Dental practices typically sell for 3 to 7 times EBITDA, with most transactions landing between 4 and 6 times. The wide range reflects how much the specifics of a practice matter to buyers.

Practice size is the biggest factor. A solo practice doing $500,000 in collections will trade at a lower multiple than a multi-doctor practice doing $3 million. Larger practices attract different buyers, including dental service organizations that pay premium multiples because they’re buying a platform for growth rather than just a patient base.

Specialty matters too. Oral surgery and orthodontic practices often command higher multiples than general dentistry. The specialized skills are harder to replace and revenue per patient tends to be higher.

Owner dependency pushes multiples down. If the practice revenue is entirely tied to one dentist who works 50 hours a week, a buyer is taking on significant risk. Practices where associate dentists handle a meaningful percentage of production are worth more because the revenue continues when the selling owner leaves.

The quality of financial records affects valuation more than owners realize. A buyer or broker can’t pay a premium for profit they can’t verify. When the books are messy or incomplete, buyers assume the worst. They discount their offers or walk away entirely. Working with a bookkeeper who keeps your numbers current and accurate makes a real difference when it comes time to sell.

Normalized EBITDA is what actually gets multiplied. That means adjusting for owner compensation above market rate, personal expenses running through the practice, and one-time costs that won’t continue under new ownership. The difference between reported EBITDA and normalized EBITDA can shift the valuation significantly in either direction.

For medical and dental practices, financial hygiene matters long before you list the practice for sale. Clean, current books speed up due diligence and give buyers confidence in the numbers they’re seeing.

The multiple you’ll actually receive depends on market conditions, buyer competition, and how attractive your practice looks on paper. The range is just a starting point. Everything after that comes down to the specifics of what you’ve built and how well you can document it.