Squeezed from Both Sides: Why Your Dentist Can't Raise Prices Even When Costs SkyrocketEvery quarter I open the ADA Health Policy Institute's State of the US Dental Economy report expecting to find a familiar story. Q1 2026 delivered something sharper. The concept the report introduces this cycle — the "fiscal squeeze" — is one of the clearest illustrations I've seen of why so many independent dental practices are […]
View Article
The Fractional C-Suite: How Dental Practices Can Get CEO, COO & CFO Thinking Without the $500K SalaryExxonMobil has a Chief Financial Officer. So does your dental practice. The difference is that ExxonMobil pays theirs $1.2 million a year, and yours is you — usually at 10pm after a full day in the chair, squinting at a QuickBooks report you didn't have time to understand. This is the trap most dental owners […]
View Article
You Can't Scale Chaos: The 4 Clarity Gaps Killing Dental Practice GrowthWhen a dental practice stalls, the first instinct is to look outward. Maybe the marketing isn't aggressive enough. Maybe the location needs more visibility. Maybe a different insurance mix would drive more patients through the door. But practice management consultants who work inside dozens of practices every year tend to find something different when they […]
View Article
The DIY Trap: Why Doing Everything Yourself Is the Most Expensive Decision in Your Dental PracticeThere is a story most dentists tell themselves about why they do everything themselves. It sounds like this: "I have high standards. I know how I want things done. If I hand it off, it won't be done the way I'd do it." That's not a character flaw. That's the same drive that built a […]
View Article
The Time Value of Tax Deductions: Why When You Take Them Matters as Much as Whether You Take ThemThere is a concept that runs through every episode of The Dental Boardroom's cost segregation series — and it is one that most CPAs never make explicit. The goal of cost segregation, bonus depreciation, and the grouping election is not simply to reduce your taxes. It is to control when you pay them. In Episode […]
View Article
The Grouping Election: Five Benefits and Six Risks Every Dentist Building Owner Needs to UnderstandThe Five Benefits 1. Your Building Losses Become Usable Immediately Without grouping, losses from your building LLC are classified as passive under the self-rental rules. Passive losses cannot offset your W2 or K-1 income from the dental practice — they get suspended in a carry-forward account until your building generates taxable profit. With grouping, those […]
View Article
Why Your Building Losses Are Getting Trapped — And the One Election That Fixes ItYou bought a building. You commissioned a cost segregation study. You generated a $300,000 loss in year one from bonus depreciation. And then your CPA told you that you cannot use it to reduce your W2 or K-1 income from the dental practice. If that has happened to you, or if you want to understand […]
View Article
Cost Segregation for Dentists: Reduce Taxes the Smart WayEvery dentist wants to reduce taxes, but not at the cost of confusion or risk. That is where cost segregation becomes interesting. It is often talked about as a powerful strategy, but rarely explained in a way that feels clear, practical, and easy to apply in real life. Most dentists hear about it in passing, […]
View Article
How Dentists Should Structure Practice and Real Estate RightsThere comes a point in every successful dental career where the focus quietly shifts. It is no longer just about patient flow, production numbers, or upgrading equipment. It becomes about something deeper and more strategic, how everything is structured behind the scenes. Because what most dentists eventually realize is simple but powerful. You can work […]
View Article
The $250K Mistake Dentists Make When Buying a BuildingThere’s a moment every dentist looks forward to, and it feels like a real milestone in your career. You finally step into ownership, not just of your dental practice, but of the building itself. No more rent payments going to someone else. No more uncertainty about lease renewals or rising costs dictated by a landlord. […]
View Article
