Practice Under Water – How an $8M Multi-Location Owner Gains Clarity and Reclaims Control – Part 1

What happens when you let your P&L get ugly on purpose? This dentist explains how he scaled to $8M fast—and why profitability became the next big challenge.

In this Ask George episode, George breaks down how to set practice ownership goals you’ll actually be happy you hit. He walks through the three stages of a dental career, how to align qualitative lifestyle goals with quantitative income targets, and why bottlenecks and “surface area of luck” matter more than arbitrary production numbers. If you’re a dentist who wants to grow your income without hating Mondays, this episode gives you a practical roadmap from today to your ideal Point B.

A real-world breakdown of multi-practice ownership, associate management, rural dentistry challenges, and the financial and emotional reality of scaling back to a profitable solo dental practice.

Private practice feels tougher than ever. George shows how embracing AI, automation, and team-driven tech turns staffing headaches, competition, and insurance frustrations into growth and better patient care.

On this episode of the Shared Practices Podcast, George sits down with Dr. Aditi Agarwal, co-founder of Practice by Numbers and practicing dentist, to unpack how AI and data are transforming private practice ownership. Aditi shares the origin story of PBN, practical examples of Operations AI, revenue finding, and call analytics, and why embracing technology is becoming essential for private practices competing with DSOs. They close with a candid look at team-led tech adoption and how to reduce stress for your front office while increasing performance.

Ready to stop being the bottleneck in your practice? In this powerful Ask George episode, George and Richard unpack exactly how to delegate without losing control—and why building leaders is the key to exponential growth. From patient ownership metrics to hiring the right office manager, you’ll learn how to reclaim your time, energize your team, and scale with confidence.

Let’s face it—no dentist got into ownership to handle HR headaches. Richard chats with Jill from HR for Health about how to finally stop worrying about HR. They cover everything from time-off tracking and employee handbooks to preventing team drama before it starts. Turns out, “compliance is caring”—and HR doesn’t have to suck.

Tired of choosing between a great personality and plug-and-play experience? Richard and Caitlin show how real-world SOPs let you hire for attitude, train the skills, and stop feeling held hostage by turnover. Plus: easy ways to draft manuals with AI and keep a steady pipeline of candidates.

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.