A dental office is a profitable business. How to open your own dentistry How to open a dental office business plan

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

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They are equipped according to last word technicians and can offer the latest 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 wondering how to open dental office from scratch, you need to create 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 a certain time in the State Clinic eventually open 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’s 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.
• Pediatric 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 of different profiles, and, consequently, the ability to provide a huge selection of dental services, leads to the fact that private dentistry uses in great 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 cash register, 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 open 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 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 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 has 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 wouldn't hurt to think about replacing it in time. ventilation system, as well as installation of alarm systems.

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. Daily norm the work of the dentist and nurses is six hours, so the best solution There will be a recruitment of employees to work in two shifts. And the wages for 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 average vocational education and 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. Compliance must be ensured fire safety, Rospotrebnadzor and SanPin.

To do this, submit the following package of documents:

1. Statement.
2. Extract from the Unified State Register of Real Estate.
3. Certificate of registration of an individual or legal entity.
4. TIN certificate.
5. 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. Besides starting 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 high incomes are received by both hired doctors and owners of private dental clinics. However, you should not expect a crowd of customers from the first day of opening. If you have your own base potential clients, then things will go better. But even in this case, success is a matter of time and professionalism.

• Is special education important?
• Equipment
• Documents
• The key to success
• Profitability calculation
• Useful tips

Dentistry is a popular specialty medical services. Today people pay a lot of attention to the health of their teeth and keeping them in perfect condition. Opening your own dental office or small clinic with the right approach will allow you to make a significant profit, because treatment and preventive procedures are not cheap, not to mention prosthetics. But creating your own business from scratch will require significant investments and rational approach to organizing its activities. You should figure out step by step where to start on this path. Next, we will try to tell you in as much detail as possible how to open a dentistry from scratch in Russia and how much it will cost.

Is special education important?

There is a common misconception that without education, opening even a modest dental office with one chair is impossible. Most likely, on the contrary, a specialized diploma in a certain sense will become a hindrance, because it is difficult to combine professional growth and business development - a dental office. Here the benefit of such a phenomenon as the division of labor, where everyone does what they know how to do well, is manifested to a large extent. Some deal with the commercial part, organize the work, others carry out treatment, extraction, and prosthetics. This is the only way dentistry will become a successful, profitable business.

To open your own clinic or office you need premises. It is better if it is owned; renting creates certain difficulties for doing business, such as:

1. The need to create a financial reserve in case of sudden relocation and retention of staff.
2. Costs associated with finding and renovating new premises and transporting equipment.
3. Costs for an information campaign aimed at notifying clients about the relocation of dentistry to a new location.
4. Launching advertising to promote a dental office in a new location and attract clients.

In fact, by renting premises, you will have to start the business from scratch every few years. This is due to the impressive financial costs that can be spent on business development - expanding the clinic, opening a new office.

Separately, I would like to talk about calculating the area for opening a dentistry. On average, one chair requires 10 m 2 of space to ensure full functionality. In this case, the need to equip a reception desk, a sanitary facility, a utility room and a waiting area should be taken into account. As a result, to open a modest dental office you need to use a standard one-room apartment with an area of ​​32–36 m2.

Most often, dentistry opens in renovated apartments on the first floors of residential buildings or small detached buildings are built. It is very important that the premises are removed from the housing stock and equipped in accordance with the requirements of the Sanitary and Epidemiological Station. To open a clinic, it is recommended to buy several nearby apartments.

Attention! A common mistake is to invest significant funds in renovating the premises. Most entrepreneurs are driven by the desire to create an exclusive design. Expensive materials are used for this, but this is not the secret of success in the field of dentistry.

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Equipment

The next important stage in opening a clinic or office is the selection and purchase of equipment. Its standard set consists of:

1. Chair, its cost is 1,200,000 – 1,500,000 rubles.
2. Additional equipment, tools – 370,000 rubles.
3. Furniture – 200,000 rubles.
4. X-ray, the cost of which starts from 1,500,000 rubles.

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In total, it turns out that from 3,270,000 to 5,570,000 rubles must be spent in 2019 to open a dentistry for 1 chair. It is not difficult to calculate how much an average clinic with 5-6 chairs costs, and this does not include the cost of turnkey repairs.

Download more detailed dentistry business plan You can make calculations from our partners. The quality of the business plan is guaranteed!

At the same time, before purchasing equipment, it is worth engaging a specialist for consultation so that the investment is balanced and optimal. Ideally, you need to recruit staff before opening a private dental clinic and order equipment based on their wishes. This will significantly improve the level of service.

Documents

Another step that requires time and nerves will require registration of the clinic. To open a dentistry you will need many permits:

• for the redevelopment of the premises - the architectural department;
• sanitary organization of the enterprise - SES;
• fire safety of the premises;
• medical license allowing dental practice;
• permission to use an x-ray machine.

You can find out what documents are needed to register an enterprise with the fiscal authorities by going to their official resource. In short, if you need open an individual entrepreneur on your own, and also assign OKVED codes to the following types of activities: 85.13. “Dental practice” and 85.12 “Medical practice”.

The key to success

Opening your own business is the beginning of a difficult path to achieving success in the form of a high level of profitability. It is important for dentistry to provide the highest class services, and this is impossible without a team of professionals. Therefore, if you can save on repairs and equipment, you cannot save on personnel under any circumstances, otherwise all investments will be in vain and the business will turn into a burden.

Due to this specificity, you should begin selecting specialists before opening a dental office. It should be taken into account that a significant portion of the profit will need to be spent on personnel. How much does it cost to maintain professional staff?

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Dentists work for a percentage of revenue, it varies from 20 to 25%. Nurses, orderlies, and administrators receive a flat rate of $100 to $400. Approximately, about a quarter of the profit must be spent on staff every month. But it should be taken into account that it is the staff that makes a dental office or clinic profitable.

The optimal profit level is up to $20,000 per month from one chair. Provided that the business is promoted. This is the average for the capital region.

Profitability calculation

How much profit does successful dentistry bring? Let's assume that private clinic equipped with five chairs, hence the total monthly income is $100,000. Of these you need:

• Pay staff salaries – 25%;
• Purchase consumables– up to 10% of profit. You cannot save on this, otherwise customers will go to competitors;
• Current expenses, including business expenses - up to 5% of profit.

In total, you need to give 40% of the amount earned. Accordingly, the profitability of the business will be about 30%, which is a good indicator.

What does it take for opening a dentistry to become the first step towards creating a brand, a well-promoted, successful network of clinics? The main requirement is a rational approach to investment. This will create a powerful base for the business and build its foundation. Secondly, you should not be afraid to start a business from scratch, just as you should not completely trust it to third-party people - managers, especially if they are specialized specialists. It is necessary to remember the division of labor and understand that dentistry requires attention; it is not enough to just open a business, it needs to be developed and promoted.

Speaking of promotion, a private clinic from scratch will quickly be brought to the top by experienced specialists who have their own client base. Therefore, you should lure them into your dental office to work by any means.

Attention! Opening a dental office under a franchise is a waste of money, since most projects use the standard scheme, which is described above. The exceptions are marketing moves, but most of them can be found using specialized literature or the Internet.

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 more big profit can be obtained as a result. 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 big city there are a dozen places that provide dental services. Therefore, it is necessary to assess the market situation before investing in a business. The main competitors may be:

1. 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.
2. 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.
3. 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 a whole 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 system taxation. If you open a dentistry, the following options are possible:

1. 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.
2. 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, use of UTII impossible in dentistry. 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 might just lose most of your visitors.

Finding suitable premises

A full-fledged clinic or dental office requires specialized premises to provide services to the population. 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.

In a number of regions there are 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 sterilization of 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.

The purchase of equipment will require serious investments. This will be the most significant cost item. If 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 there are 2 to 3 jobs in it. 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 bonus system for the administration, give doctors a piece-rate 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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One of the most profitable businesses of our time is 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 buying 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 both for 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 SES requirements, one dental unit requires at least 14 sq. meters of space. When planning more add another 7 square meters of jobs. meters for each. To this add a bathroom (5 sq. m.), a room for economic activity(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 get permission to start working from large quantity various 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 available 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 to receive it 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 as an authority law firm, as well as 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 necessary tools for work. This part of the project is the most expensive. For example, according to the licensing requirements for dental clinics, the necessary equipment applies:

• 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:

Staff

Before opening a dental office, you should think about selecting doctors. The main condition by which you must hire them is a diploma medical education and a certificate allowing 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 installation 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.

Paid medicine is one of the most profitable business sectors. Private clinics offer an individual approach, fast service, modern equipment, high-quality medications, and effective treatment methods. Russian and foreign citizens are ready to pay for all this.

The practice of dentistry brings high profits. The investment in opening a dental office is quite large, but if you establish yourself as a professional, the business will quickly pay off.

Brief market analysis

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

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

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

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

Is it necessary to be a dentist?

The dental business is a good investment, but many people avoid it due to the lack of specialized education. Typically, specialists who already have experience working in public or private companies go into this niche. medical institutions. However, even an inexperienced startuper, with appropriate theoretical training, can open a successful dental office. The main thing is the professionalism of dentists.

As for legal requirements, when opening an individual entrepreneur, a businessman must have a specialized education. When registering an LLC, medical education is not required.

Office or clinic: which format to choose?

The format depends on your ambitions and budget.

Any institutions providing dental services are divided into 3 categories:

1. Economy class. Firms use a preferential tax system and usually have difficulty staffing with highly qualified dentists. Average check- 150 - 300$. This includes dental offices of clinics and medical budget centers.
2. Business segment. A visit costs about $1000. Due to the high level of profitability, clinics have the opportunity to hire experienced doctors and staff and staff their offices modern equipment, use innovative treatment techniques.
3. VIP clinics. For people interested in high quality service. The client pays about $1,500 per session.

Now let's look at what it takes to open a dental office.

Documents and permits

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

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

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

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

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

Room

According to Rospotrebnadzor standards, minimum area for a private dental office - 30 m² (of which at least 14 m² is allocated for a room with a chair and equipment, 10 m² for a hall, 5 m² for a sanitary and hygienic area). The minimum ceiling height is 3 meters, the distance from the window to the wall is 6 meters.

If the dentistry has more than 3 dental units, a separate room for sterilization (6 m²) will be required.

The area of ​​the X-ray room is 11 m², the developing room is 6 m².

For orthodontist and orthopedist offices - 15 m² each. For others (for a pediatrician, implantology) - also 15 m².

Additional rooms (warehouse, premises for employees, administration) - 30 m².

Dental attendance depends on the location of the premises, so it is better to give preference to areas with high foot traffic. For sparsely populated regions with a small number of competitors, this condition is not critical.

Equipment

Table No. 1. Dental materials

Expense item	Average cost (in thousand rubles)
Dental chair At least 4 sleeves are needed: for a gun for water and air, for a micromotor with tips, for a turbine (main apparatus) and for an ultrasonic scanner for removing tartar and plaque	(+ 3 monthly)
Replacement tips. Add. the set is necessary in case of failure of the main one
Consumables (materials for fillings, chemical and hygiene products)	5 (monthly)
Dental instruments
Curing lamps
Apex locators
Autoclave for instrument processing
Sterilization equipment
Cabinets for storing tools and materials
Furniture (chairs for doctors, assistants, sofa for waiting, desks for administrators)
Radiovisiograph (simplified analogue of an X-ray unit)
	846 (+ 8 monthly expenses)

The main positions are listed, but in reality the list is wider. You will also need sealing devices, lubrication and cleaning equipment, air conditioners, and humidifiers. Installations, tools, and materials must have certificates.

Staff

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

Requirements for a dentist (therapeutic direction):

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

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

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

Table No. 2. Dental office staff

How much does it cost to open a dental office: financial plan with calculations

Cost items for a startup:

• Registration, obtaining licenses and permits - 60,000 rubles.
• Rent of premises - 60,000 rubles.
• Repair and finishing work, furniture - 300,000 rubles.
• Equipment, materials - 1,200,000 rubles (for 3 jobs).
• Marketing (advertising sign, leaflets, brochures, business cards, website, advertisements in the media, on forums) - 70,000 rubles.
• Other expenses - 100,000 rubles.

Monthly expenses:

• Salary - 270,000 rubles.
• Rent - 60,000 rubles.
• Utility bills - 20,000 rubles.
• Taxes - 30,000 rubles.
• Maintenance of equipment and purchase of materials - 8,000 rubles.

IN this business In plan, we are considering opening an economy class office. The average bill per client in Russia is $50 (3,400 rubles). If 3 specialists work and there are 12 clients per day, the average daily revenue will be 40,800 rubles.

Table No. 3. Financial indicators

3 months is an optimistic forecast that will only come true if the account is fully loaded. You need to be prepared for the fact that at first there will be few clients and the payback period will be longer.

How to open a dentistry from scratch: step-by-step plan

1. The first step is to write a business plan for a dental clinic with detailed analysis regional market. Monitor competitors, determine their strengths and weaknesses.
2. Organize new business or purchase a ready-made one (turnkey office). The second option is easier to implement in a metropolis, but profitable business rarely resold. The organization begins with registering an LLC or individual entrepreneur, obtaining licenses and permits.
3. Determine the number of jobs. Usually the clinic has 3 chairs. Doctors can work in shifts (a position is assigned to one doctor) or rotate so that the positions are constantly occupied. In the second case, the project will pay off faster.
4. Find a room.
5. Make a list of services. It may include whitening procedures, caries prevention, prosthetics, therapy, implantation, computer physiography, aesthetic dentistry.
6. Purchase materials, furniture, carry out renovation work indoors.
7. Hire dentists. Some businessmen rent out workspaces to medical specialists.
8. Advertising campaign. In the absence of advertising, the promotion of the institution will drag on for months, since the audience simply will not know about dentistry.
9. Open a dentistry and start providing services.

Any business related to medicine is fraught with risks. There may be difficulties in obtaining permits and large capital investments will be required. On the other hand, the medical business will definitely generate income. Approach the organization and conduct of business with maximum responsibility and be sure to draw up a detailed business plan for a dental office, adapted to economic conditions in your region.