GTM Sauce

Top Founders with Nathan Latka · 2026-08-11

How He Bootstrapped Dental Software to $16m

Rohit, co-founder of Practice by Numbers (all-in-one dental practice platform sitting on top of PMS systems like Dentrix/Open Dental), bootstrapped with zero outside capital: ~$1M ARR in 2018, cut to ~$2M after COVID (relaunched 2021), $12.5M end of 2025, targeting $16.5M in 2026. ~1,300-1,400 customers / ~2,000 locations at ~$12-13K per location per year. All sales inbound/word of mouth plus some trade shows. ~22-24% EBITDA, ~$1.5M FCF in 2025. Payments launched 2025 with ~$190M GMV vs ~$2B possible.

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7 tactics

Practice by Numbers · B2B · software for dental practices

ARR ~$2M -> $12.5M from 2021 to 2025
“And also all of our sales are inbound, right? Meaning it's all word of mouth. We go to some shows, shows produce a little bit for us, but almost everything is people telling other people.”
Workedword-of-mouthevents
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

$12.5M ARR, 22-24% EBITDA, ~$1.5M free cash flow in 2025
“Of course, we could put fuel to the fire and grow faster. Will that be the right set of customers? Perhaps.”
Workedfinancing
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

Became the wedge for the later all-in-one platform
“Business analytics, the practice IQ portion of it, the revenue analytics, be able to mine the data. This exists very heavily in the medical space. It just didn't in the dental space.”
Workedintegrations-marketplacespositioning-niche
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

~$12-13K per location a year on average; up to ~$18-19K
“So what we're trying to get done is take all that white space and give them a practice in the box.”
Workedupsell-expansionpricing
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

~$190M processed of ~$2B possible; profitable but switching is hard
“It's an upsell motion. We are strapped for resources. So we're trying to hire the right people so we can actually drive that upsell to be able to call these offices”
Mixedupsell-expansionpayments-checkout
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

“be able to sell that thing as a, perhaps even as a percentage of their revenue, right?”
Unknownpricing
Top Founders with Nathan Latka · 2026-08-11

Practice by Numbers · B2B · software for dental practices

“I would run stretch sheets and I would run, you know, SQL queries for her in the database in the backend and try to figure out, give her answers.”
Workedvalidation
Top Founders with Nathan Latka · 2026-08-11

Numbers mentioned

SubjectMetricValueQuote
Practice by NumbersarrUSD 1M
approximate
“I think we broke the first million in 2018.”
Practice by Numbersarr
After COVID setback and 2021 relaunch
USD 2M
approximate
“So we kind of were at $2 million at 2021, at the end of 2021.”
Practice by NumbersarrUSD 4M
estimate
“I think we almost doubled it in that. I think we were close to four-ish at that time.”
Practice by Numbersarr
Host's extrapolation, confirmed by guest
USD 8M
approximate
“So that means 2024, you probably ended what, somewhere around 8 million? That's right. Yes.”
Practice by NumbersarrUSD 12.5M
approximate
“Where did you end 2025, December ARR? About 12 and a half.”
Practice by Numbersarr
Expected year-end 2026 ARR (recorded April 2026)
USD 16.5M
projection
“And now we're going to end this year at about $16.5 million.”
Practice by Numbersarr
Host's calculation: ~1,300 customers x $13K ACV; guest answered with the year-end target instead
USD 15M–16M
estimate
“That puts you at like 15, 16 million ARR today. Is that about right? We will end the year at about 16 and a half.”
Practice by Numbersgrowth rate+35–40%/year
projection
“We're looking at 35, 40% growth. So we're making a rule of 70, 80 company.”
Practice by Numbersmargin
EBITDA margin; books not fully closed
22–24%/year
estimate
“2025, we were at about EBITDA was about 24, 22, 23 or 24.”
Practice by Numbersprofit
Free cash flow
USD 1.5M/year
approximate
“there was a free cash flow of about 1.5 last year”
Practice by Numbersfunding raisedUSD 0“remember we are bootstrapped completely. So there's- Well, congrats, that's awesome.”
Practice by Numbersacv
Average per dental location
USD 12K–13Kper location /year
approximate
“So at this point, we are reaching about $12,000, $13,000. And that's the average. Per year? Yes, per year.”
Practice by Numbersacv
Per-location price with all modules layered on (voice, AI, payments)
USD 18K–19Kper location /year
approximate
“as you keep layering on everything, you get to about $18,000, $18,000, $19,000.”
Practice by Numbersacv
Host's calculation for largest customer (40 locations x $18K); corrected by guest
USD 720Kper customer /year
estimate
“Okay. So your largest customer would be 40 locations times 18,000 per year, which would be 720,000 per year just from that one customer. Is that right?”
Practice by Numbersacv
Largest customer (~40 locations), not on all modules
USD 250Kper customer /year
approximate
“Not quite. Our largest customer is about 250,000 because they don't have all the features, right?”
Practice by Numberscustomers
Top-level customers (accounts)
1,300–1,400 customers
approximate
“we have about 13 to 1400 top level customers”
Practice by Numberscustomers
Host's guess of locations; corrected to ~2,000 locations (5-6K is providers)
5,000–6,000 locationsper location
estimate
“And that represents what, about 5,000, 6,000 locations?”
Practice by Numberscustomers2,000 locationsper location
approximate
“That represents about 2,000 locations and about 5,000, 6,000 providers.”
Practice by Numbersusers
Providers (dentists, periodontists, orthodontists) across customer locations
5,000–6,000 providers
approximate
“That represents about 2,000 locations and about 5,000, 6,000 providers.”
Practice by Numbersgmv
Payment volume processed through PBN payments (launched 2025)
USD 190M/year
approximate
“So the GMV that we have is about $190 million.”
Practice by Numbersgmv
Total payment volume addressable within existing customer base (collections per location x locations, adjusted for insurance checks)
USD 2,000M/year
estimate
“close to about $2-ish billion of additional or total GMV possible in our system at this point”
aggregatePractice by Numbers' dental customers vs. national average dental practicerevenue
Customers' production (revenue) relative to national average; 'almost 2x'
2 x
approximate
“our customers are almost 2x of national average, right? In terms of the volume of the production”
marketUS dental offices covered by the five dominant practice management systems PBN integrates withmarket size70K–80K dental offices
approximate
“So that's what we are focusing on right now is to get 70,000, 80,000 dental offices covered.”
Practice by Numberscount
PMS integrations listed/built; covers the dominant PMS vendors
5 integrations“it is dominated by the five that we have listed”
Practice by Numbersteam size
42-43 in the US, rest in India
80 people
approximate
“So we have about 80 people worldwide and about 42, 43 of them are in the US and the rest of them are in India.”
Practice by Numbersteam size
Developers; 3-4 of them focused on agentic workflows
17–18 people
approximate
“we have about 18, 17, 18 developers”
Practice by Numbersrevenue
10-year revenue ambition
USD 100M/year
goal
“10 years from now, $100 million plus revenue. That's absolutely possible.”