|
Article Directory
|
+ Authors
+ Articles
|
|
|
|
Is Your Dental Practice Controlling Costs Effectively? Profitability Benchmarks for Dentists
Copyright (c) 2009-2012 Peter Gopal, Ph.D.
Overhead is taking a bigger bite out of a doctor's compensation. According to the ADA, the average practice has a profitability of 32.7%. That falls short of what it can be. At many dental practices, high overhead is a persistent problem that goes undiagnosed and unresolved. Often, doctors don't become aware of their overhead numbers until the year is over and the accountant provides a historical review of the data.
With average profitability of 32.7%, overhead is consuming a whopping 67.3% of all the revenue a dental practice is bringing in. Based on our experience, however, an optimized dental practice is able to achieve and sustain profitability of 45% or more, with overhead just 55% or less. This is after allowing for continuing education and investment in new equipment.
It is important to know the primary sources of costs in a dental practice as well as benchmark figures for these categories. This allows you to compare your practice with figures from some of the best practices.
Facility costs such as rent or mortgage are fixed. Once a lease is negotiated or an office building is purchased, there is not much that can be done to alter that. Therefore, we focus on variable costs. Here are some benchmarks to help you figure out where you may be overspending.
Overhead Benchmarks for Dentists
Assuming you did not make any big equipment purchases (Section 179 items), here are the three biggest contributors to variable costs:
1. Payroll and benefits. This is the single biggest cost in dental practices. Here are some benchmark figures for a practice located in the Northeast U.S.
Without considering FICA/Medicare or benefits, gross staff payroll should be less than 22% of revenue.
All-inclusive total staff compensation (including FICA/Medicare, bonuses, and benefits) should be less than 26% of revenue.
Each hygienist should produce three times her gross pay. Normally this means that each hygienist should generate revenue of at least $150/hour. Optimally, it should be $172/hour. These are figures for year 2009. From what I've observed, only 30% of hygienists deliver on this benchmark. The rest are underperforming.
2. Dental Supplies. This should be less than 5% of revenues.
3. Dental Labs. Lab costs should be less than 8% of revenue. Use a quality lab that you are comfortable with and do not make the mistake of going with a cheaper lab without confirming the quality of their work.
Three Other Causes of Low Profitability
1. Case Acceptance. If you meet those benchmarks, the practice still may not be as profitable as it could be because of low case acceptance. If that factor applies, consider improvement in these areas:
Relationship Building Skills
Non-Aggressive Case Presentation
Verbal Skills for Case Presentation
Hygienist Pre-Diagnosis
Financial Presentation at Front Desk
Use of Intra-Oral Camera so the patient can see what the dentist sees
Study Models
2. Facility. If you have space, consider adding an extra chair. It is one of the best investments you can make.
Let's assume it costs $25,000 to install a chair and the necessary equipment for a new treatment room. That's about $425/month on a 5-year loan. On a 16-day month, it only takes increased production of $30.00 per day to justify and cover the cost of this additional chair.
The extra chair allows you to seat emergency patients, or start an impulsive procedure like tooth whitening. It also gives you options if you are running behind. This chair may be used only 10% of the time, but will boost your production 3-5%, most of which will fall to your bottom line.
3. Fees. Low fees can contribute significantly to reduced profitability. Rebalance your fees every year, and periodically evaluate your participation in PPOs. Wrong decisions in this arena have a tendency to keep profitability significantly short of where it could be.
After you consider these benchmarks and other profitability busters, you should have a clear idea of where the potential lies for reducing costs and raising the profitability of your dental practice.
|
Peter Gopal, PhD, together with his wife, Hema Gopal, M.B.A. and D.M.D., consults with dentists who are intent on building a more profitable practice. Whether you are leaving money on the table due to broken patient appointments, improper scheduling, poor case acceptance, low hygienist productivity, excessive overhead, or unnecessary reliance on PPOs, they can pinpoint your weaknesses and prescribe remedies. Receive a free, realistic assessment of the earning potential of your dental practice by going to: http://www.visionary-management.com/assessment.php
|
Follow "The Phantom Writers" on Twitter
(@phantomwriters)
to be notified when new articles are made available.
VOTE ON THIS ARTICLE
Needs Work >>
0 -
1 -
2 -
3 -
4 -
5
<< Excellent Article
Tell our authors what you think about their article.
|
Top-Level Category: Business Offline Articles
10 Most Recent Articles Written by Peter Gopal, Ph.D.
Nine Policies That Greatly Improve Collections in Your Dental Practice
Written by: Peter Gopal, Ph.D. |
Distributed: 2010-02-16 |
Word Count: 609 |
Page Views: 940
| Votes: 1 |
Rating: 5.00
Many dental offices lose between $10,000 and $50,000
annually, year after year, due to deficiencies in Accounts
Receivable management. Sadly, some of them don't even know
how much money they are leaving on the table. With a
systematic process for collecting monies that are owed, a
practice can drastically reduce the revenues that remain
uncollected. Sound - and profitable - collections begin with
the following policies.
To Improve Collections in Your Dental Practice, Manage Patient Expectations
Written by: Peter Gopal, Ph.D. |
Distributed: 2010-02-09 |
Word Count: 596 |
Page Views: 1833
| Votes: 2 |
Rating: 2.00
Many patients come into a dental practice with the notion
that insurance will cover everything. This needs to be set
straight during their first visit. In fact, the word
"insurance" is a misnomer. What the patient has is really
a dental benefit plan, which could cover all or a portion of
their treatment. The coverage is never guaranteed, and there
are dozens of ways in which payment could be denied even for
a preventive exam and cleaning visit...
Maintain Your Dental Practice Profits by Dealing Effectively with Patients Who Chronically Break Appointments
Written by: Peter Gopal, Ph.D. |
Distributed: 2010-02-02 |
Word Count: 503 |
Page Views: 760
| Votes: 2 |
Rating: 4.50
Appointment cancels; broken appointments, and no-shows are a
source of endless frustration in any dental practice.
Although the vast majority of patients keep their
appointments, about 10% of patients cause 80% of that
frustration. Developing a protocol for handling this group
of patients is essential to avoid lost revenue of anywhere
from $150 (minimally) to $700 per day, depending upon the
procedure. Follow the four steps below to slow the daily
losses.
Fewer Broken Appointments Mean a More Profitable Dental Practice
Written by: Peter Gopal, Ph.D. |
Distributed: 2010-01-26 |
Word Count: 608 |
Page Views: 736
| Votes: 1 |
Rating: 2.00
On a daily basis, a dentist and staff probably spend more
time discussing and dealing with the topic of appointment
cancels, broken appointments, and no-shows than any other
subject. It is a source of endless frustration. Downtime is
also the biggest single source of lost revenue.
PPO Vs Fee for Service Dental Practices: How to Make This Crucial Decision Wisely
Written by: Peter Gopal, Ph.D. |
Distributed: 2010-01-19 |
Word Count: 532 |
Page Views: 1758
| Votes: 3 |
Rating: 1.67
Our experience is that in an ideal situation, every dentist
would like to have a FFS practice, but not all dentists are
suited to running a FFS practice. To make a better decision
about PPO participation, compare the characteristics of a
successful heavy PPO practice with those of a FFS practice.
Improve the Profitability of Your Dental Practice by Increasing Staff Productivity
Written by: Peter Gopal, Ph.D. |
Distributed: 2009-12-08 |
Word Count: 582 |
Page Views: 895
| Votes: 1 |
Rating: 0.00
Payroll costs at many dental offices are high, and doctors
are at a loss for ways to bring this under control.
Across-the-board salary cuts are not the answer, as that
will only result in turnover, and you may end up losing some
of your best people. The key culprit is usually low staff
productivity.
Dental Practice Staff Management -- Turning a Difficult Employee into a Star
Written by: Peter Gopal, Ph.D. |
Distributed: 2009-10-22 |
Word Count: 552 |
Page Views: 707
| Votes: 1 |
Rating: 4.00
It takes both courage and management skill to deal with a
difficult employee in your dental practice. It is never easy
to confront an employee with regard to performance issues.
Yet, by developing this vital management skill, you can
potentially add upwards of $40,000 to the gross receipts of
your practice. That's for a solo practitioner with 3-6
employees.
All of Author's Articles on this site: Peter Gopal, Ph.D. Articles
Most Recent "Business Offline" Articles
How To Build a Strong and Powerful Business During a Recession
Written by: Trey McMartin |
Distributed: 2011-11-10 |
Word Count: 987 |
Page Views: 260
During a recession, most business owners pull the reins on
advertising budgets, fearful of what tomorrow might bring...
Those who remain fearful have forgotten what made them the
success they are today... They have forgotten that they have
a God-given talent to overcome the incredible obstacles in
their paths.
SEO Lessons from Local Businesses
Written by: Trey McMartin |
Distributed: 2011-11-09 |
Word Count: 945 |
Page Views: 723
More than once in the six years that I have been providing
SEO services for websites, I have had the opportunity to
discuss with individual business owners their search engine
optimization needs. Now and again, I run across an
individual business owner who is quick to say that SEO is
absolutely worthless. When confronted with such an absolute
statement, I like to press for details. It has been my
experience that people who speak in negative absolutes will
have a horror story to share.
Where Will FDA Target Next? What IVD Manufacturers Should Know Before Their Next FDA Audit
Written by: Norm Howe |
Distributed: 2011-09-12 |
Word Count: 706 |
Page Views: 206
Medical device manufacturers are always interested in knowing
what FDA's next area of focus will be. Well, if you're an In
Vitro Diagnostic manufacturer you might review your measurement
systems.
Online Fax - 10 Reasons To Get An Online Fax Service
Written by: Titus Hoskins |
Distributed: 2011-09-12 |
Word Count: 560 |
Page Views: 200
Online faxing is the new more modern way to fax. If you or your
company is not using an online fax service, here are 10 good
reasons why you should get it.
Best Effort Essential for the Job Interview
Written by: Barbara Wulf MS, ACC, CPCC |
Distributed: 2011-07-30 |
Word Count: 676 |
Page Views: 320
Interviewing will determine if you are the right person for the
job. These tips will help you make the job interview a success.
Go Green With Your Career Search
Written by: Barbara Wulf MS, ACC, CPCC |
Distributed: 2011-07-28 |
Word Count: 636 |
Page Views: 233
Many of the qualities of green living, like recycling and
sustainability, can apply to a career search, even if the
career is not directly associated with green industries.
ReCareer in the Second-half of Life
Written by: Barbara Wulf MS, ACC, CPCC |
Distributed: 2011-07-26 |
Word Count: 525 |
Page Views: 280
| Votes: 1 |
Rating: 3.00
Many of us worked the first half of our life to "fit" the
job description. ReCareering is about finding the right fit,
being selective, being creative, being fulfilled and being
intentional about how you spend your time.
Up in the Air
Written by: Barbara Wulf MS, ACC, CPCC |
Distributed: 2011-07-24 |
Word Count: 678 |
Page Views: 279
When looking for work or changing careers, go beyond researching
on the internet and reading articles. Find out how you can learn
from the art of listening and having a conversation.
Salon and Spa Owners: Which Monk Are You?
Written by: Dan Lok |
Distributed: 2011-07-05 |
Word Count: 477 |
Page Views: 295
Too many salon and spa owners are carrying around a lot
hurts, regrets, guilt, past failures and fears about the
future. But no one is forcing you to carry these emotional
rocks, so put that sack down!
The Single Most Profitable Day You Spend on Your Spa or Salon!
Written by: Dan Lok |
Distributed: 2011-06-30 |
Word Count: 470 |
Page Views: 388
Salon and spa owners need to combine their marketing plan
with marketing systems. A marketing calendar plans out
strategies for a year, and is instrumental to the success of
your spa or salon.
Most Viewed "Business Offline" Articles
How To Write A 300 Page Book In Four Months
Written by: Mark Silver |
Distributed: 2008-07-15 |
Word Count: 821 |
Page Views: 36600
| Votes: 6 |
Rating: 1.83
There's a lot of hoopla about becoming an author of your very
own business book. The promise of fame and fortune is very
alluring. Yet your book remains perpetually 'about to be'
written. Meanwhile your business has ground to a halt. Hmmm...
might there be a better way to get a book written?
The Best Marketing Book I've Ever Read (You'll Be Surprised)
Written by: Judy Murdoch |
Distributed: 2007-05-09 |
Word Count: 1522 |
Page Views: 33774
| Votes: 15 |
Rating: 3.60
From time to time someone asks me to recommend marketing books.
Here's one of my favorite marketing books that always surprises
people. Curious? Read on.
The Bizarre History Of The HOLLYWOOD Sign
Written by: Morris Timlen |
Distributed: 2008-11-05 |
Word Count: 1211 |
Page Views: 28060
| Votes: 22 |
Rating: 3.32
The most famous sign in the history of mankind is the one that
graces the side of the hill above Hollywood, California. As
famous a landmark as the Christ the Redeemer statue in Rio De
Janeiro, the Eiffel Tower in Paris France, the Great Pyramid of
Giza in Egypt, The Church of the Savior on Blood in Saint
Petersburg Russia, and the Statue Of Liberty in New York City,
the Hollywood sign is known around the world as the symbol of the
American movie industry.
What Does It Take To Be A Successful Salesman?
Written by: Casey Moher |
Distributed: 2008-08-05 |
Word Count: 930 |
Page Views: 13929
| Votes: 56 |
Rating: 3.11
In the course of my average workweek, I meet people who tell me
that they have no sales experience, and very literally, many
will tell me that they could not sell if their lives depended on
it. Do you fit into this mold? Do you seriously believe that you
can sell me on the idea that you cannot sell things?
Selecting Between a 401(k) And 403(b) For a Nonprofit
Written by: Daniel Lamaute |
Distributed: 2007-10-11 |
Word Count: 333 |
Page Views: 6244
| Votes: 17 |
Rating: 2.65
Newly released IRS regulations impose several new requirements
and fiduciary responsibilities on employers with 403(b) plans.
While the regulations generally don't take effect until January
1, 2009, there are some provisions that apply sooner.
Pitch A No-Hitter With Baseball-Themed Flower Gifts
Written by: Wesley Berry, AAF |
Distributed: 2007-12-25 |
Word Count: 413 |
Page Views: 5646
| Votes: 16 |
Rating: 1.94
Want to send a gift to the baseball fan in your life that's sure
to knock one out of the park? Send flowers with a baseball
theme! Everyone loves flowers and when you personalize them to
include the recipient's favorite hobbies, like baseball,
they're sure to make an even greater impression.
Never Write A 'Thank You' Letter Again
Written by: Perry Maisin |
Distributed: 2008-08-12 |
Word Count: 971 |
Page Views: 5229
| Votes: 17 |
Rating: 2.29
When I was in graduate school, I had a friend who interviewed at
fortune 500 companies and succeeded at landing a great job. One
day, I saw him sitting in the student union with a stack of
cards. The cards said 'thank you'. He opened each card and
signed his name. The inside of the card was blank. I asked him
what he was doing and he told me that it was important to send a
'thank you' to every person you interviewed with. He believed
that that was the difference between getting the job and being
passed over.
Conducting Effective Career Aspiration Discussions with Employees
Written by: Andria L. Corso |
Distributed: 2010-03-10 |
Word Count: 690 |
Page Views: 4442
| Votes: 7 |
Rating: 2.00
Enhance your talent management and development programs
through conducting career aspiration discussions with your
employees. Find out where they want to grow their career to
determine if it matches your business needs. This will
enable you to differentiate your employee development to
grow the future leaders of your company.
The Pros And Cons Of Postcard Marketing-direct marketing offline
Written by: Cheryl Miller |
Distributed: 2006-11-29 |
Word Count: 675 |
Page Views: 3727
| Votes: 5 |
Rating: 2.60
Postcard marketing is one of the oldest methods of marketing. Its
concept is simple but can be quite effective. It is just sending
out your message to your mailing list on a postcard. Postcard
marketing is a powerful and cost effective way to advertise and
will keep building in momentum when done correctly.
You Can Turn Complaints into Cash!
Written by: Judy Murdoch |
Distributed: 2006-08-08 |
Word Count: 795 |
Page Views: 3549
| Votes: 24 |
Rating: 3.54
Most of us don't like listening to complaints. We can't imagine
the value in listening to someone rant and rage about something
they're dissatisfied with. But here 's a secret: There's gold
in those complaints—-if—-you know what to listen for.
Highest Ranked "Business Offline" Articles
Why Businesses Need Receivable Factoring In Cash Flow Management
Written by: Toby Seibert |
Distributed: 2007-08-08 |
Word Count: 866 |
Page Views: 1760
| Votes: 5 |
Rating: 4.60
In today's business environment, many businesses need to
fine-tune the process of getting paid on invoices, in order to
improve their cash on hand. Improving cash flow can be an ongoing
challenge for businesses of all sizes, and it is an issue that
must be addressed to ensure the long-term viability of the
business.
Whose Restaurant Can You Find Online?
Written by: Rudy Vener |
Distributed: 2007-07-09 |
Word Count: 640 |
Page Views: 1440
| Votes: 5 |
Rating: 4.40
What is so significant about Pizza Hut's latest TV commercial?
Business School for Non-Business Minds: Got a NAICS Number?
Written by: Melissa Mashtonio |
Distributed: 2008-04-15 |
Word Count: 423 |
Page Views: 1449
| Votes: 5 |
Rating: 4.40
I’m a journalist. I spent a lot of my career in the news
business. As my career has progressed, I’ve spent time at small
and large companies, and I have sat through dozens of business
meetings wondering what the heck the “money” people are talking
about. They used acronyms as if they were a foreign language.
The Problem With Swiping Sales Copy
Written by: Scott Bywater |
Distributed: 2009-12-03 |
Word Count: 480 |
Page Views: 937
| Votes: 5 |
Rating: 4.40
This is what people miss when they try to simply "swipe"
sales copy from another advertisement.
Equal Opportunity Pizza Ordering
Written by: Rudy Vener |
Distributed: 2007-10-19 |
Word Count: 629 |
Page Views: 1430
| Votes: 8 |
Rating: 4.38
With online ordering, your menu and restaurant suddenly become
accessible to both the deaf and blind customers in your
community.
The Secret To Making Successful Business Connections
Written by: Kate Smalley |
Distributed: 2006-10-11 |
Word Count: 672 |
Page Views: 1488
| Votes: 6 |
Rating: 4.00
If you have a hard time making successful business connections,
don't despair. Anyone can be good at meeting people-if they use
the right technique. The whole secret to making a positive
connection is knowing how to attract people and inspire them to
want to give you a chance.
How to Build a Really Great Business? (Super Success Secrets from a Legendary Business Master)
Written by: Chet Holmes |
Distributed: 2007-01-15 |
Word Count: 1523 |
Page Views: 1522
| Votes: 7 |
Rating: 4.00
Times are tough. The economy is in a constant state of upheaval.
Is your company doing better than most? Are you placing greater
emphasis on pure performance?
Get the Balance Right
Written by: Rich Thawley |
Distributed: 2009-01-28 |
Word Count: 638 |
Page Views: 1368
| Votes: 11 |
Rating: 3.91
Do you build your business around your family or your family
around your business? The choice is yours.
Online Copywriting Makes Content as the King
Written by: Steven Gerber |
Distributed: 2006-12-11 |
Word Count: 560 |
Page Views: 1544
| Votes: 7 |
Rating: 3.86
The inverted pyramid is basically the placing of 4 W's in the
primary sentences of the articles, supported by the other W and H
on the following discussions. Four W's consist of what, when,
where, and who. The other W which stands for why on the other
hand, follows on the succeeding paragraphs, including the
elaboration for the H which also stands for how, if necessary.
Interview Coaching: A Home-Based Business on the Cutting Edge
Written by: Carole Martin |
Distributed: 2007-08-24 |
Word Count: 1400 |
Page Views: 1252
| Votes: 7 |
Rating: 3.86
You name it - Blackberry, Skype Connection, Cell Phone, iPhone -
these are the tools of this trade. Who would believe that someone
with a home-based business could reach out to someone in a far
away country and work with a client via a Blackberry and a cell
phone?
|
|
|
Article Reprint Rights
|

This work is licensed under a
Creative Commons License
You are not required to show the creative commons license notice when you reprint this work.
|
|
Article Statistics
|
Word Count: 664
Total Views: 1971
Views This Month: 32
Views Last Month: 143
Article Rating: 2.50 of 5
Votes Cast: 2
Author Overall Stats:
Times Viewed Overall: 9604
Author Rating: 2.62 of 5
Votes Cast Overall: 13
More Articles By Author:
Articles On This Website
Article Title Search:
Widow Search
Right Blinker
Google
Yahoo!
Zuula
Bing
Cuil
Last Distribution Date:
2009-12-01 14:15:00
|
|
|