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Dental PracticeM&A Valuation Benchmarks

Median multiples, deal-size medians, named acquirers, and per-bracket multiples — based on 114real M&A transactions in the dental practice space.

11× median EBITDA1.6× median revenue$137.1M median deal sizeMarket: consolidating

State of DentalM&A in 2026

The dental practice M&A market is currently trading at a median 11× EBITDA (interquartile range 7.2×–14×) and 1.6× revenue (interquartile range 0.9×–3.4×), based on 114 disclosed transactions at a median deal size of $137.1M. The market trend is currently consolidating.

Active acquirers include GTCR, Ontario Teachers' Pension Plan, KKR, Heartland Dental. Recent named transactions: Dentalcorp Holdings Ltd. (2025, $3,300M, 11× EBITDA); Donte Group (2025, $1,166.6M, 12.5× EBITDA); Leixir Dental Laboratory Group (2025, $225M, 11.3× EBITDA).

Premium multiples in dental are driven by hygiene as 30%+ of total production (hygiene-heavy practices command premium multiples); long-term lease (10+ years remaining, unlocks sba financing for buyers); associate-driven production (proves transferability, opens dso buyer pool).

What depresses multiples: 100% owner-produced collections (private buyer pool only, multiple compresses 20-40%); lease under 3 years remaining (kills sba-financed buyers entirely); declining collections over 2+ consecutive years (red flag for any buyer).

All figures based on disclosed deals only. Source: SEC filings, EDGAR 8-K/S-4, and verified press releases (114 deals total, 85 with EBITDA, 69 with revenue). Quality grade: green.

Median multiples

Metricp25Medianp75Sample
EV / EBITDA7.2×11×14×85 deals
EV / Revenue0.9×1.6×3.4×69 deals
Deal size (EV)$137.1M114 deals

Recent (2018+) median: 11.3× EBITDA, 2.2× revenue. Data quality: green.

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What drives premium multiples

  • Hygiene as 30%+ of total production (hygiene-heavy practices command premium multiples)
  • Long-term lease (10+ years remaining, unlocks SBA financing for buyers)
  • Associate-driven production (proves transferability, opens DSO buyer pool)

What depresses multiples

  • 100% owner-produced collections (private buyer pool only, multiple compresses 20-40%)
  • Lease under 3 years remaining (kills SBA-financed buyers entirely)
  • Declining collections over 2+ consecutive years (red flag for any buyer)