Dental clinic business plan, business relevance, step-by-step action plan

Dentistry is one of the most popular areas of medicine. The most popular services: teeth whitening, caries and gum treatment. People who care about their health visit the dentist at least twice a year, even in the absence of suspicious symptoms or pain. With proper advertising of the medical center and the presence of professional doctors, the influx of visitors, and therefore income, can increase significantly. Therefore, it is not surprising that many entrepreneurs are interested in how to open a dental office. However, opening a dental office, much less an entire clinic, is very difficult. You need to at least obtain all the necessary licenses and permits, not to mention purchasing expensive equipment, finding employees, and so on. If you are serious about opening a dental office from scratch, we recommend following these steps step by step.

Is special education important?

Education is necessary if you plan to open a dental office and work there as a dentist. If the business owner will be involved in attracting clients, development and the commercial part in general, then the entrepreneur does not have to be a practicing dentist and have a diploma.

Areas of work:

Dental treatment (therapeutic direction).
Improving appearance (cosmetic dentistry) - this includes whitening and other procedures.
Surgery, orthodontics (teeth extraction).
Implantology (installation of implants).
Children's dentistry.

But one doctor cannot provide all services, since each dentist has his own specialization. Therefore, for an office with 1-2 chairs, you will have to choose a specialization - for example, deal only with therapeutic and aesthetic dentistry.

Solution for dentistry from YCLIENTS

Now you know what it takes to open a dentistry, but this is not enough to promote your business and attract new clients. In dentistry, as in many other areas of service, fast and high-quality customer service is very important .

YCLIENTS company offers to use a CRM system. With its help, you can keep an online record of clients. Some patients won’t have to take time off from work to get a number to see a doctor, while others won’t need to make a phone call. Online registration is convenient and saves time .

The patient is required:

Select date and time.
Indicate your full name and contact phone number.

YCLIENTS will automatically generate a client card and create a schedule . The administrator will not have to manually fill it out, so all sorts of errors will be avoided. You can use the optional SMS or email notification feature to remind patients about their upcoming appointment . Thanks to this, doctors will have no windows in their schedules. To personally evaluate all the conveniences of the CRM system from, install the demo version.

Market prospects

Dental services have always been, are and will be relevant. Caries is the most common human disease. The demand for modern dental offices today is very high. High prices for the treatment of dental diseases make this business extremely profitable.

We can say that a well-organized dental business cannot but be profitable. And this despite the presence of competition among other private clinics and free municipal institutions.

Marketing

A doctor with certain experience can obtain a license to provide dental services. Over the years of work, the dentist has formed a circle of regular clients. Ask grateful clients to recommend you by offering additional services or reasonable discounts.

Advertising, seasonal discounts and other dental techniques do not work or give the expected effect. The client will not come because of the promotion if his teeth do not hurt. A clear and financially reasoned demonstration of the feasibility of regularly visiting a doctor for preventive purposes can work. Show sincere concern for the client’s health - this always gives a positive result and contributes to the doctor’s popularity.

The patient is not always able to realistically evaluate the professionalism and cost of the doctor’s services. The price, in the patient’s opinion, is too high and will force him to look for a cheap clinic. The cost of services must be clearly formulated and described in language that a lay person can understand.

Description of products and services

Our organization plans to provide a wide range of services in oral therapy and orthopedics:

Treatment of superficial caries – 1300 rubles.
Treatment of average caries – 1500 rubles.
Treatment of deep caries – 1700 rubles.
Treatment of pulpitis – 2200 – 4200 rubles.
Treatment of periodontitis – 2200 – 4200 rubles.
Stamped crown with spraying – 1500 rub.
Crown cast on pearls – 3500 rub.
Facet – 2000 rub.
Solid metal stump inlay – 1,500 rubles.
Partial removable denture material polyamide – 16,000 rubles.
Clasp prosthesis – 9,000 rubles.
Complete removable denture material polyamide – 19,000 rubles.
Silicone impression – 600 rub.
Polyester cast – 1000 rub.
Repair of a removable denture – 800 rubles.

The operating hours of the dental office will be from 9:00 to 18:00. Closed on Sunday. It is expected that the daily flow of clients will be on average 7 people. The average bill for the service will be 2,500 rubles. Thus, the potential daily revenue will be 17,500 rubles, monthly – 507,500 rubles, annual – 6,090,000 rubles.

Marketing plan

A marketing plan for a dental clinic, maximally focused on attracting as many patients as possible, consists of several important points:

Advertising through most available media (print publications, local television and radio broadcasting).
Creation of a clinic website in a memorable and informative style.
Production of printed advertising materials and their subsequent distribution in various ways.
Development of a flexible pricing policy with the availability of individual offers for different social segments of the population.

In a city with a population of up to 300 thousand people, the planned monthly revenue of a dental clinic will be about 600 thousand rubles. Most of this amount will come from dental prosthetics services. Accordingly, the clinic’s annual revenue will be around 7.2 million rubles.

What documents are needed to open a dental office?

After registering a legal entity, it is planned to obtain a special medical license (required by law). To do this, the following documents will be submitted to the regional Ministry of Health:

conclusions of the SES;
constituent documents (charter, certificate of registration, etc.)
a certificate confirming the right to rent the premises;
copies of diplomas and certificates of dental office workers confirming their qualifications.

The cost of obtaining a license for a dental business will be 20 thousand rubles. The validity period of the license is 5 years.

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.

Summary

For information about what a resume should contain, read the article Structure of a Business Plan Summary.

The goal is to organize a dental office in a city with a population of over 300,000 people.

As part of the project, it is planned that an experienced dentist working for hire will open his own dental office, which will be located on the first floor of an office building in a new residential area of the city.

Initiator of the project

The cabinet is organized by a specialist in this field who has a medical education and work experience of more than 7 years. Opening your own business is supported by an established client base and the desire to expand your income by hiring additional employees. Despite the possibility of opening a dental office on the basis of an individual entrepreneur, taking into account all the financial risks, preference is given to organizing an LLC.

Investment size

As part of the investment project, you will need to invest 5,900 thousand rubles. A certain part of the costs of starting a business (32%) will be covered from own savings in the amount of 1,900,000 rubles, the main part - by attracting bank loans secured by purchased real estate and equipment in a total amount of 4,000,000 rubles.

Project performance indicators

Key performance indicators of an investment project for opening a dental office:

IRR (project accounting rate of return) – 26.8% per annum;
Weighted average cost of capital – 15.4% per annum;
Payback period without discounting – 5 years;
The period for full return on investment (including discounting) is 6.8 years;
NPV – 1,741 thousand rubles.

The discount rate was not used in the calculation due to the short payback period of the project.

ATTENTION !!!

Practice shows that by ordering a business plan from specialists, you will save time, increase the quality of the finished document by 4-5 times and increase the chances of receiving investment by 3 times.

Brief market analysis

Dentistry has been a leader in the ranking of commercial areas since 2010.

If you look at the ratio of public and private institutions in Moscow, you will find that budget ones account for only 4%. That is, the remaining 96% are commercial organizations. Hence the conclusion: competition in the industry is high.

However, it is not competitors who pose more obstacles to a novice businessman, but the state, which puts forward strict requirements for premises, licensing, certification, and installation of x-ray equipment.

The most sought-after specialists in the industry are surgeons and therapists. Orthodontists follow them. Generalist doctors account for 11% of demand, another 6% for pediatric specialists. Every year prosthetics becomes more popular.

According to an analysis by the Russian Ministry of Health, in 2019-2021, industry growth will be about 12% per year. Such forecasts are due to the high profitability and short payback period of dental institutions. So, in the capital the profit volume is 30%, in the provinces – 20%.

How to open a dentistry from scratch

Choosing a format: office or clinic?

The modern market for private dental services is represented by two formats: dental offices and clinics. For the most part, the domestic market is represented by dental offices, located, as a rule, on the first floors of residential buildings in residential areas or in the territories of private households. According to statistics, a dental office is a less attractive unstable business option for a beginning entrepreneur, since the further path of development leads either to bankruptcy of the enterprise or to transformation into a more stable and profitable option - a dental clinic. Several dental clinics are either being converted into a full-fledged medical dental center or forming an independent network.

When choosing a format, an aspiring entrepreneur proceeds from his own vision of the prospects for growth and development of the business, as well as financial capabilities.

In addition to standard formats, dental medical institutions are also classified in terms of their approach to the practical provision of services. Some clinics and offices are focused on a constant flow of clients, providing average quality services at reasonable prices. Such clinics are equipped with a relatively large number of dental chairs, operate around the clock and provide their clients with a wide range of services.

At the same time, there are dental centers focused on a small number of regular clients and a narrower list of high-quality services provided at inflated prices. Narrow specialization and a modest client flow pay off due to the high quality of dental services provided and increased costs compared to the average market price.

Drawing up a list of services

Modern dental medical offices, clinics and centers offer their clients the following services:

Therapeutic treatment is the most popular and widespread service. In the vast majority of cases, people go to a dental office or clinic for consultation with a dentist-therapist. Such a doctor treats caries, periodontitis, pulpitis and other diseases, and also restores and whitens teeth.
Surgical intervention. This type of dental services is aimed at any type of treatment that requires surgical intervention by a professional dental surgeon. The list of such services includes tooth extraction, implantation, plastic surgery of the lower and upper lip frenulum, and so on.
Orthopedic dental services are aimed at restoring the condition of the teeth and jaw using a variety of prosthetic methods.
Orthodontic services are popular among clients who want to correct the position of a particular tooth or change their bite using braces, mouthguards, plates and aligners.
Periodontics is based on the treatment of gum inflammation in order to prevent the occurrence of periodontitis and periodontal disease.

Market research and competitor assessment

The practical implementation of a business plan is impossible without a thorough preliminary study of the market situation, assessing the activities of competing offices and dental centers, identifying their strengths and weaknesses in order to use the information obtained to improve the efficiency of participation in competition at the local level.

This type of business activity plays an important role in the competent selection of the location of a dental office or clinic. First of all, the choice of location should be aimed at obtaining a large and stable client flow. In addition, when determining the location, the remoteness of the establishments of competing companies should be taken into account, especially when it comes to locating your own establishment in a residential area. To provide a flexible pricing policy and create a wide range of services, it is necessary that the medical institution be sufficiently remote from the nearest dental centers and offices of competing companies.

Which format to choose: clinic or office?

A dentistry business plan includes an important point - the choice of work format. There are two options - a full-fledged clinic or a regular office. The choice of format depends entirely on your ambitions and financial capabilities.

The clinic is preferable because it covers a wider range of services and can serve several clients at a time. But dental offices are still the most in demand. Typically, such offices are located on the 1-2 floor of residential buildings, always within walking distance. Small offices provide few services due to lack of staff and space for expensive equipment. This format is designed to provide a specific service to a selected target audience.

All institutions providing dental services are divided into 3 types:

Economy class. Such firms use a preferential tax system and usually have difficulty hiring professional dentists. The average check of such a company starts from 150 and reaches 1,000-2,000 rubles. This category includes dental offices of clinics and medical centers.
Business segment. The average bill for such clinics starts from 1000 rubles. Due to the high level of income, the clinic can hire professional dentists, buy modern equipment and use innovative techniques for treating patients.
VIP clinics. Such institutions exist for people with high incomes interested in high-quality service. For one session in such an establishment, the client will pay from 2,000 rubles.

Financial plan

A business plan for a dental office must contain a clause on finances: investments in the idea, future expenses and income, payback period. You should also consider future sources of funding for the business.

Investment size

A dental office is subject to mandatory licensing, which requires obtaining permits from the SES, fire inspection and Rospotrebnadzor for a specific premises. If you move from the rented premises, the licensing procedure will need to be repeated. Considering the significant costs of repairs and the risks of termination of the lease agreement, preference is given to purchasing real estate as a property.

As part of the project, it is planned to use credit resources to purchase non-residential premises with a total area of 64 sq.m., which will be used to organize two workplaces for dentists, a workplace for a prosthetist, a waiting area and utility rooms. The building is located in a new residential neighborhood, the cost of the premises is in the average price range (50 thousand rubles per sq. m.).

In addition to the costs of purchasing real estate, a significant cost item for organizing a dental office will be the organization of workplaces for specialists - the purchase of dental units, a set of equipment and the initial purchase of consumables.

A standard kit for organizing one dentist’s workplace consists of the following equipment:

dental unit (“chair”);
autoclave and dry-heat cabinet for processing instruments;
cabinet and cabinet for storing tools and materials;
set of tools;
bactericidal lamps;
first aid kit.

Below is a work plan for organizing a new dental office:

The cost of organizing a dentist’s workplace depends on the manufacturer and is in a wide price range from 250,000 to 1,200,000 rubles. To calculate this project, we will take an average figure of 700,000 rubles.

To save money and square meters of space in the room, there are no plans to allocate a separate X-ray room. Instead, the plan is to use a portable X-ray machine that can be moved from one dentist's office to another. Prices for this type of equipment start from 60,000 rubles.

Additionally, it will be necessary to purchase equipment for the waiting area, the administrator’s workplace and the prosthetist’s office, install a ventilation and air conditioning system, and a fire and security alarm. To decorate the façade of the premises, it is planned to produce an illuminated sign.

The total amount of investment expenses and their payment by month are presented in the table below:

Purpose of investment1 month.2 months.3 months.TOTALPurchase of real estate Repair of the premises Ventilation installation Installation of a security and fire alarm Registering an LLC, making a seal, opening a current account Purchasing equipment Purchasing furniture Purchasing a cash register Obtaining a license Purchasing consumables Making a sign Creating a website Making and placing advertisements TOTAL

3 200 000	3 200 000
225 000	225 000	450 000
70 000	70 000
50 000	50 000
20 000	20 000
800 000	800 000	1 600 000
190 000	190 000
10 000	10 000
60 000	60 000
200 000	200 000
25 000	25 000
5 000	5 000
20 000	20 000
3 515 000	1 025 000	1 360 000	5 900 000

Sources of financing

Investments in such a business are often made using accumulated personal money, but you can also use the services of banks to take out a loan or find an investor.

Business loans are issued at 18% per annum for a period of up to 15 years with an annuity repayment schedule. Taking into account the share of attracted and personal investments, the weighted average capital is 15% per annum.

Starting investments

The costs of the preparatory stage include:

Registration of a business, registration of licenses and permits – 54,000 rubles.
Repair work – from 75,000.
Purchase of equipment, consumables and inventory – 700,000.
Installation of a sign, advertising, website creation – 75,000.

In total, the amount of starting investment is 884,000 rubles.

Monthly expenses

Cost amount:

Salary and insurance contributions – 240,500.
Rent of premises for 35 square meters – 55,000.
Utilities – 3,500.
Advertising costs – 12,500.
Purchase of consumables – 4,500.
Additional expenses – 11,000.

The amount of costs is 327,000 rubles.

Monthly employee benefits include:

Administrator – 30,000.
Two doctors – 100,000.
Two nurses - 46,000.
Nurse - 9,500.

In total, the amount is 185,000 rubles.

Employee salaries are a fixed rate plus a percentage of the work performed; the amount of expenses may vary depending on the volume of work.

Business income

Let’s assume that the office is open 12 hours a day (two doctors – two 6-hour shifts), 5 days a week. In theory, dentistry can serve up to 12 patients, but in practice the number is less. On average, this is 7 people a day, each of them will pay 3,500 rubles to the cash desk for services.

Thus, we calculate the revenue:

7 (number of people) *3,500 (average bill) *22 (working days) = 539,000 rubles
We subtract current expenses - 539,000-327,000 = 212,000 rubles of net profit.

In this case, the payback period for the starting investment will occur after 6-7 months of work, the profitability of the business is at the level of 60%.

Documents and permits

For dentists planning to engage in private practice, it is more convenient to open an individual entrepreneur. Entrepreneurs hiring staff of specialists - LLC. In the first case, the license is issued to the dentist in his name; in the second, the owner of the medical institution receives a license for his staff. The advantage of registering as a legal entity is that you can attract investors. They will become co-founders.

OKVED codes: 85.12 “Medical practice” and 85.13 “Dental practice”.

Needed:

Registration with the Pension Fund, the Compulsory Health Insurance Fund and the Social Insurance Fund.
Opening a current account.
Print order.
Preparation of a ledger for accounting income and expenses.
Purchase of cash register equipment. Register it with the tax authorities.
Registration of permits from the fire inspection and sanitary and epidemiological stations.

SanPiN 2.1.3.2630-10 and SanPiN 2956a-83 indicate what requirements dental offices must meet. There are regions where additional bills are in force. Obtain licenses for all types of activities that you offer. It will take about 1.5 months to complete one.

The total cost of bureaucratic procedures will be about 60,000 rubles.

Advertising and Marketing

Clinic name

As a rule, most start-up enterprises go bankrupt in the first years of operation. This is due, among other things, to the lack of a competent approach to company branding. To attract a stable client flow, the name of a dental office or clinic must be unique and consistent with the type of services provided, as well as evoke a correct and pleasant association among clients and be easy to remember.

Location

The dental office will be located in a new residential area of the city, with a large number of new buildings (including luxury housing), so when building a pricing policy we will focus on the middle segment of consumers.

Services

List of services planned for provision:

treatment of caries;
tooth extraction and prosthetics;
radiography using a mobile x-ray machine;
aesthetic dentistry, teeth whitening.

Operating mode

Office opening hours: from 9.00 to 21.00, seven days a week.

Prices for services

Prices for dental services vary depending on the type of work and the quality of materials used, from 1.5 to 4 thousand rubles (excluding the cost of dentures). To calculate the profit and break-even point, the base indicator will be the price of 2 thousand rubles per 1 hour of visiting a dentist.

Ways to attract clients

Traditional advertising options should be practiced: local print media, television and radio broadcasting stations, posting advertisements and distributing leaflets in places with high traffic to the target audience of a business project; also, do not underestimate the effectiveness of word of mouth.

A significant competitive advantage will be the creation of your own business card website for a dental clinic or office, indicating the list of services provided and price categories, as well as work hours and contact information. The site also recommends implementing the opportunity to leave reviews from grateful and satisfied clients of the institution.

Dental services: studying supply and demand

The demand for dental services in Russia is quite high. Against this background, there is a steady increase in demand. This fact is not surprising. Impeccable teeth have always been considered an indicator of beauty and excellent health. Of course, the exorbitant increase in the number of private clinics recorded in the last decade of the last century has somewhat subsided. Nevertheless, the private sector in this area is actively developing, expanding the list of services provided. For example, in Moscow, private dental practice accounts for almost 50% of the total number of dental services provided, in Samara - up to 60%, in the Kaliningrad region up to 80%, and so on.

According to statistics:

For a city with a population exceeding 50,000 people, it is typical to have one private clinic or several dental offices.
In larger settlements (up to 1,500,000 people), there are on average 100 such medical institutions.
There are at least 500 of them in the capital and Northern Palmyra.

If we turn to the analysis of specialists regarding those in need of dental treatment, then 50% of patients or more are ready to be treated for a fee.

What types of organizations are there on the dental market where Russians have their teeth treated:

In state and departmental clinics

Their main purpose is to serve low-income citizens. They are characterized by outdated equipment and low-quality consumables. Additional services are provided for a fee. In professional terms, this sector is called a kind of talent forge that replenishes private offices.

In private clinics of various categories (higher, middle, economy)

The class of dentistry is determined by the level of equipment, design, and qualifications of numerous personnel. This segment provides the full range of dental services - diagnostics, therapy, surgery, and so on.

In private dental offices

As a rule, they are located in small rooms of up to 30-80 square meters and have no more than two dental units. The range of services provided is smaller than in clinics. However, it is difficult to do without contacting a specialist in cases where a preventive examination, teeth whitening, treatment of gums or pulpitis, etc. are necessary. This is the front line of activity for a good private dentist. That's why a real professional always has a job.

From a business owner's point of view:

Private clinics are characterized by: high attendance and, accordingly, high profitability. For example, the average monthly net profit from 15 offices located in a room on an area of 200 m² is 1,150,000 rubles. Opening a multidisciplinary medical institution involves considerable financial expenses (several tens of millions of rubles), obtaining independent licenses (separate licensing for each type of activity), recruiting a large staff of specialists, organizing structural divisions and other issues.
Opening a dental office is easier in every way and the initial costs are much lower. It is not difficult to organize the work of two doctors involved in dental treatment (sometimes tooth extraction) and hygiene procedures. It is not even necessary to purchase an X-ray machine. Clients can be directed to the nearest clinic for an image. Of course, the availability of prosthetics, implantation and orthopedics services significantly increases office attendance.

Production plan

To learn about what the production section of a business plan should contain, read the article Structure of the production plan of a business plan.

Room

To house a dental office, it is planned to purchase non-residential premises with a separate entrance on the ground floor of an office building, since the purchase of similar objects in residential buildings is associated with a number of restrictions and the risk of not obtaining a license.

The floor plan with a total area of 64 sq.m., the placement of offices and equipment are presented in the diagram below:

Scheme 1: dental office layout.

1.3 – dentists’ offices (14 sq.m. each);
2 – waiting area and reception desk (14 sq.m.);
4 – office of a prosthetist (8 sq.m.);
5 – locker room for staff (3 sq.m.);
6 – hall and corridor (7 sq.m.);
7 – toilet for visitors and staff (4 sq.m.).

Operating mode

Working hours: 12 hours (from 9.00 to 21.00) without days off or lunch breaks.

Volumes of service provision

Despite working in two shifts, it is not possible to ensure 100% occupancy of the seats, since there are peak visiting hours - from 09.00 to 13.00 and from 17.00 to 21.00, and possible downtime in the middle of working days.

Therefore, to calculate the projected revenue, we will take 2 thousand rubles per hour as a base indicator with an average dental workload of 70%.

Revenue = 2000 (rubles) *12 (hours) *70% (load) *2 (number of seats) *30 (days) = 1,008,000 rubles.

Despite marketing campaigns during the first three months, it is planned to gradually reach 100% of dental work. Revenue growth to the planned figure is presented in the graph below:

At the same time, seasonal factors will affect revenue during the month, decreasing or increasing it. Seasonality indices for dentistry are presented below:

Main risks

According to statistics, about 60% of new dental clinics close within 1.5 years of operation.

If the business plan contains only outlines from the doctor’s point of view and does not include an analysis by a professional manager regarding risks, real costs of organization, a marketing plan and pricing features, the new clinic will not be able to survive and achieve stable growth.

Any business aims to make a profit. But in the provision of medical services this should not become the main, much less the only, goal. Employees and partners who are united only by the idea of enrichment will leave for more successful competitors at the slightest difficulty. On the other hand, the mission to do good should not compete with the natural desire to receive decent payment for the services provided. A wise approach and balance in personnel policy, a common vision of strategic goals and reasonable distribution of profits will help avoid the collapse of the team.

It's very easy to lose your reputation. A medical error can ruin a business and cause a dentist to lose his or her license. Strict adherence to sanitary standards and adherence to the established treatment procedure in a private clinic are the most important tasks.

“Step-by-step instructions on how to open a dental office”

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.

Dentist chair

Not a single dentist’s office can do without this equipment. Professional patient chairs differ in the type of drive. More often than others, there are models with electromechanical or hydraulic. As a rule, the installation is equipped with at least four sleeves: one for a gun that supplies air, water or spray, the second for a micrometer, the third for an ultrasonic scanner, which allows you to remove unwanted plaque from teeth and clean teeth from stones, the fourth - under the lamp.

Among the world leaders - manufacturers of this type of equipment, the following should be highlighted:

German company KAVO, the cost of such equipment will cost at least 900 thousand rubles;
American brand A-dec price starts from 600 thousand rubles;
Italian Anthos offers equipment from 400 thousand rubles;
Chinese manufacturer Fona sells equipment starting from 100 thousand rubles.

The cost of the dental chair and installation is greatly influenced by the configuration and quality of the materials from which the equipment is made, the presence of additional options (air heating, auto-disinfection of hoses), modification of the electronic filling (automatic pressure meter, the ability to set certain programs, etc.).

Thus, when purchasing equipment in the range of 100,000 -250,000 rubles, you must realize that it belongs to the economy class. Equipment costing from 400 thousand rubles are the so-called “workhorses”, which are mostly used in public dental clinics and private offices. It should be noted that one of the advantages of equipment in this segment is hassle-free service and availability of spare parts.

Premium-class units, in the price category from 900,000 rubles, in addition to a rich set of equipment, will delight you with their versatility, large production resource, reliability and durability.

Mid-price dental chair

Premium Dental Chair

Visiograph

Without this device it is impossible to treat the canals. Since a visiograph is nothing more than an x-ray, only with minimal radiation. With the help of a visiograph, you will receive high-quality images of your teeth, allowing you to determine a further treatment strategy.

The cost of visiographs varies from 150,000 to 430,000 rubles.

What's the difference? There are several significant differences:

Cheaper analogues are equipped with a CCD matrix, which produces a less clear image than with the built-in C-MOS matrix.
Permission. More expensive models are equipped with an image sensor with greater sensitivity, which allows you to enlarge the image without losing quality.
Output image size. The standard image obtained from an average visiograph has a size of 20x30, which allows you to take a picture of a maximum of three teeth at the same time. While premium class analogues allow you to take both periapical and bitewing images.

Taking a picture with a visiograph

Projecting a visiograph image onto the screen

Specialist's chair

It is important to place no less demands on the comfort and functionality of the dentist’s chair than on the chair in which the patient sits. Particular attention should be paid to convenience; it must correspond to the anatomical dimensions of the specialist, be adjustable in height and as flexible as possible.

The cost of such a chair varies from 8 to 60 thousand rubles.

Basically, the price of a chair depends on its modification. Standard models are in the range of up to 20,000 rubles. Chairs in higher price categories differ depending on the availability of additional functions. For example, an ergonomic chair from the Finnish manufacturer Salli Twin, costing about 50,000 rubles, thanks to its unique design, allows the doctor not to slouch during manipulations, to take a variety of comfortable positions, while completely removing the load from the spine, and also reducing the pressure in the deep veins of the legs.

Ergonomic dentist chair, height adjustable

Dentist chair corresponding to the anatomical dimensions of the specialist

Set of tools and materials for filling

The dentist’s work area always requires a work table with a large number of tools necessary to provide assistance to the patient:

tweezers;
probes;
needle;
disposable syringes;
hooks;
curettage spoons;
ironers;
micromotors;
gum scissors;
dental excavators.

Among the imported manufacturers of quality instruments, we should note Schwert, VDW, Bien Air.

However, there are also domestic companies offering competitive products, such as Promtekhsnab and Fort.

Thanks to the developments of world leaders in the production of dental equipment, Simens, Degussa, DS Dental, Proma, today dentists use modern drills in their work, which not only look elegant in appearance, but with their help, dental treatment is almost painless.

Materials for filling are an expense item on which you also do not need to save. The quality of the material used to place fillings affects the health of patients, and is also a visual indicator of the quality of the service provided by the dentist.

The price of chemical-based materials starts from 1,800 rubles, while the price of reflective materials ranges from 8,500 rubles.

Among the manufacturers with an impeccable reputation, it should be noted:

Japanese Dentech Corp;
German corporation DEGUSSA;
American company UNI DENT International Inc.

Dental instruments

Materials for filling

Fridge

To comply with the rules for storing medications, you will need to purchase a special refrigerator.

The price range of medical refrigerators is 17-35 thousand rubles.

The size of the refrigerator has a significant impact on the cost. Often, special modules with a built-in table, cabinet and small refrigerator are installed in dental offices. Therefore, before purchasing, you need to decide which drugs you plan to store in it.

Also keep in mind that if you need to store dosage forms that require different temperature conditions, you will need to purchase a more expensive refrigerator.

Standard refrigerator for medicines Specialized module with built-in refrigerator

Autoclave sterilizer

To disinfect instruments used in work, a special sterilizer called an autoclave is required.

On average, the cost of an autoclave varies from 70 to 250 thousand rubles. The price is influenced by such indicators as:

material of manufacture (preference should be given to models made of stainless steel);
method of attaching the lid (the version on the wings is the most optimal);
the presence of a tap for draining water;
the presence of separate thermometer and pressure gauge;
the presence of separate pressure cassettes.

Compact autoclave for disinfecting small instruments

Autoclave for instrument disinfection

Equipment for sanitary treatment of the office

To carry out sanitary treatment, the dental office must have at least two sinks, one of which will serve for hand disinfection, and the second for instruments.

In addition, it is necessary to provide containers into which a special solution will be poured for processing and disinfecting instruments.

Containers for disinfecting instruments

Sinks for washing hands and tools

Organizational plan

Premises requirements and repairs

In addition to a competent approach to choosing the location of a dental office or clinic, the premises must have an area of at least 200 square meters, when it comes to a medical facility with an average number of dental chairs, to accommodate the medical equipment used.

If the financial capabilities of a novice entrepreneur allow it, it is better to purchase premises as a property than to rent for a long period. Firstly, the total cost of rental payments for the first few years of activity will be the price of purchasing the property. Secondly, owning your own property eliminates disagreements with the landlord and the need to find another premises and re-register all registration and permitting documentation.

Several important points should be taken into account when carrying out repair work. Firstly, a common mistake made by novice entrepreneurs is inappropriately inflated costs for the design of the premises and the resulting inability to purchase the required amount of expensive medical equipment necessary to provide a wide range of dental services. Secondly, a businessman often chooses as a contractor a construction company that has not previously specialized in carrying out repair work in medical institutions and cannot provide the expected quality result.

Purchase of equipment and furniture

Depending on the list of services provided by the dental clinic or office, as well as the client flow served, the initial investment items will include the cost of purchasing certain medical equipment and dental chairs. You should not skimp on the qualitative and quantitative indicators of the purchased dental equipment, since this issue directly affects the ability to provide quality services and formulate a pricing policy that is beneficial to the business owner.

In addition to medical equipment, you will need traditional office furniture and computer equipment to decorate the reception area, offices, as well as management locations and staff break rooms.

Clinic staff

In the case of organizing a small clinic with four dental chairs, a novice entrepreneur will need to worry about employing eight qualified dental specialists working in shifts, the same number of full-time nurses, two nurses and two administrators also working in shifts. In addition, it is necessary to employ technical staff and form a full-fledged financial department. If there is no financial opportunity to maintain an accounting department, it is recommended to seek the services of an outsource specialist or a visiting accountant. For legal support of activities and advertising services, you should contact, as necessary, third-party law firms and marketing agencies, respectively.

Dental office design

High tech

The innovation and modernity of the clinic is well emphasized by the interior in the Hi-Tech style. It combines comfort and dynamism. Such an interior is characterized by light, space and an abundance of technical innovations. Simple lines in furniture and decoration are complemented by high technology, creating a feeling that the future has already arrived.

Minimalism

Minimalistic design of dentistry is a fairly common practice, since such an interior perfectly conveys the atmosphere in the clinic. It is characterized by spacious rooms with an abundance of light and space, not overloaded with decorative elements. The ideal color solution is often white, which is better than others in creating a feeling of cleanliness, so necessary in medical practice. Additionally, zoning can be used to highlight one or more zones in a room: to draw attention to one wall or piece of furniture.

Classic

The design of a dental clinic in a classic style is distinguished by a harmonious combination of noble decor and luxury. In such an interior, everything suggests that they do not skimp on quality here. The classic design is often made in cold colors: the combination of white, blue and blue calms and sets the mood for calm communication with the doctor.

Registration of dentistry

Before completing the documents, you need to decide on the organizational and legal form of your dentistry. If an entrepreneur plans to provide services personally, then it is enough to register as an individual entrepreneur. If he wants to open a full-fledged clinic, then it is better to opt for an LLC.

Each employee providing dental services must first obtain a license in his name. Otherwise, such a specialist does not have the right to conduct dental activities.

Before going to the local tax office, you will need to decide on OKVED codes. In the case of opening a dentistry, code 86.23 is used - “Dental practice”.

It is very important to choose the most suitable and effective tax system for yourself. If you open a dentistry, the following options are possible:

BASIC . It is better to eliminate this option immediately. It should be used only if all other taxation systems cannot be used. The difficulty lies in the need to account for all income and expenses. In addition, you will have to report to the Federal Tax Service on all taxes, including VAT and income tax.
USN . This option is very convenient, but not everyone can use it. For example, if the clinic employs more than 100 people, then the “simplified” version cannot be used. This tax format allows you to report on only one tax, which significantly simplifies the accounting and tax accounting of the enterprise. There are two formats on the simplified tax system – “income” and “income minus expenses”. The first option for dentistry will be extremely unprofitable, since the profitability level in the industry is 30% on average.

Unfortunately, the use of UTII in dentistry is impossible. Therefore, it remains to choose between OSNO or simplified tax system “income minus expenses”. When drawing up a business plan for a dental office, it is worth considering the “simplified” version.

The clinic should take care of opening its own account and ordering printing in advance. Additionally, you will need to buy a cash register and register it with the tax service. It is necessary for cash payments to clients. In small offices, the use of cashless payment is not necessary, but in large dentistry it is impossible to do without it. Otherwise, you may simply lose most of your visitors.

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.

Staff

When selecting employees, look at qualifications and work experience. The list of responsibilities is determined individually.

Requirements for a dentist (therapeutic direction):

Availability of a certificate in therapeutic dentistry.
Availability of a diploma of completion of internship and residency.
Experience – at least 5 years.

Each type of activity requires a separate license. That is, different requirements are put forward for orthodontists, surgeons, and pediatricians. Nurses must have a diploma of secondary medical education and a certificate in the specialization “Preventive Dentistry”.

According to legal regulations, a dentist's working day lasts 6 hours.

Table No. 2. Dental office staff

Speciality	Quantity	Salary (total)
Dentist	3	120 000
Nurse	3	90 000
Administrator	2	60 000
Total - salary	270 000

You can handle advertising and document management yourself or resort to outsourcing.

Possible risks

There are always certain risks in the dental business. It is impossible to thoroughly foresee and prevent all possible situations that could negatively affect the successful development of a business. However, we will still highlight several of the most obvious risk factors, which the owner of a private dentistry will have to work with constant attention to:

Difficulties in recruiting qualified dental clinic staff.
Periodic visits from inspection organizations will keep clinic employees on their toes, but will also increase the risk of making unnecessary mistakes in their work.
A decrease in the solvency of the target audience and, as a result, a drop in the clinic’s income.
Increase in purchase prices for specialized medical drugs and consumables due to the increase in the exchange rate.
Opening of competing clinics with a softer pricing policy and high quality of service.

There are many other unobvious risks and force majeure situations that can interfere with the natural course of business. You will learn about them only when you start your business. Each entrepreneur has their own. The surest way to prevent them is an honest policy towards clients and constant monitoring of all processes occurring in the clinic.

Dental clinic staff

A clinic with 5 chairs usually employs 10 doctors and 10 nurses, 2 administrators, a director, and 2 nurses. The accountant is usually a part-time accountant. Doctors receive 20–25% of revenue, nurses receive a rate of 300–400 euros (Moscow), and nurses receive 200–250 euros.

Selecting staff is not an easy or quick process, so it is worth starting during the renovation, so that by the time the clinic opens, the entire staff is already staffed.

It is necessary to immediately establish clear control over materials, the labor contribution of each employee, establish patient records, etc. The easiest way to solve this is with the help of special computer programs, from which a specialist will help you choose the right one, forever relieving you of the headache associated with theft, stealing clients, shirking the appointment of clients at the earliest and latest hours of the work schedule, and dislike of performing certain types of work. work and many other personnel problems.

Expert advice

Often, when creating a medical business, newbie entrepreneurs look for a doctor as an assistant, who is completely trusted with the creation of a clinic, selection of equipment, personnel, and, worst of all, development of a price list, building business processes, advertising and other tasks not typical for a physician. As a result, the clinic is initially built primarily as a medical institution, and not as a business, the main goal of which is always to make a profit. To avoid such a distortion, it is better for an entrepreneur to set up a business and manage it himself, trusting doctors only to build and support the treatment process.

A beginner should first take a training course at one of the specialized training centers to understand the specifics of the medical business. Then develop a business concept for the clinic, hire competent architects and specialists in the selection of medical equipment, and select an effective control and accounting system. And, of course, get acquainted with the work of several successful clinics in order to learn from the experience of building a business.

Sources

https://xn—-8sbebdgd0blkrk1oe.xn--p1ai/biznes-plan/yslygi/stomatologicheskogo-kabineta.html
https://lady-biznes.ru/malyi-biznes/otkrytie-stomatologii-s-nulja.html
https://abcbiznes.ru/sample-business-plans/551-biznes-plan-stomatologicheskogo-kabineta.html
https://BiznesPlan-primer.ru/obrazec/stomatologicheskij-kabinet
https://biznesovo.ru/biznes-plany/otkrytie-stomatologicheskogo-kabineta
https://DeloSmelo.ru/oborudovanie/stomatologicheskij-kabinet
https://DeloSmelo.ru/dizain/stomatologicheskij-kabinet
https://crediti-bez-problem.ru/otkryvaem-stomatologicheskij-kabinet-s-nulya-s-chego-nachat.html
https://zhazhda.biz/plan/stomatologicheskaya-klinika
https://www.openbusiness.ru/biz/business/stomatologicheskaya-klinika/

[collapse]

Location

The business or residential area you choose for your dental clinic does not play a special role. Look for a room nearby with metro and bus stops. Both an administrative building and an apartment on the first floor of a residential building are suitable.

Rent or buy? When answering this question, consider the following nuances:

Not all premises meet sanitary standards and comply with fire safety regulations.
The landlord may allow redevelopment of the premises. How much will be spent on major repairs?
A license to provide medical services is issued for the premises. If the lease term is short and there is a possibility of refusal to renew it, you will have to start all over again in the new premises.

Perhaps buying and redeveloping your own real estate will end up being cheaper?

Finding a suitable location for organizing a premises for a dental clinic

When looking for premises where dentists’ workplaces will be located, it is worth taking into account the requirements that regulatory organizations impose on such clinics. It is also necessary to take into account that the location of the premises plays an important role in the final number of people wishing to use the services. Despite an extensive advertising campaign and marketing efforts, an unfavorable location can become a factor that scares away potential customers. In this regard, the location of the future clinic should be in an area where a large number of people are concentrated. Moreover, these can be both residential areas and those located among other offices. It is considered a good neighborhood to locate an office next to centers that also provide medical services, but they (the services) should not overlap.

The selected premises must be equipped with proper communications. Separate requirements are also imposed on the size of the area that will be used to organize the clinic. The minimum area in this case will be 30 square meters, and the ceiling height will be from 3 meters.

When arranging the chairs, it is necessary to take into account that at least one of them must have at least 14 square meters. If the number of seats is more than three, then the layout should be developed taking into account separate sterilization, the area of which should be at least 6 square meters. Additionally, it will be necessary to equip a sanitary facility, as well as a hall where patients can familiarize themselves with the range of services provided and wait for their appointed time for an appointment.

You should not exclude from the business plan the point about the need for repairs, even cosmetic ones. Such savings, according to some entrepreneurs, help to significantly reduce the payback period. However, in fact, the unsightly appearance of the clinic, both outside and inside, can scare away potential clients who will not feel comfortable.

How much money do you need to open?

Let's consider an example of the necessary investments for those who want to open their own mid-level dentistry from scratch and turnkey:

Equipment:

about 100,000 euros - 20 thousand for the purchase of 5 chairs;
about 25,000 euros - 5 thousand for equipping each of the 5 chairs;
about 20,000 euros - 3,500 euros and 16,500 euros for targeted and panoramic x-rays, respectively;
about 15,000 euros - for the purchase of furniture and auxiliary equipment.

Total: approximately 160,000 euros.

The list of total costs for opening a medical center. services and processes include costs for:

190,000 euros – repairs;
160,000 euros – purchase of equipment.

All other costs, for example, to open your own website to promote the center, where patients will leave reviews, for design, for paperwork, will amount to approximately 30,000 - 50,000 euros.

Total: about 400,000 euros.

Equipment

The standard set of equipment consists of:

Dental unit - from 200,000 to 600,000 rubles.
Additional equipment, tools – 300,000 rubles.
Furniture – from 100,000 rubles.
X-ray, the cost of which starts from 1,500,000 rubles (optional).

You may be interested in: Ready-made dry cleaning business plan for %am_current_year% year

The minimum cost for equipment and furniture for a small office for one chair is 600,000 rubles.

You can download a more detailed dental business plan with calculations from our partners. The quality of the business plan is guaranteed!

Before purchasing equipment, it is worth engaging a specialist for consultation. Ideally, you should recruit staff before opening a private dental clinic and order equipment based on their wishes. This will significantly improve the level of service.

Purchase of equipment and other equipment for the clinic

The next stage of step-by-step planning will be the purchase of the necessary equipment. This item of expenditure is the most expensive, but to provide better services it is necessary to install equipment that will allow high-quality treatment. You can purchase either new or used equipment, but you should pay attention to its performance - it would be a good idea to seek advice from a specialist in such devices so that he can evaluate them. In addition, even for such equipment it will be necessary to have documents, since regulatory authorities have the right to check them and, in the absence of papers, may not give permission to work.

High quality equipment is a guarantee of providing high-level services, unless, of course, your specialists are true professionals

Among those devices that may be required to start a dental clinic, it is worth noting the following:

Dental chairs;
Autoclave;
X-ray;
Sterilizer;
Special lamps according to the number of seats;
A set of tools separately required for each dentist.

When selecting equipment, you can get advice from those employees who will be employed in the dental clinic. Their extensive experience will help determine what equipment is needed, which brands should be preferred, etc.