The Dentalpreneur Podcast w/ Dr. Mark Costes

On today’s episode, Dr. Mark Costes answers a wide range of listener questions in this Ask Me Anything edition, covering everything from managing serious back issues as a dentist to weighing the pros and cons of a de novo startup versus acquiring an existing practice. Mark shares his personal experience with spine surgeries, posture, core strength, ergonomics, and the importance of getting the right clinical support when pain becomes unmanageable. He also breaks down the strategic considerations behind starting fresh, buying an existing office, evaluating demographics, managing cash flow, planning for growth, and building toward a larger platform practice. The episode wraps with stories from Mark’s upcoming and past mission trips, including Honduras, Fiji, the Dominican Republic, Tanzania, and the impact of providing care in communities with limited access to dentistry. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2561: The Real Tradeoffs Behind De Novo Growth appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Katherine Eitel Belt, dentistry’s unscripted leadership communications coach, live from Thrive Live 2026 in Las Vegas. Katherine shares her journey from chairside dental assistant to global authority on leadership communication, including the pivotal moment that shaped her approach to helping leaders raise standards with clarity, courage, and compassion. She breaks down her framework for the three essential leadership conversations: invitation conversations, coaching conversations, and courageous conversations. Katherine also explains how practice owners and managers can address accountability without fear, inspire team members into higher standards, and create a culture where people choose growth rather than simply comply. The conversation also highlights her upcoming book, Lead Yourself, Lead Your Team, and why strong leadership begins with self-awareness, emotional regulation, and a willingness to own your role first. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.lionspeak.net https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2560: Courageous Conversations That Build Better Practices appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Eric Pook, owner of Cirrus Consulting Group, live from Thrive Live 2026 in Las Vegas. Eric shares how his background in medical and dental entrepreneurship led him into the highly specialized world of dental office lease consulting, and why so many dentists unknowingly sign agreements that can put their practice, profitability, and future transition at risk. From missed renewal deadlines and month-to-month leases to assignment clauses, personal guarantees, tenant improvement allowances, and landlord leverage during practice sales, Eric breaks down the most common lease mistakes dentists make and how proactive planning can protect long-term value. He also explains why doctors should review their leases years before renewal or transition, especially if they plan to expand, renovate, sell, or protect their estate. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.cirrusconsultinggroup.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2559: The Lease Mistakes That Can Sink Your Dental Practice appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Jacob Vanderslice, co-founder of VanWest Partners, to explore the opportunities, risks, and realities of self-storage investing. Jacob shares how he went from single-family rentals and fix-and-flips to overseeing a portfolio of 42 self-storage properties, why his team targets underperforming facilities, and how operational improvements can increase net operating income and property value. They also discuss due diligence, market supply, closed-ended funds, projected returns, tax advantages, liquidity risks, and the role private real estate can play in a diversified investment portfolio. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.vanwestpartners.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2558: How to Find Opportunity in an Uncertain Real Estate Market appeared first on Dental Success Institute.

On today’s episode, recorded live at the Dental Success Summit 2026, Dr. Mark Costes sits down with Gino Wickman, creator of the Entrepreneurial Operating System and author of Traction, Rocket Fuel, and Shine. Gino shares the lessons behind building EOS, the six essential traits of an entrepreneur, and why the right visionary-integrator partnership can transform a growing business. They discuss how to find and evaluate an integrator, the five rules that keep the relationship strong, the most overlooked components of EOS, and the foundational tools dental leaders can begin implementing immediately. Gino also opens up about the deeper message behind Shine and why lasting success requires more than achievement alone. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2557: The Unfair Advantage – Fireside Chat With Gino Wickman appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes answers listener questions in this Ask Me Anything special, covering ownership strategy, practice growth, scaling decisions, and the team of advisors every dental owner should build. Mark shares what he would do differently if he were starting over as a new grad, including avoiding practices that are too small to scale, being cautious with overly rural locations, and focusing on demographics, capacity, and long-term exit options. He also discusses when it makes sense to add another doctor, what metrics to watch beyond revenue, and why owners should stabilize their flagship practice before pursuing additional locations. The episode also dives into building a personal board of directors, including a CPA, bookkeeper, attorney, tax strategist, financial advisor, banker, and performance coach, before wrapping with advice on making faster, less fearful business decisions without abandoning thoughtful analysis. Be sure to check out the full episode from the Dentalpreneur Podcast EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2556: The Capacity Trap That Holds Practices Back appeared first on Dental Success Institute.

On today’s episode, Dr. Summer Kassmel takes the stage at the Dental Success Summit to help dentists and their teams turn inspiration into real, lasting change. She shares why so many practice owners get caught in the “someday trap,” waiting for the right associate, production number, or season of life before building the practice and lifestyle they truly want. Dr. Kassmel breaks down the three keys to fighting the pull of status quo: getting clear on what you want and why it matters, understanding the short-term price of meaningful change, and leading first as the doctor or practice leader. She also offers a practical communication framework for holding standards with grace, creating alignment, and choosing one focused “Monday move” that can help transform your practice for good. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2555: Fired Up but Going Nowhere- Turn Today into the Day Everything Actually Changes appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes delivers his main stage presentation during the 13th Annual Dental Success Summit, using the story of Jerry the lobster as a powerful metaphor for growth, vulnerability, and the need to shed old ways of operating. Mark reflects on his own journey through academic challenges, practice ownership, burnout, and reinvention, then connects those lessons to the current state of dentistry. He breaks down the major headwinds facing the profession, including staffing shortages, rising wages, flat PPO reimbursements, declining practice ownership, margin compression, burnout, and the growing divide between elite independent practices and those stuck in the middle. Mark also introduces the frameworks DSI uses to help dentists build stronger systems, better leadership, healthier lives, and more scalable practices, reminding owners that what got them here will not get them where they want to go next. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2554: Evolve – Thriving in Dentistry’s New Reality appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Brett Titensor live from Thrive Live 2026 to talk about digital dentistry, technology, and building a practice designed for the future. Brett shares what it was like taking over from his father, working alongside him for 10 years, and bringing new technology into a second-generation practice. He discusses his passion for same-day crowns, guided implants, 3D printing, surgical guides, full-arch workflows, and how delegating digital processes to the team can make advanced dentistry more efficient and scalable. Brett also gives a behind-the-scenes look at the new facility he is building in the Dallas area, which will combine a dental practice with an education center where dentists can see real workflows from start to finish in a live clinical setting. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.titensordental.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2553: Inside a High Tech Dental Practice Built for Education appeared first on Dental Success Institute.

On today’s episode, this Part 2 conversation features Jake Conway continuing his April 2026 Mastermind presentation with a deeper look at hygiene performance, owner compensation, cash flow strategy, and practice valuation. Jake explains how hygiene production impacts payroll, fixed costs, doctor production, and overall profitability, while showing how KPIs like perio percentage, fluoride, open hygiene time, exam mix, and production-to-pay ratios can reveal the true causes behind underperformance. He also outlines how owners can think about paying themselves as both clinicians and owner-operators, including W-2 salary, distributions, gap pay, break-even targets, and capital reserves. The session wraps with a practical look at practice valuations, adjusted net income, EBITDA, doctor-to-doctor sales, and how owner production can directly influence the value of a practice in a DSO or private equity transaction. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2552: Paying Yourself & The Influence You Have Pt. 2 appeared first on Dental Success Institute.

On today’s episode, this Part 1 conversation features Jake Conway presenting during the April 2026 Mastermind and breaking down how practice owners can better understand the numbers that drive their income. Jake explains why a dental practice should be viewed as a source of information rather than an ATM, and how overhead is not a destination but a measurement of how well the office is being run. He walks through the difference between fixed and variable costs, the symptom-cause-solution approach to diagnosing financial issues, and how management reporting differs from tax reporting. Jake also reviews how cash flows through a practice, from collections and overhead to available funds, and encourages owners to use their reports as investigative tools to identify opportunities, improve decision-making, and create more influence over their pay. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2551: Paying Yourself & The Influence You Have Pt. 1 appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with longtime dental industry leader Laura Nelson live from Thrive Live in Las Vegas. Laura shares her journey from running the front office in her husband’s dental practice to building Front Office Rocks, becoming a trusted voice in dental team training, and now leading AI innovation with Mango Voice. She and Mark discuss why patient experience matters just as much as clinical care, how short-form training changed front office education, and why understanding the “why” behind systems is essential for team success. Laura also breaks down how AI tools like Mango’s Margo can help practices capture missed calls, improve patient communication, support overwhelmed teams, and even role-play phone skills through AI-powered coaching. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://mangovoice.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2550: Smarter Phones, Better Teams, and Happier Patients appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Jas Banga live from Thrive Live 2026 in Las Vegas to talk about one of the most overlooked but critical parts of practice ownership: dental real estate. Jas shares how he went from marketing in the dental world to becoming a leading healthcare real estate advisor, helping dentists across North America make smarter, data-driven decisions around site selection, lease negotiations, renewals, expansions, and acquisitions. They discuss common lease traps like narrow use provisions, triple net expenses, assignment language, and seller liability, as well as the big question of whether dentists should buy or lease their space. Jas also explains how demographics, saturation levels, traffic flow, future development, and AI-powered market analysis can help doctors choose stronger locations and build long-term practice value. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.drwecare.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2549: The Hidden Risks Inside Dental Office Leases appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes is joined by Ashlee Hirschfeld for another Back to Basics conversation, this time focused on leadership and difficult conversations. Mark and Ashlee discuss why leadership requires self-awareness, emotional intelligence, clear expectations, and the willingness to address issues before they damage the entire team. They also explore how to approach corrective conversations with less drama, why avoiding conflict can create bigger problems, and how strong leaders take ownership before asking others to do the same. This episode is a reminder that great culture starts at the top, and the way you communicate, respond, and hold people accountable will shape the health of your entire practice. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2548: Back to Basics: How to Lead Through Hard Conversations appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Matt Slivka, owner of Rockside Dental and DSI Black Belt coach, for a conversation about growth, purpose, and the impact dentists can make far beyond the operatory. Matt shares how mentorship and community helped transform his practice from a chaotic startup into a thriving multi-doctor organization, and how that same mindset pushed him to launch Rockside Reach International, his nonprofit providing dental care in Guatemala. The conversation explores the power of influence, the importance of relationships, lessons from mission work around the world, and why fulfillment often comes from becoming the person you’re meant to be rather than simply achieving more. Mark and Matt also preview Matt’s upcoming Unlock Your Potential course, a unique personal development experience centered around the Four Futures of mind, meaning, muscle, and money, designed to help doctors, team members, and leaders create a more intentional and impactful life. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://registration.socio.events/e/unlockyourpotential https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2547: From Practice Owner to Purpose Driven Leader appeared first on Dental Success Institute.

On today’s episode, we dive into the very real problem of overwhelm in dentistry and why it is not simply about having too much to do. Dr. Mark Costes breaks down how decision fatigue, multitasking, cognitive load, sleep debt, clutter, caffeine, alcohol, and constant content consumption can push practice owners from intentional leadership into reactive survival mode. He also shares practical ways dentists can reduce overwhelm through better prioritization, delegation, systemization, walking, sleep hygiene, closing open loops, and building the right support around them. From managing hygiene exam overload to knowing when it may be time for a coach or executive assistant, this conversation gives dental leaders a clearer path toward more calm, clarity, and control. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.dentalnachos.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2546: The Dentist’s Guide to Beating Overwhelm appeared first on Dental Success Institute.

On today’s episode, Dr. Taher Dhoon sits down with Dr. Chris Hill to talk through the systems, lessons, and real-world experience behind predictable full mouth reconstruction. Dr. Hill shares how years of cosmetics, occlusion, TMJ, and reconstruction training shaped his approach, and why having a clear, repeatable system is what helps dentists move from feeling overwhelmed to feeling confident with bigger cases. The conversation covers common FMR challenges like losing the bite, managing vertical dimension, deprogramming, temporaries, lab communication, case phasing, and why doctors need to lead the case instead of relying entirely on the lab. Dr. Hill also explains the importance of photography, collaboration, mentorship, and having a support system that helps clinicians implement complex dentistry more predictably in their practices. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.coloradosurgicalinstitute.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2545: The Bite Mistake That Can Derail an FMR Case appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Christian Pavel live from Thrive Live 2026 in Vegas for a grounding conversation on wellness, burnout, breathwork, and purpose in dentistry. Known as the Dental Yogi, Dr. Pavel shares how yoga, intentional breathing, and holistic health became central to both his personal life and his mission to help dental professionals reconnect with themselves. He and Dr. Costes discuss the pressures facing modern dentists, including shrinking margins, rising costs, overstimulation, and the quiet burnout many providers experience while trying to power through. Dr. Pavel also shares the origin of Revive Mission, a dental mission experience that combines service, yoga, breathwork, and deeper human connection. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://dentalyogis.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2544: Finding Wellness in a High Pressure Profession appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes continues his April 2026 Mastermind presentation by exploring the deeper identity shifts required to move out of the hustle trap and into a more sustainable version of success. He shares a powerful eulogy exercise and personal reflections on loss, legacy, and the difference between resume virtues and eulogy virtues. Dr. Costes connects these ideas back to the Four Futures, encouraging dentists to examine their mind, meaning, muscle, and money to determine what needs realignment. He also challenges practice owners to subtract what no longer serves them, delegate more effectively, use the DSI community and coaching resources, and build businesses that create freedom rather than more complexity and obligation. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2543: The Quiet Reinvention: Pt. 2 appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes opens his April 2026 Mastermind talk with an update on the whirlwind first quarter of mission work through SOI, including trips to Guatemala, Fiji, and Honduras, before shifting into the idea of quiet reinvention. He explains how high-performing dentists often become trapped by the very habits that made them successful, especially hustle, grind, overproduction, and self-sacrifice. Dr. Costes introduces the four seasons of a dental career: spring as the builder phase, summer as the growth phase, fall as the optimization phase, and winter as the reinvention phase. He challenges listeners to identify which season they are currently in and recognize when the behaviors that once created success are now causing burnout, resentment, or stagnation. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2542: The Quiet Reinvention: Pt. 1 appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Jon Padolsky of Flex to explore how dental technology is transforming the front office experience. Jon shares his journey from growing up around dentistry and spending 14 years as a dental office manager to helping practices streamline operations through Flex. The conversation covers the evolution from paper charts and manual reminders to digital forms, online scheduling, integrated payments, insurance verification, and treatment planning tools built specifically for Open Dental users. Jon also explains how Flex helps teams present treatment more clearly, use patient photos to improve case acceptance, reduce time spent on insurance verification, and consolidate multiple systems into one deeply integrated platform. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://flex.dental https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2541: Why Dental Teams Are Moving Beyond Plugin Overload appeared first on Dental Success Institute.

On today’s episode, Dr. Allen Gotora shares a powerful message on why relationships are the hidden KPI behind every successful dental practice. Drawing from his own life-changing experience as a high school student in Zimbabwe, where relationships helped him raise funds for a United Nations trip to Sweden, he explains how connection, trust, and intentional communication shape every major outcome in business and life. He breaks down five key relationship pillars: self, family, team, partners and vendors, and patients. From prioritizing health, spirituality, and self-awareness to protecting family time, nurturing your team, strengthening vendor relationships, and creating deeper patient trust, this episode challenges dentists to look beyond production, collections, and case acceptance to the relationships driving those numbers. Dr. Allen reminds listeners that when life is all said and done, it will not be the KPIs we remember most, but the people closest to us and the connections we built along the way. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2540: Life Is Just A Bunch Of Relationships appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes is joined by Doug and Catherine Fettig live from Thrive Live 2026 in Vegas for a conversation on mindset, leadership, and improving the dental experience for both teams and patients. Doug shares how dentists can begin thinking more like CEOs, avoid becoming the bottleneck in their practices, and use simple habits like gratitude and generosity journaling to shift their mindset and rediscover joy in the profession. Catherine brings her decades of healthcare and psychiatric mental health experience to the dental space, explaining how dental anxiety impacts patients, teams, and overall practice productivity. She breaks down practical ways practices can support anxious patients before, during, and after appointments through better communication, calming environments, screening tools, and giving patients more choice and control. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.dentaldollarsandsense.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2539: Helping Dentists Rediscover Joy in Practice appeared first on Dental Success Institute.

On today’s episode, Dr. Bill Keith speaks during the April 2026 Mastermind about shifting from the clinical brain to the CEO brain and why practice owners must learn to zoom out, identify patterns, and build teams that can surface problems before they become costly. Drawing from examples in aviation, Toyota manufacturing, hospital operating rooms, Southwest Airlines, and the Challenger disaster, he explains how the people closest to the work often hold the most important information, yet may not feel safe or empowered to speak up. The episode explores how dentists can create psychological safety, use one-on-ones and anonymous feedback, encourage team members to “pull the cord,” and build systems that move knowledge from the front lines to leadership. Dr. Keith challenges owners to stop being the hero who solves every issue and instead develop a culture where the team is trusted, heard, and equipped to help the practice grow. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2538: You Were Trained To Fix Teeth. Nobody Trained You To Run A Business appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes welcomes back Troy Eckard for a timely conversation on oil and gas, global energy uncertainty, and how current geopolitical tensions are reshaping investor strategy. Troy shares his perspective on the Middle East, the Strait of Hormuz, rising oil prices, and why fossil fuels remain critical despite the ongoing push toward alternative energy. He also breaks down why many investors are frozen right now, how inflation and deflationary behavior may affect the broader economy, and why cash flow, liquidity, and real assets matter in uncertain times. The conversation also touches on AI’s growing role in oil and gas, from improving drilling accuracy to reducing costs and streamlining data analysis, as well as Troy’s advice for investors looking to protect wealth and stay prepared for future opportunities. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://eckardenterprises.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2537: Oil, Gas, and the New Rules of Economic Uncertainty appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Parth Patel, owner of Revive Dental in Alpharetta, Georgia, to unpack his journey from associate dentist to owner of a thriving fee-for-service practice. Dr. Patel shares how his early exposure to different practice models helped him clarify the kind of dentistry he wanted to build, one centered on comprehensive care, patient relationships, and a high-touch experience. The conversation explores the realities of staying out of network, how his team communicates value to patients with PPO benefits, and why alignment in language, systems, and culture is critical from the first phone call through long-term retention. Throughout the episode, he emphasizes the importance of vision, intentional growth, premium patient experience, and building a practice that can scale without sacrificing identity. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://revivemysmile.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2536: Why Patient Experience Wins in a Competitive Market appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Shreyas Parab, co-founder and CEO of Daydream, to talk about how AI is reshaping dental revenue cycle management. Shreyas shares how growing up in his mother’s dental practice gave him firsthand experience with the stress, complexity, and financial impact of insurance billing. After stepping in to run her practice during a family health crisis, he saw just how much practices lose when verification, claims, denials, and payment posting are not handled with precision. The conversation dives into how Daydream uses AI agents and human oversight to automate insurance verification, submit claims, post payments, appeal denials, and recover outstanding insurance AR while giving practices better visibility and control. Shreyas also explains why inaccurate insurance verification can damage patient trust, how outsourced billing can fall short without quality controls, and why aligned incentives matter when choosing an RCM partner. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.daydream.dental https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2535: The AI Fix for Dental Billing Headaches appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Alan Withall, senior sales consultant with Henry Schein, live from Thrive Live in Las Vegas. Alan shares how he found his way into dentistry, why he became passionate about helping dentists launch startups, and how building the right network of advisors can make the process far less overwhelming. Mark and Alan talk through the realities of startup financing, rising buildout costs, finding the right location, lease negotiations, budgeting, equipment planning, and why every market requires a different strategy. They also dig into the value of working with a true full-service rep, not just someone who fills supply orders, but someone who can help identify gaps, support growth, connect dentists with the right experts, and create more value inside the practice. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.henryschein.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2534: The Hidden Value of a Full-Service Dental Partner appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes is joined by Ashlee Hirschfeld for another installment of the Back to Basics series, this time focusing on the numbers every dental practice owner must know. Mark and Ashlee discuss why even experienced owners benefit from revisiting the fundamentals, especially when so many dentists feel overwhelmed by reports, spreadsheets, overhead, and profitability. They break down the importance of understanding your P&L, knowing the difference between fixed and variable expenses, tracking lead and lag measures, and using your numbers as data instead of letting them trigger shame or panic. This episode is a practical reminder that financial clarity creates confidence, and once you know where you stand, you can make better decisions for your practice, your team, and your future. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2533: Back to Basics: What Gets Measured Gets Managed appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Lilly Larsen live from Thrive Live 2026 in Vegas to talk about how she has carved out a unique, relationship-driven role as a Henry Schein field sales consultant. Lilly shares how she entered dental from a non-clinical background, leaned into her marketing experience, and built a business-minded approach that goes far beyond supplies and equipment. She discusses the importance of live events, community building, strategic partnerships, and helping dentists have bigger conversations about their practices, goals, and growth. Dr. Costes and Lilly also explore her origin story, the influence of her father’s entrepreneurial career shift, her time as a collegiate swimmer, and how discipline, discomfort, and competitiveness shaped her professional path. Lilly also explains how she is setting boundaries, creating better systems, and focusing more deeply on startup practices, acquisitions, and doctors who want a true consultant rather than a transactional sales rep. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.henryschein.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2532: Creating Community in a Lonely Profession appeared first on Dental Success Institute.

On today’s episode, Mark answers questions from the DSN community, covering some of the most common challenges practice owners and young dentists face. He breaks down why bonus systems based only on production or collections can quickly become risky, and explains how to structure incentives around the overall health of the practice instead. He also shares guidance on handling years when raises may not be financially possible, emphasizing clear communication, empathy, and protecting the long-term stability of the business. Mark also speaks directly to new graduates who feel overwhelmed clinically, financially, and professionally, encouraging them to slow down, build confidence, learn the business side of dentistry, and create financial breathing room before rushing into ownership. He closes with practical advice for evaluating associate opportunities, including understanding patient flow, culture, compensation, and non-compete risks before signing a contract. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2531: The Smart Way to Handle Team Bonuses appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes shares a special message for everyone gathered at DSS 2026. After 11 years and 2,500 episodes of the Dentalpreneur Podcast, Mark reflects on the journey from a closet recording setup to a movement built on community, leadership, discipline, and service. This heartfelt episode is a reminder that real transformation happens when we take action, show up for ourselves, and step into rooms with people who understand the path we are on. To everyone at the Summit today, and to everyone listening, welcome—we are so grateful for you! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2530: Breathing The Same Air – Live From DSS 2026 appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Bill Keith live from Thrive Live in Las Vegas to talk about the journey from accounting cubicles to building a massive, high-performing dental practice in Kansas City. Bill shares how he transitioned into dentistry, bought his father’s practice, expanded into a 23-operatory facility, and grew the business from $2.7 million to nearly $9 million in revenue. Mark and Bill dive into the realities of scaling, including hygiene capacity, doctor leadership, culture protection, compensation, staffing challenges, and why putting the right people in the right seats matters more than simply filling positions. They also explore Bill’s doctor equity model, how he keeps associates engaged, and the intentional systems that allow him to step out of day-to-day clinical work while continuing to grow the practice. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2529: The Culture Formula Behind a $9 Million Practice appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes and Ashlee Hirschfeld continue the Back to Basics series with a conversation on lifetime patient experience. They discuss why every patient interaction matters, how one great experience can lead to years of loyalty and referrals, and why practices need to intentionally map out each touchpoint in the patient journey. Mark and Ashlee also cover the importance of phone etiquette, consistent patient handoffs, post-op calls, patient recognition, and grassroots relationship-building in the community. From creating raving fans to reconnecting with local businesses, this episode is a reminder that strong systems and genuine human connection are still the foundation of practice growth. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2528: Back to Basics With the Lifetime Patient Experience appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes is interviewed by Jordon Comstock on the Navigating Dental Insurance Podcast for a conversation about AI, coaching, and the changing realities of running a dental practice. Mark and Jordon discuss why information has become a commodity, how AI can be a powerful tool when paired with the right data, and why human support, accountability, and real-world implementation still matter more than ever. They also dig into rising practice costs, wage inflation, flat PPO reimbursements, the importance of knowing your numbers, and why dentists need to be intentional about patient attraction, systems, leadership, and profitability. The conversation highlights where AI can elevate teams, where it still falls short, and why great coaching remains essential in helping practice owners turn information into action. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://boomcloudapps.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2527: What AI Still Can’t Replace in Dental Coaching appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes catches up with longtime friend and returning guest Joshua Scott, owner and CEO of Studio 8E8, for a wide-ranging conversation on growth, leadership, AI, and the realities of scaling a people-driven business. Joshua shares the vision behind Studio 8E8’s new 11,000-square-foot headquarters, including the long road from finding land to building a dedicated production studio and collaborative team space. He and Dr. Costes also reflect on the annual Murph workout, the discipline of fitness, and the lessons that carry over into entrepreneurship. The conversation then turns to AI’s growing impact on marketing, where Joshua explains why technology should make agencies more human, not less, by freeing teams to focus on strategy, measurement, client relationships, and better decision-making. They also unpack the challenges of hiring, leadership, client service, and protecting trust as a company scales. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://s8e8.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2526: AI, Leadership, and the Next Era of Dentistry appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes welcomes back longtime friend, mentor, and returning guest Alastair Macdonald for a deep conversation on dental partnerships, practice ownership, and the costly mistakes many dentists make when trying to retain associates. Alastair shares why selling equity too early can create long-term problems, how fear-based decisions often lead to bad partnership structures, and why production alone does not make someone a strong business partner. He and Dr. Costes also unpack the shifting economics of dentistry, the rising pressure from DSOs, and the importance of building dynamic, values-aligned partnerships that can grow with the business over time. The episode also previews their upcoming Dental Success Summit session, where they will go even deeper into frameworks for creating healthier, more strategic partnership paths. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://partnerships.sovereigndentist.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2525: The Hidden Cost of Giving Away Ownership Too Soon appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Shaju Puthussery and Deepak Ramaswamy, co-founders of Lightspun, to unpack one of dentistry’s least glamorous but most costly problems: insurance administration. From credentialing delays and paper claims to fragmented payer workflows and manual back-office bottlenecks, Shaju and Deepak explain why the “plumbing” of dentistry is overdue for a major upgrade. They share how their experience at Overjet led them to build an AI-first platform designed to streamline credentialing, claims, provider data, and payer-provider communication. The conversation dives into the opportunity cost of waiting 90 to 120 days for a new associate to be credentialed, how Lightspun’s partnership with the ADA and CAQH is helping standardize provider data, and why reducing administrative waste could free teams to focus more on patient care, relationships, and practice growth. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://lightspun.ai https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2524: Why Credentialing Is Costing Your Practice More Than You Think appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Ryan Gross, CEO of CMOShare, to talk about the rapid evolution of AI in dental marketing and how practices can use smarter data to drive real revenue growth. Ryan explains how AI can connect marketing, phone data, practice management software, and financials to uncover what is actually holding a practice back, from poor call conversion to limited hygiene availability. They also discuss the risks of relying on generic AI prompts, why implementation still matters more than information, and how practices can use collective intelligence to attract better patients and improve case acceptance. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.mycmoshare.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2523: The New Rules for Getting Better Patients appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Paul Goodman, founder of Dental Nachos and Dentist Job Connect, for a candid conversation on connection, career growth, and the real challenges dentists face behind the scenes. They discuss why dentistry can feel lonely, the value of getting into the right rooms, and how live events create collaboration and mentorship that cannot be replicated online. Paul also shares advice for young dentists, including the importance of understanding practice numbers, building strong clinical fundamentals, and getting legal guidance before signing associate contracts. The conversation wraps with a look at associate-owner harmony and the realities of transitioning a PPO-driven practice to an out-of-network model. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.dentalnachos.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2522: Why Associates Leave and What Owners Miss appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Brent Saunnier and Chris Sands, co-founders of Profi Dental CPAs, for a deep dive into the real-world consequences of neglecting your accounting. They unpack a cautionary case involving years of unfiled tax returns, unreliable books, IRS notices, and six-figure cleanup costs before even knowing whether additional taxes are owed. The conversation highlights why dentists need accurate, timely financials not just for tax compliance, but for practice valuation, lending, growth, and making smart acquisition decisions. From seller-side chaos to buyer-side red flags, this episode is a powerful reminder that prevention in accounting is just as important as prevention in dentistry. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.profi2020.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2521: The Red Flags Every Dental Buyer Should Catch appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down live at Thrive Live with Dr. Uche Odiatu for a high-energy conversation about whole-body health, patient connection, and why dentistry has the power to go far beyond fixing teeth. Dr. Odiatu shares his philosophy on using movement, sleep, nutrition, stress management, breathwork, and even light exposure to help patients and providers live with more energy and vitality. He explains how dentists can shift from being “tooth mechanics” to trusted health advocates by listening deeper, asking better questions, and connecting oral health to the bigger picture of inflammation, lifestyle, and longevity. From simple breathing tools to sustainable fitness habits and the power of moderation, this episode is packed with practical takeaways for dentists who want to improve their own health while creating a more meaningful impact chairside. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.druche.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2520: The Total Health Conversation Dentists Are Missing appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dave and Josh Stech to explore private lending, family offices, and how dentists can build wealth beyond the chair. Dave shares his journey from humble beginnings to becoming a respected real estate forecaster and investor, while Josh explains how his background in real estate, technology, and lending helped shape their approach to teaching others how to “be the bank.” They break down how private lending works, why collateral and borrower vetting matter, and how dentists can use this strategy to create passive, recurring income without taking on the same operational burden as owning real estate. The conversation also covers market timing, family office principles, loan funds, and the importance of getting educated before putting capital to work. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.justbethebank.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2519: How Dentists Can Think Like the Bank appeared first on Dental Success Institute.

On today’s episode, Dr. Aaron Nicholas continues the conversation with practical systems for protecting the schedule when things go wrong. From difficult extractions and blocked endo cases to patients who won’t get numb, bleeding that interrupts impressions, and hygiene exams that run too long, Dr. Nicholas focuses on building decision trees so the team knows exactly what to do next. He also shares how better room setups, assistant training, procedure-specific carts, morning huddles, and scheduling guidelines can help the entire practice stay prepared, reduce wasted motion, and create more opportunities for same-day care. The episode wraps with strategies for front office communication, financial arrangements, and consistent scripts that keep patients moving forward with treatment. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2518: Where Does The Day Go Sideways Pt. 2 appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes and Ashlee Hirschfeld kick off a back-to-basics conversation on operational systemization and why even experienced practice owners need to revisit the fundamentals. They break down how DSN’s belt system measures practice growth across culture, leadership, systemization, and overhead, then dig into what it really takes to build strong organizational charts, effective operations manuals, and simple protocols that create consistency without overwhelming the team. The episode also explores the power of difficult conversations, how to spot recurring breakdowns in the practice, and practical ways to get the team bought into systems that make the business healthier, more scalable, and less dependent on the doctor. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2508: How to Build a Practice That Runs Without Chaos appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Dr. Ben Miraglia, VP of GP Clinical Education at CandidPro, to explore how general dentists can successfully integrate clear aligners into everyday practice. Dr. Miraglia shares how his background in restorative and implant dentistry led him to clear aligners, and why an expansive, non-extraction approach helped him eliminate common frustrations like excessive IPR, too many attachments, poor tracking, and difficult finishes. They discuss how CandidPro’s orthodontist-led treatment planning, remote monitoring, AI-supported tracking, and reduced chair time can make aligner therapy more predictable, profitable, and enjoyable for both doctors and patients. Dr. Miraglia also explains why clear aligners should be a team sport, how to improve patient compliance, and why GPs should start with simple cases before moving into more advanced treatment. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.candidpro.com/dsi https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2507: Making Clear Aligners Profitable for General Dentists appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes joins Joshua DeVries on The Patient Experience Blueprint to discuss how dental practices can create more intentional, human-centered systems that build trust and improve case acceptance. Mark shares lessons from his unconventional path into dentistry, the failures that shaped his approach to practice ownership, and why clinical skill alone is not enough to create a thriving, patient-centered business. They explore how trust starts with the team, why every patient touchpoint matters, and how practices can use systems without becoming cold or robotic. Mark also breaks down the importance of mapping the patient journey, improving communication at each transition, focusing on retention as much as acquisition, and creating a culture where patients feel cared for rather than processed. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://intiveo.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2506: From the First Call to a Lifelong Patient Relationship appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes answers listener questions in this Ask Mark Anything segment, covering everything from adding specialists to protecting profitability during expansion. He breaks down how to evaluate the true cost per procedure before bringing in a specialist, why top-line revenue does not always translate into practice value, and how to calculate whether keeping specialty procedures in-house is actually profitable. Mark also discusses scaling revenue versus improving profitability, the importance of tracking attrition and reactivation, and why patient experience remains essential for retention. He closes with practical advice on associate ramp-up timelines, the “valley of death” production range, mentorship, and where to save money during buildouts without sacrificing long-term efficiency. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2505: The Smart Way to Add a Specialist appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes is joined by Dr. Summer Kassmel to unpack one of the most common frustrations in dental practice ownership: the disconnect between owner doctors and associate doctors. They discuss why owners often expect associates to think, work, and hustle the same way they do, and why that assumption can quickly create misalignment, resentment, and underperformance. Summer shares how to define expectations before hiring, ask better questions during interviews, clarify non-negotiables, and create a stronger onboarding process that gives associates a real path to success. They also talk through what to do when the relationship is already strained, including how to take ownership, reset expectations, discuss financial goals, and have direct conversations without creating defensiveness. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2504: The Conversations That Save Associate Relationships appeared first on Dental Success Institute.

On today’s episode, Dr. Mark Costes sits down with Chris Sands, co-founder of Crown Card Services and Pro-Fi 20/20, to unpack the often-overlooked world of credit card processing fees in dentistry. Chris explains how merchant fees quietly chip away at profitability, EBITDA, and even practice valuation, while sharing why more dental offices are exploring compliant surcharge programs to recover 70–90% of card fees. They also dive into the difference between rates and fees, the importance of PCI compliance, state-by-state surcharge restrictions, and how PPO contracts may create additional challenges for practices trying to pass fees along to patients. Chris also breaks down why software integration can come with a massive hidden cost, how bridge solutions may help practices avoid inflated processing rates, and why startups and first-time buyers may have an advantage by implementing these systems from day one. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://crowncardservices.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast The post 2503: Why Merchant Fees Are Draining Dental Practices appeared first on Dental Success Institute.