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Financial advisory for dental practice owners

The Financially Intelligent
Dentist™

Advanced tax strategy, CFO-level advisory, and long-term wealth planning for dental practice owners.

Most dentists were taught how to practice dentistry — very few were taught how to structure wealth, reduce tax exposure, scale profitability, or prepare for a successful exit.

That is where strategic advisory changes everything.

 

The gap

What dental school never taught you

Dental school teaches clinical excellence. It does not teach the financial architecture you need to build lasting wealth. 


  • Entity structure
  • Tax Stretegy
  • Practice profitability
  • Retirement architecture
  • Wealth coordination
  • Exit planning

That gap becomes expensive.

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Framework

The Pagac Dental Financial Funnel™

Production alone does not create wealth. Financial intelligence does. Click each layer to explore.

Production
Adjustments
Collections
Variable costs
Fixed overhead
Compensation strategy
Taxable income
Planning opportunities

 

A practice producing $2M a year can create dramatically different owner wealth outcomes depending on decisions made at each layer. Each layer represents a planning opportunity most dentists leave unaddressed.

 

Common blind spots

Where dentists leak wealth

Wrong entity structure

Sole proprietors and improperly structured LLCs overpay self-employment taxes from day one.

Overpaying self-employment tax

Without S-Corp election and proper salary structuring, you're leaving significant savings on the table.

Poor overhead visibility

Without benchmarked reporting, most owners can't identify where margin is being lost.

Reactive tax planning

Filing a return is not a strategy. Proactive planning happens 12 months before the deadline.

Inefficient retirement structures

Basic 401(k)s dramatically underperform defined benefit and cash balance plan options available to practice owners.

Unoptimized real estate ownership

Owning your building in the wrong structure or without a lease-back arrangement creates unnecessary tax exposure.

Lack of advisor coordination

When your CPA, attorney, and financial advisor aren't communicating, opportunities fall through the cracks.

Missed advanced deductions

Cost segregation, Augusta rule, PTET elections, and QBI optimization are frequently overlooked or misapplied.

How financially intelligent is your practice?

 

Services

Strategic advisory for dental practice owners


Dental tax planning

  • Proactive planning

  • QBI optimization

  • PTET elections

  • S-Corp structuring

Virtual CFO advisory

  • KPI visibility

  • Collections strategy

  • Profitability analysis

  • Cash flow planning

Practice profitability analysis

  • Overhead benchmarking

  • Margin improvement

  • Operational visibility

 

Real estate & cost segregation

  • Practice ownership strategy

  • Separate LLC structuring

  • Lease-back planning

 

Retirement & wealth coordination

  • Defined benefit plans

  • Cash balance plans

  • Wealth outside the practice

 

Exit & transition planning

  • Practice sale preparation

  • DSO readiness

  • Tax-efficient exit strategy

 

Case Study

A Dentist With a Vision | Specialty Dental Practice

Real Estate Acquisition, Tax Strategy & Long-Term Wealth Building

The Situation


A specialty dentist had built a thriving, marketing-driven practice in a busy area — but had been renting the same space since the day he opened. The location wasn't close to home, the office had become a constraint on growth, and he knew it was time to make a move. His vision was clear: find and acquire his own building, closer to home, with room to expand the practice on his own terms. Beyond the operational goals, the building represented something larger — a long-term wealth asset and a foundation for eventually transitioning the practice to his son.

The question wasn't whether to move. It was how to do it without destroying what he'd spent years building.

The Analysis


A move like this carries real risk for a specialty practice that runs on referrals and patient relationships. Before any decision was made, we helped think through the full picture — working together to evaluate various sites and modeling the financial projections for each. We suggested a formal study of where his referrals and new business were actually coming from, and what the likely impact of relocating would be. That analysis gave him the confidence to move forward on solid ground rather than instinct alone.

Structuring the Move


We helped structure the real estate entity and advised on the acquisition from start to finish — the modeling, the tax costs, and getting the practice properly established in the new location. We modeled multiple depreciation scenarios, including cost segregation strategies, to accelerate deductions and improve early-year cash flow.

Those losses didn't just offset income — they created strategic opportunity. We used the excess losses to fund Roth conversions at virtually no tax cost, turning what would otherwise have been lost itemized deductions into lasting retirement wealth. Those deductions also reduced taxable income enough to unlock the Qualified Business Income deduction for the first time, creating an additional layer of tax savings that helped fund the transition itself.

A Relationship Built Before the Deal


The real estate acquisition wasn't where this relationship started — and it wasn't where it ended. Years before the building was ever considered, we helped the practice exit an expensive retirement plan that wasn't built for their situation. The plan looked good on paper but didn't reflect the reality of who it was actually serving. We helped them understand what the doctor was keeping versus what was flowing to employees, and found a better, lower-cost structure that aligned with their goals. The age of the practitioner is always a driving factor in retirement plan design — and getting that right early mattered.

That foundation of trust is what made the real estate process work. By the time we were modeling site projections and structuring entities, we already understood the practice and the people behind it — both the doctor and his wife were intimately involved in the business, as is often the case with dental practices. We knew who they were, what they were building together, and where they wanted to go. Their goals were always at the forefront of every conversation and every recommendation.

We've continued that work beyond the acquisition — evaluating the practice, establishing a system for tracking overall financial well-being, and coordinating with their financial advisor to ensure the building, the practice, the retirement strategy, and the eventual succession to his son are all moving in the same direction.

The Result


A dentist with a vision now owns his building, practices where he wants to be, and has a tax and wealth strategy working in his favor at every level. What started as a real estate question became a comprehensive plan — built on a long-term relationship of trust and mutual understanding.

 

Credibility

Built around dentistry since 1975

Over five decades of specialized advisory for dental practice owners — CPA credentials, industry authorship, and deep expertise in the specific financial challenges dentists face.

1975

Year founded

30+

Years serving dental specialization

Millions

Hundreds of dental practice owners advised

Hundreds

of dental practice owners advised