Shared Practices | Your Dental Roadmap through Practice Ownership Practice Under Water with George – Nesto Part 1
Jun 9, 2025
In a gripping solo narrative, George Hariri shares Nesto's rugged journey as a dentist juggling two practices. One is thriving, while the other struggles financially. Listeners get an inside look at the tough realities of practice ownership, from strategic crossroad decisions to the importance of long-term vision. Nesto’s story highlights the balance between profitability and productivity, setting the stage for ongoing themes about resilience in the dynamic dental industry.
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High Fee Procedures Mask Reality
- The slower practice had low patient flow and high-ticket procedures inflating revenue, not easily replicable.
- This explains why collections dropped sharply post-acquisition when Nesto and partner couldn't replicate the original procedure mix.
Partnership Challenges and Breakup
- Nesto and his partner acquired two practices a month apart in 2022, working both part-time across offices.
- The partnership frayed due to differing leadership styles; it ended after a year with Nesto taking both offices alone.
Burnout and Financial Strain
- After the partner left, Nesto worked both practices full time alone, facing burnout but keeping teams on regular schedules.
- He later hired an associate, which improved provider abundance but increased financial stress due to lower productivity and higher costs.