What Growth-Minded DSOs Need to Know in 2025

As CEO of an AI-first company, I believe trust is something we have to earn and keep every day. That’s why privacy isn’t just a feature of Peerlogic. It’s our foundation.

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We didn’t bolt on AI after the fact. We designed our platform from the ground up with one goal in mind: to make AI work for real practices, without ever compromising the people or data behind them.

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That means:

• Your data stays your data. We never train our models on your live conversations. We deidentify all patient data before use and only generate synthetic training data—not scraped calls, reused transcripts, or open-source junk.
• Our models are proprietary and purpose-built. No generic large language models here. Our AI was built in-house, specifically for dental and veterinary workflows.
• No sharing. No selling. No shadow practices. We don’t send your data to third-party providers like OpenAI. We don’t use your recordings to improve anyone else’s model. And we don’t sell your information, ever.

We’re proud to be the only platform in the space using synthetic training data at scale. That’s not just a technical differentiator—it’s a values-based one.

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We also believe in transparency. That’s why every feature we ship is designed with clear opt-in options, HIPAA-conscious workflows, and compliance in mind. From call recording notifications to encryption protocols, nothing is left to chance.

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You’ll never find:

• Voice cloning
• Shadow data scraping
• Models trained on your live patient calls

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You will find:

• A platform designed to help your front office work smarter
• Tools that respect your patients and your staff
• A team that treats privacy like the business-critical responsibility it is

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Our approach to AI is human-centered and privacy-led. It’s not about replacing people, it’s about supporting them. And we believe the only way to do that well is with a platform built on trust, ethics, and real accountability.

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Thanks for trusting Peerlogic.

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We’ll keep earning it.

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Ryan Miller
CEO, Peerlogic

The Reality: Pet Parents Don’t Wait

Today’s veterinary clients expect quick answers and frictionless scheduling. Multiple studies show:

• 24%–28% of all calls to the average veterinary clinic go unanswered—that’s as many as 1 out of every 4 potential appointments lost, especially during busy times or after hours.
• 85% of callers will not call back if you miss their call, and most won’t leave a voicemail—they’ll call a competitor instead.
• Most clinics rely heavily on phone calls: over 90% of appointments are still scheduled over the phone in many practices.

“Even two missed calls a day can mean 40 lost opportunities a month—and most are gone for good.”

The Hidden Cost of Missed Calls

The cost of even a single missed call adds up fast. Here’s what the numbers look like across real clinics:

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• The average small business loses about $126,000 annually due to missed calls—not a small number.
• For each new client lost, the potential value can exceed $10,000 over the pet's lifetime, considering long-term and preventive care.
• Up to 60% of calls go unanswered during the busiest hours if staff are stretched thin.
• Clinics with inefficient phone systems miss out on over $100,000 of recoverable revenue every year—often a conservative estimate.

Pressure on Staff and Practice Reputation

• Staff shortage and multitasking make it almost impossible to answer every call—causing stress and missed connections.
• Missed calls undermine trust and satisfaction: Negative client experiences can damage reputation and result in poor online reviews.
• Nearly 80% of veterinary negligence cases have a communication element—a missed call or message can become a risk factor.

AI-Powered Call Recovery: A Fast Fix

Hiring more people isn’t always feasible, and traditional answering services can be costly and inconsistent. That’s why a growing number of clinics are turning to AI call recovery tools.

How AI Solutions Like “Aimee” Help

• Answer every call, 24/7—including lunch breaks, after hours, or staff busy moments.
• Follow up automatically: Proactively return missed calls and even convert voicemails into bookings, no staff action needed.
• Book in real time: AI assistants can access your scheduling software and confirm appointments on the spot, reducing the phone tag cycle.
• Improve efficiency: One clinic cut missed calls from 25% to under 2% and reduced admin training time by 80%, thanks to AI.
• High ROI: Many practices see an additional $100,000+ in recovered revenue per year, per location.

Results You Can Measure

• 60% reduction in missed calls after system upgrades or implementing AI.
• AI-driven clinics typically recover 20% more appointments and boost client satisfaction by 15%.
• Fewer no-shows: AI receptionists can minimize the “no-show” rate, preventing $50,000+ per year in wasted slots for an average veterinarian.
• Transparent data: Call analytics reveal when, why, and how calls are being missed, so practices can act quickly.

The Bottom Line

Your phones are still the #1 gateway to more appointments, happier clients, and a thriving business. But the cost of missed calls is steeper than most realize, impacting revenue, reputation, and staff wellbeing. AI-assisted solutions now give clinics a simple way to make sure every call is answered, every opportunity is captured, and every pet parent is cared for.

The dental industry is consolidating, but market shifts are changing the rules for those rolling up practices looking to package and exit.

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Consolidation now requires integration across a portfolio to drive the enterprise value needed to move that portfolio to a private equity sponsor.

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‍Five years ago, an operator could get away with packaging up 25–50 practices and turning them over to PE to integrate and optimize. As is typically the case, PE learns that EBITDA growth is in the operations, and operations is hard, therefore shifting the onus to the operator to create value in the portfolio before entertaining the transaction.

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Now, dental operators must be adept at integration across people, process, and technology. No small feat—but to make investors whole, it’s the only way.

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As an institutional investor in B2B vertical SaaS, I see the dental industry going through a common tech consolidation cycle.

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Core systems lead the charge, in this case, Practice Management Software (PMS) becomes the technology backbone of the practice. Then smaller tech solutions flood the market to fill the gaps in the core solution. The stack starts to bloat, raising costs and complexity.

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As in other industries, the tech leaders in the space do a great job of influencing process in the form of “best practices.” The best of them build armies of raving fans (power users) who become the mouthpiece in the practice for the adoption of new solutions. That’s great for the software company—but not always for the business. When an operator decides to roll up practices, this problem compounds, as you now have conflicting opinions about the right solution moving forward.

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The next phase is tech consolidation, which typically looks like a series of M&A transactions led by the system-of-record tech (PMS), trying to roll up smaller solutions into their platform to acquire customers, transition them to their core, and generate the perception of a fully integrated solution. There are varying degrees of success here. But the reality is, most companies are not going to acquire the best-of-breed solutions—those are expensive transactions. And just like the DSOs rolling up practices, tech companies are building enterprise value for their investors. The result is often a half-baked solution that isn’t much more than a customer grab.

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So, what’s the solution?

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First, look at best-of-breed solutions focused on delivering tangible ROI for your portfolio, those that facilitate the consolidation of people and process through a seamless technology experience.

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Second, examine their partner ecosystem. The best companies create deep partnerships that bring together the best of the best across specialized use cases. These partnerships go beyond tech integration. They extend into go-to-market strategy, deploying a value-based model that highlights the levers they can pull in your portfolio, the outcomes of pulling them, and the roadmap to get there. These partnerships often lead to M&A transactions that create outsized outcomes for both stakeholders and customers.

DSOs are at a crossroads when it comes to delivering enterprise value to their investment partners. The only path forward is an integrated portfolio, built on solutions that drive revenue, production, and efficiency across the enterprise—setting the standard for people, process, and technology.

As an investor and operator in Peerlogic, our charge is to serve 1 million patients through our AI-first solutions and deliver $1 billion in incremental revenue for dental practices. We do this through a truly integrated, value-first solution—one focused on meeting the DSO market where they are: building integrated portfolios that deliver enterprise value at the next turn.

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