What does the "moving upstream" dental practice model look like in operation? A leaner, smaller practice deliberately positioned for either more affluent patients or patients with deeper disability and very specific needs, operating outside insurance and government reimbursement schemes. The model has several defining characteristics. Non-commodity pricing that reflects the actual value of the work. Lower patient volume but high return on time per patient. Appropriate margins maintained through ethical selling discipline rather than through volume cramming. Technology and staff investments funded by those margins rather than starved by insurance write-offs. A practice within a practice structure where larger doctors offer [...]