The dental office is a profitable business. How to open a dental clinic

For many years, work in public clinics, clinics and hospitals does not bring the desired material result. Doctors don't enjoy working for low wages. Most leave and go to work in a private clinic or start their own business. One of the most profitable medical industries is dentistry. Having a luxury car is prestigious, as is having a beautiful and healthy smile.

There is a trend towards an increase in the opening of dental offices. The figures say that more than 60% of doctors employed private practice, open just such a case. It is generally accepted that the main thing in business is the place, it determines the profitability of the opening. Most often, dental offices are opened in residential areas of the city, where the population density is higher. This allows in as soon as possible build a customer base, which accelerates the influx of customers. The remoteness of the clinics also speaks in favor of the small format of the dental office, because a person with acute toothache is more likely to turn to his place of residence or to a neighboring area than to look for a private medical multidisciplinary clinic somewhere in the center. Also, the argument for will be the fact that the prices for services in the dental office are several times lower than in private medical centers and clinics. So how to open dental office?

Calculation of the cost of opening a private dentistry

Let's consider the issue in more detail. Mini-dentistries open in the sleeping areas of the city. This applies to both the capital and the regions. This means that the future owner will need a room for an office. It should be noted that the sanitary and epidemiological service does not sleep, demanding from entrepreneurs to strictly comply with the instructions for the square of the office. For one dental chair - at least 7 meters, for the second - 14 and so on by analogy. For medical centers and medical clinics, the calculations are twice as high. Communication will be required for work, so it is more convenient to rent or buy premises with amenities, for this the option of renting an apartment on the ground floor is suitable. The second factor is cost. For example, average cost in Moscow - 90 thousand rubles / sq. m. m, in the regions - from 52 thousand rubles / sq.m. The cost of renting housing in Moscow is approaching 30-35 thousand rubles for a one-room apartment, the price may decrease depending on the area and distance. Let's ask ourselves how much it costs to open a dental office. As a result, we have the following:

1. Dental chair - 180-360 thousand rubles,
2. A set of tools at the rate of one set for one chair - 45-75 thousand rubles,
3. Consumables - 60-90 thousand per month,
4. Enclave for sterilization of instruments - 150-210 thousand rubles,
5. Equipment for a prosthetic laboratory - 450-750 thousand rubles,
6. X-ray installation - 300-450 thousand rubles.

For comparison, in order to, you need to spend four times more money than for an office. Equipment - key moment in the work of a dentist. It is not recommended to save on equipment, because the quality of the services provided depends on it. Many practicing doctors open their own business with an established client base.

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Legal issues and registration

It is necessary to start work by filing documents for registration as an individual entrepreneur or legal entity. The registration procedure is established by the Federal Law of 08.08.2001 “On state registration legal entities and individual entrepreneurs.

According to the Federal Law of 08.08.2001 "On Licensing Certain Types of Activities", it is necessary to obtain a license to engage in medical activities. To obtain it, the following are submitted to the licensing and certification body:

• application for a license (application form approved by letter Federal Service for Health Supervision and social development dated July 27, 2005 No. 01I-374/05);
• certificates for installed equipment, personal medical passports of employees, copies of documents on their education and qualifications.

PS. In the office or in the medical clinic, the equipment must be located with the strict requirements prescribed by the BTI.

Imagine for a moment that you have opened your own clinic. We purchased equipment, rented or purchased premises, carried out repairs in it, received certificates necessary for work. It's time for licensing. It is highly recommended to study all government documents, acts and regulations before submitting to the SES for the purchase of a license. Please note that when expanding the range of services, you need to go through the procedure for obtaining a license again. You can get a license yourself or entrust the laborious process to a specialized company. If you are not confident in your abilities, trust the professionals. For a nominal fee of 30 thousand rubles. the firm will prepare and carry out all the necessary activities to obtain a license.

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Personnel and advertising are powerful business assistants

In every enterprise, employees play a key role. The most valuable resource is personnel. You need to select people carefully, the quality of the services provided and your future profit depend on it. Recruitment is carried out on the basis of one dental chair one dentist. The doctor may need a nurse. The standard working time of a doctor is about 6 hours. If you plan to open a 24-hour office, you will need at least 4 doctors per chair. The clinic needs more staff, so the figure will be proportional. When hiring a person, check that the employees have documents on education, qualifications, international internships and trainings. Introduce a competitive basis into the charter of the enterprise, before employment at workplace test practical skills on the basis of the competitive moment. The higher the qualification of an employee, the higher the quality of his work, respectively, and more positive feedback clients.

At first, your business will need an effective advertising campaign. Don't skimp on advertising. You can unwind different ways, use different marketing moves and strategies. You can publish an advertisement in a newspaper, put a slogan in the "creeping line" on television, order banners and hang them around the city. Keep a journal of suggestions and feedback so that your account visitors respond to the quality of the services provided to them. It will not be superfluous to hang letters and certificates (if any) in the reception. People are imbued with confidence in an enterprise with a name. The system of discounts will be no less effective. For example, 5-10% discount on various dental services. The clinic can also introduce a discount system focused on VIP clients. Promotions have a positive effect on the flow of people, customers, having heard the word "promotion", will definitely come to you, this cannot but affect the attendance of your dental office.

Anyone can open a dental office, who has a desire to work in this area and has a considerable start-up capital. 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 perform two different person, each of which is a professional in their 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:

1. 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.
2. High business profitability. Average check v provincial town is - three to four thousand rubles, and in the capital - seven to eight. Standard appointment time is 30 minutes. An office with a good reputation keeps a record of clients for two to four weeks in advance.
3. Ability to provide a wide range of services using various technologies and materials that distinguish dental offices.

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, largest number private dentistry was recorded in Krasnoyarsk, Kazan and Nizhny Novgorod (22-29 units / 100 thousand people);
• development of lending for dental services;
• for 2018-2022, 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:

1. 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.
2. 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 step-by-step instructions will help you open a dental office:

1. Development of a business plan from scratch or ordering a finished one.
2. Company registration.
3. Selection of premises and conclusion of a lease agreement.
4. Design and renovation of the premises.
5. Search for suppliers of equipment and consumables.
6. Purchase and installation of equipment.
7. Purchase of consumables.
8. Issuance of permits.
9. Selection of qualified personnel.
10. Marketing events.

Business registration

Features of the dental office registration process:

1. 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.
2. 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 of Activities". In addition to this law, Decree No. 291 (dated April 16, 2012) “On Licensing Medical Activities” is in force.
3. The activity code 86.23 “Dental practice” is suitable for the type of business under consideration. It includes work in the field of dentistry (general/specialist), orthodontics and dental operations.
4. The most effective taxation system is the STS according to the “income minus expenses” scheme, since this is a very cost-effective type of activity.
5. Registration of the company in funds and statistical bodies.
6. After registering a company, you should take care of ordering a print and opening a bank account.
7. To accept cash from customers for the services provided, the entrepreneur must buy and register cash register equipment with the tax office.
8. 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 used equipment, microclimate, etc.

Key regulations:

1. SanPiN 2.1.3.2630-10. It contains the sanitary and epidemiological requirements that a medical institution must comply with.
2. SanPiN 2956a-83. This document describes the rules for using 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-sided 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, For example, office building or ground floor 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.

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

In the video in plain language tells 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 a 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;
• room - studio apartment(it is planned to buy);
• 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.

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.

Risks and payback

Dental business risks:

1. Low demand. This state of affairs may be the result of an incorrect marketing program, an unsuccessful office location, etc.
2. High competition. Other market participants adhere to an active marketing policy.
3. 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.
4. An increase in the cost of smoking consumables due to an increase in the exchange rate.
5. Loss of license for any reason. For example, due to incorrect documentation.
6. 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.

How much does the equipment cost? How to write a business plan and avoid failure? 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 the organization and development strategy. Tips from experienced entrepreneurs will help you avoid the most common mistakes.

Before we start

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 the services provided are worthy arguments. But, the organization of a prosperous business requires a sober assessment of the initial data: competition, the demand for services, the necessary start-up capital, the timing of the project, payback and a host of other issues.

A business plan should be compiled by a competent manager with experience in organizing dental clinics. A novice entrepreneur is obliged to think over the prospects for development, expanding the number of services, formulate success criteria and strategic goals for his offspring.

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 the doctor's point of view, does not include a professional manager's analysis of 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 is aimed at making a profit. But, in the provision of medical services, this should not turn into the main, especially 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 a reasonable distribution of profits will help to avoid the collapse of the team.

Losing reputation is very easy. A medical error can ruin a business and revoke a dentist's license. Strict compliance sanitary standards and adherence to the established procedure for treatment 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 close to metro and car stops. Both an administrative office and an apartment on the ground floor of a residential building will do.

Rent or buy? When answering this question, keep the following points in mind:

1. Not all premises meet sanitary standards and comply with fire safety rules.
2. The landlord may allow redevelopment of the premises. How much will be spent on overhaul?
3. A license to provide medical services is issued for the premises. If the lease term is insignificant, and the probability of refusal to renew it exists, in the new premises you will start all over again.

Perhaps the purchase and redevelopment of your own property will cost less as a result?

Requirements for the premises

The premises, which belong to the housing stock, can be re-registered as non-residential. Savings in redevelopment and repair is unacceptable. Order an architectural and technological project from a company with an impeccable reputation. All project documentation must be agreed:

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

To comply with the standards, it will be necessary 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 the area of ​​the dental office. Before searching for a room, it is necessary to clearly present the layout of the room, consider the location of equipment and utility rooms. Also, there are additional regulations in certain regions.

The general norms established by consumer supervision are as follows:

• For one dental unit, the cabinet area must be at least 14 m².
• For each subsequent dental unit, 7 m² is added in meters.
• Hall - up to 10 m².
• Bathroom - up to 5 m².

When planning further expansion, take into account in advance and enter into the project the 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 processing room - 6 m².
• Cabinets: children's, orthopedist, orthodontist, implantology - 15 m² each.
• Auxiliary premises - 30 m².

For the comfort of patients, it is desirable to provide a separate room 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. Completed chair - about $ 10,000, maintenance - about $ 100 per month.
2. Radiovisiograph - about $ 8,000.
3. A set of additional replacement tips is about $1,500.
4. Tools - $1,000.
5. Solar-reflecting 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 instruments - about $ 5,000.
10. Filling composition, hygiene products and others chemical substances- about 1,500 dollars (with monthly replenishment).

The total amount is $31,400.

Personnel

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

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

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

Documents and licenses

If you have the necessary education and experience, you plan to provide services on your own, 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 register an LLC.

Registration with a pension fund is required, order a seal, open a bank account and start a ledger.

Also, to issue checks, you should purchase a cash register, register it in tax office. At the time of buying cash register a service contract is concluded.

After putting the premises into operation, obtaining a certificate of the entrepreneur, TIN and USRN, permission should be obtained from consumer supervision, fire inspection and health supervision.

Marketing

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

Advertising, seasonal discounts and other methods in dentistry do not work or give the expected effect. The client will not come because of the action if he does not have a toothache. A clear and financially sound demonstration of the feasibility of regular preventive visits to the doctor can work. Show sincere concern for the health of the client - this always gives a positive result and contributes to the popularity of the doctor.

The patient is not always able to realistically assess the professionalism and cost of the doctor's services. Too high, according to the patient, the price will force him to look for a cheap clinic. The cost of services should be clearly articulated and described in a language understandable to the layman.

Summary

A private dental practice will bring a decent income with proper management, the desire to provide services in the best possible way and continuous improvement of the service.

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

Many entrepreneurs want to open a private dental office in Russia. No wonder, because this business format can bring good profits. Dental services are always in demand. And if the doctor does his job well, then the influx of clients will be provided to him.

The more range of services the clinic specialists can provide, the more profit you can get as a result. For example, some of the most popular procedures are: caries treatment, teeth whitening and cleaning, gum treatment. Responsible citizens visit the dentist 2 times a year, even if nothing bothers them - such prevention allows you to notice dental diseases in the early stages.

But organizing a dental business is not so easy. Opening an office is impossible without obtaining the appropriate permits and licenses. Not to mention the cash injections into professional equipment and the difficulty of finding truly qualified employees.

Market analysis

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

1. State polyclinics. They are now becoming less popular among the population. Weaknesses similar institutions - old or low-quality equipment, cheap materials. And the level of service is often very low. Although there are very good specialists in such clinics.
2. Private clinics. These are perhaps the most serious competitors. Such institutions have all the necessary equipment to provide a full range of services - from diagnostics to orthodontics and orthopedics. The staff usually has 5-10 dentists. Citizens of such clinics are attracted by the opportunity complex treatment, name fame. But the cost of services in these dentistry is quite high.
3. Dental offices. These are institutions that employ one or more doctors and a nurse. Usually the profile of services rendered is quite narrow. Not purchased for dental offices and diagnostic equipment, with rare exceptions. To undergo such procedures, patients are sent to public or private clinics.

It is better for an inexperienced entrepreneur to start by opening a dental office. So, he can get rid of many difficulties. For example, you will need small room instead of a whole building. Money for the purchase of equipment will also take much less. In addition, for the provision of each service you need to obtain a license, and this is a laborious process.

Before paperwork, you need to decide on the legal form of your dentistry. If an entrepreneur plans to engage in the provision of services personally, then it is enough to register as an individual entrepreneur. If he wants to open a full-fledged clinic, then it is better to opt for an LLC.

Every employee who provides dental services must first obtain a license in their own name. Otherwise, such a specialist does not have the right to conduct dental activities.

Before going to the local tax office, you will need to decide on the OKVED codes. In the case of opening dentistry, the code 86.23 - "Dental practice" is used.

It is very important to choose the most suitable and effective system taxation. In the case of opening dentistry, the following options are possible:

1. BASIC. This option is better to weed out immediately. It should be applied only if all other taxation systems cannot be used. The difficulty lies in the need to account for all income and expenses. In addition, you will have to report to the Federal Tax Service for all taxes, including VAT and income tax.
2. USN. This option is very convenient, but not everyone can use it. For example, if more than 100 people work in a clinic, then you cannot use the “simplified” system. This format of taxation allows you to report only one tax, which greatly simplifies the accounting and tax accounting of the enterprise. There are two formats on the simplified tax system - “income” and “income minus expenses”. The first option for dentistry will be extremely unprofitable, since the level of profitability in the industry is 30% on average.

Unfortunately, the use of UTII in dentistry is impossible. Therefore, it remains to choose between the OSNO or the simplified tax system "income minus expenses." When compiling a business plan for a dental office, it is worth considering exactly the “simplified”.

The clinic should take care of opening its own account and ordering a print in advance. Additionally, you will need to buy a cash register and register it with the tax service. It is necessary for cash settlement with clients. In small offices, the use of cashless payments is not necessary, but in large dentistry, you cannot do without it. Otherwise, you can just lose most their visitors.

Finding a suitable room

A full-fledged clinic or dental office requires a specialized facility to provide services to the public. Find suitable option not easy, as the place must meet many requirements and norms. When choosing a room, you can go one of the following ways:

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

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

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

Where to start opening dentistry - many entrepreneurs ask themselves this question. It is necessary to bring the premises in accordance with the norms. There is the following list of necessary communications:

• sewerage;
• cold and hot water;
• electricity.

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

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

Supervisory requirements

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

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

Some regions have internal regulations. Therefore, this issue should be addressed to the local SES.

Rospotrebnadzor makes demands on the premises. So, to open dentistry, even a small one, you must follow the following rules:

• total area - from 30 m 2;
• ceiling height - from 3 m;
• from the window to the opposite wall there should be a distance of no more than 6 m.

It is imperative to equip the clinic with a dental office (14 m 2), reception (10 m 2) and a toilet (5 m 2). There may be other specialized premises in the institution, namely:

• Place for sterilization of instruments. At least 6 m 2 should be allocated to it. The presence of this room is mandatory for those clinics that are equipped with at least 3 dental chairs.
• x-ray. Additionally, you will need a room for developing pictures.
• Specialized cabinets. Each of them must have an area of ​​at least 15 m 2. Separately, rooms are equipped for an orthodontist, orthopedist, implantologist, pediatric dentist and other specialists.

In large clinics, auxiliary premises are also equipped - the administration reception, a rest room for staff, warehouses, and so on.

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

• the presence of a certificate in his profile (for example, if he is a dentist, then he must have a certificate in therapeutic dentistry);
• internship and residency diploma;
• work experience in the specialty - from 5 years.

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

In addition to doctors and nurses, other employees will be required. The administrator will be responsible for recording and initial admission of patients, maintaining a customer database, calling and informing them. You can not do without a cleaner - the premises must always be clean. A large clinic may need a security guard or caretaker.

Purchase of the necessary equipment

Any entrepreneur thinks about how much it costs to open a dental office if he wants to work in this direction. Before buying equipment, you need to make repairs in the room, carry it out in accordance with established standards.

The purchase of equipment will require significant investments. This will be the biggest cost item. If the initial capital is small, you can get by with used equipment at this stage. But here, too, legal requirements must be taken into account. The most minimal list of equipment will look like this:

• dental chair with sleeves;
• tips;
• tools;
• lamps;
• autoclaves;
• sterilizers;
• cabinets and shelving;
• furniture.

If x-rays are taken in dentistry, then a visiograph will also be required. It costs at least 250,000 rubles. In total, about 800,000 rubles will be required for the purchase necessary equipment and consumables.

Financial results

The equipment will require 800,000 rubles, no less. Additionally, it will be necessary to make repairs to the premises, and this is about another 100,000 rubles. The licensing procedure will also require investments. You will need at least 50,000 rubles. It turns out that 1,000,000 is the minimum amount to open a small dental office. If you immediately purchase high-quality new equipment, then this amount can increase to 2,000,000 - 2,500,000 rubles.

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

What risks can be faced?

Opening a dental office is a risky business. Therefore, possible dangers must be disassembled in advance.

A competent entrepreneur must anticipate the dangers, then he will be able to make his dental office profitable and recognizable.

Private medical practice is divided into three classes: higher (multiprofile centers), middle (clinics), economy (dental offices). They differ in the scale of the premises, the range of services, cost, equipment and financial capabilities of customers.

For information! As practice shows, the average monthly profit in a small clinic is $40,000 - $50,000. A dental office can have revenue for the same period of at least $15-20,000. But these financial opportunities are not available to all private institutions, but only to those who conduct thoughtful and correct financial activities, focusing on the needs of clients.

During the implementation of the project to open a dental office, the main thing is to take into account all the details and pay attention to important nuances.

Which is better: open or buy a dental office

Starting from scratch is much more difficult, because you have to think through everything to the smallest detail in order to avoid serious problems in the future.

You can buy a ready-made business, where the dental office is already “promoted”, with a client base, dental equipment, and possibly staff. But it is worth considering why it is for sale? Not profitable or problems with regulatory government agencies, or insufficient client flow. In this case, it is better to first weigh the pros and cons, and make a purchase decision.

Buy finished project not as difficult as opening it yourself. It is enough to have a certain amount, to be able to understand the constituent and financial documents, to give a correct assessment of the profitability of the project.

It's important to know! Ready business will cost more than opening from scratch. This is due to the fact that the seller sets the price, trying not to miscalculate and get the maximum profit from the sale. And by opening a dental office on your own, you can save on repairs (using linoleum, not floor tiles), dental equipment (preferring a domestic manufacturer), and furniture. Starting a project on your own, you do everything “for yourself” and additionally get indisputable experience, which will be the basis for further financial activities and proper conduct of business.

How to open a dental office and what to look for

When thinking about starting a business, answer three main questions:

1. What kind of services will be provided (list, assessment of opportunities).
2. How the business will be carried out (premises, location, office equipment, etc.).
3. For whom the services are intended (customers with what financial capabilities will be served).

After a clear understanding of your goals and desires, you can begin to implement them, guided by your own knowledge and intuition.

To begin with, it is necessary to determine the financial possibilities (investments), on the basis of which the project will be built and proceed with its phased implementation.