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The Dental Economist Show

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Rating
★★★★★
5
from
13 reviews
This podcast has
148 episodes
Language
English
Publisher
Planet DDS
Explicit
No
Date created
2024/01/10
Latest episode
2026/10/22
Average duration
41 min.
Release period
7 days

Description

Hi, dental economists! I’m Mike Huffaker, and this is the Dental Economist Show, where you can join me and my guests in a conversation about the business of dentistry. Get ready to reconsider everything you think you know about growing your dental business as we exchange different ideas and meet at the intersection of profit and purpose.

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Check latest episodes from The Dental Economist Show podcast


Dr. Larry Benz on Why Caring Without Connection Is What Burns Dentists Out
2026/10/22
What if empathy, connection, and communication were treated as clinical skills—not soft extras? Check out Dr Larry Benz’ book at https://www.amazon.com/Called-Care-Professionals-Humanizing-Experience/dp/1544552998/ In this episode of The Dental Economist Show, host Mike Huffaker speaks with Dr. Larry Benz, CEO of Dental Care Alliance and author of Called to Care for Dentistry, about the relationship between human connection, patient outcomes, provider wellbeing, and business performance. Dr. Benz brings a unique perspective shaped by more than 30 years in multi-site healthcare. A physical therapist by training, he built and scaled Confluent Health into an 800-plus clinic network before joining Dental Care Alliance’s board in 2024 and becoming CEO within a year. Larry explains the research behind Called to Care, including how provider empathy and relational connection can affect clinical outcomes, case acceptance, retention, referrals, and workplace culture. He also introduces the idea of “calcification”—the gradual emotional hardening that can cause providers to see a patient as a procedure rather than a person—and why connection is a critical antidote to burnout. The conversation also explores dental anxiety, the power of language in the operatory, and why the profession must stop allowing insurance limitations to define treatment conversations. Larry shares how DCA paired operational and cultural transformation with its recent balance-sheet restructuring, and why he believes the most important capital investment a DSO can make is in its people. Episode chapters 00:00 From physical therapy to leading Dental Care Alliance 05:41 What surprised Dr. Benz about dentistry 08:02 The research behind Called to Care 17:25 Calcification, burnout, and the importance of connection 25:21 How DSOs can protect patient-centered care 32:49 Dental anxiety, avoidance, and underdiagnosis 36:44 Why insurance should not drive the treatment conversation38:42 Rebuilding DCA’s culture alongside its balance sheet43:35 Why human capital is the first layer of capital allocation50:06 The intangible measure of leadership success Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Dr Larry Benz on LinkedIn:  https://www.linkedin.com/in/lbenz/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Trevor Maurer on Why Oral Surgery Is Consolidating Faster Than General Dentistry Did
2026/10/15
What does it take to scale an oral surgery platform without losing sight of the patient, the referral relationship, or the people delivering care? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Trevor Maurer, CEO of OMS 360, about the systems, data, and partnership model shaping one of dentistry’s fastest-consolidating specialties. Trevor shares lessons from more than 30 years in multi-site healthcare, including his experience growing SmileSource from 32 practices to more than 750 independently owned locations. He explains why decentralized decision-making, aligned incentives, and support for clinicians at the point of care have remained central to his leadership approach. The conversation explores the distinct dynamics of oral surgery—from its referral-driven model to the increasing role of same-day treatment, scheduling discipline, and patient access. Trevor also breaks down the OMS 360 operating system, including standard work, time-and-motion studies, team training, and the data that helps practices reduce leakage across the patient journey. Mike and Trevor discuss how OMS 360 approaches surgeon partnerships, parent-company equity, and practice turnarounds. Trevor shares why the right partner must be growth-oriented, how systems can help doctors increase productivity without working more, and what surgeons should consider before affiliating with a larger platform. Episode chapters 00:00 From Canada to multi-site healthcare leadership 07:55 Navigating the referral-driven oral surgery model 11:08 Why the opportunity is often inside the existing patient funnel 15:26 The OMS 360 operating system and standard work 20:49 The operational gaps practices do not see 22:13 What time-and-motion studies reveal about patient and surgeon time 26:23 Finding partnership candidates who want to grow 29:42 Recovering after a practice loses 32% of its referral volume 36:38 The case for parent-company equity over local JVs 42:58 What surgeons should consider before joining a platform Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Trevor Maurer: [email protected] You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Dr. Adriatik Rama on Building a Debt-Free Doctor-Led DSO That Grows Every Practice It Touches
2026/10/08
What does it take to build a multi-practice dental organization that protects clinical independence, keeps doctors at the center of decision-making, and still delivers meaningful growth? In this episode of The Dental Economist Show, host Mike Huffaker sits down with Dr. Adriatik Rama, Founder and CEO of American Dental Companies, to explore the doctor-led partnership model behind the organization’s growth across approximately 80 practices. Dr. Rama shares why he founded American Dental Companies after seeing the broader healthcare market shift toward consolidation—and why he believed dentistry needed a model that could modernize operations without sacrificing doctor ownership, patient care, or clinical autonomy. The conversation explores how American Dental Companies selects like-minded partners, integrates doctors into company leadership, and has historically achieved approximately 30% first-year growth for affiliated practices. Dr. Rama also explains the organization’s approach to transparent financials, clinical review, customized doctor development, and technology adoption. Mike and Dr. Rama discuss the role of private equity in the company’s next phase of growth, the importance of maintaining a debt-free practice platform, and why clinical independence and doctor profit sharing are fundamental to building a durable dental organization. Episode chapters: 00:00 From medicine to dentistry—and the appeal of independence 01:47 Why Dr. Rama founded American Dental Companies 03:41 The doctor-led model behind practice growth 07:21 Selecting partners who want to keep growing 09:11 Building community and shared decision-making among doctors 10:59 Why growth requires change, transparency, and shared systems 15:48 Bringing in private equity without taking on practice debt 21:12 How monthly clinical reviews drive excellence at scale 25:03 Helping doctors grow without working more days 31:59 Why Dr. Rama remains bullish on dentistry Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 American Dental Companies: https://www.ameridentco.com/our-team/dr-adriatik-rama-dds You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
David Meece & Ryan Torresan on Leading Through Influence in a DSO
2026/10/01
How do you scale a dental organisation without losing the culture, trust, and people-first approach that made it successful in the first place? In this episode of The Dental Economist Show, recorded live at Dental Forum in Fort Worth, host Mike Huffaker speaks with David Meece, founder and Executive Chairman of Pearl Street Dental Partners, and Ryan Torresan, Chief Operations and Marketing Officer at Mosaic Dental Collective, about leadership, influence, culture, and scaling change across growing DSOs. David explains why Pearl Street has focused on managing through influence rather than directives, creating an environment where doctors voluntarily adopt new technology and initiatives because they understand the value behind them. He also shares why protecting culture starts long before an acquisition is completed, with careful partner selection and a clear understanding of shared values. Ryan discusses Mosaic Dental Collective’s approach to change management as the organisation prepares to scale its technology and operations across more than 50 practices. He explains why leaders should “scale what works” rather than trying to scale individual opinions, using pilot programmes, operational standards, transparency, and data to build genuine buy-in. The conversation also explores why culture cannot simply be dictated or installed, how data and trusted relationships make technology adoption easier, and why strong implementation matters just as much as choosing the right platform. David and Ryan also reflect on the next stage of growth for their organisations, building leadership teams around complementary strengths, and keeping patient care and people at the centre of growth. Finally, they share how they continue to develop as leaders through learning, relationships, health, faith, and staying connected to the people around them. Connect with the guests: 👉 David Meece on LinkedIn: https://www.linkedin.com/in/david-meece-b9201773/ 👉 Ryan Torresan on LinkedIn: https://www.linkedin.com/in/ryantorresan/ Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Julianne O'Connor & Michael Keeter on Mindset Habits That Separate the Top One Percent in Dentistry
2026/09/24
What does it take to build meaningful influence, lead high-performing teams, and create a career that does not come at the expense of fulfillment? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Julieanne O’Connor and Michael Keeter, co-founders of Influential Dental and the team behind Influence Elevée magazine, about mindset, leadership, culture, and the human side of success in dentistry. Julieanne and Michael share the origin story behind their partnership and the mission that guides their work: elevating the people who elevate others. They discuss the common traits they see in high-achieving dental leaders, including authenticity, strong systems, curiosity, and a willingness to embrace change rather than fear it. The conversation explores how leaders can sustain high performance without burning out, why achievement alone rarely creates lasting fulfillment, and the importance of focusing on the present instead of constantly chasing the next milestone. Julieanne also shares her approach to public speaking, while Michael explains why culture must be defined, lived, and connected to a purpose larger than numbers. They also discuss the launch of Influence Elevée magazine, their commitment to spotlighting the people behind dentistry, and their new initiative, Influence for Kids, which supports foster youth through awareness, experiences, and opportunity. Episode chapters 00:00 Introducing Influential Dental and Influence Elevée 04:54 The origin story behind Julieanne and Michael’s partnership 07:15 Elevating others and uncaging potential 08:16 The common traits of high-achieving dental leaders 14:22 Embracing change, AI, and sustainable high performance 21:01 Why the present moment matters more than the next achievement 27:44 Public speaking without the pressure to perform 31:43 Building a culture that people want to be part of 43:19 Why they launched a lifestyle and mindset magazine for dentistry 54:19 Influence for Kids and creating opportunity for foster youth Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Influential Dental: https://influentialdental.com/ 👉Julieanna O’Connor on LinkedIn: https://www.linkedin.com/in/michaelkeeter66/ 👉Michael Keeter on LinkedIn: https://www.linkedin.com/in/michaelkeeter66/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Tom Terronez on the Patient Data Question Every Dental Group Should Be Able to Answer But Can't
2026/09/17
Can your practice confidently explain where patient data goes after it is collected? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Thomas Terronez, CEO of Medix Dental, about the overlooked data supply chain behind modern dental technology. Every new tool, from patient engagement and imaging platforms to payment systems, call recording, analytics, and AI, can introduce new pathways for protected health information. Thomas explains why cybersecurity is no longer just about securing the server inside a practice; it is about understanding every vendor, integration, backup, development environment, and third party that may touch patient data. The conversation explores the security benefits of cloud-based practice management platforms, the risks associated with legacy on-premise systems, and why staff training remains one of the most important safeguards against ransomware. Thomas also shares why a signed BAA is not enough, what DSOs should ask vendors before connecting new technology, and how practices can begin building a clearer, more accountable view of their data ecosystem. Episode chapters 00:00 The hidden data supply chain in dentistry 02:00 From computer enthusiast to dental IT leader 04:52 Why dentistry has been slow to embrace the cloud 07:33 The risks of on-premise servers and ransomware 10:29 How many vendors are touching your patient data? 12:20 Why a signed BAA is not enough 15:03 The data-governance gap in dental organizations 18:32 AI, patient data, and the startup landscape 22:28 What responsible technology adoption looks like 28:49 The questions every DSO should ask a new vendor Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Thomas Terronez:  https://www.linkedin.com/in/thomas-terronez-9371104/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Kyle Welch on Why DSO Operators Are Being Blamed for a Problem They Didn't Create
2026/09/10
Why DSO Operators Are Being Blamed for a Problem They Didn't Create Why has the DSO deal market stalled even as demand for dental care remains strong? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Kyle Welch, Associate Professor of Accountancy at the George Washington University School of Business, about the capital-market forces shaping private equity, DSO valuations, and the path to liquidity for dental entrepreneurs. Kyle explains his central thesis: the current slowdown is not simply an operator-performance issue or a reflection of what is happening in the dental chair. It begins higher up the chain with how private equity is valued, how institutional investors allocate capital, and how rising rates have changed the economics behind acquisitions and exits. Drawing on his experience at the Stanford University endowment and his research into private equity reporting, Kyle explores why private-market valuations can appear smoother than public markets, why secondary-market discounts matter, and why the capital that once fueled DSO consolidation has become more constrained. The conversation also examines what comes next. Kyle and Mike discuss the pressure created by extended hold periods, the importance of retaining doctor partners, refinancing and debt restructuring, and why combining platforms and pursuing public-market liquidity may offer a more durable path forward for some dental organizations. Episode chapters 00:00 The capital-markets problem behind the DSO slowdown 02:09 Kyle’s path from institutional investing to academia 03:32 Why private equity’s challenges matter to dentistry 06:49 The accounting “smoothing” effect in private equity 12:36 Secondary markets and the gap between reported and market value 15:13 Why this is a private-equity issue—not just a dental issue 20:00 Capital constraints, dry powder, and the liquidity freeze 26:50 The two priorities for DSOs: debt coverage and doctor retention 33:19 Restructuring debt and working with lenders 39:56 A potential path forward: consolidation and public-market exits Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Kyle Welch on LinkedIn: https://www.linkedin.com/in/ktwelch/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Dr. Shilpi Priyadarshini on Building Clinical Systems That Help Dentists and Patients Win
2026/09/03
What does it take to help clinicians deliver more consistent care, build confidence in the chair, and grow into effective leaders? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Dr. Shilpi Priyadarshini, Chief Dental Officer at the Dentist Entrepreneur Organization (DEO), about the clinical systems, mentorship, and communication practices that help dental organizations improve care at scale. Dr. Shilpi reflects on her journey from practicing dentist to regional leader at Jefferson Dental and now clinical coach at DEO. She explains why dentistry does not have a standard-of-care problem as much as it has a systems problem—and why clear processes, mentorship, and regular clinical audits can help clinicians make better decisions for patients. The conversation explores how radiographic AI can support more consistent diagnosis and patient communication, the importance of separating treatment planning from insurance benefits, and the role empathy plays in case acceptance. Dr. Shilpi also shares her “LIGER” framework for clinicians, practical approaches to coaching providers based on their strengths, and how better systems can reduce decision-making fatigue and burnout. Episode chapters 00:00 From the chair to clinical leadership08:33 Why dentistry has a systems problem12:12 Repetitions, mentorship, and building clinical confidence14:15 How radiographic AI improves patient communication18:05 Creating a better patient experience from the first conversation21:26 Treatment planning beyond insurance benefits26:30 Coaching dentists and building customized mentorship pathways33:07 The clinical systems leaders often miss41:03 Decision-making fatigue, burnout, and operational clarity43:59 AI as a tool—not a magic solution Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/👉 Planet DDS: https://planetdds.com/👉  Dr. Shilpi Priyadarshini on LinkedIn: https://www.linkedin.com/in/shilpi-priyadarshini-8137831a8/👉 DEO: The Dentist Entrepreneur Organization: http://www.deodentalgroup.com You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Bob Fontana on Why Getting Bigger is Easy, Getting Better is Hard
2026/08/27
What does it take to build a dental organization that expands access for millions of patients while creating lasting opportunity for providers and teams? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Bob Fontana, Founder, Chairman and CEO of The Aspen Group, about the principles that have shaped Aspen Dental from a single practice in East Syracuse into a multi-brand consumer healthcare platform. Bob shares the founding idea behind Aspen Dental: becoming a “yes” organization in a market where patients too often encounter barriers around cost, access, convenience, insurance, scheduling and financing. He explains why a deep understanding of the consumer—particularly working-class and middle-America patients—must inform everything from location strategy and affordability to the patient journey and on-site capabilities. The conversation also explores the operating model behind long-term scale. Bob discusses why a national brand creates both patient demand and accountability, why provider alignment and practice ownership have been fundamental to Aspen’s success, and why learning and development cannot be treated as an HR add-on. He also reflects on the evolution of his own leadership, the role of culture in helping thousands of people make good decisions at scale, the synergies across TAG’s healthcare brands, and why the next generation of DSOs must add real value for patients and providers. Episode chapters 00:00 Building a “yes” organization 04:17 The barriers to dental care: cost, access and convenience 08:32 Why a national dental brand matters 12:36 Provider alignment and the practice ownership model 18:21 TAG University and investing in people 27:18 Evolving as a leader while the organization scales 31:15 Culture as a distributed decision-making system 32:11 The multi-brand consumer healthcare platform 37:57 The founder-led advantage and passionate discontent 43:13 Building better DSOs and giving back to dentistry Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Bob Fontana on LinkedIn: https://www.linkedin.com/in/bob-fontana/ 👉 The Aspen Groupl: https://www.teamtag.com/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Chris Moxon on How BCG Sees the Future of the DSO Market
2026/08/20
What will separate the next generation of winning DSOs from the roll-up models of the past? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Chris Moxon, Managing Director and Partner at Boston Consulting Group, about the future of the dental market, DSO consolidation, and the operational foundations required for sustainable growth. Chris shares BCG’s data-led perspective on why dentistry remains a compelling market: resilient underlying demand, a significant number of patients still outside the care system, and growing recognition of the connection between oral and overall health. He explains how preventative care, salivary diagnostics, and better patient communication can improve treatment acceptance while creating better outcomes. The conversation also explores the realities of consolidation. Chris explains why dental is unlikely to consolidate like pharmacy, why de novo growth depends on more than capital and real estate, and why strategic acquisitions need a clear clinical and operational rationale. He also discusses lender-controlled platforms, specialty growth, clinician incentives, and why the doctors with the greatest clinical autonomy may be working inside the best-run DSOs. Episode chapters 00:00 Clinical autonomy inside well-run DSOs 00:17 Introduction 08:03 The case for growth in dentistry 15:10 The future of DSO consolidation and de novo growth 22:06 Strategic acquisitions, specialty, and lender-controlled platforms 35:02 The platform playbook: operations, incentives, and clinical autonomy 42:24 AI, treatment acceptance, and the connected patient journey Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉Chris Moxon on LinkedIn: https://www.linkedin.com/in/moxon/ 👉 Boston Consulting Group: https://www.bcg.com/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
David Murphy on What Buyers Are Really Looking for When They Evaluate a DSO
2026/08/13
What separates a DSO that is ready for a successful capital event from one that is not? In this episode of The Dental Economist Show, host Mike Huffaker speaks with David Murphy, Managing Director at Moelis & Company, about the M&A market, capital strategy, and what dental operators should be building today to maximize their options tomorrow. David explains the role of an investment bank, when DSO leaders should begin building advisor relationships, and how to evaluate the right banking partner. He breaks down the trade-offs between debt and equity financing, why the dental M&A market is beginning to recover after a challenging period, and how higher—but more predictable—costs of capital are changing deal structures. The conversation also explores what buyers look for in diligence: durable organic growth, clinician retention, accurate financial reporting, integrated technology, disciplined de novo performance, and high-quality EBITDA. David shares why well-integrated businesses with strong operational performance are positioned to take market share, why specialty platforms continue to command a premium, and how AI could become a major growth and margin opportunity for dental organizations. Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/👉 Planet DDS: https://planetdds.com/ 👉 David Murphy on LinkedIn https://www.linkedin.com/in/david-murphy-a7841462/👉 Moelis & Company: https://www.moelis.com/ You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Special Edition: Steve Bilt & Andrew Smith on the Colorado Ruling That Every DSO in America Should Be Watching
2026/08/11
What happens when a state dental board introduces rules that could fundamentally change how DSOs support dental practices? In this special breaking-news episode of The Dental Economist Show, host Mike Huffaker speaks with Andrew Smith, CEO of the Association of Dental Support Organizations (ADSO), and Steve Bilt, Co-Founder and CEO of Smile Brands, about Colorado’s newly adopted dental-board rules and the ADSO’s legal challenge. The conversation explores the practical effect of restrictions on DSO-held leases and clinical equipment, as well as the potential disciplinary exposure for dentists whose arrangements are deemed noncompliant. Andrew and Steve explain why they believe the rules exceed the dental board’s authority and could create serious financial burdens for dentists already operating under established support arrangements. They also discuss the wider implications for patient access, affordability, Medicaid participation, clinical autonomy, capital investment, and the future of the DSO model nationwide. With the rules scheduled to take effect in January 2027, the episode examines the legal and legislative paths ahead—and why every DSO operator should be paying attention. Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/👉 Planet DDS: https://planetdds.com/ 👉 Andrew Smith on LinkedIn: https://www.linkedin.com/in/andrewmulherinsmith/👉 Association of Dental Support Organizations: https://theadso.org/ 👉 Steve Bilt on LinkedIn: https://www.linkedin.com/in/steve-bilt-782835b/👉 Smile Brands: https://www.smilebrands.com/ Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Rahma Samow on Simplifying Care Delivery and Growing ClearChoice Into a Platform of Hope
2026/08/06
What does it take to make complex dental care more accessible, efficient, and patient-centered? In this episode of The Dental Economist Show, host Mike Huffaker speaks with Rahma Samow, President and CEO of ClearChoice Dental Implant Centers, about her journey from medical technology to dental care leadership and the transformation she has led at ClearChoice. The conversation explores four structural challenges Rahma identified at ClearChoice: patient acquisition, financing, case acceptance, and treatment delivery. She discusses how the organization diversified its marketing, expanded financing options, introduced greater treatment choice, modernized clinical workflows, and reduced treatment timelines from as long as a year to approximately 60 to 90 days in some centers. Rahma also shares ClearChoice’s larger mission: becoming a platform of hope for patients who have lost confidence, struggle to eat, or feel they must hide from the world. Looking ahead, the organization is working toward impacting one million lives by 2030 while thoughtfully introducing AI and strengthening its technology infrastructure. Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Planet DDS: https://planetdds.com/ 👉 Ramah Samow on LinkedIn: https://www.linkedin.com/in/rahma-samow/ 👉 ClearChoice: https://clearchoice.com/us/en You can also listen to our podcast here: 👉 Apple Podcast: https://shorturl.at/ikORx 👉 Spotify: https://shorturl.at/SMInC Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Stephen Thorne on Moving Dentistry From Sick Care to Preventive Healthcare
2026/07/30
How do you transform dentistry from treating teeth to improving whole-body health? In this episode of The Dental Economist Show, host Mike Huffaker sits down with Stephen Thorne, Founder and CEO of PDS Health, to discuss why the future of dentistry lies in prevention, integration and a deeper understanding of the connection between oral health and overall health. Stephen explores how integrated medical and dental care, saliva-based diagnostics and better patient engagement can help clinicians identify risk earlier and make more informed decisions. He also discusses how dental education must evolve, what will distinguish successful DSOs over the next decade, the role of private equity and why today’s dental insurance model is not built to support prevention. The central message is clear: the future of dentistry is not simply restoring what is damaged. It is preventing disease earlier, connecting oral health to overall health and giving clinicians better tools to improve patient care. #dentaleconomist #dentistry #dso #oralhealth #healthcareinnovation #dentaltechnology  If you enjoyed this episode, make sure to subscribe, like, and comment 📱 Connect with the team: 👉 Mike Huffaker on LinkedIn: https://www.linkedin.com/in/huffaker/ 👉 Stephen Thorne on LinkedIn: https://www.linkedin.com/in/steve-thorne-9184146/ 👉 PDS Health: https://www.pdshealth.com/ 👉 Planet DDS: https://planetdds.com/ Want to be a guest on The Dental Economist Show?If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting or innovation, we’d love to hear from you. Whether you’re leading a DSO, building the next generation of dental technology, or helping redefine patient care, The Dental Economist Show is where the industry’s leading voices come together to discuss what’s next.
Dr. Farzeela Rupani on Taking Dentist Churn From 60 Percent to 11 Percent in Three Years
2026/07/23
Colosseum Dental, one of Europe's largest dental organizations with 650 clinics across 11 countries, faced a staggering 60% dentist churn rate in its UK business back in 2022. How did they bring it down to just 11% in three years? We’re unpacking it all in this episode of The Dental Economist Show as host Mike Huffaker sits down with Dr. Farzeela Rupani, Group Chief Medical Officer of Colosseum Dental, for the ultimate insider’s perspective. Tune in to explore how Dr. Rupani couples clinical expertise with commercial intelligence to drive organic value , why shifting away from a defensive retention strategy transforms a DSO into a career destination , and how to leverage data-backed pilot programs to speak the boardroom's language. Most of all, this conversation highlights why the chief medical officer role must expand beyond a checklist of compliance to unlock true, same-store growth. #dentaleconomist #dsoleadership #dentaltechnology If you enjoyed this episode, make sure to subscribe, like, and comment📱 Chapters: 00:00 Introduction & Meeting Dr. Farzeela Rupani 02:07 From Clinician to Group Chief Medical Officer 08:32 Bridging the Gap Between Clinical and Business Education 13:36 The DSO’s Role in Teaching Practice Financials 17:31 Taking Dentist Churn from 60% to 11% in Three Years 29:37 Creating Non-Clinical Paths for Dental Leaders 34:55 Moving the CMO Role Beyond Compliance to Growth 41:29 Building the Business Case for Clinical Investments 45:11 AI Diagnostics and the Next Frontier in Dentistry Connect with the team: 👉 Mike Huffaker on LinkedIn: https://linkedin.com/in/huffaker/ 👉 Dr. Farzeela Rupani on LinkedIn: https://www.linkedin.com/in/dr-farzeela-rupani-279139153/ 👉 Colosseum Dental Website: https://colosseumdental.com/ 👉 Planet DDS Website: https://planetdds.com/ You can also listen to our podcast here:🎙️ 👉 Apple Podcast: https://apple.co/3SeeOfY 👉 Spotify: https://spoti.fi/3tMmaO7 👉 Fame Host: https://bit.ly/4aQNQ51 Want to be a guest on The Dental Economist Show? If you’re a growth-focused leader in the dental business world or someone shaping its future through technology, consulting, or innovation we want to hear from you. Submit your interest here: https://forms.gle/BjAmyYLsFgNJBf8f8 Whether you’re leading a DSO, building the next big dental SaaS tool, or redefining patient experience, this show is where the smartest minds in dental business come to talk strategy! The Dental Economist Show with Mike Huffaker is handcrafted by our friends over at: fame.so

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