Shared Practices | Your Dental Roadmap To Practice Ownership | Custom Made For The New Dentist

In Part 2 of Thor’s return to Practice Under Water, George and Thor tackle the complexities of scaling a thriving $2.5M practice. From facility constraints to associate performance and insurance strategy, this episode offers a real-time masterclass in transitioning from hustle-based growth to systems-driven sustainability.

In this episode of Practice Under Water, returning guest "Thor" shares how he grew his suburban dental practice from $700K to $2.5M in just four years. George helps him evaluate the next strategic step—moving, expanding, or embracing a pseudo-specialist role—all while preserving income and quality of life.

Kick off 2026 with a plan that actually sticks. George walks through choosing your practice vision, pinpointing your #1 bottleneck, and installing a weekly operating rhythm so growth stops being random. Pick your avatar, align your team, and make the calendar turn count.

Richard and Caitlin break down a four-part framework for practice vision—anatomy/scale, philosophy of care, team culture, and life design—and show how to use it to drive buy-in, staffing math, and bottleneck-based prioritization. Learn cadence tips for communicating vision, preventing change fatigue, and creating clear pivot points that reduce burnout.

Join George Hariri and Richard Low as they dive into the real-world applications of AI in dental practice management. From co-diagnosis tools and automated SOP creation to marketing insights and team performance reviews, they explore how dentists can harness AI today—and what’s just around the corner.

Struggling with low reimbursements and PPO chaos? In this eye-opening episode, Richard Low and Clint Johnson reveal the exact process for climbing the “PPO Profit Ladder,” negotiating higher fees, and simplifying your practice’s insurance landscape—while boosting your bottom line and your peace of mind.

In Part 2 of this Practice Under Water interview, George helps Scuba Steve unpack the deeper reasons he doesn’t love walking into his practice—despite impressive growth and income. Together, they explore team alignment, systems, environment, and the foundational role of pride in private practice ownership. A candid and tactical conversation for any dentist seeking fulfillment in ownership.

In this episode of Practice Under Water, George speaks with “Scuba Steve,” a dentist who purchased a struggling fee-for-service practice and quickly doubled production. They explore Steve’s unconventional ownership journey, his challenges with infrastructure, hiring, and practice culture, and preview key decisions about whether to stay solo or expand. A must-listen for anyone navigating the early years of ownership.

In this Coaches Corner, Richard and Caitlin break down everything you need to know about chart acquisitions—how to negotiate the deal, analyze if it's the right move for your practice, and operationally prepare your team for the incoming patient load. Whether you're eyeing growth or simply curious about creative acquisition models, this episode provides clarity on a complex topic.

Join Richard and George as they dive into a real-world fee-for-service case study, uncovering the secrets to boosting new patient flow, overcoming hygiene bottlenecks, and scaling without sacrificing patient relationships. If you want to transform efficiency, retention, and profitability in your practice, this is an episode you won’t want to miss!

AI isn’t just coming—it’s already answering your phones. Richard Low sits down with Mango Voice’s Richard May to uncover how practices are using AI to transcribe, summarize, and even respond to patient calls. From never missing a lead to smarter call audits, this episode reveals the AI tools changing the dental front desk forever.

Tom’s back—and he’s ready to take control of his schedule. George helps him ditch the dreaded Fridays, streamline his hours, and plan a smart path toward a group practice, all while keeping his sanity (and family time) intact.

In this Practice Under Water episode, George sits down with Tom, a Canadian dentist navigating the challenges of ownership, financial pressure, and work-life balance. With high new patient flow and untapped expansion potential, Tom faces a critical crossroads: pursue group practice now or optimize his solo practice for sustainability and personal goals. This episode explores the nuanced considerations of timing, clinical growth, and long-term strategy.

In this episode of Ask George, Richard and George discuss the difficult decisions that come with dental practice ownership. They cover real-life examples of failed partnerships, premature hiring, and costly expansions, offering insights on how to navigate and recover from these challenges.

Struggling with last-minute cancellations and no-shows in your dental practice? In this Shared Practices Coaches Corner episode, Richard Low and Caitlin share proven scripts, cancellation policy strategies, and tips to train patients to respect your time. Whether you're considering broken appointment fees, patient deposits, or short-call lists, this episode delivers practical advice to protect your schedule and improve practice efficiency.

Discover how international virtual team members are transforming the dental industry. Richard Low sits down with Cory Pinegar, founder of Reach, to explore hiring trends, practice profitability, and operational strategy. They break down how to save $24K per hire while boosting team culture, patient satisfaction, and bottom-line growth.

In this episode, Richard Low and George Hariri explore the mindset and strategic responsibilities of a dental CEO. From defining management versus leadership to understanding how to align a team with a long-term vision, they provide actionable insights for practice owners looking to elevate from operator to executive.

In this episode, Richard Low and Alex Sharp dive deep into the role of hygiene in modern dental practices, asking whether hygiene-led growth is still viable in 2025. They explore recruiting strategies, economic realities, and leadership systems that make or break a hygiene department. Packed with tactical advice and forward-thinking insights, this is a must-listen for any practice owner navigating today’s hygiene landscape.

In this impactful second part, George guides "Alejandro" through a real-time blueprint for sustainable growth in a fee-for-service practice. Learn how one owner is tackling hygiene capacity, strategic patient acquisition, and team development—all while staying true to a high-quality, low-drama vision of dentistry.

Dr. "Alejandro", a seasoned fee-for-service solo dentist, joins George to discuss the business evolution of his 20+ year-old practice. They unpack the challenges of dropping Delta, staffing hurdles, and a vision for sustainable growth with minimal drama. This episode offers a clear roadmap for mature solo owners striving to increase collections without changing who they are.