Your Practice
Runs. We Make
It Run Profitably.
We work with practices collecting $800K to $40M annually — fixing the operational failures that bleed revenue before your next hire, lease, or acquisition.
Solo practitioners, DSO founders scaling past five offices, and PE groups who need the real numbers before the deal closes.
Your hygiene chairs are empty. Not occasionally — structurally.
The average dental practice runs hygiene at 71% of capacity. That gap — the 29% of booked hours that never convert to production — is not a scheduling problem. It is a recall system failure, and it compounds every single month.
"I had three hygienists and a 40% no-show rate on Tuesdays and Thursdays. We thought it was a patient problem. It was a confirmation system problem. Consult rebuilt our recall sequence and we went from $34K to $51K in hygiene production in 60 days."
"We were scheduling 8-week recall appointments and calling it a system. It was not a system. It was hope."
"Three locations, three different recall protocols. After Consult standardized them, our hygiene revenue per location is within 8% of each other. Before it was 40% variance."
You're writing off money that was already yours.
The median dental practice writes off $180,000 in legitimate insurance revenue every year — not through fraud or error, but through follow-up failure, incorrect coding, and AR aging that nobody owns past 90 days. We find it. We build the system that stops losing it.
"Our AR over 90 days was sitting at $340,000 when Consult walked in. Eleven months later it is $41,000 and our biller has a process that does not depend on her memory."
"I thought I had a billing problem. I had a coding problem that created a billing problem. The difference cost me $90,000 a year in write-offs I thought were correct."
"We acquired a six-location group and Consult did the billing audit before close. Found $1.2M in trailing AR that the seller's P&L had quietly buried. Changed the deal structure entirely."
Your best people are leaving because the schedule is chaos.
Turnover in dental practices runs 30–40% annually — double the healthcare average. The primary cause is not pay. It is unpredictable scheduling, unclear role ownership, and the feeling that nothing is ever fixed. We install the structure that keeps good people.
"I replaced my front desk coordinator three times in 18 months. Each time I thought I hired the wrong person. I had hired the right people into a broken system. Consult fixed the system. My current coordinator has been here two years."
"We went from daily schedule compression — where we were always running 45 minutes behind by 11am — to a template that actually holds. Patient complaints dropped 70%."
"Across eight offices, I had eight different ways to open the practice in the morning. Consult built one playbook. Onboarding time dropped from six weeks to nine days."
Three types of practices. One level of precision.
You built a great practice. The admin is eating it alive.
Your hygiene chairs sit empty two afternoons a week. Your front desk is guessing at schedules. You're personally approving every insurance appeal. We install the systems that run without you.
Five locations. Five different ways to do everything.
Each office runs on tribal knowledge. When a key person leaves, so does the process. We standardize operations across your portfolio so growth stops creating chaos and starts compounding it.
The LOI is signed. Now find out what you actually bought.
We perform operational due diligence on dental acquisitions — patient flow capacity, billing integrity, staff dependency risk, and real EBITDA after we strip out the accounting optimism.
An engagement that begins with honesty and ends with receipts.
The Discovery Call
We ask the questions your last consultant never did — specific to your collection mix, your lease obligations, and which staff member everyone is afraid to correct. No pitch deck, no deck at all.
Verbal snapshot of your top three operational risks
On-Site Assessment
We sit in your office, watch your front desk handle a Monday morning, review six months of insurance aging, and time your patient flow from check-in to chair. We are not pleasant about what we find.
Operational Findings Report with prioritized action items
The Revenue Recovery Plan
A specific, sequenced plan — not recommendations, but instructions. Who does what, in what order, by which date. Every item tied to a revenue impact so you know what you are buying with each hour of effort.
90-Day Implementation Roadmap with revenue projections
Implementation Support
We stay through execution. Weekly check-ins, direct access to your assigned consultant, and hard stops when something is not working. The engagement ends when the numbers confirm the fix — not before.
Monthly KPI dashboards + accountability calls
The DSO Scaling Playbook
The 47-page operational framework we use with every multi-location client — covering the six systems that break first when a practice scales past three locations, and exactly how to fix each one before it costs you a location.
Download the Playbook
No sequences, no sales calls. Just the playbook.
Request an Operations Assessment
This is not a sales call. We spend the first 45 minutes learning your practice's specific failure points — and we tell you exactly what we find, whether you hire us or not.
What Happens Next
A consultant reviews your submission and confirms a call time.
You receive a pre-call diagnostic form — three questions, fifteen minutes.
Your 45-minute discovery call. No deck, no pitch.
"I filled this out on a Tuesday afternoon expecting a follow-up in a week. Someone called me Thursday morning and had already looked up our insurance AR. That's when I knew this was different."