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The Evolutions Group

Now partnering with independent oral surgeons

All the power of a DSO. 100% your practice.

The MSO built for oral and maxillofacial surgery. We run the business side of your practice, from revenue cycle and marketing to design and construction, while you keep every share of ownership and every clinical decision.

Schedule a callSee what we handle
Reception area of an oral surgery practice built with The Evolutions Group

Since 2010

Over 16 years helping oral surgeons in nearly all 50 states.

250+ practices

Oral surgery practices we've helped launch since 2010, plus the established practices we support.

9 services

One partner for every part of the business.

You own a practice and carry all of it.

Billing, marketing and the next build-out all land on your desk. We take that weight off with the systems and team of a much larger group, and you give up nothing.

Talk to us about your practice

You're finishing residency and want your own name on the door.

Location, financing, design, construction and opening day. We've guided surgeons through every step of starting a practice, so you can launch on your terms instead of signing away equity.

Plan your practice launch

You're an associate ready to own what you build.

You're already doing the surgery. As an owner, the value you create becomes yours. We help associates and independent contractors plan the move to their own practice, with the support of a larger organization behind them.

Explore practice ownership

Our approach

Every practice has different goals: more time, more growth, a second location, a stronger exit. We start by understanding yours, then care for the business with the same discipline you bring to every patient.

  1. 01

    Examine

    A thorough review of your operations, financials, team and market, so nothing is assumed.

  2. 02

    Diagnose

    We pinpoint what's holding the practice back and where the greatest opportunities are.

  3. 03

    Plan

    A clear plan built around your goals, with priorities, timelines and the measures that matter.

  4. 04

    Treat

    Our team carries out the plan across revenue cycle, marketing and practice operations.

  5. 05

    Follow up

    Regular reviews of your numbers, adjusting the plan as your practice and your goals evolve.

Since 2010, we've helped launch more than 250 oral surgery practices. And since we introduced revenue cycle management in 2018, some of our partners have trusted us with their billing every year since.

One partner for everything that isn't surgery.

Every partner practice gets the full depth of our team, built on more than fifteen years in oral surgery.

Start your OMS practiceLocation, site selection, financing, design, construction and opening day, built on a budget you control.Practice acquisitionBuying an existing oral surgery practice: valuation review, due diligence, financing and a smooth transition for patients, staff and referrals.Revenue cycle, rebuiltOur new revenue cycle puts automation and AI to work from benefit verification to collections, on the practice software you already use, with oral surgery billing specialists behind every claim.Design-build and facilitiesReal estate selection, lease evaluation, architecture and engineering, construction management and closeout for purpose-built surgical facilities.Marketing and growthDigital and AI marketing, online reputation, social media, grassroots and referral marketing, PR, and branding, built for long-term growth.

The advantages of a DSO, with your ownership intact.

Traditional DSO model

Practice equity is shared with the group

Direction is set at the group level

The Evolutions Group

You keep 100% ownership

Your priorities and profitability set the direction

Build generational wealth through ownership.

Owning your practice is one of the most powerful ways to build wealth that outlasts your career. We help you grow it: a stronger, more valuable practice every year that you can keep, pass on to the next generation, or sell on your own terms, with TEG guiding the process when the time comes.

  • Keep 100% of the equity you build
  • Grow the value of your practice every year
  • Pass it on, or sell on your terms
  • Expert guidance when it's time to sell

Frequently asked questions

What is an MSO for oral surgery?

A management services organization (MSO) runs the business side of a practice, such as billing, marketing and operations, while the surgeon keeps ownership and clinical control. The Evolutions Group is an MSO built for oral and maxillofacial surgery.

What's the difference between an MSO and a DSO?

A DSO typically acquires an ownership stake in the practices it supports. An MSO like TEG provides the same kind of operational support while you keep 100% ownership of your practice.

Do I give up ownership or clinical control?

No. You keep 100% ownership and make every clinical decision. We handle the business operations so you can focus on surgery.

What services are included in a TEG partnership?

Revenue cycle management, marketing and growth, design-build and facilities, and support for starting a new practice or acquiring an existing one.

How is a TEG partnership priced?

Revenue cycle management is priced as a percentage of collections. Everything else in the partnership is a flat monthly fee, so your costs are predictable.

Who does TEG work with?

Independent oral and maxillofacial surgeons, from residents planning their first practice to established multi-surgeon groups. Oral surgery is our focus, and our experience also includes other surgical specialties and dentistry.

Do you work with practices outside Oklahoma?

Yes. We're based in Tulsa, Oklahoma, and support oral surgery practices across the country.

How do I get started?

Schedule a call. We'll learn about your practice and your goals, tell you plainly where we can help, and show you what a partnership would look like.

Schedule a call to see how our MSO can help you.

A free, confidential conversation about your practice and your goals. No obligation, no equity conversation.

Schedule a call