The 5-Point Fix for Unscheduled Treatment

When Dr. Zachary Kingsberg first called the hotline (Episode 450), he said he'd only sell his five-practice group for a "stupid multiple" of 13x to 15x EBITDA. But after running the real math and realizing zero-interest-rate multiples are gone, Zach returns to the show for a conversation to unpack what the realities behind his itch to sell, and why it probably shouldn't be scratched just yet. Managing five high-volume Dallas practices while living in California, Zach doesn't work in the chair, doesn't lack cash flow, and can operate on just a few hours of visionary work a day. Yet, like many driven practice owners, he found himself contemplating an exit. Peter and Craig step in with a first-principles audit to break down why selling a cash flow engine often forces owners into a lifestyle haircut.  If you've ever thought about cashing out, this episode will help you identify what you actually want out of the sale, and will do the math to work out whether it means trading cash flow for a bank balance you're too afraid to spend. Got a story or a question for the guys? Call 561-933-5575. www.bulletproofmastermind.com www.bulletproofsummit.com  

Dr. Richard Low started a podcast in his closet. Eight years later he was the CEO of 35 dental offices and the most miserable he had ever been. He walked away from eight figures to save his marriage and his mental health. In this episode, Richard joins Dr. Craig Spodak and Ian de Jongh to talk about what he would build instead. The answer isn't a number of offices. It starts with the question Craig keeps coming back to: what do you actually want your life to feel like? From there it gets practical: why a life that depends on a future exit is doomed to fail, why your first office should be profitable without you in it before you think about a second, and the difference between owning a practice and operating one. If you loved your last 12 months, don't change a thing. If you didn't, you can start over, and you won't be starting from the beginning.

We got an email titled "Is Everything Going to Be Okay?" A Navy veteran producing over $1M a year as an associate is three months from opening a $2.9M startup in a building he bought. $20K a month in debt. Seven ops, with plans for 14. And he's lying awake wondering if he did the right thing. He asked Peter and Craig two questions: when do I quit my associate job, and is everything going to be okay? Craig's answer on the first is burn the boats. Pick a date, honour your commitment, and don't let the safe gig become a crutch. On the second, Peter and Craig break down what associates never see until they own: why half that debt payment is forced savings, why your taxes flip in your favour, why the fear is a data problem and not a courage problem, and why owning the business and the building puts him in a stronger position than he realises. If you're an associate thinking about going out on your own, this is the conversation to hear before you sign anything.

More than half of diagnosed dental treatment walks out the door unscheduled. Most practices respond to low case acceptance by buying more new patients instead of fixing the leak. In this episode, Peter brings a 5-point fix for the treatment you've already diagnosed, from your treatment plan follow-up protocol to reducing friction to owning the money conversation. The through line: your software builds the list, but a personal text or 30-second video from the doctor beats every generic patient reactivation campaign. The practices that win are the ones willing to do what feels uncomfortable. The work is already diagnosed. Go get it!

Dentistry has become a target. From Hormozi-style marketers to practice brokers charging six figures for "scaling retreats," everyone suddenly wants a piece of the profession. In this episode, Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh unpack why dentists are easy prey, how to spot the warning signs of a predatory pitch, and why the same voices who screamed "sell now before the bubble pops" in 2023 are now selling solutions to the dentists who listened. They also dig into the rise of the zombie DSO: the 50 to 60 private equity backed groups that can no longer service their debt, can't recap, and never improved the practices they bought. What does this unwind mean for the doctors who rolled equity? And why does the market correction actually signal a powerful shift back toward independent ownership? Plus: why AI is becoming the great equalizer for the solo practitioner, the one moat DSOs still hold, and an open invitation to Brady Frank to come on the show and talk it out. If you've ever felt pressure to sell, this episode is your reminder: no one is coming to save you, and that's exactly why you're in a stronger position than you think. Only a handful of spots remain in the Bulletproof Mastermind. Apply at bulletproofmastermind.com.

Fresh off a sold-out Bulletproof Summit at The Phoenician in Scottsdale, Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh sit down to relive three days that left everyone running on fumes and full of purpose. In this episode: the world's first all-dental AI summit, Brian Harris delivering a main stage talk so inspiring Peter considered getting back in the chair, and the unplanned moment Dr. Richard Low was pulled on stage for a raw fireside chat that left the room in tears. The guys break down why a room split 50/50 between doctors and teams creates massive leverage, why every sponsor at Summit is one they actually use in their own practices, and why one attendee's viral clip said it best: "I'm at a dental conference and we haven't talked about teeth once." Bulletproof Summit 2027 lands in Orlando on the 10th anniversary, August 19-21, and 120 tickets are already gone with a 35-office waiting list from this year alone. Head to bulletproofsummit.com to secure your spot before it sells out. www.bulletproofsummit.com

The fastest way to stall your growth is to be the most accomplished person in your circle. Peter and Craig are living the opposite this summer. Craig is recording from Aspen and Peter just got back from Baker's Bay, both dropped into rooms where they quickly realized they are a smallest fish in the pond, which is exactly where they want to be. Recorded the week of the sold-out Bulletproof Summit, the conversation starts with a question: why does dentistry attack its own? Post about expanding from ten to twenty operatories in a dental Facebook group and the comments call it a factory and a chop shop. Yet nobody calls the Cleveland Clinic a factory. Peter and Craig dig into where that hostility comes from, and why the bigger danger isn't the keyboard warriors, it's the current you're floating in without knowing it. As Peter admitted last episode, he spent a decade suffering and didn't know it, because everyone around him treated misery as par for the course. The way out is proximity. Leaders in peer groups grow more than twice as fast as comparable companies, and the guys unpack why: mirror neurons, borrowed belief, watching someone run the four minute mile and realizing you can too. They cover how to pick the right group and avoid the prescriptive ones that grind dentists down, why you should only take advice from people living the life you want, a practical tip for tapping the successful patients already in your chair, and why they've always refused to sell a virtual Summit ticket. The breakthrough was never the content. It's the room.

Dr. Todd Christensen calls in from Minnesota with 20 operatories across two locations, a big remodel behind him, and a question he can't shake: at 45, how does he transition out of clinical dentistry and into the executive role without the guilt? His patients don't make it easy. When he tries to hand them to an associate, they tell him they would rather wait months for him than see anyone else. Peter and Craig push back on the question before they answer it. Todd says he wants out of the chair, but he also says he won't miss fillings, and those are two very different problems. Maybe he doesn't need to leave dentistry at all. Maybe he just needs to stop doing the procedures he hates. The real question is what he wants the next twenty years of his life to look like, and whether he's deciding from clarity or from burnout. Craig shares how his own exit happened: cutting back to Invisalign only, dropping from four days to three to two, until his CEO announced his retirement before he'd fully admitted it to himself. Peter lays out the practical playbook: cut the procedures you hate first, hand patients to your associates by positioning them as the experts, reduce your days gradually instead of going from a hundred to zero, and say what you actually want out loud instead of only in your head. And one warning for any owner stepping back: your presence in the practice may be the very thing stopping your team from growing.

"I'd only sell for a stupid multiple. Thirteen, fifteen X." A five-practice owner from Dallas calls the hotline with the question every group owner is quietly asking: when do I sell, and what's the highest multiple anyone has actually gotten? What follows is one of the most candid breakdowns of the DSO economy you'll hear anywhere. Zombie DSOs, zero interest rate policy, bridge loans at 18 percent, dilution that sellers never see coming, and why a headline multiple is not the same as a check. Peter and Craig make the case for a different scoreboard entirely: do the honest math, optimize for cash flow, and build a life you don't want to sell. Dr. Cary Brown returns with an update on his My Story journey from February: Google reviews doubled, revenue consistently up, and a self-graded report card that Peter and Craig immediately push back on. The real lesson isn't the tactics. It's the psychology of giving yourself credit and the power of consistency over intensity. Plus, a milestone to open the show: the Bulletproof Summit 2026 is officially sold out, and Craig records his final podcast from his current office before breaking ground on a 3,000 square foot expansion that takes his practice to 26 operatories. At 55, he's stepping on the gas again. Got a story or a question for the guys? Call 561-933-5575. www.bulletproofmastermind.com www.bulletproofsummit.com  

This episode is different. We asked members of our mastermind community to send in voice notes answering one question: what has this actually meant to you? Then Peter and Craig hit record and heard every message for the first time, reacting live. What came back was honest, unscripted, and at moments hard to get through. We share it because practice ownership does not have to be the lonely, white-knuckled grind so many of us were taught to accept. The burnout, the strained marriages, the lives lost to this profession, none of that is the price of admission. With the right room around you, the right partners, and a team that owns the mission with you, you can actually love this work and experience the fulfillment we all strive toward in life. That is why community is the difference between surviving dentistry and building a life inside it. Whether you find that with us or somewhere else, find it. You are not alone! www.bulletproofmastermind.com