How to open a dental clinic. How to open a dental office in Russia

Private medical services are in great demand among the wealthy population. One of the most expensive procedures is dental care. How to open dental office and how much does it cost? To answer this question, you need to draw up a business plan with calculations of investments and profitability of the project.

It is possible to organize a dental office both with a medical diploma and without specialized education. In any case, it will not be possible to carry out activities independently - you need assistants, nurses, specialists various types manipulation.

Business plan

You need to start opening a dental office by writing a business plan:

1. Concept development.
2. Search for premises.
3. Study of regulatory requirements.
4. Purchase of equipment and materials.
5. Personnel selection.
6. Registration of an enterprise.
7. Business advertising.
8. Calculating the amount of investments, expenses and income.

A detailed business plan with calculations performs several functions - it helps an entrepreneur launch his project, and will be required in case of attracting credit funds or working with partners.

Concept

All other stages of opening a dentistry depend on the basic decision - what range of services will be provided. Usually in Russia they open either small office, or a clinic.

The office requires a minimum area, one assistant and a limited range of services:

• installation of seals;
• whitening;
• stone removal;
• gum treatment;
• prevention.

This choice is made by specialists from public hospitals. With an established client base and established reputation, the dentist has a good personal income.

The clinic is distinguished by a large selection of equipment and specialists who receive patients in different time. Due to this, a wide range of services is provided in two or three offices:

1. Treatment of teeth and gums.
2. Tooth extraction.
3. Surgical operations.
4. X-ray.
5. Hygienic and aesthetic procedures.
6. Prosthetics.
7. Children's dentistry.

Clinics are more in demand and profitable, as they give the patient the opportunity to solve several problems in one place. Opening a clinic from scratch will cost much more than an office.

To avoid promoting your own brand, you can purchase a franchise. However, in the dental business, this option does not have the same benefits as in other industries, because specialists bring income to the company. The franchisor does not provide employees; the entrepreneur recruits the staff himself. If a patient does not receive quality services in a well-known clinic, the reputation will be damaged and the investment will not pay off.

You can download it here for free as a sample.

Room

When searching for a suitable premises to house a dental office, it is important that it is convenient for visitors to reach both personal and public transport. Often, when there is an urgent need, people first go to a hospital near their home or work, and then become regular clients.

A common location for an office is the first floor of a building or residential building. If an ordinary apartment is purchased for business purposes, then it must be transferred to non-residential stock and obtain the consent of neighbors for arrangement.

The procedure for re-registering an apartment for a dental clinic is multi-stage and lengthy:

• Urban architecture compiles a list of documents that must be provided.
• BTI, SES, traffic police, housing department, city council issue certificates of the established form.
• Based assembled package documents, architecture makes a conclusion and architectural planning task.
• The project is carried out by a specialized organization.
• The architectural department approves the reconstruction project, for which it is necessary to obtain permits from a number of city organizations.
• After completion of the repair work, it is necessary to issue a commissioning certificate. It is signed by: fire supervision, sanitary station, state traffic inspectorate, committee for nature protection and environmental management, service for the protection of cultural heritage sites.

Purchasing the property is the most correct decision, since dental equipment is rigidly mounted and communications are connected to it.

If the entire structure is located in a rented building, and the contract is terminated, then you will have to spend a lot of time and money on dismantling, transportation and installation in a new location. In conditions of lack of start-up capital, it is better to take out a loan than to expose your business to the risk of relocation.

Standards

The premises must comply with the following regulatory requirements:

1. To accommodate one chair you need 14 sq.m.
2. For an additional chair in the same room you need another 7 sq.m.
3. Reception room - 10 sq.m.
4. Bathroom - 5 sq.m.
5. Sterilization room - 6 sq.m.
6. X-ray room - 17 sq.m.
7. Offices of other specialists - 15 sq.m.
8. The height of the room is more than 3 m.
9. The distance from the window to the opposite wall is no more than 6 m.
10. Availability of running water with hot and cold water, sewerage, electricity, ventilation.
11. Finishing materials must be certified and comply with sanitary, hygienic and fire safety standards.

Water, sewer and power supplies are connected directly to the dental chair under the floor. It is important that this work is done efficiently, because it will be problematic to correct defects.

The minimum allowable area for a dental office for 1 chair is 30 sq.m. To locate the clinic, you will need a large three-room apartment or a separate building.

Equipment and materials

Modern, high-quality equipment attracts professionals to the clinic, who, in turn, attract patients. As in the case of premises, it is better not to save money and purchase new equipment.

The minimum list of equipment needed to open includes:

• A dental chair with a set of hoses connected to it, providing manipulations: water and air supply, micromotor with straight and angled handpieces, turbine, ultrasound for removing plaque and tartar. A fully equipped installation from well-known manufacturers costs 10-20 thousand dollars.
• Replaceable spare nozzles. For each procedure, a wide variety of tips are used in shape, materials, and coating.
• Instrumentation - mirrors, clamps, tweezers, pens, diagnostic probes, spatulas, syringes, needles, trays.
• Solar-curing lamps for fixing the composition.
• Apex locators for determining the working length of the tooth root canal.
• Autoclave for processing and disinfecting instruments.
• Sterilizer.

In dentistry, it is often necessary to take x-rays of the problem area. It is expensive to equip a separate office, so you can purchase a radiovisiograph, which is a simplified compact version of an x-ray and is connected to the dental chair.

The clinic needs furniture:

1. Cabinets for storing tools, materials, clothes.
2. Mobile cabinets on wheels.
3. Tables.
4. Chairs and armchairs.
5. Shelving.

The smallest share of costs consists of consumables:

• filling compounds;
• facilities personal protection and hygiene (masks, caps, glasses);
• disinfectants;
• medications.

If you intend to provide a wide range of services, then more equipment and working materials will be required.

Staff

How to open a dental office without employees? You can't do without salary costs - even a small project founded by a dental entrepreneur needs to hire a nurse to assist in receiving patients and a cleaner. All other functions of accounting, purchasing materials, general management business is usually carried out by the owner of a dentistry.

The clinic recruits specialists of various profiles, depending on the list of services provided. The qualifications of doctors determine the popularity and profitability of the establishment, so they select employees long and carefully. In addition, it is necessary to take into account that the license is issued separately for each type of activity, which means that cooperation must be long-term.

Licensing requirements for personnel:

1. Medical worker- secondary medical education, certificate “Preventive Dentistry” or “Nurse in Dentistry”.
2. Doctor - higher professional education, residency, internship, certificate in his field of work, 5 years of work experience.

According to labor safety standards, the working day of dentists and nurses should not exceed 6 hours. If the office plans to receive patients from morning to evening, then the staff should have 2 doctors and 2 nurses for shift work.

Before the clinic gains fame and a constant flow of clients, it will be necessary to pay for the work of highly qualified dentists from the start-up capital. Typically, doctors receive a salary plus a percentage of revenue, nurses and other personnel - a salary and incentive payments.

Registration

Providing services in a dental office without permitting documentation is illegal. After the premises have been prepared, equipped, and agreements have been concluded with the staff, it is time to register the business and obtain licenses to provide dental services.

The sole owner of an enterprise formalizes individual entrepreneurship, several founders choose the form of a company with limited liability. The most favorable form of taxation for dentistry is a simplified system of the “income minus expenses” format. To accept cash payments, you will need to purchase and register a cash register; to use non-cash payments, you will need to open a bank account.

After registration with tax office Other permits are obtained from Rospotrebnadzor, fire supervision, SES, and the Federal Service for the Supervision of Social Protection. Licenses are issued for an indefinite period if specialists have medical certificates, and if the equipment, premises and materials meet the standards.

The documentary stage of putting the business plan into effect requires from 3 to 9 months and 70-80 thousand rubles.

To attract the attention of clients to new dentistry at first, it is necessary to invest considerable funds in advertising:

• create a website on the Internet and promote it;
• lead groups on social networks;
• place advertisements in the media;
• provide services at dumping prices in the first month of work;
• provide discounts to pensioners, schoolchildren, and regular customers.

Video: mistakes when opening a dental clinic.

Economic calculations

The cost of purchasing a premises is the most significant part of the costs and depends on the square footage, condition, and area. If you go through the procedure of transferring from residential to non-residential, the costs will increase further.

To calculate the profitability of the project, determine the value fixed costs and calculate planned income. Annual operating costs are approximately:

The average revenue of similar establishments in the industry is 4,000,000 rubles. in year. After deducting expenses, the profit is RUB 2,550,000. in year. The initial investment in the business will pay off in 2.5 years.

There are 3 ways to increase the profitability of a dental office:

1. Reduced costs.
2. Price increase.
3. Attracting clients.

The first two methods are not always used. You can expand your audience by studying demand and offering services that competitors do not have.

The owner of a dental practice, who simultaneously performs the functions of a doctor and an entrepreneur, must not only keep track of medical news, improve his professional qualifications, but also actively develop his business. In this case, the project will become stable, profitable and successful.

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Paid medicine is one of the most profitable and cost-effective business sectors today.

This is because private clinics employ the most best doctors, the most expensive equipment costs and there is always an individual approach to the client. It is also impossible not to take into account the fact that as the standard of living rises, so does the number of people who are willing to spend more and more money on taking care of their own health. Today, the dental business is one of the most successful investments possible. Therefore, active entrepreneurs have reason to think about drawing up a business plan for a dental clinic.

However, some businessmen are worried that they have no knowledge or experience in medicine at all, and therefore it may not work out. It is worth knowing that knowledge of medicine for discovery similar business is optional. This is due to the fact that graduates of medical higher educational institutions rarely make good entrepreneurs, economists, managers, and so on.

It is worth noting that the state will soon fully admit that it is pointless to maintain free medical institutions. Quite often, municipal clinics survive only because doctors work informally at their jobs. However, due to the fact that money for government medical clinics little stands out, many patients experience a lower level of care than in private medical institutions.

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What you need to create your own dental clinic

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Choosing the premises you will need to open a clinic

This business plan will consider an example of creating a dental clinic with 5 chairs. To do this, you will need a room with a total area of ​​180-200 square meters. m.. It is important to note that the selected room must meet all SES requirements; it must have at least 5 windows (one window for each dental chair).

If you have a sufficiently large starting capital, it would be better to purchase the premises. This will allow you not to depend on the landlord. There are cases when owners of premises ask people who rent premises from them to leave it. Consequently, the entrepreneur will need to look for and move to another location. This may require additional money and time. In addition, you will need to obtain a license again. All this can lead to the loss of regular customers, which is unacceptable for dental offices.

If at first there is little Money, it makes sense to think about renting a room first. It is important to remember that it is necessary Special attention pay attention to drawing up an agreement with the landlord. It is recommended that you spare no expense in using the services of a quality and experienced lawyer. This will minimize possible risks.

One of the ways to maximize short time- purchase ready business. However, there is enough here a large number of nuances, most of which are not the most pleasant. Therefore, if you choose this option, you will definitely need to contact a qualified specialist.

You should know that it is not at all a prerequisite that the building be located in the central areas of the city. The most important thing in such a business is concern for the quality of the services provided. If this point is up to par, interested clients will find a dental office even on the outskirts of the city.

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Possible costs of repair work

It is important to note that new entrepreneurs make two of the most common mistakes.

1. Too much investment in the design of the selected premises, and therefore there may not be enough money to purchase quality equipment, which is more important for the dental office than its general form. It is also impossible to attract highly qualified doctors to offices that have cheap equipment. Consequently, the quality of services provided will suffer, which will negatively affect the attitude of regular customers.
2. Entrusting the design to the largest company that professionally designs various palaces. Such enterprises have quite a lot of experience in creating designs for beautiful buildings, but they have no experience at all in medical premises. Consequently, such companies do not know the specifics of the technological chain and all necessary requirements SES. As a result, the room may turn out to be quite beautiful, but not effective. This is why most often such projects have to be remade.

We can conclude that investing more than 700 euros per square meter in repairs. m doesn't make any sense. The thing is that people come to dentistry to treat their teeth, and not to stare at a sea aquarium or some works of art. It is worth considering that a fairly large amount of money will have to be spent on communications. Each office must have sewerage, water, ventilation, and electricity. Once the project has been agreed upon, repair work can begin. We must not forget that only certified materials must be used for repairs in the clinic premises. It’s not worth saving on this, as this will only lead to having to redo everything all over again. There is no point in looking for workarounds, since in any case, it will be necessary to provide copies of the licenses of the design and construction organization to the supervisory authorities.

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Preparation of all documents needed to open a business

It is worth noting that the collection of everything required package documents for opening your own dental clinic is the most troublesome task. This is due to the fact that any redevelopment requires many permits from authorities such as the architecture department, SES, firefighters, district administration, and so on. You have to pay for almost all certificates and permits, but it’s not just about the money, it’s about the amount of time spent. If you plan to install X-ray equipment, you will need other additional permits, which can take up a fairly large amount of your own efforts.

In addition, you will need to obtain a medical license (if you plan to open a pediatric dentistry or surgery, you will need several licenses). There is a choice here: collect all the documents yourself or pay a person who will do everything himself. Such a person can be anyone: a doctor himself, a student, a pensioner, a law firm. It is worth knowing that students are the cheapest option, and law firms are the most expensive, but effective.

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Purchasing suitable equipment for the dental office

It is quite difficult to understand dental equipment on your own. Alternatively, you can visit the corresponding exhibition, but this will not make the task much easier. Each stand will praise its manufacturer of dental equipment, while not one of them will say that its equipment is unreliable, worth big money or is completely ineffective. Therefore, few people know how to choose the right equipment.

Each dentist, as a rule, works with 1-2 equipment manufacturers throughout his life. Therefore, it is more a matter of habit. Although for most entrepreneurs dental equipment is something completely incomprehensible, there is a way out of this situation. There are specialists who are well versed in professional technology and can help make right choice for a future dental office. Therefore, it will be necessary to include in the business plan a cost item for the services of such a specialist.

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Expenses that will be incurred when opening a dental clinic

Most often, in order to create a middle-class dental office, you will need:

1. 5 chairs for 15,000-20,000 dollars for each of them (total total costs approximately 75,000-100,000 dollars).
2. Equipment for each chair costs $5,000 each (total costs will be at least $25,000).
3. The purchase of a panoramic x-ray is $16,500, a targeted x-ray is approximately $3,500 (total costs will be $20,000).
4. Purchase necessary furniture and all auxiliary equipment - approximately $15,000.

Total total expenses can be about 135,000-160,000 dollars.

The total costs of the clinic include the following items:

1. Carrying out repair work - approximately $140,000-190,000.
2. Purchasing everything necessary equipment- approximately 135,000-160,000 dollars.
3. Costs for design, collection and receipt of documentation, promotion, advertising campaigns and other expenses are approximately $20,000-50,000.

As a result, the final cost will be approximately $300,000-400,000.

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Monthly expenses and possible profitability of such a business

1. Payment for work performed by dentists (25% of total turnover) is approximately $25,000.
2. Payment for the work performed by support staff is approximately $10,000.
3. Purchase of consumables (about 6-8% of total turnover) - at least $8,000.
4. Expenses for housekeeping, advertising, promotion, etc. - about $10,000.

Total total monthly expenses will be approximately $53,000.

Therefore, the profit of the dental office (not including rent, since everyone will have their own) will be approximately $47,000 per month. Then the annual profit will be about $560,000 if the property is owned. If you have to rent the premises, you will need to deduct the cost of rent multiplied by 12 months from the total profit. Once the clinic has a sufficient number of regular customers, the profitability of such a business will be approximately 30%. It is worth noting that there are quite a few industries that can offer a similar level of profitability.

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Selecting the necessary employees to do the job

In order to open an office with 5 chairs, you will need approximately 10 doctors and 10 nurses, 2 administrators, 2 nurses and a director. You can find an accountant who comes and will do the work only when it is available. However, he will only work part-time. Dentists may receive approximately 25% of all proceeds. It is more advisable for nurses to pay a rate of 300-400 dollars, for aides 200-250 dollars will be enough. It is worth considering the fact that the calculations were made for the city of Moscow.

It is quite difficult to select highly qualified employees; therefore, you can begin your search from the moment renovation work is carried out in the selected premises for the dental clinic. This will allow the team to be fully assembled by the day the office is ready.

It is worth remembering once and for all that workers will always try to take as much money as possible into their pockets, while they are not at all interested in how much money the owner will have left. Consequently, from the very beginning it will be necessary to carry out strict control of materials, the labor contribution of each employee, to establish records of all incoming patients, and so on. The simplest and the right decision will use special software, which was developed precisely for such purposes. There are quite a lot of programs on the market now, some of which are worse, and some of which are better. Consequently, here too it will not be possible to do without highly qualified specialists who have sufficient experience in working with such programs. It is necessary to choose the option that can relieve the entrepreneur of possible headaches associated with stealing regular customers, theft, shirking the client record and good accounting, which is important enough to ensure that no part of the income flows into the sand.

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 cost-effective. 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. The public sector consists of 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. 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, are most capable of achieving high profitability.

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.

The dental business attracts many outside investors from different areas of business. 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. Once a profile has been compiled for all nearby dentists, which includes the following indicators: a list of services and the availability of equipment, a price list, assessments of the level of service, 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 the necessary documents. Documents for one type of activity will cost 1-1.5 thousand. US dollars.

Equipment selection

To select the necessary equipment, you should resort to the services of a consultant who will not only advise, but also help in its purchase. 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 sets of consumables from 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 ( wage 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.

How much does the equipment cost? How to write a business plan and avoid failures? You will get answers to these and other questions in this article.

A private dental clinic can bring a decent profit only with a competent approach to organization and development strategy. Advice from experienced entrepreneurs will help you avoid the most common mistakes.

Before we begin

The desire of a good and experienced dentist to open his own clinic or office is natural and logical. Freedom of action, decent payment for services provided are worthy arguments. But, organizing a thriving business requires a sober assessment of the initial data: competition, demand for services, required start-up capital, project implementation deadlines, payback and a host of other issues.

A business plan must be drawn up by a competent manager with experience in organizing dental clinics. An aspiring entrepreneur must think through the prospects for development, expand the number of services, formulate criteria for success and strategic goals of his brainchild.

Main risks

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

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

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

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

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

Location

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

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

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

Perhaps purchasing and redeveloping your own property will end up being cheaper?

Premises requirements

The premises, which are classified as residential, can be converted into non-residential. Savings in redevelopment and repairs are unacceptable. Order an architectural and technological project from a company with an impeccable reputation. All project documentation must be agreed upon:

• with expert service;
• consumer supervision;
• architectural planning department;
• fire supervision.

To comply with the standards, you will have to replace the sewerage and water supply, wiring and ventilation. All communications are laid under the floor and connected to the dental chair.

There are strict rules regarding dental office space. Before searching for premises, it is necessary to clearly imagine the layout of the premises, think over the location of equipment and utility rooms. Also, there are additional regulations in certain regions.

The general standards established by consumer supervision are as follows:

• For one dental unit, the office area must be at least 14 m².
• For each additional dental installation in meters, 7 m² is added.
• Hall – up to 10 m².
• Bathroom – up to 5 m².

When planning further expansion, take into account in advance and include in the project standards for other types of premises:

• Sterilization room for the operation of three or more dental units – 6 m².
• X-ray room – 11 m².
• X-ray developing room – 6 m².
• Offices: children's, orthopedist, orthodontist, implantology - 15 m² each.
• Auxiliary premises – 30 m².

For patient comfort, it is advisable to provide a separate office for each chair.

Equipment

Equipment for a private dental office is the most expensive item of initial investment. The kit is formed according to sanitary rules:

1. A complete chair costs about $10,000, maintenance costs about $100 per month.
2. Radiovisiograph - about $8,000.
3. A set of additional replacement tips costs about $1,500.
4. Tools – $1,000.
5. Solar reflective lamps - over $300.
6. Apex locators – $1,000.
7. Autoclave for antibacterial treatment of instruments – $2,000.
8. Sterilizer – over $1,000.
9. Furniture and cabinets for drugs and tools - about $5,000.
10. Filling composition, hygiene products and others chemical substances– about $1,500 (with monthly replenishment).

The total is $31,400.

Personnel

At least one employee is required for each area of ​​dental services on staff. To obtain the right to provide therapeutic services, your employees must have a certificate, intern and resident diplomas. Also, a minimum work experience of 5 years is required. If there is at least one employee on staff who meets these requirements, a license to provide services will be issued.

For full-fledged work, health workers with secondary vocational education are required. Holders of the Preventive Dentistry certificate have the right to assist doctors and provide hygiene services.

During the day, a dentist’s shift should not exceed 6 hours; similar standards apply for the work of an average dentist. medical personnel. When opening a clinic, immediately plan the number of employees to work in two shifts. Also, a full-fledged staff requires nurses and an administrator.

Documents and licenses

If you have the necessary education and experience, and plan to provide services yourself, you can register an individual entrepreneur. A license to provide medical services is issued only to a specific person.

If other licensed specialists will work in your office, it is advisable to form an LLC.

Registration required pension fund, order a seal, open a bank account and create a ledger.

Also, to issue checks, you must purchase a cash register and register it with the tax office. At the time of buying cash register a service agreement is concluded.

After putting the premises into operation, obtaining an entrepreneur’s certificate, TIN and USRN, permission must be obtained from consumer supervision, fire inspection and health care supervision.

Marketing

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

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

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

Summary

A private dental practice will generate decent income with competent management and the desire to provide services the best way and continuous improvement of service.

You can expect a return on investment within a few years. With stable operation, the yield is about 20%.

The decision to open a private practice often arises among practicing dentists. If you have start-up capital and organizational skills, it is not difficult to create a successful business in dental treatment and prosthetics. Typically, this may also include bleaching. Before opening a dental office, it is recommended to study all the intricacies of doing business, plan finances correctly, and find qualified personnel.

Specifics of the dental business

Despite the decrease in the number of public dental clinics and the increase in the number of private offices and clinics, the level of competition in the industry is low. This is explained by the great need for treatment services, dental prosthetics, and preventive examination of the oral cavity.

In the field of providing such assistance, three types of private organizations can be distinguished:

• Small rooms equipped with 2-3 dental devices. By opening such an account, you can start a business; a minimum level of investment is required. They account for 60% of the market.
• As the business develops, the small office expands and turns into a dental clinic with a wider range of services provided.
• Large medical centers require maximum investment. They provide all kinds of services: whitening, restoration, treatment, implantation, production of prostheses, sinus lifting operations, pulp removal, treatment of chronic periodontitis.

Depending on the focus of the dental business, it is possible to distinguish organizations with continuous service, with a focus on corporate or VIP clients. You can come to such a clinic with continuous service around the clock, the prices are low.

Institutions aimed at a small circle of VIP visitors have high prices corresponding to the level of service.

Choosing a room for a dental office

Such a business does not necessarily require location in the city center. The exception is expensive medical centers. The specificity of the services provided ensures the greatest flow of clients in residential areas.

The operating mode is also important. Such an office should close several hours later than other organizations or work around the clock. Then more clients will be able to use the services.

To start a business, it is better to own the premises for such an office. This will minimize the risk of losing your license and having your business closed due to a rental refusal. The minimum office area for 1 working chair is 30 m2: 14 m2 for placement of dental equipment according to SanPin, reception room 10, bathroom approximately 6 m2. The ceilings of the room must be at least 3 m, one-way daylighting is mandatory. For each additional installation, the area of ​​the workroom must increase by 7m2.

For this clinic with 5 workplaces, a premises of 180–200 m2 is required, including: a sterilization room of 6 m2, an X-ray room with a darkening room of approximately 17 m2, warehouse, administrative, and household premises of about 30 m2.

Repair and communications

All rooms of such an office must be in good repair and have the necessary communications: water, sewerage, ventilation. It is not recommended to involve unskilled workers in repair work. Supervisory authorities will need to provide copies of licenses of organizations performing design and finishing work.

Construction materials must be certified. You shouldn’t spend too much money on repairs; it’s better to purchase better equipment. average cost finishing 1 m2 about 6-12 thousand rubles. It is recommended to use neutral light colors in the interior, decorate the walls with paintings, and hang a TV. This will create a relaxed atmosphere and minimize the discomfort that visitors often experience during dental therapy.

Obtaining a license

Before opening your own account, you need to obtain a license from the authorized body executive power region. Highlight various directions dental activities:

• general practice;
• pediatric dentistry;
• orthopedic;
• therapeutic;
• preventive;
• surgical;
• orthodontics.

For each line of business, it is necessary to obtain a separate license certificate. Required documents:

• charter, amendments, registration documents;
• the conclusion of the SES on the satisfaction of the sanitary requirements of all services provided and work performed;
• documents of employees that confirm their qualifications, experience in the field of treatment and dental prosthetics;
• documents of the manager, confirming qualifications, work experience in the field of dentistry for at least 5 years:
• documents for ownership or lease of premises, BTI floor plan;
• copies of certificates of conformity, registration certificates for purchased and operated medical equipment.

It is not easy to obtain a license to provide such services, so many entrepreneurs use the service specialized organizations, who will prepare the necessary set of documents and send it to the appropriate authority. The cost of services of such organizations is 40–80 thousand rubles, whereas if you apply on your own, you only need to pay the cost of certificates and the state fee - 7,500 rubles.

You can lose your dental license even for minor violations.

Necessary equipment

The basic rule for choosing equipment is that its cost corresponds to the level of the clinic. The most high-tech equipment requires expensive maintenance. An average doctor may not be prepared to work in such a facility, which will require training. The cheapest installations fail in the first year of service.

Popular mid-level dental equipment models are presented in the table:

In addition to purchasing installations, the following equipment is required (in thousands of rubles):

• Autoclave for sterilization – from 150.
• Dental chair – from 200.
• Dentist instruments – more than 50 per set.
• X-ray installation – from 300.
• Radiophysiographs, helioreflecting lamps, apex locators – from 30.
• Furniture and cabinets for tools – from 40.

The cost of medicines and materials for one workplace is 60–100 thousand rubles.

Recruitment

Dentistry as a business can only exist successfully if there are qualified personnel interested in their work. For one such installation, 2 doctors are needed, their working day is no more than 6 hours. A nurse works in tandem with a dentist. The cleaning of instruments and premises is carried out by a nurse. The dental hospital additionally hires an administrator, a security guard, and an accountant. In a small office, responsibilities can be combined.

The salaries of doctors and nurses are piecework-bonus. Receiving a percentage of business revenue motivates staff to provide quality work and service. It is necessary to attract specialists with specialized education. A dentist must have more than 5 years of experience in dentistry, an intern and resident diploma, and a certificate.

Stress resistance, balance and tolerance are the necessary qualities of a dentist in dental therapy.

Marketing and advertising

An active business advertising campaign will help make the clinic recognizable. In the first months of operation, incentive promotions, discounts, and additional free services are held: teeth whitening, tartar removal.

For a successful business in dental services, you need to choose the right pricing policy with a focus on the average income level of residents of the surrounding areas. Too expensive services will scare off customers, cheap ones will make you doubt the quality.

In the first months of work, it is necessary to increase confidence in the dental hospital, for which copies of specialist diplomas, certificates, certificates of advanced training, and internships are placed on the walls of the reception area and work room. All this allows you to quickly recoup your business.

The book of reviews and suggestions will allow customers to be convinced of high quality dental care, and the owner takes into account all the wishes and shortcomings of the business.

Business payback

In order to estimate how much it costs to open a corresponding office, it is necessary to draw up a plan for the income and expenses of the business. The table shows the approximate costs of opening a small institution with 3 installations. Prices are indicated in rubles in the last column, current for 2016.

Full reimbursement for a dental business occurs after 2.5 years. The profitability of the business in the 3rd year of operation is 16%, subsequently it increases.

Alternative business option

If you do not have enough funds to open a therapeutic premises, then you can use the business idea of ​​opening a teeth whitening office as a franchise. To open such a business you do not need a license. Start-up capital from 150 thousand rubles goes towards the purchase of specialized equipment, dental cosmetics, and dental consumables.

For example, let's take the company White&Smile™. According to the franchisor’s forecasts, the profitability of the business is 150%, payback occurs in 3–5 months. The required area of ​​the dental facility is from 10 m2. Technically, whitening occurs as a result of the breakdown of coloring pigments from tooth enamel. The main component of White&Smile™ dental products is sodium perborate at a concentration of 0.16%. Cold cycle LED lamps and atomic oxygen are used in the bleaching process. The average cost of this service is 3,300 rubles. In 30 minutes, the enamel will lighten by 2–8 tones. The procedure is painless and safe for tooth enamel.

Business on these services is one of the most income directions paid medicine. High-quality service and the use of the latest technologies will allow you to recoup the business in just 2 years and make a good profit in the future.