Bringing a Knife to a Gunfight - Solo vs DSO (2024)

The Bulletproof Dental Podcast Episode 355 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak     DESCRIPTION The conversation explores the advantages and disadvantages of DSOs (Dental Service Organizations) compared to solo dental practices. We’ll discuss the operational efficiencies of DSOs, including better lab fees, insurance negotiations, procurement of supplies, technology, and data utilization as well as highlight the importance of the patient experience and the potential for solo practices to excel in this area. The conversation delves into the challenges faced by solo practitioners, such as high team salaries and the pressure to compete with DSOs.  Peter and Craig emphasize the need for private practice owners to adapt and innovate in order to stay competitive. They also discuss the impact of student debt on private practice ownership and the role of technology in improving dental practices.    TAKEAWAYS DSOs have operational advantages in terms of lab fees, insurance negotiations, procurement, technology, and data utilization. Solo practices can excel in providing a superior patient experience. Solo practitioners should focus on improving operational efficiencies and reducing expenses to level the playing field. Mergers between solo practices can provide economies of scale and enhance competitiveness. The DSO model may face challenges due to the pressure for short-term returns and the potential fallout from a changing economic landscape. Private practice owners need to be aware of the changing landscape of dentistry and the rise of dental service organizations (DSOs). The high amount of student debt limits options for private practice ownership and partnerships. The Bulletproof Summit and Bulletproof Mastermind offer valuable opportunities for learning and growth in the dental industry.     CHAPTERS 00:00 - Reuniting and Discussing the Rise of DSOs 04:10 - The Advantages of DSOs: Operational Efficiencies and Technology 14:12 - The Importance of the Patient Experience in Solo Practices 17:09 - Challenges Faced by Solo Practitioners: Team Salaries and Competition 22:26 - Potential Solutions: Mergers and Long-Term Strategies 27:38 - The Future of DSOs: Challenges and Opportunities 30:45 - Adapting to the Changing Landscape of Dentistry 32:13 - The Impact of Student Debt on Private Practice Ownership 33:34 - The Role of Technology in Improving Dental Practices 35:23 - The Value of the Bulletproof Summit and Mastermind   REFERENCES Bulletproof Mastermind Patient Prism Bulletproof Summit 2025