The Dentalpreneur Podcast w/ Dr. Mark Costes

On today's episode, Dr. Mark Costes sits down with Jacob Vanderslice, co-founder of VanWest Partners, to explore the opportunities, risks, and realities of self-storage investing. Jacob shares how he went from single-family rentals and fix-and-flips to overseeing a portfolio of 42 self-storage properties, why his team targets underperforming facilities, and how operational improvements can increase net operating income and property value. 

They also discuss due diligence, market supply, closed-ended funds, projected returns, tax advantages, liquidity risks, and the role private real estate can play in a diversified investment portfolio.

Be sure to check out the full e...

On today's episode, recorded live at the Dental Success Summit 2026, Dr. Mark Costes sits down with Gino Wickman, creator of the Entrepreneurial Operating System and author of Traction, Rocket Fuel, and Shine. Gino shares the lessons behind building EOS, the six essential traits of an entrepreneur, and why the right visionary-integrator partnership can transform a growing business. 

They discuss how to find and evaluate an integrator, the five rules that keep the relationship strong, the most overlooked components of EOS, and the foundational tools dental leaders can begin implementing immediately. Gino also opens up about the deeper m...

On today's episode, Dr. Mark Costes answers listener questions in this Ask Me Anything special, covering ownership strategy, practice growth, scaling decisions, and the team of advisors every dental owner should build. Mark shares what he would do differently if he were starting over as a new grad, including avoiding practices that are too small to scale, being cautious with overly rural locations, and focusing on demographics, capacity, and long-term exit options. 

He also discusses when it makes sense to add another doctor, what metrics to watch beyond revenue, and why owners should stabilize their flagship practice b...

On today's episode, Dr. Summer Kassmel takes the stage at the Dental Success Summit to help dentists and their teams turn inspiration into real, lasting change. She shares why so many practice owners get caught in the "someday trap," waiting for the right associate, production number, or season of life before building the practice and lifestyle they truly want. 

Dr. Kassmel breaks down the three keys to fighting the pull of status quo: getting clear on what you want and why it matters, understanding the short-term price of meaningful change, and leading first as the doctor or p...

On today's episode, Dr. Mark Costes delivers his main stage presentation during the 13th Annual Dental Success Summit, using the story of Jerry the lobster as a powerful metaphor for growth, vulnerability, and the need to shed old ways of operating. Mark reflects on his own journey through academic challenges, practice ownership, burnout, and reinvention, then connects those lessons to the current state of dentistry.
 
He breaks down the major headwinds facing the profession, including staffing shortages, rising wages, flat PPO reimbursements, declining practice ownership, margin compression, burnout, and the growing divide between elite independent practices and t...

On today's episode, Dr. Mark Costes sits down with Dr. Brett Titensor live from Thrive Live 2026 to talk about digital dentistry, technology, and building a practice designed for the future. Brett shares what it was like taking over from his father, working alongside him for 10 years, and bringing new technology into a second-generation practice. 

He discusses his passion for same-day crowns, guided implants, 3D printing, surgical guides, full-arch workflows, and how delegating digital processes to the team can make advanced dentistry more efficient and scalable. Brett also gives a behind-the-scenes look at the new facility he is b...

On today's episode, this Part 2 conversation features Jake Conway continuing his April 2026 Mastermind presentation with a deeper look at hygiene performance, owner compensation, cash flow strategy, and practice valuation. Jake explains how hygiene production impacts payroll, fixed costs, doctor production, and overall profitability, while showing how KPIs like perio percentage, fluoride, open hygiene time, exam mix, and production-to-pay ratios can reveal the true causes behind underperformance. 

He also outlines how owners can think about paying themselves as both clinicians and owner-operators, including W-2 salary, distributions, gap pay, break-even targets, and capital reserves. The session wraps with a p...

On today's episode, this Part 1 conversation features Jake Conway presenting during the April 2026 Mastermind and breaking down how practice owners can better understand the numbers that drive their income. Jake explains why a dental practice should be viewed as a source of information rather than an ATM, and how overhead is not a destination but a measurement of how well the office is being run. 

He walks through the difference between fixed and variable costs, the symptom-cause-solution approach to diagnosing financial issues, and how management reporting differs from tax reporting. Jake also reviews how cash flows through a...

On today's episode, Dr. Mark Costes sits down with longtime dental industry leader Laura Nelson live from Thrive Live in Las Vegas. Laura shares her journey from running the front office in her husband's dental practice to building Front Office Rocks, becoming a trusted voice in dental team training, and now leading AI innovation with Mango Voice. 

She and Mark discuss why patient experience matters just as much as clinical care, how short-form training changed front office education, and why understanding the "why" behind systems is essential for team success. Laura also breaks down how AI tools l...

On today's episode, Dr. Mark Costes sits down with Jas Banga live from Thrive Live 2026 in Las Vegas to talk about one of the most overlooked but critical parts of practice ownership: dental real estate. Jas shares how he went from marketing in the dental world to becoming a leading healthcare real estate advisor, helping dentists across North America make smarter, data-driven decisions around site selection, lease negotiations, renewals, expansions, and acquisitions. 

They discuss common lease traps like narrow use provisions, triple net expenses, assignment language, and seller liability, as well as the big question of whether d...

On today's episode, Dr. Mark Costes is joined by Ashlee Hirschfeld for another Back to Basics conversation, this time focused on leadership and difficult conversations. Mark and Ashlee discuss why leadership requires self-awareness, emotional intelligence, clear expectations, and the willingness to address issues before they damage the entire team.

They also explore how to approach corrective conversations with less drama, why avoiding conflict can create bigger problems, and how strong leaders take ownership before asking others to do the same. This episode is a reminder that great culture starts at the top, and the way you communicate...

On today's episode, Dr. Mark Costes sits down with Dr. Matt Slivka, owner of Rockside Dental and DSI Black Belt coach, for a conversation about growth, purpose, and the impact dentists can make far beyond the operatory. Matt shares how mentorship and community helped transform his practice from a chaotic startup into a thriving multi-doctor organization, and how that same mindset pushed him to launch Rockside Reach International, his nonprofit providing dental care in Guatemala.
 
The conversation explores the power of influence, the importance of relationships, lessons from mission work around the world, and why fulfillment often c...

On today's episode, we dive into the very real problem of overwhelm in dentistry and why it is not simply about having too much to do. Dr. Mark Costes breaks down how decision fatigue, multitasking, cognitive load, sleep debt, clutter, caffeine, alcohol, and constant content consumption can push practice owners from intentional leadership into reactive survival mode. 

He also shares practical ways dentists can reduce overwhelm through better prioritization, delegation, systemization, walking, sleep hygiene, closing open loops, and building the right support around them. From managing hygiene exam overload to knowing when it may be time for a...

On today's episode, Dr. Taher Dhoon sits down with Dr. Chris Hill to talk through the systems, lessons, and real-world experience behind predictable full mouth reconstruction. Dr. Hill shares how years of cosmetics, occlusion, TMJ, and reconstruction training shaped his approach, and why having a clear, repeatable system is what helps dentists move from feeling overwhelmed to feeling confident with bigger cases.
 
The conversation covers common FMR challenges like losing the bite, managing vertical dimension, deprogramming, temporaries, lab communication, case phasing, and why doctors need to lead the case instead of relying entirely on the lab. Dr. H...

On today's episode, Dr. Mark Costes sits down with Dr. Christian Pavel live from Thrive Live 2026 in Vegas for a grounding conversation on wellness, burnout, breathwork, and purpose in dentistry. Known as the Dental Yogi, Dr. Pavel shares how yoga, intentional breathing, and holistic health became central to both his personal life and his mission to help dental professionals reconnect with themselves.
 
He and Dr. Costes discuss the pressures facing modern dentists, including shrinking margins, rising costs, overstimulation, and the quiet burnout many providers experience while trying to power through. Dr. Pavel also shares the origin of R...

On today's episode, Dr. Mark Costes continues his April 2026 Mastermind presentation by exploring the deeper identity shifts required to move out of the hustle trap and into a more sustainable version of success. He shares a powerful eulogy exercise and personal reflections on loss, legacy, and the difference between resume virtues and eulogy virtues.
 
Dr. Costes connects these ideas back to the Four Futures, encouraging dentists to examine their mind, meaning, muscle, and money to determine what needs realignment. He also challenges practice owners to subtract what no longer serves them, delegate more effectively, use the DSI c...

On today's episode, Dr. Mark Costes opens his April 2026 Mastermind talk with an update on the whirlwind first quarter of mission work through SOI, including trips to Guatemala, Fiji, and Honduras, before shifting into the idea of quiet reinvention. He explains how high-performing dentists often become trapped by the very habits that made them successful, especially hustle, grind, overproduction, and self-sacrifice.
 
Dr. Costes introduces the four seasons of a dental career: spring as the builder phase, summer as the growth phase, fall as the optimization phase, and winter as the reinvention phase. He challenges listeners to identify w...

On today's episode, Dr. Mark Costes sits down with Jon Padolsky of Flex to explore how dental technology is transforming the front office experience. Jon shares his journey from growing up around dentistry and spending 14 years as a dental office manager to helping practices streamline operations through Flex. 

The conversation covers the evolution from paper charts and manual reminders to digital forms, online scheduling, integrated payments, insurance verification, and treatment planning tools built specifically for Open Dental users. Jon also explains how Flex helps teams present treatment more clearly, use patient photos to improve case acceptance, reduce t...

On today's episode, Dr. Allen Gotora shares a powerful message on why relationships are the hidden KPI behind every successful dental practice. Drawing from his own life-changing experience as a high school student in Zimbabwe, where relationships helped him raise funds for a United Nations trip to Sweden, he explains how connection, trust, and intentional communication shape every major outcome in business and life. He breaks down five key relationship pillars: self, family, team, partners and vendors, and patients. 

From prioritizing health, spirituality, and self-awareness to protecting family time, nurturing your team, strengthening vendor relationships, and creating d...

On today's episode, Dr. Mark Costes is joined by Doug and Catherine Fettig live from Thrive Live 2026 in Vegas for a conversation on mindset, leadership, and improving the dental experience for both teams and patients. Doug shares how dentists can begin thinking more like CEOs, avoid becoming the bottleneck in their practices, and use simple habits like gratitude and generosity journaling to shift their mindset and rediscover joy in the profession. 

Catherine brings her decades of healthcare and psychiatric mental health experience to the dental space, explaining how dental anxiety impacts patients, teams, and overall practice productivity. S...

On today's episode, Dr. Bill Keith speaks during the April 2026 Mastermind about shifting from the clinical brain to the CEO brain and why practice owners must learn to zoom out, identify patterns, and build teams that can surface problems before they become costly. Drawing from examples in aviation, Toyota manufacturing, hospital operating rooms, Southwest Airlines, and the Challenger disaster, he explains how the people closest to the work often hold the most important information, yet may not feel safe or empowered to speak up. 

The episode explores how dentists can create psychological safety, use one-on-ones and anonymous f...

On today's episode, Dr. Mark Costes welcomes back Troy Eckard for a timely conversation on oil and gas, global energy uncertainty, and how current geopolitical tensions are reshaping investor strategy. Troy shares his perspective on the Middle East, the Strait of Hormuz, rising oil prices, and why fossil fuels remain critical despite the ongoing push toward alternative energy. 

He also breaks down why many investors are frozen right now, how inflation and deflationary behavior may affect the broader economy, and why cash flow, liquidity, and real assets matter in uncertain times. The conversation also touches on AI's g...

On today's episode, Dr. Mark Costes sits down with Dr. Parth Patel, owner of Revive Dental in Alpharetta, Georgia, to unpack his journey from associate dentist to owner of a thriving fee-for-service practice. Dr. Patel shares how his early exposure to different practice models helped him clarify the kind of dentistry he wanted to build, one centered on comprehensive care, patient relationships, and a high-touch experience. 

The conversation explores the realities of staying out of network, how his team communicates value to patients with PPO benefits, and why alignment in language, systems, and culture is critical from t...

On today's episode, Dr. Mark Costes sits down with Shreyas Parab, co-founder and CEO of Daydream, to talk about how AI is reshaping dental revenue cycle management. Shreyas shares how growing up in his mother's dental practice gave him firsthand experience with the stress, complexity, and financial impact of insurance billing. After stepping in to run her practice during a family health crisis, he saw just how much practices lose when verification, claims, denials, and payment posting are not handled with precision. 

The conversation dives into how Daydream uses AI agents and human oversight to automate insurance v...

On today's episode, Dr. Mark Costes sits down with Alan Withall, senior sales consultant with Henry Schein, live from Thrive Live in Las Vegas. Alan shares how he found his way into dentistry, why he became passionate about helping dentists launch startups, and how building the right network of advisors can make the process far less overwhelming. 

Mark and Alan talk through the realities of startup financing, rising buildout costs, finding the right location, lease negotiations, budgeting, equipment planning, and why every market requires a different strategy. They also dig into the value of working with a t...

On today's episode, Dr. Mark Costes is joined by Ashlee Hirschfeld for another installment of the Back to Basics series, this time focusing on the numbers every dental practice owner must know. Mark and Ashlee discuss why even experienced owners benefit from revisiting the fundamentals, especially when so many dentists feel overwhelmed by reports, spreadsheets, overhead, and profitability. 

They break down the importance of understanding your P&L, knowing the difference between fixed and variable expenses, tracking lead and lag measures, and using your numbers as data instead of letting them trigger shame or panic. This episode i...

On today's episode, Dr. Mark Costes sits down with Lilly Larsen live from Thrive Live 2026 in Vegas to talk about how she has carved out a unique, relationship-driven role as a Henry Schein field sales consultant. Lilly shares how she entered dental from a non-clinical background, leaned into her marketing experience, and built a business-minded approach that goes far beyond supplies and equipment. 

She discusses the importance of live events, community building, strategic partnerships, and helping dentists have bigger conversations about their practices, goals, and growth. Dr. Costes and Lilly also explore her origin story, the influence o...

On today's episode, Mark answers questions from the DSN community, covering some of the most common challenges practice owners and young dentists face. He breaks down why bonus systems based only on production or collections can quickly become risky, and explains how to structure incentives around the overall health of the practice instead. He also shares guidance on handling years when raises may not be financially possible, emphasizing clear communication, empathy, and protecting the long-term stability of the business.

Mark also speaks directly to new graduates who feel overwhelmed clinically, financially, and professionally, encouraging them to slow...

On today's episode, Dr. Mark Costes shares a special message for everyone gathered at DSS 2026. After 11 years and 2,500 episodes of the Dentalpreneur Podcast, Mark reflects on the journey from a closet recording setup to a movement built on community, leadership, discipline, and service.

This heartfelt episode is a reminder that real transformation happens when we take action, show up for ourselves, and step into rooms with people who understand the path we are on.

To everyone at the Summit today, and to everyone listening, welcome—we are so grateful for you!

EPISODE RESOURCES

On today's episode, Dr. Mark Costes sits down with Dr. Bill Keith live from Thrive Live in Las Vegas to talk about the journey from accounting cubicles to building a massive, high-performing dental practice in Kansas City. Bill shares how he transitioned into dentistry, bought his father's practice, expanded into a 23-operatory facility, and grew the business from $2.7 million to nearly $9 million in revenue.
 
Mark and Bill dive into the realities of scaling, including hygiene capacity, doctor leadership, culture protection, compensation, staffing challenges, and why putting the right people in the right seats matters more than simply f...

On today's episode, Dr. Mark Costes and Ashlee Hirschfeld continue the Back to Basics series with a conversation on lifetime patient experience. They discuss why every patient interaction matters, how one great experience can lead to years of loyalty and referrals, and why practices need to intentionally map out each touchpoint in the patient journey.

Mark and Ashlee also cover the importance of phone etiquette, consistent patient handoffs, post-op calls, patient recognition, and grassroots relationship-building in the community. From creating raving fans to reconnecting with local businesses, this episode is a reminder that strong systems and genuine...

On today's episode, Dr. Mark Costes is interviewed by Jordon Comstock on the Navigating Dental Insurance Podcast for a conversation about AI, coaching, and the changing realities of running a dental practice. Mark and Jordon discuss why information has become a commodity, how AI can be a powerful tool when paired with the right data, and why human support, accountability, and real-world implementation still matter more than ever. 

They also dig into rising practice costs, wage inflation, flat PPO reimbursements, the importance of knowing your numbers, and why dentists need to be intentional about patient attraction, systems, l...

On today's episode, Dr. Mark Costes catches up with longtime friend and returning guest Joshua Scott, owner and CEO of Studio 8E8, for a wide-ranging conversation on growth, leadership, AI, and the realities of scaling a people-driven business. Joshua shares the vision behind Studio 8E8's new 11,000-square-foot headquarters, including the long road from finding land to building a dedicated production studio and collaborative team space. 

He and Dr. Costes also reflect on the annual Murph workout, the discipline of fitness, and the lessons that carry over into entrepreneurship. The conversation then turns to AI's growing impact o...

On today's episode, Dr. Mark Costes welcomes back longtime friend, mentor, and returning guest Alastair Macdonald for a deep conversation on dental partnerships, practice ownership, and the costly mistakes many dentists make when trying to retain associates. Alastair shares why selling equity too early can create long-term problems, how fear-based decisions often lead to bad partnership structures, and why production alone does not make someone a strong business partner.
 
He and Dr. Costes also unpack the shifting economics of dentistry, the rising pressure from DSOs, and the importance of building dynamic, values-aligned partnerships that can grow with t...

On today's episode, Dr. Mark Costes sits down with Shaju Puthussery and Deepak Ramaswamy, co-founders of Lightspun, to unpack one of dentistry's least glamorous but most costly problems: insurance administration. From credentialing delays and paper claims to fragmented payer workflows and manual back-office bottlenecks, Shaju and Deepak explain why the "plumbing" of dentistry is overdue for a major upgrade. 

They share how their experience at Overjet led them to build an AI-first platform designed to streamline credentialing, claims, provider data, and payer-provider communication. The conversation dives into the opportunity cost of waiting 90 to 120 days for a new a...

On today's episode, Dr. Mark Costes sits down with Ryan Gross, CEO of CMOShare, to talk about the rapid evolution of AI in dental marketing and how practices can use smarter data to drive real revenue growth.
 
Ryan explains how AI can connect marketing, phone data, practice management software, and financials to uncover what is actually holding a practice back, from poor call conversion to limited hygiene availability. They also discuss the risks of relying on generic AI prompts, why implementation still matters more than information, and how practices can use collective intelligence to attract better patients a...

On today's episode, Dr. Mark Costes sits down with Dr. Paul Goodman, founder of Dental Nachos and Dentist Job Connect, for a candid conversation on connection, career growth, and the real challenges dentists face behind the scenes. They discuss why dentistry can feel lonely, the value of getting into the right rooms, and how live events create collaboration and mentorship that cannot be replicated online.
 
Paul also shares advice for young dentists, including the importance of understanding practice numbers, building strong clinical fundamentals, and getting legal guidance before signing associate contracts. The conversation wraps with a look a...

On today's episode, Dr. Mark Costes sits down with Brent Saunnier and Chris Sands, co-founders of Profi Dental CPAs, for a deep dive into the real-world consequences of neglecting your accounting. They unpack a cautionary case involving years of unfiled tax returns, unreliable books, IRS notices, and six-figure cleanup costs before even knowing whether additional taxes are owed. 

The conversation highlights why dentists need accurate, timely financials not just for tax compliance, but for practice valuation, lending, growth, and making smart acquisition decisions. From seller-side chaos to buyer-side red flags, this episode is a powerful reminder that p...

On today's episode, Dr. Mark Costes sits down live at Thrive Live with Dr. Uche Odiatu for a high-energy conversation about whole-body health, patient connection, and why dentistry has the power to go far beyond fixing teeth. Dr. Odiatu shares his philosophy on using movement, sleep, nutrition, stress management, breathwork, and even light exposure to help patients and providers live with more energy and vitality.
 
He explains how dentists can shift from being "tooth mechanics" to trusted health advocates by listening deeper, asking better questions, and connecting oral health to the bigger picture of inflammation, lifestyle, and l...

On today's episode, Dr. Mark Costes sits down with Dave and Josh Stech to explore private lending, family offices, and how dentists can build wealth beyond the chair. Dave shares his journey from humble beginnings to becoming a respected real estate forecaster and investor, while Josh explains how his background in real estate, technology, and lending helped shape their approach to teaching others how to "be the bank."

They break down how private lending works, why collateral and borrower vetting matter, and how dentists can use this strategy to create passive, recurring income without taking on the...