The Automatic Patient Podcast

The 5 Barriers Holding Dentists Back


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In this episode, Jordon Comstock and the Elevation Association team dive deep into the psychology behind why some dental practices grow — while others slowly plateau, burn out, or decline over time.

The conversation starts around dental practice valuations and EBITDA, but quickly evolves into a powerful discussion around mindset, leadership, fear, burnout, mentorship, PPO dependence, and the internal barriers that stop practice owners from reaching their full potential.

The team introduces what they call the “5 Barriers to Success”:

  • Arrogance
  • Ignorance
  • Ambivalence
  • Fear
  • Capacity
  • They unpack how these barriers quietly affect practice growth, leadership decisions, innovation, profitability, and long-term practice value.

    Jordon shares real stories from his experience in dentistry — including watching thriving practices slowly decline over time because owners became burned out, resistant to change, or afraid to evolve with the industry.

    The episode also explores:

    • Why many dentists become “institutionalized” after years in practice
    • How fear keeps practices trapped in the PPO reimbursement game
    • Why mentorship and coaching shorten the learning curve
    • The danger of “head-in-the-sand ignorance”
    • Why recurring revenue and membership plans reduce fear and create leverage
    • How operational and mental growth go hand-in-hand
    • Why building culture intentionally matters for business success
    • The importance of gradual change versus drastic decisions
    • One of the most powerful moments comes when Jordon discusses a doctor terrified to drop PPOs because he feared his entire business would collapse — and how the answer wasn’t drastic action, but small, strategic steps toward recurring revenue and independence.

      Jordon Comstock - BoomCloudapps.com

      Dr. Dan Nelson - Elevation Association 

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      The Automatic Patient PodcastBy Jordon Comstock, Justin Comstock, Dan Nelson