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When Ken Cooper founded the North American Dental Group he had a vision - help the dentists focus on patients, by creating a company that would focus on the backend. It became one of the fastest-growing Dental Service Organizations, running more than 200 offices. Dentists who join can get very rich – as long as they keep up with their fellow dentists. But patients have no idea that their local dentist may not be the only one making decisions about their care.

Who actually controls your dentist and decisions about your health care? That's the question at the heart of our series, Open Wide. There are hidden pressures you won't see on the sign outside the practice or inside the office. And those pressures stretch all the way from Wall Street into the dental chair.