Gitnux/Report 2026

Dental Service Organizations Industry Statistics

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Samuel NorbergWritten by Samuel Norberg·Fact-checked by Maya Johansson
Published
How this report is researched
01Editorial Scope

Before any source is gathered, an editor locks the question, what qualifies, and how the piece will be judged.

02Source Research

Search agents collect the source set and pull each data point out with its provenance attached.

Read our full methodology →

Search agents attach provenance to every extracted figure.

Next review: within 39 days

01 Industry overview

The dental service organizations industry at a glance

U.S. dental service organizations are expanding rapidly: the market generated an estimated $37.6 billion in revenue in 2025, while DSO affiliation reached 16.1% of dentists in 2024.

$37.6B[17]
U.S. market revenue, 2025
15.2%[17]
U.S. forecast CAGR, 2026–2033
16.1%[2]
Dentists affiliated with DSOs, 2024
$189B[2]
U.S. dental expenditure, 2024
Market size
The U.S. dental service organization market generated estimated revenue of $37.645 billion in 2025. Broader dental spending reached $189 billion in 2024, providing the underlying patient-care market in which DSOs operate.[17][2]
Forecast & CAGR
Grand View Research forecasts the U.S. DSO market to reach $115.434 billion by 2033 from $42.979 billion in 2026, implying a 15.2% CAGR for 2026–2033. Forecast estimates vary materially by methodology; another 2025–2035 estimate places the CAGR at 9.6%.[17][79]
Market share & regions
The United States represented 43.4% of the global DSO market by revenue in 2025, according to Grand View Research. Within the U.S., DSO affiliation is reported nationally and by state by the ADA Health Policy Institute, with the latest dataset covering 2025.[17][2]
Segmentation
The market is segmented by support service, end user and ownership model. In 2025, medical-supplies procurement was the largest service segment in Grand View Research’s U.S. outlook, while human resources was identified as the fastest-growing service segment.[17]
Key players & concentration
The market includes large national and regional platforms as well as dentist-led partnership organizations. A 2025 industry listing identified 44 notable DSOs, while the ADA classifies large practices and DSO affiliation separately because affiliation can exist without a common consumer-facing brand.[33][2]
Pricing
Reliable, DSO-specific pricing data were not identified. The ADA reported that total U.S. dental expenditure increased 4% in real terms from 2023 to $189 billion in 2024; private dental-insurance spending rose 2.3% and out-of-pocket spending rose 3.3%.[2]
Trends, drivers & challenges
Growth is being supported by administrative complexity, staffing pressures, higher dental spending and dentists’ increasing use of centralized support. The ADA reports that DSO and large-group affiliation continues to grow, especially among early-career dentists, while access and affordability remain constraints in the broader dental market.[2]
Regulation
DSO regulation is primarily state-based and commonly addresses corporate practice of dentistry, fee splitting, clinical independence, ownership and delegation of duties. North Carolina changed its management-arrangement rules on July 7, 2026, when Senate Bill 257 eliminated mandatory review of management arrangements; state requirements continue to differ substantially.[80]
Latest news
The latest reported regulatory development identified was North Carolina’s July 7, 2026 enactment of Senate Bill 257, which eliminated mandatory review of dental management arrangements. The ADA also released its latest practice-modality report with 2025 DSO-affiliation data.[2]

02 Ranking

Top 10 Companies in the Dental Service Organizations Industry

The leading companies in the dental service organizations industry, ranked on market impact, performance, momentum, innovation and brand popularity.

Updated November 10, 2026 · Next review December 10, 2026

Verdict

PDS Health leads Gitnux's 2026 dental service organizations ranking with an Overall score of 9.5, with more than 1,100 practices supported and 5,800 clinicians across 24 states. MB2 Dental is the highest-ranked practice support organization at 9.2, driven by nearly 800 partner practices supported nationwide and 11,000+ employees.

Ranked by Overall score · How we score ↓

Editor's top 3 picks

Where to start, by need.

  1. #1 Overall · Leader in dental-medical integration

    PDS Health

    US

    Ranked #1 · 9.5 · Dental-medical integration

    Why we picked it: Its integrated dental and medical practice support scales across 24 states with 1,100+ practices and 5,800 clinicians.

    See in ranking ↓Visit pdshealth.com ↗

  2. Leader in doctor-led practice support

    MB2 Dental

    US

    Ranked #2 · 9.2 · Doctor-led practice support

    Why we picked it: Its doctor-led practice support model operates near 800 partner practices with more than 11,000 people.

    See in ranking ↓Visit mb2dental.com ↗

  3. Leader in regional practice support networks

    The Aspen Group

    US

    Ranked #3 · 9.0 · Regional practice support networks

    Why we picked it: Its dental and healthcare practice support covers 1,400+ locations spread across 46 states.

    See in ranking ↓Visit teamtag.com ↗

Pick 1 is the #1 company overall. Picks 2 and 3 are the highest-ranked companies in the top 5 that add a new segment.

Full ranking

Sort by
Top 10 companies in the dental service organizations industry, 2026 – Gitnux ranking
#CompanyOverall ↓Company snapshot
1

PDS Health

Dental-medical integration · US

9.5
2

MB2 Dental

Doctor-led practice support · US

9.2
3

The Aspen Group

Regional practice support networks · US

9.0
4

Heartland Dental

General and specialty practice support · US

9.0
5

Smile Doctors

Orthodontic practice support · US

8.9
6

dentalcorp

Dental practice network and support, Canada and North America · CA

8.7
7

Guardian Dentistry Partners

Doctor-partnered dental practice support, United States · US

8.5
8

Dental Care Alliance

General, pediatric, orthodontic and specialty DSO, United States · US

8.0
9

Sonrava Health

Multi-specialty dental care and practice operations, United States · US

7.8
10

42 North Dental

Dental practice support, New England and Northeast United States · US

7.6

How we score

  • Impact (30%): scale and weight in the market (revenue, market share, employees, market position).
  • Performance (20%): recent revenue growth and operating margin; an analyst assessment where a company does not publish them.
  • Momentum (20%): growth trajectory and future potential.
  • Innovation (15%): R&D intensity and how technologically advanced the company is.

Popularity (brand search demand, 15%) counts toward Overall but is not published as a column. Overall leaves out what is not known.

Scale Scores are shown on a 7–10 scale with one decimal; bars start at 7.0.

Cadence Recalculated when new figures are published; next review December 10, 2026.

Independence. Rankings are editorially independent. Scores, ranks, picks and the verdict follow the method above; no company can pay to change them.

Cite this ranking

APA

Samuel Norberg. (2026, November 10). Top 10 companies in the dental service organizations industry. In Dental Service Organizations Industry Statistics. Gitnux. https://gitnux.org/dental-service-organizations-industry-statistics/#top-companies

04 Statistics

Technology & Innovation

AI use in dental practices centers on communication and diagnostics; 28% reported diagnostic AI use in 2026. Among the largest DSOs, more than 80% had deployed at least one AI tool by early 2026.

AI in the dental service organizations industry

  • 26% of surveyed dental practices used AI for patient communication in 2026.[1]
  • 28% of surveyed dental practices used diagnostic AI in 2026, making it the most common reported AI tool category.[1]
  • 13.6% of surveyed U.S. dental practices currently used AI for insurance verification in the second quarter of 2026.[2]
  • More than 80% of the 25 largest DSOs had deployed at least one AI tool by early 2026.[3]
  • 22.8% of surveyed U.S. dental practices currently used AI for imaging and diagnostics in the second quarter of 2026.[2]
  • 35% of U.S. DSOs with 20 or more locations had deployed at least one AI tool in 2024.[3]

Automation in the dental service organizations industry

  • 58% of dental practices using AI identified administrative work as a primary AI role in 2026.[1]
  • 9.2% of surveyed U.S. dental practices currently used AI for appointment scheduling in the second quarter of 2026.[2]
  • 13.2% of surveyed U.S. dental practices currently used AI to explain clinical findings to patients in the second quarter of 2026.[2]
  • 19.6% of surveyed U.S. dental practices planned to adopt AI for appointment scheduling in the second quarter of 2026.[2]
  • 32.6% of surveyed U.S. dental practices planned to adopt AI for insurance verification in the second quarter of 2026.[2]
  • 7.4% of surveyed U.S. dental practices currently used AI for charting and note taking in the second quarter of 2026.[2]

Digital Transformation in the healthcare services sector (sector benchmark)

  • Among healthcare respondents to KPMG’s global technology survey, 49% were adopting DevSecOps approaches to adapt digital-transformation strategies.[4]
  • About 90% of surveyed global healthcare C-suite executives expected digital technology use to accelerate in 2025, including 50% anticipating a significant impact.[5]
  • Across surveyed healthcare practitioners, 60% believed their organizations’ digital experiences met or exceeded customer needs in 2025.[6]
  • About 70% of surveyed healthcare executives said investing in technology platforms for digital tools and services would be important or very important in 2025.[5]
  • Across U.S. non-federal acute care hospitals, 71% used predictive AI integrated into electronic health records in 2024.[7]

Technology Adoption in the healthcare services sector (sector benchmark)

  • Across U.S. non-federal acute care hospitals, 92% enabled patients to securely message providers in 2024.[7]
  • Across U.S. non-federal acute care hospitals, 70% enabled patient access through applications using HL7 FHIR specifications in 2024.[7]
  • Across U.S. non-federal acute care hospitals, 99% enabled patients to view health information electronically in 2024.[7]
  • Across U.S. non-federal acute care hospitals, 96% enabled patients to download health information electronically in 2024.[7]
  • Across U.S. non-federal acute care hospitals, 84% enabled patients to transmit health information to a third party electronically in 2024.[7]
  • Across U.S. non-federal acute care hospitals, 81% enabled patient access through applications using application-programming-interface specifications in 2024.[7]

Cloud Computing in the healthcare services sector (sector benchmark)

  • Across surveyed healthcare organizations globally, 15% reported that cloud adoption was fully integrated into business strategy at the end of 2025.[8]
  • Across surveyed healthcare organizations globally, 31% had a formal cloud strategy and governance framework that was not yet integrated into IT strategy at the end of 2025.[8]
  • Across surveyed healthcare organizations globally, 8% reported minimal cloud adoption without formal strategy or governance at the end of 2025.[8]
  • Across surveyed healthcare organizations globally, 18% had started adopting cloud services but lacked a comprehensive cloud strategy at the end of 2025.[8]
  • Across surveyed healthcare organizations globally, 27% reported that cloud operations were well managed and integrated into overall IT strategy at the end of 2025.[8]

Big Data in the healthcare services sector (sector benchmark)

  • Across Brazilian healthcare facilities conducting Big Data analytics, 48% used social-media data in 2024.[9]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 77% used in-house staff rather than external providers in 2024.[9]

05 Statistics

Data & Analytics

Analytics maturity remains mixed: 22.2% of surveyed practices in 2021 gathered data but said it was not used effectively. The 2026 Planet DDS datasets covered 497 organizations and 8,593 practices.

Business intelligence in the dental service organizations industry

  • 22.2% of surveyed dental organizations monitored and gathered data but said it was not being used effectively in 2021.[10]
  • 62.5% of surveyed dental service organizations were privately held in 2021.[10]
  • 497 dental service organizations were covered by Planet DDS’s 2026 performance dataset.[11]
  • 8,593 dental practices were included in Planet DDS’s 2026 DSO performance analysis.[11]
  • 96.8% of surveyed dental service organizations were for-profit organizations in 2021.[10]
  • 25.9% of surveyed dental organizations sensed improvement but were unsure what was driving it in 2021.[10]

Data analytics in the dental service organizations industry

  • 3.4% was the contraction rate for the most operationally volatile 10% of dental practices in Planet DDS’s 2026 analysis.[11]
  • 35 new patients per month was the approximate level below which dental-practice growth plateaued or declined in Planet DDS’s 2026 analysis.[11]
  • 54,000 U.S. dental practices were analyzed in DMscore’s study of DSO marketing performance reported in 2025.[12]
  • 2,800+ Cloud 9 orthodontic practices contributed to Planet DDS’s 2026 mid-year dental-industry analytics dataset.[11]
  • 6.1% was the growth rate for the most operationally consistent dental practices in Planet DDS’s 2026 analysis.[11]
  • 28% more revenue per day was produced by the most operationally consistent dental practices in Planet DDS’s 2026 analysis.[11]

Data Quality in the healthcare services sector (sector benchmark)

  • 50% of U.S. healthcare clinical data abstractors reported that data inaccuracies hamper clinical registry efforts in 2024.[13]
  • 75% of U.S. healthcare organizations represented in the survey predominantly used clinical registry data for quality and process improvement in 2024.[13]
  • 40% of U.S. healthcare clinical data abstractors reported that manual data entry hampers clinical registry efforts in 2024.[13]
  • 8% of U.S. healthcare organizations rated their provider data as excellent in 2022.[14]
  • 40% of U.S. healthcare clinical data abstractors reported that incomplete data hampers clinical registry efforts in 2024.[13]

Data Governance in the healthcare services sector (sector benchmark)

  • 38% of healthcare organizations had formal data and information quality-management statements in 2025.[14]
  • 66% of healthcare organizations reported multidisciplinary representation in governance, including patient or consumer representatives, in 2025.[14]
  • 39% of healthcare organizations reported having a formally chartered data-governance function in 2025.[14]
  • 10% of healthcare organizations managed data governance exclusively within IT in 2025.[14]
  • 77% of healthcare organizations reported that their governance functions met at least quarterly in 2025.[14]
  • 72% of healthcare organizations operated governance using approved policy and standards frameworks in 2025.[14]

KPIs in the dental service organizations industry

  • 95% was Planet DDS’s target collection-as-a-percentage-of-production threshold for dental practice groups in 2026.[15]
  • 8 days was the insurance time to payment for top-performing dental organizations in Henry Schein One’s 2026 Catalyst Index.[16]
  • 98% was the American Dental Association’s suggested collection rate against billable or adjusted production.[2]
  • 5% or less was the American Dental Association’s suggested cancellation and no-show rate for dental practices.[2]
  • 58% was the average patient-retention rate for dental organizations in Henry Schein One’s 2026 Catalyst Index.[16]
  • 19 days was the average insurance time to payment in Henry Schein One’s 2026 Catalyst Index.[16]

06 Statistics

Strategy & Growth

Expansion continues alongside acquisition activity and early-career dentist preference; the U.S. DSO CAGR is forecast at 15.2% for 2026–2033. In 2024, 120 add-on acquisitions were recorded in the global dental sector.

Growth in the dental service organizations industry

  • $86.8 billion was the estimated global dental service organization market size in 2025.[17]
  • 61.6% of offices in U.S. DSOs with more than 100 locations were growing in 2025.[11]
  • 6.9% was the average 2025 growth rate for U.S. DSOs with 6–10 offices.[11]
  • $100.6 billion is the projected global dental service organization market size for 2026.[17]
  • $301.5 billion is the projected global dental service organization market size for 2033.[17]
  • 47.2% was North America's share of the global dental service organization market in 2025.[17]

Differentiation in the dental service organizations industry

  • 15.7% of U.S. prosthodontists were affiliated with DSOs in 2023.[2]
  • 18% of dentists in Texas worked in practices with 100 or more locations in 2024.[2]
  • 11.5% of U.S. periodontists were affiliated with DSOs in 2023.[2]
  • 18% of dentists in Florida worked in practices with 100 or more locations in 2024.[2]
  • 15.7% of U.S. oral and maxillofacial surgeons were affiliated with DSOs in 2023.[2]
  • 13.1% of U.S. pediatric dentists were affiliated with DSOs in 2023.[2]

Mergers and acquisitions in the dental service organizations industry

  • 20 locations were included in ProSmile's acquisition of Destiny Dental in the third quarter of 2024.[18]
  • 57.1% was the increase in PPM exit counts in 2025, according to TUSK Practice Sales.[19]
  • 9 acquisitions were completed by PDS Health during the fourth quarter of 2024.[20]
  • 122 dentistry transactions were announced in the fourth quarter of 2024, according to a healthcare-services transaction review.[20]
  • More than 120 add-on acquisitions were recorded in the global dental sector in 2024.[21]
  • 25 private-equity-backed dental platforms were estimated to be 5–7 years into their hold periods in 2026.[22]

Strategic partnerships in the dental service organizations industry

  • 20 dental locations were added through ProSmile's partnership-oriented acquisition of Destiny Dental in 2024.[18]
  • 17 acquisitions were completed by MB2 Dental in the fourth quarter of 2024, representing DSO partnerships with dental practices.[20]
  • 13 acquisitions were completed by GPS Dental in the fourth quarter of 2024, representing DSO partnerships with dental practices.[20]
  • 9 acquisitions were completed by PDS Health in the fourth quarter of 2024, representing DSO partnerships with dental practices.[20]
  • 87 new supported practices joined Heartland Dental's network between July and December 2025.[23]
  • 66 practice affiliations were added to Heartland Dental's support network between July and December 2025.[23]

07 Statistics

People & Workforce

Workforce constraints feed centralized support; in Q4 2025, 43.8% of DSO-affiliated practices recruiting dental assistants called recruitment extremely challenging. In 2026, 40% focused exclusively on full-time or part-time employees.

Hiring in the dental service organizations industry

  • 40% of U.S. dental offices and DSOs surveyed focused exclusively on full-time or part-time employees in 2026.[24]
  • 8.8% of U.S. dental practices affiliated with DSOs recruited dentists during the three months ending in Q4 2025.[2]
  • 33.2% of U.S. dental practices affiliated with DSOs recruited dental assistants during the three months ending in Q4 2025.[2]
  • 43.8% of DSO-affiliated U.S. practices recruiting dental assistants described recruitment as extremely challenging in Q4 2025.[2]
  • 27.7% of DSO-affiliated U.S. practices recruiting dental assistants described recruitment as very challenging in Q4 2025.[2]

Employee retention in the dental service organizations industry

  • 2,087 dental-hygiene professionals participated in GoTu’s 2025 analysis of career longevity and job satisfaction.[25]
  • 55.9% of respondents in GoTu’s 2025 dental-hygiene workforce analysis reported job security as a career consideration.[25]

Remote Work in the healthcare services sector (sector benchmark)

  • Across U.S. medical groups, 22% of leaders expected their organization’s share of remote or hybrid jobs to increase during 2024.[26]
  • Across U.S. health care and social assistance, 18% of full-time employees worked fully from home during December 2024–March 2025.[27]
  • Across U.S. medical groups, 52% reported that 1%–25% of their workforce worked remotely at least 50% of the time.[26]
  • Across U.S. medical groups, 18% of leaders expected their organization’s share of remote or hybrid jobs to decrease during 2024.[26]

Hybrid Work in the healthcare services sector (sector benchmark)

  • About 12% of nonclinical healthcare administrative and customer-support jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[26]
  • Across U.S. health care and social assistance, 24% of full-time employees were in hybrid arrangements during December 2024–March 2025.[27]
  • Across U.S. healthcare support roles, 14% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[26]
  • About 6% of U.S. healthcare jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[26]
  • Across U.S. healthcare practitioners and technical roles, 16% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[26]

Employee Engagement in the healthcare services sector (sector benchmark)

  • Across U.S. healthcare workers, 78% believed their organization cared about their safety in 2024.[28]
  • Across U.S. healthcare organizations, employee turnover fell from 20% to 18% in 2024.[28]
  • Among U.S. healthcare advanced practice providers, 52% felt heard in 2024.[28]
  • Across NHS staff, the national staff-engagement theme score was 6.64 in the second quarter of 2024/25.[29]
  • U.S. registered nurses with low teamwork scores were 1.53 times more likely to leave their healthcare organization in 2024.[28]

DEI in the dental service organizations industry

  • 12.7% of U.S. dentists were affiliated with a DSO in 2022.[2]
  • 16.1% of U.S. dentists were affiliated with a DSO in 2024.[2]
  • 13% of U.S. dentists were affiliated with a DSO in 2022, compared with 10.4% in 2019 and 8.8% in 2017.[30]
  • 14.8% of male U.S. dentists were affiliated with a DSO in 2024.[2]
  • 17.6% of female U.S. dentists were affiliated with a DSO in 2024.[2]

Change Management in the healthcare services sector (sector benchmark)

  • Among U.S. healthcare transformation studies, 88% reported successful transformation.[31]
  • Across healthcare transformation studies using staff surveys, 78% reported successful transformation and 83% reported either success or partial success.[31]
  • Among Canadian healthcare transformation studies, 40% reported successful transformation and 60% reported either success or partial success.[31]
  • Across 36 healthcare transformation studies, 64% reported successful transformation, 6% reported partial success, and 17% reported unsuccessful transformation.[31]

08 Statistics

Customer & Sales

Patient financing and retention remain central conversion levers in 2026 benchmarks. Retention averaged 58% in Henry Schein One’s 2026 Catalyst Index, down from 72%.

Customer experience in the dental service organizations industry

  • 15% of dental practices said third-party financing primarily builds patient trust in 2026, based on a U.S. practice survey.[1]
  • 74% of Sunbit-partnered dental practices said patients clearly understood payment options in 2026, compared with 53% of other practices.[1]
  • 22% of surveyed dental practices used AI for practice management in 2026, according to a U.S. industry survey.[1]
  • 13% of surveyed dental practices used AI for imaging or interpretation support in 2026, according to a U.S. industry survey.[1]
  • 54% of dental practices said third-party financing helps patients get care they need in 2026, based on a U.S. practice survey.[1]

Customer retention in the dental service organizations industry

  • 64% was the reported patient-retention rate in the latest segment cited by the 2026 Catalyst Index, down from 72%.[32]
  • 99% was the patient-retention rate among the top 10% of U.S. dental practices in the 2024 Henry Schein One benchmark.[33]
  • 19% of dental practices identified retaining patients as their greatest challenge in 2026, based on a U.S. practice survey.[1]
  • 90% was the patient-retention rate among the top 10% of multi-location dental practices in 2026, according to Henry Schein One.[16]
  • 41% of large dental practices said retaining patients and staff were equally challenging in 2026, according to a U.S. practice survey.[1]

Customer acquisition in the dental service organizations industry

  • 45.3% of dental professionals cited insurance directories as a source of new patients in 2026.[34]
  • 64.8% was the organic-search share of marketing-sourced dental leads in the 2024 Liine benchmark.[35]
  • 66.1% of dental professionals cited word-of-mouth or referrals as a source of new patients in 2026.[34]
  • 23.1% was the Facebook share of marketing-sourced dental leads in the 2024 Liine benchmark.[35]
  • 54.9% of dental professionals cited Google search as a source of new patients in 2026.[34]

Customer loyalty in the dental service organizations industry

  • 14 percentage points was the higher case-acceptance result reported by practices discussing financing before treatment costs in 2026.[1]
  • 45% was the average case-acceptance rate among DSOs and multi-location dental organizations in 2026.[16]
  • 75% was the case-acceptance rate among top-performing DSOs and multi-location dental organizations in 2026.[16]
  • 27 percentage points was the difference in proactive financing adoption between Sunbit-partnered and non-Sunbit dental practices in 2026.[1]
  • 12 percentage points was the stronger collections-growth result reported by practices discussing financing before treatment costs in 2026.[1]

Lead generation in the dental service organizations industry

  • 69.7% was the conversion rate for radio-generated dental leads in the 2024 Liine benchmark.[35]
  • More than 2x was the increase in marketing ROI achieved by a DSO after six months of campaign testing in 2021.[36]
  • 64% was the reduction in cost per new-patient appointment achieved by a DSO after six months of campaign testing in 2021.[36]
  • 60.1% was the conversion rate for organic-search dental leads in the 2024 Liine benchmark.[35]
  • 52.2% was the conversion rate for Instagram-generated dental leads in the 2024 Liine benchmark.[35]

09 Statistics

Marketing & Brand

Marketing spend behavior reflects measurement gaps; 54.7% said better ROI tracking would increase marketing spend in 2026. Video production emerged as the top barrier to consistent content, cited by 44.7%.

Marketing in the dental service organizations industry

  • 54.7% of surveyed dental professionals said better return-on-investment tracking would make them more likely to increase marketing spending in 2026.[34]
  • 50% of larger DSOs with more than 25 offices scored between 40 and 70 on the DMscore marketing-performance scale in the United States.[12]
  • 58% of DSO offices ranked among the top three marketing positions in their local markets in the DMscore study of U.S. practices.[12]
  • 44.7% of surveyed dental professionals identified video production as the leading barrier to consistent marketing content in 2026.[34]
  • 9% of U.S. dental practices were part of a DSO in 2017, compared with 7.4% in 2015.[12]

Digital marketing in the dental service organizations industry

  • 55.4% of surveyed dental professionals cited social media as a source of new patients in 2026.[34]
  • 19.4% of surveyed dental professionals spent between $500 and $1,000 per month on marketing in 2026.[34]
  • More than 2 times was the increase in return on investment after six months of optimized digital campaigns for a DSO network in the United States.[36]
  • 64% of healthcare marketers, mostly from dental, DSO and OSO organizations, identified SEO as their biggest marketing initiative in 2022.[37]
  • 46.4% of surveyed dental professionals spent less than $500 per month on marketing in 2026.[34]

Branding in the dental service organizations industry

  • 6 STX Healthcare Management Services practices operated under the Vital Smiles brand in Alabama in 2017.[38]
  • About 74% of upselling-related mentions in reviews were negative in the 2026 study of U.S. dental practices.[39]
  • 319.5 was the typical number of Google reviews per practice in the 2026 study of U.S. dental practices across 20 metropolitan areas.[39]
  • 2,318 U.S. dental practices across 20 metropolitan areas were included in a 2026 study of Google reviews and local brand presence.[39]
  • 255 Dental Care Alliance locations operated across 13 U.S. states under 80 different names, according to a 2017 industry study.[38]

Social media in the dental service organizations industry

  • 75% of dentists in Alberta, Saskatchewan and Manitoba reported that their practice had a social-media presence in 2026.[40]
  • More than 80% of surveyed dental practices used social media to promote their practices in 2023.[41]
  • 87% of Canadian dental practices using social media had a Facebook presence in 2026.[40]
  • 91% of U.S. dental practices using social media used it for marketing purposes in the 2012 study.[42]
  • 56.57% of surveyed dental practices used Instagram to promote their practice in 2023.[41]

Influencer Marketing in the healthcare services sector (sector benchmark)

  • 38% of posts from U.S.-focused health and wellness influencers promoted a product, service or subscription in 2026.[43]
  • 8.57 million influencer posts about the health industry generated a 1.07% average engagement rate globally in 2023.[44]
  • 33% of U.S.-focused health and wellness influencers promoted a product, service or subscription in more than half of their posts in 2026.[43]
  • 92% of U.S.-focused health and wellness influencers included product or service promotions at least occasionally in 2026.[43]
  • 50% of healthcare and pharmaceutical marketers reported dedicated, growing creator/influencer budgets in 2026, compared with 58% globally.[45]

10 Statistics

Operations & Execution

Multi-site operational standardization shows up in shared systems and services; in 2017, 93.8% of surveyed U.S. DSOs provided billing services to affiliates. Benchmarks in 2025 show a 6.9% average no-show rate.

Process optimization in the dental service organizations industry

  • 71.9% of surveyed U.S. DSOs offered affiliates a common electronic dental record in 2017.[38]
  • 93.8% of surveyed U.S. DSOs provided regulatory-compliance services to affiliates in 2017.[38]
  • 81.3% of surveyed U.S. DSOs provided quality-assurance services to affiliates in 2017.[38]
  • 93.8% of surveyed U.S. DSOs provided billing services to affiliates in 2017.[38]
  • 81.3% of surveyed U.S. DSOs provided appointment-scheduling services to affiliates in 2017.[38]

Operational efficiency in the dental service organizations industry

  • 9.0% was the average growth rate for practices receiving 75 or more new patients per month in 2025.[11]
  • 63% was the average hygiene-reappointment rate in 2025, compared with 60% in 2024.[11]
  • 47% was the average case-completion rate in 2025, compared with 42% in 2024.[11]
  • 6.9% was the average no-show rate in 2025, compared with 7.4% in 2024.[11]
  • 67% of practices receiving 75 or more new patients per month were growing in 2025.[11]

Quality management in the dental service organizations industry

  • 46.9% of surveyed U.S. DSOs provided clinical-care protocols to affiliates in 2017.[38]
  • 54% of surveyed dental practices reported that their case-acceptance rate increased during the year preceding the 2026 State of Dental report.[1]
  • Less than 1% was the no-show rate for top-performing dental practices in the 2026 benchmarks.[16]
  • 81.3% of surveyed U.S. DSOs provided internal continuing education to affiliates in 2017.[38]
  • 58% was the average patient-retention rate in the 2026 dental-practice benchmarks.[16]

Supply chain in the dental service organizations industry

  • 16.98% of 2024 procurement-survey respondents operated 11–25 dental locations.[46]
  • 9.43% of 2024 procurement-survey respondents operated more than 500 dental locations.[46]
  • 15.09% of 2024 procurement-survey respondents operated 51–150 dental locations.[46]
  • 36 North American DSOs and dental groups participated in the 2024 procurement survey.[46]
  • 24.53% of 2024 procurement-survey respondents operated 26–50 dental locations.[46]

Outsourcing / Offshoring in the healthcare services sector (sector benchmark)

  • 20% of U.S. medical-group leaders planned to outsource or automate some revenue-cycle-management activities in 2024, according to an MGMA poll with 262 responses.[26]
  • 18% of U.S. medical-group leaders planned to outsource or automate patient communications in contact centers in 2024, according to an MGMA poll with 262 responses.[26]
  • 54% of global healthcare providers used third-party providers for supply-chain services in 2024, based on a survey of 28 healthcare-provider executives.[47]
  • 29% of global healthcare providers used third-party providers for remote patient monitoring in 2024, based on a survey of 28 healthcare-provider executives.[47]
  • 46% of global healthcare providers used third-party providers for customer-experience services in 2024, based on a survey of 28 healthcare-provider executives.[47]

11 Statistics

Finance & Pricing

Procurement centralization and automation reduce supply-time and spending. One case study reported a 50–60% reduction in procurement time through centralization and automation.

Pricing strategy in the dental service organizations industry

  • 90% of premiums, net of commissions, was paid to providing dental offices by a New Jersey dental services organization in 2024.[48]
  • $750,000 in annual revenue is the minimum practice size SOHDental generally targets when evaluating affiliations in its existing markets.[49]
  • 10% of premiums, net of commissions, was retained by a New Jersey dental services organization for administrative expenses and profit in 2024.[48]
  • 7–8× EBITDA was the multiple range in a 2026 recapitalization of a 10-location Midwest DSO focused on general dentistry and urgent care.[50]
  • 20–40% below private-pay fees is the typical discount accepted by dental practices participating in PPO fee schedules, including DSO-supported practices.[51]

Cost reduction in the dental service organizations industry

  • 4.1% of collections was spent on supplies by scaled DSOs, compared with 7.4% for smaller organizations, in Dentira’s 2025 procurement index.[52]
  • 2–5% of collections is the marketing-cost range identified in a dental overhead-control guide for dental practices.[53]
  • 6–7% of collections is the targeted clinical-supplies range in Burkhart Dental Supply’s dental practice overhead guidance.[54]
  • 50–60% was the reported reduction in procurement time achieved through centralization and automation in a dental group purchasing case study.[55]
  • 1.1 percentage points of collections was the average first-year reduction in supply spending reported by Dentira procurement-platform customers.[24]

Profitability in the dental service organizations industry

  • 26.7% was the approximate adjusted EBITDA margin of the 10-location Midwest DSO in 2026, based on reported revenue and EBITDA.[50]
  • $4 million was the approximate adjusted EBITDA generated by a 10-location Midwest DSO at its 2026 recapitalization.[50]
  • $67.9 million was Eastern Dental’s trailing-twelve-month revenue for September 2025.[56]
  • 23.8% was the adjusted EBITDA margin of that 12-location U.S. DSO in 2024, calculated from reported EBITDA and gross revenue.[57]
  • $9.1 million was Eastern Dental’s adjusted 2024E EBITDA at its December 2024 acquisition.[56]

Financial planning in the dental service organizations industry

  • 18 growth and expansion investments were recorded in dental care in 2024, supporting the sector’s capital-planning picture.[58]
  • $3 billion was Heartland Dental’s estimated revenue in fiscal 2024, according to a 2024 property memorandum.[59]
  • $2.34 billion was the unitranche debt facility closed by MB2 Dental in 2024 to fund acquisitions and future growth.[33]
  • 120 add-on acquisitions were completed in the U.S. DSO sector in 2024, according to Lincoln International’s dental sector review.[21]
  • 33 dental practices were added through Heartland Dental’s affiliation program in 2023, according to a 2024 property memorandum.[59]

12 Statistics

Product & Service

Service delivery scales through branded support and patient-visit volume. For Heartland Dental, 11.5 million patient visits were delivered through supported practices in the 2025 operating phase.

Product development in the dental service organizations industry

  • 13,500 dentists were supported by Association of Dental Support Organizations members in 2025.[60]
  • More than 1,900 dental practices were supported by Heartland Dental in the United States in 2025.[23]
  • The next-generation iTero Lumina intraoral scanner was rolled out to Heartland Dental-supported practices in the United States in 2025.[23]
  • 85 practice locations were supported by a Minnesota and Wisconsin dental resource organization as of 2024.[61]
  • More than 35 million annual patient visits were represented by Association of Dental Support Organizations members in 2025.[60]

Product lifecycle in the dental service organizations industry

  • 27 existing practice expansions represented capacity upgrades within Heartland Dental’s U.S. network in 2025.[23]
  • 11.5 million visits were delivered through Heartland Dental-supported practices during the operating phase in 2025.[23]
  • 365 Pacific Dental Services-supported offices used the organization’s patient portal technology by 2022.[62]
  • 38,973 patients received care through Apple Tree Dental centers and mobile programs in Minnesota in 2024.[63]
  • 1,900-plus supported practices formed Heartland Dental’s U.S. operating footprint after 2025 expansion activity.[23]

After-sales in the dental service organizations industry

  • 50,390 prescriptions were filled by the Good News Clinics dispensary in fiscal 2025 as part of continuing patient support.[64]
  • 25,091 total patient encounters were recorded by Good News Clinics in fiscal 2025.[64]
  • 2,930 total patients were served by Good News Clinics in fiscal 2025.[64]
  • 20,019,576 dollars was the estimated value of services delivered by Good News Clinics in fiscal 2025.[64]
  • 3.1 billion dollars in annual revenue was exceeded by PDS Health in 2025 while expanding coordinated dental-medical care.[65]

Value proposition in the dental service organizations industry

  • 200-plus dentists and 84 practice locations were supported by one U.S. dental resource organization in 2025.[61]
  • 11.5 million patient visits were completed across Heartland Dental-supported practices in the United States in 2025.[23]
  • 3.1 billion dollars in annual revenue was exceeded by PDS Health in 2025 as it expanded integrated dental-medical care.[65]
  • 150 industry partner members were represented by the Association of Dental Support Organizations in 2025.[60]
  • 35 million-plus annual patient visits were represented by Association of Dental Support Organizations members in 2025.[60]

13 Statistics

Sustainability & Ethics

Operational sustainability reporting includes environmental controls and waste metrics. PDS Health reported 3.72 metric tonnes of hazardous pharmaceutical waste in 2023, all incinerated.

Sustainability in the dental service organizations industry

  • 100% of PDS Health construction projects met baseline LEED California certification requirements in 2023.[66]
  • 100% of PDS Health dental practices used sterilizable, reusable dental instruments in 2023.[66]
  • 100% of PDS Health dental practices used lead-free radiation aprons in 2023.[66]
  • 100% of PDS Health new dental practices used low-flow plumbing fixtures in 2023.[66]
  • 33,811 pounds of electronic waste were donated by PDS Health to Human-I-T in 2023.[66]

ESG in the dental service organizations industry

  • 3.72 metric tonnes of hazardous pharmaceutical waste were generated by PDS Health in 2023, all of which was incinerated.[66]
  • 238,021 units of energy were consumed by PDS Health in 2023, as reported under SASB metrics.[66]
  • 86% of PDS Health’s reported energy consumption came from grid electricity in 2023.[66]
  • 21,284.89 metric tonnes of CO2e were PDS Health’s combined Scope 1 and Scope 2 emissions in 2023.[66]
  • 19,428.44 metric tonnes of CO2e were PDS Health’s Scope 2 emissions in 2023.[66]

Ethics in the dental service organizations industry

  • 79% of PDS Health employees who enrolled used the Bright Horizons family-support program in 2023.[65]
  • 94% of PDS Health College Advancement Program participants surveyed said the program increased their desire to pursue a career with the organization.[65]
  • 13 cultural domains were assessed by PDS Health in its most recent cultural assessment, conducted in 2021.[65]
  • 94% of participants in PDS Health’s Future Moms and Dads program had full-term pregnancies in 2023.[65]
  • 90% of participants in PDS Health’s Future Moms and Dads program delivered infants with normal birthweights in 2023.[65]

CSR in the dental service organizations industry

  • $33.7 million was allocated to communities by the Delta Dental Community Care Foundation in 2024.[67]
  • More than 2,000 patients received care at the PDS Foundation Dentists for Special Needs office in 2023.[65]
  • More than $57 million in dental services had been donated through PDS Health’s Smile Generation Serve Day since 2011.[65]
  • More than $650,000 was raised for the PDS Foundation Special Needs Dentistry program in 2023.[65]
  • More than 3,500 patients received donated dental care from PDS Health during Smile Generation Serve Day in 2023.[65]

Carbon footprint in the dental service organizations industry

  • 98% of Delta Dental’s reported 2024 emissions were Scope 3 emissions.[67]
  • 14,364 MWh was Delta Dental’s office energy use in 2024.[67]
  • 25% was Delta Dental’s reduction in office-energy intensity from 2023 to 2024.[67]
  • 15.45 kWh per square foot was Delta Dental’s office-energy intensity in 2024.[67]
  • 1% of Delta Dental’s reported 2024 emissions were Scope 2 emissions.[67]

15 Statistics

Globalization & Expansion

Cross-border expansion shows network and supplier-management scale. In 2026, dentalcorp reported 650+ locations and more than 6 million annual patient visits.

Globalization in the dental service organizations industry

  • Dentalcorp’s 2024 acquisitions were expected to contribute $21.4 million in pro forma adjusted EBITDA after rent.[74]
  • The number of U.S. dentists affiliated with DSOs rose to 13.8% in 2023 from 7.4% in 2015.[61]
  • 21 U.S. Florida clinics were acquired by Canadian DSO dentalcorp in January 2026, marking its entry into the United States.[75]
  • 650+ dental locations and more than 6 million annual patient visits are reported by Canadian DSO dentalcorp in 2026.[76]
  • Apex Dental Partners served over 200,000 patients annually through more than 40 locations in 2025.[33]

Cultural adaptation in the dental service organizations industry

  • 28% of Black, non-Hispanic U.S. adults reported a DSO as their dental home, compared with 20% of Hispanic adults in the cited survey.[77]
  • 12% of white, non-Hispanic adults reported a DSO as their dental home in the cited survey.[77]
  • 14% of adults identifying as two or more races, non-Hispanic reported a DSO as their dental home in the cited survey.[77]
  • 13% of U.S. adults earning $60,000 to $100,000 annually reported a DSO as their dental home in the cited survey.[77]
  • 20% of Hispanic U.S. adults reported receiving dental care through a DSO in the cited survey.[77]

Supplier management in the dental service organizations industry

  • Dentalcorp operated more than 650 locations in 2026, creating a network-level purchasing and supplier-management footprint.[76]
  • 150+ industry partner companies were members of the Association of Dental Support Organizations in 2026.[60]
  • Dentalcorp reported more than 10,700 team members across its dental-practice network in 2026, supporting its operating and supplier ecosystem.[76]
  • Dentalcorp launched a dental technology demonstration day offering a US$100,000 investment and potential pilot opportunity in 2026.[76]
  • 80 DSO member companies and 150 industry partner members were represented by ADSO in 2026.[60]

Stakeholder management in the dental service organizations industry

  • 13% of U.S. dentists were affiliated with a DSO in 2022, according to the ADA Health Policy Institute.[2]
  • $18 billion in revenue was represented by ADSO’s DSO member companies in 2026.[60]
  • The New Jersey Dental Services Organization paid approximately 90% of net premiums to providing dental offices in 2024.[48]
  • 8,500+ supported dental practices were represented by ADSO member organizations in 2026.[60]
  • The New Jersey Dental Services Organization served 18,887 total enrollees through its group plans in 2024.[48]

Distribution channels in the dental service organizations industry

  • Apex Dental Partners served over 200,000 patients annually through more than 40 physical locations in 2025.[33]
  • Dentalcorp reported more than 10,700 team members supporting patient service delivery across its network in 2026.[76]
  • Dentalcorp reported more than 6 million annual patient visits across its Canadian network in 2026.[76]
  • Dentalcorp reported 650+ practice locations as a physical care-delivery channel in 2026.[76]
  • One dental service organization operated 40 locations and used appointment booking directly through text and email messages in its 2022 case study.[78]

Key questions about the dental service organizations industry

What is the U.S. dental service organizations market size?
The U.S. dental service organization market generated estimated revenue of $37.645 billion in 2025. Broader dental spending reached $189 billion in 2024.
How fast is the U.S. DSO market growing?
Grand View Research forecasts the U.S. DSO market to reach $115.434 billion by 2033 from $42.979 billion in 2026, implying a 15.2% CAGR for 2026–2033.
Which companies lead the dental service organizations industry?
PDS Health leads Gitnux's 2026 dental service organizations ranking with an Overall score of 9.5, with more than 1,100 practices supported and 5,800 clinicians across 24 states. MB2 Dental is the highest-ranked practice support organization at 9.2, driven by nearly 800 partner practices supported nationwide and 11,000+ employees.
What technology shifts show up in dental practice operations in 2026?
In 2026, 26% of surveyed practices used AI for patient communication, and 28% used diagnostic AI. More than 80% of the 25 largest DSOs deployed at least one AI tool by early 2026.
How is the U.S. DSO market structured by affiliation and ownership?
DSO affiliation reached 16.1% of dentists in 2024, and 62.5% of surveyed dental service organizations were privately held in 2021. In 2025, the market also segmented by support service, end user, and ownership model.
What operational change is most linked to centralized support in recent findings?
Human resources is identified as the fastest-growing service segment, while administrative complexity and staffing pressures support centralized support. AI adoption in DSOs also shifts toward administration, with 58% of practices using AI citing administrative work as a primary role in 2026.
Reference

Cite This Report

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APA
Samuel Norberg. (2026, November 10). Dental Service Organizations Industry Statistics. Gitnux. https://gitnux.org/dental-service-organizations-industry-statistics
MLA
Samuel Norberg. "Dental Service Organizations Industry Statistics." Gitnux, 10 Nov 2026, https://gitnux.org/dental-service-organizations-industry-statistics.
Chicago
Samuel Norberg. 2026. "Dental Service Organizations Industry Statistics." Gitnux. https://gitnux.org/dental-service-organizations-industry-statistics.

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