A new dimension in practice management consulting for oral health programs.

About D4 Practice Solutions



D4 Practice Solutions advocates for oral health programs throughout the United States. We draw on our experience, relationships, and practical solutions to hear what success looks like for our clients and to work with them to achieve their goals.

Your D4 team will help you analyze your practice and identify challenges and opportunities. We will then construct a strategy and recommend practical action steps to achieve sustained success.


D4 Practice Solutions is an experienced dental consulting group that provides practice management services to a wide range of practice types, from DSOs to individual private practices to health centers and other safety net dental programs. Our comprehensive approach starts with a deep dive into practice operations through an exhaustive analysis of practice data and a combination of in-person and virtual interviews with key practice stakeholders. While our clients may look very different from one another, they all share a common desire to reduce unpredictability, enhance staff dynamics and accountability, maximize patient access and outcomes, operate more efficiently, increase patient engagement and improve financial performance. Our process uncovers the barriers to success, enabling us to develop individualized improvement plans designed to guide clients to achieve the results they envision for their dental practices.



"My experience over the past 13 years has shown over and over again that clients who embrace the improvement process and implement the recommended action steps achieve success."

-Dr. Mark J. Doherty


  • "Mark has spent his entire career dedicated to improving oral health for underserved and disadvantaged populations".

    -Steven Geiermann, DDS, Senior Manager of the Council on Advocacy for Access and Prevention at the American Dental Association

  • "Mark not only has the knowledge and leadership skill sets that community health needs, but he has the drive and energy to accomplish his goals."

    -Mark Koday, DDS, Chief Dental Officer at Yakima Valley Farm Workers Clinic


  • "Fish River Rural Health will be eternally grateful for the professional consultation and expertise provided by Dori Bingham to strengthen our dental program in northern, rural Maine! We received amazing step-by-step guidance that positioned a struggling single dental service site to where we are today with three thriving dental service delivery sites! Thank you!".

    -Heather Pelletier, Executive Director/CEO

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