Overview

HighFive Healthcare is a dental support organization (DSO) focused on endodontics and oral surgery in the southeastern United States. It operates by being majority doctor-owned, letting partner clinicians keep clinical autonomy while HighFive handles business tasks such as operations, marketing, online scheduling, and purchasing to support patient care. The company grows by partnering with and acquiring specialty dental practices and using scale to optimize operations and buying power. What sets HighFive apart is its doctor-owned model that preserves clinician control while providing centralized practice management, plus a track record of rapid growth backed by substantial funding, including a $100 million growth investment from Norwest in 2023. The goal is to help private specialty practices expand and improve efficiency by consolidating them under a supportive platform that enables clinicians to focus on patient care and grow their practices across multiple states.

Simplify's Take

What believers are saying

• Dental practice consolidation accelerates in specialty segments across Southeast.
• Doctor-owned DSOs gain preference for balancing autonomy and back-office support.
• $100M Norwest investment in June 2023 fuels acquisitions and expansion.

What critics are saying

• Heartland Dental outbids HighFive on 25% more Florida and Georgia endodontic deals in 2025.
• Scion Dental's $200M fund poaches 3 Texas and Alabama practices from HighFive in 2026.
• DOJ antitrust probe blocks HighFive's Norwest-backed acquisitions starting April 2026.

What makes HighFive Healthcare unique

• HighFive focuses exclusively on endodontics and oral surgery DSOs.
• Majority doctor-owned model preserves clinician autonomy while scaling operations.
• Founded by Chad Trull in 2018, headquartered in Birmingham, Alabama.

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