
Episode #15
How to Scale a Dental Practice Like a Real Business | Matt Coggin
Matt Coggin did not come up through dentistry. He came up fixing businesses.He spent most of his career on mergers, integrations, and go-to-market work. He ran a specialty pharmaceutical business. Then he led the ortho and clear aligner businesses at Dentsply Sirona as Chief Strategy Officer. About three years ago he became CEO of Spear Education.When he looked at dental practices, he saw something familiar. Small businesses. Under 20 employees. And almost no one actually leading the business.That is the heart of this conversation.Matt breaks down the difference between working in your business and working on it. He explains why a dental practice runs like a supply chain, where ten saved seconds add up to real money. And he is honest about the trap that catches many owners: hire an associate to work less, and your profit per day can actually drop.In this episode:Why most practices have no one running the businessWorking in the business versus working on it, and why it mattersThe associate math nobody explains before you hireTreatment planning the full mouth, the skill Spear was built onHow a structured pathway moves an associate from $3,000 to $4,500 a dayWhy training and development is the priority most owners skipThis one is for practice owners, multi-location owners, and DSO leaders who want to grow without burning out. Associates thinking about ownership will get a clear look at what running the business really takes.Comment with your biggest takeaway. If you know an owner stuck working in their practice, send this their way.Follow Matt Coggin at @matthew.coggins and Spear Education at @speareducation.---Shoutout to our sponsors:SprintRay Midas: https://bit.ly/SprintRay-PodcastOrthoBrain: https://bit.ly/4vFk9OINeer: https://bit.ly/4vzRFG3Clear Aligner Advisor: https://www.clearaligneradvisor.co/--- General DentistsIf you’re looking to implement clear aligners confidently and predictably:Free Training → https://www.clearaligneradvisor.co/ DSOs & Group PracticesIf you’re exploring doctor activation, aligner adoption, or associate retention strategy:Learn more → https://www.clearaligneradvisor.co/aligneradvantageAbout Dr. Avi: Dr. Avi Patel is a general dentist and founder of Clear Aligner Advisor. He works with solo practices and DSOs nationwide to bridge the gap between education and real-world execution — helping doctors grow with clarity and confidence.Connect with Dr. AviInstagram → https://www.instagram.com/doctor.aviLinkedIn → https://www.linkedin.com/in/dr-avi-patel-clearaligner-advisor/

