HIGHBusinessTier 1

US Oral Surgery Management exec on M&A: ‘We’ve had to be even more disciplined’

SourceBecker's Dental + DSO ReviewTier 1Hard News

By Ariana Portalatin

Originally at beckersdental.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Oral surgery DSOs are tightening acquisition criteria and post-integration discipline, which directly affects practice owners negotiating valuations and associates evaluating employment stability when USOSM slows its roll-up pace.

Key points

  • US Oral Surgery Management COO Alisa Ulrey says the company is now prioritizing post-acquisition performance over simply adding more practices in 2026.
  • The shift means fewer, more selective deals—implying lower valuations and longer diligence timelines for sellers.
  • Becker’s Dental Review coverage indicates this discipline is a response to broader DSO market pressure, not just USOSM-specific issues.
  • Oral surgeons and practice owners should prepare for stricter earn-out structures and performance benchmarks in new affiliation agreements.

Who should care

OwnerDSOAssociateSpecialist

Read the original on Becker's Dental + DSO Review

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