> ## Documentation Index
> Fetch the complete documentation index at: https://dso.getlemma.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Welcome to the DSO-PC Wiki

> An open, cited reference for building and running dental support organizations in the United States, from incorporation to your ten-thousandth remittance.

The DSO-PC Wiki is a free reference for people building or operating a **dental support organization (DSO)** in the United States. It explains the common support-company/professional-practice structure without treating it as the only lawful model, then follows the operator's work from formation and acquisitions through payer enrollment, billing, banking, and state compliance.

<Note>
  🦷 This wiki covers dentistry only. For management-service structures in medicine, behavioral health, med spas, veterinary, and other sectors, see the [MSO-PC Wiki](https://mso.getlemma.com).
</Note>

## What this site covers

Dental ownership and control rules are unusually state-specific. Some states reserve practice ownership to dentists; others regulate proprietorship, clinical control, fees, professional-entity composition, support agreements, business managers, or non-dentist owners through different statutes and rules. The result is not one national DSO blueprint. Operators need an entity and authority map, state-specific agreement terms, payer-by-payer enrollment decisions, patient-obligation tracking, and books and bank accounts that preserve the legal entities' actual roles.

This wiki documents all of it, at four levels of depth:

<CardGroup cols={2}>
  <Card title="Start Here" icon="graduation-cap" href="/start/what-is-a-dso">
    **Learn.** Guided, sequential tutorials with a guaranteed outcome. Follow a fictional dental group from idea to first paid claim to first acquisition.
  </Card>

  <Card title="Guides" icon="list-check" href="/guides/formation/form-a-pc">
    **Do.** Task recipes for a competent reader with a specific goal: form a dental PC, enroll with Delta, work a downgrade, register a DSO, buy a practice.
  </Card>

  <Card title="Concepts" icon="lightbulb" href="/concepts/model/corporate-practice-of-dentistry">
    **Understand.** The mental models and the *why*: the CPOD doctrine, fee-splitting, DSO economics, the dental payer landscape, where DSO profit actually lives.
  </Card>

  <Card title="Reference" icon="table-list" href="/reference/legal/dso-laws-by-state">
    **Look up.** Cited: 51 state CPOD pages, the dental case-law canon, the enforcement record, dental payer profiles, CDT and 837D anatomy.
  </Card>
</CardGroup>

## Who this is for

| If you are…                                              | Start at                                                                                                                                          |
| -------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------- |
| A founder building a dental group                        | [What is a DSO?](/start/what-is-a-dso)                                                                                                            |
| A dentist being asked to own a "friendly PC"             | [The friendly PC, explained](/concepts/model/the-friendly-pc)                                                                                     |
| A dentist selling to or joining a DSO                    | [DSO economics](/concepts/finance/dso-economics) — what the deal structures actually pay                                                          |
| An operator or biller doing the work day to day          | [Guides](/guides/billing/run-the-dental-billing-cycle) and [Reference](/reference/edi/denial-code-playbook)                                       |
| An operator preparing for an acquisition or legal review | [Dental transaction issue-spotter](/reference/legal/dental-transaction-issue-spotter) and [DSO laws by state](/reference/legal/dso-laws-by-state) |

## How we source

We prioritize primary sources: statutes, regulations, court opinions, agency materials, and payer documentation. State pages distinguish text, interpretation, and practical structuring notes; legislation gets effective dates; and uncertainty or source limitations should be stated instead of hidden behind a definitive national answer. See [How we keep this current](/reference/appendix/how-we-keep-this-current).

## Who maintains the DSO-PC Wiki

The DSO-PC Wiki is a neutral resource maintained by [Lemma](/reference/appendix/about-lemma), who builds dental-first banking for DSO groups. Lemma's banking product is documented at [docs.getlemma.com](https://docs.getlemma.com); the sibling reference for the rest of healthcare lives at [mso.getlemma.com](https://mso.getlemma.com).

See [How we keep this current](/reference/appendix/how-we-keep-this-current) for our sourcing standards and how to report an error.

## Next

<Card title="What is a DSO?" icon="arrow-right" href="/start/what-is-a-dso">
  The five-minute orientation: two entities, one business, and the century-old doctrine that splits them.
</Card>
