Dental CEO Podcast #63 - PPO Fees Are Killing Private Dentistry

Why Your Associate Isn't Producing (And How to Fix It)

Why do some associate dentists produce five times more than others seeing the exact same number of patients? In this episode of The Dental CEO Podcast, Scott Leune breaks down the four numbers that actually drive associate production, exam volume, diagnostic percentage, treatment plan size, and case acceptance, and shares the national averages versus top-performer benchmarks for each. He walks through exactly how owners should report these numbers to associates on a weekly and monthly basis, so performance gaps become obvious without triggering defensiveness, and how to respond when an associate blames the team, the schedule, or the practice instead of their own numbers. Whether you're an owner trying to build a healthier associate relationship or an associate looking to understand what's really capping your income, this episode gives you a clear, trackable system for closing the gap.

Where Your Profit Is Hiding: Scott Analyzes Actual P&Ls

In this solo episode of The Dental CEO Podcast, Scott Leune reads three real profit and loss statements line by line and shows you exactly where practice profit hides. Watch a "respectable" 1.8-million-dollar practice find roughly 160,000 dollars in EBITDA and nearly a million in sale value, and a two-practice owner uncover about 650,000 dollars a year in cash flow and 4.2 million in equity at sale, all without a single clinical change. Scott breaks down the six expense categories, the target percentages every owner should know, and the quick "rent test" for whether you're too small or simply overspending. His bottom line: disciplined cost control, not reckless growth, is what actually builds wealth. Grab a pen and paper.

How Selling to a DSO Costs Dentists Millions (Scott Breaks Down a Real Offer)

A dentist got an unsolicited $9.8M offer to sell his practice — and on paper it looked incredible. So why is walking away the smarter move? Scott Leune breaks down the real offer line by line and runs the actual math, exposing the traps most dentists never see: the cash up front, the "rollover equity," the multi-year stay requirement that quietly erases years of owner profit, and the "hopium" of future multiples that rarely pay out. He shows how selling now nets roughly $9.4M while transitioning out first nets up to $14M+, and what to do instead if your practice is struggling. Whether you plan to buy, sell, or advise someone who will, this could save you millions. Subscribe for new episodes weekly.

The Husband-and-Wife Dentists Reinventing Themselves at 61

After 33 years of marriage and 33 years practicing side by side in 700 square feet, Dr. Elisa Mello and Dr. Ramin Tabib could have coasted to the finish line. Instead, at 61, they bet on themselves again and moved into a 2,500 square foot space built around a brand they just trademarked: The Smile Code. Scott Leune sits down with the New York City couple to talk about holding the line on fee-for-service when the pressure to take insurance felt relentless, what it really takes to work with your spouse for three decades without losing your marriage, and why the heart of a great practice is not the marketing, it is being able to say clearly who you are before you ever try to sell it. If you have ever wondered whether it is too late to reinvent your career, whether you could practice without insurance, or how to build a brand the world actually responds to, this conversation is for you.

Don't Take Startup Advice from a Lucky Dentist

There is a lot of bad location advice in dentistry. A dentist goes on a podcast, says demographics do not matter because they opened in a weak market and made it work, and suddenly "build it and they'll come" sounds like a strategy. It is not. It is luck, and as Scott Leune puts it, a blind man can hit a home run, but that does not mean the rest of us should swing blindfolded. On this episode of the Dental CEO Podcast, Scott sits down with Kent Miller, founder of Dentagraphics, to make the case for trusting the data instead of Dr. Facebook and one-off success stories. They break down what demographics actually tell you about a location, why the right market depends on the kind of dentistry you want to do, and how population, income, age, and competition take the risk out of opening or relocating a practice. The dentists bragging online about beating the odds are the exception, not the playbook. If you want a real shot at 2 million in collections with a healthy overhead, trust the data, not a hunch and not a lucky stranger on the internet.