Practice Under Water with George – Thor Part 2

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!