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Dental Practices (General + Specialty)

The 3 anchors. Don't leave the meeting without them.

1THE PRICE
3x–5x SDE (doctor-to-doctor sale for practices <$1.8M collections); approx 60–80% of prior 3-year average collections for traditional transitions
Typical deal: $1.5M
2THE LEVER
EBITDA margin above 25%
Push this up, multiple goes up
3THE LANDMINE
Owner produces 90%+ of practice revenue
Surface this in the first 15 min
SDE multiple
3x–5x SDE (doctor-to-doctor sale for practices <$1.8M collections); approx 60–80% of prior 3-year average collections for traditional transitions
EBITDA multiple
5x–8x (DSO add-ons, single-office GP); 7x–9x (multi-provider regional groups $1M–$3M EBITDA); 9x–11x (emerging multi-site platforms $3M–$5M EBITDA); 11x+ (platform-level organizations $5M+ EBITDA). NOTE: DSO consolidation has reached ~25% market penetration, paying record multiples. Specialty practices — orthodontics, oral surgery (OMS), pediatric dentistry — command 20–40% premium multiples over general dentistry. Of 250 OMS residency graduates in 2024, ~150 went directly to IDSOs/DSOs (per Large Practice Sales), reflecting fastest consolidation of any dental specialty. IDSO partnership model (selling 51–90% while retaining equity) can yield 6x–12x EBITDA for practices with $500K+ EBITDA.
Deal size range
$250K – $62M (IDSO/DSO platform recaps)
OPEN

Open the meeting

Three things to nail in the first 10 minutes.

  1. 1

    Doctor-to-doctor sales for practices under $1.8M collections: 3x–5x SDE or 60–80% of prior 3-year average collections.

  2. 2

    DSO add-ons price at 5x–8x EBITDA for single-office GP; multi-provider regional groups reach 7x–9x.

  3. 3

    Specialty practices (ortho, OMS, pedo) command 20–40% premium multiples over general dentistry.

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