3 Reasons Why Your Five-Op Facility is Blocking Sustainable Dental Practice Growth | Thor
Shared Practices | Your Dental Roadmap through Practice Ownership
Dr. George Hariri | Shared Practices Network
4.9 • 559 Ratings
🗓️ 1 December 2025
⏱️ 35 minutes
🧾️ Download transcript
Summary
Scaling a $2.5M practice while only working two clinical days sounds like the ultimate goal, but it often brings you face-to-face with a massive facility bottleneck. In Part 2 of Thor’s return to Practice Under Water, George and Thor break down the logistical gymnastics required to maintain sustainable dental practice growth when your building is bursting at the seams. Thor is currently managing 94 new patients a month in just five operatories, a situation that George identifies as being at total capacity.
The conversation centers on the essential transition from a "hustle-based" model to dental practice management that is truly systems-led. George suggests that to preserve quality of life, Thor must evolve into a pseudo-specialist role—focusing on high-value ortho, cosmetics, and implants—while training his hygienists to lead a co-diagnostic process that feeds these cases to his chair. This episode acts as a strategic survival guide for dental practice ownership, offering a masterclass in dental business strategies for owners who are ready to let the team handle the "daily rush".
We explore the gritty reality of "scheduling Tetris," including split shifting, no-doctor hygiene days, and why a six-operatory setup is a game-changer for multiple providers. Whether you are navigating an associate to owner transition or looking for ways to maximize dental practice profitability, Thor’s dilemma offers a clear roadmap for long-term success. Learn how to move from being the person propping up the practice to an owner who has built a self-sustaining engine for sustainable dental practice growth.
Ready to take the next step in your dental practice journey? Visit https://sharedpractices.com to learn more about our Buyer Representation and Coaching services, designed to help dentists buy, grow, and optimize profitable practices. You can also use our Free Look to evaluate dental practice opportunities with real data before making a decision. For daily Dental Moneyball insights, strategy tips, and updates, follow us across our social channels.
Transcript
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| 0:00.0 | Welcome back to another episode of Practice Underwater, and I believe this is my first time interviewing a repeat guest. So we have here Thor, |
| 0:18.5 | obviously fake name, real doc, and we're going to be talking about |
| 0:22.6 | Thor's practice. And so Thor, welcome back to practice underwater. |
| 0:26.8 | Thanks, man. Thanks for taking that time. Yeah, so I guess that's, it wasn't such an unpleasant |
| 0:30.6 | experience that you came back for more. So that's kind of nice. Normally people come on practice |
| 0:35.0 | under water. I think this is like I mentioned earlier my first time. So maybe for our listeners, I think you mentioned in the pre-show that you came on in 2022. So maybe just for our audience, just kind of talk about your last visit on practice underwater and maybe some of your takeaways from that experience. Yeah, sure. So I ended up buying the practice in late 2021 kind of classic story where I was |
| 0:57.6 | at another practice told I was going to be able to buy in. And then the older dentist just kept |
| 1:02.2 | not retiring. I actually just found out recently he's still not retired. So I'm glad I moved on from |
| 1:06.9 | that. And yeah, so when we bought it in, like I said, end of 2021. And when I had come on before, |
| 1:13.0 | I had spoken with Suzanne, and we were just kind of talking about like general ideas and, you know, |
| 1:17.8 | if I should expand to the fifth op because there was the option of going to five operatories as it was |
| 1:22.7 | plummed. And at that time, when I bought the practice, it was doing 700,000. |
| 1:28.3 | They had maybe a thousand active patients. |
| 1:31.3 | You know, they said it a little bit more than that, but realistically it was probably about a thousand. |
| 1:35.3 | And so the first year we did 1.1 and then the next year we did 1.5. |
| 1:41.3 | Third year we did 2. And this year we're on track for about 2.5. So, like, obviously the big growth has been very good. So really, we're kind of at a point where it's going to be a crossroads. And, you know, I can get into this as much as you want. But basically, do we start to get to that point now that we're at capacity, 2300 active patients, do we start looking at dropping |
| 2:02.3 | insurances, going that route, or, you know, expanding or moving? And again, we can get into all that. |
| 2:08.4 | Yeah, I mean, I'm excited to jump into all of that. So I think the first thing is round of applause, |
| 2:13.6 | hats off to you. I mean, so when I looked through your practice by numbers before, I was like, man, this practice is humming. And I mean, for a five operatory practice, you guys are firing on all cylinders. And so I think the question I have for you, I look at your new patient flow is like really jumps out to me. You know, last month you saw 94 new patients. And so I'm just kind of, I think my first question is, |
| 2:35.2 | what the hell did you do? You know, maybe before we start talking about what's not working, |
| 2:39.7 | maybe for our audience, I mean, you bought this practice in 2021, did 700,000. This year, year four, |
| 2:45.4 | or year one, two, yeah, your fourth full year, you're going to do 2.5. What did you do to lead to this kind of explosive growth? |
... |
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