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On today's episode, Dr. Mark Costes answers listener questions in this Ask Mark Anything segment, covering everything from adding specialists to protecting profitability during expansion. He breaks down how to evaluate the true cost per procedure before bringing in a specialist, why top-line revenue does not always translate into practice value, and how to calculate whether keeping specialty procedures in-house is actually profitable.

Mark also discusses scaling revenue versus improving profitability, the importance of tracking attrition and reactivation, and why patient experience remains essential for retention. He closes with practical advice on associate ramp-up timelines, the "valley of death" production range, mentorship, and where to save money during buildouts without sacrificing long-term efficiency.

Be sure to check out the full episode from the Dentalpreneur Podcast!

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