Business plan for opening a dentistry. Dental office is a profitable business

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:

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.
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.
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:

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.
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:

Developing a business plan from scratch or ordering a ready-made one.
Company registration.
Selection of premises and conclusion of a rental agreement.
Design and renovation of premises.
Search for suppliers of equipment and consumables.
Purchase and installation of equipment.
Purchase of consumables.
Registration of permits.
Selection of qualified personnel.
Marketing events.

Business registration

Features of the dental office registration process:

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.
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.
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.
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.
Registration of a company in funds and statistical authorities.
After registering a company, you should take care of ordering a seal and opening a bank account.
To accept cash from clients for services provided, an entrepreneur must purchase and register cash register equipment with the tax authorities.
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 presence 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:

SanPiN 2.1.3.2630-10. The sanitary and epidemiological requirements that a medical institution must meet are recorded here.
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.

Name	Approximate prices in rubles
Dental units	1 200 000
Chairs for dental unit	11 000
Light curing lamp	6 000
Shadowless lamp	75 000
Autoclave	150 000
Tip set	100 000
Tools	50 000
Endomotor	30 000
Pre-sterilization cleaning	40 000
Furniture for the hall and office	60 000
Plumbing for the bathroom	10 000
Cash machine	13 000
Other equipment and inventory	65 000
Total:	1 800 000

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.

Expenditures	Approximate prices in rubles
Registration of a legal entity and obtaining permits	60 000
Cost of premises	1 800 000
Apartment redevelopment and renovation	200 000
Purchase and installation of equipment	1 850 000
Marketing campaign	50 000
Consumables	20 000
other expenses	50 000
Total	4 030 000

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.

Stages	1 month	2 month	3 month	4 month	5 month
Business project development	+
Preparation of documents for registration of a legal entity	+
Company registration	+	+
Selection of premises	+	+
Purchasing premises		+
Redevelopment and renovation of premises		+	+
Selection of equipment suppliers	+	+
Purchase of equipment		+	+
Transferring the status of residential premises to non-residential		+	+
Installation of equipment		+	+
Obtaining permits from supervisory services			+	+
Recruitment		+	+
Obtaining licenses			+	+
Marketing campaign				+	+
Start of work					+

Risks and payback

Risks of the dental business:

Low demand. This state of affairs may be the result of an incorrect marketing program, an unsuccessful office location, etc.
High competition. Other market participants adhere to an active marketing policy.
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.
Increased costs for lighting consumables due to rising exchange rates.
Loss of license for any reason. For example, due to incorrect documentation.
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.

Many are of the opinion that opening your own dental clinic without a medical education is pointless.

But are restaurants opened only by successful chefs, and hair salons by talented hairdressers? A clinic is first and foremost a business, and then a healing process. Since now state clinics are barely staying afloat, many entrepreneurs are asking the question: “How to open a dental clinic and how profitable is it?”

How to create a clinic?

Dental clinic is one of the most promising areas in medicine. With the rise in living standards, Russians began to monitor their health more carefully, so there are more and more clients at private medical institutions, where they practice an individual approach to each client.

Despite its great attractiveness, the dental business requires large investments. For example, to open a clinic with 5 chairs you will need approximately 300-400 thousand euros. If you break this amount down, you get the following:

the equipment will cost approximately 135-160 thousand euros;
renovation of the premises: on average, about 140-190 thousand euros will be needed;
additional costs (documentation, advertising) will cost 20-50 thousand euros.

If you don’t have the means to open a clinic, you can simply open a dental office, which will naturally cost several times less. What do you need to open a dental office? To do this, it will be enough to open an individual entrepreneur, obtain a license and register with the tax office.

Choosing a room

To open a clinic, you will need a room of at least 180-200 square meters. m, which necessarily meets the requirements of the SES. There should be one window per dental chair.

If possible, it is best to purchase the premises rather than rent them. After all, if the landlord asks you to leave the rented space, then while you find a new place, you will suffer big losses. During this time, you can lose not only clients, but also staff.

Of course, if there is not enough money to purchase the premises, you will have to rent space. In this case, it is better to carefully study the terms of the lease agreement in order to protect yourself from unpleasant surprises. To prevent the landlord from constantly raising your rent, insist that the agreement include a clause stating that the rent can change no more often than once a year. It is also necessary to demand clear justification for increasing the rental price.

Repair

Many beginners make the mistake of investing a lot of money in luxurious renovations, because then they have little money left to buy good equipment. As a result, the quality of the services provided suffers.

The second mistake is entrusting the design to a fashionable architectural bureau, which, however, has no experience in medical institutions. Remember, the design of dental clinics must be carried out by an organization that knows the specifics of the technology and the requirements of the SES.

Therefore, invest more than 700 euros per sq. m. the meter is not worth it. People will come here for treatment, and not to admire expensive marble or paintings. A significant portion of the money will have to be spent on communications; each office must have sewerage, water, electricity, and ventilation.

Decor

As a rule, the most troublesome task when opening any medical institution is obtaining permits from regulatory authorities. While you collect all the documents to open a dentistry, a lot of time will pass. You need to go through many authorities: SES, architecture department, fire service, district administration and others. Here is an approximate list of required documents:

Evacuation plan.
BTI plan.
Contract for washing clothes.
Examination of the sterility of air, washings, and water.
Agreement on recycling of waste and fluorescent lamps.
Explication.
Document of ownership of the premises or lease agreement.
Certificate of registration with the tax authority.
Agreement on disinfection of air conditioning and ventilation systems.
Conclusion from the sanitary-epidemiological station.

Obtaining a medical license is a completely separate matter. If all legal requirements are not taken into account, a license may not be issued, and then the opening of the clinic may be delayed. By law, a license can be issued no later than 45 days from the date of submission of the necessary papers from the applicant.

Those who plan to add a surgeon, therapist or orthodontist to the clinic staff will need to obtain a license separately for each type of medical activity. If you are not sure that you can arrange everything correctly yourself, it is better to contact a lawyer or even a specialized company that helps in obtaining a license and other permitting documentation.

Equipment

Before opening a dental clinic, you also need to purchase the necessary equipment. Even if you visit a couple of medical exhibitions, it will be difficult to understand dental equipment. Each supplier will naturally praise their devices.

Even most dentists are not very knowledgeable about equipment, they have usually worked on one or two models, so it is quite difficult for them to compare their equipment with others. For businessmen, the choice of medical equipment is generally a “black box” that only whistles, buzzes and flashes lights. In addition, the price range for dental equipment is quite wide. In order not to make a mistake in choosing, you will need a specialist who is well versed in professional equipment.

Staff

For a dental clinic with 5 chairs, it is necessary to hire 10 doctors, 10 nurses, 1-2 administrators, 2 nurses and an accountant at 0.5 rate. The dentist’s salary should be approximately 20-25% of revenue, for nurses a fixed rate should be provided - about 300-400 euros (for the capital), and for nurses - 200-250 euros.

The opening of private dental clinics and offices is becoming increasingly popular.

They are equipped with the latest technology and can offer the most modern dental services. And the presence of fierce competition forces them to tirelessly improve, introduce innovative methods of treatment and diagnosis, create favorable psychological conditions and a cozy interior.

Therefore, public clinics are gradually fading into the background.

If you are interested in how you can open a dental office from scratch, you need to create a detailed business plan. To do this, you will need to study all the nuances of this business idea, but, first of all, decide what type of private dentistry interests you.

Types of private dentistry

Most dentists who have worked for some time in the State Clinic eventually open their own business. There are two options: a small office and a dental clinic. Which one you prefer depends on your financial capabilities and personal ambitions.

Small office

This option is suitable for entrepreneurs with small start-up capital and provides one dental chair.

It is easier to open a small office, but its profitability is lower compared to a clinic, because the choice of services is much narrower than in a full-fledged dentistry with diverse offices.

People turn to such institutions for a specific service or their favorite specialist whom they trust. Most often, a doctor in a private dental office deals only with basic treatment and teeth whitening or tartar removal.

Clinic

Dental clinics can provide a wide range of services:

Consulting, diagnostics.
A variety of therapeutic services.
Surgery.
Dental cosmetology.
Periodontist services.
Orthodontics.
Dental prosthetics.
Implantology.
Children's dentistry.

One doctor cannot provide all the services listed above at the same time, because each of them requires a separate diploma and license. The presence of specialists in different fields, and, consequently, the ability to provide a huge selection of dental services, leads to the fact that private dentistry is in greater demand than small offices.

Opening planned

To open your own dental office or clinic from scratch, you need to prepare for a long organizational stage. It includes opening a bank account, ordering printing, purchasing a cash register, a cashier’s journal, as well as books for monitoring income and expenses. But first of all, you will face a rather grueling process of preparing documentation and obtaining many different permits.

Registration

The documentation required depends primarily on how you plan to provide dental services.

If you are opening a dental office in which you personally plan to provide services, then you will need to register as an individual entrepreneur.

If you plan to hire staff and set up a full-fledged clinic, you need to register an LLC. Depending on the services offered, you need to enter all the necessary OKVEDs into the documentation. By medical practice, select 85.12 , and in dental terms – number 85.13 . Separate registration with the tax office and the pension fund is required.

Licensing

You will need to obtain a license for each individual medical specialty. To do this, you need an appropriate employee, for whom there are clearly defined and rather stringent requirements. He must have work experience, certificates and diplomas.

Once you have selected personnel that meet the requirements for each planned service, you can apply for a license.

Remember, it is quite difficult to get it, but you can lose it in the blink of an eye. The reason for this can even be an incorrectly filled out sterilization log.

Search for premises

The choice of premises is an extremely important point. It is desirable that the place be sufficiently crowded and with convenient access.

As for big cities, take care of convenient transportation, because not all clients have their own car. And the convenience of placing your dentistry for many people can be a key factor in their choice. In addition, the future dental office should be located on the ground floor in a private house or, alternatively, in an administrative building.

The ideal option is to buy it. After all, firstly, the license is issued for a specific address, and secondly, you will have to make repairs and install many special communications. If the contract with the landlord is terminated, you will have to start a dental business from scratch, which will lead to significant financial losses.

In addition, the two-year cost of renting a suitable space for dentistry is equal to buying a small apartment.

If the premises are located in a residential building, there are several nuances. Firstly, it must be transferred to non-residential stock. To do this, you need to contact the city hall, namely the department of architecture and urban planning. There you will receive a list of organizations from which you will need to obtain the relevant certificates. They are paid, and there are usually no problems with obtaining them.

And secondly, before purchasing a premises or signing a lease agreement, you need to talk with the owners of adjacent apartments. Because later you will need to provide the relevant authorities with their written and notarized permission to set up a dental office.

Repair

First you need to order projects of a technological and architectural nature.

They must be approved by a number of organizations:

Consumer supervision,
traffic police,
Zhiltreste,
Non-departmental examination,
Compriroda,
Fire inspection,
Protection of monuments.

After receiving all permits, you can begin repair work. It is advisable that each office have one dental unit. This will make your patients much more comfortable and calm. If the layout does not provide for this possibility, it will need to be changed.

Consider the costs of water supply, sewerage and wiring.

Communications must be routed under the flooring directly under each dental chair. It would be a good idea to think about replacing the ventilation system in time, as well as installing an alarm system.

High-quality modern repairs are the face of your dental clinic or office, so you should not skimp on it. The design should not only be beautiful, but also create the most comfortable and pleasant atmosphere.

Equipment

Opening a dental clinic involves the purchase of special modern equipment. All equipment and medical supplies must have a certificate of conformity and meet sanitary rules.

Staff

In a dental clinic, qualified personnel are the most important thing. This applies to both doctors and assistants. Then the work will go smoothly. The daily work rate for dentists and nurses is six hours, so the best solution would be to hire employees to work in two shifts. And the salary for a medical worker will be minimal 1-2 salaries.

When choosing, focus on appropriate education and work experience. For example, a dentist must complete his residency and internship. In addition, he must have at least five years of work experience.

Without meeting these requirements, you will not receive a license.

In addition to specialists, to open a dental clinic it is also necessary to find health workers who will provide hygiene services and assist doctors during various dental procedures. They must have secondary vocational education and a certificate.

You will also definitely need an administrator. If desired, you can hire a security guard, accountant, caretaker and manager. But, as practice shows, most often these duties are performed by the owner himself in order to reduce costs, especially if the clinic is small.

Watch a video about the main mistakes of a dental office administrator

We are seeking permission

Opening a dental office or clinic from scratch is possible only after obtaining the appropriate permits. It is necessary to ensure compliance with fire safety standards, Rospotrebnadzor and SanPin.

To do this, submit the following package of documents:

Statement.
Extract from the Unified State Register of Real Estate.
Certificate of registration of an individual or legal entity.
TIN certificate.
Passport.

Rospotrebnadzor requirements

According to the requirements of Rospotrebnadzor, for one dental unit the area must be at least 14 sq.m., and for all subsequent ones - seven. Therefore, for a small dentistry with one chair it will be quite enough 30 sq.m. with fairly high ceilings (from 3 meters) and one-way daylight.

The footage is allocated for the office itself with a dental chair, approximately 10 meters provided for the hall and 5 - to the bathroom. The room should be no more than 6 sq.m.

According to the requirements of Rospotrebnadzor:

For three or more dental chairs you will need a sterilization room measuring 6.k.v.
11 squares allocated for the X-ray room, and also 5 - for the developing room.
For the office of an orthodontist and orthopedist you will need approximately 15 sq.m..
15 sq.m. necessary for opening a children's room, as well as implantology.
Additional funds should be allocated for the toilet, administration and other auxiliary premises. 30 squares.

SanPin

To open a private dental office, you need to know the relevant SanPin standards for placement, interior decoration, medical equipment, microclimate, heating and much more. To obtain permission from this authority to open a private dentistry, it is necessary to provide a list of prepared documents in a private house or administrative premises.

Required to submit:

BTI plan.
Certificate of ownership/lease agreement.
Agreements on disinsection, deratization, disinfection, laundry, recycling of fluorescent lamps and garbage removal.
Expert opinion regarding air, water and flushes.
Indicators for measuring microclimate and lighting.
Explication.

Financial issue

The threshold for entry into the dental business is approximately 80-200 thousand dollars. In addition to the start-up capital, which is described in detail in the business plan, in order to open a private dental office from scratch, you need to take into account a number of fixed monthly costs.

The main ones are:

Payment to dental clinic staff.
Consumables and components.
Stationery.
Advertising.
Payment of rent and/or utilities.

How much does it cost to open a dental office?

The cost of premises for a private dental office or clinic can vary greatly.

This depends primarily on whether you buy it or rent it, as well as on the location - the cost of real estate differs significantly, for example, in the capital and a small town.

The remaining points can be approximately calculated, but the final amount will be different for each individual entrepreneur who wants to open a private dental office from scratch.

Article title	Cost, USD
Equipment	from 15000
Repair	120-250 per 1 sq.m.
Licensing	from 1300

Benefit, payback

In the field of medicine, dentistry has always been one of the most highly profitable industries, since all people periodically have to have their teeth treated, as well as undergo a routine examination twice a year.

As practice shows, a dental office or clinic begins to pay for itself in about a year and a half.

Analysts claim that both hired doctors and owners of private dental clinics receive high incomes. However, you should not expect a crowd of customers from the first day of opening. If you have your own base of potential clients, then things will go better. But even in this case, success is a matter of time and professionalism.

For the owner of a private dental clinic or small office, as for any other business, it is important to analyze the progress of activities during time. For example, what services are most in demand and what is the approximate cost of one average visit. This can prompt further development and competitive advantages. This method of work will also allow you to control costs if you correctly distribute the procurement scheme.

Marketing plays an important role in business development. Today, promotions on social networks are popular. And if the main contingent of your office are young and middle-aged people, then why not try this method. Although you should not discount effective advertising in transport and public institutions.

Reading time 10 minutes

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.

Market analysis

Today, in almost any large city there are a dozen places where dental services are provided. Therefore, it is necessary to assess the market situation before investing in a business. The main competitors may be:

State clinics. They are now becoming less and less popular among the population. The weaknesses of such institutions are old or low-quality equipment, cheap materials. And the level of service is often very low. Although, there are also very good specialists in such clinics.
Private clinics. These are perhaps the most serious competitors. Such institutions have all the necessary equipment to provide a full range of services - from diagnostics to orthodontics and orthopedics. There are usually 5-10 dentists on staff. Citizens are attracted to such clinics by the possibility of comprehensive treatment and name recognition. But the cost of services in these dentistries is quite high.
Dental offices. These are institutions staffed by one or more doctors and a nurse. Typically, the profile of services provided is quite narrow. Diagnostic equipment is not purchased for dental offices, with rare exceptions. To undergo such procedures, patients are sent to public or private clinics.

It is better for an inexperienced entrepreneur to start by opening a dental office. Thus, he will be able to get rid of many difficulties. For example, you will need a small room instead of an entire building. It will also take much less money to purchase equipment. In addition, to provide each service you need to obtain a license, and this is a labor-intensive process.

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.
simplified tax system. 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.

Finding suitable premises

A full-fledged clinic or dental office requires specialized premises to provide services to the public. Finding a suitable option is not easy, since the location must meet many requirements and standards. When choosing a room, you can go one of the following ways:

rent;
buy with your own money;
buy on credit or lease.

If there is no money to buy a building, then you can choose to rent at the initial stage. By the way, you can even agree with the owner on the subsequent purchase of the premises.

When concluding a lease agreement, you need to specify the terms. It is not worth renting premises for a short period, since moving the clinic will cost a pretty penny. The contract is concluded for a minimum of 5 years.

Where to start opening a dentistry is a question many entrepreneurs ask themselves. It is necessary to bring the premises into compliance with standards. There is the following list of necessary communications:

sewerage;
cold and hot water;
electricity.

Moreover, dental chairs must be positioned so that there is a free space of 14 m 2 around them. If the room is equipped with several chairs at once, then next to each of them there should be 7 m2 more.

If an entrepreneur does not find non-residential premises, he can buy an ordinary apartment on the ground floor, and then transfer it to non-residential premises. But this procedure will require a lot of time, effort and financial investment.

Regulatory requirements

When opening your own dentistry, you will have to study a lot of regulations and legal documents. This will avoid numerous fines or even closure of the organization. First of all, an entrepreneur should pay attention to the following documents:

SanPiN 2.1.3.2630-10. It sets out the sanitary and epidemiological requirements for medical institutions.
SanPiN 2956a-83. This document is dedicated specifically to dental institutions. It sets out the rules for the use of equipment, labor protection and personal hygiene of personnel.

A number of regions have internal regulations. Therefore, you should contact your local SES with this question.

Rospotrebnadzor sets requirements for the premises. So, to open a dentistry, even a small one, you must follow the following rules:

total area - from 30 m2;
ceiling height - from 3 m;
from the window to the opposite wall there should be a distance of no more than 6 m.

It is imperative to equip the clinic with a dental office (14 m2), a reception (10 m2) and a toilet (5 m2). The institution may also have other specialized premises, namely:

Place for sterilizing instruments. At least 6 m2 should be allocated for it. The presence of this room is mandatory for those clinics that have at least 3 dental chairs.
X-ray. Additionally, you will need a room for developing photographs.
Specialized rooms. Each of them must have an area of at least 15 m2. Separate rooms are equipped for the orthodontist, orthopedist, implantologist, pediatric dentist and other specialists.

In large clinics, auxiliary premises are also equipped - an administration reception area, a rest room for staff, warehouses, etc.

One of the most difficult tasks will be finding highly qualified personnel. More than half of the success will depend on this. In addition, you cannot hire just a gifted specialist. To obtain a license in a particular area of dentistry, the doctor must meet a number of requirements:

having a certificate in his field (for example, if he is a dentist, then he must have a certificate in therapeutic dentistry);
diploma of internship and residency;
Experience in the specialty - from 5 years.

In addition to doctors, nurses will also be needed. They can also provide a number of services to clients. For example, carry out hygiene procedures such as teeth whitening. But for this, the employee must have the appropriate certificate and secondary medical vocational education.

In addition to doctors and nurses, other staff will be required. The administrator will be responsible for recording and initially receiving patients, maintaining a client database, calling and informing them. It will not be possible to do without a cleaning lady - the premises must always be clean. A large clinic may require a security guard or watchman.

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.

Financial results

The equipment will require 800,000 rubles, no less. Additionally, the premises will need to be renovated, which will cost another 100,000 rubles. The licensing procedure will also require investment. You will need at least 50,000 rubles. It turns out that 1,000,000 is the minimum amount for opening a small dental office. If you immediately purchase high-quality new equipment, then this amount can increase to 2,000,000 - 2,500,000 rubles.

Over the course of a year, a dental office can bring in about 600,000 net profit, provided that it has 2-3 jobs. The profitability of such a business is about 30%. It turns out that for every 2,000,000 rubles earned, there will be 1,400,000 rubles in expenses.

What risks might you face?

Opening a dental office is a risky business. Therefore, possible dangers need to be sorted out in advance.

	What is the danger?	How to avoid?
Insufficient demand	Clients do not know about the clinic; as a result, the company suffers losses due to low demand for services	Choose the right location, hire qualified and experienced staff, advertise yourself correctly
Lack of licenses	You can get bogged down in fines	Seek help from specialists, order an audit of the enterprise
Bad service	Clients will no longer come to the clinic	Develop a system of bonuses for the administration, give doctors piecework-bonus wages
No name for the clinic	People will be distrustful of the clinic
Discrepancy between price and quality	Customer dissatisfaction, their gradual outflow	Monitor the quality of services, purchase good consumables, update and timely maintain equipment

A competent entrepreneur must anticipate dangers, then he can make his dental office profitable and recognizable.

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Dental care The population can be provided in dental clinics, dental departments of general clinics, private dental clinics, mobile dental offices. In these institutions, patients are provided with therapeutic, orthopedic, orthodontic, and surgical care, and measures are taken to prevent dental diseases.

There are certain requirements for the organization and design of dental clinics and offices. It is considered most favorable to place a dental clinic in a separate building. At the same time, it is possible to locate a dental clinic in a residential building, on the territory of clinics, general hospitals, in sanatoriums, preschool institutions, and schools. Dental clinics that see children and adults must have their own entrance, cloakroom, and room for waiting to see a dentist.

Medical staff of dental clinics: dentists, dental technicians, dental assistants, nurses (at the rate of one nurse for three dentists), junior medical staff (receptionists, orderlies).

The dental clinic includes treatment rooms, a dental laboratory, an X-ray room, an administrative and amenity room for staff, a registration room, a patient waiting room, auxiliary rooms, and a sterilization room.

Dental offices have special dental equipment: dental units, dental chairs. A dental unit involves a complex of specialized equipment that is used to perform a number of manipulations during a dental appointment. There are dental units that are attached to the office floor in a specific location, as well as portable ones that can be moved; installations for the work of only one doctor or for the work of a doctor and his assistant. The dental unit contains a remote control for the doctor and his assistant, a foot pedal for the doctor, a spittoon, an artificial lighting lamp, a connection unit, a compressor, a vacuum suction system. A dental chair is a device in which the patient is located during all kinds of dental procedures. It is possible to change the height of the dental chair (from 35 to 48 cm), the position of the backrest and headrest using a button panel, a foot pedal or a special remote control. The minimum load capacity of the chair should be 150 kg. The doctor's console includes keys for controlling the dental chair, the speed of rotation of instruments, and air pressure; X-ray viewer for viewing X-rays; mounts-holders for dental handpieces, air-water gun. The assistant's console contains a saliva ejector, a vacuum cleaner, an air-water gun, and a lamp for light-curing materials. The doctor's control pedal may contain elements that move the dental chair, activate the dental handpieces, turn their illumination on and off, etc.

The spittoon is an element of the sewerage system of a dental office. An artificial lighting lamp is used to illuminate the working field while a dentist is working.

In addition, there is auxiliary equipment, which includes chairs for the doctor and assistant, a fume hood, an amalgam mixer, and work furniture. Chairs for doctors and assistants can be adjusted in height, rotated around their axis, and easily moved along the floor due to the wheels on which they are installed. The chairs also have armrests and foot rests, which makes the dentist’s work easier.

To bring the dental unit into working condition, to ensure the operation of the handpieces, a compressor is necessary. The compressor should be located outside the treatment room.

The working furniture of the dental office is a sink for washing the dentist’s hands, a table and cabinets for storing materials, a table, a refrigerator for storing some materials, a table or cabinet for sterile instruments.

The design of a dental office is determined by a number of regulatory documents.

1. The area of the dental office must be at least 14 m2 if it contains one dental chair. For each additional dental chair, 10 m2 is provided.

2. There should be no more than three dental chairs in the office.

3. The height of the room must be at least 3.3 m.

4. The maximum depth should not exceed 6 m.

5. Dental chairs should be placed in one row, so that they face the natural light source.

6. The walls of the dental office should be painted with light shades of paint (light gray, light green, ocher, etc.). The reflection coefficient must be at least 40%. The paint must contain sulfur compounds, which provide some degree of neutralization of mercury vapor. The walls must have a smooth surface and be free of cracks, irregularities, and crevices.

7. The floor should be covered with linoleum, which overlaps the lower part of the walls by 5-10 cm. The flooring should also be free of cracks, crevices and unevenness.

8. Doors, windows, walls, floors must be smooth and easy to clean. The transition areas of the ceiling, walls, and floor into each other should have a rounded shape to avoid dust being retained in these places and to facilitate the process of cleaning the room.

9. Doors and windows should be painted white in order to increase the overall level of illumination in the dental office.

10. It is advisable to orient the windows in the dental office to the north, northeast, northwest. Thus, direct sunlight does not enter the room, there are no significant fluctuations in illumination, and the load on the personnel’s visual organs is reduced.

11. It is necessary to ensure the availability of sources of artificial lighting in each dental office and in all auxiliary rooms. Sources of artificial lighting located on ceilings must be equipped with diffusers in order to evenly distribute light within the office. Dental units must be equipped with fluorescent lamps to illuminate the working area. The illumination of the working field with these lamps can be adjusted from 8 to 28 thousand lux.

12. General illumination indicators must be at least 5 thousand lux.

13. The premises of the dental clinic must be equipped with a centralized heating system. Radiators should have a smooth surface, which makes cleaning the room easier.

14. The dental office must be equipped with a ventilation system. The presence of general supply and exhaust ventilation is mandatory (the frequency of air exchange should be 3 times per hour for the exhaust and 2 times per hour for the inflow). The natural ventilation system should be represented by vents, fume hoods, etc. It is possible to use air conditioners.

15. The dental office must be equipped with a centralized water supply system.

16. Compressors for dental units should be installed not in the dental office, but outside it, in the auxiliary room of the dental clinic.

17. If there is a dental surgery office in the structure of the clinic, several special rooms must be equipped:

The room where patients will wait for their appointment;

Preoperative room - a room is provided where doctors are prepared for the operation;

Operating room - a room for outpatient operations, a minimum area of 14 m2 per dental chair, with each subsequent chair installed an additional area of at least 7 m2.