Private Practice Playbook Podcast

In this episode, Jay Geier sits down with Dr. Todd Sala to discuss the realities of running and scaling a private practice—the lessons they don’t teach you in dental school. From taking over a 110-year-old family practice to expanding from 8 to 34 operatories, Todd shares the hard-earned insights that transformed his business. They dive into the financial side of growth, including capital expenditures, cash flow management, and smart borrowing strategies. They also tackle common struggles dentists face, such as delegation, leadership, and avoiding burnout, and why so many private practice owners stay stuck in survival mode. Jay and Todd explore the importance of coaching, strategic thinking, and building a business that serves both your financial and personal goals. Plus, they introduce Klear Impakt, a buying group designed to help independent dentists lower costs and increase profitability. If you want to build a thriving, scalable, and financially successful practice, this episode is packed with real-world advice and actionable strategies you won’t learn in dental school!

Most people can’t quantify how much debt they actually have, they just know they have it. When really, this is a number you should be tracking relentlessly in order to avoid fees, minimize interest and accumulate wealth. In revisiting this episode, self-made millionaire, Jay Geier, dives into the nitty gritty details and strategies he has used to de-leverage debts quickly, avoid interest and leverage debts to maximize cash flow. Debt is grotesquely misunderstood nationwide, but once educated, you will learn where to invest and what to avoid.

Cash flow is the lifeblood of any successful private practice, yet it’s one of the most overlooked aspects of business management. In this episode, Jay breaks down the causes of cash flow issues, from rising costs to inefficient payroll and long-standing bad habits. Learn why quick fixes don’t work and how proactive strategies can help you avoid financial pitfalls. Jay discusses practical steps to analyze your expenses, streamline your operations, and ensure your team is contributing to the growth and profitability of your practice. Jay also explores the psychology behind financial success, emphasizing the importance of shifting behaviors and adopting a forward-thinking approach. From optimizing patient care and creating capacity to building a culture of accountability, this episode provides a comprehensive playbook for transforming your practice. Whether you’re struggling with cash flow now or preparing for growth in 2025, this conversation will equip you with the tools to take control of your financial future.

In this episode, Jay emphasizes the importance of having a 360-degree view when making critical decisions, especially regarding selling a practice. He explains that most people only see a small portion of the entire picture and fail to consider all angles, leading to uninformed decisions. Jay draws comparisons between selling a practice and other major purchases, like buying a home or car, where people often overlook important factors due to their limited view. He discusses the concept of bias and how it influences decision-making, particularly when it comes to buying and selling. Jay also highlights the importance of understanding the psychology of both buyers and sellers. He stresses that obtaining a full 360-degree view allows for more informed, strategic decisions, which can prevent costly mistakes. Jay concludes with an invitation to a limited event focused on gaining a comprehensive perspective on selling a practice, aimed at helping attendees make better decisions.

In this episode, Jay Geier dives into the challenges that prevent some doctors from growing their practices. He identifies five key barriers that hold practitioners back: the pursuit of perfection, staying within their comfort zones, confusion or resistance regarding the role of money, neglecting to track key metrics, and the illusion that high-quality work alone is enough to succeed. Jay explains how each of these tendencies creates obstacles to growth and emphasizes the importance of shifting mindsets and actions to achieve success. By understanding these common pitfalls and overcoming them, doctors can unlock their practice’s full potential. Jay encourages listeners to reflect on these barriers, challenge their assumptions, and seek help if they find themselves stuck.