How to open a dental office - how much it costs, your own from scratch

Many entrepreneurs want to open a private dental office in Russia. It is not surprising, because this business format can bring good profits. Dental services are always in demand. And if a doctor does his job well, then he will be guaranteed an influx of clients.

The greater the range of services the clinic’s specialists can provide, the greater the profit that can be made in the end. For example, some of the most popular procedures are: caries treatment, teeth whitening and cleaning, gum treatment. Responsible citizens visit the dentist 2 times a year, even if nothing bothers them - such prevention allows you to notice dental diseases in the early stages.

But starting a dental business is not so easy. Opening an office is impossible without obtaining the appropriate permits and licenses. Not to mention the investment in professional equipment and the difficulty of finding truly qualified employees.

Which is better: opening or buying a dental office?

Starting from scratch is much more difficult, because you have to think through everything down to the smallest detail in order to avoid serious problems in the future.

You can buy a ready-made business, where the dental office is already “promoted”, with a client base, dental equipment, and possibly staff. But it’s worth thinking about, for what reason is it being sold? It is not profitable either due to problems with regulatory authorities or insufficient client flow. In this case, it is better to first weigh the pros and cons and make a purchasing decision.

Purchasing a ready-made project is not as difficult as opening it yourself. It is enough to have a certain amount, be able to understand the constituent and financial documents, and correctly assess the profitability of the project.

It is important to know! A ready-made business will cost more than one opened from scratch. This is due to the fact that the seller sets the price, trying not to make a mistake and get the maximum profit from the sale. And by opening a dental office on your own, you can save on repairs (using linoleum rather than floor tiles), dental equipment (preferring domestic manufacturers), and furniture. By starting a project on your own, you do everything “for yourself” and additionally gain undeniable experience, which will be the basis for further financial activities and proper management of affairs.

Office staff

The personnel must be highly qualified and meet all the requirements necessary to obtain a medical license. The requirements for a dentist are:

The doctor must have a certificate in therapeutic dentistry.
He must have a diploma of completion of internship and residency.
His work experience must be at least five years.

This applies to a general practitioner. If your staff includes an orthodontist, surgeon, etc., then you will need to obtain a separate license for each area.

Nursing staff may also be present on staff and independently provide certain services, for example, carry out hygiene procedures (cleaning, whitening, etc.). To do this, the physician must have secondary medical vocational education and a certificate in the specialization “Preventive Dentistry”.

Medical staff with secondary vocational education can assist dentists. To do this, they must have a certificate in Dental Nursing.

According to standards, a dentist should not work more than 6 hours a day. Therefore, for a dental office to operate fully, its employees must include at least two doctors, two registered nurses, an administrator and a nurse to clean the premises.

How to open a dental office and what to pay attention to

When thinking about starting a business, answer three main questions:

What services will be provided (list, assessment of capabilities).
How the business will be carried out (premises, location, office equipment, etc.).
For whom the services are intended (clients with what financial capabilities will be served).

After a clear understanding of your goals and desires, you can begin to implement them, guided by your own knowledge and intuition.

First, it is necessary to determine the financial capabilities (investments) on the basis of which the project will be built and begin its phased implementation.

Dental services

First, you need to find out what competitors you will be competing with. Such organizations are divided into 3 groups:

On a state basis. Institutions primarily target those who cannot afford to pay for procedures. Under certain conditions, such clinics can always provide a number of additional services. These include: anesthesia, treatment on a paid basis. Such functions can also be found in paid clinics.
On a paid basis. There are several classes in this group, based on the investments of the founder. VIP, medium, economic options can be immediately recognized by the level of design, number of offices and staff. With the right approach, you can earn from 1 million rubles from such an organization. In need of highly qualified specialists, most people prefer paid services, because such treatment will be not only comfortable, but also painless.
Private office. A private dental office, as a rule, includes a small room and a limited range of services. It has: 2 dental units. Such services are becoming less and less profitable.

Dental office

Business registration

You can register an individual entrepreneur with the tax service and provide medical services yourself, having professional education and work experience in this field. Or you can do it differently, choose the legal form of LLC and issue a license for an employee whose professional level meets the licensing requirements.

Registration with the Pension Fund of the Russian Federation, FSS (OKVED codes: medical practice - 85.12; dental practice - 85.13). Opening a bank account, purchasing and registering a cash register and cashier's journal, drawing up a business book and ordering a seal for a legal entity, concluding contracts for servicing cash registers are mandatory stages of starting a business.

What documents are needed to register and operate dentistry from scratch?

It is most convenient for an entrepreneur recruiting a staff of specialists to register an LLC. If the business owner himself is a dentist and expects to see patients personally, then the best option is individual entrepreneurship (IP).

The next step is to obtain a license:

When registering as an individual entrepreneur, a license is obtained by a specific individual - an individual entrepreneur.
If you have LLC status, employees who have the necessary experience and education are licensed.

Attention . The license to practice medicine specifies the specific premises. Accordingly, registering a business presupposes the presence of space already prepared for work, that is, the purchase or rental of real estate, repairs, and so on.

The fact of business registration is confirmed by relevant documentation received from the tax authorities, the pension service, the Compulsory Health Insurance Fund (MHIF), and the Social Insurance Fund (SIF).

Doing business is also impossible without a bank account, a seal, a book for recording income and expense transactions, and a cash register registered with the tax service.

Selecting a room

The first step is to select the right premises for opening a dental business, suitable for the cost and requirements of regulatory documents (SANPIN 2956a-83 and SANPIN 2.1.3.2630-10).

To open an office with one dental unit, you will need about 30 m²:

doctor's office - 14 m²,
sanitary area - 4-5 m²,
hall of at least 10 m².

The ceilings in the room are not lower than three meters, and the width of the room from the window to the opposite wall is six meters. For each additional dental chair with installation, seven more are added to the 14 square meters of the office where medical procedures are performed.

In the case of installing three or more dental units, it is necessary to equip a special room - a sterilization room, its minimum area is 6 m².

Advice! If the initial investment does not allow you to purchase real estate with sufficient space, then you can rent or buy a one-room apartment on the ground floor of a residential building. This is the simplest and least expensive option, but it will be necessary to transfer it to non-residential status, and this will take time and patience.

Purchase of necessary equipment

Any entrepreneur thinks about how much it costs to open a dental office if he wants to work in this direction. Before purchasing equipment, you need to make repairs to the premises and bring them into compliance with established standards.

Purchasing equipment will require serious investment. This will be the most significant cost item. If the initial capital is small, you can get by with used equipment at this stage. But even here it is necessary to take into account the requirements of the law. The minimum list of equipment will look like this:

dental chair with sleeves;
tips;
tools;
lamps;
autoclaves;
sterilizers;
cabinets and racks;
furniture.

If X-rays are taken in dentistry, then a visiograph will also be required. It costs at least 250,000 rubles. In total, about 800,000 rubles will be required to purchase the necessary equipment and consumables.

What to look for when choosing a room

A dental office can be opened in the city center or in a residential area. But it is important to comply with some conditions:

convenient location, the medical facility should be located close to public transport stops and metro stations;
accessibility, the best option is the first floor of an administrative or residential premises;
availability of free parking spaces.

When a premises opened for a dental business does not meet the requirements of government agencies, it must be re-equipped: change the electrical wiring, replace the pipeline, sewerage, and ventilation systems. In specialized structures, order a draft technological plan for the premises, coordinate it with fire authorities, consumer supervision and architectural planning service.

The cost of real estate for a dental office depends on the region where you plan to open a business. On average, a room with an area of 30-40 m² can cost 1,500,000 - 2,000,000 rubles. After repair work, medical equipment is purchased and installed.

Dental Business

So, we signed an agreement and away we go... I plunged into the “world of Russian licensing” headlong. In fact, something was always missing, then a face bow is needed (if not, rent from us), then a vibration table (no? - rent). In general, I opened my first dentistry at a VERY expense. But it so happened that during a divorce everything is divided in half, alas, it was not possible to work with my ex-husband and a situation arose that I had to sell my share. =(And of course everything is new! Premises - renovation - purchase - ses license - UH =) (I thought) I didn’t have enough money for “escort”. And there was nothing left to do but go our own way, stumbling and rising. As a result, I was very surprised that, you won’t believe it, the SES employs the SAME people as you and me! =) And they are not at all evil and biting, but kind and understanding =) My journey began with the fact that I did not know where to start, what was needed to obtain an SES conclusion. And I decided to go to my territorial sanitary and epidemiological inspection office just for advice. They explained everything to me absolutely good-naturedly and calmly and gave me a statement and so on. According to the list, I collected everything, ordered their visit for inspection - and Voila - the conclusion of the SES in my hands. I was happy, but Rospotrebnadzor was still ahead =) Here everything turned out to be even simpler. The MOST important thing you need is “your team” - i.e. employees who will work with you. PS: who, what employees, what documents for employees, employment contracts, etc. are in the corresponding packages.

As soon as you recruit a team (it’s not difficult, the secrets are inside the packages =) - that’s it, feel free to apply for licensing, which by the way can be done online if you have an electronic signature of the organization (if you have connected 1C, then you have a signature, which means there are no problems ) After submitting, we wait about 30 days and they will call you and schedule a day for the inspection employee to come. After verification, you will receive a License for your treasure and will be able to PROUDLY say: “I will not be intimidated! I can do everything myself!” After all, “if you’re afraid of wolves, don’t go into the forest!” This is my NOT scary story of discovering my brainchild =) Of course, this is the shortest possible version of what is happening, but I reflected the essence. You will find everything regarding documentary issues and requirements and other things in My packages. In them I collected everything possible and even what is not necessarily needed for licensing and SES.

These packages are not a copy of Internet files, but a labor-intensive process to create the most comfortable and understandable algorithm for everyone who needs help! All packages contain at least 25 files!

Purchase of equipment

This is the next largest expense item after the purchase of premises. You can also purchase an outdated dental chair for a reasonable price. Or you can do something new, with modern devices, but it will be expensive, so you need to be guided by the possibilities and choose the golden mean. And changing equipment after promoting a business will be much easier than installing expensive equipment, paying up to 3,000 rubles for its maintenance. monthly, and not yet having a constant profit and client base.

Below is a list of equipment indicating the average prices for its purchase:

dentist chair. It must be equipped with installations for an air or water supply gun, a turbine, a micromotor and an ultrasonic scanner designed to remove plaque and tartar. The average cost of such a chair is 250,000 - 300,000 rubles, and its monthly maintenance will cost about 3,000;
a set of replacement tips for a dental unit; they must be kept in reserve. The average price for one set is 4,000 - 4,500 rubles;
consumables for a month of office operation (sealing pastes, mixtures, napkins, cotton swabs, etc.) – 5,000 rubles;
dental instruments - 25,000 rubles;
apex locators, solar-curing lamps - 40,000 rubles;
autoclave and sterilizer - 90,000 rubles;
cabinet for storing tools and drugs - 65,000-70,000 rubles;
other furniture for the office (tables, chairs) - about 55,000 rubles.

As a result, it turns out that you need to spend about 590,000 rubles on the purchase of dental equipment.

What equipment to choose to open a dental office

From equipment directly intended for treating patients, the organization will purchase:

controlled patient chair,
lamp for local lighting,
drill with a set of tips,
water and air supply system,
saliva aspirators and dust absorbers,
ultrasonic scaler for removing dental plaque,
spittoon,
oral irrigation system,
terminator for disinfection of tips.

To disinfect instruments, you will need to purchase: a table for sorting items before sterilization, a dry-air cabinet, an ultrasonic cleaner, sterilizers for processing instruments, an apparatus for sanitizing tips, an ultraviolet chamber for cleaned instruments, and bactericidal irradiators for treating the room.

Also at the start of the business, cabinets and cabinets for tools, medicines and materials, and a safe for potent substances will be purchased. The estimated cost of equipping the office will be 1.6 million rubles.

Additional costs for starting a business

These include:

repair costs, in the simplest version, can amount to at least 100,000 rubles;
costs for obtaining a license - from 50,000;
utility bills, telephone, Internet, business advertising will require monthly costs of at least 10,000-15,000 rubles;
employee salaries, which at the initial stage may be small, but with an increase in the client base, volume of work and profits, will be increased.

It is not easy to calculate the exact cost of opening a dental office; you can only roughly estimate the costs. But as practice shows, such a business project with minimal costs for equipment and repairs, and with the acquisition of real estate ownership, will require from 2,500,000 to 3,000,000 rubles.

Calculation of business expenses and income. How to calculate profitability in dentistry

In our example, we will consider opening a dental office in an economical option; the cost of equipment and tools, the minimum set of materials for starting is 1,700,000 rubles. The office will house 2 dental units.

Planning horizon 2 years. Taxation – simplified tax system, income minus expenses.

A doctor's working day cannot be longer than 6 hours. Therefore, to work in the planned office, you should hire at least 2 doctors, 2 nurses, a cleaner, and an administrator. The project initiator can work as the second administrator at the start; in addition, the project initiator is assigned the function of director of the enterprise. Accounting is outsourced and the cost of the service is 10,000 rubles per month.

Job title	Qty	Salary	Total
Human	rub/month	Payroll
Director	1	10000	10000
Doctor	2	40000	80000
Nurse	2	20000	40000
Cleaning woman	1	10000	10000
Administrator	1	15000	15000
TOTAL	6	85000	145000

The cost of organizational expenses will be 10,000 rubles (opening an LLC) and 40,000 rubles (licensing activities). The area of the premises is 50 m2, the rent is 100,000 rubles per month. Repair of the premises, sign – 300,000 rubles.

Taking into account the necessary working capital, the initial investment in opening a dentistry will be:

Total
year
Purchase of equipment, tools	1700000
Working capital	32100
Room renovation, sign	300000
Organizational expenses, license	50000
Total expenses	2082100

The planned services of the office are caries treatment, x-rays, aesthetic dentistry, teeth whitening. For calculation, we will take the average cost of an hour of work to be 2,000 rubles. Working hours from 9 to 21-00, seven days a week. In dentistry, there are seasonal fluctuations in revenue, so in the summer the revenue falls and in the winter it increases. For the calculation, we assume that the workload of office staff is 70%. In our calculation, two dental units are installed, so when fully loaded, you can have 4 dentists working for you.

With the given parameters, dentistry’s revenue for the allotted planning horizon will be:

Total	Total
1 year	2 year
Revenue from dental services	5040000	6048000
Total revenue	5040000	6048000

Let’s not forget about fixed and variable costs, the total amount of which was:

Total	Total
1 year	2 year
Fixed expenses
Wage	1560000	1860000
Payroll taxes	468000	558000
Rent	1100000	1200000
Depreciation	555556	666667
Accountant services	100000	120000
Variable expenses
Consumables	756000	907200
Communal expenses	88000	96000
	55000	60000
Other variable expenses	100000	120000
Total costs	4782556	5587867

In our version, the return on investment invested in opening a dentistry can occur in 26 months, the profitability for two years is 5%.

Planning horizon	2 years
Enterprise revenue, rub.	11088000
Enterprise profit, rub.	606698
Investments in the project, rub.	2082100
Payback period, months	26
Profitability,%	5

A little about the staff

The success of the project depends on the qualifications and experience of the personnel. In addition to a comfortable environment in a medical institution, dental staff must complement it with their friendliness and professionalism. A client who has received the full range of selected services will be satisfied with their quality and will definitely share his impressions with loved ones. And this is a kind of additional advertising for the business and an increase in the flow of customers.

You should approach the issue of personnel selection with great care. Even a small dental office will require 3 employees: a qualified dentist, an assistant, and a technical worker. After registration of personnel, information on them is submitted to the pension fund, social insurance fund, and compulsory health insurance fund. In case of violation of the deadlines established by law for the provision of data, penalties may follow, and for a newly opened, not yet stable business, this is an unexpected and unwanted expense.

Personnel for the operation of a dental office

It would be useful to remind you about a separate license for each area of activity, about the high qualifications of doctors and the compliance of staff with the necessary criteria:

Availability of special certificates (therapeutic, surgical, etc.) depending on the doctor’s specialty.
Providing an intern and resident diploma.
Proven five years of experience required (minimum).

Mid-level employees with appropriate medical education can also be included in the staff. They, as a rule, assist doctors and perform hygiene procedures.

Attention . Based on the norms, the maximum working day for a dentist is six hours and no more.

Thus, the full-fledged activity of dentistry with one dental chair is provided by personnel consisting of: two doctors, two nurses, a nurse and an administrator.

Business pitfalls

It is important to take into account that before legally registering an apartment as a commercial property, you need to obtain the consent of the owners of adjacent apartments for such a neighborhood. Official permission must be written and notarized. Otherwise, after the clinic opens, some of the neighbors may be disturbed by noise. Ignoring comments is illegal, but closing a business is not an option, so it’s better to insure yourself in advance.
It is not recommended to use rented premises to open such a specific business. You will have to do repairs, redevelopment and modernization, spending quite a lot of money on it. And it will be a big failure if the tenant, due to some circumstances, decides to sell it. In cases where renting is the only option for starting a business, it is better to conclude a contract for the premises for 5 years. During this time, the project will pay for itself and begin to make a profit.
You should not neglect advertising, trying to minimize the costs of a business that is not yet stable. As practice shows, advertising is the engine for recognition, demand and profit.

It is a mistake to think that the money spent will pay off with interest in a year or two. The dental business is reliable, but it is not a get-rich-quick guarantee unless clients are provided with expensive and unique services. Therefore, you need to be patient and go to the end, gradually gaining experience, increasing service and customer loyalty.

To be competitive means to be in demand and recognizable in your business environment. Proper organization of financial activities and the flow of clients will ensure stability and confidence in the future.

Recruitment of dental clinic personnel

The staff of the LLC, that is, the clinic, standardly includes the following vacancies:

Dentist - with higher education, work experience of at least 5 years, recommendations;
Nurses - standardly for each dentist there is one nurse with a medical education or after completing special courses, with work experience of at least 1 year;
Nurses - specialized secondary education and work experience of at least 2 years are allowed;
Administrator - secondary specialized education is allowed, work experience of at least 2 years, good appearance, competent oral and written speech, ability to communicate with clients;
Accountant - with higher education and work experience of 5 years (independent balance);
Cleaner - under the age of 55, without bad habits;
Security guard - required to have a license, specialized secondary education.

A director and chief physician are appointed, who can be one person.