The Dental CEO Podcast

In this solo episode of The Dental CEO Podcast, Scott Leune reads three real profit and loss statements line by line and shows you exactly where practice profit hides. Watch a "respectable" 1.8-million-dollar practice find roughly 160,000 dollars in EBITDA and nearly a million in sale value, and a two-practice owner uncover about 650,000 dollars a year in cash flow and 4.2 million in equity at sale, all without a single clinical ch...

A dentist got an unsolicited $9.8M offer to sell his practice — and on paper it looked incredible. So why is walking away the smarter move? Scott Leune breaks down the real offer line by line and runs the actual math, exposing the traps most dentists never see: the cash up front, the "rollover equity," the multi-year stay requirement that quietly erases years of owner profit, and the "hopium" of future multiples that rarely p...

After 33 years of marriage and 33 years practicing side by side in 700 square feet, Dr. Elisa Mello and Dr. Ramin Tabib could have coasted to the finish line. Instead, at 61, they bet on themselves again and moved into a 2,500 square foot space built around a brand they just trademarked: The Smile Code. Scott Leune sits down with the New York City couple to talk about holding the line on fee-for-service when the pressure to take in...

There is a lot of bad location advice in dentistry. A dentist goes on a podcast, says demographics do not matter because they opened in a weak market and made it work, and suddenly "build it and they'll come" sounds like a strategy. It is not. It is luck, and as Scott Leune puts it, a blind man can hit a home run, but that does not mean the rest of us should swing blindfolded. On this episode of the Dental CEO Podcast, Scott sits d...

In this episode of The Dental CEO Podcast, Scott Leune is joined by Bill Donato, Founder of DentalMarketing.com, to break down why your website is no longer the biggest driver of new patient calls. As patient search habits change, Google My Business, local search visibility, reviews, hyperlocal content, and real-time search queries are becoming more important than ever. Scott and Bill explain what dental practice owners need to und...

A single Instagram post from Dr. Scott Leune sparked major conversation across the dental world, raising a question many dentists are thinking but few are saying out loud: is becoming a dentist still financially worth it? In this episode of The Dental CEO Podcast, Scott breaks down the post, the backlash, and the numbers behind the debate, including income, debt, delayed earning years, and why business ownership may matter more tha...

In this episode of The Dental CEO Podcast, Dr. Scott Leune breaks down how dentistry is moving toward a new practice model built around automation, simplified staffing, patient hosts, presentation stations, and more efficient systems. He explains why traditional front office roles may become less necessary, how clinical team members could take on a more complete patient experience role, and how owners may be able to reduce chaos, i...

PPO plans are putting intense financial pressure on private dental practices through low reimbursements, high write-offs, stagnant fees, and rising operating costs. 

In this episode of The Dental CEO Podcast, Scott Leune sits down with Natalie Soda of PPO Profits to expose how shared networks and hidden fee schedules can force dentists to produce more while collecting less. They also discuss how practices can fight back by rene...

What does it actually look like to go straight from dental school into building your own practice? In this episode, Scott Leune sits down with Dr. Emily Magee just five weeks into opening her startup to walk through her journey from associate to owner. She shares how she made the decision to start early, secured financing, built out her office, and what the first few weeks of ownership really feel like. From hiring and training a t...

In this episode of The Dental CEO Podcast, Scott Leune sits down with Kathryn Gaysinski, founder of DeStyle Design, to break down what it really takes to design a modern dental practice. From material selection and layout to balancing cost, function, and aesthetics, they explore how smart design decisions directly impact patient experience and long-term profitability. If you are planning a startup or renovation, this episode will g...

In this episode of The Dental CEO Podcast, Dr. Scott Leune sits down with Dr. Kye Williams, founder of Dental House, to break down how he built a fee for service startup from scratch to over $3 million in annual collections in under three years. Kye shares the real drivers behind his success, from relentless marketing and phone conversion systems to delivering an elite patient experience and building a high-performance team. This c...

Redo dentistry is one of the most overlooked, and expensive problems in private practice. 

In this episode, Scott breaks down the uncomfortable reality most dentists face: when treatment fails, we absorb the cost, strain the patient relationship, and create unnecessary tension within the team, yet none of it is clearly tracked or accounted for. From failed implants and broken crowns to patients moving away or associates re-diag...

What if the key to working less and making more as a dentist isn’t opening more practices but focusing on the right procedure? In this episode, Dr. Justin Warcup shares how scaling too quickly nearly hurt his business, how he eliminated $300,000 in annual waste, and how focusing on one high value treatment increased cases from one per month to more than 13 a month while reducing his clinical hours. Learn why more practices do...

In this episode of the Dental CEO Podcast, Dr. Scott Leune sits down with Tom Angeloni, National Sales Director at Bank of America, to discuss the current state of dental lending. They break down startup loan amounts, what banks evaluate when approving funding, and why quality acquisition opportunities are becoming harder to find. The conversation also explores how production history, cash flow, and debt ratios influence a dentist&...

Dentists talk about overhead, EBITDA, and take-home pay all the time—but most aren’t actually calculating them the same way. In this episode of The Dental CEO Podcast, Scott Leune breaks down what these numbers really mean, how to calculate them correctly, and the benchmarks healthy practices should aim for. He explains the difference between true overhead and discretionary spending, how EBITDA should be calculated afte...

What would happen if you treated your practice like you just bought it? In this episode of The Dental CEO Podcast, Scott Leune breaks down a practical 90-day strategy to rapidly grow collections and profitability. He explains the key drivers of new patient flow, diagnosis, case acceptance, fees, and expenses and the specific actions that can quickly move the needle, from improving marketing and phone systems to implementing AI diag...

Is buying a dental practice really the safer move, or has the equation changed? In this episode of The Dental CEO Podcast, Dr. Scott Leune revisits the buy versus startup debate and explains why his thinking has shifted in today’s market. He defines what a modern well executed startup actually looks like, including lower build costs, smart lease negotiations, optimized footprints, advanced cloud based systems, AI integration,...

Should your next move be a startup, an acquisition, or even a merger? In this episode of The Dental CEO Podcast, Dr. Scott Leune explains why repeating the same growth strategy over and over can stall momentum and how a blended approach creates smarter expansion, easier funding, healthier cash flow, and stronger long term equity. He breaks down how bank underwriting changes after your first location, why stacking too many startups ...