“You’re slammed three weeks out, your team’s running full speed, and there’s still no money in the account.” Dental practice profitability drops the moment you add a fourth clinical day without the patient flow to fill it. Mike Dinsio and Paula Quinn break down the five most common reasons dental practices stay busy but never build real profit and what to change about each one.

• Why adding another clinical day almost always kills your margins instead of improving them
• The magic 1-1-1 formula and how multiple Next Level Consultants clients hit $1.5M on just three days a week
• The $150/hr vs. $500/hr mistake dentists make when they refuse to hire a hygienist
• How 121 out of 257 new patients disappeared from one practice’s schedule in a single year and what that costs
• Marketing dependency: when $60–100K in annual ad spend is masking a retention leak
• The “house broke” trap when your rent requires $2M in production and you’re doing $1M
• Why bringing on associates too early drains exactly the profit you’re trying to protect
• Block scheduling, operatory strategy, and the clinical systems that compress more production into fewer days

Perfect for practice owners, dental startups, and any dentist wondering why production looks fine but the bank account doesn’t.

Busy is a feeling. Profit is math. The gap between them is almost always a systems problem, not a volume problem.

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About the Hosts:
Michael Dinsio, MBA & Paula Quinn, BSDH - Next Level Consultants
Dental practice startups, acquisitions, and practice management consulting. https://nxlevelconsultants.com
https://www.instagram.com/nxlevelconsultants/

Topics on this podcast:

dental practice profitability, running a dental practice, dental business, dental overhead, practice management, growing a dental practice, dental practice growth, dental startup, dental practice management, dental practice finances, dental practice challenges, buying a dental practice, dental practice operations, dental practice efficiency, dental entrepreneurship

Production by © Dental Unscripted 2026
The content provided in this episode is for informational purposes only and does not constitute legal, financial, or tax advice. Always consult with a qualified professional regarding your specific situation.

"Your dental marketing strategy from 18 months ago is already outdated and it shifted again this week."

SPECIAL GUEST ON THIS EPISODE:
Guido Tebano — CMO, Market My Market
https://marketmymarket.com

Mike Dinsio and Guido Tebano break down why 2026–2027 is the best window in a decade to open or acquire a dental practice. Apple Maps just launched ads, ChatGPT is running beta ad placements for dental categories, and Google now surfaces AI-driven price justification in search results. Established practices have thousands of Google reviews but zero on Apple Maps — for startups, that's a level playing field.

- Why Apple Maps ads change the cost-per-lead equation for dental startups
- The two Google review thresholds (33 and 100) that actually move the algorithm
- How ChatGPT aggregates your review responses into its patient recommendations
- Why your website content (not its design) determines whether AI can find you
- Five website CTAs that drive patient conversions: insurance, new patients, language, in-house plans, financing
- Three action items for this week: claim Apple Maps, apply for ChatGPT ads, pull a demographic study

Perfect for dental startup owners, dentists in acquisition mode, and established practice owners wondering why their marketing stopped working.

If the next 12 months are a marketing window, this episode lays out the playbook. Guido's three-step action list — claim Apple Maps, apply for ChatGPT ads, pull a demographic study — is a starting point any practice can act on this week.

🎙 Subscribe and Watch
YouTube: https://www.youtube.com/@DentalUnscripted
Website: https://dentalunscripted.com

🌟 Love the show? Rate us on Apple Podcasts and Spotify — it takes 30 seconds and helps other dentists find Dental Unscripted 🫶

Keywords: dental marketing, dental seo, dental startup, dental practice growth, apple maps ads, chatgpt ads, growing a dental practice, dental business, google maps optimization, dental consulting, dental practice startup, dental entrepreneurship, buying a dental practice, dental solutions, how to run a dental practice

Production by © Dental Unscripted 2026
The content provided in this episode is for informational purposes only and does not constitute legal, financial, or tax advice. Always consult with a qualified professional regarding your specific situation.

Most dental practice owners take home 30% and call that real profit, but if an associate can in and costs you the same percentage, the practice itself earned nothing. Essentially you are breaking even! That's the math Omar Virjee runs with every one of his 600+ dental clients, and it changes how owners see their own P&L overnight.

SPECIAL GUEST ON THIS EPISODE:
Omar Virjee, CPA - CEO & Founder, Virjee Consulting
Dental and medical CPA serving 600+ practices nationwide
14 years specializing in dental practice financial planning and tax strategy. Entrepreneur since age 14, exited his first business at 21
Active real estate investor and practice profitability advisor

What you'll discover in this episode:

• Why depreciation and amortization inflate your expenses and hide what you actually made
• The difference between tax income and real income, and why your CPA tracks both
• How mid-year tax planning between August and September unlocks $40K–$60K that April filing misses
• Why 25% EBITDA means your own practice outperforms the S&P 500 as an investment
• The QBI/Section 199A deduction and the income threshold that makes it free money
• How to build the three-legged stool, practice value, real estate, index funds
• What "golden handcuffs" actually look like on a dental P&L
• Why saving $100K/year for 10 years generates enough passive income to cover half your family's expenses

Perfect for dental practice owners, associate dentists planning to buy, and any dentist who reads their P&L and doesn't trust what it says.

The wealth conversation dental school never had, and the one number that tells you whether you own a business or just a high-paying job.

Love the show?
Subscribe and watch on YouTube:
https://www.youtube.com/@DentalUnscripted

Learn more about Next Level Consultants:
https://nxlevelconsultants.com

🌟 Leave a 5-star rating and review on Apple Podcasts, it takes 30 seconds and helps more dental practice owners find us. 🫶

Topics covered on this podcast:
dental practice finances, dental practice profitability, dental tax planning, dental financial planning, dental CPA, dental practice ownership, profitability in dentistry, dental EBITDA, dentistry and finance, dental practice financial tips, dental business, dental practice management, building wealth in dentistry, dental entrepreneur advice, dental practice expenses

Production by © Dental Unscripted 2026

The content provided in this episode is for informational purposes only and does not constitute legal, financial, or tax advice. Always consult with a qualified professional regarding your specific situation.