David Janash, Founder & CEO of Underbite Dental, built a 13-location DSO from the ground up in one of the most brutally competitive markets in the country: New York City. 

He's made every expensive mistake in the book — and turned those mistakes into a data-driven operation that actually tells him what's going to happen before it does.

David used to log into every single office manually, every single night, just to know how his business was doing. 

Then he spent hundreds of thousands of dollars building a custom data warehouse and hiring software engineers to solve the problem. 

He eventually scrapped all of it for a monthly software subscription that does it better.

The lesson isn't just about wasted money — it's about what happens to your strategy when you're operating without real insight. 

David coined it himself: "The map to that gap is your data"

The Gap Between Intention and Actuality

💡 The "Ask Ken" Question: 

"Does my EBITDA look strong, but I still feel broke every month?"

Ken's answer: A few things hide from EBITDA that devour your cash — debt service, capital expenditures, and cash vs. accrual distortion. Strong EBITDA and empty pockets aren't a contradiction. They're a signal. Here's how to read it.

Top 3 Episodes of The Dental Truth Project. Listen Now!