DecisionOne Dental Partners

What DecisionOne Dental Partners does

DecisionOne Dental Partners is a privately held Dental Support Organization (DSO) operating 35+ affiliated dental practice locations across the Chicagoland area in Illinois plus a single Wisconsin location in Germantown. The company is co-founded and led by brothers Dr. Michael Acierno (President & Chief Medical Officer) and Dr. Alan J. Acierno (Chief Executive Officer), with Alan Acierno (the founders' father) serving as Chief Financial Officer. DecisionOne targets independent dentists — both established practice owners approaching transition or retirement and new dental school graduates — and offers them partnership affiliation that preserves clinical autonomy while providing centralized business support. The core service offering covers HR, payroll, accounting, marketing, insurance, IT, continuing education, and group purchasing of supplies, equipment, and lab services at scale.

DecisionOne generates revenue through affiliation and practice management arrangements with its network of dentist-owned practices; specific pricing and fee structures are not publicly disclosed. Since 2018 the company has operated in strategic partnership with Smile Brands, which provides enterprise-level back-office infrastructure and financial backing, while DecisionOne maintains its doctor-led brand identity and regional Midwest footprint. In July 2024, DecisionOne added a technology layer by partnering with VideaHealth to integrate AI-powered dental imaging analysis across its affiliated practices for diagnostic assistance.

The company differentiates itself through its explicitly doctor-led governance model, a strong employer brand reflected in five consecutive Chicago Tribune Top Workplaces wins (2018–2023), and a community identity anchored by its 'A Reason To Smile' charitable program, the 'Celebrate Those Who Served' free dental day for veterans (1,783 donated procedures since 2018), and partnerships with Clearbrook, the Oral Cancer Foundation, and Packages4Patriots. Its growth posture is organic and regionally focused, with no disclosed venture capital or private equity investment.

Name

DecisionOne Dental Partners

Legal name

DecisionOne Dental Partners

Website

https://decisiononedental.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

251–500 employees

Short description

DecisionOne Dental Partners is a private Dental Support Organization operating 35+ affiliated dental practices across Illinois and Wisconsin, providing business management, group purchasing, and clinical support to independent dentists while preserving clinical autonomy. Since 2018 it has partnered with Smile Brands for enterprise back-office infrastructure.

Ownership category

akta.pro rank

Product category

Dental Support Organization Services

NAICS

Offices of Dentists (6212), Management Consulting Services (54161)

SIC

Services-Management Consulting Services (8742)

akta.pro primary industry

Federated/Partnership-Model DSOs (Affiliation Networks) (HLABAKAL)

akta.pro secondary industries

Regional/Multi-Region DSO Platforms (Aggregators) (HLABAKAK), Multi-Specialty DSOs (General + Specialty Networks) (HLABAKAA)

Keywords

• Dental support organization
• Dental practice management
• Practice affiliation services
• Group dental purchasing
• Clinical dental operations

Headquarters

HQ city

Schaumburg

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Dental Practice Affiliation/Management Fees: DecisionOne Dental Partners operates as a Dental Support Organization (DSO), generating revenue by providing business support services to affiliated independent dental practices in exchange for affiliation fees or practice management arrangements. The company offers economies of scale through group purchasing of supplies and equipment, shared administrative services including HR, payroll, accounting, marketing, insurance, and IT support.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels6 records

Core offering

DecisionOne Dental Partners operates as a Dental Support Organization (DSO) that affiliates with independent dental practices, providing them with centralized business management services including human resources, payroll, accounting, marketing, insurance, IT, continuing education, mentorship, and group purchasing of supplies and equipment. Dentists who affiliate retain clinical autonomy and become partners or owners, while the DSO handles operational back-office functions. The organization also operates its own affiliated dental practices delivering direct patient care across the Chicagoland area and Wisconsin.

Product overview

DecisionOne Dental Partners operates as a dental support organization (DSO) providing a platform of integrated services to affiliated independent dental practices. The core offering combines practice management support with clinical autonomy, enabling dentists to focus on patient care while accessing centralized resources. The portfolio includes dental practice support services (human resources, payroll, accounting, marketing, insurance, IT, training), the D1 Store merchandise platform for branded team apparel, and community outreach programs including the A Reason To Smile charitable initiative and Celebrate Those Who Served veteran dental care program. The organization also recently integrated VideaHealth AI technologies for enhanced diagnostic capabilities.

Differentiator

Problem solved

Functional benefit

Brands

• A Reason To Smile: The charitable arm of DecisionOne Dental Partners, created to give back to the community. The program began in 2014 with a partnership with Clearbrook to provide dental services for residents with intellectual and developmental disabilities.

Products and services

• Dental Practice Support Services (DSO Affiliation Services) Comprehensive Dental Support Organization (DSO) affiliation services providing affiliated independent dental practices with business management support including human resources, payroll, accounting, marketing, insurance, IT, continuing education, and operational support. Affiliated dentists maintain clinical autonomy and ownership while accessing centralized back-office systems. Customers are independent practicing dentists and dental practice owners.
• Practice Partnership / Selling Your Practice Affiliation program that recruits independent dentists to affiliate their practices with the DSO, offering practice acquisition evaluations and partnership opportunities. Designed for established private practice dentists looking to transition or retire, providing sale of practice and equity compensation while continuing to practice. Customers are private practice dentists considering transition.
• Celebrate Those Who Served (Veterans Free Dental Day) Annual free dental care event held on the Saturday before Veterans Day at select DecisionOne Dental offices. Since 2018, the program has provided 1,783 dental procedures valued at over $347,694 to 382 veterans. Customers are U.S. military veterans in the Chicagoland area.

Quantifiable outcome

• 382 veterans received free dental services; 1,783 dental procedures performed; $347,694 in donated dental services since 2018
• +1 more outcomes

Named customers5 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability2 records

Feature1 record

Partnerships

Five partnerships are on record, tiered core and minor.

• VideaHealthcoreTechnology or Integration · 1 July 2024In July 2024, DecisionOne Dental Partners partnered with VideaHealth to integrate AI technologies across its affiliated dental practices. This integration brings AI-powered dental imaging analysis to help dentists detect cavities, fractures, and other oral health issues more accurately through advanced diagnostic tools.
• Smile BrandscoreStrategic or Co-development PartnerSince 2018, DecisionOne has partnered with Smile Brands enabling guaranteed best-in-class support for human resources, payroll, accounting, marketing, insurance, IT and more, plus the financial stability to support future growth. Smile Brands provides the enterprise-level infrastructure while DecisionOne maintains its doctor-led model and community practice identity.
• ClearbrookminorOthersDecisionOne Dental Partners created 'A Reason To Smile' charitable program starting in 2014 with partnership with Clearbrook, a local facility providing services for children and adults with intellectual and developmental disabilities. DecisionOne opens its dental offices to provide free dental services for Clearbrook residents.
• Oral Cancer FoundationminorOthersDecisionOne is passionate about oral cancer prevention and awareness. The company has sponsored the Oral Cancer Foundation 5K and continues fundraising efforts to support oral cancer research and awareness initiatives.
• Packages4PatriotsminorOthersDecisionOne partners with Packages4Patriots, a local group based out of Elk Grove Village, IL that sends monthly care packages to troops overseas. During the annual Candy Buyback program, DecisionOne donates candy and dental supplies to Packages4Patriots, having donated over 9 tons of items along with monetary donations for shipping costs.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Dental Care Alliance: Dental Care Alliance is a multi-specialty DSO supporting hundreds of affiliated dental practices across the U.S. Its partnership-style affiliation model and regional density approach are directly comparable to DecisionOne's operations.
• MB2 Dental: MB2 Dental is one of the largest dental partnership organizations in the U.S., built explicitly on a doctor-led partnership model where affiliated dentists retain ownership. Its structure, equity-for-affiliation offering, and emphasis on clinical autonomy closely mirror DecisionOne's positioning.
• Smile Brands: Smile Brands is a large multi-brand DSO providing back-office support to affiliated dental practices through brands like Aspen Dental and SmileDirectClub-aligned entities. As DecisionOne's strategic partner since 2018 providing HR, payroll, IT, and growth capital, it operates in the same DSO space with overlapping service offerings.
• Great Expressions Dental Centers: Great Expressions Dental Centers is a DSO operating hundreds of affiliated dental practices in multiple states, providing similar centralized support services to affiliated dentists. Its scale and DSO structure overlap directly with DecisionOne.
• Benevis: Benevis is a dental services organization supporting hundreds of affiliated practices with concentration in pediatric and orthodontic care. Its DSO model, practice affiliation approach, and centralized support services directly parallel DecisionOne's business.
• North American Dental Group: North American Dental Group is a U.S.-based DSO supporting affiliated dental practices with clinical and operational support. Its mid-market DSO positioning and emphasis on affiliated-provider autonomy are comparable to DecisionOne.

Broad incumbents

• Pacific Dental Services: Pacific Dental Services is one of the largest U.S. DSOs, supporting hundreds of dental practices with comprehensive clinical and operational infrastructure. It competes with DecisionOne for both practice affiliations and corporate-level partnerships with technology providers.
• Heartland Dental: Heartland Dental is the largest DSO in the United States, supporting thousands of affiliated dental offices across nearly every state. It competes with DecisionOne for practice affiliations and dentist talent at a national scale.
• Aspen Dental: Aspen Dental (part of The Aspen Group) operates a national network of independently owned dental practices supported by central services. Its consumer-facing brand and broad geographic footprint position it as a wider-scale competitor to DecisionOne in the DSO space.
• Sonrava Health: Sonrava Health is a national dental and oral health services organization operating branded and affiliate DSOs across many states. Its broad multi-brand DSO portfolio and consolidated support services make it a wider-scale competitor to DecisionOne.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/decisiononedentalpartners
• LinkedInlinkedin.com/company/decisionone-dental-partners
• Instagraminstagram.com/decisiononedental
• Xx.com/d1dental

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about DecisionOne Dental Partners