The Pros and Cons of Partnering with a DSO (Dental Service Organization)

Dental Practice Optimization

February 17, 2025

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Welcome to Dental Practice Optimization!

Trivia Question❓

Approximately what percentage of dental practices in the U.S. are affiliated with a Dental Service Organization (DSO)?

Answer at the bottom of the newsletter

The Pros and Cons of Partnering with a DSO (Dental Service Organization)

Deciding whether to partner with a Dental Service Organization (DSO) is a major choice for any dentist. DSOs offer support services like billing, marketing, and HR, allowing dentists to focus on patient care. But is it the right move for you?

The Benefits:
One of the biggest advantages of joining a DSO is financial stability. Many DSOs provide upfront capital, helping dentists reduce debt or invest in new technology. They also handle administrative tasks, allowing more time for clinical work and patient interactions. Additionally, DSOs leverage group purchasing power, reducing supply costs and overhead. For dentists nearing retirement, selling to a DSO can offer a clear exit strategy with a competitive buyout. Younger dentists may also find DSOs appealing for mentorship opportunities and structured career growth.

The Downsides:
However, partnering with a DSO often means relinquishing some control. Many DSOs impose treatment protocols, limiting clinical autonomy and personal decision-making. Compensation structures may change, shifting from ownership profits to a salary or production-based pay, which could impact long-term earnings. Some dentists also feel disconnected from operational decisions, leading to frustration over policy or staffing changes. Additionally, patient relationships may be affected if a DSO rebrands the practice or modifies the existing team.

Making the Right Choice
Before signing with a DSO, carefully review contract terms, understand compensation changes, and speak with other dentists in the network. While a DSO can provide stability and growth, independent ownership offers greater flexibility. The right choice depends on your career goals, financial needs, and personal preferences.

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💡 Answer to Trivia Question:

Around 19% of dental practices in the U.S. are affiliated with a DSO. While independent ownership remains the norm, DSO partnerships are becoming more common, particularly among newer dentists looking for financial and administrative support.