Business plan for opening a dental clinic. How to open a dental office: calculations and risks

Attention! The free business plan offered for download below is a sample. A business plan that best suits the conditions of your business must be created with the help of specialists.

Dental services are always in great demand, which is why the dental business is very profitable.

Opening this type of business, like any other, begins with drawing up a business plan. A well-designed project is the key to a successful business.

On our website you can download a sample business plan for a dental office, which will allow you to significantly save time and money.

To start your business, the first thing you need to do is register your business and obtain a license. The next step is to find a suitable location and premises.

To open a dental office with one workplace, you must select a room with a total area of ​​at least forty square meters.

According to current legislation, the allocated area for one dental unit should be fourteen square meters. The total area of ​​the premises assumes the presence of a hall, a bathroom and a utility room.

Equipment

The most expensive cost item in this business plan is the purchase of dental equipment. The purchased equipment must be of high quality and meet the necessary requirements.

Below is a list of equipment required for operation:

• Dentist chair;
• Autoclave;
• Sterilizer;
• Physiographer;
• Solar curing lamps;
• X-ray;
• Consumables;
• Set of tools.

Working staff

You need to recruit only qualified specialists with extensive practice, because the number of regular clients depends on the professionalism of the dentists working for you.

Considering that our example business - the dental office plan is designed for one workplace, then there should be one doctor. A dental assistant is a nurse.

The education of a nurse must be at least secondary specialized and work experience must be at least 2 years.
By law, the working hours of a dentist should not exceed six hours, so work in your dentistry will take place in two shifts, which means that the staff will automatically increase by two more people.

In addition to medical staff, it is necessary to hire an administrator, a chief accountant and a cleaner.

Services

This project involves the provision of the following services:

• Treatment of caries;
• Whitening;
• Prosthetics;
• Radiography;
• Therapy;
• Implantation;
• Surgery;
• Children's dentistry;
• Computer physiography;
• Aesthetic dentistry.

Financial calculation

Operating a dental office involves the following expenses:

• Rent of premises, which will be paid monthly;
• Repair costs, and repairs can also be called a significant cost. There is no point in saving money here, since the appearance of the office is the face of dentistry;
• Costs associated with registration and licensing;
• Employee salaries also apply to monthly expenses. Payroll will be calculated as a result of the amount of the established salary and interest on the sale of services provided;
• Monthly advertising and utility costs;
• Purchase of consumables;
• other expenses.

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The total monthly costs will be approximately 7,500 euros.

As for the initial investment, namely:

• Renovation of the premises amounted to 5,000 euros;
• Purchase of equipment – ​​42,500 euros;
• Purchase of office equipment – ​​1500 euros.

The rounded total is 50,000 euros.

Considering that the monthly revenue from the services provided will be 12,000 euros, the taxable profit will be 4,500 euros.
Knowing the monthly income, you can easily calculate the annual 4500x12 = 54000
The initial investment costs amounted to fifty thousand euros, and the annual income was fifty-four thousand, which means that the dental business pays for itself very quickly, in just one year.

Watch the video: “Equipping a dental office”

Anyone who has a desire to work in this field and has considerable start-up capital can open a dental office. To launch a project, you will need to go through a lengthy registration procedure and obtain the necessary licenses and permits.

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Is special education important?

A person who decides to open a private dental office in Russia may not have a dental education. Practice shows that a dentist who has organized his own specialized mini-clinic does not have time either to manage it efficiently or to receive patients. Therefore, it is better when these functions are performed by two different people, each of whom is a professional in their field.

A dentist undoubtedly has the right to open his own office, but then it would be better to entrust its management to a hired manager. In this case, organizational issues will not distract him from his main professional activity. An alternative scenario would be to hire additional dentists. In such a situation, personal reception of patients can be reduced to a minimum or not carried out at all.

Business relevance

The relevance of the dental business is due to the following:

1. High demand for dental services among the population. Since everyone has teeth, the vast majority of people are forced to regularly seek the services of a dentist. According to statistics, 97 percent of the Russian population suffers from diseases of the hard tissues of teeth. The average person visits the dentist twice a year, even when nothing hurts. In such a situation, the dentist can detect the disease at an early stage and prevent its development.
2. High business profitability. The average bill in a provincial town is three to four thousand rubles, and in the capital – seven to eight. Standard appointment time is 30 minutes. An office with a good reputation records clients two to four weeks in advance.
3. The ability to provide a wide range of services using various technologies and materials, which distinguishes dental offices from each other.

Options for organizing a dental business

An entrepreneur can open a dental office or clinic.

Dental office

Organizing a small office requires moderate capital investments, since one or two workstations are usually equipped, allowing you to receive several patients at the same time.

Most often, people turn to such institutions to receive standard dental services:

• consulting;
• basic dental treatment;
• teeth whitening;
• removal of tartar.

You can start a business by organizing a dental office. Having earned money from it, they can be invested in the development of the business and gradually expand it to the format of a private dental hospital.

dental clinic

Compared to a small office, organizing a clinic will require significant financial investments. Since the range of services provided is usually very wide, you will need to equip several workplaces, purchase expensive equipment and hire staff. The opportunity to receive diverse services attracts a large number of clients. Private clinics often have contracts with insurance companies, which, in turn, send people to provide them with various types of services.

Range of basic services of the dental clinic:

• consultation and diagnosis;
• various therapeutic services (including treatment of moderate, deep and complicated caries);
• surgical dental operations (including tooth extraction, cysts);
• dental cosmetology (including plaque and tartar removal, whitening, installation of braces, bite correction);
• dental prosthetics;
• implantology;
• children's dentistry;
• periodontics;
• X-ray;
• emergency help.

Market analysis and target audience

Characteristics of the Russian dental market:

• the capacity of the market for paid dental services in 2017 was more than half a billion rubles or about 254,000,000 appointments;
• high competition;
• the modern dental market is predominantly represented by private clinics (25% of the total) and dental offices;
• during years of economic crises, there is no sharp drop in demand;
• dental services are perceived by the population as an essential product;
• there is a growing trend in demand for paid medical services from dentists;
• the increase in prices for dental services is mainly due to an increase in rent for premises, an increase in prices for drugs and equipment, and an increase in wages;
• according to 2014 data, in Russia, the largest number of private dentistry was recorded in Krasnoyarsk, Kazan and Nizhny Novgorod (22-29 units/100 thousand people);
• development of lending for dental services;
• For 2018-2022, the capacity of the Russian dental market is projected to grow;
• Today, the most promising segment of the dental market is implantology and the provision of dental services aimed at children.

Dental market participants:

1. State dentistry. They primarily provide free services to the population, but also provide services for money. Fewer and fewer people are resorting to their services, since such clinics often have outdated equipment. In addition, they employ inexperienced specialists, and patients have to wait in long queues. Also, public dentistry does not always use high-quality materials.
2. Private dentistry. They are divided into establishments aimed at people with high, middle and low incomes. Private dentistry is classified into network and non-network clinics, as well as private offices.

Target audience of a private dental office:

• men, women and children;
• age: from 7 to 60 years;
• level of income: medium and low.

Step-by-step instructions for starting a dental business

The following step-by-step instructions will help you open a dental office:

1. Developing a business plan from scratch or ordering a ready-made one.
2. Company registration.
3. Selection of premises and conclusion of a rental agreement.
4. Design and renovation of premises.
5. Search for suppliers of equipment and consumables.
6. Purchase and installation of equipment.
7. Purchase of consumables.
8. Registration of permits.
9. Selection of qualified personnel.
10. Marketing events.

Business registration

Features of the dental office registration process:

1. Choice of organizational and legal form. A small office in which a businessman personally provides dental services is registered as an individual entrepreneur. When opening a clinic/office, when the businessman is not a dentist or is one, but does not plan to serve clients, the LLC form is suitable.
2. If an entrepreneur plans to work independently as a dentist (without hiring other doctors) and creates an individual entrepreneur, then he will need a personal license. When organizing an LLC, a personal license must be obtained for each dentist. Licensing takes place in accordance with Federal Law No. 99 (dated 05/04/11) “On licensing of certain types of activities”. In addition to this law, Resolution No. 291 (dated April 16, 2012) “On licensing of medical activities” is in force.
3. The activity code 86.23 “Dental practice” is suitable for the type of business under consideration. It involves work in the field of dentistry (general/specialized), orthodontics and operating dental activities.
4. The most effective taxation system is the simplified tax system according to the “income minus expenses” scheme, since this is a very profitable type of activity.
5. Registration of a company in funds and statistical authorities.
6. After registering a company, you should take care of ordering a seal and opening a bank account.
7. To accept cash from clients for services provided, an entrepreneur must purchase and register cash register equipment with the tax authorities.
8. The launch of a dental office is possible only after obtaining permits established by current legislation. You will need an expert opinion from Rospotrebnadzor, the Fire Inspectorate and the Sanitary and Epidemiological Station.

The following documents are submitted to Rospotrebnadzor:

• statement;
• passport;
• company registration certificate;
• TIN certificate;
• extract from the Unified State Register of Real Estate;
• BTI plan;
• explication;
• agreements with companies on deratization, disinfestation and disinfection;
• agreements with a company for waste disposal;
• agreement with a laundry company;
• examination of air, water, and swabs for sterility;
• certificate of lighting and microclimate levels.

The Fire Inspectorate will require the following documents:

• TIN certificate;
• a lease agreement for premises or a document confirming ownership of it by the entrepreneur;
• a document certifying the fact of completion of fire safety courses;
• fire safety order;
• fire evacuation plan and instructions;
• documents confirming the installation of a fire alarm;
• documents confirming the availability of fire extinguishers;
• protocol for measuring insulation resistance.

To pass the SES inspection, you need to familiarize yourself with the relevant standards for the placement of the office, its interior decoration, the equipment used, the microclimate, etc.

Key regulations:

1. SanPiN 2.1.3.2630-10. The sanitary and epidemiological requirements that a medical institution must meet are recorded here.
2. SanPiN 2956a-83. This document describes the rules for the use of dental equipment, personal hygiene of personnel and occupational safety.

In some regions, internal regulations apply, which can be found out in the regional SES.

Room and location

Requirements for the premises from Rospotrebnadzor:

• in the case of equipping one workplace, one dental unit must have an area of ​​at least 14 square meters;
• if there are two or more installations, then the minimum area for each of them is 7 square meters;
• If three or more dental chairs are installed, then a sterilization room (from 6 square meters) must be equipped.

Requirements for choosing a room and its location:

• for a small office, an area of ​​30 square meters is enough;
• high ceilings (at least three meters);
• one-way daylighting;
• the depth of the room is no more than six square meters;
• availability of communications: electricity, water, sewerage, heating;
• good access roads and approaches;
• availability of parking;
• proximity to potential clients;
• proximity to metro stations and/or other public transport stops;
• distance from direct competitors.

The area of ​​a small dental office should be divided into the following areas:

• a room for receiving patients with an installed dental chair (or several chairs);
• hall;
• bathroom

When creating a dental clinic, the following zones are added:

• sterilization room;
• X-ray room;
• darkroom;
• orthodontist's office;
• orthopedist's office;
• children's room;
• implantology room;
• administrative premises;
• utility room;
• reception;
• dressing room for patients.

Office space can be:

• buy in credit;
• purchase with your own money;
• buy on lease;
• take a long-term lease (from five years).

The first three options are the most preferable. Ownership allows you to redevelop the premises at your own discretion, without fear that the landlord will refuse to renew the lease.

The premises can be:

• apartment on the ground floor (the premises will need to be converted to non-residential);
• non-residential premises, for example, an office building or the basement of an apartment building.

Necessary equipment

A modern dental office should be equipped with special high-tech equipment from reliable manufacturers. It must have certificates of conformity and meet current sanitary standards.

The table below shows how much it costs to equip a dental office with two chairs.

Dental unit – 630,000 rubles Chair for dental unit – 5,500 rubles Endodontic tip – 20,000 rubles Lamp for light polymerization - 6,000 rubles Shadowless lamp – 75,000 rubles Autoclave – 170,000 rubles

The video explains in accessible language how to equip a dental office. Filmed by the channel: “Dentist’s Notes”.

Staff

Serious requirements are placed on dental office specialists, since each of them requires a separate license.

List of requirements:

• a diploma confirming receipt of full professional education;
• work experience (from five years);
• certificate for a specific activity profile;
• availability of a medical book.

Requirements for junior medical personnel:

• a diploma confirming receipt of secondary medical vocational education;
• availability of a certificate in “Preventive Dentistry” or “Nurse in Dentistry”;
• neat and tidy appearance;
• availability of a medical book.

The staff of a small dental office (with two chairs) will include:

• dentists (two people);
• nurses (two people);
• cleaning woman;
• administrator.

Promotion and advertising

Ways to promote a dental office:

• ordering a bright sign with the clinic logo;
• development of a corporate website with the ability to make online appointments;
• maintaining pages on popular social networks;
• entering information about the account online on regional resources;
• development of a loyalty program (including a bonus system, providing discounts to regular customers).

• advertisements in local newspapers;
• local radio announcements;
• advertising posters, banners and banners in the city;
• banners and contextual advertising on the Internet (on thematic forums and websites, on social networks);
• distribution of advertising leaflets.

One way to promote sales is to allow customers to make appointments by telephone. However, patients with acute pain should be admitted without prior booking.

Financial plan

Further planning of business costs is based on opening a small private dental office:

• number of workplaces – two chairs;
• premises - one-room apartment (planned to buy);
• room area – 40 square meters;
• location – in a residential area of ​​a provincial town;
• staff – 6 people.

Initial Investment

Start-up capital for the implementation of a dental office business idea.

Regular expenses

Monthly investment in business.

Income

The revenue of a private account is calculated based on the following parameters:

• two doctors are seeing you at the same time;
• everyone works six days a week for six hours;
• appointment time for one patient – ​​30 minutes;
• the average bill is 1,500 rubles.

Thus, the mini-clinic will earn 36 thousand rubles per day (at full capacity), and 1,008,000 rubles per month. The company's monthly profit will reach 658 thousand rubles. Business profitability is about 300 percent.

Calendar plan

Calendar plan for opening a dental office.

Risks and payback

Risks of the dental business:

1. Low demand. This state of affairs may be the result of an incorrect marketing program, an unsuccessful office location, etc.
2. High competition. Other market participants adhere to an active marketing policy.
3. Low qualifications of senior and junior medical staff, and, as a consequence, satisfactory quality of services provided. This negatively affects the company's reputation and image.
4. Increased costs for lighting consumables due to rising exchange rates.
5. Loss of license for any reason. For example, due to incorrect documentation.
6. Closing the office due to its non-compliance with the current standards of supervisory services.

Payback for the business will take very little time, 9–12 months.

It is no secret that the number of people served in public dental clinics is constantly decreasing. Private clinics providing high-level dental services are increasingly in demand.

That is why Private dental practice is now becoming one of the most popular areas of business.

One of the most important components of a successful start of a dental office is the careful preparation of a business plan that is thought out in every detail. Only with him you can take into account all the nuances of the enterprise, quickly open and then successfully run your own business.

Features of the organization

First of all, you need to know some of the features of running your own business in the field of providing dental services. This will help you navigate and choose the right business model with which all steps and the opening plan are coordinated.

One of the features is the almost constantly high demand for dental services. Research shows that wealthy people, including doctors of all specialties, most often turn to a dentist for help.

Moreover, about half of the patients prefer to be served in private, cozy rooms.

Even in conditions of fairly fierce competition, this allows us to consider this type of business as one of the most attractive in terms of successful work and making profits.

Office or clinic?

Most in demand among the general population are precisely small private offices, which provide the most popular dental services. They are usually located in residential buildings on the ground floor, occupying one or two apartments.

Of course, the premises must be prepared in full accordance with the requirements. The list of services here is much smaller than in large clinics. This is due to many factors:

• targeting a specific category of clients;
• the impossibility of installing a large number of complex equipment due to lack of space, personnel, and too high initial costs;
• complexity of work organization and much more.

Business model as previous research

To begin with, it is necessary to talk about some of the difficulties that may arise in connection with the opening of an office by a professional dentist and a non-professional entrepreneur.

• In the case when the owner of the future business is a specialist, he works out in detail all the details and elements of the treatment process itself. At the same time, leaving behind the scenes other pressing issues - marketing, maintaining accounting and other documentation, hiring staff, automation, etc.

  Here, the provision of dental services will be truly at a high level. However, most likely, there will not be the expected flow of customers, because to attract them you need competent advertising and much more. People won’t come to even the best clinic if they don’t know about it.

• In another option, if Entrepreneur opens dental office, who is not himself a specialist in the field of dentistry, quite often a completely different picture is observed. All issues directly related to the treatment process, including pricing and list of services, are usually decided by a hired doctor.

  However, this is completely wrong, because then there may be a discrepancy between the price level and the list of services themselves for the selected model.

From the above it follows that both sides of this business - directly medical and administrative - must necessarily be considered in close connection.

Price level discrepancy the niche in the market that was chosen for developing the business plan, will not allow you to make your business profitable and, moreover, profitable, even if there are a large number of clients.

Working day of the chair

You definitely need to talk about one more feature of private dentistry - duration and continuity of equipment operation. The chair may remain idle only during mandatory disinfection. The rest of the time it should work.

This is precisely the main difficulty and the main task.

The owner must ensure daily and continuous (over a 12-hour day) operation of the equipment and, accordingly, the workload of doctors.

What will it take to open?

Exists a few mandatory points things to consider when opening a dental office. It is with them, after developing a general model, that you will need to start.

Room

The first thing you need is a suitable room for a private office to provide dental services.

There are two options - renting or buying it. The first option, rent, is considered less expensive, especially at the first stage.

However, in this case, the business owner risks being dependent on the decisions and whims of the landlord. At any time, the owner of the premises may want to terminate the contract in order to sell his property at a profit.

Besides, In the long run, renting is more expensive. Indeed, in addition to all current expenses, it will also be necessary to pay rent, the cost of which is quite high.

Having owned the premises, the entrepreneur does not have to worry about losing it. Plus, there is no need to include additional monthly expenses in the estimate.

When searching for premises you need:

• focus on the range of possible clients. Most often, people turn to medical institutions that are located in close proximity to their place of residence. Large residential areas are ideal for a small dental office;
• also necessary take into account the requirements that the law imposes on such premises. For a private office with one work chair, this is at least 14 m2. Moreover, these meters are also complemented by a hall and a bathroom.

  That is, in the end it comes out to about 30 m2, taking into account about 5 for the bathroom and 10 for the hall. When equipping additional workplaces, another 7 m2 should be added to each subsequent one.

Registration and licensing

Dental services subject to mandatory licensing. A license can be issued to a legal entity if there are appropriate certificates for the installed equipment, as well as the materials used in the work.

If an entrepreneur is a specialist in this field and intends to carry out medical procedures himself, then he should register as an individual entrepreneur (individual entrepreneur) and his own license. Otherwise, registration of an LLC will be suitable, and licenses will be issued to specialist employees.

In addition, it is necessary to register with a pension fund, tax office, and create a book of income and expenses.

You will need to open a new business account and order a seal. Additionally, provision should be made for the purchase, registration and maintenance of a cash register, as well as an agreement with a service specialist.

What are the most common mistakes encountered when opening a dental clinic, watch the video:

Equipment

One of the most significant items of future expenses– purchase, installation and configuration of the necessary equipment. For an office with one workstation you will need:

• the dental chair itself;
• autoclave for sterilizing instruments;
• set of tools;
• equipment necessary for prosthetics.

This list can also include additional items that will correspond to the list of services that the company will provide.

Staff

When selecting personnel and agreeing on their number it is necessary to proceed from the existing standards of work for doctors. The working day of each doctor cannot be more than 6 hours.

Accordingly, for the office to work seven days a week for twelve hours, at least three specialists are needed.

Additionally, you will need to hire qualified assistants - nurses for each of the doctors, orderlies for cleaning, as well as administrative staff.

Appliances and furniture

There's not much work here. You will only need the bare essentials - chairs, a computer desk, a sofa and a few armchairs, as well as a large closet and several smaller ones.

The equipment is also not very diverse - the already mentioned cash register, computer, refrigerator for storing medicines and materials.

Example of financial planning

We have already considered most of what is included in the business plan itself. Now you just need to count everything you need point by point.

The cost will be indicated in dollars, since most prices are negotiated in this currency.

Premises:

The calculations should include, first of all, payment for the premises itself. If this rent, then from 150 - 200 dollars per square meter in remote areas or about 500 dollars in the center.

At purchase– about 3000–4000 dollars also per square meter.

The specificity of dental services also requires appropriate repair and refurbishment for connecting the chair to the water supply and sewerage, as well as the electrical network. This will require about $150 per meter.

Equipment:

• Dental unit depending on the level and manufacturer - from 10 to 15 thousand dollars.
• A set of tools – about 1.5–2 thousand.
• Equipment for prosthetics – from 17 to 25 thousand.
• Consumables – about 2–2.5 thousand dollars monthly.
• The budget option for an X-ray unit is about $15,000.

License: d For each type of activity in this case, the approximate cost of a license will average $1,300.

Staff:

The salary of an orderly is from 3,000 rubles, and a nurse’s salary is from 6–7 thousand.

A separate issue is the issue of remuneration for highly qualified specialists. Typically, in the case of a small dental office, the doctor receives monthly about 2–2.5 times the minimum salary, and an additional 15 to 25–30% commission, which is calculated taking into account the work performed.

Current expenses: In addition to employee salaries, monthly expenses will include the purchase of consumables, in particular, fillings, as well as payment of rent and utilities. We should also not forget about taxes.

Price list: e that, in fact, is an income item. It is necessary to calculate the cost of each type of service provided, taking into account the pricing policies of competitors. Your prices should be about the same as theirs or slightly lower.

As a result, it turns out that opening a dental office will require quite large expenses - initially at least 300-400 thousand rubles. As you scale up, this amount will increase.

Due to the fact that recently many people have been suffering from various dental diseases, many dentists have appeared who have more than enough work to do. Therefore, if you decide to start your own business and love dentistry, then this is another reason to think about how to open a dental office.

Let's assume that your main goal is to open a private clinic providing dental services. Or maybe your office. Of course, it would be wrong to say that this idea is original, because recently services have been offered not only in urban centers, but also in residential areas, but this does not prevent specialists from having a good flow of regular clients and providing them with professional-level services. After all, people have a lot of teeth, and if you also take into account children’s teeth, then there is enough work for everyone.

Dental treatment is considered one of the most profitable types of medical care

How to open a dental clinic

At the moment, the service provision market is unstable and is only at the initial stage of its development. Therefore, in practice you can find a variety of examples of dental care and support provided. For example, public services that continue to operate due to the doctor’s ability to earn extra money at his main job. The disadvantage of establishments is the low quality of service, but the price of services is low. Also popular are private clinics, which employ highly qualified doctors, true professionals in their field. In general, the market situation is somewhat problematic and ambiguous, which entails the need to create new services.

Note: Dentistry is a promising area, but before starting your own business, it is important to understand the general procedure.

Room

This is the first thing you will have to deal with when opening a corresponding clinic, since without it you will not be issued the appropriate license: not only the services provided by the doctor are subject to licensing, but also the condition of the premises with the equipment. In this case, you can go in two ways: rent space or purchase it for your own disposal. All factors depend on your financial capabilities. The first case provides more savings, but the second provides more reliability and freedom of action. It's up to you to decide.

Most often, the premises for the clinic are rented. The price of rented real estate in Moscow and other large cities has a range and depends on a number of factors:

1. Convenience of location (are there large shopping centers, stops, metro stations nearby).
2. City area - center or outskirts, residential area or industrial, and so on.
3. Condition of the premises and the need for repairs.