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What EBITDA multiple do dental practices sell for?

TUSK Practice Sales reported in July 2026 that dental practice valuations commonly run from 5x to 9x+ EBITDA, with a more conservative 4x to 6x expected in the years ahead. Benesch reported in August 2026 that large DSO multiples had compressed to 9-10x EBITDA; this page compares the named ranges collected in dental market data.

By DDSIntel Editorial· Published · Data as of

Key numbers

What EBITDA multiple do dental practices sell for?

TUSK Practice Sales, a practice-sales advisory, reported in its Q3 2026 report that valuations run from 5x to 9x+ EBITDA, and Benesch, a law firm, reported 5-6x for smaller practices and 9-10x for large DSOs in August 2026. These are publishers’ statements, not DDSIntel estimates, and a given practice can fall outside them.

Why do the published ranges differ?

The two publishers describe different slices of the market. TUSK gives one range for dental practices, while Benesch separates smaller practices from large DSO platforms. The ranges overlap rather than conflict, and neither is a transaction database that can be audited, so read each by its publisher, date and stated basis rather than averaging them.

The buyers behind the large-platform figure are covered on how consolidated dentistry is.

Are dental multiples rising or falling?

Both publishers describe compression. Benesch said higher capital costs were causing large DSO multiples to compress to 9-10x EBITDA, after 13-16x in 2019 to 2021. TUSK said valuations may move from today’s 5x to 9x+ toward a more conservative 4x to 6x as dentistry follows more mature, consolidated industries.

How are DSO offers structured?

TUSK reported DSO offers with 60% to 85%+ of the total consideration paid as cash at close. The headline multiple is only part of what a seller receives, because the share paid at close, deferred or tied to future performance changes the outcome. Sellers should have counsel and their CPA review any offer.

Timing matters to value too, and dental transition signals track it; see when dentists retire and the dental exit window. Offices and sizes are on how many dental offices are in the U.S..

Frequently asked questions

What does EBITDA mean?

Earnings before interest, taxes, depreciation and amortization, a profit measure that multiples are applied to.

Does DDSIntel value practices?

No. This page reports ranges published by named firms, with dates; it is general information, not valuation, legal, tax or financial advice.

What did large DSO multiples peak at?

Benesch reported 13-16x EBITDA in 2019 to 2021, against 9-10x in August 2026.

Where do these figures come from?

TUSK Practice Sales’ Q3 2026 Dental Market Report, released July 10, 2026, and Benesch’s July/August 2026 monthly dental and DSO report, linked below.

Sources

  1. TUSK Practice Sales. TUSK Practice Sales Assesses the State of the Dental Industry in Its Q3 2026 Dental Market Report (July 10, 2026). pr.timesenterprise.com.
  2. Benesch, Friedlander, Coplan & Aronoff (via Mondaq). Benesch’s monthly dental and DSO report, July/August 2026 (Aug. 12, 2026). mondaq.com.

Questions or corrections: request a correction. Markdown version: /data/practice-valuation-multiples.md.