Industry: Dental

Dental private equity

Private equity grows dental groups by buying practices, and dental software and AI raise venture rounds. Waveup prepares the CIM, model and investor materials behind a sale, recapitalization or raise.

  • Buyer, investor and lender lists for DSOs and dental tech
  • CIMs and models built on office-level EBITDA
  • Waveup prepares investor materials for dental groups, DSOs and dental technology companies: $3B+ raised for 600+ startups since 2014

In short

What is dental private equity?

Dental private equity is investment by private equity funds in groups of dental practices. Funds usually buy a dental support organization (DSO), which runs billing, staff and supplies for many offices. Selling dentists often keep a stake and stay on. The ADA's Health Policy Institute found 17% of US dentists were affiliated with a DSO in 2025.

Who it's for
Dental groups, DSOs and dental tech companies, from first round to sale
What we build
CIM, financial model, valuation, investor deck, buyer and investor lists
Track record
$3B+ raised for 600+ startups since 2014

Market data checked on 8 November 2026. Sources are under each section.

Is private equity still buying dental practices in 2026?

Yes, steadily, but buyers are choosier and the rules are tighter. Most deals now add one practice to a group that private equity already owns.

The opportunity

Dentistry is still a market of small local offices, which suits buyers who combine them.

  • New dentists join groups far more often than experienced ones
  • Oral surgery, orthodontics and other specialties are drawing new platforms
  • Large dental groups are signing up for AI that reads X-rays

The problem

An independent office pays its owner less than it used to. General dentists' net income fell 8.1% after inflation between 2016–20 and 2021–25.

Market size

How big is US dentistry, and how much of it do DSOs hold?

Americans spent $189 billion on dental care in 2024. Four trends move more of that spending into DSOs:

  • Younger dentists: 31.4% of those under five years out of dental school were DSO-affiliated in 2025
  • Specialists: private equity ties more than doubled among oral surgeons, orthodontists and pediatric dentists from 2015 to 2021
  • Regional hubs: about 1 in 4 dentists in Nevada, Arizona, Colorado, Oklahoma, Georgia and Florida were DSO-affiliated in 2025
  • Steady demand: dental spending grew 4% after inflation in 2024
Share of US dentists affiliated with a DSO: 7.2% in 2015, 12.7% in 2022 and 17.0% in 2025.

Dentistry in 2026, in six numbers

205,088

professionally active dentists worked in the US in 2025

3.6%

of all US health spending went on dental care in 2024

1 in 3

US dentists worked alone, in an office with no other dentist, in 2025

12.8%

of US dentists were affiliated with private equity in 2021, up from 6.6% in 2015

27 of 30

of the largest DSOs were owned by private equity firms in 2021

4–7x

EBITDA: the usual price range for a single dental practice, a law firm wrote in 2023

Private equity and venture capital

How much private equity and venture money goes into dentistry?

Private equity grows dental groups mostly by adding one practice at a time. Venture rounds go mainly to software and AI that dental offices buy.

PESP tracked 146 private equity deals in dental care in 2023, 161 in 2024 and 149 in 2025.
95%

of 2025's dental deals were add-ons bought by groups that private equity owns

10 of 18

of the most active PE-backed healthcare platforms in 2025 were dental groups

$50M

Series C for Archy, a dental practice software maker, in September 2026

Who invests in dental groups and dental startups?

Healthcare private equity firms that back DSOs, investors in dental software and AI, and lenders to practices. Six examples; for more names, see our list of healthcare venture capital firms.

Investor
Type and base
Dental companies backed
Stage or cheque
Linden Capital Partners
Healthcare private equity, Chicago
Sage Dental, Smile Doctors, Young Innovations
Not stated
Quad-C
Private equity, Charlottesville, Virginia
Specialized Dental; Dental Care Alliance (exited)
Not stated
Charlesbank Capital Partners
Private equity and credit; Boston and New York
MB2 Dental
Not stated
JMI Equity
Investor in software and AI companies; San Diego, Washington and Baltimore
Archy
Not stated
Crosslink Capital
Early-stage VC, Menlo Park
Overjet
Seed and Series A; $1M–$9M first cheque
Provide
Practice lender, a division of Fifth Third Bank, US
Loans to buy, start or equip a dental practice
Up to 100% of a practice purchase; no equity

Investor database

Healthtech investors in our database

The funds with the most healthtech investments. Pick a stage, or open a fund for its cheque sizes.

Top 5 by healthtech investments

  • Investments by industry

    • Healthtech & Wellness48%
    • Biotech24%
    • Pharma21%
    Rounds
    Series ASeries BSeries C+
    Average cheque
    $500K–$1M$1M–$3M$3M–$10M$10M–$50M
    Based in
    New York, United States
    Invests in
    East Asia, USA

    704 investments in total, 49 tagged Healthtech & Wellness.Open the full fund profile

  • Investments by industry

    • Healthtech & Wellness42%
    • Biotech26%
    • Pharma18%
    Rounds
    SeedSeries ASeries BSeries C+
    Average cheque
    $100K–$500K$500K–$1M
    Based in
    Cambridge, United States
    Invests in
    Southeast Asia, USA

    613 investments in total, 40 tagged Healthtech & Wellness.Open the full fund profile

  • Investments by industry

    • Healthtech & Wellness56%
    • Software & Apps12%
    • AI & Deep Tech7%
    Rounds
    SeedSeries ASeries BSeries C+
    Average cheque
    $3M–$10M$10M–$50M
    Based in
    San Francisco, USA
    Invests in
    USA

    83 investments in total, 38 tagged Healthtech & Wellness.Open the full fund profile

  • Investments by industry

    • Healthtech & Wellness45%
    • Biotech30%
    • Pharma19%
    Rounds
    Series ASeries BSeries C+
    Average cheque
    $0–$100K$100K–$500K$500K–$1M$1M–$3M$3M–$10M
    Based in
    Menlo Park, United States
    Invests in
    Europe, USA, Canada

    382 investments in total, 30 tagged Healthtech & Wellness.Open the full fund profile

  • Investments by industry

    • Software & Apps36%
    • AI & Deep Tech17%
    • Healthtech & Wellness16%
    Rounds
    SeedSeries ASeries BSeries C+
    Average cheque
    $3M–$10MOver $50M$10M–$50M
    Based in
    Boston, United States

    315 investments in total, 27 tagged Healthtech & Wellness.Open the full fund profile

From our investor database.

What do buyers and investors check in a dental deal?

Our Fundraising 2025 study asked 56 VCs why they say no. Revenue growth, unit economics, burn and missed milestones led, then defensibility and crowded categories. Dental deals add four questions of their own.

Who makes clinical calls

California's SB 351, signed on 6 October 2025, bars private equity owners from interfering in dentists' clinical judgment. It also stops them controlling coding, billing or payer contract terms.

What investors ask

  • Who decides on treatment, coding and payer contracts after the deal?

What your deck shows

  • A governance chart that leaves clinical calls with dentists
  • Management agreements checked against each state's rules

Prices under study

Dental offices raised their charges by 3.3% after private equity bought them, a study in Health Services Research found. Their work also shifted toward restorative and surgical care.

What investors ask

  • Does your growth come from more patients, or from more treatment per patient?

What your deck shows

  • Growth split into new patients, visits and revenue per visit
  • Preventive and hygiene share, before and after each purchase

Less cash at closing

Few DSOs pay more than 65–70% of the price in cash at closing, a practice broker told Becker's in January. Many also ask the selling dentist to stay on for five years.

What investors ask

  • How much of the price is cash, and how much depends on the next sale?

What your deck shows

  • Cash, rollover equity and earn-out, side by side
  • Which dentists stay after closing, and on what contracts

Costs rising faster than fees

General dentists' expenses rose 4.9% after inflation between 2016–20 and 2021–25, ADA data show. Revenue per dentist barely moved.

What investors ask

  • How will you protect margins if insurance fees keep lagging inflation?

What your deck shows

  • Revenue and cost per visit, office by office
  • Savings from shared billing, purchasing and hiring

How we help you raise

Flat fees agreed before we start. No success fee on advisory work.

    From $6,000

    For a DSO platform raise or a dental tech round, built on office economics.

    From $3,000

    Office-level revenue, EBITDA and add-on purchases, month by month.

    From $5,000

    A range built on dental group and dental software deals.

    PE firms behind DSOs, dental tech investors and practice lenders.

    Provider contracts, payer mix and billing files, set out for review.

    The CIM and teaser a DSO or PE buyer reads before an offer.

Who we are

Waveup is a London-based fundraising and growth advisory, working in 60+ countries and 90+ industries. Since 2014 we have built the decks, models, CIMs and valuations behind $3B+ raised for 600+ startups.

About us
Track record
$3B+
raised for 600+ startups
Decks
1,000+
decks since 2014
M&A
50+
M&A transactions supported, including 20+ exits
Healthcare
11%
of our projects on record are in healthcare and life sciences

Dental private equity FAQ

What is a DSO, and how does private equity use one?
A DSO, or dental support organization, runs the business side of dental offices: billing, hiring, supplies and marketing. Dentists remain responsible for clinical care. PESP notes that most states bar private equity from owning practices directly, so funds invest through the DSO. The ADA's Health Policy Institute found 17% of US dentists were affiliated with a DSO in 2025.
How does selling a dental practice to a DSO work?
How do private equity buyers value a dental practice?
Which private equity firms own large dental groups?
How do dental tech startups raise money?
How much does help with a dental sale or raise cost?

Raising or selling in dentistry?

Tell us about your offices or your product, and your timeline. We'll point out what a buyer or investor will check first.

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