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Thursday, February 27th, 2025 | by Kevin Cooper, M.B.A.

How Much Does a Dental Practice Owner Make?

Owning a dental practice is an appealing career path for many dentists. It offers autonomy, the potential for higher income, and the ability to shape the patient care experience.

The income potential for dental practice owners can vary and is influenced by several factors, including location, the type of practice, and years of experience. Understanding these variables is crucial for dentists considering practice ownership or those looking to optimize their earnings.

In this article, we’ll break down the various factors that impact a dental practice owner’s income, provide average income statistics, explore revenue streams, and discuss strategies to maximize profits.

 

Factors Influencing a Dental Practice Owner’s Income

Several factors impact a dental practice owner’s income, with geographic location being key. Practices in high-cost urban areas typically earn more, though overhead is also higher.

Specialty practices, like orthodontics, generally generate more income than general dentistry. Larger practices with more staff and higher patient volume also tend to earn more. Experience and reputation further influence earnings, as established practitioners can charge higher fees and attract more patients.

 

Average Income of Dental Practice Owners

A. National Averages

According to the ADA and based on information from the 2023 Survey of Dental Practice, the estimated median annual net income for new general dentists in private practice was $170,000. These dentists graduated from dental schools between 2018-2022.

The overall average net income for general dentists in private practice was $218,710 in 2023, and $345,860 for specialists.

B. Income Variations by Location

Location plays a significant role in income variations:

  • Urban vs. Rural: Practices in urban areas generally command higher fees due to a larger patient base and higher cost of living, but competition is often fierce.
  • State-by-State Comparisons: States such as California, New York, and Texas generally offer higher average incomes for dental practice owners due to larger populations and greater demand for dental services. Conversely, practices in states with lower populations or more rural areas may see lower income averages.

C. Income by Practice Type

The type of practice also greatly influences earnings:

  • Solo Practices: Solo practitioners typically earn less than owners of group practices due to limited patient capacity and higher individual responsibility for operations.
  • Group Practices: Group practice owners often earn more as they benefit from economies of scale, shared overhead costs, and a broader patient base.
  • Specialty Practices: Practices focusing on orthodontics, endodontics, and prosthodontics often have higher income potential due to the specialized nature of services and the ability to charge premium fees.

 

Breakdown of Revenue Streams

A. Patient Care and Services

The primary revenue for dental practice owners comes from patient treatments and procedures. This includes routine dental care (cleanings, fillings, extractions), as well as more specialized services such as implants, cosmetic dentistry, and orthodontics.

B. Insurance Reimbursements and Billing

Insurance reimbursement rates play a crucial role in determining overall income. Practices that rely heavily on insurance billing may have lower revenue compared to those that cater more to private-pay patients.

  • Private Pay Insurance: Practices that attract private-pay patients can charge higher fees, leading to greater profit margins compared to insurance-based practices, where reimbursements are often lower and subject to negotiation.

C. Additional Revenue Sources

Many dental practices supplement their income through additional revenue streams:

  • Dental Products: Selling products such as teeth whitening kits, electric toothbrushes, or at-home care products can add a secondary revenue stream.
  • Specialized Services: Offering advanced procedures like dental implants, veneers, or oral surgery can further enhance revenue.

 

Factors Impacting Net Income

A. Operating Expenses

Operating expenses significantly affect a dental practice owner’s take-home pay. Common expenses include

    • Rent
    • Mortgage
    • Utilities and supplies
    • Salaries

B. Taxes and Insurance

Dental practice owners face various tax obligations, including federal, state, and local taxes.

  • Professional Liability Insurance: Dentists must also pay for professional liability insurance to protect against malpractice claims, which can be a significant ongoing cost.

C. Debt and Loan Repayments

  • Debt from student loans and practice financing can take a substantial chunk out of income, particularly in the early years of practice ownership, but the additional earning potential from owning can help pay off the student loan debt faster compared to typical associate wages.
  • Student Loans: Many dentists carry substantial student loan debt, which can take years to pay off, affecting net income.
  • Practice Loans: Financing for purchasing or expanding a practice also impacts monthly cash flow and net income. Proper debt management and refinancing strategies can mitigate this impact.

 

Strategies to Increase Income as a Dental Practice Owner

Effective marketing strategies aid in patient acquisition and retention, complementing sound financial management practices that involve regular reviews, strategic budgeting, and exploring passive income streams to ensure long-term success and growth like:

  • Digital outreach
  • Website marketing
  • Community engagement

 

Your Next Steps to Become a Dental Practice Owner

Our experienced team is ready to help you buy a dental practice. Look through our dental practices for sale to see if we have an opportunity that would be a good fit. Contact us today to get started!

About the Author

Kevin Cooper, MBA

In 2017 Kevin joined his father at American Practice Consultants and became owner in 2023. Kevin has has assisted dentists with over fifty dental transitions, written articles for ADS Dental Transitions and serves on the ADS Marketing Committee. Kevin knows firsthand that practice transitions can be complicated, and the ins and outs of practice sales often exceed the dentist’s training. American Practice Consultants is qualified to help you with every step of the journey, including valuing your practice, marketing, negotiation, drafting contracts, arranging financing (often 100%), and planning for staff and patients through a practice transition.

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