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Most dentists buy equipment because a rep told them it worked for somebody else. Most dentists sell their practice without understanding what it is actually worth. And most dentists leave hundreds of thousands of dollars on the table when they finally exit.
Dr. Keith did things differently.
In this episode of Smiles and Cents, Ian McGinnis sits down with Dr. Keith- an orthodontist who built and sold a four-location practice in Louisville, relocated his family across the country, earned an MBA, and now works as a practice broker, valuation expert, and consultant helping dentists grow and exit the right way.
This is one of the most comprehensive practice business conversations the show has ever produced.
What You'll Learn:
→ Why Dr. Keith left a thriving four-location practice-and what made that decision clear
→ Why he chose consulting and brokerage over starting a new practice from scratch
→ What a data-driven practice really looks like-and how to find your bottleneck
→ Why buying a CBCT without running the numbers first is a money pit waiting to happen
→ The KPI framework that turns clinical decisions into financial projections
→ How to use scanner technology to increase case acceptance before the doctor walks in
→ The three income approach valuation methods-and which one favours you as a seller
→ Doctor-to-doctor EBITDA multiples: what to expect and how to increase them → DSO vs doctor-to-doctor sale: the difference in multiples and what that means for you
→ How to add back expenses and normalise your P&L to maximise your valuation
→ Why overpaying loyal staff in your final years quietly destroys your sale price
→ The three levers to pull to increase your exit value in the last two to three years
→ What documents a buyer will ask for and exactly how to prepare them
About Dental Wealth Partners:
Dental Wealth Partners is a fee-only, non-commissioned financial planning firm built specifically for dentists. Founded by Ian McGinnis, the firm helps dentists at every stage of their career build real financial freedom-not just a bigger practice. Executive coach and business strategist Jeff Rutland brings a leadership and legacy lens to every conversation.
💬 What is the one thing you wish you had known about the business side of dentistry before you started? Drop it below — Dr. Keith says most docs leave school without any of this. Let's build the list.
CONNECT WITH Dr.Keith Nicholson
Website:[email protected]
CONNECT WITH SMILES AND CENTS
Host: Ian McGinnis,
Website: https://dentistfinancialplanning.com/ Instagram:https://www.instagram.com/ianvmcginnis/
Facebook:https://www.facebook.com/DentalWealthPartners/
Linkedin:https://www.linkedin.com/checkpoint/challenge/AgHUSzW4H4zlT
Youtube:https://www.youtube.com/channel/UCjMd5CUWkca7P_gmKlCBQ2Q
#dentalpractice #practicevaluation #dentist #smilesandcents #drkeith #ianmcginnis #practicebroker #EBITDA #DSO #dentistentrepreneur #caseacceptance #dentaltechnology #practicesale #dentalconsulting #podcastclip
Schedule a free consultation with a dentist-specific financial planner.
Get an objective financial assessment and see how your current strategy stacks up when it comes to debt management, practice growth, investing, and tax planning.
Most dentists spend 30 years building their practice - and then sell it without ever knowing what it was actually worth.
In this episode of Dental Wealth Partners, Ian McGinnis and executive coach Jeff Rutland break down exactly what dentists need to do before selling a practice - from cleaning up the books, to choosing the right valuation method, to why slowing down hygiene in your final years could cost you hundreds of thousands of dollars at closing.
Whether you are two years out from retirement or ten, this is the conversation that changes how you think about the most valuable asset you will ever sell.
What You'll Learn:
→ Why a third-party bookkeeper is the single most important step before selling
→ The hidden debt that almost derailed a real practice sale - and how it was found
→ The three main valuation methods: market summation, EBITDA multiples, and seller's discretionary earnings
→ Why two practices with the same take-home can have completely different sale prices
→ How to choose the valuation formula that works in your favour
→ Why the last two years of your practice matter more than the previous ten
→ What happens to your valuation when you slow down hygiene before selling
→ The exact steps to take if you have only two years until retirement
→ Why buyers always want to see bank statements - and what happens when they do not match
→ The one thing that destroys more dental partnerships than anything else
→ Why you need a practice valuation done today - not when you are ready to sell
About Dental Wealth Partners:
Dental Wealth Partners is a fee-only, non-commissioned financial planning firm built specifically for dentists. Founded by Ian McGinnis, the firm helps dentists at every stage of their career build real financial freedom-not just a bigger practice. Executive coach and business strategist Jeff Rutland brings a leadership and legacy lens to every conversation.
💬 Have you had your dental practice valued yet? If you are within 10 years of retirement and the answer is no - drop a comment below. Ian says getting that number is the most important wake-up call a dentist can have.
CONNECT WITH Jeff Rutland
Website:dentistfinancialplanning.com
LinkedIn:linkedin.com/in/orgdevtrainingleader
CONNECT WITH SMILES AND CENTS
Host: Ian McGinnis,
Website: https://dentistfinancialplanning.com/ Instagram:https://www.instagram.com/ianvmcginnis/
Facebook:https://www.facebook.com/DentalWealthPartners/
Linkedin:https://www.linkedin.com/checkpoint/challenge/AgHUSzW4H4zlT
Youtube:https://www.youtube.com/channel/UCjMd5CUWkca7P_gmKlCBQ2Q
#dentalpractice #practicevaluation #sellmypractice #dentist #dentalwealthpartners #ianmcginnis #jeffrutland #dentistretirement #dentalacquisition #sellerdiscretionaryearnings #practiceowner #podcastclip #dentistentrepreneur #dentalfinance #hygienedentist
Schedule a free consultation with a dentist-specific financial planner.
Get an objective financial assessment and see how your current strategy stacks up when it comes to debt management, practice growth, investing, and tax planning.
From the publisher's feed
Dentistry is one of the best wealth-building professions in America—but only if you make the right financial decisions along the way.
Smiles & Cents is built for dentists who…
Along the way, we bring in real dental entrepreneurs—practice owners, builders, and industry leaders—to share firsthand insights on what’s working, what’s not, and how they’ve built their success.
This is how financial planning actually plays out in the real world.
If you’re looking for clarity, control, and a plan that compounds over time, you’re in the right place.