by Ali Oromchian, J.D., LL.M.
Off The Record with Ali is where healthcare meets real talk. Join attorney Ali Oromchian as he sits down with top voices in dentistry and business to explore practice ownership, leadership, growth, and everything in between. No fluff. Just real conversations to help you build, protect, and thrive in your practice. New episodes released regularly. Subscribe and stay in the know.
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🇺🇲
Publishing Since
8/14/2025
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June 9, 2026
<p>In this episode of Off The Record w/ Ali, Ali sits down with Perrin DesPortes, Founder of Next Level Executive and one of dentistry's most experienced advisors on practice growth, leadership, and entrepreneurship.</p><p>Drawing on decades of experience in dental distribution, consulting, M&A advisory, and executive coaching, Perrin shares what it takes to build a practice that can grow beyond the owner. Together, they discuss the realities of scaling a practice, the difference between coaching and consulting, when it makes sense to open a second location, and the common mistakes dentists make when pursuing growth.</p><p>Whether you're a solo practice owner looking for what's next or an entrepreneur building a multi-location organization, this episode provides practical insights on leadership, growth strategy, and creating a business that supports your lifestyle rather than controlling it.</p><p><strong>In this episode, you'll learn:</strong></p><p>✅ The difference between a coach, consultant, and fractional executive<br>✅ Why many dentists expand too soon<br>✅ How to know when you're ready for a second location<br>✅ The key metrics every owner should track before growing<br>✅ How to build a practice that isn't dependent on you<br>✅ Common leadership mistakes that hold practices back<br>✅ Ways independent practices can compete in today's market<br>✅ How to create long-term growth without unnecessary risk</p><p>Have questions about practice growth, ownership, or leadership? Contact our team through the contact form at <a href="https://www.dmcounsel.com?utm_source=chatgpt.com" target="_blank" rel="noopener">Dental & Medical Counsel</a>.</p><p>Follow Off The Record w/ Ali for more conversations with industry leaders, entrepreneurs, and experts helping doctors build stronger practices and avoid common business and legal pitfalls.</p><p>#DentalPracticeOwner #DentalLeadership #PracticeGrowth #DentalEntrepreneur #PracticeOwnership #DentalPracticeManagement #Dentistry #DentalBusiness #AliOffTheRecord #PerrinDesPortes #NextLevelExecutive #HealthcareLeadership</p><p></p>
May 13, 2026
<p>In this episode of Off The Record w/ Ali, Ali sits down with Lisa Byers, Dental Benefits Analyst with the California Dental Association (CDA), to discuss one of the most challenging and important areas of running a dental practice today — navigating dental insurance, PPO plans, and reimbursement pressures.</p><p><br></p><p>With more than 20 years of experience in dental billing, collections, practice management, and insurance-related issues, Lisa works closely with dentists throughout California to help them better understand third-party payers, fee schedules, claims management, and the operational realities that impact practice profitability.</p><p><br></p><p>Together, Ali and Lisa break down how practice owners should evaluate PPO participation, what dentists often misunderstand about fee schedules and negotiations, and how offices can better manage claims, denials, and insurance-related administrative burdens. The conversation also explores practice transition considerations, common mistakes owners make when evaluating insurance participation, and the growing role technology and AI may play in the future of dental insurance.</p><p><br></p><p>The episode also highlights the important role the California Dental Association plays in supporting dentists and advocating for the profession across California.</p><p><br></p><p>Whether you are evaluating PPO participation, struggling with reimbursement issues, or looking to improve the operational side of your practice, this episode provides practical insight every practice owner should hear.</p><p><br></p><p>What You’ll Learn:</p><p>• How to evaluate whether a PPO plan is truly profitable</p><p>• What dentists should understand about fee schedules and reimbursements</p><p>• Common insurance and claims management mistakes practices make</p><p>• Strategies for handling denials and administrative challenges</p><p>• What practice owners should know before changing insurance participation</p><p>• How insurance issues impact practice profitability and operations</p><p>• Considerations surrounding practice transitions and insurance relationships</p><p>• The evolving role of AI and technology in dental insurance🎧 </p><p><br></p><p>This episode is now live on YouTube, Spotify, and Apple Podcasts.I f you are a dentist navigating insurance challenges, evaluating your practice strategy, or planning for long-term growth and want guidance on legal, HR, or strategic considerations, you can schedule a complimentary consultation with Ali:👉 </p><p>https://www.dmcounsel.com/contact</p>
April 7, 2026
<p>In this episode of Off The Record w/ Ali, Ali sits down with practice transition advisor Phill Hoover to discuss one of the most common and costly mistakes practice owners make when preparing to sell — waiting too long to start planning.</p><p>Phill brings years of experience working with sellers through the transition process, helping them navigate the financial, operational, and timing decisions that directly impact the outcome of a sale. Together, he and Ali break down why many doctors approach transitions too late, how that limits their options, and what should be happening years before a practice ever goes to market.</p><p>The conversation also explores the importance of working closely with financial representatives, understanding the full timeline of a transition, and positioning a practice in the best possible light to maximize value. Phill shares practical insight into how early planning can prevent unnecessary stress, improve deal outcomes, and create a smoother path into retirement or the next phase of ownership.</p><p>Whether you are several years away from selling or just starting to think about your exit strategy, this episode provides a clear look at what it takes to prepare properly and avoid common pitfalls.</p><p>What You’ll Learn:</p><p>• Why waiting too long is the biggest mistake sellers make</p><p>• Why a 2 to 5 year plan is critical for a successful transition</p><p>• How early planning impacts valuation and deal structure</p><p>• The role financial advisors play in preparing for a sale</p><p>• How to position your practice to attract strong buyers</p><p>• Why communication with your advisory team is essential</p><p>• Common pitfalls that can delay or derail a transaction</p><p>• What sellers should be doing today to prepare for the future</p><p>🎧 This episode is now live on YouTube, Spotify, and Apple Podcasts.If you are a practice owner thinking about selling, planning your transition, or want guidance on legal, HR, or strategic considerations, you can schedule a complimentary consultation with Ali:👉 https://www.dmcounsel.com/contact</p><p><br /></p>
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Off The Record with Ali is where healthcare meets real talk. Join attorney Ali Oromchian as he sits down with top voices in dentistry and business to explore practice ownership, leadership, growth, and everything in between. No fluff. Just real conversations to help you build, protect, and thrive in your practice.
New episodes released regularly. Subscribe and stay in the know.
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