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  • The Bulletproof Dental Podcast Episode 365

    HOSTS: Dr. Peter Boulden, Dr. Craig Spodak and Dr. Uche Odiatu

    DESCRIPTION

    In this episode, Peter, Craig, and Uche discuss the importance of nutrition for dentists and how to make healthier food choices. They touch on the benefits of intermittent fasting, the significance of genetic testing for cardiovascular and cognitive health, and the value of regular medical tests to assess overall health. The conversation also touches on the significance of the microbiome and the potential benefits of probiotics. They also talk about the role of hydration and the benefits of drinking enough water. Uche shares his lunch box essentials, including fruits, vegetables, and high-fiber protein bars. They also touch on the topic of detoxification and the impact of a healthy diet on body odor. The conversation concludes with a discussion on the importance of mitochondria and energy production. In this final part of the conversation, they discuss the importance of physical fitness as a sign of success and the ultimate flex. They also mention the upcoming wellness retreat and the benefits of improving clinical skills and overall health. The conversation ends with a discussion on supplements, sleep, and the importance of a low resting heart rate.


    TAKEAWAYS

    Making small changes in nutrition can have a big impact on overall health.

    Meal planning and packing a healthy lunch can help dentists avoid unhealthy fast food options.

    Stress can affect liver health and cholesterol levels.

    Intermittent fasting can be a short-term fix for metabolic dysfunction.

    Regular medical tests, such as the oral glucose tolerance test and ALT test, can help assess overall health. Genetic testing can provide valuable insights into an individual's health risks and help in making informed decisions.

    A healthy lifestyle, including proper nutrition and exercise, plays a crucial role in preventing diseases.

    Seed oils, such as canola oil and vegetable oil, can be harmful to health and should be avoided.

    The microbiome has a significant impact on overall health, and maintaining a healthy gut is important.

    Drinking enough water is crucial for hydration and overall health. Aim for at least a gallon of water per day.

    Include fruits, vegetables, and high-fiber protein bars in your lunchbox for a nutritious and satisfying meal.

    A healthy diet can improve body odor and reduce the need for deodorants.

    Improving clinical skills and overall health can lead to better outcomes.

    Supplements like magnesium and creatine can support overall health.

    Quality sleep is essential for muscle growth, fat loss, and overall well-being.

    A low resting heart rate is a sign of a healthy heart and cardiovascular system.



    CHAPTERS

    00:00 - Introduction and Overview

    02:13 - The Power of Small Changes in Nutrition

    06:26 - Meal Planning and the Importance of Packing a Healthy Lunch

    08:00 - The Impact of Stress on Liver Health and Cholesterol Levels

    18:02 - Intermittent Fasting as a Short-Term Fix for Metabolic Dysfunction

    23:08 - Genetic Testing for Cardiovascular and Cognitive Health

    27:51 - The Value of Regular Medical Tests for Overall Health

    36:09 - The Dangers of Seed Oils

    49:47 - Understanding the Microbiome

    50:12 - The Potential Benefits of Probiotics

    52:08 - The Importance of Hydration and Water

    56:14 - Detoxification and Body Odor

    01:01:23 - The Role of Mitochondria in Energy Production

    01:10:59 - The Ultimate Flex: Physical Fitness as a Sign of Success

    01:12:05 - The Benefits of Supplements and Quality Sleep

    01:13:23 - The Importance of a Low Resting Heart Rate

    REFERENCES

    Bulletproof Summit

    Bulletproof Mastermind

    Bulletproof Health

    Dr. Uche Odiatu

  • The Bulletproof Dental Podcast Episode 364

    HOSTS: Dr. Peter Boulden & Dr. Craig Spodak

    GUEST: Randy Smith

    DESCRIPTION

    In this conversation, Craig and Peter interview their friend Randy Smith. They get into a discussion about real estate, with Randy sharing his expertise as a financial guru. Randy emphasizes the importance of owning real estate as an alternative investment and explains the benefits of investing in real estate. He also discusses the current state of the real estate market, including the impact of interest rates and the opportunities for value-add deals. The conversation concludes with a discussion about the upcoming Fed meetings and the potential for investment opportunities in real estate.

    TAKEAWAYS

    Real estate is an important alternative investment and offers various benefits, such as cash flow, inflation hedge, and wealth building.

    The current real estate market presents opportunities for value-add deals, especially with the potential decrease in interest rates.

    Investors should focus on the basis and return on equity when evaluating real estate deals.

    It's important to stay informed about the market and be ready to take advantage of investment opportunities.

    CHAPTERS

    03:10 - The Benefits of Real Estate as an Alternative Investment

    06:11 - Value-Add Deals: Seizing Opportunities in the Real Estate Market

    08:22 - The Impact of Interest Rates on Real Estate Investing

    13:08 - Evaluating Real Estate Deals: Focus on Basis and Return on Equity

    29:47 - Preparing for Investment Opportunities in Real Estate


    REFERENCES

    Bulletproof Mastermind

    Bulletproof Summit

    Bulletproof Real Estate

    Warrior Sailing

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  • The Bulletproof Dental Podcast Episode 363

    HOSTS: Dr. Peter Boulden & Dr. Craig Spodak

    GUEST: Dr. Dwight Peccora & Dr. Trey Tippit

    DESCRIPTION

    In this episode, the hosts discuss the concept of lifestyle creep and its impact on dentists' ability to retire. Overall, the episode emphasizes the need for dentists to be proactive in managing their finances and making smart financial decisions. The speakers emphasize the need to have a minimum size practice that covers expenses and allows for investment. The conversation also touches on the concept of FOMO (fear of missing out) and the negative impact it can have on financial decisions. The main themes include the importance of turning a practice into a self-sustaining business, the need for financial discipline and saving, the value of taking calculated risks and seeking mentorship, and the significance of surrounding oneself with a supportive team. The conversation also touches on the challenges of scaling a practice and the potential benefits of partnerships. Overall, the speakers emphasize the importance of continuous learning, growth, and adaptability in the dental industry.

    TAKEAWAYS

    Lifestyle creep can hinder dentists' ability to retire on time

    Financial independence is achieved when passive income covers expenses

    Controlling spending and investing wisely are key to building wealth

    Set boundaries and prioritize work-life balance

    Avoid making financial decisions based on FOMO

    Surround yourself with like-minded individuals and hold each other accountable

    Consider the potential impact of interest rate cuts on investments. Turn your dental practice into a self-sustaining business that generates entrepreneurial profit.

    Seek mentorship and learn from experienced professionals in the industry.

    Be adaptable and open to partnerships as a means of scaling your practice.

    Continuously learn, grow, and evolve in the dental industry.

    CHAPTERS

    00:00 - Introduction and Discussion on Lifestyle Creep

    09:13 - Defining Financial Independence and Passive Income

    13:26 - Factors Affecting Dentists' Ability to Retire

    19:22 - The Role of Leverage and Alternative Investments

    22:03 - Importance of Measuring and Tracking Expenses

    26:14 - Setting Boundaries and Prioritizing Work-Life Balance

    29:40 - Avoiding Financial Decisions Based on FOMO

    31:30 - The Importance of Accountability and Like-Minded Connections

    46:45 - Building a Self-Sustaining Dental Practice

    50:11 - The Importance of Financial Discipline and Saving

    54:17 - Taking Calculated Risks and Seeking Mentorship

    56:06 - The Value of a Supportive Team

    01:03:27 - Scaling a Practice through Partnerships

    01:08:30 - Continuous Learning and Growth in the Dental Industry

    REFERENCES

    Bulletproof Mastermind

    Bulletproof Summit

  • The Bulletproof Dental Podcast Episode 362

    HOSTS: Dr. Peter Boulden and Dr. Craig Spodak

    GUEST: Darren Shaw

    DESCRIPTION

    In this conversation, Peter and Darren discuss the importance of local SEO for dentists and how to optimize their Google Business Profile. They cover topics such as the impact of reviews on local rankings, the significance of keywords in the business name, the value of image and video optimization, and the benefits of using YouTube for video embedding. Darren emphasizes the importance of user engagement signals, such as time on site and pogo sticking, in influencing search rankings. He also discusses the significance of having a well-designed website with compelling copywriting and videos to keep visitors engaged. He highlights the value of optimizing GMB services and using Google Posts as a sales tool. Additionally, Darren recommends using Microsoft Clarity to track user behavior on websites and improve conversion rates.

    TAKEAWAYS

    Local SEO is crucial for dentists to improve their rankings in the local pack and attract more customers.

    Optimizing the Google Business Profile is essential, including selecting the right primary category and soliciting reviews.

    Image optimization, including adding captions and descriptions, can improve engagement and visibility.

    Mobile optimization is vital, as Google prioritizes mobile-friendly websites and profiles. User engagement signals, such as time on site and pogo sticking, play a crucial role in search rankings.

    Having a well-designed website with compelling copywriting and videos can help keep visitors engaged.

    Optimizing GMB services and using Google Posts as a sales tool can have a positive impact on rankings and conversions.

    Tracking user behavior on websites using tools like Microsoft Clarity can help improve conversion rates.

    CHAPTERS

    00:00 - Introduction and Background

    02:29 - The Importance of Local SEO for Dentists

    06:43 - Optimizing the Google Business Profile

    09:26 - The Significance of Keywords in the Business Name

    12:20 - Creating Separate Google Business Profiles for Practitioners

    18:10 - The Impact of Image Optimization on Rankings

    20:58 - The Benefits of Using YouTube for Video Embedding

    25:23 - The Importance of Mobile Optimization

    30:13 - Optimizing User Engagement Signals

    33:12 - Prioritizing GMB Services and Mirror Image Web Pages

    46:58 - Monitoring and Managing Google Business Profiles

    51:38 - Tracking User Behavior with Microsoft Clarity

    REFERENCES

    Bulletproof Mastermind

    Darren Shaw

  • The Bulletproof Dental Podcast Episode 361

    HOSTS: Dr. Peter Boulden, Dr. Craig Spodak

    GUEST: Shreyas Parab

    DESCRIPTION

    In this conversation, Peter and Craig interview Shreyas Parab, an AI specialist, about the applications of AI in dentistry. They discuss the potential for AI to increase efficiency in various areas, such as revenue cycle management, chart notes, and phone calls. They also explore the idea of using AI to interact with insurance companies. They explore the benefits of AI receptionists, automated insurance verification, and claims processing. They also discuss the concept of a decentralized DSO and the use of AI in improving operational efficiency. The conversation highlights the importance of leveraging technology to enhance the patient experience and alleviate the burden on dental teams. Overall, the conversation emphasizes the positive impact of AI in dentistry and the potential for growth and innovation in the field.



    TAKEAWAYS

    AI can be used to increase efficiency in various areas of dentistry, such as revenue cycle management and chart notes.

    Using AI for phone calls, especially for interactions with insurance companies, can save time and reduce frustration for dental practices.

    AI is not meant to replace humans, but rather to augment their abilities and allow them to focus on tasks that require a human touch. AI can be used to automate various tasks in dentistry, such as receptionist duties, insurance verification, and claims processing.

    A decentralized DSO model, supported by AI technology, can level the playing field for solo dental practices.

    The rising tide of AI in dentistry can benefit the entire industry by sharing knowledge and improving processes.

    The potential of AI in dentistry is vast, and it offers opportunities for growth and innovation.



    CHAPTERS

    00:00 - Introduction and Background

    03:11 - The Energy and Mindset of the Bulletproof Community

    06:02 - Understanding Large Language Models (LLMs)

    09:28 - Applications of AI in Dentistry: Revenue Cycle Management

    13:43 - Automating Phone Calls and Interactions with Insurance Companies

    20:45 - Addressing Bottlenecks in Dental Practices with AI

    25:20 - The Future of AI in Dentistry: Outbound Calls and Insurance Interactions

    29:19 - The Benefits of AI in Dental Operations and Patient Care

    34:58 - Automating Receptionist Duties

    37:45 - The Rise of Decentralized DSOs

    42:23 - AI and the Future of Dentistry

    48:49 - Selling to a DSO and Decentralization

    56:37 - Conclusion and Looking Ahead



    REFERENCES

    Bulletproof Mastermind

    Shreyas Parab

  • The Bulletproof Dental Podcast Episode 360

    TITLE: Introducing Bulletproof Health with Dr. Uche Odiatu

    HOSTS: Dr. Peter Boulden, Dr. Craig Spodak and Dr. Uche Odiatu

    DESCRIPTION

    In this episode, Craig and Peter are joined by Dr. Uche Odiatu to discuss the importance of health and wellness in dentistry. They emphasize the need to prioritize health and fitness, as it is the foundation for success and longevity. The conversation covers various topics related to health and wellness, including the importance of eliminating junk food, the impact of coffee and alcohol on sleep quality, the concept of being your own pharmacy, the negative effects of exogenous substances on the body, the benefits of discipline and self-esteem, the role of cortisol in the body, the importance of prioritizing self-care as a dentist, and the significance of nutrition in overall health.

    TAKEAWAYS

    Health is the foundation for success and longevity in dentistry.

    Small, sustainable changes in lifestyle can have a significant impact on overall health and wellness.

    Sleep plays a crucial role in brain health and cognitive function.

    Light exposure, both in the morning and at night, can affect sleep quality and overall health.

    Surrounding yourself with a supportive community of like-minded individuals can help you prioritize and maintain your health and wellness goals. Eliminating junk food has a significant impact on overall health and well-being.

    Coffee and alcohol can negatively affect sleep quality.

    Being your own pharmacy means relying on your body's natural abilities to heal and function optimally.

    Discipline and self-esteem are important for long-term health and success.

    Cortisol plays a role in the body's stress response and can have negative effects if sustained for long periods of time.

    Prioritizing self-care, including nutrition, is crucial for dentists and other professionals who experience high levels of stress.



    CHAPTERS

    03:01 - The Foundation of Success: Prioritizing Health and Wellness

    07:50 - The Power of Small Changes: Making Sustainable Lifestyle Choices

    15:36 - Sleep: The Key to Brain Health and Cognitive Function

    23:37 - Light Exposure: Managing Your Circadian Rhythm

    29:28 - The Importance of Community: Surrounding Yourself with a Supportive Network

    34:10 - The Impact of Junk Food and the Importance of Eliminating It

    35:37 - Coffee, Alcohol, and Sleep Quality

    37:42 - The Importance of Discipline and Self-Esteem

    43:25 - Understanding Cortisol and Stress

    53:07 - Prioritizing Self-Care for Dentists




    REFERENCES

    Bulletproof Mastermind

    Bulletproofhealth

    Dr. Uche Odiatu

  • The Bulletproof Dental Podcast Episode 359

    HOSTS: Dr. Peter Boulden, Dr. Craig Spodak

    GUEST: Ish Rouf

    DESCRIPTION

    In this conversation, Peter and Craig interview Ish Rouf, who is the C-suite of his wife's private DSO. Ish shares his approach to hiring and developing associates, as well as his perspective on valuing and selling a dental practice. In this part of the conversation, Craig and Ish discuss the importance of understanding the revenue makeup of a dental practice when evaluating it for purchase. They also discuss the importance of clear communication and alignment between dentists and associates when negotiating contracts and expectations. Additionally, they highlight the significance of having comprehensive standard operating procedures (SOPs) and scalable systems in place to ensure the smooth operation and growth of a dental practice.

    TAKEAWAYS

    Hiring associates based on their attitude, willingness to learn, and compatibility with the practice's values can lead to long-term success.

    Investing in technology and aligning the practice with the right team and systems can increase the value of a dental practice. Understanding the revenue makeup of a dental practice is crucial when evaluating it for purchase.

    Each dental practice is unique and factors such as services offered, fee mix, systems, culture, and technology can greatly impact income potential.

    Clear communication and alignment between dentists and associates are essential when negotiating contracts and expectations.

    Comprehensive standard operating procedures (SOPs) and scalable systems are important for the smooth operation and growth of a dental practice. Focus on simplicity, automation, and smooth operations in your dental practice.

    Profitability is important, but also strive for power and efficiency.

    Consider implementing accrual accounting to align spending and payment dates.

    Have visibility into every aspect of your practice for better decision-making.

    Set goals and incentives for your team to drive productivity and growth.



    CHAPTERS

    00:00 - Introduction and Cultural Differences

    05:26 - Ish's Background and Entry into the Dental Space

    12:09 - Hiring and Developing Associates

    14:02 - Valuing and Selling a Dental Practice

    20:07 - Investing in Technology and Aligning the Practice

    25:26 - Understanding Revenue Makeup in Dental Practice Evaluation

    29:15 - Clear Communication and Alignment in Contract Negotiations

    31:13 - The Significance of Comprehensive SOPs and Scalable Systems

    36:18 - The Importance of Migrating to Enterprise-Grade Systems

    51:11 - The Power of Simplicity and Automation

    55:26 - Creating a Smooth and Efficient Operation

    57:29 - Setting Goals and Incentives

    “The easier it is for you to run your business, the easier it is for someone to want to buy it. Additionally, the smoother the operation, the lower the likelihood you’d want to sell it. People love to sell their problems, not their opportunities.”

    -Dr. Craig Spodak

    REFERENCES

    Ish’s Multiple Ladder

    3 - Industry premium (dental)

    1 - Year-on-year profitable, with 10% investor return

    1 - Group practice with SOPs in place

    1 - Multi-state practice with compliance in place

    1 - Corporate function already established

    2 - Enterprise-grade financial accounting

    1 - Centralized reporting and forward-looking analytics

    1 - User-/persona-level reporting

    1 - Future-proof tech stack

    1 - Integration playbook, diligence team, and rollout team

    1 - Internal training and coaching library with LMS system

    1 - Centralized procurement

    1 - Centralized call center

    0.5 - Strong recruitment pipeline

    0.5 - No key person risk

    Bulletproof Mastermind

    Ish Rouf

  • The Bulletproof Dental Podcast Episode 358

    HOSTS: Dr. Peter Boulden and Dr. Craig Spodak

    GUESTS: David Ensley

    DESCRIPTION

    In this conversation, Craig and Peter interview David Ensley, an orthodontist and part of a dental service organization (DSO). They discuss various topics including the use of Twitter for networking, the differences between GP and ortho startups, the importance of location and visibility for dental practices, the use of Google Ads and CRM for marketing, and the benefits of hiring offshore employees. David shares insights on in-house financing in orthodontics and the challenges of cash flow in the beginning. He also emphasizes the value of specialized roles and better talent that can be obtained through offshore hiring. David shares insights on managing remote teams, finding the right talent, and creating a pathway to ownership for dentists.

    TAKEAWAYS

    Orthodontic startups face challenges with cash flow in the beginning due to the longer treatment times and monthly payment plans. Location and visibility are crucial for dental practices, and retail locations with high vehicle traffic are preferred. Google Ads and CRM systems like Go High Level can be effective tools for marketing and lead management. In-house financing is more common in orthodontics due to the longer treatment times and the ability to break up payments throughout treatment. Hiring offshore employees can provide access to specialized roles and better talent at an affordable price. Remote workers can bring efficiency and specialization to a dental practice or DSO. Partnerships in a DSO can provide a pathway to ownership and increase retention and quality. Collaboration with professionals outside of dentistry can bring fresh perspectives and innovative ideas. Twitter can be a valuable platform for learning, networking, and engaging with professionals from various industries.

    CHAPTERS

    00:00 - Introduction

    04:14 - Challenges and Considerations for Ortho Startups

    10:10 - The Importance of Location and Visibility

    15:19 - Using Google Ads and CRM for Marketing

    20:54 - Benefits of Hiring Offshore Employees

    25:50 - Introduction to David Ensley and Remote Workers

    27:04 - Partnerships: A Pathway to Ownership in a DSO

    30:15 - Reciprocity and the Democratization of Ownership in Dentistry

    35:26 - Competition and Efficiency in the Orthodontic Market

    39:06 - Collaboration and Learning Beyond Dentistry

    44:32 - The Power of Twitter for Networking and Knowledge Sharing

    46:02 - Future Plans and Invitation to Connect



    REFERENCES

    Bulletproof Mastermind

    Bulletproof Summit 2025

    David Ensley

  • The Bulletproof Dental Podcast Episode 357

    HOSTS: Dr. Peter Boulden and Dr. Craig Spodak

    GUESTS: Brannon Moncrief

    DESCRIPTION

    In this episode, Craig and Peter welcome guest Brannon Moncrief as they discuss the common misconception that more dental practice locations automatically lead to higher valuations and buyer demand. They emphasize the importance of building intentionally and scaling only when the first location is successful and profitable. They also highlight the significance of EBITDA as the ultimate key performance indicator (KPI) in dental practice operations and provide insights into what private equity buyers look for in terms of EBITDA percentages. The discussion also touches on the issue of fake EBITDA and the misconception that high personal income equates to a valuable business.

    TAKEAWAYS

    Building with intentionality and ensuring the success and profitability of each location before scaling is crucial.

    EBITDA is the ultimate KPI in dental practice operations and is significant in valuations and buyer demand.

    Private equity buyers look for EBITDA percentages in the range of 20-25% for healthy margins.

    The macroeconomic climate, including interest rates, influences dental practice valuations.

    The market for dental practice acquisitions has changed, with a shift in the mix of buyers and increased scrutiny on the quality of assets. Building a real business in dentistry requires scalability and the ability to survive without the dentist's direct involvement.

    High personal income does not necessarily equate to a valuable business, as fake EBITDA can inflate profits.

    Consolidation in the dental industry is expected to continue, with private equity playing a significant role.

    Dentists should focus on optimizing their practices and adapting to changes in the industry to stay competitive.

    Understanding the value of your business and planning for the future is crucial for long-term success.

    CHAPTERS

    00:00 - Introduction and Scaling Misconceptions

    06:33 - Building with Intentionality and EBITDA Importance

    13:08 - Macroeconomic Climate and Dental Practice Valuations

    18:15 - The Future of Dental Practice Acquisitions

    23:16 - Building a Real Business in Dentistry

    24:48 - The Pitfalls of Fake EBITDA

    28:23 - Consolidation in the Dental Industry

    36:30 - Adapting and Optimizing for the Future

    REFERENCES

    Bulletproof Mastermind

    Bulletproof Summit 2024

    McLerran and Associates

  • The Bulletproof Dental Podcast Episode 356

    HOSTS Dr. Peter Boulden and Dr. Craig Spodak

    DESCRIPTION

    In this conversation, Peter and Craig discuss the advice they would give to themselves as dental school students or new dentists. They emphasize the importance of taking care of oneself, including getting regular massages, maintaining core fitness, and having a concierge doctor for personalized healthcare. They also discuss the value of regular testing, such as the GRAIL test for detecting microscopic cancers and the MTHFR test for methylation issues. They touch on the importance of posture and mental fitness for dentists, the need for effective communication skills, the value of focusing on one's strengths rather than weaknesses, and the significance of leadership in dental practices. They also mention the upcoming Bulletproof Summit and the possibility of having a representative from the Ritz-Carlton speak about customer service.

    TAKEAWAYS

    Take care of yourself and prioritize self-care, including getting regular massages and maintaining core fitness.

    Consider having a concierge doctor for personalized healthcare and attention.

    Regular testing, such as the GRAIL test and the MTHFR test, can provide valuable insights into your health.

    Practice good ergonomics to prevent back pain and other physical issues.

    Be aware of the potential health risks associated with mercury exposure in dentistry.

    Maintaining good posture and mental fitness is crucial for dentists.

    Effective communication skills, including the ability to read body language and tailor conversations to individual patients, are essential.

    Rather than trying to improve weaknesses, dentists should focus on their strengths and surround themselves with a team that can compensate for their weaknesses.

    Leadership skills are vital for dental practice success, and dentists should continually work on developing their leadership abilities.

    The upcoming Bulletproof Summit will provide valuable learning opportunities for dentists, including a potential session on customer service by a representative from the Ritz-Carlton.

    CHAPTERS

    00:00 - Introduction and Background

    03:11 - The Importance of Self-Care

    08:55 - Taking Care of Your Physical Health

    14:49 - The Value of Regular Testing

    19:18 - Preventing Physical Strain and Injury

    24:04 - Focusing on Strengths: The Key to Success

    28:23 - Applying Ritz-Carlton's Customer Service Expertise to Dental Practices

    REFERENCES

    Bulletproof Mastermind

    Bulletproof Summit 2024

  • The Bulletproof Dental Podcast Episode 355 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak DESCRIPTION The conversation explores the advantages and disadvantages of DSOs (Dental Service Organizations) compared to solo dental practices. We’ll discuss the operational efficiencies of DSOs, including better lab fees, insurance negotiations, procurement of supplies, technology, and data utilization as well as highlight the importance of the patient experience and the potential for solo practices to excel in this area. The conversation delves into the challenges faced by solo practitioners, such as high team salaries and the pressure to compete with DSOs. Peter and Craig emphasize the need for private practice owners to adapt and innovate in order to stay competitive. They also discuss the impact of student debt on private practice ownership and the role of technology in improving dental practices. TAKEAWAYS DSOs have operational advantages in terms of lab fees, insurance negotiations, procurement, technology, and data utilization. Solo practices can excel in providing a superior patient experience. Solo practitioners should focus on improving operational efficiencies and reducing expenses to level the playing field. Mergers between solo practices can provide economies of scale and enhance competitiveness. The DSO model may face challenges due to the pressure for short-term returns and the potential fallout from a changing economic landscape. Private practice owners need to be aware of the changing landscape of dentistry and the rise of dental service organizations (DSOs). The high amount of student debt limits options for private practice ownership and partnerships. The Bulletproof Summit and Bulletproof Mastermind offer valuable opportunities for learning and growth in the dental industry. CHAPTERS 00:00 - Reuniting and Discussing the Rise of DSOs 04:10 - The Advantages of DSOs: Operational Efficiencies and Technology 14:12 - The Importance of the Patient Experience in Solo Practices 17:09 - Challenges Faced by Solo Practitioners: Team Salaries and Competition 22:26 - Potential Solutions: Mergers and Long-Term Strategies 27:38 - The Future of DSOs: Challenges and Opportunities 30:45 - Adapting to the Changing Landscape of Dentistry 32:13 - The Impact of Student Debt on Private Practice Ownership 33:34 - The Role of Technology in Improving Dental Practices 35:23 - The Value of the Bulletproof Summit and Mastermind REFERENCES Bulletproof Mastermind Patient Prism Bulletproof Summit 2025

  • The Bulletproof Dental Podcast Episode 354 When Should I Expand? HOSTS: Dr. Peter Boulden GUESTS: Dr. Dwight Peccora and Dr. Trey Tippit DESCRIPTION Pete, Dwight, and Trey discuss the importance of understanding when it's the right time to expand and how to determine the right metrics to make that decision. We emphasize the need to consider factors like utilization rate, infrastructure, and cash flow when deciding to expand. We also explore the challenges of balancing work and personal life during the expansion process. TAKEAWAYS Understanding when to expand a dental practice is crucial for growth and success. Metrics like utilization rate, infrastructure, and cash flow can help determine the right time to expand. Balancing work and personal life during the expansion process is a challenge that requires open communication and support from family and team members. Having a clear vision and goals for the expansion can help guide decision-making and prioritize resources. Regularly tracking and analyzing key metrics can provide valuable insights and inform expansion decisions. Consider utilization rate, capacity, and future growth when deciding to expand a dental practice. Cannibalization can be a strategic move in expanding a practice. Continuous learning and skill development are essential for success in dentistry. Building strong relationships and team bonding can contribute to practice success. CHAPTERS 00:00 - Introduction and Setting the Context 11:59 - Understanding the Craftsman Mentality in Dentistry 21:50 - Determining Utilization Capacity and Expansion Readiness 27:43 - Defining Utilization Capacity and Tracking Metrics 31:36 - Considering Utilization Rate and Capacity 33:01 - The Inspiring Example of Innovative Dental 34:23 - The Importance of Continuous Learning and Skill Development 37:33 - Factors to Consider in Expansion Decisions 43:07 - Utilization Rate and Multi-Location Practices 44:40 - Leveraging Existing Practices for Patient Count Growth 46:15 - The Strategy of Cannibalization in Market Domination 50:14 - Building Strong Relationships and Team Bonding REFERENCES 2024-2025 Bulletproof Mastermind

  • The Bulletproof Dental Podcast Episode 353 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak DESCRIPTION On this Episode we’re re-capping our 2024 Bulletproof Summit- the energy and feedback, importance of paying attention to one's body, and the need for educational platforms and team-building events. We also discuss the challenges of being a business owner and feeling overwhelmed, as well as the importance of team engagement and buy-in. We’ll shift to pricing strategies and the concept of designing fees based on desired earnings and the importance of setting fees based on what you want to earn and not just following industry standards. The conversation touches on the challenges and constant learning involved in dentistry, as well as the importance of investing back into the business to create more capacity and serve the community better. TAKEAWAYS The summit was a highly energizing and successful event, with positive feedback from attendees. Paying attention to one's body and incorporating practices like biohacking can enhance overall well-being and performance. There is a need for educational platforms and team-building events specifically designed for dental teams. Business owners often feel overwhelmed and become the bottleneck in their own progress. Engaging and empowering the team is crucial for growth. Pricing strategies should be based on desired earnings and the value provided, rather than arbitrary benchmarks. Designing fees with first principles thinking can lead to better profitability and case enrollment. Set your fees based on what you want to earn, not just industry standards Be less egoic about your fees and more realistic about your income goals Having a community of like-minded individuals is invaluable for collaboration and feedback Dentistry is a constant learning process and there is always more to learn and improve upon Investing back into your business can create more capacity and better serve the community CHAPTERS 00:00 - The Energizing and Successful Summit Experience 03:19 - The Need for Dental Team Educational Platforms 08:59 - The Role of the Business Owner in Growth 13:44 - Designing Fees Based on Desired Earnings 15:31 - Using First Principles Thinking in Fee Design 19:50 - Dynamic Pricing in Dentistry 22:20 - Challenges and Learning in Dentistry 27:26 - The Value of Community 33:52 - Investing Back into the Business REFERENCES Bulletproof Mastermind Enrollment for 2024-2025

  • The Bulletproof Dental Podcast Episode 352 HOSTS: Dr. Peter Boulden GUESTS: Dr. Trey Tippit and Dr. Dwight Peccora DESCRIPTION The conversation covers the challenges and considerations of hiring and onboarding dental associates, as well as the impact of construction costs on practice expansion. Join us in discussing the decision-making process, financial implications, and the importance of finding the right fit for the practice. We'll also explore the concept of progress over perfection and the need for flexibility in hiring decisions. The conversation covers a range of topics related to hiring and onboarding dental associates, including the importance of hiring for the business rather than personal preferences, the need for balance and diversity in the practice, the role of continued education and mentorship, and the value of creating leverage through hiring. TAKEAWAYS Hiring and onboarding dental associates requires careful consideration and flexibility. Construction costs have a significant impact on practice expansion and decision-making. The concept of progress over perfection is important in the hiring process, and it's essential to be open to different candidates. Financial implications and the need for a thorough decision-making process are key factors in hiring dental associates. Hiring for the business, not personal preferences The importance of balance and diversity in the practice The role of continued education and mentorship in onboarding Creating leverage through hiring The significance of trust transfers and vulnerability in the onboarding process CHAPTERS 00:00 Soaring with Sea Planes and Construction Costs 03:13 The Impact of Construction Costs on Practice Expansion 15:22 Automated reviews versus personalization 25:08 The Thoroughbred Associate 31:21 Interviewing associates 42:49 Blue Ocean Strategies in Dentistry 46:57 Training New Dentists during Onboarding 54:15 Bulletproof Summit REFERENCES Bulletproof Summit 2024

  • The Bulletproof Dental Podcast Episode 351 HOSTS: Dr. Peter Boulden & Dr. Craig Spodak GUESTS: Paul Vigario DESCRIPTION Join Dr. Peter Boulden and Dr. Craig Spodak in a captivating conversation with Paul Vigario, Founder of Surf CT. Explore the trio's longstanding friendship, their journeys in dentistry, and the imperative of thinking innovatively in the field. Discover insights on the dental industry's landscape, financial hurdles, and the power of data-driven choices. Paul delves into the future of dentistry, advocating for brand-building, streamlined systems, and embracing technological advancements. Uncover strategies for designing visionary practices, fostering exceptional patient experiences, and achieving extraordinary success in dentistry. Don't miss this enlightening discussion! TAKEAWAYS Long-standing friendships in dentistry can create deep bonds and support during challenging times. The dental industry is worth $200 billion and is controlled by corporations that prioritize shareholder interests over those of dentists. Dentists often face financial challenges and may not realize the true profitability of their practices. Data-driven decision-making is crucial for dentists to make informed choices and avoid unnecessary expenses. The future of dentistry may involve the continued growth of corporate dentistry and the need for dentists to break free from unnecessary expenses and control by corporations. Build a brand that stands for something and implement systems to power that brand. Stay up-to-date with advancements in design and technology in dental offices. Ask smarter questions and be aware of the potential for extraordinary success in dentistry. Create a positive patient experience by eliminating noise and focusing on productivity. Focus on relationships while also implementing systems that enhance the patient experience. CHAPTERS 00:00 - Long-standing Friendships and Memorable Experiences in Dentistry 04:02 - The Size and Control of the Dental Industry 08:07 - Financial Challenges Faced by Dentists 11:44 - The Importance of Data-Driven Decision-Making 29:35 - Asking Smarter Questions and Achieving Extraordinary Success 34:41 - Creating a Positive Patient Experience 38:57 - Balancing Relationships and Systems REFERENCES Bulletproof Summit 2024

  • The Bulletproof Dental Podcast Episode 350 HOSTS: Dr. Peter Boulden & Dr. Craig Spodak DESCRIPTION Deciding on Practice Ownership: Risk or Reward? Join Dr. Peter Boulden and Dr. Craig Spodak as they tackle a critical decision: buying a dental practice. With a net profit of $188,000 and a 40% associate earnings, is it a smart move? Explore the nuances of practice ownership, from analyzing historical data to navigating projections. Dive into the risks, rewards, and personal impacts of this pivotal choice. Plus, gain invaluable insights on financial literacy, learning from mistakes, and the future of dentistry. Don't miss this enlightening discussion! TAKEAWAYS Buying a dental practice should be carefully considered, weighing the risks and rewards. Analyzing historical data is crucial in evaluating the true value and potential of a practice. Relying solely on projections can be misleading and may not reflect the actual performance of the practice. Consider the key man risk and the impact on personal cash flow and lifestyle before making a decision. Owning a practice may not be the best option for everyone, and alternative investments should be explored. Learning from mistakes is crucial for personal and professional growth. Dental schools should provide more education on business and entrepreneurship. AI can be used as a tool for financial analysis and contract review in dentistry. Investing in real estate can be a game-changer for dentists. Financial literacy is essential for long-term success in the dental profession. CHAPTERS 00:00 - The Temptation of Practice Ownership 02:02 - Analyzing Historical Data vs. Projections 07:56 - The Downside Risk of Buying a Practice 18:14 - Lack of Business Education in Dental Schools 19:13 - AI in Dentistry 20:09 - Investing in Real Estate 23:23 - The Changing Landscape of AI 25:37 - The Importance of Financial Literacy 28:10 - The Potential of Real Estate Investment 29:27 - Sharing Personal Stories 30:49 - The Value of Dental Summits 31:27 - The Power of Execution REFERENCES Bulletproof Summit Bulletproof Dental Practice

  • The Bulletproof Dental Podcast Episode 349 HOSTS: Dr. Peter Boulden & Dr. Craig Spodak GUESTS: Dr. Dwight Peccora & Dr. Trey Tippit DESCRIPTION Our Fearsome Four explores the advancements in AI, specifically focusing on the launch of GPT-4 and its potential impact on various industries. We discuss examples of how AI can disrupt education, customer service, and language translation. The conversation highlights AI technology's exponential growth and improvement and its potential to transform various aspects of our lives. Additionally, we tackle the need for regulations and consent in implementing AI in dental practices. TAKEAWAYS AI technology, particularly GPT-4, is advancing rapidly and has the potential to disrupt various industries. Examples of AI applications include AI tutoring, customer service, and language translation. AI has the potential to revolutionize dentistry and improve patient experiences. The exponential growth and improvement of AI technology suggest that it will continue to transform various aspects of our lives. AI technology is advancing rapidly and has the potential to greatly impact the field of dentistry. AI can be used for call analytics, note summarization, and financial analysis, among other applications. Implementing AI in dental practices can improve productivity and efficiency, allowing professionals to focus on providing a better patient experience. AI should be seen as a tool that augments human capabilities rather than replaces them. Regulations and consent are important considerations when implementing AI in dental practices. CHAPTERS 00:00 - Introduction 03:11 - AI Disrupting Education 05:30 - AI Revolutionizing Dentistry 07:15 - AI in Customer Service 09:06 - AI Handling Calls in Dental Practices 13:32 - AI's Impact on Travel 16:09 - The Future of AI 20:40 - Advancements in AI Technology 25:40 - Addressing the Pain Point of Writing Notes 30:06 - Using AI to Analyze Financial Documents 32:16 - Tips for Prompting AI Correctly 36:08 - The Potential Impact of AI on Dentistry 43:02 - Closing Remarks REFERENCES Bulletproof Summit Bulletproof Dental Practice

  • The Bulletproof Dental Podcast Episode 348 HOSTS: Dr. Peter Boulden & Dr. Craig Spodak DESCRIPTION Join Craig and Peter as they discuss rural practices in rural versus urban area and the challenges and advantages of practicing in rural markets. Also, a concerning trend in dentistry: the rise of non-dentist veneer technicians, or 'near-techs.' These individuals, with minimal training, are illegally placing veneers on patients using nail supplies and acrylic. Craig and Peter express their frustration with the lack of protection for the dental profession and the potential harm caused by these unqualified practitioners. TAKEAWAYS Rural dentists are three times busier than dentists in urban areas, highlighting the demand for dental services in rural markets. The rise of non-dentist veneer technicians, or 'near-techs,' is a concerning trend in dentistry, as these individuals are illegally placing veneers on patients with minimal training. The dental profession needs better protection and advocacy to prevent the proliferation of unqualified practitioners and ensure patient safety. The commoditization of dental services and the race to the bottom on pricing can undermine the quality of care and patient outcomes. Dentists should be aware of these trends and actively advocate for the profession to maintain high standards and protect patient well-being. CHAPTERS 00:00 - Introduction and Reflection on Progress 03:02 - The Busy Rural Dentist 13:25 - The Rise of Non-Dentist Veneer Technicians REFERENCES Bulletproof Summit Bulletproof Dental Practice

  • The Bulletproof Dental Podcast Episode 347 HOSTS: Dr. Peter Boulden & Dr. Craig Spodak GUESTS: Dr. Sulman Ahmed DESCRIPTION This week's episode of the Bulletproof Dental Practice podcast welcomes Dr. Sulman Ahmed, Founder, Chairman, and CEO of DECA Dental Group. Discover Dr. Ahmed's expertise in building a patient-centered organization with around 200 locations across nine states. Learn from his leadership insights and personal career achievements, including prestigious awards like EY Entrepreneur of the Year and Glassdoor's Top CEOs. Don't miss this opportunity to gain valuable insights from a trailblazer in the dental industry. TAKEAWAYS Hard work, perseverance, and vulnerability are key to achieving success. Success is a journey, and it takes time and continuous growth to reach new levels. Giving back and helping others is a fulfilling way to create a legacy. Fatherhood can take different forms and evolve over time, with each individual having their own parenting style and experiences. The dental investment market is facing challenges due to high interest rates and the need for a proven track record of success. Consolidation in the dental industry is increasing, with more dentists joining group practices and DSOs. The future of dentistry looks promising for those who are passionate about providing quality care and are aligned with the values of the profession. It is important for dentists to focus on their core competency in dentistry and seek partnerships that align with their values and goals. Business training should be incorporated into dental school curricula to better prepare dentists for the realities of running a practice. Dentists should embrace their strengths and seek support from others to fill in the gaps in their knowledge and skills. The joint venture model can be a beneficial approach for dentists looking to partner with others and expand their practices. The dental industry is experiencing a shift towards valuing quality of care and differentiation, rather than just focusing on revenue and valuations. The future of dentistry will be shaped by factors such as competition, costs, negotiation with payers, and the ability to differentiate and provide value to patients. CHAPTERS 00:00 - Introduction and Background 03:10 - The Journey to Success 08:36 - The Importance of Hard Work and Vulnerability 13:37 - Balancing Work and Life 23:30 - The Impact of Family and Fatherhood 31:57 - The Increasing Trend of Consolidation in Dentistry 36:07 - Focusing on Core Competency and Partnerships 40:02 - The Importance of Business Training in Dental Education 41:34 - Embracing Strengths and Seeking Support 46:10 - The Benefits of the Joint Venture Model 49:33 - Valuing Quality of Care and Differentiation 52:57 - Factors Shaping the Future of Dentistry REFERENCES Bulletproof Summit Bulletproof Dental Practice Make Them Smile, Dr. Sulman Ahmed

  • The Bulletproof Dental Podcast: Bonus Episode! HOSTS: Dr. Peter Boulden & Dr. Craig Spodak GUESTS: Chase Howard DESCRIPTION BREAKING NEWS! Join us as we welcome Chase Howard for an impromptu bonus episode to discuss the recent news surrounding the FTC and non-compete agreements. TAKEAWAYS The FTC is attempting to ban non-compete agreements, which could have a significant impact on the dentistry industry. Existing non-compete agreements will still be enforceable until the employee leaves the practice. Non-solicitation agreements may become more important for protecting patient and staff retention. The ban does not apply to the sale of practices or certain high-level executives. Dentists should consider revisiting their associate agreements and focusing on other protections such as training costs, non-disclosure agreements, and protecting intellectual property. CHAPTERS 00:00 - The FTC's Attempt to Ban Non-Compete Agreements 06:54 - Exceptions to the Non-Compete Ban: Sale of Practices and High-Level Executives REFERENCES Bulletproof Summit Bulletproof Dental Practice Chase Howard