How to Sell a Dental Practice
Dental practice sales are fundamentally different from general business sales. The buyer pool is limited to licensed dentists or DSOs, valuations use practice-specific metrics, and transitions require careful management of patient relationships. Here is what you need to know.
Dental Practice Valuation
Dental practices are typically valued as a percentage of annual collections — not EBITDA or SDE — because collections are the most stable and comparable metric across practices. The percentage applied depends on practice type, patient demographics, insurance vs. fee-for-service mix, and equipment condition.
A general practice collecting $1.2M with a strong fee-for-service mix might sell for 75–80% of collections — $900K to $960K — while the same collections in an insurance-heavy practice might yield 60–65%, or $720K to $780K. The difference of $180K+ comes entirely from revenue quality.
DSO Buyers vs. Individual Dentists
The two primary buyer types in dental practice M&A require completely different sale processes and produce different outcomes.
For practices with $500K or more in EBITDA, a DSO sale process is worth exploring — even if you ultimately sell to an individual. The DSO offer often serves as a benchmark that raises the individual buyer's bid or validates your pricing.
The Patient Transition Problem
In dental practice sales, patient retention is the core value preservation challenge. Patients choose their dentist personally — not the practice — which means a poorly handled transition can cause significant attrition and reduce the practice's value post-close.
Best practices for patient transition:
Key Value Drivers in Dental M&A
Why You Need a Dental Practice Specialist
Dental practice M&A is a niche — general business brokers don't typically work in it, and dental-specific advisors are not IBBA-certified business brokers in the traditional sense. For a practice under $1M in collections, a dental practice broker with direct buyer relationships is appropriate. For larger practices or DSO conversations, a healthcare M&A advisor is typically necessary.
Ask any broker you interview: How many dental practices have you sold in the past 24 months? What DSOs are you actively working with? What was the average collection multiple achieved? If they can't answer those questions with specifics, they're not the right advisor.
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