Introduction:

Welcome to this episode of the Private Practice Playbook with Jay Geier. Today, we dive into the remarkable journey of Dr. Todd Sala, a dentist whose story spans four generations and over a century of family practice. From buying into his father’s practice and continuing to build alongside his family to expanding from a modest eight-operatory clinic to a bustling 34-chair practice, Dr. Todd Sala reveals the lessons he learned along the way. We’ll hear about the challenges of earning patient trust, embracing mentorship (even when it’s hard to hear), managing finances and capital expenditures, and, perhaps most importantly, learning to delegate and become a true leader. Dr. Todd Sala opens up about balancing business growth with personal life, coaching others in the field, and the mindset shifts that unlock true potential. If you’re seeking not just growth, but lasting impact in private practice, you won’t want to miss this conversation.

Timestamps:

00:00 Todd's professional journey and insights

04:22 Discussing their close friendship

08:32 Decision to retire after vacation

12:22 Discussing business growth challenges

15:39 Understanding capex in business growth

19:08 Paying off the building

20:09 Expanding dental practice team

24:31 Balancing work and family life

27:06 Understanding others' perspectives on business

31:42 Preparing for leadership transition

32:48 Reflecting on early struggles

36:54 Reflecting on personal growth process

40:55 Building a dental clinic abroad

45:16 Turning point: focusing on others

47:30 Discussing time and money freedom

50:34 Thinking about saving money

54:09 Haggling story at Sam's Club

55:49 Discussing client ranking and feedback

58:57 Discussing the company's operational strategies

In this episode, Jay talks with Dr. Steven Pilipovich about building a practice with long-term vision and intentional leadership. From solo practitioner to multi-practice owner, Dr. Pilipovich shares what it takes to grow sustainably, invest in people, and create a practice designed to last.

In this episode, Jay talks with Dr. Steven Pilipovich about building a practice with long-term vision and intentional leadership. From solo practitioner to multi-practice owner, Dr. Pilipovich shares what it takes to grow sustainably, invest in people, and create a practice designed to last.

What does it really mean to lead—and how does leadership set the ceiling on everything you build?

In this special episode of The Private Practice Playbook, PGI founder Jay Geier sits down with Coach Deion Sanders for a live conversation at the Practice Growth Summit. Coach Prime shares powerful insights on discipline, confidence, preparation, and setting the standard as a leader.

Motivating, challenging, and timely—this episode is a must-listen for practice owners who want to raise the bar for their business and themselves.

In today’s episode, Jay opens with a simple — but confronting — question: “If I say I’m going to do it… does it actually happen?” From giving yourself real grace, to breaking old patterns, to stepping fully into leadership, this conversation pulls you out of default mode and into intentional growth. If you want clarity, confidence, and momentum heading into 2026, this is the reset you didn’t even know you needed.

In today’s episode, Jay opens with a simple — but confronting — question: “If I say I’m going to do it… does it actually happen?” From giving yourself real grace, to breaking old patterns, to stepping fully into leadership, this conversation pulls you out of default mode and into intentional growth. If you want clarity, confidence, and momentum heading into 2026, this is the reset you didn’t even know you needed.

The holidays are here — and for most people, that means slowing down.

But for top-performing practice owners, this is the time to finish strong.

In this week’s Private Practice Playbook, Jay shares how to turn year-end fatigue into fuel for growth — with three actionable steps every doctor should take before December 31.

If you’re constantly frustrated with your team, you’re not alone. Most doctors face the same cycle of stress, unmet expectations, and daily firefighting — but it doesn’t have to stay that way.

In this episode, Jay Geier unpacks five key barriers to growth that stem from your “human capital” — the people who make your practice run. From mindset shifts to accountability and compensation, Jay shares practical steps you can take to strengthen your team, restore control, and make your practice easier to run — not harder.