How to open a dental office: organization, equipment and equipment, licensing, business plan

The dentistry business has traditionally been considered one of the most profitable.

A person can save money on a new gadget or fashionable clothes, but on his teeth he is unlikely to reduce his money spending.

Beautiful and healthy teeth are important not only from the point of view of well-being, but also from the point of view of the comfort of a person's existence in society.

Room selection

First of all, an individual entrepreneur will have to face the choice of premises where the future paid dental office will be located. You can also open a mobile dental office.

The main difference between a dental office and a private or public dental clinic is its small size, since often the staff of dentists does not exceed three people. It is recommended that a novice businessman start his business from the office, since there are much less risks.

Requirements of government agencies for the premises for a dental office

When choosing a room, you should consider regulations of SanPiN, as well as the requirements of Rospotrebnadzor (more details can be found here).

Basic requirements for a dental office:

1. Availability of electricity. All medical equipment is powered by electric current.
2. The presence of sewerage, as well as cold and hot water.
3. The dimensions of the room. In advance, you need to decide on the future number of dental chairs. If there is only one chair, the dentist's office should be at least 14 square meters in area. Two armchairs - at least 21 sq. M. Three - 28 square meters. It should be borne in mind that if three or more dental chairs are planned, you need a sterilization room with an area of ​​at least 6 square meters.

Availability X-ray desirable but not required. If, nevertheless, a businessman decided to have an X-ray room, then its area should be at least 11 square meters according to sanitary standards. It will need a developing room with a size of at least five square meters. m.

Therefore, at the initial stage, when planning a business plan, an entrepreneur is advised to have no more than two dental chairs and not have an X-ray room available. This will reduce costs.

You also need a toilet room (5 sq. M.) And a reception (10 sq. M.).

Search for premises, location

When looking for a room, you need to remember that the location of the dental clinic will play a big role in the development of the business. The dental clinic located on the very outskirts of the city, where even regular buses do not go, is unlikely to help attract customers. But the premises located in the very center of the city will cost a lot of money.

After you have chosen a place, you need to decide: rent it or buy it as property. If you don't have much money, it's better to rent. Otherwise, it is recommended to buy a property as a property, because for each property you need to additionally buy a license, as well as to re-equip it, and this is costly. A good option would be to rent a room with its subsequent redemption.

If this is a residential apartment

A good option for a future dental office would be a residential apartment located on the ground floor. But in this case, according to the standards of Rospotrebnadzor, this apartment will need to be transferred from non-residential to residential stock.

Consider the main requirements of Rospotrebnadzor:

1. The apartment is on the first floor.
2. The apartment has a separate entrance. The main residential entrance (corridor, entrance) used by the rest of the residents should not be used in any way. If a separate entrance violates the integrity of the load-bearing wall, then the consent of the residents under the protocol is mandatory.
3. For an apartment with an area of ​​more than 100 square meters, there must also be an emergency exit.
4. The transfer of a residential apartment to a non-residential one should be carried out only in full. It is unacceptable in a non-residential apartment to have rooms or any premises that legally remain residential.

Algorithm for transferring from residential to non-residential stock:

1. Collection of the necessary documents, which is provided by the owner of the premises to the local authorities. First of all, these are: a written statement, a technical passport of the object, a document proving the right to this property.
2. Waiting for a decision on this issue within 45 days. If the decision was negative, you can go to court.
3. When the decision of the local self-government bodies came positive, it was necessary to reconstruct the apartment. If at least one point of reconstruction is not done, the decision may be canceled.

Repair

The renovation will consist of two stages:

1. Reconstruction.
2. Redecorating.

The cost of reconstruction will depend on how close the premises were to the required technical conditions and on the initial status (residential, non-residential). You should make a separate entrance, as well as fulfill all the requirements of local authorities for communications and room sizes. If the dimensions of the rooms do not meet the required ones, then the necessary partitions may need to be demolished with the permission of the authorities. If it is impossible to demolish the partitions, you will have to look for another room.

Also, if necessary, redo the ventilation and heating communications so that the temperature and humidity indicators are within the SanPiN norm:

1. 18 degrees to 25 degrees Celsius.
2. Relative humidity - 40 to 60%.
3. Wind speed - no more than 0.2 meters per second.
4. The microbiological parameters of the air purity in the polyclinic must comply with the sanitary and epidemiological standards.

When reconstructing, it should be taken into account that denture cabinet must have an uninterrupted supply of cold and hot running water. If necessary, replace them with new water pipes.

If possible, then it is necessary to re-plan the office so that the windows face the north side.

After reconstruction, you will need to make cosmetic repairs.

The main requirements for the finishing of the future dental office:

1. Floors, walls and ceilings - smooth to the touch, easy to clean, covered with special materials that can resist disinfectants.
2. The wall near the sink and the bathroom must be tiled.
3. It is advisable to make suspended ceilings, as they are easy to clean. Moreover, the material of these ceilings is resistant to disinfecting liquids.
4. The finishing colors of the dental clinic are neutral and light. This is done so that the dentist has an adequate perception of the enamel color of the patient's teeth. No additional decoration or wall decoration is allowed.
5. According to fire regulations, walls should only be painted with water-based paint.
6. If the windows of the future dental clinic are on the south side, blinds or a special film should be hung. Blinds should be easy to clean.
7. General illumination should provide doctors with an even and strong light, but at the same time, so as not to distort the color rendition. Additionally for everyone workplace of a dentist equip local lighting.

Equipment

One of the most important points of a business plan for opening a dental clinic is equipping it with the necessary special equipment. If a businessman at the initial stage has a shortage of funds, then you can buy used equipment, but at the same time it must meet the standards of SanPiN and Rospotrebnadzor.

Dental office equipment:

1. Dentist chair. It can be produced electromechanically or hydraulically. Each drive has its own advantages and disadvantages. The armchair comes complete with sleeves (at least four pieces), a pistol, an ultrasonic scanner, and a special lighting lamp. The cheapest Chinese model is sold at a price of 90,000 rubles. German dental chairs are considered the highest quality and most expensive. Let's say a KAVO chair will cost about 1,000,000 rubles. There are intermediate options. Slovak, American, Italian - from 300,000 to 600,000 rubles.
2. Visiograph. A visiograph or, in other words, an X-ray for a small dental clinic is not necessary, but desirable. Indeed, in the absence of a visiograph in the course of treatment, the patient will have to be sent to other clinics where it is available to take pictures of the teeth. This is extremely inconvenient for any patient. There are models on the market, the cost of which ranges from 20 thousand. up to 180 thousand rub.
3. Instruments. The set includes: special mirror, tweezers, probe, hooks, gingival scissors, excavator. A complete list of dental products for work, depending on the manufacturer, will cost from 15 to 230 thousand rubles.
4. Fridge. A refrigerator is needed for the safety of medical materials, so that the required temperature environment is created during their storage. The cost on the market is 30 - 120 thousand rubles.
5. Specialized furniture. Furniture must be assembled from materials that can withstand disinfectant fluids. A special plus is when the furniture emphasizes the design of the surrounding interior. Depending on the design and material from which the furniture will be made, the price can range from 40,000 to 180,000 rubles.
6. Autoclave. An autoclave is required for disinfection and antibacterial treatment of materials. Price 50,000 - 300,000 rubles.
7. Filling materials. Every self-respecting dental clinic knows that saving on filling materials ends up badly in the end: loss of the clinic's reputation, complaints from patients, etc. The cost of one set of filling materials is 2,000 - 12,000 rubles. Firms such as Uni Dent International Inc, Dentech corp have shown themselves excellently in the service market.
8. Dentist work chair. A good working chair for a dentist is an excellent groundwork for the success of any dental office. Price 3500 - 35,000 rubles.

The total cost of all the necessary equipment for a dental office is 250,500 - 2,057,000 rubles. Please note that prices are for new equipment. For used equipment, the cost will be much lower than market value.

Staff

Qualified personnel is half the success for any business. Therefore, its selection should be approached with all seriousness.

List of required personnel and requirements for it:

1. Dentist. First of all, he must have the following documents in his hands, giving him the right engage in this activity: residency and internship diploma, certificate in therapeutic dentistry, accreditation, proven experience of at least five years. If the future dental clinic is small, with one dental chair, then one or two dentists in the staff will be enough.
2. Nurse (assistant). Must have a secondary education by profession, a certificate corresponding to the profession. Professional experience - at least five years. When recruiting nurses, one should take into account the fact that there should be at least one nurse per dentist. The big advantage of a nurse is that she can do some low-skill jobs for the doctor. An example of such work: teeth whitening. This will save the dentist's labor time.
3. Administrator. No special education is required for this profession. For a small dental office, one staff unit is enough. The duties of the administrator will include: registering customers by phone, making calls to remind and clarify customer information, initial reception of visitors and other administrative duties.
4. Cleaning woman. No education required. The duties will include cleaning the clinic.

Activity permit

To open a dental clinic, it is not enough to buy the necessary dental equipment and find a suitable room. You also need to go through a procedure such as licensing dental activities. Where to start to go through this difficult procedure?

First, you need to decide what services the clinic will provide:

1. Dental treatment in children.
2. Dental surgery.
3. Prosthetics.
4. Dental therapy.

Each of these four types of treatment has its own OKVED code in dentistry (code 86.23, you can read here). And for each you need to get a license separately.

The issuance of licenses for the implementation of this activity is carried out by two state structures: a territorial state body and Federal Service for Supervision.

You can apply for a license to one of these organizations when the following steps are taken:

1. Received permission from Rospotrebnadzor. Rospotrebnadzor will issue a list of necessary equipment for licensing a dental office.
2. The staff is fully staffed.
3. The premises have been renovated.
4. Collected all the necessary documents (certificates, etc.).

After these actions, an application is written in the form for issuing a license and submitted with the entire package of collected documents to the Federal Service for Supervision or to local territorial bodies. Before submitting documents, you need to pay a state fee in the amount of 7,500 rubles.

The licensing authority reviews the application within one and a half months. During this period, the applicant needs to prepare for the appearance of a special commission, which can come at any time. The task of the commission is to verify the data that the entrepreneur indicated when submitting the documents.

If the decision to obtain a license was positive, take all the necessary documents within three days. Negative - to find out why this decision was made, to eliminate the shortcomings. Then again apply for permission to engage in this type of activity.

Total costs, benefits, payback

To calculate the total costs, benefits and ROI, it is necessary to draw up a business plan for opening a dental clinic.

Here is an example of the general average costs for starting a small dental clinic. It will employ two dentists, two nurses, one administrator, and one cleaner. The administrator will combine the work of an accountant.

There will be one dental chair in the room, the doctor and the nurse will work one at a time, in shifts. The first shift will work from 8.00 to 14.00. The second is from 14.00 to 20.00. At the point where the cost prices are, we set the average values ​​for the regions.

Consider a detailed business plan for a dental office with calculations.

Let's conditionally divide the expenses into two tables. The first table shows one-time costs. In the second - fixed expenses for the month.

Table 1. One-time expenses.

Name	Amount, rub.
Repair and reconstruction of premises	650 000
Special equipment	1 000 000
Legal support of documents	50 000

Total: 1,700,000 rubles.

Table 2. Fixed expenses per month.

Name, per month	Amount, rub.
Premises for rent	85 000
Consumable medical supplies	150 000
Utilities	7 500
Salary of two dentists	110 000
Salary of two nurses	50 000
Administrator salary	55 000
Cleaning salary	20 000
Unexpected expenses	6 000
Advertising costs	90 000

Total, per month: 573,500 rubles.

With effective advertising, there will be about 12 customers in one working day with an average check deducted of taxes of 2,000 rubles.

Revenue per day, tax deducted, will be: 12 (the number of working hours per day) x 2000 rubles. = RUB 24,000

Revenue per month net of taxes will be: 30 (average number of days per month) x 24,000 rubles. = RUB 720,000

Subtract from this revenue the fixed costs for the month and get the net revenue for the month: 720,000 - 573,500 = 146,500 rubles.

Let's divide the total one-time expenses by the net proceeds for the month to get the full payback time of the project:

1 700 000 / 146 500 = 11,6

This business project will pay off in 11.6 months. After this time, the dental clinic will start working in a "plus".

To open a dental clinic from scratch, it is necessary to analyze the market in this region, draw up a project for the future dental clinic, find a suitable premises, recruit qualified staff, draw up a detailed business plan.