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374,422 providers mapped. 96,532 independent practices ranked. Know which markets to enter before DSO saturation prices you out — solo NPI ratio, commercial insurance signal, and HPSA designation scored across every US MSA.
The AcuiteIQ Dental Report covers every Metropolitan Statistical Area in the United States, scored on a 100-point proprietary model built from NPPES provider data, HRSA shortage designations, CMS Medicare claims, and PolicyMap demographic variables.
Each MSA receives scores across three dimensions — Demand, Fragmentation, and Market Quality — plus a signature Commercial Insurance Opportunity Score that identifies markets where a DSO can build a commercially-dominant patient base.
Delivered as a 19-page PDF narrative and a fully scored CSV ready for Excel or your internal acquisition models.
| # | MSA / Market | State | Acq. Score | Fragmentation | Demand | Mkt Quality | HPSA | Solo Ratio |
|---|
The average US dental market still has over 70% of dentists operating as independent solo practitioners — the highest consolidation runway of any healthcare services vertical. DSO penetration remains below 25% nationally.
The US dental services market exceeded $196 billion in 2024 and is growing at approximately 5% annually — driven by aging demographics, expanding dental insurance coverage, and increased consumer spending on elective procedures.
PE-backed DSO platforms consistently trade at 3x or higher revenue multiples compared to solo practices. Scale enables commercial contract leverage, supply chain savings, and marketing efficiency — creating meaningful value creation opportunities for acquirers.
Based on our February 2026 scoring, top-ranked markets include Austin TX, Orlando FL, Tampa FL, Denver CO, and Atlanta GA — driven by high solo operator ratios, strong commercial insurance penetration, and above-average population growth. The full report includes all ~400 US MSAs with complete score breakdowns.
The report covers all major dental taxonomy codes including General Practice (122300000X, 1223G0001X), Pediatric Dentistry (1223P0221X), Orthodontics (1223X0400X), Oral Surgery (1223S0112X), Periodontics (1223P0300X), Endodontics (1223E0200X), and Prosthodontics (1223P0700X).
The Commercial Insurance Opportunity Score (0–100) combines median household income, employer-sponsored insurance penetration, and uninsured rate for each MSA. High scores indicate markets where a DSO can build a commercially-dominant patient base — the most attractive payor mix for PE-backed platforms targeting premium margins.
The current report uses February 2026 NPPES data combined with the most recent HRSA HPSA designations, CMS Medicare claims data, and PolicyMap demographic variables. An annual refresh subscription at $5,000/year is available to existing report holders — re-scoring the full dataset each year using the same methodology.
Definitive Healthcare is a provider database platform at $25,000+/year — useful for finding individual dentists but not designed for market-level PE acquisition analysis. AcuiteIQ is a one-time purchase at $7,500 that answers a specific question: which markets should we target for a dental rollup, and in what order? No platform, no login, no annual fee.