$1M EBITDA: Mega Practice or Multiple Locations?

Bulletproof Dental Practice · Oct 21, 2026 · 31m

The natural impulse for a practice owner sitting on strong cash flow is to assume the next logical step is planting flags across town. But expanding your geographic footprint often introduces a brutal management tax that multiplies operational headaches, dilutes culture, and duplicates overhead without necessarily putting more spendable cash in your pocket.

In this Hotline episode, Dr. Peter Boulden, Dr. Craig Spodak and Ian de Jongh break down a call from Dr. John, an owner generating seven-figure EBITDA across two locations. He's at the crossroads of building two mega practices or acquiring…