit.ly/42u62ix
🎧 Apple Podcasts: https://bit.ly/48h5HDD
💻 YouTube: http://bit.ly/43aXfSO
NEW BOOK - COMING SOON
Get early access to Roll the Equity: How Smart Dental Founders Sell Their DSOs
Join the insider's list here 👇
https://resources.accrudent.com/roll-the-equity-insider-list
Got a burning question about dental finance?
Submit your question, and it could be featured in a future episode.
Ask Ken Form: https://resources.accrudent.com/ask-ken-form-the-dental-truth-project
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