Understand the ownership system
A plain-language curriculum on representation, broker history, hidden prices, broker–DSO relationship types, and the lender/vendor decision chain.
Learn the system →Research and work products
Learn the system. Then test the decision.
Start with the people, incentives, and records surrounding the choice. Produce one evidence-backed work product, then move to the next gate. The manual is the reference library—not the required first step.
Choose a working surface
Calculation, fieldwork, people, payer, or deep reference.
Build or Buy
Six ownership paths compared on the same clinical, owner-labor, capital, transfer, control, evidence, and reversal contract.
Compare ownership paths →Independent Scale
Buying power, payer administration, shared services, and governance for independent practices—publicly separated from any future operating network.
Explore lawful shared power →Policy Evidence Center
A current official-source mechanism register and local calibration workbench that separates authority, implementation, exposure, practice response, and observed outcomes without predictive scoring.
Trace a policy →Local Project File
A no-account project record that coordinates evidence, separate safety checks, reviewer roles, and observed collaboration failures before DenQAI considers cloud persistence.
Test the workspace need →Governed owner case-series pilot
A pilot-readiness protocol, consent and privacy boundary, independent evidence axes, launch gates, controlled downloads, and a local-only case draft builder. Intake remains closed.
Inspect the pilot →Competition field guide
A first-practice workflow for defining the target segment, reconciling people/sites/control, verifying capacity, and stressing competitive response.
Investigate the market →Ownership & control trail
Exact public portals, evidence limits, identity reconciliation, control dimensions, contradiction grades, and the private agreements needed to confirm who controls an office.
Trace the office →Clinical-transfer audit
A motive-neutral review of provider/cohort/procedure patterns, independent chart sampling, patient obligations, rapid exits, and buyer-repeatable production.
Test clinical transfer →State tax & dental map
Compare all 50 states and D.C. across the dental-owner tax stack, population, growth, dentist supply, household income, hygiene wages, and Medicaid.
Explore state intelligence →Buyer counteroffer field guide
Seller-side incentives, price-normalization lines, financing-data boundaries, dental-shell alternatives, and an interactive evidence-to-price bridge.
Challenge the asking price →Independent-practice guide
An ordered path from owner goals and state screening through local evidence, entry mode, transfer, negotiation, the first 48 months, and operating resilience.
Follow the guide →Decision tools
Versioned tools for owner viability, 48-month runway, delay cost, portable decision records, entry mode, capacity, pre-sale normalization, payer offers, treatment mix, hygiene, team continuity, and Medicaid economics.
Choose a calculator →AI field guide
Current model-selection guidance, safe data preparation, source-controlled analysis, validation, and copy-ready prompts for DenQAI work.
Use AI well →Team assessments
Role-specific work samples for billing, front desk, assisting, hygiene, management, and clinical leadership.
Choose a role →Payer & billing
Fee-schedule underwriting, contract controls, revenue-cycle learning, and a guarded work-performed-to-billing workflow.
Audit payer economics →Research manual
The complete long-form build, buy, or walk-away reference with state Medicaid tables and the master diligence framework.
Read the manual →Methods and sources
Evidence labels, uncertainty rules, source map, review dates, update cadence, corrections, and project boundaries.
Inspect the method →Downloadable work products
Start with a required file structure instead of a blank page.
These files are deliberately simple. Add source dates, verification states, contradictions, owners, and recheck fields rather than hiding judgment inside formatting.
Policy evidence and calibration protocolFive-link authority-to-outcome chain, non-averaged calibration gates, claim levels, comparison designs, owner translation, and privacy boundary.Markdown · Protocol and eight calibration gates · No user data; no predictive model · v0.1.0 ↓Policy mechanism registerSeven current mechanisms with jurisdiction, implementation status, authority, source ID, observable change, owner use, minimum measures, claim ceiling, and next review.CSV · 14 fields · Seven controlled mechanism rows · v2026.07 ↓Private-workspace demand-validation protocolJobs, observed-failure standard, local-file experiment, eight cloud launch gates, minimum first release, and framework references.Markdown · Demand tests and eight launch gates · No user data; no cloud intake · v0.1.0-draft ↓Local Project evidence registerEight cross-workstream evidence questions with status, supporting document, source locator, effective period, reviewer, contradiction, and next action.CSV · 15 fields · Eight fictional example rows · v2026.07 ↓Owner case-series pilot protocolDraft purpose, research questions, eligibility, ceiling, independent evidence axes, analysis rules, privacy boundary, participant control, and seven launch safety checks.Markdown · Protocol and governance gates · No participant data; intake closed · v0.3.0-draft ↓Local market evidence requestEighteen source-controlled requests connecting state screening to the actual county, city, ZIP, trade area, parcel, payer segment, and owner scenario.CSV · 22 fields · 18 controlled request rows · v2026.07.1 ↓Counteroffer evidence ledgerClaim, supporting document, recurring and one-time effects, verification state, double-count control, and concession.CSV · 16 fields · 11 fictional example rows · v2026.07 ↓Clinical-transfer fieldbookDe-identified provider, cohort, procedure, documentation, consent, remake, refund, retreatment, referral, verification-state, and reviewer fields.CSV · 32 fields · Includes one fictional de-identified example row · v2026.07 ↓
Independent-practice evidence
Document the direction. Research the mechanisms.
ADA data establish that private-practice ownership declined from 84.7% in 2005 to 72.5% in 2023 and that DSO affiliation reached 16.1% in 2024. They do not establish why one practice failed, why one dentist sold, or whether a particular market can support another owner.
Ownership and DSO-affiliation trends, workforce supply, dentist income, student debt, population, wages, and public tax rules can be dated and sourced.
Transferable clinical production, patient obligations, seller dependence, payer portability, staffing, control, liens, capex, and sustainable owner cash require target records.
First-48-month owner cash strain, unpaid management time, guarantee burden, delayed personal milestones, advisor influence, and the distribution of viability gaps need governed longitudinal evidence. The case-series pilot now publishes its questions and launch gates without accepting submissions.
Accounts of overtreatment risk, short-horizon sales, multi-site expansion, hidden control, and vendor capture should become neutral audit questions—not prevalence statistics.
Trust layer
See what supports the answer.
Every material claim should identify its evidence class, source, date, geography, assumptions, uncertainty, and human reviewer. Corrections should be visible and versioned.