HIGHBusinessTier 1

What will fuel the next wave of DSO growth

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

DSO executives are signaling that acquisitions, same-store growth, and specialty expansions will dominate the next five years; practice owners and specialists must anticipate higher competition for acquisitions, compressed valuation multiples, and pressure to expand service lines or align with DSOs to remain competitive.

Key points

  • DSO leaders told Becker’s that M&A, same-store revenue growth, and specialty service expansion are the three stated priorities for 2024–2029.
  • Increased DSO capital will likely drive up practice valuations in the short term, then compress them as buyer demand concentrates on high-margin specialties (ortho, endo, oral surgery).
  • Specialists and multi-provider practices are positioned to receive premium offers; single-GP or Medicaid-heavy offices may see buyer interest wane unless they add specialty or payer diversity.
  • Owners not yet approached by DSOs should model three scenarios—remain independent, pursue affiliation, or sell—now, before market multiples shift.

Who should care

OwnerDSOSpecialist

Read the original on Becker's Dental + DSO Review

Full reporting and any paywall content live on beckersdental.com. We summarize and score; we do not republish.

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