Private medical services are in great demand among the wealthy population. One of the most expensive procedures is dental care. How to open a 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 a specialized education. In any case, it will not be possible to independently conduct activities - assistants, nurses, specialists in various types manipulations.
Business plan
You need to start opening a dental office by writing a business plan:
- Concept development.
- Finding a room.
- Study of regulatory requirements.
- Purchase of equipment and materials.
- Personnel selection.
- Company registration.
- Business advertising.
- Calculation of the amount of investments, expenses and income.
A detailed business plan with calculations performs several functions - it helps an entrepreneur to launch his project, and will be required in case of raising credit funds or working with partners.
Concept
All other stages of opening dentistry depend on the basic decision - what range of services will be provided. Usually in Russia they open either a small office or a clinic.
The office assumes a minimum area, one assistant and a limited set of services:
- installation of seals;
- whitening;
- removal of the stone;
- 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 accept patients in different time. Due to this, a wide range of services is provided in two or three offices:
- Treatment of teeth and gums.
- Removal of teeth.
- Surgical operations.
- X-ray.
- Hygiene and aesthetic procedures.
- Prosthetics.
- Children's dentistry.
Clinics are more in demand and profitable, as they allow the patient to solve several problems in one place. Opening a clinic from scratch will cost much more than an office.
In order not to promote 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 the income of the enterprise is brought by specialists. The franchisor does not provide employees, the entrepreneur himself recruits staff. If the patient does not receive quality services in a well-known clinic, then the reputation will be damaged and the investment will not pay off.
Here you can download for free as a sample.
room
When looking for a suitable space to host a dental office, it is important that visitors have easy access to both personal and public transport. Often, in case of urgent need, people turn for the first time to a hospital near their home or work, and then become regular customers.
A common option for the location of the office is the first floor of a building or residential building. If an ordinary apartment is bought for business purposes, then it must be transferred to a non-residential fund and the consent of the neighbors for the arrangement must be obtained.
The procedure for re-registration of an apartment for a dental clinic is multi-stage and lengthy:
- City Architecture makes a list of documents that must be provided.
- BTI, SES, GAI, housing authority, the city council issue certificates of the established form.
- Based on the collected package of documents, the architecture makes a conclusion and an architectural and 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 graduation repair work you need to issue an act of commissioning. It is signed by: fire supervision, sanitary station, state traffic inspectorate, committee for nature protection and management of nature management, service for the protection of cultural heritage sites.
Acquisition of premises in the property is the most correct decision, since dental equipment is rigidly mounted, communications are connected to it.
If the entire structure is located in a rented building, and the contract is terminated, then a lot of time and money will have to be spent on dismantling, transportation and installation at a new location. In the face of a lack of start-up capital, it is better to take a loan than to expose the business to the risk of moving.
Regulations
The premises must comply with the following regulatory requirements:
- To accommodate one chair, you need 14 sq.m.
- For an additional chair in the same room, you need another 7 sq.m.
- Reception - 10 sq.m.
- Bathroom - 5 sq.m.
- Sterilization room - 6 sq.m.
- X-ray room - 17 sq.m.
- Offices of other specialists - 15 sq.m.
- The height of the room is more than 3 m.
- The distance from the window to the opposite wall is no more than 6 m.
- Availability of plumbing with hot and cold water, sewerage, electricity, ventilation.
- Finishing materials must be certified, comply with sanitary and hygienic and fire safety standards.
Water supply, sewerage and power supply are connected directly to the dental chair under the floor. It is important that these works are done with high quality, because it will be problematic to fix the shortcomings.
The minimum allowable area for a dental office for 1 chair is 30 sq.m. The location of the clinic will require 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 the premises, it is better not to save money and purchase new equipment.
The minimum list of equipment you need to open includes:
- Dental chair with a set of sleeves connected to it, providing manipulations: water and air supply, micromotor with straight and contra-angle tips, turbine, ultrasound for removing plaque and tartar. A fully equipped installation of well-known manufacturers costs 10-20 thousand dollars.
- Replaceable spare nozzles. For each procedure, a wide variety of tips are used in shape, materials, coating.
- Tools - mirrors, clamps, tweezers, pens, diagnostic probes, spatulas, syringes, needles, trays.
- Heliocuring lamps for fixing the composition.
- Apex locators for determining the working length of the root canal of the tooth.
- Autoclave for processing and disinfection of instruments.
- Sterilizer.
In dentistry, it is often necessary to take x-rays of a problem area. Equipping a separate office is expensive, so you can buy a radiovisiograph, which is a simplified compact version of an x-ray and is connected to a dental chair.
The clinic needs furniture:
- Cabinets for storing tools, materials, clothes.
- Mobile cabinets on wheels.
- Tables.
- Chairs and armchairs.
- Shelving.
Consumables account for the smallest share of costs:
- filling compositions;
- funds personal protection and hygiene (masks, hats, glasses);
- disinfectants;
- medications.
If it is intended 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? Salary costs are indispensable - even a small project founded by an entrepreneurial dentist needs to hire a nurse to assist in the reception of patients and a cleaner. All other accounting functions, procurement of materials, general management the business is usually run by the owner of the 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 institution, so they select employees for a long time and carefully. In addition, it must be taken into account that a license is issued separately for each type of activity, which means that cooperation must be long-term.
Licensing requirements for personnel:
- Medical worker - secondary medical education, certificate "Preventive Dentistry" or " Nurse in dentistry".
- Doctor - higher professional education, residency, internship, certificate in their field of work, work experience 5 years.
According to labor protection standards, the working day of dentists and nurses should not exceed 6 hours. If it is planned to receive patients in the office 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 stream of clients, highly qualified dentists will have to be paid from start-up capital. Usually doctors receive a salary plus a percentage of the revenue, nurses and other staff receive a salary and incentive payments.
Registration
Providing services in a dental office without permits is illegal. After the premises are prepared, equipped, and agreements are made with the staff, it's time to register the business and obtain licenses to provide dental services.
The sole owner of the enterprise draws up individual entrepreneurship, several founders choose the form of society with limited liability. The most beneficial 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 cash machine, to work by bank transfer, a bank account is opened.
After being registered with tax office other permits are obtained - in Rospotrebnadzor, fire supervision, SES, FSNSZ. Licenses are issued indefinitely if specialists have medical certificates, and if the equipment, premises and materials meet the standards.
The documentary stage of putting the business plan into action takes from 3 to 9 months and 70-80 thousand rubles.
To attract the attention of customers to a new dentistry, at first it is necessary to invest a lot of money in advertising:
- create a website on the Internet and promote it;
- manage groups in social networks;
- place ads in the media;
- provide services at dumping prices in the first month of operation;
- provide discounts to pensioners, schoolchildren, regular customers.
Video: errors when opening dental clinic.
Economic calculations
The cost of buying a room is the most significant part of the cost and depends on the area, condition, area. If you go through the procedure for transferring from the housing stock to non-residential, then the costs will increase even more.
To calculate the profitability of the project, determine the amount of fixed costs and calculate the planned income. The 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 2,550,000 rubles. in year. Initial investment in business will pay off in 2.5 years.
There are 3 ways to increase the profitability of a dental office:
- Cost reduction.
- Price increase.
- Attracting clients.
The first two methods are not always applicable. You can expand your audience by studying the demand and offering services that competitors do not have.
The owner of dentistry, who simultaneously performs the functions of a doctor and an entrepreneur, must not only keep track of medical news, improve his professional skills, but also actively develop his business. In this case, the project will become stable, profitable and successful.
Anyone who has a desire to work in this area and has a considerable start-up capital can open a dental office. To launch the project, you will need to go through a lengthy registration procedure and obtain the necessary licenses and permits.
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Is special education important?
A person who decides to open a private dental office in Russia may not have a dental education. Practice shows that a dentist who has organized his own specialized mini-clinic does not have time either to manage it qualitatively or to receive patients. Therefore, it is better when these functions are performed by two different people, each of whom is a professional in his field.
The dentist, no doubt, has the right to open his own office, but then it would be better to entrust his management to a hired manager. In this case, organizational issues will not distract him from the main professional activity. An alternative scenario could be the hiring of additional dentists. In such a situation, personal reception of patients can be reduced to a minimum or not carried out at all.
Business Relevance
The relevance of the dental business is due to the following:
- High demand for dental services among the population. Since everyone has teeth, the vast majority of people are forced to regularly visit a dentist. According to statistics, 97 percent of the Russian population suffers from diseases of the hard tissues of the teeth. The average person visits the dentist twice a year, even when nothing hurts. In such a situation, the dentist can notice the disease at an early stage and prevent its development.
- High business profitability. Average check in provincial town is - three to four thousand rubles, and in the capital - seven to eight. Standard time reception - 30 minutes. An office with a good reputation keeps a record of clients for two to four weeks in advance.
- The ability to provide a wide range of services using various technologies and materials, which distinguishes dental offices from each other.
Options for organizing a dental business
An entrepreneur can open a dental office or clinic.
Dental office
The organization of a small office provides for moderate capital investments, since one or two workplaces are usually equipped, allowing you to see several patients at the same time.
Most often, people turn to such institutions for standard dental services:
- counseling;
- basic dental treatment;
- teeth whitening;
- removal of tartar.
You can start a business with the organization of a dental office. Having earned money on it, they can be invested in the development of the business and gradually expand it to the format of a private dental hospital.
dental clinic
Compared to a small office, the organization of the clinic will require significant financial investments. Since the range of services provided is usually very wide, it will be necessary to equip several workplaces, purchase expensive equipment and hire staff. The possibility of obtaining versatile services attracts a large number of customers. Private clinics often have contracts with insurance companies, which, in turn, send people to provide them with various kinds of services.
The range of basic services of the dental clinic:
- counseling and diagnostics;
- various therapeutic services (including treatment of medium, deep and complicated caries);
- surgical dental operations (including tooth extraction, cysts);
- dental cosmetology (including removal of plaque and stone, whitening, installation of braces, bite correction);
- dental prosthetics;
- implantology;
- children's dentistry;
- periodontology;
- x-ray;
- emergency help.
Market analysis and target audience
Characteristics of the Russian dental market:
- the market capacity of paid dental services for 2017 was more than half a billion rubles, or about 254,000,000 appointments;
- high competition;
- the modern dental market is predominantly represented by private clinics (25% of the total) and dental offices;
- during the years of economic crises, a sharp drop in demand is not observed;
- dental services are perceived by the population as a product of prime necessity;
- there is a trend of growth in demand for paid medical services of dentistry;
- the increase in prices for dental services is mainly due to an increase in rent for premises, an increase in prices for drugs and equipment, and an increase in wages;
- according to 2014 data, in Russia, the largest number of private dentistry was recorded in Krasnoyarsk, Kazan and Nizhny Novgorod(22-29 pieces / 100 thousand people);
- development of lending for dental services;
- for 2018-2022, an increase in the capacity of the Russian dental market is predicted;
- Today, the most promising segment of the dental market is implantology and the provision of dental services focused on children.
Participants of the dental market:
- State dentistry. They mainly provide free services to the population, but also provide services for money. Less and less people resort to their service, since such clinics often have outdated equipment. In addition, inexperienced specialists work in them, and patients have to sit in long queues. Also, high-quality materials are not always used in public dentistry.
- Private dentistry. They are divided into institutions focused on people with high income, medium and low. Private dentistry is classified into network and non-network clinics, as well as private offices.
Target audience of a private dental office:
- men, women and children;
- age: from 7 to 60 years;
- wealth level: medium and low.
Step by Step Guide to Starting a Dental Business
The following will help you open a dental office step-by-step instruction:
- Development of a business plan from scratch or ordering a finished one.
- Company registration.
- Selection of premises and conclusion of a lease agreement.
- Design and renovation of the premises.
- Search for suppliers of equipment and consumables.
- Purchase and installation of equipment.
- Purchase of consumables.
- Issuance of permits.
- Selection of qualified personnel.
- Marketing events.
Business registration
Features of the dental office registration process:
- Choice of organizational-legal form. A small office in which a businessman personally provides dental services is registered as individual entrepreneur. When opening a clinic / office, when a businessman is not a dentist or is, but does not plan to serve clients, the LLC form will do.
- If an entrepreneur plans to work independently as a dentist (without hiring other doctors) and creates an individual entrepreneur, then he will need a personal license. When organizing an LLC, a personal license must be obtained for each dentist. Licensing is in accordance with federal law No. 99 (dated 04.05.11) "On licensing certain types activities". In addition to this law, Decree No. 291 (dated April 16, 2012) “On Licensing Medical Activities” is in force.
- species under consideration business will do activity code 86.23 "Dental practice". It includes work in the field of dentistry (general/specialist), orthodontics and dental operations.
- Most efficient system taxation - STS according to the "income minus expenses" scheme, since this is a very cost-effective type of activity.
- Registration of the company in funds and statistical bodies.
- After registering a company, you should take care of ordering a print and opening a bank account.
- To accept cash from customers for the services provided, the entrepreneur must buy and register cash register equipment with the tax office.
- The launch of a dental office is possible only after obtaining permits established by applicable law. You will need an expert opinion from Rospotrebnadzor, the Fire Inspectorate and the Sanitary and Epidemiological Station.
The following documents are submitted to Rospotrebnadzor:
- statement;
- the passport;
- company registration certificate;
- TIN certificate;
- extract from the USRN;
- BTI plan;
- explication;
- agreements with companies on deratization, disinfestation and disinfection;
- contracts with the company for waste disposal;
- an agreement with a laundry company;
- examination of air, water, washings for sterility;
- certificate of the level of lighting and microclimate.
The Fire Department will require the following documents:
- TIN certificate;
- a lease agreement for premises or a document confirming the ownership of it by the entrepreneur;
- a document certifying the fact of passing fire safety courses;
- fire safety order;
- fire evacuation plan and instructions;
- documents confirming the installation of a fire alarm;
- documents confirming the presence of fire extinguishers;
- insulation resistance measurement protocol.
To pass the SES check, you need to familiarize yourself with the relevant standards for the placement of the office, its interior decoration, the equipment used, the microclimate, etc.
Key regulations:
- SanPiN 2.1.3.2630-10. It contains the sanitary and epidemiological requirements that a medical institution must comply with.
- SanPiN 2956a-83. This document describes the rules for the use of dental equipment, personal hygiene of personnel and labor protection.
In some regions, there are internal regulations, which can be found in the regional SES.
Room and location
Requirements for the premises by Rospotrebnadzor:
- in the case of equipping one workplace, one dental unit must have an area of at least 14 square meters;
- if there are two or more installations, then the minimum area for each of them is 7 square meters;
- if three or more dental chairs are installed, then in without fail a sterilization room (from 6 square meters) must be equipped.
Requirements for the choice of premises and its location:
- for a small office, an area of \u200b\u200b30 square meters is enough;
- high ceilings (at least three meters);
- one-way daylight;
- the depth of the room is not more than six square meters;
- availability of communications: electricity, water, sewerage, heating;
- good access roads and approaches;
- availability of parking;
- proximity to potential customers;
- proximity to metro stations and / or stops of other public transport;
- distance from direct competitors.
The area of a small dental office should be divided into the following zones:
- a room for receiving patients with an installed dental chair (or several chairs);
- hall;
- bathroom.
When creating a dental clinic, the following zones are added:
- sterilization room;
- x-ray room;
- processing room;
- orthodontist's office;
- orthopedic office;
- children's room;
- office of implantology;
- administrative premises;
- utility room;
- reception;
- dressing room for patients.
Office space can be:
- buy in credit;
- purchase with your own money;
- buy on lease;
- take on a long-term lease (from five years).
The first three options are the most preferred. Ownership allows you to redevelop the premises at your discretion, without fear that the landlord will refuse to renew the lease.
The premises can be:
- apartment on the ground floor (transfer of the premises to non-residential will be required);
- non-residential premises, such as an office building or the basement of an apartment building.
Necessary equipment
A modern dental office should be equipped with special high-tech equipment from reliable manufacturers. It must have certificates of conformity and meet current sanitary standards.
The table below shows how much it costs to equip a dental office for two chairs.
| Name | Approximate prices in rubles |
| Dental units | 1 200 000 |
| Chairs for dental unit | 11 000 |
| Light curing lamp | 6 000 |
| Shadowless lamp | 75 000 |
| Autoclave | 150 000 |
| Tip set | 100 000 |
| Tools | 50 000 |
| Endomotor | 30 000 |
| Pre-sterilization cleaning | 40 000 |
| Hall and office furniture | 60 000 |
| Plumbing for the bathroom | 10 000 |
| Cash machine | 13 000 |
| Other equipment and inventory | 65 000 |
| Total: | 1 800 000 |
Dental unit - 630,000 rubles Chair for a dental unit - 5,500 rubles Endodontic handpiece - 20,000 rubles Light curing lamp - 6,000 rubles Shadowless lamp - 75,000 rubles Autoclave - 170,000 rubles
The video tells in an accessible language how to equip a dental office. Filmed by the channel: "Dentist's Notes".
Staff
Serious requirements are imposed on the specialists of the dental office, since a separate license is required for each of them.
List of requirements:
- a diploma confirming the receipt of a complete professional education;
- work experience (from five years);
- certificate for a specific profile of activity;
- availability of medical records.
Requirements for junior medical staff:
- a diploma confirming the receipt of secondary medical vocational education;
- the certificate "Preventive dentistry" or "Nurse in dentistry";
- neat and tidy appearance;
- availability of medical records.
The staff of a small dental office (for two chairs) will include:
- dentists (two people);
- nurses (two people);
- cleaning woman;
- administrator.
Promotion and advertising
Ways to promote the dental office:
- ordering a bright sign with the logo of the clinic;
- development of a corporate website with the possibility of online appointment;
- maintaining pages in popular social networks;
- entering information about the office in the network on regional resources;
- development of a loyalty program (including bonus system providing discounts to regular customers).
- advertisements in local newspapers;
- announcements on local radio;
- advertising posters, banners and streamers in the city;
- banners and contextual advertising on the Internet (on thematic forums and websites, in social networks);
- distribution of flyers.
One way to promote sales is to provide customers with the opportunity to make an appointment by phone. At the same time, patients with acute pain should be admitted without prior appointment.
Financial plan
Further planning of business costs is based on the opening of a small private dental office:
- number of jobs - two chairs;
- premises - one-room apartment (it is planned to buy it);
- room area - 40 square meters;
- location - in a residential area of a provincial town;
- staff - 6 people.
Initial investment
Starting capital for the implementation of the dental office business idea.
| Expenditures | Approximate prices in rubles |
| Registration legal entity and obtaining permits | 60 000 |
| The cost of the premises | 1 800 000 |
| Remodeling and renovation of the apartment | 200 000 |
| Procurement and installation of equipment | 1 850 000 |
| Marketing Campaign | 50 000 |
| Expendable materials | 20 000 |
| other expenses | 50 000 |
| Total | 4 030 000 |
Recurring expenses
Monthly business investment.
Income
Private office revenue is calculated based on the following parameters:
- two doctors are receiving at the same time;
- each works six days a week for six hours;
- time of reception of one patient - 30 minutes;
- the average check is 1,500 rubles.
Thus, the mini-clinic will earn (at full capacity) 36,000 rubles a day, and 1,008,000 rubles a month. The monthly profit of the company will reach 658 thousand rubles. The profitability of the business is about 300 percent.
Calendar plan
Calendar plan for opening a dental office.
| Stages | 1 month | 2 month | 3 month | 4 month | 5 month |
| Business project development | + | ||||
| Preparation of documents for registration of a legal entity | + | ||||
| Company registration | + | + | |||
| Premises selection | + | + | |||
| Purchase of premises | + | ||||
| Remodeling and renovation of premises | + | + | |||
| Selection of equipment suppliers | + | + | |||
| Purchase of equipment | + | + | |||
| Transfer of the status of residential premises to non-residential | + | + | |||
| Equipment installation | + | + | |||
| Obtaining permissions from supervisory services | + | + | |||
| Recruitment | + | + | |||
| Obtaining licenses | + | + | |||
| Marketing Campaign | + | + | |||
| Start of work | + |
Risks and payback
Dental business risks:
- Low demand. This state of affairs may be the result of an incorrect marketing program, an unsuccessful office location, etc.
- High competition. Other market participants adhere to an active marketing policy.
- Low qualification of senior and junior medical staff, and, as a result, the satisfactory quality of services provided. This negatively affects the reputation of the company and its image.
- An increase in the cost of smoking consumables due to an increase in the exchange rate.
- Loss of license for any reason. For example, due to incorrect documentation.
- The closure of the office due to its non-compliance with the current standards of supervisory services.
The payback of the business will take very little time, 9-12 months.
Definition of the "Cabinet" format among other forms of maintenance this business, step-by-step instructions for opening a dental office and what you need for this.
Dentistry has always been a highly profitable business. According to analysts, work in this area can bring the greatest income to doctors, not to mention the owners of the enterprise. It is not for nothing that the faculties of this direction in medical universities are considered the most prestigious, we will consider the procedure for opening a dental office, where to start, which format to choose.
Forms of providing dental services
There are only 3 types of organizations in this market:
1. State and departmental dentistry. They exist on state subsidies, while providing additional paid services. Serve the underprivileged. They are a forge of personnel for private dentistry.
2. Private dental clinics. There can be "VIP", "middle class" and "economy" depending on the level of equipment, interior decoration, staff qualifications. Average size 200 - 250 sq. m., designed for approximately 10-15 dental units. These are the most visited, highly profitable enterprises. The average monthly revenue is $30-50 thousand, and the net profit is $15-20 thousand.
In addition to regular customers "from the outside", people come to them under the contracts of insurance companies. This demand is largely due to the wide range of dental services that they are ready to provide, namely:
- consultations, functional diagnostics, X-ray;
- therapeutic dentistry (treatment of pulpitis, caries, etc.);
- periodontics (treatment of gingivitis and other diseases of the gums, bone tissue, etc.);
- surgical dentistry (treatment of purulent diseases, extraction of teeth, excision of benign tumors, etc.). Physiotherapy and anesthesia are attached to this direction;
- hygienic (preventive) dentistry (teeth whitening, removal of plaque, tartar, etc.);
- orthopedic dentistry (dental prosthetics);
- orthodontics (bite correction, etc.);
- implantology (restoration of teeth based on artificial roots);
- children's dentistry.
3. Private dental offices. These are small premises (30 - 80 sq.m.), equipped with 1-2 dental units. As a rule, the range of services is much narrower than in clinics. After all, 1-2 working points are not able to serve several specialists at once - a periodontist, surgeon, orthopedist, etc.
It is also rare to find a human orchestra with all dental specialties. To do this, he must have a whole set of relevant certificates and diplomas, and also have a separate license for each type of activity. Therefore, offices are not as in demand as clinics.: people prefer to receive complex treatment in one place. Accordingly, their income will be less. Basically, the clients of such organizations are people who applied for a specific one-time service, and are also ready to endure inconvenience, if only to be treated by a specialist they like.
In this way, the undisputed leaders of the dental services market are private general clinics. It is they who are able to bring the greatest income to their owners, although the initial costs will be very significant - from 5 million rubles. If there are not enough funds to open such an institution, you can start by organizing a dental office, setting aside about 1.5 - 2.5 million rubles for the start. What is needed for this, we will consider further.
Registration
1 If you have the appropriate education and experience and plan to carry out all the manipulations on your own, then you can register with the tax office as an individual entrepreneur. After all, a license to carry out medical activities is issued only for a specific individual. If you are not a practitioner, then the only option is to open an LLC. In this case, the license will have to be issued for employees whose education and experience meet the licensing conditions.
2 To open a dental office, you will need to specify the following OKVED codes how:
- 85.12 Medical practice
- 85.13 Dental practice
3 Next, you need to register in pension fund, MHIF, FSS, keep a book of income and expenses, open an account and order a seal.
4 Then you need to purchase a KKM (cash register), register a cashier's magazine in the tax office and conclude an agreement for servicing the device.
Selection and preparation of premises for dentistry
Before proceeding with the selection of premises, it is advisable to have detailed business plan. It is necessary to clearly understand how the office will be planned, how and what will be located there, etc. It is also important that the room meets the requirements stated in the following standards:
Sometimes in the regions additional regulatory legal acts regulating this issue are developed.
Especially strict requirements Rospotrebnadzor submits to dental office area. It is 14 sq. m for 1 dental unit and plus 7 sq. for each subsequent one. In this way to open the easiest cabinet for one workplace the area of one typical apartment is required(about 3o sq. m). In addition to taking into account the dimensions of the installation, it should include the area of \u200b\u200bthe hall (10 sq. M) and the bathroom (5 sq. M).
If you plan to expand your business in the future, we recommend that you calculate the area based on the following averages:
- sterilization room - 6 sq. m (needed only where there are 3 or more dental units);
- X-ray room - 11 sq. m plus 5-6 sq. m under the processing room;
- office of orthopedics and orthodontics - 15 sq. m;
- implantology room, children's room, etc. - 15 sq. m for each;
- auxiliary premises (warehouse, sterilization room, toilet, administration and staff rooms 30-40 sq. meters.
It is desirable that there should be no more than one chair in each office. Patients value closeness and comfort. The height of the ceilings in the office is allowed not less than 3 m, the depth - not more than 6 m (with one-sided daylight).
A dental office can be opened both in a residential area and in a business area. The main thing is that it is located close to bus stops, preferably on the 1st floor, and the rental fee is acceptable. However hard to name rent the best option . Firstly, it is very difficult to find a ready-made room that meets all Sanpin standards. Most likely, you will have to completely reschedule it and spend a lot of money on it. In addition, a medical license is issued to carry out activities in a specific room, as well as permits from the SES and Rospozhnadzor. If the landlord does not want to renew the contract with you, you will have to go through everything all over again. And for 2 years of work, you will pay him an amount equal to the cost of the entire premises.
If you have enough money, the ideal option would be purchase of premises for dentistry in the property. If this is a housing stock, then it must be transferred to non-residential. You will also have to order projects for the premises: technological, architectural, power supply, sewerage and water supply, sometimes ventilation. Project documentation must be agreed with:
- bodies of the State Fire Supervision;
- TU Rospotrebnadzor;
- Architectural and Planning Department;
- State Expertise;
Requires special repairs: the dental chair must be connected to electricity, water, sewage, that is, the whole system will have to be laid under the floor. Need special ventilation, alarm and much more. On average, repairs will cost $ 250 per square meter. meter.
Equipment
When choosing and installing equipment, you must be guided by:
The purchase of medical equipment is the most costly item of expenditure. Below is a rough estimate of what you will need:
Basic equipment
| Name |
Additional specialized equipment and equipment
| Tools | Price, euro |
| Set of tools, Total: | |
| including: | |
| Set of tweezers | |
| Micromotor handpieces (2 pcs.) | |
| A set of curettage spoons. | |
| Turbine tips (2 pcs.) | |
| Gingival scissors set | |
| Set of burs, needles, syringes | |
| Hooks, heads and more | |
| Additional equipment, incl. | |
| Autoclave | |
| MECTRON LED curing lamp with hose | |
| Sterilizer | |
| Ultrasonic scanner for removing stones and plaque | |
| X-ray unit, mobile on a stand | |
| Fridge | |
| Ultraviolet chamber for storing sterile instruments | |
| Doctor's table |
Staff
Those specialists should be invited to work, education which corresponds to the areas of work of the dental office. So, if it is planned to provide therapeutic dentistry services, then it is necessary to invite a dentist with certificate in therapeutic dentistry, diploma about the internship and residency and experience work for at least 5 years. The presence of such an employee in the state allows you to issue a medical license. And so - in all areas, for each of which you will need to obtain a separate license (for surgery, orthodontics, etc.).
Some activities may be carried out average medical staff . For example, to provide services in hygienic dentistry. To do this, a physician must have a secondary vocational education and a certificate in the specialization "Preventive Dentistry". Also, paramedical personnel should assist dentists. These people need to be certified as a Nurse in Dentistry, or simply as a Nurse, but with experience in dentistry.
According to the regulations, the work of one dentist by duration cannot exceed 6 hours per day. The same applies to nurses. The staff of specialists should be planned based on these indicators. At a minimum, you need to hire 2 dentists, 2 nurses, a nurse and one administrator.
Issuance of permits
Registration of the conclusion of Rospotrebnadzor, permits of the State Fire Supervision Service and medical license
When the premises are put into operation, the staff is formed, it's time to move on to the next stage - obtaining the conclusion of Rospotrebnadzor, decisions of the Fire Supervision, and then obtaining a license.
Rospotrebnadzor provides:
- Statement
- The passport
- Certificate of registration as a legal or physical. faces.
- TIN certificate
- Extract from USRN
- Certificate of ownership or lease agreement for premises
- Explication
- BTI plan
- Contracts for laundry, garbage collection, destruction of fluorescent lamps, disinfection, deratization and disinfestation
- Examinations (water, air, physical factors, washings for sterility)
- Honey. books and a contract for honey. employee inspection
- Measurements of illumination, microclimate
If the office is organized in a new place, then first it is necessary to obtain a sanitary and epidemiological conclusion on the placement, only then - a sanitary and epidemiological conclusion on the conformity of services and works.
The following must be submitted to the State Supervision Authority:
- St. TIN
- Lease agreement or certificate of ownership
- St. about passed. fire fighting courses security
- Fire order. security
- Instructions, evacuation plan
- Papers confirming the presence of an alarm and a fire extinguisher
- Resistance measurement protocol
Obtaining a license
Roszdravnadzor must provide documents in accordance with the Fed. Law "On Licensing" of 04.05.2011 N 99-FZ and Resolution of 16 April. 2012 N 291. Each type of medical activity must be licensed separately.
Teeth can get sick at any time, so it is impossible to do without the help of a dentist. Even if you have never had such problems, it is necessary to undergo a preventive examination twice a year. Thanks to this, you can keep your teeth healthy and beautiful.
Dental Services
A good dentist will never be out of work. If you have the relevant education and experience in this field, ask how to open a dental office and start your own business. This profitable business, which will bring a good profit.
Dental clinics offer different services:
- Professional teeth cleaning;
- whitening;
- gum treatment;
- Prosthetics.
In our country, dental treatment services are provided by:
- State clinics. They are not very popular, since such medical institutions are equipped with outdated equipment. Government polyclinics sometimes employ good specialists who provide quality services for an additional fee;
- Private dental clinics. They offer a wide range of services from diagnostics to dental surgery. There are small institutions that employ 3-4 specialists;
- Dental offices. This is a small form of business providing dental services. Usually only one specialist and a nurse work in the office.
Before, you need to calculate how much it costs to open a dental office. You will have to spend a lot of effort and money for this, for which you need to purchase various dental equipment and high-quality consumables. In addition, it is necessary to issue licenses and other permits.
Registration
If you are a dentist and plan to personally engage in treatment, you can register as a private entrepreneur. An entrepreneur who will recruit specialists to the staff can register an LLC.
License for medical activity issued in the name of dentists who will treat patients. In addition, you need to register with the MHIF, the Pension Fund and the FSS. After registration, order a print, open a bank account, and also get a special book in which income and expenses will be recorded. You will also need a cash register. It must be registered with the tax office. You will also need permission from the fire department. All documents must be submitted to the Health Supervision.
Room selection
The room for the dental office should be selected according to the established requirements. Firstly, it should be located on the first floor, next to a bus stop. If this room is in a residential building, it must be transferred to a non-residential fund. Required documents and references must be submitted to the department of architecture. After that, you will receive permission to redevelop. Before you open a dentistry, you should complete all these documents, otherwise serious problems may arise.
Equipment
When choosing equipment for a dental office, remember that it should last more than one year. Therefore, all equipment must be of high quality and meet established standards.Necessary equipment:
- The most important piece of equipment is the dental chair. It should be equipped with a micromotor with handpieces, water and air sleeves, an ultrasonic scanner and a turbine. It is necessary to conduct water, sewerage and air to the chair. If you are opening a children's dental office, make sure that the chair is suitable for young patients as well.
- Replaceable tips. They will be needed in case of an unforeseen situation;
- Compositions for filling teeth;
- Hygienic and chemical means;
- Dental instruments;
- Sterilizer;
- Autoclave;
- X-ray installation and other additional equipment.
The most important thing is not to violate the standards of dental office equipment and then your business will be progressive and profitable.
Staff
To draw up a business plan for a dental office, you need to add staff salaries to equipment costs. Its size depends on the positions held. When selecting employees, pay special attention to their work experience and level of education.
To obtain a license to provide medical services, you must provide a special certificate, as well as diplomas of an intern and a resident. Experience in dentistry must be at least 5 years. You can take a nurse with work experience and a diploma as a doctor's assistant.
Most Common Problems
- Missing documents and licenses. To avoid heavy fines, you can seek help from specialists who know what the requirements are for a dental office. Order audit professionals. The report will indicate all violations in the studies, measurements, documents and certificates.
- Few clients. To avoid such a problem, you need to carefully select the staff. They must be highly qualified. In addition, the dental office should be located in a place without obvious competition. It is advisable to choose a densely populated area.
- Lack of prestige. In order for the dental office to become popular, you need to invest a lot of money in advertising. Professionals should be involved in this matter. Important role plays and equipment for the dental office. It must be of high quality and modern.
- The discrepancy between quality and price. To ensure that clients come to you, constantly monitor the work of doctors and nurses. Order consumables only from trusted suppliers.
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Financial calculations
The business plan includes the following expenses:
- Purchase of equipment - 600 thousand rubles;
- Repair of the premises - 100 thousand rubles;
- Registration of licenses - 50 thousand rubles;
- Employee salaries. Depends on their number and qualification;
- Communal expenses;
- Communication, advertising.
The entire organization of the dental office will cost you 1–2.5 million rubles. But only if you do not buy a room. Net profit will be at successful work up to 600 thousand rubles a year and more.
Service rates
Many well-known clinics attract clients with low prices. But when a person comes to be treated, it turns out that more than one hundred dollars will have to be paid for the treatment. By misleading customers, you only scare them away. Usually people trust those organizations where everything is simple and clear. Before starting treatment, you need to familiarize the patient with the prices and explain how much it will cost him.
Summing up
Since a huge number of dental clinics open every year, we can conclude that it is quite profitable and even in a large settlement. Of course, not everyone offers high level services, so the profit in different clinics varies significantly. name exact figure quite difficult. Practice shows that with an average workload, a paid dental office can fully pay off in just one year.
Well, someone who, but dentists are always needed, because people have no teeth, no, and they will get sick. So, if you decide to open a dental office, he definitely won’t have to stand idle. But how to do that?
Of course, it is necessary to prepare for the passage of circles of bureaucratic hell, and start-up capital is needed rather big. But, as you know, water wears away a stone, so if you wish, you can build a very successful business. The main thing is to organize everything so that customers and various authorities do not sharpen their teeth on you. For the opening of the dental office to be successful. We have compiled the business plan below.
Business features
Dentistry - one of the most profitable types of business. Other medical services clearly pale in comparison. And everything is explained by the peculiarities of demand. Clients most often resort to the services of dentists, and not therapists, although the cost here is an order of magnitude higher. That is why the dental business is developing so successfully and dynamically, despite the very fierce competition.
There are three main formats in private dentistry. Single cabinets for 2-3 units account for approximately 60 percent of the market. Usually they are located on the first floors of residential buildings. Although this is the most common format, it is nevertheless very unstable.
As a rule, such offices are expected to go bankrupt, build networks, or switch to the format of dental clinics. The level of such clinics, of course, is an order of magnitude higher. The third type is large medical centers providing a wide range of medical services, in particular dental.
You can also classify in terms of approach to business. There are clinics line service oriented clients. They offer satisfactory quality services at affordable prices. They have a lot of dental chairs in stock and often these clinics are open 24 hours a day. The second group includes clinics, betting on corporate clients. The third type is small clinics for 1-3 units targeted at VIP clients.
Why do most dental clinics close in the first year? We invite you to find out the answer in the video.
Financial calculations and registration
The business plan includes the following costs:
- Room. Here the cost depends on whether you rent it or buy it as a property. In addition, the price per square meter of real estate in different localities or even districts of the same city varies greatly. Therefore, it is difficult to name a specific figure.
- Equipment. For its purchase will have to spend at least 600 thousand rubles.
- Repair. Prepare 100 or more thousand rubles. It all depends on the size of the room, as well as on your own wishes.
- It will take from 50 thousand rubles to issue licenses.
- Employee salaries. As a rule, this is a salary and interest. At first, of course, the salary will be small, but as the prestige of the business grows, it will increase.
- In addition, you will be charged for utilities, advertising, communications, etc.
The calculation of the final amount must be approached individually. Usually it takes 1 - 2.5 million rubles, and this is without taking into account the purchase of premises. Concerning net profit, then with a favorable forecast, it will be about 600 thousand rubles.
Before opening a dental office, you need to complete the following documents:
- registration of LLC or PE (depending on whether you are going to hire employees or plan to work independently);
- certificate of registration with the tax office;
- permission from the fire inspectorate;
- conclusion from consumer supervision.
After carrying out repairs, purchasing equipment according to the list, checking the availability of certificates for equipment and medicines, as well as studying all SES standards, you can apply for a license. It is only necessary to understand that Permits are issued for only one type of activity. Therapy, surgery, plastic surgery, etc. are registered separately.
You can deal with the registration of a license yourself, or you can entrust it to employees of a specialized company (plus 60-80 thousand rubles to the total costs). Getting a license is incredibly difficult, but losing is easy. You may be deprived of it even if the autoclave sterilization log is filled out incorrectly. And it will be fair, because we are talking about human health.
How much does it cost to open a dental office? The short video below explains this.
room
Once you have a clear idea of the layout of the office and the location of the equipment, you can begin to prepare the room.
The office area must be at least 14 square meters for 1 installation, and for each subsequent installation, another 7 meters are added. Therefore, for an office with 1 workplace, 30 squares of area will be needed. This includes a hall (10 squares) and a bathroom (5 squares).
If you decide to expand your business in the future, you will need to keep the following indicators in mind:
- 6 square meters in the sterilization cabinet (with 3 or more units).
- 11 squares in the x-ray room and 6 squares for the dark room.
- 15 squares in the office of an orthopedist and orthodontist.
- 15 squares per implantology room and children's room.
- 30 meters for administration, warehouse, toilet, etc.
Every office should have a chair. Cabinet height - 3 meters or more, depth - no more than 6 meters, one-way daylight.
Dentistry open in both business and residential areas. The main thing is that there are car stops or a metro station nearby. If the premises do not meet the required standards, redevelopment will have to be carried out, which will significantly increase costs. You also need to keep in mind that the license is issued for a specific premises, and if the tenant does not want to renew the lease, you will have to start all over again, but in another place. At the same time, the cost of renting a room for 2 years is similar to the cost of an apartment.
Thus, the ideal option would be to buy a room and redevelop it for dentistry. If you buy an apartment, you will need to register it as non-residential. To do this, order architectural and technological projects, replace sewerage, water supply and electrical wiring, coordinate project documentation with expert service, consumer supervision, fire inspection and architectural and planning department.
Equipment and personnel
- dental chair with all necessary equipment;
- hygiene products, medicines, filling material;
- tools, as well as furniture and cabinets for them;
- solar-reflecting lamps, radiophysiograph, apex locators;
- sterilizer and autoclave.
All hired specialists must have a specialized education. A dentist providing dental services with a therapeutic direction must have a certificate, an intern and resident diploma, as well as five years of work experience. To obtain a medical license, one such employee in the state is enough.
A license is issued for each medical direction. After you recruit staff, you will be given permission to open a dental office. The dentist is supposed to work no more than 6 hours per day. The same rules apply for nurses.
The staff should be scheduled to work in two shifts. Thus, you will need 2 dentists, 2 nurses, an orderly and an administrator.
However, if you are planning to open a dental clinic, then keep in mind the following difficulties for beginners:
- Missing licenses - without them, you will have to pay heavy fines.
- Lack of prestige - you will need to spend money on advertising.
- Lack of clients - it is important to carefully choose the staff and location of the office.
- Discrepancy between price and quality - constant monitoring of the work of personnel and cooperation only with trusted suppliers is required.
- Lazy and impolite workers - you need to encourage the work of staff in every possible way.
By and large, opening your own dentistry is not so difficult, despite the enormous paperwork. The main thing is to take into account all the pitfalls and hire good staff. Dentistry is a noble and extremely responsible business. Provide a wide range of quality services, and you will certainly get a highly profitable and promising business!
