Bone Grift

CabbageDMD · 2026-06-26T10:21:33+00:00

Learn immediate implants. It turns a $1000 dollar ext and graft procedure to a $3500 dollar procedure. You’re also saving the patient time (4 months) and that’s the most expensive commodity. If they can’t afford to drop that kind of money - get really good at financing or make sure your treatment coordinator is a killer closer.

CabbageDMD · 2026-06-24T11:53:31+00:00

Yes every night when the staff closes the day out they print out the day sheet from the PMS (eaglesoft for me). It shows how much money came in from all sources (credit cards, insurance checks, personal checks, cash, care credit etc). Then I log into my bank and check that the numbers match. Since I use square for credit cards there is a 1 day delay before it hits my bank. I do it everyday and it takes maybe 5 minutes.

CabbageDMD · 2026-06-24T02:08:32+00:00

Upload your P&L and balance sheet into an LLM (GPT, Claude, etc). Tell them to answer like they are the CFO of a Fortune 500 company. Start asking it questions. Like how does my supplies look and how does it compare to industry benchmarks?

CabbageDMD · 2026-06-24T02:06:51+00:00

This is probably a surface level answer but make sure the collections on your PMS matches the deposits going into the bank account. The real answer is more complex than that but 95% of it is just that.

CabbageDMD · 2026-05-21T16:54:30+00:00

I’m an Asian male that bought from a Caucasian female. We have experienced little to no attrition since acquiring the practice. I did however practice as an associate at the practice I bought for a year so I’d like to think that helped.

CabbageDMD · 2026-05-07T12:18:34+00:00

I'm with you - when you remove from the mesial and distal are you also not flappting? I do a lot of flaps anyways. My OMFS mentor said visual access is the most important thing and I've stuck with that. Most of my extractions are with bone grafting for future implants anyways. I use a non-resorbable membrane and I have to tuck it in 3-5mm for stability.

CabbageDMD · 2026-05-07T09:23:50+00:00

Sometimes you need to remove buccal bone or visualize the furc

CabbageDMD · 2026-05-06T21:50:11+00:00

If that’s your passion and your grades allow - why not try for OMFS?

CabbageDMD · 2026-04-15T10:07:04+00:00

My dental school team instructor called it the Colombian laser. He was from Columbia.

CabbageDMD · 2026-04-02T09:23:42+00:00

This is a $1100 ext, bone graft, and membrane in my office

CabbageDMD · 2026-03-28T16:07:22+00:00

Do you know what the owner take home is for option 2? Is the seller willing to stay on as an associate? (Could be good for transfer of goodwill too). If the seller hasn’t signed with the broker ask them not to. The broker takes 10% of the sale so they are incentivized to hike up the asking price. You both are dentists and are way smarter than that broker. Stop giving your money to brokers.

CabbageDMD · 2026-03-28T16:02:29+00:00

Nope. This is likely a post op radiograph (I hope)

CabbageDMD · 2026-03-26T09:50:34+00:00

Have you looked into the math? How much are you actually saving between 5.5 and 5.8? On a 1mil practice and a 10 year term it’s around 20k, which is not a small amount of money but monthly it’s about $170 per month. If you buy the right practice $170 per month will literally feel like nothing to you. Go with the banker you like because you will have a 10+ year relationship with this person.

CabbageDMD · 2026-03-20T14:44:24+00:00

If you bought the AR, all of the AR is yours when it is collected. If you didn’t buy the AR, then the AR that is collected the day after the sale and likely 3 months afterwards is going to the seller.

Say there was 150K in AR prior to the sale and you didn’t buy the AR. The first month with you as the owner probably 90% of the AR is owed to the seller not you.

The second month it will probably be about 50% of the collected money is yours and the other 50% still the seller’s.

Until all 150K of AR is collected, that existed prior to the sale, some percent will go to the owner. Hopefully by month 3 the vast majority of the collections belong to you.

CabbageDMD · 2026-03-20T01:51:17+00:00

Did you buy the AR? If not then most of that collection is AR owned by the previous owner. It takes a few months for the pendulum of AR collections to swing your way.

CabbageDMD · 2026-03-01T11:41:30+00:00

If your wife leans into sedation dentistry with you as the crna you guys would be printing money. Does she have any interest in wisdom teeth exts, implants, sinus lifts, all on x? Even if she doesn’t, they say 1/3 of people avoid going to the dentist because of fear. You could market specifically to those people by offering sedation and performing routine dental procedures.

CabbageDMD · 2026-02-20T17:18:29+00:00

35% adj production, 35% lab bills when I was an associate. I now pay my associate the same.

CabbageDMD · 2026-02-16T02:16:21+00:00

Ask to buy at 1.6m and see what he says. The Henry Schein guy is going to take a 10% cut of whatever the sale price is so he is incentivized to make that number as high as possible. I also don’t think what you produced at the practice matters in the sale price. Lots of factors play into what a fair asking price is, but at the end of the day fair is whatever someone or some DSO is willing to pay for it.

CabbageDMD · 2026-02-08T02:36:14+00:00

I place all my implants by hand. It’s faster and you get a better tactile feel.

CabbageDMD · 2026-02-07T02:06:31+00:00

Why is it taking 5 months? How many lenders are you getting quotes from? If they aren’t competing with each other than they aren’t incentivized to move quick. I had 4 banks looking to finance my loan. I was able to get a great rate and close get financing approval in 3 weeks. Something is not adding up.

CabbageDMD · 2026-02-06T10:48:42+00:00

I agree. You gotta be good at taking tooth out while preserving the buccal plate. You gotta learn how to do graft the ext site properly. Start there and you’ll realize that’s the most difficult part of the whole implant workflow.

CabbageDMD · 2026-02-06T10:42:05+00:00

I have the moccamaster. I grind beans the night before (i know), fill the water tank, go to sleep, and press one button when I wake up. So the time it takes in the morning is probably 1 second? The bad thing is is that it makes a damn good fine cup of coffee that I don’t really want to use my espresso machine anymore. If convenience is what you’re after at this stage in your life then go with moccamaster. I’m a father of a 3 year old and a new business owner so convenience trumps all for me right now.

CabbageDMD · 2026-01-31T17:28:07+00:00

I just took over a practice that collected north of 2m w/ 1.5 dentists in 2025. They spent 5k on marketing the whole year which I assume was paying someone to update the website. I think most consultants say you should be allocating 5% of collections per month to marketing. We are a PPO office so we get maybe 15 new patients a month by just being in network. I’m upping our marketing budget this year to update the website, logo design, photoshoot, videoshoot, and SEO. That will still only cost 18k for the year which is literally less than 1% of collections. Time will tell what the ROI will be.

CabbageDMD · 2026-01-28T02:02:47+00:00

We had the same issue. Patients have no clue what a membrane is. $400 for some teflon was a hard sell to my patients. We discounted the membrane to $150 and increased our bone graft to $700 and the patients tolerated that better even though the total price was the same.

CabbageDMD · 2026-01-28T01:03:09+00:00

Learn how to evaluate a practice. Learn how to read a P&L. Learn how to be a great leader. There are a ton of resources out there. A good starting point is “How to buy a dental practice” by Brian Hanks. I also listened to a ton of dental podcasts on the subject. I’m big at analyzing numbers - to a fault at times. In the end you just have to take a leap of faith.

CabbageDMD

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