Sell a Dental Practice | Transitions Elite
For dental practice owners

You will be offered a number. What you keep is a different number.

Your offer will rarely be all cash. A good part of it will be rollover equity and earnout, paid years later, on performance you no longer fully control. Nobody is going to walk you through that half of it, because almost everyone in this market gets paid by someone who wants you to sign. We take nothing from buyers, and no distributor owns us.

The first one asks for a zip code and nothing else. No valuation form, no call.

Already have an offer?

Run it through here and see what it actually pays

Two offers with the same headline can pay you very differently. What matters is how much lands on the day you close, and how much you spend the next few years waiting on. Move the sliders to match what you have been offered. Nothing is saved and nobody is told.

Cash at close $2,646,000 Yours on the closing date
Rollover equity $1,050,000 Paid when the buyer sells its platform
Earnout $504,000 Paid if targets are met after closing

You control 63% of this offer on day one. The other $1,554,000 depends on decisions made after you have handed over the keys.

Want to know where you stand, or need a second opinion?

No charge, nothing to sign, and it goes no further than the two of you. If a buyer has already put a letter of intent in front of you, we will read it and tell you what we would push back on, and if it has put you inside an exclusivity window we will tell you what that does and does not stop you doing. You talk to the person who would actually run your sale. Not a coordinator, and not a call centre.

Get a second opinion

Before the first call

Three things nobody will tell you unless you ask

None of this is proprietary. We would rather you knew it before you talk to anyone, including us.

01

Your advisor may be owned by your supplier

Dental distribution and dental transitions have quietly become the same business. All three of the large distributors run a practice transitions arm, and the biggest firm in this market that describes itself as independent is majority owned by one of them. That ownership is not stated in its marketing. Ask every advisor you speak to, including us, two questions: who owns you, and who pays you. Write the answers down.

02

The uplift they call synergy is one you could bank first

When a DSO models your practice it assumes it will move you onto its own PPO fee schedules after closing. That lift is underwritten as the buyer's synergy, so you are paid nothing for it. Renegotiate those schedules 12 to 18 months before you go to market and the same lift sits in your trailing EBITDA, where it is multiplied. It is the same money either way. The only question is whether it lands in your price or in the buyer's return.

03

An earnout can miss for a paperwork reason

Your payer contracts are provider specific and location specific, and a lot of them cannot simply be handed over to a buyer. Re‑credentialing commonly runs 90 to 180 days. If your earnout is measured on collections after closing, a credentialing gap can make you miss a target you hit clinically. There are three contract terms that close that hole, and they belong in the letter of intent, not in the purchase agreement four months later.

Incentives

Who pays us, in plain terms

Everything above this depends on it. An advisor paid by a buyer, or owned by one, has no reason to walk you through the second half of what an offer is worth.

No buyer pays us anything

Not a referral fee, not a co‑broke split, not a platform fee, not a dinner. We are asked regularly and we keep a record of who asked and what we said.

No distributor owns us

No supply company, no equipment manufacturer and no lender holds a stake in this firm. You can check the cap table before you sign anything.

No retainer and no minimum

Nothing monthly, nothing upfront and no engagement minimum. We are paid once, when the sale closes, and not before.

We diligence the buyer

Before you sign, we go at them the way they will go at you. Their last three dental closes, whether those earnouts actually paid, and what happened to the associates in year two.

Not one dental market

Built for how dental actually transacts

Oral and maxillofacial

The only real auction in dentistry

Oral surgery Most other specialties
One buyer big enough to set the price is not an auction. Bidder counts are our estimate.

Roughly ten to twelve credible buyers with no single dominant one, which is the condition a competitive process needs. It was also the only dental specialty where deal volume grew in 2025 while the wider dental market fell. OMS cross codes to medical, so it is the least constrained by the dental annual maximum. We run these ourselves rather than referring them out.

Pediatric

Payer mix before square footage

Mostly fee for service higher multiple Medicaid heavy lower multiple
Fee for servicePPOMedicaid
The direction is settled. The size of the gap is not.

Buyer depth is genuine here and so is the payer risk. We screen your payer mix, and where there is time we reshape it, before your practice is positioned, because Medicaid concentration moves the multiple further than anything else you could realistically fix before a sale.

General practice and groups

Two locations changes everything

platform buyers 1 2 3 to 5 6+
How many buyers will look, by locations. Everything after the second one is incremental.

The second location changes the buyer list entirely and it is the single biggest lever on the multiple. Below that, the honest work is usually preparation rather than an auction. If the right answer is to wait eighteen months and fix three things first, that is what you will hear from us.


Confidentiality

What your team and your referrers see

Nothing, until you decide otherwise. This is the actual sequence.

First

You approve a blinded profile. Region, size band, case mix. No name, no address, no photographs, no identifiable numbers.

Second

You approve every buyer on the list by name before any of them is contacted. If a group has approached you before and it went badly, it does not go on the list.

Third

Nothing identifiable moves until a signed NDA is in place, and the financials go out in stages rather than all at once.

Never

No listing sites, no marketplace, no broker network circulation. Your practice is never posted anywhere.

At close

We help you plan the conversation with your team and your referring dentists, and when it happens. Most sellers get that sequence wrong and it costs them staff.

Start here

Tell us about your practice

Find out where you actually stand, or get a second opinion on an offer you already have. Our senior dental advisor will provide a confidential consultation.

Not ready to talk

See what your market looks like first

Which groups are actually acquiring within an hour of your practice, how many independents are left around you, and which way both numbers have moved in the last two years. It takes a zip code and gives you a page. We do not ask for your name and nobody calls you.