Practice Valuations | PTS Group — Dental & Aesthetic M&A Advisory



Sell-Side M&A · Dental & Aesthetic Practices

Know What Your Practice
Is Actually Worth.

Whether you’re a GP ready to retire, an orthodontist considering a DSO partnership, or a medspa owner watching PE roll through your market — the decisions you make in the next 12 months will define your financial outcome for decades.

Dental · Orthodontics · Periodontics · Endodontics · Oral Surgery · Medspa · Dermatology · Plastic Surgery · Aesthetic Spa · Functional Health


John Burnett — Practice M&A Advisor

$1.1B

Total Deal Value

600+

Transactions Closed

5,300+

Valuations Completed

10

Verticals Served

43

States Active

15+

Years Experience

The Market Right Now

Why 2025–2027 Is a Defining Window

Private equity has been consolidating dental and aesthetic practices for over a decade. What’s changed is the pace — and the pressure. DSO platforms are competing for the same practices. Medspa rollups are accelerating. And multiples, while still strong, are not immune to interest rate and lending environment shifts.

Dental
3x – 8x
EBITDA — GP to Specialty

DSO competition is elevating GP multiples. Specialty practices with strong referral networks command the top of range.

Aesthetic
4x – 12x
EBITDA — Medspa to Plastics

The most active PE rollup category in healthcare. Plastic surgery and derm with real EBITDA are attracting serious strategic buyers.

Timing
Now
The window is open

Lending conditions, buyer appetite, and demographic timing all converge in the next 24–36 months. Waiting costs options, not just time.

Specialties We Serve

Dental & Aesthetic — Full Coverage


🦷
General Practice

3x – 6x EBITDA

The foundation of DSO consolidation. Solo practices with hygiene revenue, low patient concentration, and digital workflows command the top of range. DSO competition has compressed days-on-market.

😁
Orthodontics

4x – 8x EBITDA

The most active specialty for PE. Multi-location practices with strong case starts and clean patient records have seen competitive offer situations. Aligner-heavy practices with subscription-style revenue attract top multiples.

🔬
Periodontics

3.5x – 7x EBITDA

Strong referral networks and implant placement revenue drive multiples above GPs. Increasing GP-to-specialist referral traffic makes perio practices recurring-revenue assets to buyers.

🦠
Endodontics

4x – 7.5x EBITDA

Referral-dependent practices with cone beam CT and rotary instrumentation. High per-procedure revenue and minimal overhead expansion make endo practices highly attractive to DSO specialty networks.

🏥
Oral Surgery

5x – 9x EBITDA

The highest-multiple dental specialty. Implant-heavy practices with in-house anesthesia, hospital privileges, and multi-surgeon capacity attract both strategic buyers and PE platforms building surgical networks.

💉
Medspa

4x – 8x EBITDA

The most active rollup category in aesthetics. Multi-location operators with membership programs, retail revenue, and physician oversight are seeing competitive acquisition timelines. State-specific MSO/PC structures matter.

🧬
Dermatology

5x – 10x EBITDA

Medical derm commands premium multiples driven by Mohs surgery, pathology revenue, and cosmetic add-on services. PE interest has been sustained for 5+ years with no sign of slowing.

✂️
Plastic Surgery

6x – 12x EBITDA

The highest EBITDA multiples in aesthetics. Body and facial practices with real surgical volume and accredited ASCs attract the most sophisticated buyers. Revenue quality matters more than size.

🌿
Aesthetic Spa

3x – 6x EBITDA

Non-medical or hybrid aesthetic spas with strong retail, membership, and high-revenue service menus. Proper scope of practice and physician oversight documentation is critical to buyer due diligence.

⚗️
Functional Health

3x – 6x EBITDA

Hormone therapy, weight management, IV therapy, and longevity medicine. The fastest-growing adjacent vertical. Subscription-based membership models and cash-pay revenue structures are highly attractive to PE.

Free Tools

Know Your Numbers Before Anyone Else Does

Data-driven, instant estimates benchmarked against real closed transactions. No obligation, no sales call required to use them.

🦷 Dental

Dental Practice Valuation

GP, Ortho, Perio, Endo, and Oral Surgery — enter your practice profile and get an instant valuation range with PE vs. strategic buyer comparison.


Launch Dental Valuation Tool →

✦ Aesthetic

Aesthetic Practice Valuation

Medspa, dermatology, plastic surgery, aesthetic spa, and functional health — instant estimate covering strategic and PE buyer scenarios.


Launch Aesthetic Valuation Tool →

⚙️ Both Verticals

EBITDA & P&L Recast Calculator

Enter your P&L line by line and build an adjusted EBITDA figure a buyer will actually underwrite. The fastest way to see what your financials look like from the other side of the table.


Launch EBITDA Calculator →

Results are estimates based on industry benchmarks and are not a substitute for a formal appraisal. For a full CPA-backed analysis, request a free prospectus.

Exit Landscape

Every Practice Owner Has More Options Than They Think

The most common mistake practice owners make is going into a transaction without understanding all the paths available. Here’s an honest breakdown.

01

DSO or PE Platform Partnership

Private equity-backed platforms — DSOs in dental, rollup groups in aesthetics — are the most active buyers in both markets. This path typically delivers the highest headline price, particularly for practices above $500K in adjusted EBITDA. Most deals include a rollover equity component.

Dental: 5x–9x · Aesthetic: 6x–12x · Rollover equity common · Fast-close capable

02

Strategic or Individual Buyer

Selling to a competitor practice, a group already in your market, or an individual clinician-buyer looking to own or expand. This is the most common path for practices under $2M in collections, and often results in a cleaner, faster close with fewer post-sale requirements.

Typical range: 3x–6x · SBA financing common · 60–120 day close · Lower post-close obligations

03

Sell and Stay On as Clinical Lead

Selling the business while remaining as an associate or clinical director removes the weight of ownership — payroll, HR, lease negotiations, billing headaches — while keeping you in the chair doing the work you built the practice to do. Common with DSO acquisitions that need clinical continuity.

Employment terms negotiated as part of the deal · Comp, duration, non-compete scope all in play

04

Associate or Internal Buyout

Transitioning to a trusted associate, key employee, or clinical partner. Allows a structured exit over 2–4 years with income continuity during the transition. Requires the right person already in place and usually 12–24 months of planning runway.

SBA financing or seller note typical · Best with 1–3 yr runway · Requires identified candidate

05

Optimize Before You Go

Understanding what you have today, then making targeted improvements before going to market. Even 12–18 months of focused preparation can move your multiple meaningfully. A prospectus review often surfaces 3–5 specific levers — revenue mix, staffing ratios, payer contract terms, ownership structure — that dramatically change the outcome.

Best first step regardless of timeline · Information is free · All options remain open

Not sure which path fits your situation? That’s exactly what the free prospectus is designed to clarify. Start here →

The Process

Built Around Information, Not Pressure

Most practice owners enter sale conversations without a full picture of what they have. I fix that first.

Step 01

Full Practice Diagnosis

We review financials, payer mix, staffing structure, lease, patient concentration, and clinical profile — building the picture a buyer will build before we do it first.

Step 02

Specialist Review

In-house CPA, real estate, and market comp teams review every element independently — so nothing affecting your value is missed or underestimated.

Step 03

All Options, Clearly Laid Out

DSO vs. strategic buyer vs. individual buyer — every scenario modeled, every valuation range documented. No pressure toward any particular direction.

Step 04

Your Decision, Your Timeline

Go to market now, optimize first, or simply keep the information on file. That’s entirely your call — no obligation, no follow-up pressure.

Step 05

Maximum Leverage at the Table

When you’re ready, we run a structured process — competitive buyer environment, real offers, real negotiating leverage across all buyer types simultaneously.

Why PTS Group

The Platform Behind the Advisor

30

Day Listing Agreement

We offer 30-day agreements vs. the industry-standard 1-year contract. You sell when the time is right for you, not us.

$0

Upfront Fees

No retainers, no upfront costs, no cancellation penalties. One broker fee, collected only after a transaction successfully closes.

4

In-House Specialty Teams

CPA, real estate, equipment, and market comp — all in-house. No outsourced guesswork, no referral fees, no delays.

We Give Back in Your Name

PTS is a social impact company. A portion of every broker fee goes to a nonprofit of your choice — in your name — after your transaction closes.

No Obligation

Get Your Free Practice Valuation Prospectus

A CPA-backed valuation benchmarked against real closed transactions — completely free. Whether you’re ready to move or simply want to understand where you stand.

📊
What’s Included
Full market valuation from real closed comps · PE platform vs. strategic buyer comparison · CPA-underwritten · Improvement opportunities documented

🔒
My Commitment to You
Completely free, always · No cancellation penalties · All conversations are confidential · You decide if and when to act

⏱️
What Happens Next
You fill out the form. I reach out personally within one business day. We schedule a 20-minute call with zero obligation to proceed.

“You can never start too early or have too much information. The sooner you understand your position, the more options you have.”








Confidential · No obligation · Takes 3 minutes