4.3.3.1Vertical

Dental Group Practices

Multi-dentist group practices operating under shared management.

Market snapshot

These figures describe General Dentistry (4.3.3), the segment that Dental Group Practices sits within. They are not figures for Dental Group Practices on its own.

Market size
~$160B
Growth
~5.0%CAGR (2017–22, nominal)
Companies
~120,488 firms
Firms by employee count

94.2% of firms have fewer than 20 employees: 113,495 micro-businesses, below most mandates.

The investable universe6,993 firms with 20+ employees
20–99
6,48693%
100–499
3695%
500+
1382%

As the core of the dental sector and the foundation of the DSO roll-up, this segment spans ~120,000 firms, 94% under 20 staff. The category captures all dentist offices (general practice is the large majority), pairing insurance-reimbursed preventive care with a cash-pay cosmetic component; that recurring-plus-elective mix, plus aging-dentist succession, keeps it the most active dental consolidation target. Growth held ~5%/yr.

NAICS 621210. U.S. Census Bureau, 2022 Statistics of U.S. Businesses; U.S. Census Bureau, 2022 Economic Census.

Business model & economics

Revenue model

Insurance-reimbursed care plus cash-pay cosmetic and elective

Key economics

Revenue per firm
$1,330,559
Revenue per employee
$151,452
Employees per firm
8.6
Recurring revenue
Moderate–High

recurring preventive visits

EBITDA margin
15–25%
Capex intensity
Moderate

Characteristics

  • Balanced cost base: payroll is 36% of revenue, leaving room to scale margin without cutting staff
  • Moderate strategic-buyer pool: 138 firms exceed 500 employees, so a scaled asset has buyers, but not many
  • Core of the dental sector and the DSO roll-up foundation.
  • Recurring preventive care plus cash-pay cosmetic upside.
  • Fragmented base steadily consolidated by DSOs.

NAICS 621210. U.S. Census Bureau, 2022 Statistics of U.S. Businesses; U.S. Census Bureau, 2022 Economic Census.

M&A deal context

Deal activityHigh

Who’s acquiring

  • PE-backed DSOs
  • Dental practice consolidators
  • Regional dental groups

What’s driving deals

  • DSO roll-up of independent practices.
  • Recurring and cash-pay economics.
  • Aging-dentist succession driving sales.

Find Dental Group Practices acquisition targets

Search Acquisera’s index for companies classified under Dental Group Practices (4.3.3.1) and build a targeted deal pipeline.

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