01 Industry overview
The dental services industry at a glance
U.S. dental services spending reached $189.2 billion in 2024, with demand supported by population aging, insurance coverage and preventive care, while affordability and uneven access remain major constraints.
- $189.2B[64]
- Dental spending, 2024
- 6.6%[64]
- Spending growth, 2024
- 960,000[65]
- Dental-office employment, 2025
- 80%[64]
- Top two payer share, 2024
- Market size
- U.S. dental services spending totaled $189.2 billion in 2024, up from 2023 and equal to approximately 4% of national health spending. The estimate covers dental services within the National Health Expenditure Accounts.[64]
- Forecast & CAGR
- A Grand View Research estimate put the U.S. dental services market at $192.22 billion in 2023 and forecasts a 3.3% compound annual growth rate from 2024 through 2030. This commercial market estimate differs from CMS national expenditure accounting because the methodologies and market definitions are not identical.[66]
- Market share & regions
- North America accounted for 45.0% of global dental-services-market revenue in 2025, according to Grand View Research. The source identifies North America as the leading regional market.[66]
- Segmentation
- Payment is concentrated among out-of-pocket spending and private dental insurance, which together represented 80% of U.S. dental spending in 2024. CMS reported that out-of-pocket spending rose 5.8% and private dental-insurance spending rose 4.8% during the year.[64]
- Trends, drivers & challenges
- Employment in offices of dentists is projected to increase from 1.052 million in 2024 to 1.116 million in 2034, a gain of 6.1%, according to the Bureau of Labor Statistics. Demand is supported by an aging population, while labor availability and affordability remain important industry challenges.[65]
- Consumer behavior & competition
- Dental coverage is strongly associated with utilization: in 2024, 53% of adults ages 19–64 with private dental insurance had at least one dental visit, compared with 25% of those with public insurance and 17% of those without dental insurance. Among adults aged 65 and older, 63.7% had a dental visit in 2022, rising to 69.6% among those with dental coverage versus 56.4% without coverage.[1][67]
- M&A
- Heartland Dental reported that its 2025 expansion added 33 supported practices through strategic affiliations and 60 additional supported practices through the acquisition of Smile Design Dentistry. The announcement illustrates continued consolidation among dental support organizations, although industry-wide transaction totals were not identified in a reliable public source.[68]
- Regulation
- The American Dental Association discontinued its Survey of Dental Fees in 2023, stating that a change in federal law made publication of fee-schedule information legally problematic. The sector is also affected by differing state Medicaid dental-benefit rules, particularly for adults.[1][42]
- Latest news
- The latest national expenditure release reported that U.S. dental spending increased 6.6% to $189.2 billion in 2024, while out-of-pocket spending rose 5.8% and private dental-insurance spending rose 4.8%. In January 2026, Heartland Dental also reported 2025 expansion through affiliations and the Smile Design Dentistry acquisition.[64][68]
02 Ranking
Top 10 Companies in the Dental Services Industry
The leading companies in the dental services industry, ranked on market impact, performance, momentum, innovation and brand popularity.
Updated November 11, 2026 · Next review December 11, 2026
PDS Health leads Gitnux's 2026 dental services ranking with an Overall score of 9.4, with more than 1,000 dental and medical practices across 24 states. The Aspen Group is the runner-up at 8.9, driven by support for more than 1,100 Aspen Dental offices.
Ranked by Overall score · How we score ↓
Editor's top 3 picks
Where to start, by need.
#1 Overall · Leader in dental support networks
PDS Health
US
Ranked #1 · 9.4 · Dental support networks
Why we picked it: It supports integrated dental and medical operations across a 24-state footprint.
#2 overall
The Aspen Group
US
Ranked #2 · 8.9 · Dental support networks
Why we picked it: Its branded practice network supports clinical operations at scale for more than 1,100 offices.
Leader in pan-European dental clinics
Colosseum Dental Group
CH
Ranked #5 · 8.6 · Pan-European dental clinics
Why we picked it: Its pan-European clinic and laboratory footprint supports group practice delivery across 11 countries.
Pick 1 is the #1 company overall. Pick 2 is the highest-ranked company in the top 5 that adds a new segment; no further segment places in the top 5, so pick 3 follows rank.
Full ranking
| # | Company | Overall ↓ | Impact | Company snapshot |
|---|---|---|---|---|
| 1 | PDS Health Dental support networks · US | 9.4 | 9.9 | |
Company snapshot · PDS Health · Data as of November 11, 2026 Supports more than 1,000 dental and medical practices across 24 states.[69]
| ||||
| 2 | The Aspen Group Dental support networks · US | 8.9 | 9.9 | |
Company snapshot · The Aspen Group · Data as of November 11, 2026 Supports more than 1,100 Aspen Dental offices and serves over 5.2 million patients annually.[70]
| ||||
| 3 | MB2 Dental Dental support networks · US | 8.9 | 7.8 | |
Company snapshot · MB2 Dental · Data as of November 11, 2026 Partnered with more than 800 dental practices across 45 states by the end of 2025.[71]
| ||||
| 4 | Heartland Dental Dental support networks · US | 8.7 | 9.9 | |
Company snapshot · Heartland Dental · Data as of November 11, 2026 Supports more than 2,000 dental offices and over 3,200 doctors nationwide.[68]
| ||||
| 5 | Colosseum Dental Group Pan-European dental clinics · CH | 8.6 | 9.1 | |
Company snapshot · Colosseum Dental Group · Data as of November 11, 2026 Operates more than 620 clinics and 50 laboratories across 11 European countries.[72]
| ||||
| 6 | Smile Doctors Orthodontic practice network, United States · US | 8.3 | 7.0 | |
Company snapshot · Smile Doctors · Data as of November 11, 2026 Supports more than 550 orthodontic practices across the United States.[73]
| ||||
| 7 | PortmanDentex Private-focused dental group, UK and Ireland · GB | 8.2 | 7.5 | |
Company snapshot · PortmanDentex · Data as of November 11, 2026 Supports more than 370 practices across the UK and Ireland and serves 1.5 million patients.[74]
| ||||
| 8 | dentalcorp Dental practice network and support organization, Canada · CA | 8.1 | 8.4 | |
Company snapshot · dentalcorp · Data as of November 11, 2026 Canada's largest dental service organization, with 575 practices as of June 2025.[75]
| ||||
| 9 | North American Dental Group Dental support organization, United States · US | 8.0 | 7.0 | |
Company snapshot · North American Dental Group · Data as of November 11, 2026 Provides support services to more than 200 dental practices across 15 U.S. states.[76]
| ||||
| 10 | Smile Brands Multi-brand dental support organization · US | 7.2 | 7.0 | |
Company snapshot · Smile Brands · Data as of November 11, 2026 Supports more than 600 affiliated dental offices across 29 states.[77]
| ||||
How we score
- Impact (30%): scale and weight in the market (revenue, market share, employees, market position).
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 11, 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
David Sutherland. (2026, February 13). Top 10 companies in the dental services industry. In Dental Services Industry Statistics. Gitnux. https://gitnux.org/dental-services-industry-statistics/#top-companies
03 Trends & forecasts
Top 10 Dental Services Industry Trends & Forecasts 2027
What is changing in the dental services industry, with the evidence behind each trend and a forecast for 2027.
Forecasts were generated by an AI model from the cited evidence. They are estimates, not guarantees.
01Dental spending continues growing
High confidenceU.S. dental-services spending increased 6.6% to $189.2 billion in 2024, equal to about 4% of national health spending. Inflation-adjusted dental spending still rose 4% in 2024, according to the ADA’s analysis of CMS data.[64][1]
Forecast 2027: Dental spending should continue rising in 2027, but likely at a slower nominal rate than the 2024 increase as affordability pressures and softer appointment demand constrain utilization. A plausible range is roughly 4%–6% nominal growth, absent a major insurance or economic shock.
02Out-of-pocket payment remains dominant
High confidenceOut-of-pocket spending and private dental-insurance spending together accounted for 80% of U.S. dental spending in 2024. Out-of-pocket spending increased 5.8% during the year, compared with 4.8% growth in private dental-insurance spending.[64]
Forecast 2027: In 2027, providers will continue relying heavily on patient-paid balances and private plans. Practices are likely to expand payment plans, financing options and treatment-lequencing tools as patients manage higher deductibles and discretionary-care costs.
03Older adults drive more demand
High confidenceBLS expects dentist employment to grow 6% from 2025 to 2035, partly because larger numbers of older people require dental services and successive generations retain more natural teeth. In 2022, 63.7% of adults aged 65 and older had a dental visit during the prior year.[65][67]
Forecast 2027: By 2027, aging will continue shifting demand toward periodontal care, restorative treatment, implants, prosthodontics and maintenance dentistry. Growth should be strongest in markets with expanding Medicare-age populations, although coverage gaps will limit realized utilization.
04Coverage keeps utilization higher
High confidenceAmong adults aged 65 and older, 69.6% of those with dental coverage had a dental visit in 2022, compared with 56.4% without coverage. The broader 2024 NHIS found that 11.6% of adults aged 18–64 were uninsured for health coverage, while 69.1% had private coverage.[67]
Forecast 2027: In 2027, coverage expansion and benefit design will remain among the clearest levers for increasing visits. Employers, insurers and public programs are likely to emphasize preventive benefits, but coverage growth will remain uneven across age groups and states.
05Dental prices rise faster than demand
Medium confidenceThe ADA reported that two-thirds of dentists increased fees during 2025, with an average reported increase of 6.7% among practices that raised prices. The ADA also described lower demand and shorter appointment wait times as signs of a continuing practice-level fiscal squeeze.[1][44]
Forecast 2027: In 2027, practices will likely continue selective fee increases, especially for labor-intensive and specialist procedures. Price growth should moderate from 2025 levels, while more patients defer elective, cosmetic and higher-cost restorative work.
06Dental staffing remains constrained
High confidenceBLS identifies dental hygienist hiring challenges as an ongoing issue for practices. Offices of dentists employed about 343,660 dental assistants and 207,560 dental hygienists in May 2024, making these occupations central to practice capacity.[44][65]
Forecast 2027: Labor shortages will remain a major operating constraint in 2027, particularly for hygienists and experienced assistants. Practices will respond with higher wages, expanded duties for allowable team members, centralized recruiting and greater use of automation for scheduling and administration.
07Dentist employment expands gradually
High confidenceBLS projects dentist employment to increase from 161,400 in 2025 to 170,400 in 2035, a 6% increase, with about 4,800 openings annually. Demand is supported by aging patients, restorative needs and cosmetic dentistry.[65]
Forecast 2027: The dentist workforce should expand modestly through 2027, but workforce growth will not eliminate geographic shortages. Recruitment and retention will remain more difficult in rural and underserved areas than in large metropolitan markets.
08Dental support organizations consolidate practices
High confidenceHeartland Dental reported that its Smile Design Dentistry transaction added 60 supported practices and that the company supported more than 1,880 locations across 39 states and the District of Columbia after the transaction. The ADA also reports that dentistry is shifting toward larger practices and DSOs.[68][1]
Forecast 2027: DSO affiliation and acquisition activity should continue in 2027 as owners seek purchasing leverage, administrative support and succession solutions. Consolidation will remain strongest among multi-site general practices and specialty platforms, while independent practices will persist in many local markets.
09AI adoption moves from pilots forward
Medium confidenceAn ADA survey published in July 2026 found that fewer than 5% of dentists were using AI for patient-treatment recommendations. The ADA identified AI and technology as a strategic priority but noted concerns about implementation and trust.[1]
Forecast 2027: By 2027, AI use should expand first in radiograph support, documentation, claims, scheduling and patient communication rather than autonomous treatment decisions. Adoption will remain gradual because clinical validation, liability, privacy and workflow integration concerns are unresolved.
10Medicaid dental access stays uneven
High confidenceFederal rules require dental benefits for children enrolled in Medicaid and CHIP, but states choose whether to provide dental benefits for adults and face no minimum adult-coverage requirement. CMS says states have expanded adult benefits in some areas while maintaining substantial variation in benefit design.[78]
Forecast 2027: In 2027, adult Medicaid dental benefits will remain a patchwork, with incremental expansions in selected states rather than national standardization. Provider participation will depend on reimbursement, administrative burden and local workforce availability.
04 Statistics
Technology & Innovation
AI adoption shows rapid movement in 2026: 43.3% of U.S. dentists used AI for at least one task. Planning is also wide, with 34.8% of dentists not using AI yet.
AI in the dental services industry
- 43.3% of U.S. dentists used AI for at least one task in their practice in 2026.[1]
- 22.8% of U.S. dentists used AI for imaging and diagnostics in 2026.[1]
- 10.1% of U.S. dentists used AI for business analytics in 2026.[1]
- 13.6% of U.S. dentists used AI for insurance verification in 2026.[1]
- 34.8% of U.S. dentists not currently using AI planned to use it for charting and note-taking in 2026.[1]
- 10.7% of U.S. dentists used AI for social media in 2026.[1]
Automation in the dental services industry
- Around one-quarter of U.S. dentists planned future AI use for administrative practice tasks in 2026.[1]
- 25.4% of U.S. dentists not currently using AI planned to use it for imaging and diagnostics in the future in 2026.[1]
- 32.6% of U.S. dentists not currently using AI planned to use it for insurance verification in the future in 2026.[1]
Digital Transformation in the healthcare services sector (sector benchmark)
- Across surveyed healthcare practitioners, 60% believed their organizations’ digital experiences met or exceeded customer needs in 2025.[2]
- About 90% of surveyed global healthcare C-suite executives expected digital technology use to accelerate in 2025, including 50% anticipating a significant impact.[3]
- Among healthcare respondents to KPMG’s global technology survey, 49% were adopting DevSecOps approaches to adapt digital-transformation strategies.[4]
- About 70% of surveyed healthcare executives said investing in technology platforms for digital tools and services would be important or very important in 2025.[3]
- Across U.S. non-federal acute care hospitals, 71% used predictive AI integrated into electronic health records in 2024.[5]
Technology Adoption in the healthcare services sector (sector benchmark)
- Across U.S. non-federal acute care hospitals, 81% enabled patient access through applications using application-programming-interface specifications in 2024.[5]
- Across U.S. non-federal acute care hospitals, 99% enabled patients to view health information electronically in 2024.[5]
- Across U.S. non-federal acute care hospitals, 84% enabled patients to transmit health information to a third party electronically in 2024.[5]
- Across U.S. non-federal acute care hospitals, 96% enabled patients to download health information electronically in 2024.[5]
- Across U.S. non-federal acute care hospitals, 70% enabled patient access through applications using HL7 FHIR specifications in 2024.[5]
- Across U.S. non-federal acute care hospitals, 92% enabled patients to securely message providers in 2024.[5]
Cloud Computing in the healthcare services sector (sector benchmark)
- Across surveyed healthcare organizations globally, 8% reported minimal cloud adoption without formal strategy or governance at the end of 2025.[6]
- 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.[6]
- Across surveyed healthcare organizations globally, 15% reported that cloud adoption was fully integrated into business strategy at the end of 2025.[6]
- Across surveyed healthcare organizations globally, 18% had started adopting cloud services but lacked a comprehensive cloud strategy at the end of 2025.[6]
- Across surveyed healthcare organizations globally, 27% reported that cloud operations were well managed and integrated into overall IT strategy at the end of 2025.[6]
Big Data in the healthcare services sector (sector benchmark)
- Across Brazilian healthcare facilities conducting Big Data analytics, 65% used patient demographics, forms, or medical-record data in 2024.[7]
- Across Brazilian healthcare facilities conducting Big Data analytics, 77% used in-house staff rather than external providers in 2024.[7]
- Across Brazilian healthcare facilities conducting Big Data analytics, 48% used social-media data in 2024.[7]
- Across Brazilian healthcare facilities conducting Big Data analytics, 38% used geolocation data from mobile phones, wireless connections, or GPS in 2024.[7]
- Across Brazilian healthcare facilities conducting Big Data analytics, 72% used data from smart devices or sensors in 2024.[7]
05 Statistics
Data & Analytics
U.S. dentists show limited use of AI for practice analytics: 10.1% reported using it in 2026. Data quality issues appear in clinical registry efforts, including incomplete data at 40%.
Business intelligence in the dental services industry
- 10.1% of U.S. dentists reported using AI for practice analytics or business intelligence in 2026.[1]
- 27.2% of U.S. dentists reported planning to use AI for practice analytics or business intelligence in 2026 or later.[1]
- 62.7% of U.S. dentists reported neither using nor planning to use AI for practice analytics or business intelligence in 2026.[1]
Data Quality in the healthcare services sector (sector benchmark)
- 40% of U.S. healthcare clinical data abstractors reported that manual data entry hampers clinical registry efforts in 2024.[8]
- 8% of U.S. healthcare organizations rated their provider data as excellent in 2022.[9]
- 40% of U.S. healthcare clinical data abstractors reported that incomplete data hampers clinical registry efforts in 2024.[8]
- 50% of U.S. healthcare clinical data abstractors reported that data inaccuracies hamper clinical registry efforts in 2024.[8]
- 75% of U.S. healthcare organizations represented in the survey predominantly used clinical registry data for quality and process improvement in 2024.[8]
Data Governance in the healthcare services sector (sector benchmark)
- 77% of healthcare organizations reported that their governance functions met at least quarterly in 2025.[9]
- 72% of healthcare organizations operated governance using approved policy and standards frameworks in 2025.[9]
- 39% of healthcare organizations reported having a formally chartered data-governance function in 2025.[9]
- 66% of healthcare organizations reported multidisciplinary representation in governance, including patient or consumer representatives, in 2025.[9]
- 10% of healthcare organizations managed data governance exclusively within IT in 2025.[9]
- 38% of healthcare organizations had formal data and information quality-management statements in 2025.[9]
KPIs in the dental services industry
- 63% was the average dental-practice hygiene-reappointment rate in 2025.[10]
- $8,764 was the average daily production per dental practice in 2025.[10]
- 58% was the average dental-practice case-acceptance rate in 2025.[10]
- 46 was the average number of new patients per dental practice per month in 2025.[10]
- 47% was the average dental-practice case-completion rate in 2025.[10]
- 12.9% was the average dental-practice cancellation rate in 2025.[10]
06 Statistics
Strategy & Growth
Consolidation continues within dental support organizations, illustrated by Heartland Dental’s 2025 expansion adding 33 supported practices via affiliations. It also added 60 practices through the Smile Design Dentistry acquisition.
Growth in the dental services industry
- Align Technology’s clear-aligner volume for children and teenagers increased 7.7% year over year in 2024.[11]
- Align Technology’s total revenue reached $3.999 billion in 2024, an increase of 3.5% year over year.[11]
- Align Technology’s imaging systems and CAD/CAM services revenue reached $768.9 million in 2024, up 16.0% year over year.[11]
- Align Technology shipped 868,100 teen and child Invisalign cases in 2024.[11]
- Henry Schein’s global value-added-services sales grew 21.5% in 2024.[12]
- Straumann achieved 13.7% organic revenue growth in 2024.[13]
Differentiation in the dental services industry
- Align Technology had manufactured more than 2 billion clear aligners worldwide by the end of 2024.[11]
- Envista’s portfolio comprised more than 30 dental brands in 2024.[14]
- Align Technology had completed 60,000 exocad CAD/CAM software installations by the end of 2024.[11]
- Align Technology had sold more than 100,000 iTero scanners by the end of 2024.[11]
- Align Technology’s operating margin was 15.2% in 2024.[11]
- Straumann reported CHF 2.5 billion in revenue in 2024 while describing its strategy as innovation- and customer-focused oral care.[13]
Mergers and acquisitions in the dental services industry
- 161 dental-care deals were tracked in 2024, up 10.3% from 146 deals in 2023.[15]
- MB2 Dental completed 17 acquisitions in the fourth quarter of 2024.[16]
- 122 dentistry transactions were announced in the fourth quarter of 2024.[16]
- 137 add-on acquisitions occurred in dental care in 2024.[15]
- GPS Dental completed 13 acquisitions in the fourth quarter of 2024.[16]
- Six dental-care buyouts occurred in 2024.[15]
Strategic partnerships in the dental services industry
- More than 100,000 iTero scanners had been placed with dental professionals by Align Technology by the end of 2024.[11]
- More than 130,000 Invisalign-trained doctors received cases from Align Technology during 2024.[11]
- Straumann’s Enterprise Solutions team added several major dental service organizations to its customer base in 2024.[13]
- Align Technology had 271,600 active Invisalign-trained practitioners in its global professional network at the end of 2024.[11]
- 60,000 exocad CAD/CAM software installations connected dental laboratories and practices with Align Technology by the end of 2024.[11]
- Envista served dental professionals in more than 130 countries in 2024 through its own commercial organization and distribution partners.[14]
07 Statistics
People & Workforce
Workforce constraints remain a recurring limiter: 70.4% of dental practices reported hiring qualified dental assistants was very or extremely challenging in Q4 2024. Employment growth is projected gradually through 2034.
Hiring in the dental services industry
- More than 95% of U.S. dental-practice survey respondents believed there was a shortage of dental staff available for hire in 2024.[17]
- 70.4% of dental practices reported that hiring qualified dental assistants was very or extremely challenging in the fourth quarter of 2024.[18]
- 60% of English dental practice owners had an associate-dentist vacancy in 2024–25.[19]
- 15% was the vacancy rate for general dentists in England in December 2024.[19]
- 33.7% of U.S. dental assistants expected to retire within five years or less, based on 2022 workforce data.[20]
Employee retention in the dental services industry
- A 15% pay raise for dental assistants can improve retention and offset potential turnover costs, according to DANB analysis.[18]
- 31.4% of U.S. dental hygienists expected to retire within five years or less, based on 2022 workforce data.[20]
- About 25% of dental assistants left their job during the year covered by DANB’s 2024 survey.[21]
- The majority of U.S. dental hygienists reported being satisfied in their current job in 2022.[20]
- Only 24% of U.S. dental practices reported no staffing turnover in 2023.[17]
Remote Work in the healthcare services sector (sector benchmark)
- Across U.S. medical groups, 52% reported that 1%–25% of their workforce worked remotely at least 50% of the time.[22]
- Across U.S. health care and social assistance, 18% of full-time employees worked fully from home during December 2024–March 2025.[23]
- Across U.S. medical groups, 22% of leaders expected their organization’s share of remote or hybrid jobs to increase during 2024.[22]
- Across U.S. medical groups, 18% of leaders expected their organization’s share of remote or hybrid jobs to decrease during 2024.[22]
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.[22]
- Across U.S. healthcare support roles, 14% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[22]
- Across U.S. health care and social assistance, 24% of full-time employees were in hybrid arrangements during December 2024–March 2025.[23]
- About 6% of U.S. healthcare jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[22]
- 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.[22]
Upskilling in the dental services industry
- 21.0% of Washington dental assistants intended to leave the dental field in 2024.[24]
- Nearly three-quarters of surveyed consumers expected dental assistants to be educated and credentialed in 2023.[18]
- 81% of surveyed dental professionals expressed interest in AI workshops in a study of smile design and prosthetic planning.[25]
- 78% of surveyed dental professionals supported including AI in postgraduate curricula in a study of smile design and prosthetic planning.[25]
- 69% of surveyed dental professionals planned future AI adoption in a study of smile design and prosthetic planning.[25]
Employee Engagement in the healthcare services sector (sector benchmark)
- Across 2.3 million U.S. healthcare workers, employee engagement declined by 0.02 points in 2024.[26]
- Across U.S. healthcare workers, 78% believed their organization cared about their safety in 2024.[26]
- Across NHS staff, the national staff-engagement theme score was 6.64 in the second quarter of 2024/25.[27]
- Among U.S. healthcare advanced practice providers, 52% felt heard in 2024.[26]
- U.S. registered nurses with low teamwork scores were 1.53 times more likely to leave their healthcare organization in 2024.[26]
DEI in the dental services industry
- 94.2% of U.S. dental hygienists were women in the 2018–2022 workforce data period.[28]
08 Statistics
Customer & Sales
Demand and retention metrics point to coverage-linked utilization and local search behavior. In 2025, 54% of U.S. dental patients were willing to travel up to 15 miles for care.
Customer experience in the dental services industry
- 54% of U.S. dental patients were willing to travel up to 15 miles for care in 2025.[29]
- 44% of U.S. consumers had visited a dentist within the previous six months in 2024.[1]
- 15% of U.S. dental patients were willing to travel more than 30 miles for care in 2025.[29]
- 73% of U.S. consumers trusted Google when choosing a dentist in 2024.[1]
- Cost was the leading reason U.S. patients said they stayed with their dentist in 2024.[1]
Customer retention in the dental services industry
- 57% was the average patient retention rate among U.S. dental practices in 2023.[30]
- 99% was the patient retention rate among the top 10% of U.S. dental practices in 2023.[30]
- 77% was the average reappointment rate among U.S. dental practices in 2023.[30]
- 1% was the patient cancellation rate among the top 10% of U.S. dental practices in 2023.[30]
- 94% was the reappointment rate among the top 10% of U.S. dental practices in 2023.[30]
Customer acquisition in the dental services industry
- 35 was the average number of new patients per month for U.S. dental practices in 2023.[30]
- 66.1% of dental professionals surveyed in the United States cited word-of-mouth and referrals as their leading source of new patients in 2026.[31]
- 86 was the average number of new patients per month among the top 10% of U.S. dental practices in 2023.[30]
- 28% of U.S. dental patients found a dentist through a friend or family recommendation in 2025.[29]
- 35% of U.S. dentists said they were not busy enough and wanted more patients in 2025.[32]
Customer loyalty in the dental services industry
- 19% of U.S. consumers had visited a dentist seven to twelve months before the 2024 survey.[1]
- 36% of U.S. consumers said cost was the number-one reason they stayed with their dentist in 2024.[1]
- 47% of U.S. consumers chose a dentist through friends or family referrals in 2024.[1]
- 57% of U.S. consumers said they had a preferred dentist in 2024.[1]
Lead generation in the dental services industry
- 20% of U.S. dental patients used online search or review platforms to find a dentist in 2025.[29]
- 10% of U.S. dental patients used social media to find a dentist in 2025.[29]
- 3% of U.S. dental patients used an online directory to find a dentist in 2025.[29]
- 7% of U.S. dental patients used Google or Apple Maps to find a dentist in 2025.[29]
- 5.4 days was the average new-patient appointment lead time among the top 10% of U.S. dental practices in 2023.[30]
09 Statistics
Marketing & Brand
Referral-driven acquisition dominates: 66.1% of dental professionals surveyed in 2026 cited word-of-mouth and referrals as the leading source of new patients. Reviews also affect choice, with 59% of U.S. consumers reporting reviews affected dentist choice in 2024.
Marketing in the dental services industry
- 66.1% of dental professionals surveyed in 2026 said word-of-mouth and referrals were their leading source of new patients.[31]
- 6 out of 10 was the average marketing-satisfaction score reported by dental professionals surveyed in 2026.[31]
- 37.5% of dental professionals surveyed in 2026 rated their marketing satisfaction at 5 or below out of 10.[31]
- 43% of U.S. dental patients relied on word of mouth to find a dentist in the 2025 State of Dental survey.[29]
- 22% of U.S. dental patients relied on insurance networks when finding a dentist in the 2025 State of Dental survey.[29]
Digital marketing in the dental services industry
- 28% of U.S. dental patients used online searches or review platforms to find a dentist in 2025.[29]
- 56.57% of dentists surveyed in 2023 used Instagram to promote their practice.[33]
- 20% of U.S. dental patients specifically selected online search or reviews as their dentist-finding method in 2025.[29]
- 83.71% of dentists surveyed in 2023 used Facebook to promote their practice.[33]
- 73% of U.S. dental consumers trusted Google when choosing a dentist in 2024.[1]
Branding in the dental services industry
- 57% of U.S. consumers reported having a preferred dentist in 2024, indicating established provider preference.[1]
- 90% or more of respondents in a 2025 dental-patient study rated dentist or clinic reputation as important or highly important when choosing care.[25]
- 42% of respondents in a 2025 dental-patient study agreed or strongly agreed that online reviews were important when choosing dental treatment.[25]
- 59% of U.S. consumers said reviews affected their dentist choice in 2024, making reputation a significant brand-selection factor.[1]
Influencer Marketing in the healthcare services sector (sector benchmark)
- 92% of U.S.-focused health and wellness influencers included product or service promotions at least occasionally in 2026.[35]
- 38% of posts from U.S.-focused health and wellness influencers promoted a product, service or subscription in 2026.[35]
- 8.57 million influencer posts about the health industry generated a 1.07% average engagement rate globally in 2023.[36]
- 50% of U.S. physicians surveyed had changed prescribing choices based on healthcare influencer or KOL content on social media in 2024.[37]
- 50% of healthcare and pharmaceutical marketers reported dedicated, growing creator/influencer budgets in 2026, compared with 58% globally.[38]
10 Statistics
Operations & Execution
Practice throughput holds steady while operational variability remains measurable. In 2025, average dental-practice case-acceptance was 58% and the cancellation rate averaged 12.9%.
Process optimization in the dental services industry
- $8,764 was the average daily production per U.S. dental practice in 2025, compared with $8,436 in 2024.[10]
- 46 new patients per month was the average U.S. dental-practice volume in 2025, compared with 43 in 2024.[10]
- 43.3% of U.S. dentists used artificial intelligence for at least one practice task in July 2026, with administration and practice efficiency among the leading intended applications.[1]
- 58% was the average U.S. dental-practice case-acceptance rate in 2025, up from 57% in 2024.[10]
- 47% was the average U.S. dental-practice case-completion rate in 2025, compared with 42% in 2024.[10]
Operational efficiency in the dental services industry
- 5.5 hours per week was the average time U.S. dentists spent in the office not treating patients in 2024.[1]
- 4% was the average no-show rate among dental practices in the 2024 Henry Schein One industry report.[30]
- 77% was the average dental-practice reappointment rate in the 2024 Henry Schein One industry report.[30]
- 12.9% was the average U.S. dental-practice cancellation rate in 2025, down from 15.5% in 2024.[10]
- 6.9% was the average U.S. dental-practice no-show rate in 2025, down from 7.4% in 2024.[10]
Quality management in the dental services industry
- About 25% of surveyed U.S. adults said their dental office had discussed how it keeps the treatment area clean and safe.[18]
- 8% of patients experiencing harm from dental treatment in the U.S. study presented only to a physician rather than the dentist who provided the treatment.[39]
- 57% of surveyed U.S. adults said they were concerned about germs at the dental office in 2025.[18]
- 3.3 million Americans per year were estimated to experience harm related to outpatient dental care when the study findings were extrapolated nationally.[39]
- 98% of surveyed U.S. adults said it was important for dental offices to properly clean instruments before reuse.[18]
Supply chain in the dental services industry
- 6% to 8% of production was the clinical-supplies benchmark cited for U.S. dental practices in an American Dental Association practice comparison.[1]
- 5% to 7% of U.S. dental-practice revenue was allocated to dental supplies in the 2026 Dental Accounting Association benchmark.[40]
- 5% of production was the clinical-supplies ratio in Practice A in the American Dental Association cosmetic-practice comparison.[1]
- 4% to 5% of revenue was the dental-supplies benchmark for higher-performing U.S. dental practices in 2026.[40]
- 9% of production was the clinical-supplies ratio in Practice B in the American Dental Association cosmetic-practice comparison.[1]
Outsourcing / Offshoring in the healthcare services sector (sector benchmark)
- 29% of global healthcare providers used third-party providers for remote patient monitoring in 2024, based on a survey of 28 healthcare-provider executives.[41]
- 46% of global healthcare providers used third-party providers for customer-experience services in 2024, based on a survey of 28 healthcare-provider executives.[41]
- 43% of global healthcare providers used third-party providers for payroll services in 2024, based on a survey of 28 healthcare-provider executives.[41]
- 54% of global healthcare providers used third-party providers for supply-chain services in 2024, based on a survey of 28 healthcare-provider executives.[41]
- 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.[22]
11 Statistics
Finance & Pricing
Payment concentration persists, with out-of-pocket and private dental insurance together at 80% of 2024 spending. National dental spending increased 6.6% to $189.2 billion in 2024.
Pricing strategy in the dental services industry
- 13.3% of dentists’ usual charges was the average adult Medicaid reimbursement level in New Jersey in 2022.[42]
- $189 billion was U.S. national dental-care expenditure in 2024, up 3.6% from 2023 after inflation adjustment.[1]
- About 40% of U.S. dental-care costs were paid out of pocket in 2024.[25]
- 35% of U.S. dental-care costs were paid through private dental insurance in 2024.[25]
- $194 was the forecast average total undiscounted dental fee per treatment for dental-plan enrollees in 2025.[43]
Cost reduction in the dental services industry
- 32% was the salary expense ratio in Practice B in the American Dental Association cosmetic-practice comparison.[1]
- 55% was the overhead ratio in Practice B in the American Dental Association cosmetic-practice comparison.[1]
- 18% was the salary expense ratio in Practice A in the American Dental Association cosmetic-practice comparison.[1]
- 59% was the general-practice overhead target recommended by Levin Group in the American Dental Association cost-reduction article.[44]
- 45% to 55% of production was the recommended range for variable dental-practice costs such as payroll, laboratory fees and supplies.[44]
Profitability in the dental services industry
- $478 billion was the annual revenue generated by U.S. dental offices according to the American Dental Association’s economic-impact estimate.[1]
- 16% was the EBITDA margin for associate-led dental practices in the United Kingdom in the 2023–2024 period.[45]
- 19% was the post-COVID-19 average EBITDA margin for associate-led U.K. dental practices cited in the 2024 Dental Market Review.[45]
- $208,000 was the average net income for U.S. general-practice dentists in 2024.[44]
- 18% to 28% was the normalized EBITDA-margin range for U.S. dental practices in the 2026 Dental Accounting Association benchmark.[40]
Financial planning in the dental services industry
- More than 1 in 4 U.S. dentists within 10 years of dental-school graduation were affiliated with a dental support organization in 2024.[1]
- $50,000 to $75,000 was the typical post-closing cash buffer lenders expected dental-practice buyers to retain in 2026.[44]
- 65% to 85% of prior-year collections was the typical transaction value for healthy solo U.S. general practices in 2026.[44]
- 1.25 times was the minimum loan-coverage ratio lenders typically sought for U.S. dental-practice financing in 2026.[44]
- 70% was the overhead level above which margins were reported to shrink quickly in U.S. dental practices in 2026.[44]
12 Statistics
Product & Service
Digital tools and equipment adoption continue in surveyed practices. Digital impression systems rose to 64% in 2025, up from 57% in 2024.
Product lifecycle in the dental services industry
- 46% of surveyed dental practices used lasers in 2025, up from 36% in 2024.[46]
- 49% of surveyed dental practices spent 10% or less of their annual budget on new technology in 2025.[46]
- 48% of surveyed dental practices used digital impression systems in 2023 before adoption increased to 64% in 2025.[46]
- 64% of surveyed dental practices used digital impression systems in 2025, up from 57% in 2024.[46]
- 75% of surveyed dental practices used digital radiography sensors in 2023 before adoption increased to 87% in 2025.[46]
After-sales in the dental services industry
- $497 was the average not-to-exceed amount for dental-equipment repairs in 2024.[47]
- 2.9 times was the ratio of average not-to-exceed limits to median invoices for dental-equipment repairs in 2024.[47]
- $160 was the median 2024 invoice for janitorial work orders at dental locations.[47]
- More than 50% of specialty-dental-equipment service requests were completed by suppliers or manufacturers under warranties or service contracts.[47]
- $337 was the median 2024 invoice for general-repair work orders at dental locations.[47]
Value proposition in the dental services industry
- 94% of dental professionals surveyed in 2025 rated patient experience very or extremely important.[29]
- 80% of U.S. dental patients surveyed in 2024 rated being cared about as a person, not just a patient, extremely or very important.[48]
- 2.1 dental visits per patient per year was the average among U.S. survey respondents in 2024.[48]
- 55% of U.S. dental patients surveyed in 2024 expected specific branded recommendations for their oral-care needs.[48]
- 50% of U.S. dental patients surveyed in 2024 had been attending the same dental practice for more than two years.[48]
13 Statistics
Sustainability & Ethics
Sustainability actions are measurable, with 36% of surveyed dental professionals reducing paper use in 2022. Preventive care focus also rose, with 40% increasing emphasis on preventive care.
Sustainability in the dental services industry
- 29% of surveyed dental professionals reduced mercury use in their dental practice, 2022, international survey.[49]
- 36% of surveyed dental professionals reduced paper use in their dental practice, 2022, international survey.[49]
- 33% of surveyed dental professionals used more digital patient-education material instead of pamphlets, 2022, international survey.[49]
- 27% of surveyed dental professionals reduced overall practice waste, 2022, international survey.[49]
- 40% of surveyed dental professionals increased their practice’s focus on preventive care, 2022, international survey.[49]
ESG in the dental services industry
- 13 Dentsply Sirona sites were operating on renewable energy, 2024, global operations.[50]
- 9% growth was recorded in Dentsply Sirona employee resource-group membership, 2024, global operations.[50]
- 50/50 gender pay parity was reported for Dentsply Sirona’s global average total pay, 2024, global operations.[50]
- 43 Dentsply Sirona sites were certified to ISO 13485, 2024, global operations.[50]
- 16% of Dentsply Sirona’s waste generation was reduced against the 2021 baseline, 2024, global operations.[50]
Ethics in the dental services industry
- 49.3% of surveyed South Korean dentists identified illegal clinics operated by non-dentists as the most serious unethical dental practice, 2025, South Korea.[51]
- 28.3% of surveyed South Korean dentists selected adjustment of dental-school enrollment as an improvement strategy for unethical-practice problems, 2025, South Korea.[51]
- 48.3% of surveyed South Korean dentists considered license revocation the appropriate disciplinary action for the most serious unethical practice, 2025, South Korea.[51]
- 45.0% of surveyed South Korean dentists selected improved medical fees as an improvement strategy for unethical-practice problems, 2025, South Korea.[51]
CSR in the dental services industry
- $165 million was invested by Dentsply Sirona in research and development, 2024, global operations.[50]
- 0.17 was Dentsply Sirona’s total recordable incident rate, 2024, global operations.[50]
- 221,000-plus clinical-education course registrations were recorded by Dentsply Sirona, 2024, global operations.[50]
Circular economy in the dental services industry
- 354 grams was the mean mass of single-use plastic waste per dental procedure in four UK practices and a teaching hospital, 2022, United Kingdom.[52]
- 21 single-use plastic items were used on average for each dental procedure in four UK practices and a teaching hospital, 2022, United Kingdom.[52]
- 19 PPE items were used per dental procedure during the COVID-19 pandemic, compared with 14 before the pandemic, 2022, United Kingdom.[52]
- 87.3% of surveyed Jordanian dentists reported using amalgam vacuum filters directing particles to amalgam wastewater containers, 2022, Jordan.[25]
- 2.4% of non-hazardous dental-clinic waste was recycled in a Belo Horizonte case study, 2024, Brazil.[52]
Carbon footprint in the dental services industry
- 27 tonnes was the earlier estimated annual carbon footprint of the modeled dental practice, 2015, United Kingdom model.[53]
- 35 tonnes was the estimated annual carbon footprint of a full-time dental clinic operating 220 days, 2023, United Kingdom model.[53]
- 13 kilograms of carbon emissions were associated with water use in the updated dental-practice model, 2023, United Kingdom model.[53]
- 1,552 kilograms of carbon emissions per tonne were estimated for incinerating mixed dental waste, 2023, United Kingdom model.[53]
14 Statistics
Risk, Compliance & Legal
Documentation and cybersecurity risks remain key controls. In 2017–2021, 21.31% of disciplinary cases involved incomplete documentation, while 97% of healthcare organizations experienced at least one cyberattack during the 12 months covered by a 2026 survey.
Compliance in the dental services industry
- 37.74% of 901 disciplinary cases across nine US dental boards involved gross negligence, 2017–2021, United States.[54]
- 69.19% of surveyed dental and oral-maxillofacial practitioners maintained written records, 2025, study population of 2,581.[25]
- 71.01% of surveyed dental and oral-maxillofacial practitioners regularly obtained informed consent, 2025, study population of 2,581.[25]
- 57.76% of surveyed dental and oral-maxillofacial practitioners reported basic medical-law knowledge, 2025, study population of 2,581.[25]
- 21.31% of 901 disciplinary cases across nine US dental boards involved incomplete documentation, 2017–2021, United States.[54]
Risk Management in the healthcare services sector (sector benchmark)
- Across U.S. community hospitals, financial challenges and workforce challenges tied as CEOs’ top concerns, each receiving an average rank of 2.8 on an 11-point scale in 2024.[55]
- Across U.S. community hospitals, 65% of responding CEOs identified reducing operating costs as a financial concern in 2024.[55]
- Across U.S. community hospitals, 92% of responding CEOs identified rising staff, supply and other operating costs as a financial concern in 2024.[55]
- Across U.S. community hospitals, 50% of responding CEOs identified insufficient clinical staff for timely care as an access-to-care concern in 2024.[55]
- Across U.S. community hospitals, 71% of responding CEOs identified managed-care and other commercial-insurance payments as a financial concern in 2024.[55]
Cybersecurity in the healthcare services sector (sector benchmark)
- Across healthcare organizations globally, 54% reported using multi-factor authentication to reduce email and other email-based attacks in 2025.[56]
- Across healthcare organizations globally, 43% cited insufficient in-house expertise as a barrier to achieving a strong cybersecurity posture in 2025.[56]
- Across healthcare organizations globally, 97% experienced at least one cyberattack during the 12 months covered by the 2026 survey.[57]
- Across healthcare organizations globally, 74% of organizations experiencing the four studied attack types reported disruption to patient care in 2026.[57]
- Across healthcare organizations globally, 63% reported conducting regular cybersecurity training and awareness programs in 2025.[56]
Data Privacy in the healthcare services sector (sector benchmark)
- Across U.S. adults, 78% said they were concerned about the privacy of their health information when using an app managed by the government in 2025.[58]
- Across healthcare organizations globally, employee negligence was identified as the primary root cause of data-loss incidents by 35% of respondents in 2025.[56]
- Across healthcare organizations globally, 96% experienced at least two data-loss or exfiltration incidents involving sensitive healthcare data during the two years covered by the 2025 study.[56]
- Across U.S. adults, 52% said they were concerned about the privacy of their health information when using an app managed by a hospital or other healthcare provider in 2025.[58]
- Across U.S. adults, 64% said they were concerned about the privacy of their health information when using an app managed by a health insurance company in 2025.[58]
Crisis Management in the healthcare services sector (sector benchmark)
- 27.7% of surveyed healthcare facilities received at least one emergency-preparedness deficiency citation in CMS data covering 2022–2024 in the United States.[59]
- $2.57 million was the mean cost for healthcare organizations to recover from a ransomware attack in 2024, globally.[60]
- 41% of surveyed hospitals, including psychiatric hospitals, received emergency-preparedness deficiency citations in United States data covering 2022–2024.[59]
- 4.58 days was the average duration of declared NHS incidents in the United Kingdom during 2024.[27]
- 67% of healthcare organizations reported being hit by ransomware in 2024, up from 60% in 2023, according to a global sector survey.[60]
Governance in the dental services industry
- 33% of surveyed dental groups updated employee manuals and policies at least twice a year, 2021, United States.[61]
- 36% of surveyed dental groups knowingly had some exposure to legal risk under HR and employment rules, 2021, United States.[61]
- 27% of surveyed private dental practices updated employee manuals and policies at least twice a year, 2021, United States.[61]
- 34% of surveyed dental service organizations knowingly had some exposure to legal risk under HR and employment rules, 2021, United States.[61]
- 47% of surveyed private dental practices knowingly had some exposure to legal risk under HR and employment rules, 2021, United States.[61]
15 Statistics
Globalization & Expansion
Cross-border scale shows up in distribution and clinic operations. North America accounted for 45.0% of global dental-services-market revenue in 2025, according to Grand View Research.
Globalization in the dental services industry
- International distribution and value-added dental sales at Henry Schein totaled $3.221 billion in 2024.[12]
- 26% of Envista’s 2024 segment sales came from emerging markets, while North America contributed 42%.[14]
- $1,500.5 million in international clear-aligner case revenue was generated by Align Technology in 2024, up 3.5% year over year globally.[11]
- 271,600 active Invisalign-trained practitioners served the global market at the end of 2024.[11]
- International clear-aligner revenue represented approximately 46% of Align Technology’s 2024 clear-aligner case revenue, based on reported international and total case revenue.[11]
Cultural adaptation in the dental services industry
- 89% of U.S. adults said in 2025 that it was somewhat or very important for a dental provider to speak their spoken language.[62]
- 36% of U.S. adults said in 2025 that it was somewhat or very important for a dental provider to embrace their cultural preferences.[62]
- 44% of regional Australian dental practices reported involvement in oral-health services for Aboriginal and Torres Strait Islander patients in 2024.[63]
- 58% of U.S. adults aged 60 or older considered dental translation or interpretation services important in 2025.[62]
- 49% of U.S. adults said in 2025 that translation or interpretation services from their dentist were somewhat or very important.[62]
Supplier management in the dental services industry
- $6.679 billion in global dental distribution and value-added-services sales was reported by Henry Schein in 2024.[12]
- Straumann’s Enterprise Solutions team welcomed several major new dental service organizations as customers in 2024.[13]
- $233 million in global dental value-added services revenue was reported by Henry Schein in 2024, up 21.5% year over year.[12]
- $1.719 billion in global dental equipment sales was reported by Henry Schein in 2024, up 2.9% year over year.[12]
- Envista operated more than 30 dental brands in 2024, including Nobel Biocare, Ormco, DEXIS and Kerr.[14]
Stakeholder management in the dental services industry
- More than 5.6 million teens and children had been treated with Invisalign by the end of 2024.[11]
- 20,945 employees worked at Align Technology at the end of 2024.[11]
- 60,000 exocad CAD/CAM software installations had been completed by Align Technology by the end of 2024.[11]
- More than 2 billion clear aligners had been manufactured by Align Technology by the end of 2024.[11]
- 100,000 iTero intraoral scanners had been sold by Align Technology by the end of 2024.[11]
Distribution channels in the dental services industry
- $6.679 billion in global dental distribution and value-added-services sales was recorded by Henry Schein in 2024.[12]
- $1.719 billion in global dental equipment sales was distributed by Henry Schein in 2024.[12]
- $4.727 billion in global dental merchandise sales was recorded by Henry Schein in 2024.[12]
- $3.458 billion in U.S. dental distribution and value-added-services sales was recorded by Henry Schein in 2024.[12]
- Envista served dental professionals in more than 130 countries through direct commercial operations and distribution partners in 2024.[14]
Key questions about the Dental Services Industry
How big is the U.S. dental services market in 2024?
What growth rate does the market forecast for U.S. dental services?
Which companies lead the dental services industry?
What technology shift is most visible in 2026 dental practices?
How is U.S. dental spending structured by payer type?
What drives utilization among adults with different coverage types?
Cite This Report
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David Sutherland. (2026, February 13). Dental Services Industry Statistics. Gitnux. https://gitnux.org/dental-services-industry-statistics
David Sutherland. "Dental Services Industry Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/dental-services-industry-statistics.
David Sutherland. 2026. "Dental Services Industry Statistics." Gitnux. https://gitnux.org/dental-services-industry-statistics.
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Social media in the dental services industry