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Your Practice Appraisal Is Like an X-Ray: See the Full Picture Before You Sell

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You Wouldn’t Treat Without an X-Ray. Why Sell Without an Appraisal?

As a dentist, you’d never diagnose a problem without the right tools. Before recommending treatment, you rely on x-rays to see what the eye can’t—bone loss, hidden decay, fractures, infection.

— The same logic applies to selling your dental practice.

An appraisal is your practice’s x-ray. It reveals the full picture—not just what’s happening on the surface, but the deeper financial, operational, and market-based factors that influence your value.

A Pro Forma Is the Treatment Plan—But an Appraisal Is the X-Ray

Sometimes dentists think an appraisal is going to spell out exactly how a deal will be structured, what the sale terms will be, or how much they’ll take home after taxes. That’s not the job of the appraisal.

Instead, think of it this way:

  • Appraisal = Diagnostic Imaging

    (Unbiased look at what’s happening in the practice)

  • Pro Forma = Treatment Plan

    (How the transition might be structured once a buyer is involved)

Just like you wouldn’t skip the imaging and go straight to the procedure, you shouldn’t skip the appraisal and assume the outcome of a future sale.

What a Dental Practice Appraisal Tells You

A well-done appraisal gives you:

  • Fair Market Value of Your Practice
  • Breakdown of income streams (doctor vs hygiene)
  • Adjusted earnings after normalizing expenses
  • Valuation of equipment, goodwill, and other assets
  • Benchmark comparisons to similar practices
  • Insight into what a buyer or bank would see

It’s not a generic estimate. It’s a data-driven, market-tested assessment of what your practice is really worth.

Why This Matters—Even If You’re Not Selling Today

Even if you’re a few years away from retiring or transitioning, having an appraisal now can help you:

  • Set realistic expectations

  • Identify weak spots before they impact value

  • Make strategic upgrades or clean up financials

  • Plan for taxes, retirement, or associate transitions

  • Negotiate better with DSOs or private buyers in the future

— Dentists who plan ahead nearly always achieve better outcomes when they do sell—because they’ve had time to prepare.

What Happens Without an Appraisal?

Skipping this step can lead to:

  • Overpricing your practice and scaring off buyers

  • Underpricing it and leaving money on the table

  • Getting blindsided by issues during buyer due diligence

  • Delays, renegotiations, or failed deals

  • Avoidable stress in a process that’s already emotional

An appraisal isn’t just helpful. It’s essential.

Final Thoughts: Get the Full Picture Before You Decide

Your dental practice is likely one of your most valuable assets. Whether you plan to sell this year, in five years, or just want to understand where you stand—an appraisal gives you clarity, confidence, and control.

— Just like you’d never treat without a diagnosis, don’t plan your future without knowing what your practice is really worth.

Ready for a Confidential Appraisal?

At American Practice Consultants, we provide dental practice appraisals that are:

  • Thorough and unbiased
  • Backed by real-world market data
  • Designed for both sellers and strategic planners

No pressure. No sales pitch. Just clarity.

— Contact us today to schedule your confidential dental practice appraisal.

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Is It Time to Stop Associating and Buy a Practice? 7 Signs You’re Ready for Ownership

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Still Associating? Here’s Why That Might Be Holding You Back

Working as an associate can be a great way to sharpen your clinical skills, build confidence, and get your footing in dentistry. But after a few years, many associates start asking themselves the big question:

“Am I ready to own my own practice?”

The truth is, there’s no perfect moment to make the leap. But there are clear signs that you’re outgrowing your associate role and ready to take the next step toward ownership, autonomy, and long-term wealth.

This post breaks down the 7 signs you’re ready to stop associating and buy a dental practice—plus what to do next if you’re nodding along.

1. You’re Producing Like an Owner—But Not Earning Like One

If you’re generating $800K, $1M, or more in production each year but still taking home associate-level pay, it might be time to start building equity in your own business.

— Ownership means your hard work builds long-term value for YOU—not someone else.

2. You’re Frustrated With the Practice’s Decisions

Do you find yourself questioning scheduling decisions, hygiene protocols, equipment upgrades, or how patients are treated? If you’re thinking, “If this were my practice, I’d do it differently,” — that’s a sign.

— Ownership gives you control over culture, priorities, and patient care standards.

3. You’re Financially Stable (Even If You Don’t Feel Rich)

You don’t need to be debt-free to buy a practice. In fact, many dentists buy while still paying off student loans. What matters more is:

  • A solid credit score

  • Manageable debt-to-income ratio

  • Steady associate income

  • A basic understanding of personal and business finances

— Many banks will lend 100% of the purchase price (or more) to qualified buyers.

4. You’re Thinking Long-Term

Associates often think month to month. Owners think 5–10 years ahead.

If you’re asking questions like:

  • “Where do I want to be in 10 years?”

  • “What kind of legacy do I want to leave?”

  • “How can I build wealth and independence?”

…you’re already thinking like an owner.

5. You’re Willing to Learn the Business Side

You don’t need an MBA—but you do need curiosity, humility, and a willingness to learn how to run a business.

If you’re excited by:

  • Team building

  • Marketing

  • Leadership

  • Tracking performance and profitability

…you’re ready to move beyond the operatory.

— Ownership is the ultimate CE course in leadership.

6. You Want to Build Something That’s Yours

There’s pride in ownership that no associate job can match. From the logo on the sign to the culture you create, owning a practice allows you to build something that reflects your values, goals, and vision.

— Ownership is where your career becomes your legacy.

7. You’re Waiting for the Perfect Moment… But It Never Comes

This one’s big. Many associates stay in limbo for years—worried the timing isn’t perfect, or they’re not “ready.”

Here’s the truth: You’ll never feel 100% ready.

— But with the right support, you don’t have to do it alone—and the rewards are worth it.

Next Steps: What to Do If You’re Ready

  1. Get Prequalified

    Talk to a dental-specific lender to understand how much you can borrow.

  2. Connect With a Broker Who Understands Your Goals

    Look for someone who works with buyers long-term, not just during the deal.

  3. Start Reviewing Listings

    Even if you’re not ready to buy today, reviewing opportunities helps you understand the market.

  4. Build a Team

    You’ll need a dental CPA, attorney, and possibly a consultant.

Final Thoughts: Ownership Isn’t Just About Money—It’s About Control

Yes, owning a practice can dramatically increase your income over time. But more importantly, it gives you control over your career, the ability to shape your patient experience, and the freedom to create a life and practice you’re proud of.

— If you’ve outgrown associating, don’t ignore that feeling. Start exploring your path to ownership today.

Ready to Take the Next Step?

At American Practice Consultants, we help associate dentists like you understand the process, evaluate opportunities, and find the right fit. Whether you’re looking to buy this year or just starting to explore, we’re here to guide you.

👉 Schedule a confidential buyer consultation today.

What Kind of Buyer Feedback Should You Expect If Your Practice Isn’t “Turnkey”?

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Not Every Practice Is Turnkey — And That’s Okay

In an ideal world, every dental practice for sale would be modern, efficient, fully staffed, and ready for a seamless transition. But in the real world? Many great practices need some level of updating, cleanup, or support before a buyer feels ready to take over.

If you’re preparing to sell and your practice isn’t fully “turnkey,” that doesn’t mean it won’t sell. It just means you should be prepared for certain types of buyer feedback—and know how to respond to it.

— Knowing what to expect can help you stay calm, objective, and strategic during the sale process.

Common Buyer Feedback on Non-Turnkey Practices

1. “The equipment is outdated”

Buyers may express concern if your chairs, delivery units, or technology (x-rays, sensors, practice management software) are more than 10–15 years old.

— What it really means:

They’re mentally calculating how much they’ll need to invest after closing. It’s less about cosmetics, and more about functionality and cost.

— How to respond:

Be honest about the age of your equipment. If it still functions well, say so—and provide maintenance records if available. You may also consider adjusting your asking price slightly if major upgrades are needed.

2. “The financials are hard to follow”

Buyers and banks want clean, easy-to-understand financial records. If your bookkeeping is messy or inconsistent, they’ll raise red flags.

— What it really means:

They’re not confident they can trust the numbers—and that makes financing difficult.

— How to respond:

Get help from your CPA or broker to clean up and summarize your last 3 years of tax returns, P&Ls, and production reports. A buyer who sees effort and transparency is more likely to stick with the deal.

3. “I’m concerned about staff turnover or morale”

If your practice has had recent staff changes—or the team seems disengaged—buyers may worry about continuity after the sale.

— What it really means:

They fear they’ll lose institutional knowledge or patient relationships if staff leave post-sale.

— How to respond:

Be proactive. Offer short-term retention bonuses, outline who’s staying, and talk about the strengths of your remaining team. A buyer wants to see a plan, not perfection.

4. “The systems seem a bit disorganized”

If you’re still using paper charts, have a loose recall system, or your scheduling and billing processes are informal, buyers may be hesitant.

— What it really means:

They’re asking: “How much work will it take to modernize this?” It’s a question of time, effort, and staff training.

— How to respond:

Highlight the strengths of your current system. If your paper system is consistent and works, say so. Also, emphasize any opportunities the buyer has to streamline and make the practice their own.

5. “It feels like there’s no clear transition plan”

Even if your practice is profitable, buyers may hesitate if it’s unclear how patients and staff will be introduced to the new owner.

— What it really means:

They’re worried about patient attrition and post-sale chaos.

— How to respond:

Share your plan to communicate the transition to patients, offer to stay on for a short period, and discuss how you’ll support the buyer through credentialing, introductions, and continuity of care.

Turning Buyer Feedback Into Opportunity

The best sellers don’t take feedback personally—they use it to identify roadblocks, adjust expectations, and show flexibility where it matters most.

Some simple ways to stay proactive:

  • Ask your broker for feedback summaries after showings or buyer calls

  • Document what’s working well, even if it’s not shiny or new

  • Be transparent about challenges, and show a willingness to help solve them

  • Don’t fix everything—just the right things that matter most to buyers

A non-turnkey practice can still be a great opportunity—especially if the buyer feels informed, supported, and respected throughout the process.

Final Thoughts: It’s About Confidence, Not Perfection

Most buyers know that no practice is perfect. What they’re really looking for is transparency, realistic expectations, and a seller who’s invested in a smooth transition.

Whether your office needs a few updates or a full refresh, the right buyer will appreciate your honesty—and may even see the chance to make it their own as a benefit, not a burden.

Need Help Positioning Your Practice for Buyers?

At American Practice Consultants, we help sellers navigate buyer feedback, anticipate objections, and tell the full story of their practice—strengths, quirks, and all. You don’t need a perfect practice to sell. You just need a thoughtful plan.

📞 Schedule a confidential consultation to learn more.

What Makes a Dental Practice “Turnkey”? (And Why That Matters to Buyers)

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What Does “Turnkey” Really Mean?

If you’re preparing to sell your dental practice, you’ve probably heard the term “turnkey” thrown around by brokers, buyers, and lenders. But what does it really mean—and why does it matter?

In short, a turnkey dental practice is one that’s ready for a new owner to walk in, hang their license, and start seeing patients immediately with minimal disruption. No major upgrades. No staffing overhauls. No patient communication issues. Just a smooth transition.

— Think of a turnkey practice like a well-maintained car: the buyer just needs the keys—they don’t want to rebuild the engine.

Why Buyers Love Turnkey Practices

From the buyer’s point of view, a turnkey practice reduces risk, stress, and startup costs. It signals that:

  • The practice has been well-managed

  • Systems and workflows are already in place

  • Staff are trained, retained, and engaged

  • Patients are accustomed to the structure and ready to continue care

  • Cash flow will continue from day one

In a competitive market, turnkey practices command stronger interest and often sell faster—sometimes with better offers.

What Makes a Dental Practice Truly Turnkey?

Here’s what buyers are really looking for:

1. Clean and Organized Financial Records

Buyers and banks need clear, reliable financials. That includes:

  • 3 years of tax returns and profit & loss statements

  • Production and collection reports

  • Fee schedules and insurance participation lists

  • Payroll and overhead details

  • A/R aging reports

If it takes weeks to track down basic numbers, buyers will lose confidence—or walk away.

2. Trained and Stable Staff

Turnkey doesn’t just mean equipment—it means people. Buyers look for:

  • Low staff turnover

  • Clearly defined roles

  • Employees willing to stay through the transition (at least 3–6 months)

  • A positive, professional team culture

Pro tip: Many sellers offer a small retention bonus to staff who stay through a set period post-sale. It’s a smart investment.

3. Efficient Systems and Workflows

Buyers want to know the practice runs smoothly. That means:

  • Reliable scheduling and billing systems

  • Digital charting and x-rays (if possible)

  • A recall system that works

  • Software and workflows the team can explain and use effectively

Even if your systems are basic, consistency matters more than flash.

4. Clean, Well-Maintained Equipment

You don’t need the latest CBCT scanner, but your operatories should be:

  • Fully equipped and operational

  • Clean and up to infection control standards

  • Free of broken or outdated equipment

Buyers want to start working—not fix suction lines on day one.

5. A Lease or Real Estate Situation That’s Ready

If you lease your space, make sure the lease is assignable or renewable. If you own the building, decide before listing whether you want to sell or lease it.

Buyers don’t want to negotiate a lease from scratch at the last minute. A clear plan builds confidence.

6. Patient Retention Plan

The goodwill of your practice is built on patient relationships. Buyers love to see:

  • A drafted patient letter announcing the transition

  • Planned handoff messaging from you to your patients

  • Continued hygiene scheduling

  • A plan for insurance credentialing support

It shows you’re invested in making the transition smooth—for patients and the buyer.

“Almost Turnkey” vs. “Truly Turnkey”

A practice that looks great on paper but is disorganized behind the scenes can scare off buyers. Likewise, a practice that’s a bit dated—but has great staff, solid systems, and loyal patients—might be more “turnkey” than you think.

Ask yourself:

  • If I handed over the keys tomorrow, could a new dentist succeed here without reinventing everything?

  • Or would they have to clean up records, restaff, or fix broken systems first?

Final Thoughts: Turnkey Means Confidence

Buyers want to walk into a practice that feels ready. They’re not just buying collections—they’re buying peace of mind, momentum, and the ability to hit the ground running.

— The more turnkey your practice is, the faster it can sell—and the smoother the transition will be for everyone involved.

Want Help Preparing Your Practice for Sale?

At American Practice Consultants, we specialize in helping sellers get their practices “buyer-ready”—without overinvesting or overthinking it. From document prep to positioning, we’ll help you highlight what makes your practice turnkey.

📞 Contact us today for a confidential consultation.

Your First Practice Purchase: How to Spot a Good Deal (And Avoid a Bad One)

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Starting Your Ownership Journey? Here’s What You Need to Know

Buying your first dental practice is one of the most exciting—and intimidating—milestones in your career. You’ve probably spent years dreaming about being your own boss, controlling your schedule, and building something that’s truly yours.

But here’s the catch:

Not every “profitable” practice is a good deal. And not every fixer-upper is a bad one.

This post will help you look beyond surface-level numbers and understand the true value and potential of a dental practice—so you can buy with confidence and avoid expensive mistakes.

What Looks Like a Good Deal (But Might Not Be)

Let’s start with a few red flags disguised as selling points:

“High Gross Collections”

A practice collecting $1.2M may sound great—until you realize the overhead is 75%, the seller refers out most procedures, and staff turnover is high. Collections are only part of the story.

“Significant Price Reduction!”

If a practice has been sitting on the market or the price has dropped dramatically, ask why. Is there outdated equipment? A shrinking patient base? A lease issue?

“Modern Technology”

New equipment is great—but don’t let it distract you from more important factors like active patients, hygiene recall, and staffing stability.

  • Remember: A deal is only good if the fundamentals are strong.

What REALLY Makes a Practice a Good Deal

Here’s what experienced buyers and dental brokers look for:

1. Consistent, Well-Documented Revenue

Look for 3–5 years of stable or growing collections, with clear financials (P&Ls, tax returns). Watch for red flags like sudden spikes or unexplained dips.

2. Healthy Hygiene Department

Hygiene production should make up 25–35% of total production. A strong recall program means loyal patients and predictable revenue.

3. Staff Stability

Long-term employees = smoother transitions. High turnover = potential headaches. Ask how long the team has been in place and how they’re compensated.

4. Reasonable Overhead

Overhead (excluding doctor compensation) should ideally be in the 55–65% range. Anything significantly higher might hurt profitability.

5. Good Location and Lease Terms

Is the practice easy to access? Are there growth opportunities nearby? Is the lease assignable? Watch out for balloon payments or expiring leases without renewal options.

6. Seller Willing to Assist in Transition

A cooperative seller who’s willing to stay on for a few months post-sale can help retain patients and ease staff concerns.

Bonus: Questions to Ask During Due Diligence

  • How many active patients are there (patients seen in the last 12–18 months)?

  • What procedures does the seller perform in-house vs. refer out?

  • What’s the payer mix (PPO, FFS, Medicaid)?

  • Are there any large corporate competitors nearby?

  • What’s the equipment age and condition?

Watch Out for These First-Time Buyer Mistakes

  • Falling in love with the décor and ignoring the financials

  • Overestimating your ability to “fix” a bad practice

  • Underestimating staff transition challenges

  • Overpaying for goodwill without proof of patient loyalty

  • Failing to hire a dental-specific CPA and attorney during the process

The best buyers stay curious, skeptical, and supported by the right team.

A Good Deal Isn’t Just About Price

It’s about value, momentum, and potential. A $650,000 practice with low overhead, a loyal staff, and consistent patient flow might be far better than a $1.3M practice with high attrition and chaos behind the scenes.

Ask yourself:

  • Can I realistically step into this role and succeed?

  • Will this practice support my lifestyle and loan payments?

  • Does the staff and patient base align with my clinical and leadership style?

Final Thoughts: Make Your First Practice a Launchpad, Not a Lesson

The first practice you buy sets the tone for your entire career. Don’t rush. Don’t guess. And don’t assume bigger is always better.

With the right team, a clear process, and a healthy dose of due diligence, you can make a decision that sets you up for years of personal, professional, and financial success.

Need Help Finding and Evaluating the Right Practice?

At American Practice Consultants, we specialize in helping first-time buyers navigate the process with confidence. From reviewing financials to evaluating culture and location, we’re here to make sure your first deal is a smart one.

📞 Schedule a no-obligation buyer consultation today.

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