Exhibit 10.1

US Bank/Park Dental

Amendment Agreement 2/26

AMENDMENT AGREEMENT

THIS AMENDMENT AGREEMENT (this “Amendment”) is made and entered into as of the 13th day of February, 2026, but with an effective date of January 1, 2026, by and among PDG, P.A., a Minnesota professional association (“PDG”), DENTAL SPECIALISTS OF MINNESOTA, PLLC, a Minnesota professional limited liability company (“Dental Specialists”), ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC, a Minnesota professional limited liability company (“OSM”), PARK DENTAL PARTNERS, INC., a Minnesota corporation (“Park Dental Partners”), THE FACIAL PAIN CENTER, PLLC, a Minnesota professional limited liability company (“Facial PC”), and PDP MN, LLC, a Minnesota limited liability company (“PDP MN,” and individually, collectively and jointly and severally with PDG, Dental Specialists, OSM, Park Dental Partners and Facial PC, the “Borrowers”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association (“Lender”).

W I T N E S S E T H:

WHEREAS, the Borrowers and the Lender entered into that certain Amended and Restated Credit Agreement dated as of March 27, 2024 (as the same may be amended, modified, supplemented, renewed or restated, the “Credit Agreement”), concerning the extension by the Lender to the Borrowers of (i) a revolving line of credit in the original principal amount of up to $15,000,000 (the “Revolving Loann”) and (ii) a term loan in the original principal amount of $13,000,000 (the “Term Loan,” and collectively with the Revolving Loan, the “Loans”); and

WHEREAS, the obligation of the Borrowers to repay the Revolving Loan is evidenced by that certain Second Amended and Restated Revolving Note dated as of March 27, 2024 (as the same may be amended, modified, supplemented, renewed or restated, the “Revolving Note”), executed by the Borrowers and payable to the Lender in the original principal amount of $15,000,000; and

WHEREAS, as of the date hereof, the outstanding principal balance of the Revolving Note is $0, together with accrued interest thereon; and

WHEREAS, the obligation of the Borrowers to repay the Term Loan is evidenced by that certain Term Note dated as of March 27, 2024 (as the same may be amended, modified, supplemented, renewed or restated, the “Term Note,” and collectively with the Revolving Note, the “Notes”), executed by the Borrowers and payable to the Lender in the original principal amount of $13,000,000; and

WHEREAS, as of the date hereof, the outstanding principal balance of the Term Note is $9,457,124.24, together with accrued interest thereon; and

WHEREAS, the Notes and the other obligations of the Borrowers to the Lender are secured by the Security Documents (as defined in the Credit Agreement); and

US Bank/Park Dental

Amendment Agreement 2/26

WHEREAS, the Borrower have informed the Lender that the Borrowers created a wholly owned Subsidiary, PDP AZ, LLC, a Minnesota limited liability company (the “New Subsidiary”); and WHEREAS, the Borrowers have requested the Lender to (i) extend availability under the Revolving Loan, (ii) consent to the formation of the New Subsidiary, and (iii) modify certain financial covenants and make certain other modifications to the Credit Agreement as a result of the initial public offering consummated by Park Dental Partners as more particularly set forth herein; and

WHEREAS, the Lender is willing to agree to provide a limited extension of availability under the Loan in accordance with the terms and subject to the conditions contained herein.

NOW, THEREFORE, in consideration of the foregoing recitals and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

“Adjusted EBITDAR” means, as of each Measurement Date and based on the immediately prior 12 months, Net Income before interest, taxes, depreciation expense and amortization expense, plus 15% of Doctor Compensation (excluding benefits) through December 31, 2025, plus non cash Deferred Compensation expense, minus Deferred Compensation cash payments, plus operating lease expense, plus non cash expenses and losses, minus non cash income and gains, and plus restructuring expenses for corporate structure changes that are not a recurring part of operations.

“Indebtedness for Borrowed Money” means for any Person (without duplication) (a) all indebtedness created, assumed or incurred in any manner by such Person representing money borrowed (including by the issuance of debt securities), (b) all indebtedness for the deferred purchase price of property or services (other than trade accounts payable arising in the ordinary course of business), (c) all indebtedness secured by any lien upon property of such Person, whether or not such Person has assumed or become liable for the payment of such indebtedness, (d) all Capitalized Lease Obligations of such Person, (e) all Swap Obligations, and (f) all obligations of such Person on or with respect to letters of credit, bankers’ acceptances and other extensions of credit whether or not representing obligations for borrowed money. For the avoidance of doubt, the balance of such acquisition installments or earnout liabilities on the Borrowers’ balance sheet is deemed indebtedness for the deferred purchase price of property or services.

US Bank/Park Dental

Amendment Agreement 2/26

“Fixed Charge Coverage Ratio” means, as of each Measurement Date and based on the immediately prior 12 months, the ratio of (a) Adjusted EBITDAR less cash taxes less cash dividends less maintenance capital expenditures defined as 30% of depreciation, to (b) operating lease expense plus scheduled principal payments on all Indebtedness for Borrowed Money plus cash interest payments. For the avoidance of doubt, scheduled payments on acquisition installments or earnouts related to acquisitions are deemed scheduled principal payments on Indebtedness for Borrowed Money.

“Maturity Date” means (a) for the Term Note, the earlier of March 27, 2029, or the Revolving Credit Termination Date, and (b) for the Revolving Note, March 27, 2029.

Section 5.14 Minimum Fixed Charge Coverage Ratio. On each Measurement Date on a combined basis, the Borrowers shall achieve and maintain a Fixed Charge Coverage Ratio of not less than 1.15 to 1.00.

US Bank/Park Dental

Amendment Agreement 2/26

Section 5.15 Total Cash Flow Leverage Ratio. On each Measurement Date on a combined basis, the Borrowers shall achieve and maintain a Total Cash Flow Leverage Ratio of not more than 4.00 to 1.00.

(g)         unsecured indebtedness owed to sellers in connection with continued employment terms or acquisitions in the form of acquisition installment notes (i.e. earnouts) existing on or before February 1, 2026 or incurred during Potential Acquisitions as permitted by Section 6.4(a)(iv) and 6.4(c) herein.

(v)         loans to shareholders in connection with the tax liability of vesting Restricted Stock Units due to the S-1A filed with the United States Securities and Exchange Commission under Registration Number 333-290001 on September 24, 2025, in an aggregate amount not to exceed $3,000,000 at any time.

US Bank/Park Dental

Amendment Agreement 2/26

US Bank/Park Dental

Amendment Agreement 2/26

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US Bank/Park Dental

Amendment Agreement [2/26]

IN WITNESS WHEREOF, the parties hereto have made and entered into this Amendment Agreement as of the day and year first above written.

US Bank/Park Dental

Amendment Agreement [2/26]

US Bank/Paik Dental Amendment

Agreement [2/26]

EXHIBIT A

COMPLIANCE CERTIFICATE

In accordance with our Amended and Restated Credit Agreement dated as of March 27, 2024 (as the same has been amended from time to time, the “Credit Agreement”), attached are the financial statements of PDG, P.A., a Minnesota professional association, DENTAL SPECIALISTS OF MINNESOTA, PLLC, a Minnesota professional limited liability company, ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC, a Minnesota professional limited liability company, PARK DENTAL PARTNERS, INC., a Minnesota corporation, THE FACIAL PAIN CENTER, PLLC, a Minnesota professional limited liability company, and PDP MN, LLC, a Minnesota limited liability company (collectively, the “Borrowers”) as of and for _________, 20___ (the “Reporting Date”) and the year-to-date period then ended (the “Current Financials”). Unless otherwise defined herein, all terms used in this certificate have the meanings given in the Credit Agreement.

I certify that the Current Financials have been prepared in accordance with GAAP, subject to year- end audit adjustments, and fairly present the Borrowers’ financial condition and the results of their operations as of the date thereof and for the fiscal year-to-date period then ended.

Events of Default. (Check one):

I hereby further certify to the Lender as follows:

(1)            Minimum Fixed Charge Coverage Ratio. Pursuant to Section 5.14 of the Credit Agreement, as of the Reporting Date, the Borrowers’ Fixed Charge Coverage Ratio was __ to 1.00 which ¨ satisfies ¨ does not satisfy the required minimum ratio of 1.15 to 1.00 as of each Measurement Date, based on the immediately prior 12-months.

(2)            Total Cash Flow Leverage Ratio. Pursuant to Section 5.15 of the Credit Agreement, as of the Reporting Date, the Borrowers’ Total Cash Flow Leverage Ratio was __ to 1.00 which ¨ satisfies ¨ does not satisfy the required maximum ratio of 4.00 to 1.00 as of each Measurement Date.

Attached hereto are all relevant facts in reasonable detail to evidence, and the computations of the financial covenants referred to above. These computations were made in accordance with GAAP.

US Bank/Park Dental

Amendment Agreement 2/26

Attached hereto are all relevant facts in reasonable detail to evidence, and the computations of the financial covenants referred to above. These computations were made in accordance with GAAP.