B2B · software for dental practices
How Practice by Numbers grows
7 tactics and 25 figures from 1 interview.
practicenumbers.comPractice by Numbers sells software to dental offices. It started as analytics built on top of the practice software dentists already used, then grew into an all-in-one suite, with nearly all sales coming inbound from dentist referrals. Staying bootstrapped, it reported ARR rising from about $2M at the end of 2021 to $12.5M at the end of 2025.
- Almost every sale came inbound from dentists referring other dentists, helped by strong support and a few trade shows, with no paid acquisition described; ARR grew from about $2M to $12.5M over four years.Practice by Numbers
- The co-founder answered his dentist wife's business questions with spreadsheets and SQL for years, then built analytics that sat on top of the five dominant practice systems instead of replacing them.Practice by Numbers (1)Practice by Numbers (2)
- From that wedge it added booking, forms, phones, payments, websites and AI, sold as packages; it reported about $12-13K per location a year on average and up to $18-19K fully layered.Practice by Numbers
- Payments launched in 2025 through outbound calls asking existing offices to switch card processing; it reported about $190M processed of roughly $2B possible, profitable but hard to win because offices resist switching.Practice by Numbers
- With no outside capital, it chose to grow 35-40% a year at 22-24% EBITDA rather than buy revenue, reporting about $1.5M of free cash flow in 2025.Practice by Numbers
Summary written 2026-09-26 from the tactics below. Figures are as founders stated them.
About Practice by Numbers
- What it is
- All-in-one dental practice SaaS on top of the practice management system: analytics, patient communications, online booking, forms, VoIP phones, payments, websites, AI
- Who it's for
- Dental practices and multi-location dental groups (dentists, periodontists, orthodontists)
- Business model
- Per-location annual subscription with modular packages (voice, AI, payments layered on) plus payments take rate
- Pricing
- ~$12-13K per location per year average; Up to ~$17-19K per location per year with all modules; Packages build from a basic operations core up to 'thrive'
- Launched
- 2015
- Team
- ~80 people (42-43 US, rest India); 17-18 developers, 3-4 on agentic workflows
- Funding
- bootstrapped
- Outcome
- Operating; $12.5M ARR end of 2025, targeting $16.5M end of 2026
As described in the interviews, not independently verified.
Practice by Numbers's 7 tactics
Practice by Numbers by the numbers
| Metric | Value | Context | Said in |
|---|---|---|---|
| arr | USD 1M approximate | Top Founders with Nathan Latka 2026-08-1110:56 | |
| arr | USD 2M approximate | After COVID setback and 2021 relaunch | Top Founders with Nathan Latka 2026-08-1110:44 |
| arr | USD 4M estimate | Top Founders with Nathan Latka 2026-08-1111:12 | |
| arr | USD 8M approximate | Host's extrapolation, confirmed by guest | Top Founders with Nathan Latka 2026-08-1111:18 |
| arr | USD 12.5M approximate | Top Founders with Nathan Latka 2026-08-1111:31 | |
| arr | USD 16.5M projection | Expected year-end 2026 ARR (recorded April 2026) | Top Founders with Nathan Latka 2026-08-1110:49 |
| arr | USD 15M–16M estimate | Host's calculation: ~1,300 customers x $13K ACV; guest answered with the year-end target instead | Top Founders with Nathan Latka 2026-08-1110:22 |
| growth rate | +35–40%/year projection | Top Founders with Nathan Latka 2026-08-1112:09 | |
| margin | 22–24%/year estimate | EBITDA margin; books not fully closed | Top Founders with Nathan Latka 2026-08-1113:16 |
| profit | USD 1.5M/year approximate | Free cash flow | Top Founders with Nathan Latka 2026-08-1113:23 |
| funding raised | USD 0 | Top Founders with Nathan Latka 2026-08-1111:52 | |
| acv | USD 12K–13Kper location /year approximate | Average per dental location | Top Founders with Nathan Latka 2026-08-116:08 |
| acv | USD 18K–19Kper location /year approximate | Per-location price with all modules layered on (voice, AI, payments) | Top Founders with Nathan Latka 2026-08-116:53 |
| acv | USD 720Kper customer /year estimate | Host's calculation for largest customer (40 locations x $18K); corrected by guest | Top Founders with Nathan Latka 2026-08-116:32 |
| acv | USD 250Kper customer /year approximate | Largest customer (~40 locations), not on all modules | Top Founders with Nathan Latka 2026-08-116:40 |
| customers | 1,300–1,400 customers approximate | Top-level customers (accounts) | Top Founders with Nathan Latka 2026-08-119:53 |
| customers | 5,000–6,000 locationsper location estimate | Host's guess of locations; corrected to ~2,000 locations (5-6K is providers) | Top Founders with Nathan Latka 2026-08-1110:00 |
| customers | 2,000 locationsper location approximate | Top Founders with Nathan Latka 2026-08-1110:03 | |
| users | 5,000–6,000 providers approximate | Providers (dentists, periodontists, orthodontists) across customer locations | Top Founders with Nathan Latka 2026-08-1110:03 |
| gmv | USD 190M/year approximate | Payment volume processed through PBN payments (launched 2025) | Top Founders with Nathan Latka 2026-08-117:53 |
| gmv | USD 2,000M/year estimate | Total payment volume addressable within existing customer base (collections per location x locations, adjusted for insurance checks) | Top Founders with Nathan Latka 2026-08-117:59 |
| count | 5 integrations | PMS integrations listed/built; covers the dominant PMS vendors | Top Founders with Nathan Latka 2026-08-115:48 |
| team size | 80 people approximate | 42-43 in the US, rest in India | Top Founders with Nathan Latka 2026-08-1116:52 |
| team size | 17–18 people approximate | Developers; 3-4 of them focused on agentic workflows | Top Founders with Nathan Latka 2026-08-1117:00 |
| revenue | USD 100M/year goal | 10-year revenue ambition | Top Founders with Nathan Latka 2026-08-1118:08 |
Topics
Interviews
- How He Bootstrapped Dental Software to $16m · Top Founders with Nathan Latka · 2026-08-11