Dental service organizations have dominated in the past decade and show no signs of slowing down.

The dental Medicaid program is beyond requiring a tune-up. The dental Medicaid program is wallowing in full-blown failure mode.

Between declining reimbursement rates and competition to keep patients, dentists and dental service organizations are faced with mounting competition.

Brian Colao serves as a Member and Director of the Dental Services Organization Industry Group at Dykema Gossett PLLC.

Mike Cole serves as the Vice President, Insurance Plan Management at Dental Care Alliance.

Professionals in the dental industry know the pressure to expand and keep up with the transitioning market. However, as expansion is on everyone's mind, reimbursement is getting tougher and dentists are competing for patients.

How has dental reimbursement changed over the years?

1. Will there be continued growth at the current rate in the future for Dental Support Organizations (DSOs)?

Chris Helle is the chief marketing officer of Premier Dental, a global dental products company with sales in more than 75 countries.

Dental service organizations are growing across the country. Strategies for growth vary based on DSO.

Michael Davis, DDS, is the founder of Smiles of Santa Fe (N.M.). As a dental leader, Dr. Davis is a consultant for patients, attorneys, legislators, policymakers and media personnel on various dental industry issues.

Virginia Jones, PhD, has served as the COO of Fayetteville, N.C.-based Village Family Dental for more than nine years.

Whether it be private practice dentists or executives from major dental service organizations, everyone in the dental industry is working to get patients through their front doors.

The introduction of price transparency in the healthcare space comes with mixed emotions.

Dental students on the cusp of graduation can take multiple paths after earning their degree, including joining a private practice or affiliating with a dental service organization.

For those in the dental industry, the rise of dental service organizations is nothing new. These groups can range from 10-office DSOs to those with up to 750 offices.

Irvine, Calif.-based Pacific Dental Services is among the largest dental service organizations in the U.S., with more than 700 supported offices across the country.

Irving, Texas-based U.S. Oral Surgery Management recently made its second partnership with Denver-based Colorado Oral Surgery. This is the specialty management services provider's second partnership in Colorado.

Dentistry is constantly evolving. In recent years, the emergence of dental service organizations has caused disruption.

Biolase CMO Samuel Low, DDS, is an expert in lasers and dental technology. He gave his insight into what dentists should expect in 2019.