You run the chair. We’ll run the business side.
Fractional dental practice management for owner-dentists of solo and small independent practices. We build the systems the practice runs on, from SOPs and the HR file to pay scales and the schedule, and we spend one day in your office every month. In person across Central and South Florida, remote nationwide.
Request your First Look A complimentary 30-minute conversation and a look at your summary reports (no patient data), with a one-page readout within 3 business days.Sound familiar?
“Collections were down last month. I found out from the CPA.”
“If my office manager quit tomorrow, I couldn’t log into payroll.”
“My hygienist gave two weeks. Her column is booked through spring.”
“The over-90 column keeps growing, and nobody owns it.”
“I’d like to work four days. I’m not sure the practice runs without me.”
Dental school covered the dentistry. The payroll questions and the aging report came with ownership, and they wait until the last patient leaves. In an ADA survey, insurance reimbursement and staffing were dentists’ two leading sources of major stress (ADA Trend Report 2024).
What we do
We build the parts of the practice that shouldn’t depend on you, then help your team run them.
Foundations. Mission, vision and values, written with you. SOPs for every position and a training manual, so each new hire learns the job one way.
HR. We audit and organize your HR documents, then supply a complete set (handbook, offer letters, job descriptions, write-up and separation forms) for your employment attorney to review. Hiring and termination follow a written protocol, every time.
Pay and performance. Pay scales by role, a raise policy, and bonuses tied to production and collections. A scorecard and regular review for each position, so people know where they stand.
Patients and the schedule. The new-patient call, treatment presentation, financial policy and collecting at checkout. Block scheduling, a daily production goal, and hygiene patients who leave with their next visit booked.
Overhead and vendors. Where the money goes by category, and your personal overhead if you want it. Supplies, lab bills and vendor contracts reviewed before they renew.
Lenders and debt. Practice loans, lines of credit and equipment financing, reviewed line by line. We negotiate with lenders on your behalf and build a plan to bring the debt down.
Technology. Practice software, phones and the tools around them, set up so the team uses them well. Where AI can take routine work off the front desk, we put it to use.
Compliance basics. OSHA, HIPAA and handbook upkeep, coordinated with your attorney or compliance vendor.
Your time. A meeting cadence, what to delegate, and a huddle and team meeting that run without you steering.
New practices. For a startup, the path from lease and buildout to opening day, with the systems in place before the first patient arrives.
Brand, growth and exit. What the practice is known for and who it serves best. When you’re ready, associate hiring, a second location and valuation readiness.
Receivables and PPOs. We find why money is stuck in AR and fix the front-desk routine behind it. On PPOs, you get a clear recommendation and the decision stays yours.
How it works
Complimentary First Look. A 30-minute conversation and a one-page readout.
Proposal within two business days of the readout.
First visit and 90-day plan. A full day in your office, huddle to close, then a written plan with owners and dates.
Each month. An on-site day and a written action list, with follow-through between visits.
Monthly retainers
Every retainer includes one on-site day a month (by video outside Florida). Three-month minimum, then month-to-month with 30 days’ notice.
Advisor
$5,000/month
For a practice with a capable office manager: diagnosis and priorities, overhead and compensation review, and help with meetings and delegation. Replies within 2 business days.
Partner
$6,500–$8,000/month, based on practice size and providers
For a practice without a strong office manager, or in the middle of turnover. We build the documents and systems above, from SOPs to scorecards, with a weekly check-in. Replies within 1 business day.
Premier, “The Right Hand”
from $10,000/month
Our fractional chief of staff, adding personal overhead, brand and positioning, and growth and exit planning, with a direct line and same-business-day response. We keep Premier to a few practices at a time.
Fixed-fee projects: Practice Foundations, HR Toolkit, Compensation Plan, Receivables Review, Lender and Debt Review, Startup Launch, an office manager or hygienist hire, and Brand & Positioning. Ask for the full menu
What we don’t do
We don’t file claims, write appeals or call carriers; your billing team or vendor handles those. We don’t give clinical, legal, tax or investment advice. Your attorney reviews every HR document we supply. We don’t run payroll.
FAQ
Are you replacing my office manager?
No. A good office manager gets someone to bring problems to, and the job gets easier. If you don’t have one, or yours just left, Partner covers the business side while we help you hire and train the right person.
Do you need access to patient records?
Not for the First Look. We ask only for summary reports: production, collections, AR aging totals, hygiene figures and your P&L. If we work together, we’ll set up access properly under a business associate agreement.
Will my team feel watched?
Most teams are relieved to have the routines written down, and we give feedback in a form they can use.
We use Dentrix, Eaglesoft or Open Dental. Does that matter?
The reports we need exist in every major practice management system.
How soon will something change?
An AR follow-up routine or an ASAP list can start the first month. SOPs, the HR set and a new hire take longer.
Start with a 30-minute conversation.
Tell us about your week. Within 3 business days you’ll have your practice score and the first three things we’d fix, whether or not we work together.
Request your First Look Central & South Florida in person · remote nationwide · 561-685-4859 · edge@molarandmargin.com