dental assistant

systems administrator

voip engineer

dental hygienist

treatment coordinator

D4C Dental Brands

Strong leadership should balance accountability, metrics, and genuine care for employees — those things can and should coexist.

You pour an incredible amount of love, effort, time, and compassion into this role. At times, leadership creates the feeling of friendship and strong support, which naturally makes you want to work harder, give more of yourself, and continuously take on additional pressure to support the organization and those above you. Unfortunately, many of those relationships ultimately felt conditional, and once you were no longer serving a purpose, communication and support disappeared. It reinforced the feeling that, to leadership, everyone was ultimately replaceable.

One of the most positive outcomes from my experience has been the relationships I built with former executives and leaders who previously worked for the company. Many of those individuals, who I once viewed as mentors and superiors, have become some of my strongest supporters. They have continuously encouraged me, helped rebuild my confidence, and shown me what genuine leadership, integrity, and passion for people should truly look like — as well as what I should never settle for professionally again.

COO: 2 out of 5 ⭐️
There was very little visible involvement or connection with individual offices. Previous executive leadership felt far more hands-on, supportive, and impactful. Greater visibility and engagement would have made a significant difference in team morale and trust.

Support with associate doctors was also inconsistent. It often felt like the priority became filling positions quickly rather than building stable teams and healthy office cultures aligned with long-term goals. Offices would gain momentum only to have doctors reassigned elsewhere, leaving teams overwhelmed, unsupported, and struggling to maintain consistency for both staff and patients.

Training & Development Team: 1 out of 5 ⭐️
Training often felt focused on checking boxes rather than providing meaningful, office-specific support. 

To start off, the clinical and front desk teams often worked very hard to support patients and each other. 

However, management practices made the work environment difficult. In my experience, there was a noticeable pattern of favoritism and inconsistent standards; with training and allowing untrained employees to operate radiograph machines, etc. Oftentimes, certain employees [usually family members, in the case of the Gainesville location] appeared to receive preferential treatment, including raises and scheduling flexibility. In contrast, others who performed the same duties struggled to receive recognition or advancement.

I and other current employees also observed what was a Very Inappropriate personal relationship between a member of management and an employee they supervised. While many have been let go for much less, like a change in ones schedule. This situation was not dealt with and was 'swept under the rug' which created Clear perceptions of bias and unfair treatment among this company, which damaged morale and trust in many current leadership. Concerns raised about fairness or professionalism often felt dismissed, and some employees feared negative consequences for speaking up, due to retaliatory behaviors from management. 

The hardest part of the job was not the workload, but the lack of consistent leadership, accountability, and transparency. The most enjoyable part was working directly with patients and collaborating with many supportive coworkers who genuinely cared about providing good care despite the unprofessional environment created by management and the higher-ups. 

I like the work here. What I don't like is the constant back and forth on decision making and the seeming inability or unwillingness of upper management to make a decision and stick to it. 

Often when something goes seriously south, those who are barely involved in the mistake get held accountable while those who actually executed the task, get a scolding and that's it. Oh yeah, sometimes I feel like I'm in high school because of the tongue lashings instead of being treated like a professional. If I did something I'll own up to it and accept the consequences, but  what typically happens is we get scolded for an hour or more, sometimes multiple times.

This place used to be a joy to work at. But in the past year it has devolved into a blame game and a bunch of politicking with everyone trying to save their rear end. I believe upper management is focused too much on earning their performance bonuses and not enough on keeping the company in business tomorrow.

When something does go wrong, conclusions are made and then facts are, sometimes, gathered. Those conclusions become history and will follow you even if the facts don't support it. 

Most of the C-Level execs do not care about running a safe and secure company; they care only about themselves. 

I have seen people fired for slouching in their chairs during meetings. I kid you not.

Very few people here last more than 1-2 years and there's a reason for that. The work itself is fun, but everything else, not so much.

I have had an incredibly positive experience working at D4C Dental Brands. Over my time here, I’ve built meaningful relationships across many departments and have consistently felt supported by both peers and leadership.

D4C was my first experience working within a DSO, and over the last nearly six years, I’ve learned more about the business side of dentistry than I did in the 18 years I spent in private practice prior. That exposure and education have been invaluable to my professional growth and understanding of operations, leadership, and the broader dental industry.

I’ve had the opportunity to serve in several different roles throughout the company; experiencing demotions, promotions, and growth opportunities along the way. Each experience has shaped me into a stronger, more grounded leader, and I’m grateful for the lessons learned at every stage.

I truly believe your experience is what you make of it. When you show up each day with a positive attitude and lead with kindness and respect, that same energy is reflected back. The leadership I’ve worked with at D4C has consistently demonstrated fairness, support, and genuine care for their employees.

While I understand that not everyone’s experience is the same, mine has been overwhelmingly positive. If it weren’t for an unexpected growth opportunity outside of D4C, I could truly see myself retiring here. I would absolutely recommend this company to friends and colleagues looking for a supportive and growth-focused workplace.

It’s ok if you want to learn a few things but not a good long term career. The company is very unorganized and there’s no real training. Leadership tends to focus on the more productive offices, rather than the offices that are in need of help. Doctors really don’t have a say so in how the company is ran, so it’s left to the regional managers. Because D4C is the parent company, the marketing team for ikids pediatric dentistry is based out of state (not in Texas) so the majority of the marketing is left up to the operation managers of the practice and are given little resources. If monthly production goals are met, then only managers receive a bonus, not any of the other staff. The regional managers do not want you communicating that either to the staff members. Most front desk team members get paid below market average and end up going elsewhere. Upper management will lie and say they cannot pay team members certain salaries and hourly rates depending on what the office has allocated, but it’s honestly based on politics and favoritism. Regional managers do not take accountability and dismiss your concerns so you feel unheard. They will fabricate write ups and action plans and place blame on you even though you’ve address your concerns multiple times through different channels. Patients are constantly being rescheduled literally at the last minute because regional managers pull doctors from other offices, or the doctors don’t want to come in depending on the schedule, which causes major inconsistencies, upset parents, and just an overall stressful environment. 


Due to the expectation of the amount of patients upper management wants to be seen. Very stressful which has resulted in the loss of many great assistants. Which such a shame that upper management didn’t fight for them to stay with the team. Now the few they are left are extremely burnt out due to they still want same amount of patients with half the amount of help. Not only does this cause for extremely stressful days and wanting to quit. Also causes the parents of patients to be very upset and feel disrespected of their time and quality of care. 
Quality of care is at an all time low due to the high volume of patients scheduled and being very short staffed. Always being pressured to hurry up because all the other parents are mad and asking how much longer. So embarrassing to have to repeatedly having to apologize for the wait. The condition of the office is so outdated and falling apart with nothing really being done about it. So not only stressed about all the patients waiting on you but having to work with chairs and equipment that are falling apart and are not ergonomically friendly at all. So it’s very detrimental to your health of your body and mentally. I keep telling myself it will get better something will be done and fixed   But in reality they just don’t really care about you. Just the production numbers. 
There are no bonuses that are realistically attainable 

I interviewed with this company on a Monday and was told I'd be notified at the end of the week and would start in 2 weeks if I got the job. Was notified the following day about being hired and started the process of accepting the job offer, which had a different position listed on it than I was given, and background check. Once that was all completed (within 2 days of being offered the job) I was given a 3 day notice to start work, even though I was told 2 weeks and it fell during a major holiday week and I obviously already had plans. We agreed on a later start date and that was it. I was never sent my onboarding emails, never told what time to show up, no communication and it's been 11 days. Communication is inconsistent and incorrect. At this point I don't even know if I have the job still (set to start in a few days). I even asked about the high turnover at this location and was assured that's not the case and it's because people transfer out to other locations yet employee reviews state otherwise. I wouldn't waste your time interviewing as this has been a  joke so far  

My experience working for D4C left a lot to be desired. When we learned about the corporate buyout of the dental practice I worked for, we were told nothing would change, however that was not the case. My office went from being patient focused to being profit focused and the only thing that mattered was how many patients we were seeing daily. I’ve been through a corporate buyout before and it was nothing like this. We received emails weekly of new practices being purchased by D4C and it seems to me that the company is trying to grow way too fast. Turnover is incredibly high - not just at my office. It was across the entire state. No one was happy. I am completely satisfied with my decision to leave the company. 

IT Management is a bit insensitive insisting that employees come into the office during Covid pandemic. Most tactical decisions have to go through the IT director who is difficult to reach and can be very dismissive and rude. Company is going through a transition with a new CIO who is growing the IT team. 75% of the IT team including the CIO have not been with the company six months. Staffers are easy to work with. 
Upper management is cheap with non-competitive wages and lackluster benefits. New employees don't qualify for benefits until after 60 days. 401K has no employer match.  No PTO available during the first year.  

Top Job Titles	Average Salary
Dental assistant 10 salaries reported	$16.50 per hour
Systems administrator 16 salaries reported	$48.78 per hour
Voip engineer 12 salaries reported	$113,958 per year
Dental hygienist 8 salaries reported	$36.88 per hour
Treatment coordinator 1 salary reported	$21.50 per hour

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