Definition of the "Office" format among other forms of management of this business, step by step instructions on opening a dental office and what is needed for this.
Dentistry has always been a highly profitable business. According to analysts, work in this area can bring highest income doctors, not to mention business owners. It’s not for nothing that faculties of this type in medical universities are considered the most prestigious. Let’s look at the procedure for opening a dental office, where to start, what format to choose.
Forms of dental services
There are only 3 types of organizations in this market:
1. State and departmental dentistry. Exist on government subsidies, while providing additional paid services. Serves the low-income population. They are a source of personnel for private dentistry.
2. Private dental clinics. There may be “VIP”, “middle class” and “economy” depending on the level of equipment, decoration of the premises, and qualifications of the staff. Medium size 200 - 250 sq. m., designed for approximately 10-15 dental units. These are the most visited, highly profitable enterprises. Average monthly revenue is $30-50 thousand, and net profit is $15-20 thousand.
In addition to regular “outside” clients, people come to them under contracts from insurance companies. This demand is largely due to the wide range of dental services that they are ready to provide, namely:
- consultations, functional diagnostics, x-rays;
- therapeutic dentistry (treatment of pulpitis, caries, etc.);
- periodontics (treatment of gingivitis and other diseases of the gums, bone tissue, etc.);
- surgical dentistry (treatment of purulent diseases, tooth extraction, excision of benign tumors, etc.). Physiotherapy and anesthesia are attached to this area;
- hygienic (preventive) dentistry (teeth whitening, removal of plaque, tartar, etc.);
- orthopedic dentistry (dental prosthetics);
- orthodontics (bite correction, etc.);
- implantology (tooth restoration based on artificial roots);
- pediatric dentistry.
3. Private dental offices. These are small rooms (30 - 80 sq. m.), equipped with 1-2 dental units. As a rule, the range of services is much narrower than in clinics. After all, 1-2 work points are not able to serve several specialists at once - periodontist, surgeon, orthopedist, etc.
It is also rare to find a one-man band who has all dental specialties. To do this, he must have a whole set of relevant certificates and diplomas, and also have a separate license for each type of activity. Therefore, offices are not as in demand as clinics: People prefer to receive comprehensive treatment in one place. Accordingly, their income will be less. Basically, the clients of such organizations are people who have applied for a specific one-time service, and are also ready to endure inconvenience in order to be treated by a specialist they like.
Thus, The undisputed leaders in the dental services market are private, wide-profile clinics. They are the ones who are able to bring the greatest income to their owners, although the initial costs will be very significant - from 5 million rubles. If there are not enough funds to open such an establishment, you can start by organizing a dental office, setting aside about 1.5 - 2.5 million rubles for the start. Let's look at what you need for this below.
Registration
1 If you have the appropriate education and experience and plan to carry out all the manipulations yourself, then you can register with the tax office as an individual entrepreneur. After all, a license to carry out medical activities is issued only for a specific individual. If you are not a practitioner, then the only option is to open an LLC. In this case, a license will have to be issued for employees whose education and experience meet the licensing conditions.
2 To open a dental office, you will need to indicate the following OKVED codes How:
- 85.12 Medical practice
- 85.13 Dental practice
3 Next you need to register with Pension Fund, MHIF, FSS, create a book of income and expenses, open an account and order a seal.
4 Then you need to purchase a cash register ( cash register), register the cashier's journal with the tax office and conclude an agreement for servicing the device.
Selection and preparation of premises for dentistry
Before you start selecting a room, it is advisable to have on hand detailed business plan. It is necessary to clearly understand how the office will be planned, how and what will be located there, etc. It is also important that the room meets the requirements stated in the following standards:
Sometimes additional legal acts are developed in the regions to regulate this issue.
Rospotrebnadzor imposes especially stringent requirements on dental office area. It is 14 square meters. m for 1 dental unit and plus 7 sq. for each subsequent one. Thus To open the simplest office for one workplace you will need the area of one standard apartment(about 3o sq. m). In addition to taking into account the dimensions of the installation, it should include the area of the hall (10 sq. m.) and the bathroom (5 sq. m.).
If you plan to expand your business in the future, we recommend calculating the area based on the following average indicators:
- sterilization room - 6 sq. m (needed only where there are 3 or more dental units);
- X-ray room - 11 sq. m plus 5-6 sq. m for a darkroom;
- office of orthopedics and orthodontics - 15 sq. m;
- implantology room, children's room, etc. - 15 sq.m. m for each;
- auxiliary premises (warehouse, sterilization room, toilet, administration and staff rooms 30-40 sq. meters.
It is advisable that there is no more than one chair in each office. Patients appreciate privacy and comfort. The ceiling height in the office is allowed to be no less than 3 m, depth - no more than 6 m (with one-sided daylight).
A dental office can be opened both in a residential area and in a business area. The main thing is that it is located close to bus stops, preferably on the 1st floor, and the rent is reasonable. However it’s hard to call rent the best option . Firstly, it is very difficult to find a ready-made premises that meets all Sanpin standards. Most likely, you will have to completely redesign it and spend considerable sums on it. In addition, a medical license is issued to carry out activities in a specific premises, as well as permits from the SES and Rospozhnadzor. If the landlord does not want to renew the contract with you, you will have to go through everything all over again. And for 2 years of work you will pay him an amount equal to the cost of the entire premises.
If you have enough money, the ideal option would be acquisition of premises for dentistry. If this is a residential property, then it needs to be converted to non-residential. You will also have to order room designs: technological, architectural, electrical, sewerage and water supply, and sometimes ventilation. Project documentation must be consistent with:
- bodies of State Fire Supervision;
- TU Rospotrebnadzor;
- Architectural and planning management;
- State Expertise;
Special repairs will be required: the dental chair needs to be connected to electricity, water, sewerage, that is, an entire system will have to be laid under the floor. You need special ventilation, alarm and much more. On average, repairs will cost $250 per square meter. meter.
Equipment
When selecting and installing equipment, you must be guided by:
The purchase of medical equipment is the most expensive expense item. Below is an approximate estimate of what you will need:
Main equipment
Name |
Additional specialized equipment and equipment
Tools | Price, euro |
Tool set, total: | |
including: | |
Set of tweezers | |
Micromotor handpieces (2 pcs.) | |
Set of curettage spoons. | |
Turbine tips(2pcs.) | |
Set of gum scissors | |
Set of burs, needles, syringes | |
Hooks, heads and more | |
Additional equipment, incl. | |
Autoclave | |
MECTRON LED curing lamp with hose | |
Sterilizer | |
Ultrasound scanner for removing stones and plaque | |
X-ray unit, mobile on a stand | |
Fridge | |
Ultraviolet chamber for storing sterile instruments | |
Doctor's table |
Staff
You need to invite those specialists to work education which corresponds to the areas of work of the dental office. So, if you plan to provide therapeutic dentistry services, then you need to invite a dentist with certificate in therapeutic dentistry, diploma about completing internship and residency and experience work for at least 5 years. Having such an employee on staff allows you to obtain a medical license. And so - in all areas, for each of which you will need to obtain a separate license (for surgery, orthodontics, etc.).
Some types of activities can be carried out by nursing staff. For example, providing hygienic dental services. To do this, a physician must have an average vocational education and a certificate in the specialization "Preventive Dentistry". Also, nursing staff must assist dentists. These people need to have a certificate of “Dental Nurse” or simply “Nurse”, but with experience in dentistry.
According to the standards, the duration of work of one dentist is cannot take more than 6 hours a day. The same applies to nurses. The staff of specialists should be planned based on these indicators. At a minimum, you need to hire 2 dentists, 2 nurses, an orderly and one administrator.
Registration of permits
Registration of the conclusion of Rospotrebnadzor, permits of the State Fire Supervision Authority and a medical license
When the premises have been put into operation, the staff has been formed, it is time to move on to the next stage - obtaining the conclusion of Rospotrebnadzor, decisions of the Fire Safety Supervision, and then obtaining a license.
Rospotrebnadzor provides:
- Statement
- Passport
- Certificate of registration as a legal entity. or physical faces.
- TIN certificate
- Extract from the Unified State Register of Real Estate
- Certificate of ownership or rental agreement for premises
- Explication
- BTI plan
- Agreements for washing clothes, garbage removal, destruction of fluorescent lamps, disinfection, deratization and disinfestation
- Examinations (water, air, physical factors, washes for sterility)
- Honey. books and a medical contract. inspection of employees
- Measurements of illumination, microclimate
If the office is organized in a new location, then it is first necessary to obtain a sanitary and epidemiological certificate on the location, and only then - a sanitary and epidemiological certificate on the compliance of services and work.
You must provide the following to Gospozhnadzor:
- Taxpayer Identification Number
- Lease agreement or certificate of ownership
- Passed. fire safety courses security
- Fire order security
- Instructions, evacuation plan
- Papers confirming the presence of an alarm and fire extinguisher
- Resistance measurement protocol
Obtaining a license
You must provide documents to Roszdravnadzor in accordance with the Fed. Law “On Licensing” dated 04.05.2011 N 99-FZ and Resolution dated April 16. 2012 N 291. Each type of medical activity must be licensed separately.
For many years, work in public clinics, clinics and hospitals has not brought the desired material results. Doctors do not have the pleasure of working for low wages. Most quit and go to work in a private clinic or open their own business. One of the most profitable medical industries is dentistry. Owning a luxury car is prestigious, just like having a beautiful and healthy smile.
There is an increasing trend in the opening of dental offices. Figures say that more than 60% of doctors engaged in private practice open just such a business. It is generally accepted that the most important thing in business is the location; it determines the profitability of opening. Most often, dental offices are opened in residential areas of the city, where the population density is higher. This allows you to as soon as possible stuff client base, which accelerates the influx of customers. The remoteness of the clinics also speaks in favor of the small format of the dental office, because a person with acute toothache is more likely to go to his place of residence or to a neighboring area rather than look for a private multidisciplinary medical clinic somewhere in the center. Another argument in favor is the fact that prices for services in a dental office are several times lower than in private medical centers and clinics. So how to open a dental office?
Cost calculation for opening a private dentistry
Let's consider the question in more detail. Mini-dentists are opening in residential areas of the city. This applies to both the capital and the regions. This means that the future owner will need office space. Let us note that the sanitary and epidemiological service is not asleep, demanding that entrepreneurs strictly comply with the regulations regarding the squaring of the office. For one dental chair - at least 7 meters, for the second - 14, and so on by analogy. For medical centers and medical clinics, the calculations are twice as high. Work will require communications, so it is more convenient to rent or buy premises with provided amenities; for this, renting an apartment on the ground floor is suitable. The second factor is cost. For example, the average cost in Moscow is 90 thousand rubles/sq. m, in the regions - from 52 thousand rubles/sq.m. The cost of renting housing in Moscow is close to 30-35 thousand rubles for a one-room apartment, the price may decrease depending on the area and distance. Let's ask ourselves how much it costs to open a dental office. As a result we have the following:
- Dental chair - 180-360 thousand rubles,
- A set of tools at the rate of one set per one chair - 45-75 thousand rubles,
- Consumables - 60-90 thousand per month,
- Enclave for sterilizing instruments - 150-210 thousand rubles,
- Equipment for a prosthetic laboratory - 450-750 thousand rubles,
- X-ray installation - 300-450 thousand rubles.
For comparison, in order to do so, you need to spend four times more money than on an office. Equipment is a key point in the work of a dentist. It is not recommended to save on equipment, because the quality of the services provided depends on it. Many practicing doctors open their own business with an established client base.
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Legal aspects and registration
You need to start working by submitting documents for registration as an individual entrepreneur or legal entity. The registration procedure is established by the Federal Law of 08.08.2001 “On State Registration of Legal Entities and Individual Entrepreneurs”.
According to the Federal Law of 08.08.2001 “On licensing of certain types of activities”, it is necessary to obtain a license to engage in medical activities. To obtain it, the following must be submitted to the licensing and certification body:
- application for a license (application form approved by letter Federal service for supervision in the field of healthcare and social development dated July 27, 2005 No. 01I-374/05);
- certificates for installed equipment, personal medical passports of employees, copies of documents on their education and qualifications.
PS. In the office or medical clinic equipment must be located with strict requirements prescribed by the BTI.
Let's imagine for a moment that you have opened your own clinic. We purchased equipment, rented or purchased premises, carried out repairs on it, and received the necessary certificates for work. The moment of licensing comes. It is highly recommended to study everything government documents, acts and regulations before submitting to the SES to purchase a license. Please note that when expanding the range of services, you need to go through the procedure for obtaining a license again. You can obtain a license yourself or entrust the labor-intensive process to a specialized company. If you are not confident in your abilities, trust the professionals. For a nominal fee of 30 thousand rubles. the company will prepare and carry out all the necessary activities to obtain a license.
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Personnel and advertising are powerful business assistants
In every enterprise, employees play a key role. The most expensive resource is personnel. You need to select people carefully; the quality of the services provided and your future profit depend on this. Personnel selection is carried out on the basis of one dentist per dental chair. The doctor may need a nurse. The standard working time for a doctor is about 6 hours. If you plan to open a 24-hour office, you will need at least 4 doctors per chair. The clinic requires more staff, based on this, the figure will be proportional. When hiring a person, check whether the employees have documents on education, qualifications, international internships and trainings. Introduce a competitive basis into the company's charter; before employment, test practical skills based on the competitive principle. The higher the qualifications of the employee, the higher the quality of his work, and, accordingly, the more positive customer reviews.
When starting your business, you will need an effective advertising campaign. You shouldn't skimp on advertising. You can promote it in different ways, use different marketing moves and strategies. You can publish an advertisement in a newspaper, run a slogan on television, order banners and hang them around the city. Keep a journal of suggestions and reviews so that visitors to your office respond to the quality of the services provided to them. It would be a good idea to display diplomas and certificates (if any) in the reception area. People gain confidence in a company with a name. The system of discounts will be no less effective. For example, 5-10% discounts on various dental services. The clinic can also introduce a system of discounts aimed at VIP clients. Promotions have a positive effect on the flow of people; clients, having heard the word “promotion,” will definitely come to you, this cannot but affect the attendance of your dental office.
Here we will talk about how to open your own dentistry. Moreover, today the dental business in the sector of all medical services is one of the most profitable. Basically, many generations of dentists have grown up with the fact that many people simply do not want to take care of their teeth on time and constantly.
Market
There are about 1.5-2 thousand operating in Moscow. dental offices and clinics. The growth of such institutions is provoked not only by an increase in dental problems associated with insufficient preventive measures, excessive consumption of sweets, as well as poor ecology that affects the population, but also by an increase in the number of Russians who belong to the middle class and are equal to Western standards of living standards.
Such people are more educated, they understand the basic dental terms and materials used to eliminate a certain dental problem, they understand that in society it has become quite indecent to have ugly teeth that are susceptible to caries, covered with plaque, and are ready to pay extra to the dentist for individual treatment. .
The dental market is represented by the private and public sectors. Public sector– these are departmental and municipal clinics in which doctors do not have new modern equipment for work and would like to open their own private clinic. In turn, the private sector can be represented by large dental clinics, as well as micro or mini-clinics, where only the owner works. Most capable of achieving high profitability small clinics with several specialists who can provide an individual approach to the patient, as well as a larger range of services compared to a private office.
Income of dental clinics
Small private clinics employing 4 people can receive 15-25 thousand per month. US dollars of net profit. If we measure the cost of all services in this monetary currency, then the following prices come out: for 10 US dollars you can remove tartar from one tooth or take an x-ray, for 15 - an examination, 25 - tooth extraction, anesthesia - 3, metal-ceramic prosthetics - 200 , and filling from 40 to 200 dollars. USA.
Dental business attracts from different areas business has many outside investors. To run a dental clinic, you need to have a good understanding of the specifics of the dental business, although relevant education is not required.
How to open
Deciding on directions
Before you open your dental clinic, you need to choose the procedures that you can provide to clients, having certain equipment and specialized knowledge in one or more areas of dentistry. There are the following areas: aesthetic dentistry, orthodontics, surgery, therapeutic and pediatric dentistry, therapeutic periodontology, orthopedic treatment of various dental defects, etc.
After choosing a direction, the clinic’s concept is adjusted depending on the competitive environment. After a profile has been compiled for all nearby dentists, which includes the following indicators: list of services and availability of equipment, price list, service level assessments, advertising activity and the professionalism of the administrator, then you can create your own price list.
Premises and permissions
To determine the size of the dental premises, you must first of all be guided by SES standards. If you take it offhand, then for a small clinic for 4 specialists with separate offices and various auxiliary premises, you will need an office of 200 sq. It is best to buy it, since the cost of the office will be equal to renting such premises for 3 years; moreover, all documents for dentistry, medical licenses, firemen’s permits, sanitary certificates are issued in relation to a specific clinic address.
Licensing of activities
If you have time to independently obtain a license for dentistry (medical license, SES permits, etc.), you can take care of this issue yourself. When you need to carry out such work in a shorter time, you should contact a specialized company that will collect necessary documents. Documents for one type of activity will cost 1-1.5 thousand. US dollars.
Selection of equipment
To pick up necessary equipment It is worth resorting to the services of a consultant who will not only give advice, but also help in purchasing it. You need to purchase reliable brands of dental units from the following companies: Castellini, Kavo, Sirona (10-50 thousand US dollars), diagnostic equipment from Trophy (25-36 thousand US dollars), as well as kits consumables companies - Dentsply, 3M, Degudent and Kerr, costing about 1.5 thousand. US dollars.
Staff
The number of dentists depends on the clinic’s work schedule, as well as the number of installations. Every doctor also needs a nurse ( wages from 6 thousand rubles). A nurse is hired to clean the premises (from 3 thousand rubles). A doctor’s salary, as a rule, is set at the minimum with an increase of 10-30% of the cost of the work performed.
One of the most profitable business sectors in our country is paid medicine. Many citizens prefer to contact commercial organizations, because they are confident that in this way they will receive the highest quality of services provided. In addition, the level of service, the absence of queues, wider opportunities, and respectful attitude towards each client set such organizations apart from state-owned ones.
Thus, the creation of a dental clinic can be profitable investment funds. To open a dental office, there is no need to be a doctor with specialized education. To do this, it will be enough to hire qualified specialists who will be able to solve current problems and take into account the nuances and specifics of this type of business.
Bureaucratic issues regarding opening an office: registering activities and obtaining a license
One of the first points included in a dentistry business plan is the solution to various bureaucratic issues that will in any case accompany a novice businessman. Medical services in the field of dentistry differ from ordinary business, for example, food production, repair services, or opening a store. The difference is that they require more necessary documents so that activities are carried out exclusively within the framework established by current legislation.
Even before opening a dentistry, you will need to register as a subject entrepreneurial activity. If we are talking about opening a dental office, then in such a situation, registration as a individual entrepreneur. In such a situation, the person opening the business must have the appropriate education. It is equally important to comply with the legal requirement: all doctors employed in a dental office or clinic, providing prosthetics and treatment services, must obtain a license. Without such a license, even a registered business entity is not allowed to work.
If a decision is made to organize a legal entity, for example, an LLC, in such a situation the founder does not necessarily have to have a specialized education. Similar requirements will already be imposed on those employees who are employed as dentists. One of the advantages of registering a legal entity is the ability to organize a business by attracting several investors, who subsequently become co-founders. Since at the time of organization the contribution of each individual, later it will be much easier to determine the amount of profit that is due. It will also be possible to resolve the issue of leaving the membership with the need to withdraw invested capital (or a similar amount in cash equivalent if the contribution was made in the form of property, equipment, etc.).
An entrepreneur can open either a large clinic or a separate office - everything will depend on desire and financial capabilities
Next, you will need to decide on the taxation system that will accompany the activities of the entrepreneur. Dental business, as an option, can be conducted according to common system taxation, but it is quite complex and requires the provision of more reports. In this case, it would not be entirely advisable to use it. The best option would be a simplified taxation system, which uses the fairly common “income minus expenses” scheme. This technique makes it possible to easily determine the amount of profit on which the subsequently established company will pay the established percentage of taxes.
Having decided on what will be carried out - registration of an LLC or individual entrepreneur, it is also worth paying attention special attention which type of activity code will be indicated. He further determines the list of services that will be provided to patients, and if the procedure established by the rules is violated, the entrepreneur may be held accountable. Thus, activities in the field of dentistry must be accompanied by an indication of the OKVED code 85.13 “Dental practice”.
When obtaining a license, you should first of all familiarize yourself with the basic provisions reflected in the following documents:
- Federal Law of May 4, 2011 “On licensing of certain types of activities”;
- RF PP dated April 16, 2012 “On licensing of medical activities”;
- Letter from the Ministry of Health and Social Services Development of the Russian Federation No. 537-12, which defines some standards relating to the organization and further functioning of a dental clinic;
- SanPiN No. 2.1.3.2630-10.
The organization of the work of an office or clinic should be established taking into account the fact that a license will need to be issued for each separate species activities. So it will be perfect various documents for the provision of therapeutic, surgical services, pediatric dentistry, prosthetics, orthodontics, orthopedics, etc. It is also worth considering that in order to establish the work of an office or clinic, you will additionally need to obtain permission from Rospotrebnadzor, the fire inspectorate and the sanitary and epidemiological station. It must be understood that since this type activity is very closely related to the treatment of people, then the requirements are more stringent. So, in particular, pay attention to the sanitary condition of the premises, the presence of cold and hot water, heating, staff work clothes, the presence of each employee with a health book indicating their state of health allowing them to perform job responsibilities in such an institution.
The dental services market is associated with the incurrence of expenses even at the stage of registration of a business entity. So, in general, registration can cost a businessman from 30 to 60 thousand rubles. In this case, the license alone will cost 7.5 thousand rubles. It is worth noting that the issuance of a license must be treated carefully - not every specialist providing services can even apply for one. The main requirements for applicants are the presence of a diploma of education (it must be specialized), as well as the minimum acceptable work experience in a similar specialty - 5 years. Additionally, the doctor must have certificates of completion of specialized courses for doctors of this specialty. In accordance with the provisions of current legislation, he can provide services in tandem with a nurse. In this case, the obligatory point is that nurse must be arranged according to the contract.
What services to provide - decide for yourself. But do not forget that some of them may remain unclaimed
Nuances of arranging a dental office
Many businessmen or entrepreneurs who are planning to organize own business in the field of dentistry, are not always familiar with the subtleties of such activities, especially if they themselves are not dentists by profession. In this regard, they often make annoying mistakes, which ultimately leads to losses and closure of a business that has not yet really developed.
First of all, an entrepreneur faces the question of where to start his activity. How to correctly determine all the main parameters of entrepreneurial activity and generally decide whether it is advisable to organize a dental clinic. We can confidently say that this type of business can bring high income. This fact is proven by the existence of a large number of open dental offices and clinics operating successfully throughout the territory. Russian Federation. With the proper level of service provision and the presence of highly qualified specialists, the number of satisfied clients and, as a result, those who wish to use the services of the office will grow steadily.
In order to take into account in more detail all the aspects of organizing a business, you will need a dental office with calculations. As an example, consider the following:
- Analysis of the dental services market in the region where the activity is planned. For this, the best option would be to involve third-party specialists who are able to accurately determine the need for another unit of this type of medical services. At the same time, in parallel, the principles of functioning of existing competitors can be studied and their identification weaknesses. It is determined how many clients are served at these points, which specialists work in other clinics and what reviews there are about them;
- Organize a business yourself or purchase a ready-made, so to speak, turnkey dental office. As a rule, a business is rarely sold if it is sufficiently profitable. In most cases, this is just the opposite, indicating a lack of financial strength at the selling clinic. If a dental office was opened and, after working for a short time, closed even without making a sufficient amount of profit, then you may have to involve more investment. Possible difficulties may arise if, during its existence, the clinic has received negative reviews and earned itself a bad reputation. In such a situation, it would still be more advisable to organize a business on your own, so that you do not have to waste time and money on attracting clients who were scared away by poor quality services;
- Regardless of whether the decision was made to buy ready business or organize it from scratch, register an individual entrepreneur or LLC, receive necessary documentation and licenses. When applying for a license, you must take into account that the duration of their registration is 1.5 months. Therefore, documents will need to be submitted in advance to avoid a situation where the dentistry itself is already ready to open, and the employees do not yet have the right to provide any services;
- Determining what the size of the clinic or office will be. In this case, we do not mean the area, but how many specialists will be involved. Alternatively, the most common are clinics that open with three chairs. At the same time, the doctors themselves can either work in shifts, when each is separately assigned to a specialist, or change in such a way that they are constantly busy. The second option will provide more quick payback project and, as a result, business profitability will be higher;
- Finding a suitable premises. When performing this step, it is worth taking into account all the basic requirements that apply to clinics, otherwise the costs of renting a building or purchasing it will be unnecessary;
- Definition of services provided in open clinic. For this purpose, first of all, data on the services provided by competitors is used. The list of such services can be quite extensive and include whitening, caries treatment, prosthetics, therapy, implantation, computer physiography, aesthetic dentistry, etc.;
- Purchase of necessary equipment and other materials, furniture, etc.;
- Carrying out repairs, which can be either cosmetic or major;
- Personnel search and conclusion employment contracts. Alternatively, leasing a chair for individual dentists may be used, but in such a situation compliance with corporate standards cannot be guaranteed, since the specialists will work for themselves and will not report to the management of the clinic. If any problems arise with an individual doctor, the shadow of a negative reputation can affect the entire clinic;
- Conducting advertising and marketing efforts aimed at attracting customers at the pre-opening stage. Such expenses will not constitute the bulk of investment costs, and many businessmen unjustifiably skip this very important step. In its absence, the promotion of the clinic may take much longer and at a certain stage there will no longer be funds to keep the business afloat;
- Opening of the clinic and the beginning of providing the declared range of services.
Finding a suitable location for organizing a premises for a dental clinic
When searching 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 the wide advertising campaign and marketing moves, an unfavorable location can become a factor that will scare 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. A good neighborhood is considered to be placing an office next to centers that also provide medical services, but at the same time they (services) should not intersect.
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. Minimum area in this case it 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 unit, 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.
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 more quality 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.
Staff selection
When selecting personnel for your clinic, you should first of all pay attention to those employees who have specialized education and work experience. The number of employees and the list of positions will be determined individually, based on the range of services provided and how many chairs the clinic plans to open. You can take the following list of employees as a sample:
- Dentists. Alternatively, you can employ twice as many workers as you plan to install chairs;
- Nurses. It is more appropriate to equate the number of persons hired for such a position with the number of doctors. For example, for 10 doctors you will need 10 nurses;
- Administrators. To fully operate the clinic, it is necessary to hire two people. Thus, if necessary, they will be able to replace each other;
- Accountant.
Carefully approach the selection of personnel - this is the “face” of the clinic
As experts note, personnel and equipment are the two main components on which the success of the entire business largely depends. The remaining articles also have an impact, but the quality of the services provided will not suffer as much.
Marketing plan and advertising for a dental clinic
One of the cost items in the process of organizing a dental clinic will be drawing up marketing plan and stage-by-stage implementation of all points, as well as carrying out promotions. A certain portion may be spent on such actions starting capital, since the cost of providing services will vary widely depending on the chosen strategy, the size of the clinic itself and the initial budget determining possible costs and their permissible value. These actions can be varied, but the most effective, according to experts involved in the field of advertising, are the following:
- Various types of accommodation advertisements. They can be located in the media, social networks, other platforms that are most popular;
- Carrying out various promotions aimed at attracting customers. These may include discounts on services provided, some of which are completely free. At the same time, it is worth finding the so-called middle ground between attracting consumers and not contributing to an increase in costs beyond the calculated norm, when performing therapeutic or preventive actions without payment from the client already becomes unprofitable;
- Colorful sign equipment. It should attract attention and preferably be highlighted in dark time days - thus, even in the dark, advertising will work;
- Distributing salon business cards and advertising information even during the opening period and the first days of work. As the calculations show, such actions are most effective only during the first month of operation. This achieves the provision of information that the office or clinic is already open and what list of services the client can receive by visiting it;
- Concluding agreements with organizations that can carry out certain advertising activities. A striking example is a situation in which a beauty salon distributes business cards for a dental clinic to all its clients. Such services can either be provided for a fee or for reverse advertising, when in dentistry they will similarly present information about a beauty salon;
- Placement of banners on the streets, illuminated advertising, etc. This type of advertising requires more costs than others, but at the same time its effectiveness is also quite high.
One of the most profitable businesses of our time can be considered the provision of dental services. Private dental offices have always been and will be in demand. Therefore, many entrepreneurs are interested in the question of how to open a dentistry. So, what is needed to start your own business in this direction?
Looking for a place
Having thought about how to open your own dental office, you first need to find a premises. After all, without it, you won’t even be given permission (license) to start doing business. There are two options here: either buy or rent. There are enough pros and cons for both.
So, for example, when purchasing a property, you will be an independent businessman who does not depend on the rise and fall of the landlord’s mood. And finding a suitable area for rent is not so easy. Well, for example, the premises must have electricity, heating, water and sewerage. You can’t live without this today, and doing everything yourself is very expensive.
Therefore, the conclusion suggests itself: it is still better to buy premises for a private dental office. But there is also a stumbling block here - this requires a large amount of money, which many simply do not have. If you have the required amount of funds, then you can’t go wrong with your choice.
The following tips will be relevant for both buying and renting premises.
- Firstly, try to ensure that it is located on the first, or maximum second floor.
- Secondly, if you want your business to bring good profits, then look for a place where people hang out. After all, if you open a dental clinic on the outermost street of the city, you are unlikely to receive visitors.
If you buy an apartment, then, accordingly, it will be a living space. Therefore, before opening a dental office, you will need to convert it into a non-residential one. Here you can go two ways: either do it all yourself (cheap, but troublesome), or entrust it to a company that provides similar services (expensive, but a little faster).
Required area for a clinic
According to the requirements of the SES, one dental unit requires at least 14 square meters. meters of space. When planning more jobs, add another 7 square meters. meters for each. To this add a bathroom (5 sq. m), a room for business activities (5-10 sq. m), a reception area with a patient waiting area (20 sq. m) and, if necessary, a diagnostic room (12 sq. m). Therefore, calculate in advance what total area for work is needed. In addition, keep in mind that in the future you may want to expand your business, and you will need much more space.
Room decoration
Before you open a dentistry, and after you have rented and purchased business premises, you need to think about renovations. The main thing here is not to rush and calculate everything thoroughly. The main thing to do is to connect all the necessary communications (electricity, water and sewerage) to the dental chair.
There is no point in saving on the decoration of the premises, since many patients can evaluate the quality of the services provided based on this principle. On average, repairs will cost you 4500-6000 rubles per 1 sq. m. meter.
How to open a dental office: collecting documents
This part of the business project is the most troublesome. Well, firstly, you will definitely need a dental license, which can take quite a long time (up to a year) to obtain. Secondly, you need to obtain permission to start work from a large number of different authorities (fire department, architecture department, district administration, SES, etc.).
A little more about the license. What you will need to obtain this document:
- certificate of ownership or lease agreement for the premises in which dental services will be provided;
- conclusion of Rospotrebnadzor that this premises meets all sanitary requirements;
- certificates of conformity and registration certificates existing dental equipment, as well as an agreement with the company that will service it;
- various documents confirming that the medical staff of your clinic have appropriate education and qualifications;
- many other papers.
A dental license will cost you approximately 1,500-2,000 rubles. Of these, 300-700 rubles must be paid for consideration of the application for its receipt and from 1000-1500 for the document itself. But, as practice shows, in order to somehow speed up the registration process, it is worth contacting a qualified lawyer. And his services, of course, are not free - about 25-40 thousand rubles! And if you are satisfied with both the authority of the law firm and the cost of services, include these costs in your dental office business plan.
By the way, if your dental office will contain surgical, plastic or children's departments, then a license for these types of dental activities will have to be obtained separately.
The right to provide services is issued for 5 years. But if you violate any of the conditions under which it is issued, the license may be taken away. Such cases include even an incorrectly filled out sterilization log.
Purchase of equipment
The next point that concerns all entrepreneurs who do not know how to open a dentistry is the cost of purchasing all the necessary tools for work. This part of the project is the most expensive. For example, according to the licensing requirements for dental clinics, the most necessary equipment includes:
- dental chair, the cost of which can vary from 180,000 to 400,000 rubles;
- apparatus for sterilizing instruments - from 150,000 to 230,000 rubles;
- consumables and accessories for the dental office, which will need to be purchased as they are used - from 50,000 to 100,000 rubles for each dental chair;
- tools (for one workplace) – from 50,000 to 80,000 rubles.
Additional equipment and interior items include:
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Staff
Before opening a dental office, you should think about selecting doctors. The main condition under which you must hire them is a diploma in medical education and a certificate that allows you to engage in this activity.
You can regulate the number of doctors yourself. So, for example, if the office work schedule is daily from 8 am to 8 pm, then it would be rational to hire 3 people.
Many people are probably interested in the question of what a dentist’s salary is. There is nothing to hide here - with at least three years of work experience, he should receive at least 25-40 thousand rubles per month.
Each doctor must be “attached” to one assistant who will help him during the reception of patients and sterilize instruments. His average salary– about 10-15 thousand rubles.
In addition to these workers, you need to hire a nurse (one or more), whose tasks will include cleaning the unit after seeing the patient, as well as the rest of the room and disinfecting the walls, floors and ceilings once a week. The fulfillment of this last duty requires strict control, since Rospotrebnadzor employees will analyze air samples every month in your clinic.