Thirty-two years ago, a conversation changed the course of my career.
I had spent seven years working alongside a dentist in New York. When that practice sold, I had options — the new owners wanted me to stay, and one of the largest practices in New York City was actively seeking me out.
Then came a proposition that would change everything.
Starting over. New state. New practice. Nothing but an empty space in Connecticut and a vision of what it could become. Seven years of working alongside each other had made one thing clear — there was no one else for this.
The answer was yes. And in 2000 we opened the doors of a practice that did not yet exist.
No patients. No staff. No systems. Just beams.
Twenty-six years later that practice collects $1.2 million annually. In private practice. Without DSO backing. Without corporate infrastructure. Without investor capital.
That is the foundation Praxis Operations Group was built on.
What I Learned
I learned that a dental practice does not perform because of its doctor. It performs because of its infrastructure. The systems nobody built overnight. The staff nobody replaced easily. The vendor relationships nobody negotiated twice. The institutional knowledge nobody documented anywhere.
I learned that the most valuable person in any dental practice is rarely the one whose name is on the door.
I learned that the single most dangerous moment in any practice is not a bad month or a difficult patient. It is a transition. Because transitions expose everything that was held together by people — and when those people walk out the door, the performance walks out with them.
Why Praxis Operations Group
I built Praxis Operations Group because the dental acquisition market needed something it did not have.
Not another consultant who advises from a distance. Not a corporate operations team parachuted in from headquarters. Not a theory.
Someone who has actually done it. Built it. Scaled it. Protected it. From the very first patient to $1.2 million in annual private practice collections.
That is what Praxis Operations Group is.
And that is what we bring to your practice. Every single day.
I am the founder of Praxis Operations Group and the operational force behind 32 years of private practice excellence in Connecticut and New York.
I came to a bare office space in 2000 with no patients, no staff, and no systems — and built it into a $1.2M annually collecting private practice from the ground up. I have done every job in the practice. Managed every vendor. Hired every staff member. Migrated every software platform. Maintained every patient relationship.
I have negotiated vendor contracts, built marketing systems from scratch, managed staff through every season of growth, and maintained patient relationships that have lasted decades. I have done the work that nobody sees — and I have done it without corporate backing, without a DSO safety net, and without outside support.
This is not a consulting firm built on theory.
It is built on 32 years of showing up, doing the work, and making a practice perform at the highest level — every single day.
I do not advise from a distance. I build from the inside.
Meet Maria
This isn't just a consulting firm. It's the result of 32 years of doing the work nobody saw — and deciding it was time the world did.
We tell you what you need to hear. Not what you want to hear. Because that is the only way to protect what you have built.
Connecticut & New York · Private Practice Operations Consulting