What does an adapting and growing dental practice look like? It looks lean and deliberate. I call it the lean machine, or a practice within a practice, and it runs on a different math than the sinking ship. It often keeps an insurance component but grows a non-insurance side right alongside it. It does not price its work as a commodity. It earns the value of its services off the whole package the patient receives, lands cases outside insurance, and finds smart ways to get appropriate fees even on insured patients. Volume is lower, but the margin per hour is higher, [...]