The Million Dollar Practice
Busy every day. Still can't break through $1 million?
One lever at a time, measured to the number, until your practice breaks through. It's the path we took at Nest.
You work to a fraction of a millimetre. Why shouldn't your growth plan be as precise too?
Most practices stuck under $1 million aren't short of ideas. They're short of the one thing that, done properly, has the greatest impact on growth. Twenty initiatives, none finished, and no way to know which one mattered.
How it works
One lever. Every sixty days. One number that moves the needle.
- 01
Diagnose
We analyse your practice and choose the one thing that, if fixed, will grow it fastest.
- 02
Treat
We work with you and your team to run one routine for 60 days.
- 03
Review
We measure again and show you what it was worth. Then we move to the next target.
Six 60-day sprints a year. Never more than one at a time.
Where most practices start
Rebooking to 95%
Every patient who leaves without their next visit leaves a future empty slot. In 60 days we get your rebooking rate to 95% and show you what that's worth.
- Baseline
- your rebooking rate today, from your own system.
- Target
- 95% by day 60.
- Routine
- the next visit is booked before the patient leaves.
- Check
- one number, reviewed every week.
Most practices start here. Your diagnosis may choose a different lever.
Calculator
How far are you from $1 million?
Five numbers, about a minute. No email needed. Every number is yours: no benchmarks.
Adjust our assumptions
Enter your collections to see how far you are from $1 million.
A model based on the numbers you enter. Not a forecast. Nothing is sent anywhere unless you book a call.
Proof
We didn't read about this. We lived it.
We bought Nest Dental and grew collections by 50% in under 9 months using this method. Rebooking went from 65% to 95%.
Most advisers have never run a practice. We bought one, and we still use this system to run it. No theory. A program we ran on our own practice first.

Damian Kernahan, Founder.
Who it's for
For owners ready to move their practice forward.
- You own an independent dental practice collecting under $1 million a year.
- You want to grow through the patients and chairs you already have.
- You can make decisions about how your practice runs and bring your team with you.
- You're ready to focus on one routine at a time and measure what changes.
Who it's not for
This isn't for everyone.
It's probably not for you if:
- You're an associate or manager without the authority to change how the practice runs.
- You want a marketing agency, more leads or a new website. This is about the patients and chairs you already have.
- You want a long list of initiatives. We do one thing at a time.
- Your team can't give ten minutes a day to one routine.
- Your practice is already well past $1 million.
If that's not you, let's talk.
The offer
Start with a free strategy call.
Twenty minutes to see whether the program fits and which lever to start with. If it does, we begin a 60-day sprint.
