Underbite Management was started in 2011 and currently has three locations in Manhattan. The group, founded by David Janash, DMD, has a transparent, dentist-focused model that seeks to help practices grow and protect them from the seismic shifts happening in the industry. The Manhattan-based company combines a distinctly New York ethos with the same tactics used by the larger mega-DSOs, and offers a comprehensive slate of services and solutions, including human resources, insurance billing and verification, compliance reviews and revenue cycle management. Across its three, state-of- the-art facilities and centralized management, the organization embodies the cultural diversity of the city. A wide array of specialists ensure a streamlined practice flow, increased revenue and convenience for patients. Underbite Management’s strategy is diverse. They have been involved in acquisitions, chart mergers, office expansions, and even office sublets. Underbite has taken offices that are simple “bread and butter” general practices and turned them into efficient, multi-specialty dental centers with a significant increase in with a focus on case acceptance. In a “vertical city” with residents and visitors from around the world where space is at a premium, it is critical to be a 360-degree solution for patients, offering the basics as well as complex high-tech and cutting-edge procedures and philosophies. Underbite Management is particular about the “bones” of each practice they work with. The team has to be great and share core values, and the patient and procedure mix has to have potential and a willingness to grow and improve. They look for areas to combat inefficiency and opportunities to expand the repertoire of services offered, while keeping a careful watch to ensure the facility and team aren’t overwhelmed.