The Margin Line

Dandy

The Margin Line explores how America's most successful dental organizations scale from single practices to multi-state empires. Host Joe Lynch, Head of Customer Success at Dandy, interviews DSO executives and industry leaders about the strategies that actually work - from first acquisitions and integration playbooks to technology bets and operational efficiency. New episodes every Tuesday.

Episodes

  1. 9 Jun

    Inside The Portable Dentistry Operation Serving 40,000 Patients a Year (In Their Homes)

    There's a population of patients most dentists will never see — seniors in memory care, adults with disabilities, people who are homebound or medically complex. They aged out of dental coverage and live in places where a traditional dental chair will never fit. Enable Dental built an entire company around them. In this episode of The Margin Line, Joe Lynch sits down with Dr. Nathan Suter, Chief Clinical Officer at Enable Dental, to unpack how a portable DSO operating across 27 hubs in 12 states delivers comprehensive dental care to 40,000 patients a year — in their beds, their wheelchairs, their salons, and their living rooms. With a background in accounting and public health, Dr. Suter brings a perspective on dentistry that almost no one else in the industry has. He talks us through: Why Enable describes itself as "part dental company, part logistics company"The four-customer model (patient, caregiver, facility, and payer) and the care coordination tech stack they built to manage itHow a six-month digital denture pilot with Dandy cut turnaround time by 50% and saved roughly 10,000 appointments a yearThe shift from cash and concierge into value-based care contracts with medical payers — and what it takes to convince a Medicare Advantage plan that dentistry drives medical outcomesThe 30-year vision: making periodontal disease as visible to medical providers as a wound on a diabetic's armWhat he saw at the IDS dental trade show in Germany that finally made digital dentures viable for an edentulous, homebound populationThe most interesting dental business in America right now might be the one you've never seen, because it never asked you to walk through a door. It's portable, payer-aligned, half logistics, and growing 30–40% a year. Take a listen as Dr. Suter walks through exactly how it works. Check out Dandy here: https://www.meetdandy.com/?utm_medium=social&utm_source=linkedin&utm_campaign=margin-line-podcast

    50 min
  2. 26 May

    The Director Behind Maryland's Homeless Dental Care: “I Wasn't Living My Purpose In Private Practice”

    Imagine a dental clinic where treatment plans aren't shaped by insurance codes, production targets, or what a patient can pay. There's only one question: what does this person actually need?  In this episode of The Margin Line, Joe Lynch sits down with Dr. Khaleila Brannon, Director of Dental at Health Care for the Homeless in Baltimore — the leader of Maryland's only dedicated dental program for individuals and families experiencing homelessness. After seven years in private practice, Dr. Brannon walked away to lead a clinic where treatment planning isn't tied to revenue, dentures are provided at no cost, and patients sometimes need shoes before they need a crown.  She walks Joe through:  The "truest form of treatment planning" — what care actually looks like when money is fully removed from the equationWhy a patient's dynamic life (a couch one week, a tent the next) demands a completely different operational model than private practiceThe private foundation funding that makes no-cost dentures possible, and the digital workflow that delivers them in a fraction of the timeBuilding trust with patients who have every reason not to trust a healthcare systemHiring for empathy and adaptability over credentials, along with her favorite interview question for surfacing bothWhy she sees children, the elderly, and the unhoused as the populations where dentistry can do its most meaningful workWhether you're a dentist questioning if private practice is the only path, a clinic leader thinking about your own community's gap in care, or anyone who wants to see what patient-first dentistry looks like when stripped of every financial incentive, this episode will change your outlook on what dental care can be. Check out Dandy here: https://www.meetdandy.com/?utm_medium=social&utm_source=linkedin&utm_campaign=margin-line-podcast

    35 min
  3. 31 Mar

    How a Small-Town Indiana Dentist Grew a Multi-Million Dollar DSO Without Focusing on Profit

    Most DSOs scale by chasing deals. LADD Dental Group scaled by staying close to home and never losing sight of why they started. In this episode of The Margin Line, Joe Lynch sits down with Mary Ladd, CEO of LADD Dental Group, and Dalton Albertin, Director of Marketing and Business Development, to unpack how a single family practice founded in Kokomo, Indiana in 1978 grew into a multi-million dollar, 10-location group without abandoning the mission that built it. From Mary's father trading dental work for firewood in the early days to acquiring beloved family practices across North Central Indiana, LADD Dental has never strayed from one core belief: take care of people first, and the business will follow. They get into: The "operational density" strategy that makes acquisitions smoother, marketing cheaper, and staff sharing seamless, all within a 15-20 mile radiusWhy every piece of technology they adopt gets evaluated on one question first: will our people love using itTheir acquisition philosophy: every deal has to be a win for the doctor, the staff, and the patientsHow they use administrative support and technology to rescue burned-out dentists without stripping away what made their practice theirsThe educational partnerships with Indiana dental schools that are building a real talent pipeline from the ground upIf you want to see what it looks like to scale a dental group without compromising your values in the process, this conversation is the playbook. Check out Dandy: https://www.meetdandy.com/?utm_medium=social&utm_source=linkedin&utm_campaign=margin-line-podcast

    51 min
  4. 3 Mar

    Chief Clinical Officer (400 Practices): The “Real-World Training” Problem Dentists Are Facing

    Dr. Trey Mueller started Dental Associates of Florida, grew it to 12 locations, partnered with Dental Care Alliance in 2016, and in under a decade went from practicing dentist to Chief Clinical Officer overseeing 400 offices. He joins Joe Lynch on The Margin Line to walk through: Why he never truly loved chairside dentistry and how that honesty shaped the career decisions that followedThe systemization playbook he learned from his first boss and replicated across every location, making any team member plug-and-play between officesHiring for personality, empathy, and compassion over clinical skillWhy post-COVID dental graduates arrive less prepared than ever and how DCA is building a new roadmap from new grad to master clinicianHow AI (Overjet, Dandy's scanner) is closing the confidence gap for young dentists and turning blown-up images of cracked teeth into instant case acceptanceThe daily-guarantee debate: why his team convinced him to extend new-hire pay guarantees from 90 days to a full year and why he listenedHis contrarian take on leadership and why great delegation makes that possibleListen for a candid look at the mechanics of replacing yourself in production, navigating a DSO partnership without losing autonomy, and building culture that scales from a single office in Winter Haven, Florida to 400 offices across Dental Care Alliance. Link to Dandy: https://www.meetdandy.com/

    37 min

About

The Margin Line explores how America's most successful dental organizations scale from single practices to multi-state empires. Host Joe Lynch, Head of Customer Success at Dandy, interviews DSO executives and industry leaders about the strategies that actually work - from first acquisitions and integration playbooks to technology bets and operational efficiency. New episodes every Tuesday.