Dental Unscripted | Getting into Ownership and Practice Management Insights

Michael Dinsio & Paula Quinn | Dental industry coaches & Education leaders
  • 4.9 (13)
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The dental practice ownership podcast for dentists ready to start, buy, or grow their dental business. Mike Dinsio, MBA and Paula Quinn, BSDH have joined forces. Now combining past shows from "Startup Unscripted" and "Dental Acquisition Unscripted" into one. They bring 30+ years of dental industry experience together with a modern approach to "the business of dentistry." Each episode features unscripted conversations with expert guest content. They share real life experiences, proven strategies, and actionable insights on dental practice ownership. Whether you're new to ownership, planning a dental startup, or navigating a practice acquisition—we've got you covered. CHANNEL TOPICS INCLUDE: ✓ How to start a dental practice from scratch ✓ Buying a dental practice: What you need to know ✓ Practice management hacks, tips, and tricks ✓ Dental marketing and SEO strategies that work ✓ Financial planning and profitability for practice owners ✓ Building and leading high-performing dental teams ✓ Industry trends: DSOs, technology, and the future of dentistry Next Level Consultants is Michael and Paula's consulting firm. Their approach to working with dentists? Customized strategies that are tailored to your unique market, team, and goals—no cookie-cutter packages. Visit: www.nxlevelconsultants.com/resources/podcast Join our growing community of dental practice owners and entrepreneurs. Watch LIVE on YouTube & ask questions directly. Subscribe on Apple or Spotify. New episodes weekly. No scripts. Just real talk about running a successful dental practice. Rate the show 5 stars and help other dentists discover us! ⭐⭐⭐⭐⭐

  1. 2D AGO

    Dental Practice Finances: The 401(k) Strategy Every Owner Needs to Know

    Dental practice finances investment hack using 401 (k) – Shelter up to $83K/year in taxes while building real wealth as a dental practice owner.Most dental practice owners treat the sale of their practice as their retirement plan. That's a costly mistake. Caitlin Bryan, Wealth Management Lead at Cain Watters & Associates, breaks down how a well-structured 401(k) is the single most powerful dental financial planning tool available and how nine out of ten times, it pays for itself entirely through tax savings. From the 3% Safe Harbor rule to the backdoor Roth IRA strategy, Caitlin gives dental entrepreneurs a clear roadmap to build wealth during ownership, not just at the exit. Whether you're running a dental startup or deep into practice ownership, this episode delivers the dental practice financial tips that top producers actually use. 01:03 - Why dental practice finances get ignored at startup03:44 - Cain Watters & Associates: 40 years of dental business expertise07:39 - The core case for a 401(k) in dental practice management10:00 - Getting your team enrolled: eligibility rules explained13:30 - 3% Safe Harbor: the owner's shortcut to unlimited deferrals17:00 - How much can you actually save? ($72K–$83K/year breakdown)19:40 - Gusto vs. custom plan: what dental entrepreneurs are missing24:30 - Buying a dental practice? Here's what happens to the seller's plan27:56 - Traditional vs. Roth for high earners: the backdoor strategy37:00 - Warning: don't make your practice sale your only retirement plan 🔗 Get your FREE 401(k) proposal from Cain Watters & Associateshttps://go.cainwatters.com/l/467721/2026-03-20/lrx9y 🔗 Learn more about the practice ownership journey here on the podast:https://dentalunscripted.com 💼 Guest: Caitlin Bryan | Cain Watters & AssociatesWealth Management Lead, 17 years dental industry financeCain Watters & Associates specializes in dental CPA services, tax strategy & investments Found this episode valuable?Subscribe to Dental Unscripted on Apple Podcasts and Spotify so you never miss an episode built specifically for dental practice owners.⭐⭐⭐⭐⭐ Leave us a 5-star review on Apple Podcasts, it takes 30 seconds and helps more dentists find the show. Join the conversation on Instagram: @dentalunscriptedConnect with Michael Dinsio & Paula Quinn founders of Next Level Consultants: https://nxlevelconsultants.com

    42 min

  2. MAR 10

    Why 80% of Dental Marketing Fails & How to Avoid Spending More on Google Ads Than Necessary

    Dental Marketing | Practice Management | Practice Ownership Journey Stop wasting money on dental marketing that doesn't convert. Cisco Adler from Digital Rain reveals the silent killer of your Google Ad budget and how to turn it around.  In this interview, Mike Dinsio and Paula Quinn sit down with Cisco Adler, owner of Digital Rain, to discuss the business of dentistry and high-performance dental marketing strategies. Cisco reveals why 80% of dental marketing fails and shares an actionable framework for dental practice's to follow. What You’ll Find Out in this Episode: Why sending ad traffic to your dental practice website is a conversion killer.The "Error Gap" in Google’s AI that causes successful dental practice owners to lose money.Why a $100 cost-per-call is a standard benchmark for dental practice growth.How "Message Matching" on specialized landing pages increases dental practice revenueThe truth about "Free Implant" scams and protecting your dental business reputation.Why 80% of your dental marketing ROI is determined by your front desk team. Special Guest on Today’s Show:Cisco Adler brings 17 years of dental industry experience, specializing in Google Ads and conversion-optimized landing pages. As the founder of Digital Rain, he has managed high-competition campaigns across several verticals to drive positive ROI. Connect with Digital Rain: https://massiveconversion.com/ Perfect for Dentists Who:Are current dental practice owners, startup dentists, anyone focused becoming an owner and growing a dental practice, dental practice operations, dental practice financials, and dental practice management. Key Takeaway:The real value of new patients comes from "message-matching" your ads to specialized landing pages that solve a patient’s specific problem. Stop chasing impressions & clicks and start converting those leads!  Stay Tuned for More Topics Covered on Dental Unscripted:dental marketing, practice management, dental business, practice ownership journey, dental practice efficiency, dental practice growth, dental consulting, business of dentistry, successful dental practice, growing a dental practice, dental practice revenue, dental entrepreneurship, running a dental practice, dental industry advice, dental solutions. Show Hosts: 🔗 Work with Next Level Consultants: https://nxlevelconsultants.com/resources/dental-podcast/🎙 More Episodes: https://dentalunscripted.com Disclaimer and All Rights Reserved:This podcast explores the business, leadership, and clinical realities of modern dentistry. Through candid conversations with practice owners, clinicians, and industry professionals, we focus on operations, patient experience, team development, and long-term practice growth. The podcast is intended for educational and informational purposes only. Guest perspectives are their own and do not constitute endorsements or recommendations by the hosts or their affiliated businesses. Hosts and guests may discuss a wide range of experiences, tools, and approaches used in dental practices across the industry.

    50 min
  3. Don't Quit Your Day Job! The Reality, Month-by-month in a Dental Practice Startup (2 Minute Drill)

    MAR 9

    Don't Quit Your Day Job! The Reality, Month-by-month in a Dental Practice Startup (2 Minute Drill)

    Dental Startup Financials | Dental Practice Income | Don't Quit Your Associate Job Year one of a dental startup pays $80K–$100K in profit. Mike D'Inzio of NX Level Consultants breaks down why keeping your associate job is the cheat code most dentists ignore. Mike Dinsio breaks down the real financial picture of a dental startup's first year, and why the numbers might surprise everyone. This episode breaks down exactly what to expect month by month, why most dentists make a costly income mistake in the first 90 days, and how to protect your household income while your startup builds momentum. Get the Startup eBook here:https://nxlevelconsultants.com/wp-content/uploads/2026/02/Starting-Up-E-Book.pdf What we cover: • Why dental startups realistically generate $80K–$100K profit in year one, and why that's actually workable • The associate income strategy that bridges the gap between startup profit and your current salary • What your patient schedule actually looks like in months one through six (hint: it's not what you're used to) • Why the hygiene cycle is the real turning point, and what changes when it kicks in at month six • The month-by-month emotional arc of a startup and how to stop month three from breaking you • Why quitting your associate job early is the #1 mistake new startup owners make • How to manage income expectations without sacrificing your family's financial stability Key Takeaway: Most dentists think startup ownership means an immediate income drop they can't survive. It doesn't — if you keep working while you build. Your associate income is the bridge. Your startup is the investment. Run both, and year one becomes a lot less scary. Working with Michael Dinsio and NEXT LEVEL CONSULTANTS:https://nxlevelconsultants.com/dental-practice-ownership/starting-a-dental-practice/ Stay Connected for More Topics Covered on Dental Unscripted: dental startup financials, dental practice income, associate dentist income, dental startup profit, dental practice ownership, how to start a dental practice, dental startup advice, dental practice first year, dental associate job, dental startup timeline, dental practice growth, dental consulting, NX Level Consultants, startup dentist, dental practice revenue, hygiene cycle dental, dental entrepreneur, dental business strategy, practice ownership journey, dental startup mistakes, dental income planning, dental practice profitability, running a dental practice

    3 min
  4. Location Is Everything When Starting a Dental Practice From Scratch (2 Minute Drill)

    MAR 4

    Location Is Everything When Starting a Dental Practice From Scratch (2 Minute Drill)

    Is a dental practice startup actually scary? or is it just the zip code? Let me explain... In this episode, we break down why location is the single biggest factor separating a million-dollar start from a slow, and painful grind. I've seen the real numbers, I've helped startups in those market. Here is the honest truth about what happens when you plant your flag in the wrong place. If you're considering a startup, and want a practice that grows to over 1 million in the first 3-4 years this is the conversation you need to have before you get started. GET THE eBOOK "Starting Up" https://nxlevelconsultants.com/wp-content/uploads/2026/02/Starting-Up-E-Book.pdfLet us know if you have any more questions, I will be happy to help. https://nxlevelconsultants.com/dental-practice-ownership/starting-a-dental-practice/

    2 min

  5. FEB 27

    Debunking the Scary Dental Practice Startup | Here's How to Survive the First 6 Months

    Dental Startup | Starting a Dental Practice | Dental Practice Ownership Startups aren't scary! Business ownership is scary. The SECRET to making it even scarier... pick the wrong location, hire the wrong team size, get the wrong lending strategy. Mike Dinsio & Paula Quinn dismantle the #1 myth killing dentists' ownership dreams. Michael Dinsio, MBA and Paula Quinn, BSRDH of Next Level Consultants break down exactly why dental startups fail and how their clients have launched million-dollar practices in a year. From location strategy and payroll traps to lease negotiation and lending, this episode gives you a proven 5-step framework for dental practice startup success without gambling your financial future. What You'll Find Out: • Why your startup location is worth more than your marketing budget combined • The $40K/month payroll mistake 90% of startup dentists make before month 3 • How to clear $80K–$100K in profit your very first year (and what kills it) • Why keeping your associate job is the most underrated startup strategy • The lease and lending structures top 1% startup dentists use to stay cash-flow positive • What months 1–6 really look like and how to survive the "Valley of Death" • The exact staffing model Paula recommends for day-one operations Perfect for: Dentists considering a startup, dental associates ready for ownership, practice management consultants, and anyone focused on dental practice profitability, dental startup tips, and growing a dental practice without financial ruin. Key Takeaway: The scary part of a dental startup isn't the risk — it's not knowing the rules. Mike and Paula hand you the playbook that transforms "terrifying" into "totally doable," giving you the confidence to stop waiting and start owning. Hosts of the Show: 🔗 Work with Next Level Consultants: https://nxlevelconsultants.com/resources/dental-podcast/🎙 More Episodes: https://dentalunscripted.com Stay Tuned for More Topics Covered on Dental Unscripted: dental startup, starting a dental practice, dental practice ownership, dental startup tips, dental practice profitability, practice ownership journey, dental practice finances, dental practice management, dental business, buying a dental practice, dental practice growth, dental entrepreneurship, dental startup advice, dental practice expenses, running a dental practice, dental practice leadership, dental coaching, dental industry, dental consulting, practice acquisition, dental financial planning, dental teams, dental practice efficiency, profitability in dentistry, dental career Disclaimer and All Rights Reserved:This podcast explores the business, leadership, and clinical realities of modern dentistry. Through candid conversations with practice owners, clinicians, and industry professionals, we focus on operations, patient experience, team development, and long-term practice growth. The podcast is intended for educational and informational purposes only. Guest perspectives are their own and do not constitute endorsements or recommendations by the hosts or their affiliated businesses. Hosts and guests may discuss a wide range of experiences, tools, and approaches used in dental practices across the industry.

    35 min

  6. FEB 13

    Ownership Journey Foundations : How Team "Role Clarity" Drives Practice Revenue

    Dental Practice Growth | Dental Practice Management | Dental Startup Avoid the "hot mess" and dental practice management confusion. Learn how specific job descriptions eliminate errors and drive revenue with Mike Dinsio and Paula Quinn. In this episode, Michael Dinsio and Paula Quinn break down the essential role of job descriptions in dental practice operations. They reveal why missing the "eggs and butter" of daily tasks leads to empty schedules and how to hold your team accountable through clear dental management strategies. Why job descriptions are the "predictability" your team needs in a reactive environment. How to avoid the $100k working capital drain caused by poor insurance verification and late statements.The "Startup vs. Established" shift: Redefining roles as your dental business scales.Why the front office is the engine of your practice revenue and patient acquisition.Strategies for cross-training and floaters to survive the modern labor market.Using KPIs and quarterly check-ins to replace "blah blah" meetings with actual results.Perfect For:Startup dentists, practice owners looking to scale, and anyone focused on dental practice efficiency, dental team optimization, and long-term practice growth. Key Takeaway:The domino effect of poor roles is the #1 reason practices fail to grow. Transition from being just a "doer" to a leader by being intentional with your team's responsibilities and priorities. Stay Connected to Get More Topics Covered by Dental Unscripted:dental practice growth, dental practice management, dental startup, dental practice operations, practice ownership journey, dental business, dental practice efficiency, dental management, running a dental practice, dental industry advice, dental solutions, profitability in dentistry, dental practice tips, how to run a dental practice, business of dentistry, dental team optimization, dental coach, practice management insights, successful dental practice, dental industry experts. Connect With Next Level Consultants:Website: https://nxlevelconsultants.com YouTube: https://www.youtube.com/@DentalUnscriptedFacebook: https://www.facebook.com/nxlevelconsultants/Instagram: https://www.instagram.com/nxlevelconsultants/ This podcast explores the business, leadership, and clinical realities of modern dentistry. Through candid conversations with practice owners, clinicians, and industry professionals, we focus on operations, patient experience, team development, and long-term practice growth. The podcast is intended for educational and informational purposes only. Guest perspectives are their own and do not constitute endorsements or recommendations by the hosts or their affiliated businesses.

    40 min
  7. Why AR's Could Ruin Your First 90 Days After Buying a Dental Practice (2 Minute Drill)

    FEB 6

    Why AR's Could Ruin Your First 90 Days After Buying a Dental Practice (2 Minute Drill)

    Thinking about buying a dental practice? Before you close the deal, you need to understand the truth about accounts receivable (ARs) that most brokers won't tell you.  In this episode NEW EDITION of Dental Unscripted - 2 Minute Drill, Mike Dinsio breaks down the hidden challenges of dental practice acquisition, specifically, the chaos that happens when you don't buy the ARs or when sellers continue billing post-close.  Why patient AR is drastically different (and riskier) than insurance ARHow to value accounts receivable during dental practice acquisition negotiationsThe critical steps to protect yourself if you don't purchase the ARsPost-close collection strategies that prevent front office chaosWhy you should negotiate a 90-day payment holdback with sellersHow to avoid starting your ownership journey by threatening collectionsWhether you're working with buyer rep / dental consulting professional or navigating practice ownership on your own, this episode provides essential dental practice financial tips and practical advice for running a dental practice successfully from day one. Free Resource: Download our comprehensive guide "5 Things That WILL Happen Post-Close & How to Prepare for a Successful Transition" at https://nxlevelconsultants.com/wp-content/uploads/2026/02/Buyers-Rep-eBook.pdf Perfect for dentists considering practice acquisition, dental entrepreneurs, and anyone in the dental industry looking to strengthen their dental practice operations and avoid costly mistakes during the buying process. Keywords: buying a dental practice, dental practice acquisition, dental consulting, practice management, dental practice financials, owning a dental practice, dental entrepreneurship, dental business, financial advice for dentists, dental practice operations

    2 min

  8. FEB 5

    #1 Reason for a Lawsuit Post Close - When Buying A Dental Practice *Listen Before Buying*

    Accounts Receivable | Dental Practice Acquisition | Dental BillingStop the post-sale cash flow crunch. Learn how to navigate the "hot mess" when transitioning ARs. Protect your new practice from the #1 cause of post deal lawsuits.  We discuss with billing expert Stafani Sandoval, Front Office Consultant at NEXT LEVEL CONSULTANTS. Episode OverviewIn this episode, hosts Mike Dinsio and Paula Quinn sit down with Stafani Sandoval, to break down the technical chaos of accounts receivable during a dental practice acquisition. We reveal why brokers often avoid the truth about AR's and the value and how a "First In, First Out" (FIFO) software default can accidentally drain your working capital within the first 30-60 days of ownership. What You’ll Get From This Episode: The #1 Lawsuit Trap: Why AR disputes are the primary reason for post-sale litigation and how to avoid them.7 Payment Streams: How to track everything from virtual credit cards and EFTs to CareCredit and merchant services.The 90-Day Cash Hack: A strategic framework for holding seller funds to subsidize your initial practice cash flow.Software Hacks: Technical tips for Dentrix and Open Dental to ensure accurate provider allocation post-close.Neutral Party Solutions: Why a third-party biller eliminates the "loyalty conflict" between your new team and the old seller.Patient vs. Insurance AR: How to value different aging buckets during your final negotiations. Perfect For: Acquisition buyers, and anyone focused on practice transitions, and dental practice ownership Special Guest on Today's Show: Stefani Sandoval brings years of specialized dental billing experience to the table. As the Front Office Consultant & Billing Department Manager at Next Level Consultants, she manages outsourced revenue cycles for hundreds of acquisitions, startups, and private practice owners across the country. Connect with Stafani: https://nxlevelconsultants.com/front-office-support/remote-dental-billing/  Key Takeaway:The transition of money is the most volatile part of a dental sale. Success isn't just about clinical production; it’s about mastering the meticulous tracking of every dollar to ensure your business remains profitable from the moment you take the keys. Stay Connected to Get More Topics Covered by Dental Unscripted: accounts receivable, dental practice acquisition, dental billing, dental practice management, practice transition, dental cash flow, dental lawsuits, buying a dental practice, dental broker secrets, dental financial tips, next level consultants, michael dinsio, paula quinn, startup dentist, dental entrepreneurship .

    41 min
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4.9
out of 5
13 Ratings

About

The dental practice ownership podcast for dentists ready to start, buy, or grow their dental business. Mike Dinsio, MBA and Paula Quinn, BSDH have joined forces. Now combining past shows from "Startup Unscripted" and "Dental Acquisition Unscripted" into one. They bring 30+ years of dental industry experience together with a modern approach to "the business of dentistry." Each episode features unscripted conversations with expert guest content. They share real life experiences, proven strategies, and actionable insights on dental practice ownership. Whether you're new to ownership, planning a dental startup, or navigating a practice acquisition—we've got you covered. CHANNEL TOPICS INCLUDE: ✓ How to start a dental practice from scratch ✓ Buying a dental practice: What you need to know ✓ Practice management hacks, tips, and tricks ✓ Dental marketing and SEO strategies that work ✓ Financial planning and profitability for practice owners ✓ Building and leading high-performing dental teams ✓ Industry trends: DSOs, technology, and the future of dentistry Next Level Consultants is Michael and Paula's consulting firm. Their approach to working with dentists? Customized strategies that are tailored to your unique market, team, and goals—no cookie-cutter packages. Visit: www.nxlevelconsultants.com/resources/podcast Join our growing community of dental practice owners and entrepreneurs. Watch LIVE on YouTube & ask questions directly. Subscribe on Apple or Spotify. New episodes weekly. No scripts. Just real talk about running a successful dental practice. Rate the show 5 stars and help other dentists discover us! ⭐⭐⭐⭐⭐

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