About Realscore

Modernizing Location Strategy Tools and transforming communities one practice at a time.

Established in 2010.

Bringing trust and expertise to the dental industry.

We are an independent, unbiased Location Strategy consulting firm helping practitioners, businesses, and communities to thrive. Our mission is to:

HELP PRACTITIONERS and industry advisors achieve their business and personal goals.

HELP COMMUNITIES attract dentists so that dental services are no longer the most underserved medical need in the US.

AND EDUCATE practitioners and their industry partners about the importance of Location Strategy and how it affects all aspects of your practice.

Be confident in your practice location and leave a lasting legacy.

Helping people. Helping communities. Educating the industry.

census block groups

Location Strategy FActors

Potential Strategic Moves

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demographic factors

At Realscore, we understand that Location Strategy is too critically important to rely on old methods of finding locations, such as using zip codes, postal routes, concentric circles, useless internet research, and just by driving around looking for a busy street.

In this time of uncertainty and risk, making a mistake in choosing or keeping your practice location will result in lost financial opportunities, increased stress, and impact your lifestyle, family, and the legacy you leave.

That’s why we strive to provide practitioners and dental industry advisors access to Location Strategy Tools that previously were only available and affordable by huge companies. Competition Ratios and Demographic Studies based on Census Block Group Technology provide the highest precision in market analysis allowing you to make informed, confident decisions for your practice so you can live the life you want.

meet Realscore's Founder and CEO

David James

David James is a founder and CEO of Realscore and is an entrepreneur and dental industry Location Strategy visionary leader. His career spans over three decades as a CPA, CFO, CFO Consultant, tax advisor, and business owner.

His personal mission is to serve people, communities, and businesses by helping dentists and their advisors and suppliers. He prioritizes family, ministry, helping others be successful in business and life, and is an avid golfer.

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Consulting Services

Step 1 in the Location Search Process. A high-level search in the Realscore app with your specialist. Recommended if you do not have a specific region or area in mind.


Market-Specific Studies

Step 2 in the Location Search Process. Find the top potential location regions, or Pockets, with the best competition ratios and desired patient household income.


Location-Specific Reports

Step 4 in the Location Search Process. Determine Competition Ratios for all practice types, as well as Current and Five-Year Forecasted Demographics for your specified market.

Townie Perks

Are you an industry advisor or supplier?

Many companies are essential to the success of the dentist. And as the dentist succeeds, the industry succeeds. Learn how Location Strategy and a partnership with Realscore benefits you and your clients.

frequently asked questions

What are Census Block Groups?

A Census Block Group (CBG) is a geographical unit used by the United States Census Bureau. It is the smallest geographical unit for which demographic data is published. Typically, Block Groups are very small and include a population of 600 to 3,000 people. There are 217,740 CBGs in the USA.

Do you offer free sample reports?

What if a Search Area includes partial Census Block Groups?

A partial Census Block Group is included in the results if the geographical center of the CBG is within 600 feet of the edge of the Search Area. Only the percentage of overlap is included and added to the sum of the practitioners and all demographic data in the search area. The inclusion of partial CBGs is exclusive to Realscore.

What's included in Location Strategy?

Location Strategy is the #1 factor that determines the success of a practice. It affects important aspects of a Practice’s Strategic and Operational Plan, and drives all investment, marketing, and personnel decisions. There are many factors that Realscore considers within Location Strategy, including competition ratios and market saturation, demographics, future growth potential, building and office strategy, and much more. Check out our featured Dentaltown article on Location Strategy for more information.

What is a “Pocket?”

A “Pocket” is an area derived in a Market Opportunity Search that indicates a potential market for a practice. It is normally made up of a small number of full or partial Census Block Groups. The goal is to find pockets where the competition ratios are high and include Average Household Income greater than a threshold derived from your ideal target patient.


What are "Strategic Moves?"

Strategic Moves is a general term used to describe various business situations and actions an existing practice can consider or implement to evaluate. They include the following:

  • Evaluate or justify a potential location
  • Purchase a practice with the highest growth potential
  • Consider relocating
  • Consider adding an office
  • Consider buying a specific building
  • Consider leasing a specific building
  • Consider renewing your lease or relocating
  • Consider expanding your current location
  • Purchase a practice at a fair price based on market
  • Consider hiring an Associate and expanding
  • Consider selling a practice
  • Join a Practice as a Partner, Employee or Associate
  • Speed up the location decision process

Click here to view the relevant reports and studies for any strategic move. 

What is the realscore app?

Realscore offers access to top Location Strategy tools that were previously only available to large corporations. Realscore’s App Engine is a proprietary online system that includes the following:

  • Demographic & Business Data – Current and Five Year Forecast
  • National Practitioner Database
  • Census Block Group Technology
  • Mapping and Drive Time Integration
  • Competition Ratios analysis with REALratios
  • User Drawn/Custom Search Areas Tool
  • Non-Compete, Non-Licensed Data Exclusion Tool
  • Practitioner/Practice/Location Management Tool

What demographics do you provide?

Current and five-year forecasted demographic data includes:

  • Total Population
  • Population by Age Range
  • Population Change by Age Range
  • Average Per Capita Income
  • Average Household Income
  • Households by Income Brackets
  • Households Change by Income Brackets
  • Average Household Size
  • Total Households
  • Total Families
  • Average Family Size
  • Housing Units Breakdown
  • Total Housing Units Change
  • Average Value of Owner-Occupied Units
  • Population by Ethnicity
  • Total Number of Businesses
  • Total Number of Employees
  • Total Sales
  • Retail Data

What is the rationale behind the order of your location search process?

Of all of the Location Strategy factors, Competition Ratios are the most important, barely beating out Demographics.

What gives it the edge is that you can have a location with great demographics, but if the market is saturated, it will be difficult to succeed, grow and build practice value quickly without huge investments in time and working capital spent on marketing. Therefore, it doesn’t make sense for you to pay for Demographics until the Ratio is ideal and the area is a good fit for your practice and family.

Only after passing those benchmarks does it make sense to invest in the Demographics Deep Dive to find your perfect practice location.

Click here to see recommended reports for each step of the location search process. 

What is a REALratio?

A REALratio is a proprietary ratio of population to practitioners used to evaluate competition ratios to indicate when a market generally is considered to be saturated. For example, the REALratio for a General Dentist is 2,000.  A ratio higher than 2,000 would indicate the market has potential for an additional practitioner(s). A number below 2,000 indicates the area is already oversaturated and should be evaluated carefully. Each practice specialty has its own REALratio value.

What is the turnaround time?

All reports are PDFs that are emailed to you. Delivery time varies per product based on the complexity of the order, the density of the report location, the inclusion of premium services, and many other factors. We strive to deliver reports before the following approximate turnaround times:

L-Series: 2-3 Business Days

M-Series: 7-10 Business Days

C-Series: Teams/Zoom consulting sessions usually occur within 3-5 business days but varies based on the availability of participants.

Expedited delivery is available. Please consult with your Specialist to make arrangements.

What is the return policy?

All reports are a snapshot in time. Therefore, due to the digital nature of the reports and that the data changes frequently, returns and refunds are unavailable. However, our policy is to provide unmatched customer satisfaction. If something isn’t right, please contact us right away. Unfortunately, we have no control over the data results, so dissatisfaction with the results is out of our control.

Do you have free sample reports?

Will you keep our discussions and my reports confidential?

Yes. We understand that confidentiality is of the utmost importance and we will never disclose any discussions, conclusions, or reports to anyone without your permission.

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