Success in dentistry doesn’t eliminate problems — it simply trades them for a new, more complicated set. In this episode, Casey and Jarrod dive into the “rare air” challenges that high-performing practice owners face, from being booked out for months to handling rapid growth that your CPA didn’t prepare for. It turns out that fee-for-service, high-income, and strong demand come with their own financial pitfalls. They explore what happens when your cash flow is overflowing, your structure isn’t optimized, or you’ve plateaued at a level few peers can relate to. Should you expand? Add an associate? Stick with the golden goose?

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