Stop Referring Out 3rd Molars. Start Capturing EBITDA.
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The average DSO doctor refers out 10–20 3rd molar cases per month.
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At $1,800–$2,500 per case (source: ADA CDT code UCR fees, PPO contracts, Houston market averages), that’s $18,000–$50,000 in lost monthly revenue per doc.
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Multiply that by 5+ doctors → you’re losing $1M+ per year in top-line revenue.
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With EBITDA margins of 40–55% on surgical services (ADA & industry benchmarks), that’s $400K–$550K in lost profit contribution.
You’re literally paying your competitors to grow.
The Challenge DSOs Face with Referrals
Lost Patients
= Lost Revenue
Frustrated Associates
= Lower Productivity
Zero Surgical Revenue
= Missed Valuation Uplift
The Solution: Train Your Team In-House
You don’t want to loose 50% of the production. Equip your associates so you keep 100% of the upside.
The program is:
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Practical (Live Hands-on Training and In-Person/Virtual Consulting). 5-10+ Associates Per Session
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Profitable (Average Uplift Per Associate: $250K+ Annually).
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Predictable (Scales Across Your Locations, No Bottlenecking On Outside Surgeons).
Imagine these were your trained associates, you would be adding $1,270,500 in EBDITA this year!
Risk vs. Reward of 3rd Molars
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Risk: Complications occur in <5% of cases when performed by trained GPs (Journal of Oral Maxillofacial Surgery, 2021).
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Reward: The average case produces 4 molars @ $540 each = $2,160 per patient (ADA fee survey).
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Net: For every 100 patients referred out, you’re leaving $216,000 on the table. That’s a 43:1 reward-to-risk ratio.
Don’t Miss Out
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While you’re hesitating, your competitors are turning associates into producers, increasing EBITDA, and boosting valuations before exit. Once their docs are trained, they never go back.
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The only question: Will your DSO be leading this change… or catching up?
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