Bulletproof Dental Practice

Most practice owners look at an empty chair and immediately assume they have a marketing problem, but the real issue is usually hiding in a profit and loss statement that hasn't been updated in six months. Dentists are notorious for hyper-focusing on shaving points off their clinical supply bills to save money, all while flying completely blind on the massive, wealth-draining expenses that actuall...

There is a valid belief that a dentist collecting millions from just a few chairs means they've reached an elite solo production level, and finally won the game. But to a high-performing clinician carrying the weight of an entire practice on their shoulders, scaling up can feel less like building wealth and more like running yourself into the ground - especially when that clinician is an introvert...

The natural impulse for a practice owner sitting on strong cash flow is to assume the next logical step is planting flags across town. But expanding your geographic footprint often introduces a brutal management tax that multiplyies operational headaches, dilutes culture, and duplicates overhead without necessarily putting more spendable cash in your pocket. In this Hotline episode, Dr. Peter Boul...

We continue to see dentists treating AI like a smarter search bar. They type in a question, get an answer, and move on, never realizing that the same technology could be organizing their files, working their inbox, researching on their behalf, and quietly handling the tasks that eat up their week. Meanwhile, websites, apps, and the old way of searching for anything are being rebuilt around AI agen...

What really earns a five-star review? Opencare CEO Cameron Howieson brings data from 350,000 patient surveys, and the answer isn't your equipment or the cookie bar in reception. It's your team. Dr. Peter Boulden and Ian de Jongh dig into how patients choose a practice and why they stay: how fast you respond (practices that reply within a minute book 89% of new patients, versus 69% after five minut...

Many dental practice owners suffer from a dangerous financial misconception: that signing a 10-year lease is the low-risk choice, without realizing it carries the same level of commitment as buying a commercial property. The only difference is that after a decade of writing rent checks, you haven't built equity for yourself - you've simply paid off the landlord's mortgage while sinking hundreds of...

Dentistry has sold practice owners a seductive dream: grind it out for a decade, build up a million-dollar practice, sell out to a broker or DSO, and ride off into the sunset with a life-changing check. But when you strip away the selling hype and look at the actual balance sheet, the reality of a practice sale is often a brutal financial haircut. Practice owners regularly confuse top-line sticker...

When Dr. Zachary Kingsberg first called the hotline (Episode 450), he said he'd only sell his five-practice group for a "stupid multiple" of 13x to 15x EBITDA. But after running the real math and realizing zero-interest-rate multiples are gone, Zach returns to the show for a conversation to unpack what the realities behind his itch to sell, and why it probably shouldn't be scratched just yet. Mana...

Dr. Richard Low started a podcast in his closet. Eight years later he was the CEO of 35 dental offices and the most miserable he had ever been. He walked away from eight figures to save his marriage and his mental health. In this episode, Richard joins Dr. Craig Spodak and Ian de Jongh to talk about what he would build instead. The answer isn't a number of offices. It starts with the question Crai...

We got an email titled "Is Everything Going to Be Okay?" A Navy veteran producing over $1M a year as an associate is three months from opening a $2.9M startup in a building he bought. $20K a month in debt. Seven ops, with plans for 14. And he's lying awake wondering if he did the right thing. He asked Peter and Craig two questions: when do I quit my associate job, and is everything going to be oka...

More than half of diagnosed dental treatment walks out the door unscheduled. Most practices respond to low case acceptance by buying more new patients instead of fixing the leak. In this episode, Peter brings a 5-point fix for the treatment you've already diagnosed, from your treatment plan follow-up protocol to reducing friction to owning the money conversation. The through line: your software bu...

Dentistry has become a target. From Hormozi-style marketers to practice brokers charging six figures for "scaling retreats," everyone suddenly wants a piece of the profession. In this episode, Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh unpack why dentists are easy prey, how to spot the warning signs of a predatory pitch, and why the same voices who screamed "sell now before the bubble p...

Fresh off a sold-out Bulletproof Summit at The Phoenician in Scottsdale, Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh sit down to relive three days that left everyone running on fumes and full of purpose. In this episode: the world's first all-dental AI summit, Brian Harris delivering a main stage talk so inspiring Peter considered getting back in the chair, and the unplanned moment Dr. R...

The fastest way to stall your growth is to be the most accomplished person in your circle. Peter and Craig are living the opposite this summer. Craig is recording from Aspen and Peter just got back from Baker's Bay, both dropped into rooms where they quickly realized they are a smallest fish in the pond, which is exactly where they want to be. Recorded the week of the sold-out Bulletproof Summit,...

Dr. Todd Christensen calls in from Minnesota with 20 operatories across two locations, a big remodel behind him, and a question he can't shake: at 45, how does he transition out of clinical dentistry and into the executive role without the guilt? His patients don't make it easy. When he tries to hand them to an associate, they tell him they would rather wait months for him than see anyone else. Pe...

"I'd only sell for a stupid multiple. Thirteen, fifteen X." A five-practice owner from Dallas calls the hotline with the question every group owner is quietly asking: when do I sell, and what's the highest multiple anyone has actually gotten? What follows is one of the most candid breakdowns of the DSO economy you'll hear anywhere. Zombie DSOs, zero interest rate policy, bridge loans at 18 percent...

This episode is different. We asked members of our mastermind community to send in voice notes answering one question: what has this actually meant to you? Then Peter and Craig hit record and heard every message for the first time, reacting live. What came back was honest, unscripted, and at moments hard to get through. We share it because practice ownership does not have to be the lonely, white-k...

A year training under Dr. Robert Cialdini, the godfather of influence, changed Dr. Chris Phelps' entire business. In this episode, he shares why it can change yours too! After building four fee-for-service practices, Chris hit a wall every dentist knows. Patients weren't saying yes. Team members weren't following through. Associates weren't using the skills he'd paid to teach them. The problem was...

One caller. One problem almost every dentist is dealing with. Jesse is a new practice owner in a rural market. One hygienist is out on maternity leave, another is burning out from assisted hygiene, and after calling schools, searching job boards, and exhausting his options, he's asking the question every owner eventually asks: "What do I do now?" Peter and Craig explain why this isn't just bad luc...

NEW Bulletproof All-in AI Summit - 9 August, 2026 Why are humans still doing work that computers can do better? In this episode, Ian sits down with Dr. Peter Boulden and Dr. Craig Spodak to tackle what that question really means for dentistry, AI adoption, and the rapidly changing role of the front desk. The three explore how artificial intelligence is already transforming administrative work, pat...

In this episode, we unpack the consolidation of private practices and the growing influence of Dental Support Organizations. While many independent dentists view consolidation as a threat, Peter and Craig argue it may actually create one of the greatest opportunities the profession has ever seen. They explore the economic forces driving DSO growth, including insurance arbitrage, private equity inv...

You've said it out loud more than once. My team knows exactly what we're trying to build. Then a few weeks go by and you realize they don't. Not because they're lazy or checked out, but because the vision lives in your head and never quite made it into theirs. So you do what feels logical. Tighten the systems. Add accountability. Call another meeting. And still the team nods, complies, and quietly...

We explore what may be the fastest-moving technological shift dentistry has faced in decades and why most practice owners are still underestimating how quickly the ground is moving beneath them. While many dentists are using ChatGPT to write emails, draft social posts, or answer quick questions, the conversation argues that's barely one percent of what's now possible. The discussion digs into the...

Two callers, two problems every practice owner runs into. The first is a self-described systems guy whose team keeps reverting to old habits two weeks after every meeting, vision cast, and lunch-and-learn. The second is an associate who just carved out one day a week away from the chair and wants to know how to actually use it. Peter and Craig push back on both. To the first caller: "I've tried ev...

"No offense, but I hate dentists." Most providers hear it, laugh it off, and lean the chair back. Craig and Peter make the case that it's actually a cry for help, and the doorway to a relationship the patient never leaves. This episode unpacks one of the biggest misconceptions in dentistry: that sales and patient care are in conflict. They argue the opposite. The best dentists are the best communi...