There are not many poor US dentists.
Just a month or two ago here was someone talking about how, fresh out of dental school, they were able to secure a $4M loan to set up their practice.
I am in the midst of having some complex dental work done. In the US, I got three competing quotes. The lowest was $49K, the highest $57K.
I am getting it done in Mexico for $23K. With arguably better equipment used (all 'top shelf' implants, materials, etc.)