What should be the dental office. How to open a dental clinic: about pitfalls. Most Common Problems

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 risks, real costs of 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 adherence to sanitary standards and adherence to the established treatment procedure in a private clinic are the most important tasks.

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

Location

The business or residential area you choose for the dental clinic does not play a special role. Look for a room 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 major repairs?
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 upon:

• 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 other chemicals - about $ 1,500 (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 secondary vocational education are needed. 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 nursing staff. 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 with the tax office. When buying a 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 strong 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%.

Everyone has teeth, and no one can live without going to the dentist. Even if the teeth are healthy, you still need to undergo a preventive examination twice a year. In addition, there are professional cleaning, whitening, gum treatment and other dental services necessary for almost everyone. Not to mention the most common and at certain times vital service - dental treatment. A good dentist will always be provided with work, and the dental business is a profitable business. Though not as simple. Consider how to open a dental office: what documents, premises, equipment and staff are needed.

How dental services are provided in our country

First, there are state dental clinics. Recently, they are becoming less and less popular among the population. They often have outdated equipment and use low-quality consumables. Although sometimes there are good specialists who, for an additional fee, can supply a good durable filling.

Secondly, there are private dental clinics. Among them there are both large ones that can provide the client with absolutely all dental services, from various types of diagnostics and therapy to dental surgery, orthodontics and orthopedics, and small ones where several dentists work, perhaps an orthodontist, a surgeon and an x-ray room.

Thirdly, private dental offices. This is the smallest form of dental services. Only one specialist can work in such an office. Or two doctors and a nurse. Other options are also possible.

In order to open a dental clinic, especially a multidisciplinary one, you will need a lot of money and effort. After all, this is a whole factory for the provision of medical services, with its own divisions, a lot of the most diverse equipment and several dozen specialists. In addition, you will have to obtain independent licenses and permits for each type of medical dental activity. The cost of such a clinic is estimated at tens of millions of rubles.

Organizing a private dental office is a little easier and much cheaper. A dentist working in such an office is usually engaged in dental treatment and basic hygiene procedures, such as whitening, cleaning teeth from plaque, removing tartar, etc. There may be an X-ray unit in the office, but more often they do without it, sending clients for X-rays to public or private clinics where such a service is available. Private dental offices usually do not deal with prosthetics, implantology or orthopedics, although such options are also possible. Sometimes doctors of such offices perform simple surgical operations, such as tooth extractions.

Room for a dental office

It is not so easy to find a suitable room, because it must meet certain requirements, and you must be able to make the necessary repairs in it. There are two options - rent or buy.

The main advantage of renting is that it requires less initial investment. This should be a non-residential premises with all the necessary communications: electricity, sewerage, water supply and the ability to permanently connect these communications to the dental chair, which should be built directly into the floor of the room.

According to the standards, the free space around one dental chair should be at least 14 sq.m. If you put two or more chairs, then add another 7 sq.m. for each chair.

Since you will spend a lot of effort on the equipment of your office, it would be unwise to enter into a lease for a short period. Moving a dental office is a very expensive undertaking. It is optimal if the contract is for at least five years.

Buying a space is more convenient in many ways, and if you have the funds or the ability to obtain sufficient credit, it is better to purchase a space for your private dental office right away and equip it to your taste and needs.

If you find a suitable non-residential premises, for example, in the basement of a new house under construction (this is the most profitable and convenient option, you will immediately have a whole high-rise building of customers) - great. If there is no non-residential premises of the format you need, you can purchase an apartment. True, it will have to be officially transferred to the non-residential fund, and this is a rather troublesome business. However, the opening of a dental office in general requires a very large amount of paperwork, like everything related to medical activities, and you need to be prepared for this.

There is an option to attract firms specializing in these issues. Such a company can do everything for you: issue all certificates, licenses, permits and other documentation. But the firm will have to pay.

On average, the execution of legal documents with the involvement of assistants costs two to three times more.

For a small dental office without a laboratory and an X-ray room, a one-room apartment will be enough. If you are planning the simultaneous work of two or three dentists, then you will need a two- or three-room apartment, respectively. It is better if the apartment is located on the first floor.

Keep in mind that when legalizing a dental office, you will need permission from the owners of the apartments adjacent to the future office. It must be in writing and notarized. It is better to resolve this issue even before buying an apartment, otherwise unexpected problems may arise, because people sometimes behave unpredictably.

Transfer of premises from residential to non-residential fund

If you purchased a residential apartment for your dental office, and this, I must say, happens very often, you will need to legally transfer it to a non-residential fund. Let's see how it's done.

First you need to go to the mayor's office of your city and contact the department of architecture and urban planning. Employees of the department will give you a list of organizations from which you need to obtain permission to transfer the premises from the housing stock to non-residential. The list usually includes firefighters, SES, traffic police, BTI, district administration and housing trust. You need to take all the available documents of the owner, visit all these organizations and get information from them. These certificates are paid, there are usually no problems with obtaining them.

Then you again go to the city architects, where, on the basis of the information provided, you are issued a permit and an architectural and planning task. To complete this assignment, you must visit a licensed design organization to have them draft a design for you. A list of such organizations is usually available from the city's architecture department.

Approximately one month later, with the project ready, you must again return to the department of architecture and urban planning for its approval. Then you get permission for the reconstruction from a whole list of organizations:

• fire protection
• Traffic police - they may require that there is parking near your office
• Kompriroda - they will oblige you to plant greenery in the surrounding area
• SES - will check compliance with all SanPiNs and other existing regulatory documents
• Giltrest
• Non-departmental expertise
• Monument protection

Having received permits from all these institutions, you acquire a project of your office approved by the architecture department.

After that, only commissioning remains. This means another visit to the same instances. It is not necessary to wait for the final approval of the authorities. You can start working as soon as you have an approved project, and invite authorities already in the process of work. The exception is firefighters, they must obtain permission before starting work.

Requirements of government agencies for the premises

General requirements for private dental offices are set out in regulatory documents: SanPiN 2.1.3.2630-10 and SanPiN 2956a-83. In some regions, additional legal acts have been developed regarding this issue.

According to the standards of Rospotrebnadzor, in order to open the simplest dental office, you need a room of at least 30 sq.m. Of these, at least 14 sq.m. should occupy the room where the dental unit is located, 10 sq.m - hall and 5 sq.m. - toilet. The height of the ceilings must be at least three meters, the depth of the room (the distance from the window to the opposite wall) - no more than six meters.

Additional premises that may be needed in a private dental office:

• Sterilization room. Its area must be at least 6 sq.m. You cannot do without such a room if there are three or more dental units in your office.
• X-ray room and processing room. Area - 11 and 6 sq.m. respectively.
• Office of an orthodontist and an orthopedic dentist - 15 sq.m.
• Other additional rooms (pediatric dentistry, implantology, etc.) - 15 sq.m. each.
• Auxiliary premises (warehouse, staff room, administration office, etc.) - from 30 sq.m.

Equipment

You need to start with repairs. In the dental office, special work will have to be carried out in order to bring electricity, water and sewerage to the treatment chair. All these communications must be under the floor and be made with high quality so that there are no interruptions in their functioning, because in this case you will have to break the floor and do it all over again.

When studying the question: how much does it cost to open a dental office, special attention should be paid to equipment. This is the second most expensive, after the premises, item of expenditure. Although now the range of prices for it is huge. You can buy everything from a second-hand antediluvian Soviet-era dental chair at a bargain price to a state-of-the-art multifunctional facility for several tens of thousands of dollars.

When choosing and placing dental equipment, it is necessary to take into account the sanitary rules of December 28, 1983, paragraph 2956a-83 and SanPiN 2.6.1.1192-03.

For example, consider the list of required equipment and approximate prices for its standard mid-level samples.

It turns out that the cost of equipment with which you can start working (not counting the visiograph) is about 600,000 rubles.

General expenses

The business plan of the dental office, in addition to the cost of tools and equipment, includes the following costs:

• Room - here the cost can be different. If you purchased it as a property, this is one price, if you rented it, it is completely different. In addition, in different cities and towns, and even in different districts of the same city, the cost per square meter of real estate can fluctuate in a very wide range. Therefore, we will not name a specific figure.
• Repair costs will be from 100,000 rubles. This figure can be much higher if you have a large room or if you want to give it not just a pleasant, but a chic look.
• Licensing costs start at 50,000.
• The salary of employees is a salary plus interest, it can also be different. When your office just opens and there are few clients, the salary will be lower, with gaining popularity and an increase in the number of clients, the salary will increase.
• In addition, you will have expenses for advertising, utilities, telephone, internet, etc.

The final amount must be calculated separately in each case. According to the reviews of those who have already opened a private dental office, you need to prepare funds in the amount of 1 to 2.5 million. This is not counting the acquisition of premises in the property.

Account registration

For those who are a dentist and will deal with the treatment personally, it is best. For an entrepreneur who is recruiting staff, a more convenient form will be.

If you are a dentist, the license to practice medicine is issued in your name. If employees will work for you, then you will need to obtain a license for them.

Your OKVED codes are 85.12 - medical practice and 85.13 - dental practice.

You need to register with a pension fund, MHIF, FSS. As well as open an account and order a print. And keep a book of income and expenses.

In addition, you will need a cash register, which will need to be registered with the tax office.

Cabinet staff

The staff must be highly qualified and meet all the requirements for obtaining a medical license. The requirements for a dentist are:

• The doctor must have a certificate in therapeutic dentistry.
• He must have an internship and residency diploma.
• His work experience must be at least five years.

This applies to the medical practitioner. If you have an orthodontist, surgeon, etc. in your state, then you will need to obtain a separate license for each of the specialties.

Nursing staff may also be present in the state and independently provide certain services, for example, to carry out hygiene procedures (cleaning, bleaching, etc.). To do this, a physician must have a secondary medical vocational education and a certificate in the specialization "Preventive Dentistry".

Medical staff with secondary vocational education can assist dentists. To do this, they must have a certificate "Nurse in Dentistry".

According to the norms, the dentist should not work more than 6 hours a day. Therefore, for the implementation of the full-fledged work of the dental office, among its employees there must be at least two doctors, two registered nurses, an administrator and a nurse for cleaning the premises.

Alexander Kaptsov

Reading time: 15 minutes

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Dentistry is considered a highly profitable business. This situation did not happen yesterday, it is typical for any time. The conclusions of many analysts are unambiguous: the owner of the business and his hired personnel receive a decent income. What is needed to open and operate a dental office? How much does it cost to open dentistry from scratch? How to make a business plan with cost calculations?

Dental services: studying supply and demand

The demand for dental services in Russia is quite high. Against this background, there is a steady increase in demand. This fact is not surprising. Impeccable teeth have always been considered an indicator of beauty and excellent health. Of course, the exorbitant increase in the number of private clinics recorded in the last decade of the last century has somewhat subsided. Nevertheless, the private sector of the sphere under consideration is actively developing, expanding the list of services provided. For example, in Moscow, private dental practice accounts for almost 50% of the total number of dental services provided, in Samara - up to 60%, in the Kaliningrad region up to 80%, and so on.

According to statistics:

1. A city with more than 50,000 inhabitants is characterized by the presence of one private clinic or several dental surgeries.
2. In larger settlements (up to 1,500,000 people), there are an average of 100 such medical facilities.
3. There are at least 500 of them in the capital and Northern Palmyra.

If we turn to the analysis of specialists regarding those in need of dental treatment, then 50% of patients and more are ready to be treated for a fee.

What types of organizations are available in the dentistry market, where Russians treat teeth:

• In state and departmental clinics

Their main purpose is to serve the poor. Differ in outdated equipment and low-quality consumables. Additional services are provided for a fee. In professional terms, this sector is called a kind of forge of personnel, replenishing private offices.

• In private clinics of various categories (higher, secondary, economy)

The class of dentistry is determined by the level of equipment, design, qualifications of numerous staff. This segment provides a full range of dental services - diagnostics, therapy, surgery, and so on.

• In private dental offices

As a rule, they are located in small rooms up to 30-80 "squares", have no more than two dental units. The range of services provided is less than in clinics. However, it is difficult to do without contacting a specialist in cases where a preventive examination, teeth whitening, treatment of gums or pulpitis, and so on, is necessary. This is the front of activity for a good private dentist. That's why a real pro is always provided with a job.

From the point of view of business owners:

1. Private clinics are characterized by: high attendance and, accordingly, high profitability. For example, the average monthly net profit from 15 offices located indoors on an area of ​​200 m² is 1,150,000 rubles. The opening of a multidisciplinary medical institution is associated with considerable financial expenses (several tens of millions of rubles), obtaining independent licenses (separate licensing for each type of activity), recruiting a large staff of specialists, organizing structural divisions and other issues.
2. Opening a dental office is easier in every way and the initial costs are much less. It is easy to organize the work of two doctors involved in dental treatment (sometimes tooth extraction) and hygiene procedures. You don't even need to buy an x-ray machine. Clients can go to the nearest polyclinic for an x-ray. Of course, the availability of services for prosthetics, implantation and orthopedics significantly increases the attendance of the office.

What documents are required to register and operate dentistry from scratch?

It is most convenient for an entrepreneur who is recruiting a staff of specialists to register an LLC. If the business owner is himself a dentist and intends to see patients personally, then the best option is individual entrepreneurship (IP).

The next step is to obtain a license:

• When registering an IP, a specific individual - an individual entrepreneur - receives a license.
• In the presence of LLC status, employees with the necessary experience and education are licensed.

Attention . The license for medical practice indicates a specific premises. Accordingly, the registration of a business involves the presence of areas already prepared for work, that is, the purchase or lease of real estate, the implementation of repairs, and so on.

The fact of business registration is confirmed by the relevant documentation received from the tax authorities, the pension service, the compulsory medical insurance fund (FOMS), the social insurance fund (FSS).

Doing business is also impossible without a bank account, a seal, a book for accounting for income and expenditure transactions and a cash register registered with the tax service.

The list of services of dental offices and an approximate price list: what services can dentistry provide?

An approximate price list for a dental office may look like this (the main positions are indicated):

Type of service	Price, in rubles
Consultation with a doctor in order to determine a plan of therapeutic measures	300-500
Hygiene measures (removal of plaque, tartar)	2 000- 3 500
Whitening	9 100/19 100
Removal of a tooth	1 900- 7 900
Prosthetics per unit
Metal-ceramic (the cost of the pin is not included)	from 13 000
Zirconia crown	from 18 400
Removable prosthesis	from 14 900
Implantation
Implant with installation	19 100- 41 000
The price of a metal-ceramic/zirconia crown for an implant	26 100/30 000
Treatment
Medium / deep caries + photopolymer filling	from 2 900/3 400
Pulpitis + tooth restoration	from 7 900
Periodontitis	from 8 400
root canal	from 3 900
Services of a pediatric dentist
Therapeutic collaboration	from 550
The price of caries/pulpitis treatment for one milk tooth	from 1 900/2 400
The price of removal / silvering for one milk tooth	from 750/180
Hygiene measures	from 1 500
Inspection + certificate of sanitation	from 450

The list of services mentioned above can be reduced or expanded. However, when setting the price, it is important to understand that the following parameters affect the cost of dental services: the price of consumables and equipment, as well as the cost of a high-level service. In any case, prices cannot be low. In addition, taking into account many factors, one should not lose sight of the quality of services provided, including the professionalism of doctors, which fully justifies the considerable cost of treatment.

Choosing a room for a dental office. Requirements and permissions

The most suitable place for the location of the dental office are premises in business or residential areas.

Additional selection criteria:

1. Close to public transport or metro stops.
2. Availability of free parking spaces.
3. Location on the first floor. What will be the building (residential or administrative) in principle, it does not matter.
4. It is imperative that the selected areas comply with the requirements of the services responsible for sanitary and fire safety.

Sometimes it is quite difficult to find the appropriate object. Therefore, the best option is to perform redevelopment. True, the costs increase and another risk appears - the refusal of the landlord to renew the contract. Which naturally results in the issuance of a new license already in relation to another premises and a new round of paperwork and expenses.

There are two safe ways:

• Long-term type of lease with the right to buy the leased area.
• Acquisition of premises. Here, the only downside is the high cost at the start.

For reference . The object of housing stock is subject to transfer to the category of non-residential premises. Among other things, redevelopment is accompanied by the preparation of technological and architectural projects with subsequent approval in city services (fire, architectural, consumer supervision). It is better to entrust this part to professionals in the field of approvals.

The choice of premises is started if there is a clear business plan, which indicates the layout of the future office (how many jobs, what equipment and where it will be), taking into account the future expansion of activities.

List of basic requirements of consumer supervision for dental offices:

1. One dental unit is located on an area of ​​14 "squares".
2. Each subsequent installation assumes an increase in footage by 7 m².
3. Three-meter ceilings.
4. Maximum for a room depth of 6 meters.
5. Single sided daylight option.

Thus, one workplace requires an area of ​​​​up to 30 m²:

• Dentist's office (14 m²).
• Hall (10 m²).
• Bathroom (5 m²).

For expansion plans, the following criteria apply:

1. Six "squares" for the sterilization room, if the number of dental units exceeds two units.
2. For the X-ray room 11 m², for the processing room another 6 "squares".
3. For other rooms (children's, orthopedic and others) 15 m² each.
4. For a warehouse, toilet, administration - 30 "squares".

After the completion of the redevelopment of the premises, its commissioning and recruitment of personnel, permits to carry out activities should be obtained in the following instances:

• In consumer supervision.
• Fire inspection.

You should also not lose sight of the issuance of a license to conduct medical activities in the selected premises.

Equipment necessary for the operation of the dental office

Without which the work of a dentist is unthinkable, or what equipment a dental office is equipped with:

1. Dental chair in four sleeve design (this is the minimum). The sleeves are used to connect a water-air gun, a micromotor with a variety of tips, a turbine, an ultrasonic scanner that removes tartar and plaque. The average cost is from 350,000 rubles. The price of monthly maintenance is from 3,500 rubles.
2. Heliocuring lamps. Their price starts from 11,000 rubles.
3. Apex locators - electronic devices that determine the length of the canal in the root of the tooth. This technique costs 32,000 rubles.
4. Autoclave for processing tools - 61,000 rubles.
5. Sterilizer - 33,000 rubles.
6. A radiovisograph is an analogue of an X-ray machine. Its cost is comparable to a dental chair - about 260,000 rubles.

Approximate equipment costs in the range of 500,000-600,000 rubles, if the purchase of a visograph is postponed for the future.

Materials and equipment for work in dentistry

The technical base is supplemented with inventory and consumables:

• Replaceable and additional tips. This is a kind of insurance against failures. Price from 4 600 rubles.
• Filling compositions, hygienic and chemical means. Costs from 5,000 rubles.
• Dental instruments at a price of 35,000 rubles.
• Lockers in which instruments and preparations will be stored - 75,000 rubles.
• Other furniture (table, chairs, wardrobe, sofa, chairs for visitors) - 56,000 rubles.

The total goes up to 180,000 rubles. Of course, savings on office furniture are acceptable.

Staff for the functioning of the dental office

It would be useful to remind you of a separate license for each area of ​​activity, the high qualification of doctors and the compliance of personnel with the necessary criteria:

1. Availability of special certificates (therapeutic, surgical, and so on) depending on the specialty of the doctor.
2. Granting the diploma of the intern and the resident.
3. A proven five-year experience is required (this is the minimum).

Middle-level employees with appropriate medical education can also be enrolled in the state. They, as a rule, assist doctors, perform hygiene procedures.

Attention . Based on the norms, the maximum duration of the working day of a dentist is six hours and no more.

Thus, the full-fledged activity of dentistry with one dental chair is provided by staff consisting of: two doctors, two nurses, a nurse and an administrator.

How to Advertise New Dentistry: Business Advertising and Marketing

Launching information about the opening of a new dental office is performed in the usual proven ways.

They mean:

• Advertising in the media (in the section of free ads).
• All kinds of outdoor advertising - a memorable sign, a billboard placed near the office, distribution of flyers in local shopping and entertainment centers, advertising at bus stops, in transport, and so on.
• Creation of a website with a description of services, price list, patient reviews and other information. Promotion is facilitated by online appointments and online consultations of specialists.
• Creating a page or group in social networks. Friends are often approached in connection with the search for a good dentist. Of course, many have their own specialist, but there are moves, the dismissal of a dentist, or other reasons for going to a new dentistry. This is where the advice of an internet friend comes in handy.

A few words about e-mail marketing, it is good when working with the client base and site visitors:

1. To notify you about special offers and promotions.
2. To inform existing customers about the need to undergo a scheduled inspection. This increases repeat sales.
3. To send news. For example, a new “super” device was bought or a new “extra class” doctor appeared on the staff.

• Is special education important?
• Equipment
• The documents
• Recipe for success
• Profitability calculation
• Helpful Hints

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

Is special education important?

There is a common misconception that without education, opening even a modest dental office for one chair is impossible. Rather, on the contrary, a profile diploma in a certain sense will become an obstacle, because it is difficult to combine professional growth and business development - a dental office. Here, to a large extent, the benefits of such a phenomenon as the division of labor are manifested, where everyone does what he knows how to do well. Some are engaged in the commercial part, organize work, others carry out treatment, removal, prosthetics. Only in this way will dentistry become a successful, profitable business.

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

1. The need to create a financial reserve in case of a sudden relocation and staff retention.
2. Expenses associated with the search and repair of a new premises, transportation of equipment.
3. The cost of an information campaign aimed at notifying clients about the relocation of the dentistry to a new location.
4. Launching an advertisement to promote a dental office in a new location and attract customers.

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

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

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

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

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Equipment

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

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

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

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At the same time, before purchasing equipment, it is worth attracting a specialist for advice so that investments are balanced and optimal. Ideally, it is necessary to recruit staff before opening a private dental clinic and order equipment according to their wishes. This will significantly improve the level of service.

The documents

Another stage that requires time and nerves will require the design of a clinic. To open a dentistry, you will need a lot of permissions:

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

You can find out what documents are needed to register an enterprise with the fiscal authorities by going to their official resource. In short, if you need open a sole proprietorship, as well as to assign OKVED codes for the following activities: 85.13. "Dental practice" and 85.12 "Medical practice".

Recipe for success

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

Due to this specificity, the selection of specialists should begin before opening a dental office. At the same time, it should be taken into account that an impressive part of the profit will need to be spent on personnel. How much does it cost to maintain a professional staff?

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Dentists work for a percentage of revenue, it varies from 20 to 25%. Nurses, orderlies, administrators receive a flat rate of $100 to $400. Approximately a quarter of the profits should be spent monthly on the staff. But it should be noted that it is the staff that makes the dental office, the clinic profitable.

The optimal level of profit is up to $ 20,000 per month from one chair. Provided that the business is untwisted. This is the average for the metropolitan area.

Profitability calculation

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

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

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

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

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

Attention! Opening a dental office franchise is a waste of money, as most projects use the standard scheme described above. An exception is marketing moves, but most of them can be found using specialized literature or the Internet.

Definition of the "Cabinet" format among other forms of doing this business, step-by-step instructions for opening a dental office and what is needed for this.

 

Dentistry has always been a highly profitable business. According to analysts, work in this area can bring 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 suffer 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 to 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 indicate such OKVED codes as:

• 85.12 Medical practice
• 85.13 Dental practice

3 Next, you need to register with the Pension Fund, the Compulsory Medical Insurance Fund, the Social Insurance Fund, start 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 a detailed business plan on hand. 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.

Rospotrebnadzor imposes particularly stringent requirements on 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 simplest office for one workplace, you need the area of ​​\u200b\u200bone typical apartment(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 Renting is not 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 nursing 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 a 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 to obtaining a license.

Rospotrebnadzor provides:

1. Statement
2. The passport
3. Certificate of registration as a legal or physical. faces.
4. TIN certificate
5. Extract from USRN
6. Certificate of ownership or lease agreement for premises
7. Explication
8. BTI plan
9. Contracts for laundry, garbage collection, destruction of fluorescent lamps, disinfection, deratization and disinfestation
10. Examinations (water, air, physical factors, washings for sterility)
11. Honey. books and a contract for honey. employee inspection
12. Measurements of illumination, microclimate

If the office is organized in a new place, then first you need to get 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:

1. St. TIN
2. Lease agreement or certificate of ownership
3. St. about passed. fire fighting courses security
4. Fire order. security
5. Instructions, evacuation plan
6. Papers confirming the presence of an alarm and a fire extinguisher
7. 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.