HR & Staffing

For most dental practices, people are the largest expense and the biggest daily headache. We manage the full employee lifecycle — recruiting, screening, and onboarding new hires, plus the offer letters, handbooks, wage-and-hour compliance, and difficult performance and termination conversations that carry real legal exposure when handled informally. We benchmark your pay and benefits against local data so you keep your best people without overspending, and build the review paths that make them want to stay. The result: a team that's well-matched, fairly paid, and properly documented — so you can focus on dentistry, not personnel fires.

Fractional Practice Management

Most practices are too big to run themselves but too small to justify a full-time administrator — so the owner ends up doing both jobs, badly, at the expense of chair time. We fill that gap. On a fractional basis, we take on the operational running of the practice: scheduling and production flow, collections and payer mix, overhead and vendor management, staff oversight, and the monthly numbers that tell you whether the business is actually healthy. You get the discipline and systems of a seasoned practice administrator without the six-figure salary, and a single point of accountability for how the office runs day to day. The result: a practice that operates on process instead of improvisation — and an owner who's a dentist again, not an overworked office manager.

Crisis & Turnaround Management. When a practice is under financial strain, the worst move is waiting — pressure compounds, options narrow, and lenders grow less flexible the longer a balance sits. We step in at exactly this point. We start by mapping the full picture: what you owe, to whom, on what terms, and how it maps against real monthly cash flow. From there we build a plan and do the hard part with you — negotiating directly with lenders and vendors. Alongside the debt itself, we tighten the operational side that created the squeeze: overhead benchmarking, collections, payer mix, and staffing, so the practice doesn't land right back where it started. The goal isn't just to survive the immediate crisis. It's to hand you back a practice that's stable, solvent, and yours to keep running.

Accounts Payable & Cash-Flow Systems

Vendor payment prioritization, cash-flow tracking across locations, and real visibility into where money is going before it becomes a problem.

Systems, SOPs & Provider Productivity

Standard operating procedures, production-focused hygiene schedules, and doctor and associate schedules structured around case acceptance and chair time. Most practices run on the memory of whoever's worked there longest — which means quality swings with who's on shift, and every departure takes know-how out the door. We replace that with documented systems. We build the standard operating procedures that make the office run the same way every day: front-desk scripts, scheduling and recall protocols, clinical handoffs, billing and collections workflows, and the checklists that keep nothing from slipping. On the provider side, we look at where time and production actually go — schedule templates, chair utilization, case acceptance, and hygiene reappointment — and rebuild them so each operatory produces to its potential without anyone working longer hours. The result: a practice that delivers consistently because it runs on process, and that produces more from the capacity you already have.

Reimbursements, Payer Mix & Membership. For most practices, the largest single leak isn't overhead — it's the gap between what you produce and what you actually collect after insurance write-offs and adjustments. We close it. We analyze your payer mix plan by plan, ranking each PPO by what it truly pays versus the chair time it consumes, and renegotiate or drop the contracts that cost more than they return. We audit fee schedules, write-offs, and adjustment codes to catch dollars that should never have left the practice, and tighten the claims and collections process so less is lost to denials and delay. And where it fits, we build an in-house membership plan — turning uninsured and low-value-plan patients into recurring, fee-for-service revenue you keep in full, with no insurer between you and the patient. The result: more of every dollar you produce stays in the practice, and your revenue depends less on carriers and more on care.

New Practice Startups | Onboarding | Transition — Turnkey. Opening a practice means making a hundred decisions most dentists face only once, while the build clock and loan interest already run. We manage the whole arc. Before opening: demographics and site selection, pro formas and lender packages, equipment sourcing, vendor setup, hiring, credentialing, and insurance enrollment — the piece that quietly delays first collections when left late. At opening, we install the systems from day one — scheduling, billing, collections, clinical SOPs — so the office runs on process, not improvisation. After, we stay through the ramp, tuning production, payer mix, and staffing until the practice is self-sustaining. The result: you walk into a practice built to run, and start seeing patients instead of solving startup problems.