EP 69: From Zero Paychecks to $20 Million: Dr. Panarello on Overcoming Adversity in Private Practice

About this episode

Dr. Lance Panarello shares his journey from financial struggle to building a $20 million dental practice, emphasizing the importance of coaching and self-improvement.

Welcome to another episode of the Private Practice Playbook, where we dive into the real stories behind successful dental practices. This week, we sit down with Dr. Lance Panarello, a dentist whose journey took him from working alongside his father in a small practice to scaling up to over $20 million in annual revenue and managing multiple locations. In this candid conversation, Dr. Panarello reflects on the early years, times of financial struggle, hard choices, and learning through adversity, including a period with no paycheck and climbing out of a multimillion-dollar debt. He shares how humility, coaching, and relentless self-improvement transformed both his business and personal life. You’ll hear insights on building a thriving dental practice, the importance of coaching, overcoming ego, fostering work-life balance, and why real growth comes from learning how to lead, delegate, and communicate. Whether you’re just starting out or looking to take your practice to the next level, this episode is packed with actionable advice and inspiration from someone who's walked the walk. Tune in as we uncover the pivotal moments and lessons that can help you find more freedom…

People in this episode

Host: Practice Growth Institute

Guest: Dr. Lance Panarello

Topics covered

• private practice
• adversity
• financial struggle
• coaching
• self-improvement
• dental practice
• work-life balance

Keywords

• private practice
• dental practice
• financial struggle
• coaching
• self-improvement
• work-life balance
• leadership

Mentioned in this episode

Organizations: Practice Growth Institute

More episodes of Private Practice Playbook

• EP 68: Scaling a Practice Without Breaking Your Marriage, Team, or Culture · May 14, 2026 · 1h 2m
• EP 67: Navigating Growth and Legacy: Dr. Todd Sala on Dentistry, Family, and Business Expansion · April 23, 2026 · 1h 0m
• EP 66: What It Takes to Build a Practice Bigger Than You · January 29, 2026 · 57 min
• EP 66: What It Takes to Build a Practice Bigger Than You · January 29, 2026 · 58 min
• EP 65: I Am the Standard: A Conversation with Deion Sanders · January 15, 2026 · 29 min
• EP 64: The Real Reason Your Practice Isn't Growing (Yet) · December 11, 2025 · 23 min