M&A InsightsDental Practices

    Dental Practices

    Market data, city-specific guides, and exit strategies for dental practice owners.

    Market Snapshot

    5.0x – 7.0x

    Profit Multiple

    5.5x

    Average Multiple

    4–8 months

    Time to Close

    High

    DSO Buyer Activity

    Key Facts

    DSO consolidation has rebounded, dental groups are actively acquiring across all markets.

    PPO and private pay patient mix is the #1 value driver. Medicaid-heavy practices sell at a discount.

    Practices with associate dentists (not owner-dependent) command significantly higher multiples.

    North Carolina has strict Corporate Practice of Dentistry rules, legal structuring matters.

    Most DSO deals require a 3-5 year employment agreement for the selling dentist.

    Guides & Resources

    Everything you need to understand this market, whether you're buying, selling, or advising.

    Dental Practice Sale Guides by State

    State-specific market data, regulations, buyer landscapes, and valuations for the Southeast and beyond.

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    Dental Practice Valuation Guide: What's Your Practice Worth?

    12 min

    How DSOs and individual buyers value practices. Payer mix, production, hygiene revenue, and what drives the multiple.

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    Selling to a DSO: What to Expect

    12 min

    Deal structures, employment agreements, equity rollovers, and what life looks like after the sale.

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    How to Prepare Your Dental Practice for Sale

    12 min

    The pre-sale checklist. Payer mix optimization, lease renewal, compliance, staff retention, and systems documentation.

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    Guides by State

    State-specific market data, regulations, buyer landscapes, and valuations.

    North Carolina
    High DSO
    5.0x – 7.0x$600K – $2.0M

    5,800+ dentists | Charlotte, Raleigh, Durham

    South Carolina
    High DSO
    5.0x – 6.5x$500K – $1.5M

    2,800+ dentists | Charleston, Greenville, Columbia

    Virginia
    High DSO
    5.0x – 7.0x$600K – $2.0M

    5,200+ dentists | Northern Virginia / DC Metro, Richmond, Virginia Beach

    Georgia
    Very High DSO
    5.0x – 7.0x$550K – $1.8M

    5,500+ dentists | Atlanta, Savannah, Augusta

    Tennessee
    High DSO
    4.5x – 6.5x$450K – $1.5M

    3,800+ dentists | Nashville, Memphis, Knoxville

    Florida
    Very High DSO
    5.0x – 7.0x$550K – $2.5M

    12,000+ dentists | Miami, Tampa, Orlando

    Texas
    Very High DSO
    5.0x – 7.0x$550K – $2.5M

    15,000+ dentists | Dallas, Houston, Austin

    California
    Very High DSO
    5.0x – 7.5x$600K – $3.0M

    28,000+ dentists | Los Angeles, San Francisco, San Diego

    Arizona
    High DSO
    5.0x – 6.5x$500K – $1.8M

    4,200+ dentists | Phoenix, Scottsdale, Tucson

    Ohio
    High DSO
    4.5x – 6.5x$450K – $1.6M

    6,500+ dentists | Columbus, Cleveland, Cincinnati

    New York
    Very High DSO
    5.0x – 7.5x$600K – $3.0M

    15,000+ dentists | New York City, Long Island, Westchester

    New Jersey
    Very High DSO
    5.0x – 7.0x$600K – $2.5M

    7,000+ dentists | North Jersey / Bergen County, Edison, Cherry Hill

    Pennsylvania
    High DSO
    4.5x – 6.5x$450K – $1.8M

    8,000+ dentists | Philadelphia, Pittsburgh, Allentown

    Illinois
    High DSO
    5.0x – 6.5x$500K – $2.0M

    8,500+ dentists | Chicago, Naperville, Schaumburg

    Colorado
    High DSO
    5.0x – 6.5x$500K – $1.8M

    3,800+ dentists | Denver, Colorado Springs, Boulder

    Maryland
    High DSO
    5.0x – 7.0x$550K – $2.0M

    4,500+ dentists | Baltimore, Bethesda, Silver Spring

    Washington
    High DSO
    5.0x – 6.5x$550K – $1.8M

    5,100+ dentists | Seattle, Tacoma, Bellevue

    Oregon
    Moderate DSO
    4.5x – 6.0x$450K – $1.5M

    2,800+ dentists | Portland, Eugene, Salem

    Massachusetts
    High DSO
    5.5x – 6.5x$600K – $2.2M

    5,400+ dentists | Boston, Cambridge, Worcester

    Connecticut
    High DSO
    5.0x – 6.5x$550K – $2.0M

    2,700+ dentists | Stamford, Hartford, New Haven

    Michigan
    High DSO
    4.5x – 6.0x$450K – $1.5M

    6,200+ dentists | Detroit, Grand Rapids, Ann Arbor

    Indiana
    Moderate DSO
    4.5x – 6.0x$400K – $1.3M

    3,600+ dentists | Indianapolis, Fort Wayne, Carmel

    Minnesota
    Moderate DSO
    4.5x – 6.0x$450K – $1.5M

    3,500+ dentists | Minneapolis, St. Paul, Rochester

    Missouri
    Moderate DSO
    4.5x – 6.0x$400K – $1.4M

    3,200+ dentists | St. Louis, Kansas City, Springfield

    Wisconsin
    Moderate DSO
    4.5x – 6.0x$400K – $1.4M

    3,400+ dentists | Milwaukee, Madison, Green Bay

    Alabama
    Moderate DSO
    4.5x – 5.5x$400K – $1.2M

    2,400+ dentists | Birmingham, Huntsville, Mobile

    Louisiana
    Moderate DSO
    4.5x – 5.5x$400K – $1.2M

    2,300+ dentists | New Orleans, Baton Rouge, Shreveport

    Kentucky
    Moderate DSO
    4.5x – 5.5x$380K – $1.2M

    2,300+ dentists | Louisville, Lexington, Bowling Green

    Oklahoma
    Moderate DSO
    4.5x – 5.5x$350K – $1.1M

    2,000+ dentists | Oklahoma City, Tulsa, Norman

    Nevada
    High DSO
    5.0x – 6.5x$450K – $1.6M

    1,800+ dentists | Las Vegas, Henderson, Reno

    Utah
    Moderate DSO
    4.5x – 5.5x$400K – $1.3M

    2,100+ dentists | Salt Lake City, Provo, Ogden

    Mississippi
    Low DSO
    4.0x – 5.0x$300K – $900K

    1,400+ dentists | Jackson, Gulfport, Hattiesburg

    Arkansas
    Low DSO
    4.0x – 5.0x$300K – $900K

    1,400+ dentists | Little Rock, Fayetteville, Fort Smith

    Kansas
    Low DSO
    4.0x – 5.0x$300K – $950K

    1,500+ dentists | Wichita, Overland Park, Kansas City (KS)

    Nebraska
    Low DSO
    4.0x – 5.0x$300K – $900K

    1,200+ dentists | Omaha, Lincoln, Grand Island

    New Mexico
    Low DSO
    4.0x – 5.0x$280K – $850K

    1,100+ dentists | Albuquerque, Santa Fe, Las Cruces

    Idaho
    Low DSO
    4.0x – 5.5x$300K – $1.0M

    1,100+ dentists | Boise, Meridian, Nampa

    Hawaii
    Low DSO
    4.5x – 5.5x$350K – $1.2M

    1,000+ dentists | Honolulu, Maui, Kailua

    New Hampshire
    Low DSO
    4.5x – 5.5x$350K – $1.1M

    900+ dentists | Manchester, Nashua, Concord

    Maine
    Low DSO
    4.0x – 5.0x$280K – $900K

    750+ dentists | Portland, Bangor, Lewiston

    Rhode Island
    Low DSO
    4.5x – 5.5x$350K – $1.1M

    650+ dentists | Providence, Warwick, Cranston

    Montana
    Low DSO
    4.0x – 5.0x$280K – $850K

    650+ dentists | Billings, Missoula, Great Falls

    Delaware
    Moderate DSO
    4.5x – 5.5x$350K – $1.1M

    550+ dentists | Wilmington, Dover, Newark

    South Dakota
    Low DSO
    4.0x – 5.0x$250K – $800K

    500+ dentists | Sioux Falls, Rapid City, Aberdeen

    North Dakota
    Low DSO
    4.0x – 5.0x$250K – $800K

    420+ dentists | Fargo, Bismarck, Grand Forks

    West Virginia
    Low DSO
    4.0x – 5.0x$250K – $800K

    850+ dentists | Charleston, Huntington, Morgantown

    Vermont
    Low DSO
    4.0x – 5.0x$250K – $800K

    380+ dentists | Burlington, Rutland, Montpelier

    Wyoming
    Low DSO
    4.0x – 5.0x$250K – $750K

    320+ dentists | Cheyenne, Casper, Jackson

    Alaska
    Low DSO
    4.0x – 5.0x$280K – $900K

    400+ dentists | Anchorage, Fairbanks, Juneau

    Iowa
    Low DSO
    4.0x – 5.5x$300K – $1.0M

    1,700+ dentists | Des Moines, Cedar Rapids, Iowa City

    Ready to Take the Next Step?

    Whether you're buying, selling, or just exploring, we can help.