The Real Cost of Selling Your Dental Practice to A DSO

n this episode, we peel back the curtain on the real financial and emotional considerations behind selling a dental practice. T-Bone breaks down the numbers, myths, and risks that most dentists overlook when contemplating a sale, especially to DSOs and private equity. This is essential listening for anyone facing the decision to sell or stay in their practice, with insights grounded in reality and practical financial knowledge.

Main Topics:

How the actual sale proceeds are often far less than the headline number

The true nature of retained equity and why it’s not a safety net

The decline in success rates of second-stage sales (“second bites”)

Emotional versus financial decision-making in practice sales

How to build a resilient practice that doesn’t rely on selling

In this episode:

The anatomy of a $3 million practice sale, line by line

Why most dentists walk away with only about $600,000 after taxes and debt payoffs

The misconception that retained 40% equity will be a future windfall

Why the “second bite” often isn’t what it’s cracked up to be