Plan B Business
Dental Practice Growth

From insurance-dependent and exhausted
to FFS-led and free.

We work with dental practice owners doing $500K-$5M in annual production who are tired of trading volume for margin. Our 12-month engagement gets you to 60%+ FFS patient mix, 50%+ case acceptance, and a practice that runs without you.

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Industry Reality

8 patterns we see in >70% of practices

Frequencies based on 200+ practice diagnoses across the past 36 months. Your practice probably hits 5-7 of these.

82%
frequency

Insurance dependency dragging margins below 25%

Root cause: PPO contracts haven't been renegotiated in 3+ years. In-network rates are eating profitability while patient volume looks healthy.

What we do: Renegotiate top 3 PPO contracts. Build a fee-for-service patient acquisition funnel. Target 60%+ FFS in 18 months.

78%
frequency

Doctor working 50+ hours but practice can't run without them

Root cause: Owner-doctor is also the marketer, the HR manager, the front office trainer. No defined operating system.

What we do: Hire a practice manager. Build 12 documented SOPs. Move owner-doctor to 32-hour clinical weeks within 6 months.

75%
frequency

Case acceptance rate below 45% on $5K+ treatment plans

Root cause: No structured treatment planning conversation. Patient sees a number, panics, says 'I'll think about it.'

What we do: 3-tier treatment plan presentation (Good/Better/Best). In-house financing partnership (CareCredit/LendingPoint). Pre-consultation framework.

70%
frequency

Average production per visit stuck below $400

Root cause: Hygiene visits not bridging to comprehensive care. Same-day dentistry opportunities being missed.

What we do: Hygienist scripting for case identification. Same-day delivery on small cases. Recall system bringing pts back at 4-month intervals (not 6).

85%
frequency

Less than 25 Google reviews, drowning in competitor noise

Root cause: No systematic review request process. Front office not trained on the ask.

What we do: Post-appointment WhatsApp/SMS review request flow. Train front office. Target 100 reviews in 9 months. Critical for FFS conversion.

60%
frequency

Hygienist turnover at 40%+ annually

Root cause: Below-market base pay, no performance compensation, no career path.

What we do: Hybrid compensation: base + production bonus + benefits. Define 3-year growth path to senior hygienist or office manager.

65%
frequency

$80K+ equipment purchase before patient volume to justify it

Root cause: CEREC, 3D, lasers bought based on doctor preference, not financial model.

What we do: ROI model required for any $30K+ purchase. Marketing plan that drives volume to the new equipment alongside the purchase.

55%
frequency

No patient recall system for inactive patients (12+ months)

Root cause: Practice management software has the data but no one is actioning it.

What we do: Inactive patient outreach: 18-30% return rate within 60 days. Targeting 75%+ annual exam compliance.

Benchmarks

The numbers we hit

KPIMarket avgPlan B targetAfter 12 mo
% Fee-for-Service patients30-50%60%+55-70%
Production per visit$280-$420$550-$780$480-$680
Case acceptance ($5K+)30-45%55%+48-62%
Annual recall compliance55-65%82%+72-86%
Google reviews15-40100+75-130
Hygienist retention (yearly)60-75%90%+82-92%
Patient LTV (over 5 years)$3,500$15,000+$11K-$16K
Engagement Model

What working with us looks like

  1. 01

    Month 1: Diagnostic deep-dive

    We pull your P&L, your PMS data, your hygiene metrics, your marketing analytics. We identify the 1-2 highest-ROI levers. You leave with a written 90-day operating plan.

  2. 02

    Months 2-3: System deployment

    We work alongside your front office and your hygienists to deploy: review request workflow, recall outreach, case presentation framework, treatment plan tiering. Weekly KPI review starts.

  3. 03

    Months 4-6: PPO renegotiation + FFS engine

    We help you renegotiate your 3 worst PPO contracts. We build your fee-for-service patient acquisition funnel (SEO, paid, referrals). FFS mix starts shifting.

  4. 04

    Months 7-12: Compounding + freedom

    Systems are running. Owner-doctor hours drop. Production margins lift. We move to monthly cadence. By month 12, the practice runs on systems - not on you.

Common questions from dental practice owners

How long until I see results?−
First signals (review counts, hygienist retention, recall response) within 30-60 days. Production lift typically shows in months 3-6. Significant net profit change in months 9-12. Practices expecting dramatic results in 30 days will be disappointed. This is operational work, not magic.
We're a small practice (1 doctor, 2 hygienists). Is this for us?+
Yes. Solo and 2-doctor practices are our sweet spot. ROI tends to be faster because every margin point moves the doctor's take-home directly. We don't work with practices below $400K annual production - below that you need operational fundamentals before strategic advisory.
We're 80% PPO. Can we really get to FFS?+
Most of our clients start at 70-85% PPO. The shift to FFS is 18-24 months, not overnight. We don't recommend dropping PPOs day one - we recommend building a FFS patient acquisition engine alongside, then strategically renegotiating or dropping the worst PPO contracts as your FFS book grows.
How is this different from a typical dental consultant?+
Most dental consultants focus on systems and scripts - good work, but narrow. We work at the strategic level: pricing strategy, equipment ROI, market positioning, succession planning, even multi-location expansion. We're fractional advisors, not implementation consultants. We work alongside your existing team or recommended consultants.
Do you work with DSOs or multi-location practices?+
Yes, but our sweet spot is 1-4 locations. Above 5 locations you typically need full-time operational leadership (COO, Director of Operations). We help practices grow toward and through multi-location, but at 10+ locations we generally hand off to in-house teams.
Who actually does the work?+
Ligal Frish and Eitan Eshtemaker - the founders. You won't be handed off to a junior. We're the people on the strategy call and we're the people on every monthly review thereafter.
What if we're in cash crunch right now?+
That's often when our work matters most. We have a specific 90-day cash position recovery playbook for practices: collections acceleration, payroll restructure, supplier renegotiation, marketing pause+pivot. We can structure payment terms accordingly.
What's the time commitment from me as the doctor?+
Diagnosis phase (month 1): 6-10 hours total. Ongoing engagement: 90-min monthly call + 30-min weekly KPI review + asynchronous Slack. About 3 hours/week. Less than you spend on bookkeeping you don't need to do.
Do you guarantee results?+
We guarantee process, not specific outcomes - that'd be dishonest because we don't control your execution. What we do: if there's no measurable improvement in any of 3 KPIs agreed upon at diagnosis after 90 days, we refund the next 3 months and end the engagement. Most clients see 25-40% production lift in year one.
How do you handle our patient data privacy?+
We do not access PHI. Our work is at the operating level: P&L review, KPI dashboards, treatment planning systems, marketing strategy. We sign HIPAA-aligned confidentiality agreements and operate on aggregated data only.
What does it cost?+
Three tiers: Diagnostic $1,500 (one-time). Advisor $3,500/month (most engagements). Partner $8,500+/month (multi-location, scaling, M&A prep). No long-term contracts - the work compounds month over month so clients stay because the work compounds, not because the contract traps them.

Stop trading volume for margin.

30-minute strategy call. We'll diagnose your top 2 levers and tell you if we're a fit. No pitch. No pressure.

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