Dental Unscripted | Getting into Ownership and Practice Management Insights

Michael Dinsio & Paula Quinn | Dental industry coaches & Education leaders

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. 5D AGO

    Setting Up a Dental Practice Entity: LLC/PLC, S-Corp & Tax Election Explained!

    Choosing the wrong entity structure before buying or starting a dental practice can cost you valuable time. Most dentists don't find out until it's crunch time on a deal or they talk to an attorney about it.  Thats why Tyler Jones of Helsell Fetterman joins Mike Dinsio and Paula Quinn to break down everything dental practice owners need to know about entity formation. From the LLC vs. S-Corp confusion to the exact timing for startups and acquisitions. This is the stuff you should know to talk to a CPA or attorney before you start filing online.  3:57 LLC vs. S-Corp: What's the actual difference? 5:11 Why most dentists should start as an LLC (not S-Corp) 7:00 PLLC vs. LLC: Does your state require it? 15:06 Startups: Exactly WHEN to form your entity 20:20 Acquisitions: Why timing is more accelerated than you think 18:03 Can you reuse your old LLC from associate days? 22:28 Who should form your entity - Attorney, CPA, or DIY? 26:14 What entity formation actually costs (and what to bundle) 29:00 Operating agreements and EINs: What you need and when 31:56 Partnerships & multi-practice: When these rules change entirely KEY TAKEAWAYS: ✅ Your LLC and your S-Corp election are two separate things, most dentists confuse them ✅ In most states, LLC and PLLC are functionally the same, just a naming distinction ✅ For acquisitions, form your entity early, deals now close in 30-60 days, not 90-120 ✅ Reusing an old associate LLC is possible, but a fresh start usually wins with banks ✅ DIY entity setup is possible, but fixing mistakes costs far more than doing it right ✅ Your entity costs only ~$70/year to renew, don't let timing anxiety paralyze you ✅ Always have your operating agreement and EIN ready, banks and landlords will ask ABOUT THE GUEST: Tyler Jones, Attorney, Helsell Fetterman Dental and veterinary practice transaction specialistNationwide entity formation, acquisition, and startup legal servicesBased in Washington State; serves dental professionals across the countryWorks alongside dental-specific CPAs and advisors on complex deal structures🔗 Connect with Tyler: https://www.helsell.com/helsell-attorney/tyler-jones/CONNECT WITH MIKE & PAULA:Michael Dinsio, MBA and Paula Quinn, BSDH are the founders of NEXT LEVEL CONSULTANTS, a dental-specific advisory firm that guides dentists through practice acquisitions, startups, and operational growth. If you're serious about ownership, they're the team you want in your corner. https://nxlevelconsultants.com FOLLOW DENTAL UNSRIPTED:https://dentalunscripted.com Instagram: https://www.instagram.com/dentalunscripted/ Facebook: https://www.facebook.com/nxlevelconsultants/ 🔔 Subscribe for new episodes on: ✔ Dental practice acquisitions & startups ✔ Practice ownership finances and legal strategy ✔ Tax planning and entity structure for dentists ✔ Team building, operations, and profitability ✔ Real talk from dental industry experts #DentalUnscripted #BuyingADentalPractice #DentalStartup #DentalPracticeOwnership #DentalBusiness #PracticeAcquisition #DentalEntrepreneur #DentalPodcast #DentistPodcast #DentalManagement

    35 min
  2. APR 20

    Does Your Team Thinks You’re Rich! Sharing the Practice's Numbers with Your Team

    Dental Practice Management | Dental Practice Growth | Running a Dental Practice Stop hiding the scoreboard and wondering why your team isn't winning. Learn how to transition from a stressed boss to an intentional CEO by leveraging the power of financial transparency with Mike Dinsio and Paula Quinn. EPISODE OVERVIEW In this episode of Dental Unscripted, Mike Dinsio and Paula Quinn tackle one of the most controversial topics in dental practice ownership: Should your team know the numbers? If you’ve ever felt like you’re carrying the financial weight of the practice alone while your team operates in manual chaos, this conversation is for you. Mike and Paula break down why keeping your dental practice metrics a secret is actually killing your positive team culture and how sharing the "why" behind the data can transform your staff into high-level producers. WHAT YOU'LL LEARN Why 9 out of 10 owners fail to share numbers (and what it’s costing them)The Gen Z Factor: Why "purpose" is the primary driver for the new workforceDental practice management hacks for daily huddles that actually move the needleThe 3x Wage Rule: How to determine if your hygiene department is truly profitableWhy your case acceptance is likely stuck at 39% and how to fix itTracking "Active Perio" vs. "Old Perio" to ensure a high standard of careFront office goals: Chasing $30 insurance claims vs. filling the scheduleKEY TAKEAWAY Numbers are just a story of how well you are caring for your patients. When you give your team a scoreboard, you turn a job into a mission, eliminating dental practice challenges and driving financial success in dentistry. WORK Michael and Paula at NEXT LEVEL CONSULTANTSWebsite: https://www.nxlevelconsultants.comInstagram: https://www.instagram.com/dentalunscriptedYouTube: https://youtu.be/Xqs6V67yGWQ STAY CONNECTED TO DENTAL UNSCRIPTED: dental practice management, dental practice growth, running a dental practice, dental industry insights, dental practice metrics, hygiene revenue, dental case acceptance, dental practice ownership, dental consulting, dental coach, how to run a dental practice, dental leadership, dental team culture, dental office coach, dental profitability. PRODUCTION INFORMATION© 2026 Dental Unscripted | Next Level Consultants. All rights reserved.Disclaimer: The information provided in this video is for educational and entertainment purposes only and does not constitute legal, financial, or clinical advice.

    39 min
  3. First 3 Steps to Getting REAL Dental Practice GROWTH (2 Minute Drill)

    APR 17

    First 3 Steps to Getting REAL Dental Practice GROWTH (2 Minute Drill)

    3 Steps to Getting REAL Dental Practice Growth Are you tired of stalled revenue, team turnover, and managing your clinic based purely on a "feeling"? Discover how to transform your clinic into a highly profitable, self-managing business. In this episode of Dental Unscripted, Mike Dinsio and Paula Quinn break down the exact leadership framework required for real dental practice growth. Practice owners can no longer rely on the outdated model of simply clocking in and treating patients; today, you must establish a structured business foundation to succeed. In this episode, we break down the three critical steps to stopping revenue leaks and empowering your team: Step 1: Team Agreements. Establish clear behavioral and cultural expectations first, so your entire team commits to a unified practice vision and a positive attitude.Step 2: Job Descriptions. Stop the "we all do it" mindset that leads to forgotten tasks. Assign single-point accountability for specific tasks—like schedule auditing or insurance verification, to ensure one exact employee owns the outcome.Step 3: Systems. An assigned task without dedicated time is not a system. Learn how to provide the specific tools and proactive time blocks required for your team to execute their jobs properly.Only after you have these three elements in place can you successfully hold employees accountable, close the 20% operational gap that costs practices thousands, and objectively determine if you need to get a toxic employee off your "energy bus". Ready to take the next step? Reach out to Next Level Consultants for a no-obligation, low-pressure call that delivers a practice review/analysis. It's a fresh perspective on your practice's metrics and performance! Michael Dinsio & Paula Quinn hosts of Dental Unscripted founded NEXT LEVEL CONSULTANTS. Get more info about the services they offer dentists helping them startup – buy – run and successful dental practice!  https://nxlevelconsultants.com/contact

    2 min
  4. APR 6

    Dental Practice Management: The 3-Step Leadership Framework

    Practice Management | Leadership in Dentistry | Dental Team Optimization Stop team frustration and master accountability with Mike and Paula. Michael Dinsio and Paula Quinn break down the true meaning of leadership in this solo episode of Dental Unscripted, revealing why you can no longer just "hang a shingle" and only focus on clinical care. You'll discover how to transition from simply running a dental practice to leading a successful dental business, and learn an actionable four-step framework to achieve true team accountability. What You'll Find Out:  • The critical difference between merely managing and exhibiting true leadership in dentistry. • How to establish clear culture agreements and detailed job descriptions for peak dental practice efficiency. • Why broken systems, rather than bad employees, are often the real root of poor dental practice operations. • The exact steps to hold your dental teams accountable without resorting to micromanagement. This Podcast Covers: Perfect for Dental practice owners, startup dentists, and anyone focused on strengthening dental practices, improving their dental business, and navigating the complex practice ownership journey. Key Takeaways: You cannot hold your team accountable without first setting clear expectations, defining job descriptions, and building reliable systems. Stop relying on "feelings" to manage your staff, and start taking intentional, strategic steps to lead your practice to the next level of growth and profitability. 🔗 Special Promotional Offer and Connect: Connect with Next Level Consultants to book a coaching call with Mike and Paula: https://nxlevelconsultants.com Stay Connected to Get More Topics Covered by Dental Unscripted: practice management, leadership in dentistry, dental practice ownership, running a dental practice, dental team optimization, dental business, how to run a dental practice, dental industry advice, dental practice efficiency, dental practice operations, dental practice challenges, dental consulting, strengthening dental practices, dental entrepreneurship, dental startup, dental unscripted

    43 min
  5. MAR 23

    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
  6. 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
  7. 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 Dinsio 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
4.9
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! ⭐⭐⭐⭐⭐

You Might Also Like