Scaling a dental practice is hard. Scaling to 27 practices in 18 months without losing your purpose is nearly impossible. But that's exactly what AJ Leonetti and Rising Tide Dental Partners have achieved through a relentless focus on patient care, dentist autonomy, and values-driven growth.

Our Guest: AJ Leonetti, CEO of Rising Tide Dental Partners. As a dentist who's worked in every role from assistant to multi-practice owner, AJ brings a 360-degree view to the DSO space.

The Problem: DSO growth often sacrifices patient care and dentist autonomy for scale.

The Solution: Rising Tide is charting a different course. By putting dentists in the driver's seat, investing in mentorship at every level, and making decisions based on purpose over profits, they're proving that rapid growth and values-driven practice can coexist.

Key Insights:

1. Successful partnerships are built on shared vision, not just financial alignment
2. Dentist-owners need real decision-making power to drive meaningful change
3. Diagnosing practice needs is the critical first step to improvement
4. Transparent performance data unlocks healthy competition and growth
5. Maintaining low leverage creates unmatched strategic flexibility

In this episode, AJ shares the hard-won lessons learned from scaling Rising Tide to 27 practices in just 18 months. He's pulling back the curtain on their unconventional approach to partnership, culture-building, and dentist empowerment and revealing why putting purpose first is the key to enduring success in the DSO space.

⚡ Amol Nirgudkar (Patient Prism CEO, 8 years healthcare AI expertise) and A.J. Peak (multi-site healthcare operations expert and founder of Health Wealth Capital) dig into the tactical frameworks that separate scaling winners from everyone else on Healthcare100. We break down the growth engines behind America's fastest-scaling healthcare organizations with the operators who built them.

Thanks for listening! Subscribe for more insights from the executives scaling healthcare's most successful organizations.

Full conversation on Healthcare100.

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From Empty Slots to Full Bookings: Solving No-Shows in Behavioral Health

20% of behavioral health revenue disappears to no-shows and billing chaos but top-performing practices are capturing $125K+ annually through simple operational fixes.

Our Guest: Dr. Edisa Shirley - Chief Mental Health Officer at ClinicMind, licensed mental health counselor who led multi-state behavioral health operations and M&A integrations for organizations acquired by Optum, holds a doctorate in I-O Psychology focused on provider wellbeing and patient outcomes.

The Problem: Post-COVID mental health demand hit record levels, but access remains broken. Practices are drowning in 120-day credentialing delays, fragmented payer requirements across 50 state systems, and revenue cycle dysfunction. One solo psychiatrist completed $100,000 worth of patient visits with zero claims filed - he had no idea until an audit revealed the gap.

The Solution: Pre-audit your revenue cycle before it becomes a crisis. Top practices obsess over five operational KPIs: clean claim rate, days in AR, denial rate, no-show percentage, and provider productivity. Stop chasing new patients and start capturing revenue already sitting on your schedule through systematic appointment reminders and billing discipline.

What You'll Discover: Why behavioral health remains the only specialty reimbursed by time instead of complexity. The Mississippi TMS denial trap costing practices six figures annually. How cutting no-shows by just 20% adds $125,000 without seeing additional patients. The three questions every practice owner should answer, but most can't. Why some payers still require blue ink on paper applications, while others use delegated credentialing.

This episode reveals how behavioral health operators turn administrative chaos into a competitive advantage through measurement and systematic improvement.

About Healthcare100

⚡ Amol Nirgudkar (Patient Prism CEO, 8 years healthcare AI expertise) and A.J. Peak (multi-site healthcare operations expert and founder of Health Wealth Capital) dig into the tactical frameworks that separate scaling winners from everyone else on Healthcare100. We break down the growth engines behind America's fastest-scaling healthcare organizations with the operators who built them.

Thanks for listening! Subscribe for more insights from the executives scaling healthcare's most successful organizations.

Full conversation on Healthcare100.

🎧 Spotify: https://t2m.io/yq0eaWz

🍎 Apple: https://t2m.io/1bQPiib

📺 YouTube: https://t2m.io/U3Q6xPB

🌐 All episodes: https://t2m.io/kSc7KYQ

Follow us for more insights: https://t2m.io/HGeS9xG

Healthcare executives keep telling us the same thing: "We're growing locations, but our margins aren't scaling with us." So we brought together three revenue cycle management experts who collectively oversee operations for thousands of healthcare practices to understand why this happens and how the top performers solve it.

Our Guests:

1. Rob Linder - Chief Strategy Officer at eAssist (works with 14,000 practices)
2. Mike Yates - CFO at Peak Dental Services (manages 60+ locations)
3. Sina Amiri - VP of Revenue at Zentist (revenue data from 100+ DSOs)

The Problem: Most multi-site operators are drowning in operational complexity, adding locations faster than they can build systems to manage them. The result? 25% of industry accounts receivable sits in 90+ day buckets, critical staff shortages in RCM roles, and manual processes that don't scale.

The Solution: Top performers have discovered that scaling isn't about adding more people or processes - it's about eliminating work entirely through intelligent operational architecture.

Key insights:

Mike's team achieved 102% insurance collection rates by redesigning their entire front-end process. They automated what could be automated and eliminated steps that didn't need to exist.

Rob just completed an AR recovery project that found $29 million in aged receivables. The root cause analysis revealed that most problems started with basic insurance verification failures - completely preventable issues.

Sina's data shows the industry could save $1 billion annually through payment reconciliation automation alone.

Each guest shares specific strategies they use to generate substantial EBITDA improvements, including tactical frameworks for AR recovery, billing optimization, and process automation.

⚡ Amol Nirgudkar (Patient Prism CEO, 8 years healthcare AI expertise) and A.J. Peak (multi-site healthcare operations expert and founder of Health Wealth Capital) dig into the tactical frameworks that separate scaling winners from everyone else on Healthcare100. We break down the growth engines behind America's fastest-scaling healthcare organizations with the operators who built them.

Catch us wherever you listen to podcasts:

🎧 Spotify: https://t2m.io/yq0eaWz

🍎 Apple: https://t2m.io/1bQPiib

📺 YouTube: https://t2m.io/U3Q6xPB

🌐 All episodes: https://t2m.io/kSc7KYQ

Follow us for more insights: https://t2m.io/HGeS9xG