For owners with a vision, but too little time.
A stronger practice. More time for you.
Dr. Wano helps independent dental practice owners find what is holding the practice back, improve how the work flows, and build routines the team can sustain.
- Take home more
- Get time back
- Build a practice that depends less on you
For independent dental practice owners: those who bought in the last 24 months, established owners whose practice still depends on them, and owners considering a sale in three to five years.
- What should I fix first in the practice I bought?
- Why does the practice still need me for every decision?
- What needs to work without me before I leave?
The practice is busy.
Why does running it
still feel this hard?
A full schedule. Admin after hours.
Too much resting on you.
- Booked solid. Flat take-home.
- When insurance limits your fees, review what you can control each week: returning patients, treatment getting scheduled and productive chair time.
- Good people keep leaving.
- Corporate pay and benefits compete for scarce applicants. Keep good people with clear expectations, career check-ins and a complete compensation package.
- Every question comes back to you.
- Dependence on you or one key employee disrupts days off and can deter buyers. Written routines and a weekly scorecard help your office manager run the day.
The Dr. Wano Method
Find the one step that sets your pace.
Start with the outcome you want. Review the numbers and how work moves through the practice. Find the constraint, test a practical improvement, and give the team a routine that keeps it working. Then review what needs attention next.
What the work
looks like.
Start with your goals, your numbers and how work moves through the practice. These are some of the operating problems owners bring to Dr. Wano.
The schedule is full.
The day still runs behind.
We look at appointment mix, doctor time and assistant coverage by day. We find where patients wait, where chairs sit empty and where the team is stretched. Then we rebuild the schedule to fit how you practice, with room to flex when the day changes.
- Appointment mix
- Team coverage
- Schedule template
What we put in placeA schedule template and staffing plan, with a weekly look at production per hour, open chair time and how often the day runs late.
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
Open full transcriptProduction looks healthy.
Cash still feels tight.
We find where money gets stuck between the chair and the bank, from unscheduled treatment to slow insurance claims. Then we build a week-by-week view of the next three months, so you can see what's coming before you hire or buy.
- Collections
- Overhead
- Cash forecast
What we put in placeA collections routine, a simple supply ordering system and a rolling three-month cash forecast, each with a named owner.
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
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Small handoff failures become your problem.
We follow patients from the first call to the treatment chair and find where they fall through: the callback that never happens, the treatment that gets planned but never booked. Then we give every step an owner.
- First call
- Treatment plan
- Scheduled
What we put in placeA weekly follow-up routine with named owners, so overdue patients and unscheduled treatment get worked without you chasing anyone.
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
Open full transcriptStart with clarity. Build a routine your team can sustain.
Begin with a short conversation about your goals. If there is a fit, diagnose the practice before agreeing what to change and how to support it.
20-minute call
Discuss your goals and the operating issue. Decide together whether a Practice X-Ray is the right next step.
Practice X-Ray
Review summary operating numbers and how work moves through the practice. Receive a readout, a working explanation of the constraint, one practical first fix and a proposed 90-day path.
Install
Months 1–3
Put the agreed improvement, scorecard and written routines into practice. Confirm who owns each routine and what support the team needs.
Run
Month 4 onward
Review progress, keep the scorecard and routines useful, and address the next constraint. Agree the review cadence and support in the engagement scope.
Operational advisory for independent practices. Clinical advice, marketing-only services, valuation and sale negotiation are outside this offer.
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
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Dr. Jeremy Wano
Dr. Wano trained as a dentist at Penn and served 12 years in the Navy, where he treated patients and managed a dental clinic’s staffing, schedule, supplies and finances. He brings strategy experience from BCG, customer success leadership from Dandy, a digital dental lab and technology company, and hands-on operating experience as a vice president at Perle, an AI startup.
- DMD
- MBA
- MPA
Experience
-
U.S. Navy & Navy Reserve2009–2021
Final rank: Lieutenant Commander
Consultant2021–2022Strategy, financial planning and operational transformation.
Head of Customer Success Strategy2022–2024Customer operations, onboarding and patient experience.
Vice President, Business Operations2024–2026Financial planning, cash forecasting and KPI governance.
Dental practice owners are some of the hardest-working people I know, and running the business shouldn't take everything they have left after a full day chairside. Every engagement starts with the owner's goals, because no two practices run the same way.
Specialist support, agreed when needed.
Dr. Wano leads the operational advisory work. Where a practice needs additional finance, growth or technology support, specialist work can be scoped separately with 4xLeverage. Agree the responsibilities, deliverables and fees before that work begins.
Experience and education
across the team
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Dr. Wano · Recorded October 15, 2026. This transcript follows the edited video captions.
Open full transcriptRequest a 20-minute call
Tell us about your practice and what you want to improve. Dr. Wano will review your inquiry and follow up to discuss the next step, including arranging a 20-minute call where appropriate.