Brian Dukes

Brian holds a Mechanical Engineering degree from Michigan Tech, where he also served as captain of the men’s basketball team. He began his career at Deloitte, earned his MBA from the University of Michigan, and later co-founded and scaled a technology agency to more than $1 billion in value. Today, he leads Exitwise, guiding founders through the M&A process with confidence and clarity, and has supported over $1 billion in successful business sales.

Dental practice valuation estimates your practice's total net worth based on its assets, liabilities, goodwill, and future projections. As a dentist, you need the help of a seasoned merger and acquisition expert in selling your dental practice and getting the best value out of it.

Read through this comprehensive guide to solve all your doubts about how to sell a dental practice and the aspects to consider along the way.

TL;DR - Dental Practice Valuation Steps

Like any other business undergoing a merger or acquisition, the value of your dental practice is calculated based on the assets, liabilities, and growth projections. In simpler terms, it's all about how much money your practice makes, any debts/expenses, and whether it will be profitable for the acquirer in the future.

Here are the major factors involved in estimating the value of a dental practice:

  • Value of the assets owned (real estate size and location, machinery/equipment, office decor).
  • Revenue model (one-time, subscription-based, joint-ventures, etc.).
  • Reputation and customer base, which define brand value (goodwill).
  • Patient retention rates and historical data on it.
  • Potential for growth in the near and distant future.
  • Reason for selling your dental practice.

How Much Do Dental Practices Sell For?

A dental practice can sell for 50% to 80% of its annual revenue numbers. However, the exact number of how much a dental practice is worth depends upon the dental practice valuation method used for evaluation.

The most common evaluation method considers the average EBITDA for a dental practice, which signifies its net income. It gives a dental practice valuation multiple, usually 1x to 2.5x of the annual profit.

Read further to learn about the different evaluation methods in detail.

How Long Does It Take to Sell a Dental Practice?

In our experience, six weeks is the quickest duration to sell a dental practice. However, in many cases, the actual duration ranges between six months and up to a year, depending upon the size of a dental practice and the due diligence of the involved parties. It would be best to opt for a consultation to better understand how much time it will take you to sell your dental practice.

A dentist and a patient reviewing dental imaging on a laptop screen in a modern dental office.

Solo vs. Group Dental Practice Valuations

Here's an overview of how solo and group dental valuations compare:

Factors Affecting the Value

Both solo and group dental practice appraisals consider the same factors.

We'll discuss the valuation factors in detail in a section below, but they center around revenue and profit margins, patient base, technology and equipment, and operational efficiency.

For group practices, team retention can be a significant factor in determining the value of the dental practice.

Although the two practice types consider the same factors, group practices usually have higher valuations because they have larger patient bases and revenues. They also show a better ability to spread risks and overhead costs.

Valuation Methods

Both group and solo dental practices can be valued using similar methods.

For example, the discounted cash flow analysis applies well to both types. However, it can be easier to value a group practice using this method because the business is larger and has more predictable income streams.

A solo practice works well with less intensive valuation methods, such as the seller's discretionary earnings formula.

Modern dental office with white cabinetry, turquoise chairs, and dental equipment neatly arranged.

Dental Practice Valuation for Partnership Buy-Ins

A dental practice valuation for a partnership buy-in acts as a partial sale and is done when a dentist wants to become a partner or increase their ownership over time.

The valuation determines the fair purchase price for the buy-in or the agreeable monetary payment the incoming partner should make to the current owner.

Depending on the arrangement, the new partner can pay an upfront amount or clear the payment over some time.

The parties have to agree on a partnership model, which will influence the valuation and profit sharing.

For example, when a partner is retiring and an incoming one buys in at a different level than what the leaving partner is selling, the remaining partner's share is also affected. The incoming partner may have to pay the remaining partner as well.

Impact of Technology on Dental Practice Value

Using modern technology positively impacts a business's value, and you can sell your dental practice for more.

With the latest technology in dentistry, you can stand out from the competition. The differentiation can lead to a higher dental practice value.

Technology also improves service accuracy, efficiency, and patient satisfaction.

Let's take modern dental imaging technology, for example. It can spot problems early, promote less invasive dental procedures, and lead to better patient outcomes.

You can also use practice management software for billing, record-keeping, and scheduling to free up time and improve daily operations, increasing the practice's value.

How Do Market Conditions Influence Dental Practice Valuation?

Your practice doesn't exist in a vacuum, and the market around you can make or break your sale price. Economic changes have a real impact on what buyers are willing to pay.

Here's how the market affects your practice’s value:

  • Interest Rates Shape Buyer Behavior: When interest rates rise, buyers struggle with higher costs to reach your dental practice sale price. You'll see fewer offers and more aggressive negotiations. Lower rates mean buyers can afford more, and competition increases.
  • Economic Uncertainty Drives Caution: Buyers get nervous when the economy wobbles, and this fear shows up in lower offers. During recessions, you'll notice that the sale timelines are longer and buyers scrutinize your financials more thoroughly.
  • Private Equity Activity Shifts Valuations: Private equity groups can push multiples higher when they're actively acquiring. When PE firms pull back, you lose that premium pricing pressure.
  • Supply and Demand Matters: Got three practices for sale in your neighborhood? You're competing for the same pool of buyers. Limited local competition means your valuation can be higher.

Detail of hands holding a pencil and writing on a note pad by a MacBook.

How Does Owner Involvement Affect Dental Practice Valuation?

Buyers want a practice that runs without you. Your level of involvement can either boost your value or undermine it.

Here's what buyers look at:

  1. Your Production Percentage Tells the Story: If you're producing 80% of the practice’s revenue, buyers will see it as risky. They'll discount your valuation to account for patient attrition. A practice with balanced production fetches a higher multiple because of reduced transition risk.
  2. Systems and Processes Show Transferability: Ensure you have standard operating procedures for everything. Buyers pay more for practices that don't depend on your personal relationships. Documented workflows mean they can step in without you and still succeed.
  3. Associate Performance Demonstrates Stability: Practices with productive associates who've been around for years prove the business isn't just about you. If you have a strong associate performance profile, you can justify a premium asking price.
  4. Staff Loyalty Reduces Transition Risk: When your team has been with you for five years or longer, buyers see operational continuity. High employee turnover can indicate problems that may lower your business’s value.
  5. Clinical Mix Reveals Owner Dependency: You shouldn't be the only one doing complex procedures. Ensure multiple providers can deliver the full range of services rather than just the simpler ones.

Importance of Benchmarking to Validate Dental Practice Valuation

When conducting a dental practice appraisal, benchmarking is important for validating the valuation in various ways:

  • You will be able to understand and gauge your practice's performance against its peers and industry standards.
  • You'll have a more informed and accurate valuation, so you don't oversell or undersell the business.
  • By avoiding overselling, you can sell the practice faster by attracting the right potential buyers.
  • Avoiding underselling increases your take-home because you don't leave money on the table.
  • You can easily justify your selling price to potential buyers since you can explain how you arrived at it.
  • You can identify the strengths as positives and the weaknesses as areas for improvement to maximize the value of the business.

A dentist uses a microscope to examine a patient's teeth during a dental procedure.

Dental Practice Valuation Methods

Dental practice valuation methods can be classified mainly into three different types:

1. Income-based valuation method

Income-based valuation is one of the most used dental practice valuation methods and relies upon future income projections. It takes into account the actual net income (revenue minus expenses) of your practice over the past one to three years to calculate an average.

The valuation of your practice can stand at 1x to 2.5x, or even 4x times the income. It is further divided into two valuation methods, and one or both of these can be used to calculate the final valuation. These are:

EBITDA-based Valuation Method

It is calculated based on the Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA), also known as the net income. Dividing your last year's net income with the market capitalization rate for your industry yields the valuation of your business. In the case of dental practice, the market capitalization rate falls between 25% to 31%.

Discounted Cash Flows Method

The discounted cash flow method evaluates the future growth potential of your business. It projects your practice's income over the coming ten years, adjusting the value of money over the future. Calculations under this method are complex, and you should seek help from a dependable merger and acquisitions expert for it.

2. Market-based valuation method

Market-based valuations consider the historical data for previously completed dental practice sales in your region. It works best when your dental practice is located in an area with sizable competition and previously closed deals, giving accurate data for reference.

The final valuation is based upon comparison and is influenced by factors such as the size and location of your clinic, footfall at your clinic, and reputation in the area.

3. Asset-based valuation method

Asset-based valuation determines the value of your dental practice after appraising the value of all tangible and intangible assets. Tangible assets include owned physical items like electronics, machines for diagnosis and treatment, furniture, etc. However, since a big part of the value of a dental practice is intangible, this method is not the most accurate for dental practice evaluations.

What is the average dental practice profit margin?

The profit margin in a dental practice depends upon factors like location, patient demographics, and type of services offered. However, dental practices have an average margin of 30% to 40% if you own the real estate for the clinic.

What is the average dental practice revenue?

According to a report from the American Dental Association, the average gross billings for dentists in 2022 was $830,840 for general practitioners and $1,141,780 for specialists.

A dentist’s office featuring a well-equipped treatment chair, a computer monitor, and various dental tools.

How to Value a Dental Practice - Step-by-Step Process

Here's an overview of the step-by-step process of how to sell a dental practice.

1. Gather necessary records and financial statements

The first step for dental practice valuation is to gather the relevant documents. Here is a general overview of what you will need:

  • Financial statements for the past three years for your dental practice. It includes profit-loss statements, tax computations, balance sheets (current and previous), A/R reports, and expense records (salary/commission compensation formulas, electricity, consumables, etc.)
  • Detailed lists of equipment and their depreciation schedule
  • Thorough records of all previous transactions
  • Ownership and stakeholder documents
  • List of insurance plans
  • Details of employees and copies of all existing contracts
  • Details of total active patients and changes in their number for the past 12 months
  • Intellectual property documents (patents, trademarks, websites, etc.)

2. Consult with a dental practice broker or appraiser

Once you have gathered the documents, the next and most crucial step is to contact a dental practice appraiser. It is helpful in many ways as the appraiser will evaluate the exact value of your dental practice.

Never try to appraise your dental practice yourself because you will miss out on many factors - you are a dentist, not a finance expert.

A valuation expert helps you understand your dental practice's current and future financial projections. It will help you set the right expectations for the price and make informed decisions.

3. Assess both financial and non-financial factors

Before you make the final approach to selling your dental practice, look closely at the usual factors that can impact your valuation and decision. These can include:

  • Any latest technology or unique service that can enhance the value of your dental practice deal.
  • Having well-trained staff that is ready to work with the acquirer is a plus.
  • Assessing relations with your providers and patients to rule out any chances of future conflicts.
  • Analyzing if there is fierce competition near your location.

A dentist and a woman talking at a dental clinic reception.

How to Adjust Dental Practice Valuation for Payer Mix

Your payer mix directly affects how much cash hits your bank account. Not all revenue is created equal.

Here's how to account for payer mix:

  • Calculate Your Effective Collection Rate by Payer: Add up what you actually collect and compare it to what you produce for each payer category. If your practice has 60% or more private pay, it can command higher multiples.
  • Adjust EBITDA for Payer Mix Quality: You need to normalize your earnings based on how much each payer type costs you. You need to understand that evaluating dental practice profitability means accounting for write-offs and delayed payments from each category.
  • Benchmark Against Industry Standards: Dental practices with balanced commercial and PPO exposure typically see higher EBITDA multiples. Heavy Medicaid exposure can reduce these multiples.
  • Factor in Contract Stability: PPO contracts can change annually, while Medicaid rates keep changing with state budgets. Buyers usually discount unstable revenue streams, which means you have to highlight any long-term contracts that can increase your value.
  • Weigh Revenue by Margin Instead of Volume: A practice collecting $1 million with 70% PPO contracts isn't worth the same as one with 70% private pay. Buyers apply different multiples to each revenue stream.

How to Prepare Financials for an Accurate Dental Practice Valuation

Since buyers trust numbers and not promises, your financial preparation can make or break your credibility.

You should get your financials ready in the following ways:

  1. Gather 3 to 5 Years of Complete Records: You'll need profit and loss statements, balance sheets, tax returns, and cash flow statements. Gather these for the past 3 to 5 years because buyers want to see trends. Missing data will only give buyers leverage to lowball you.
  2. Normalize Your Financial Statements: If you've been running personal expenses through the practice, remove them. Add back owner compensation above market rates and one-time expenses. You'll want to create a normalized view of your dental practice revenue to show buyers what they can actually expect to earn.
  3. Document All Adjustments with Supporting Evidence: Show buyers the receipts that support each transaction. Every adjustment requires supporting documentation to prevent buyers from rejecting it during due diligence.
  4. Reconcile Production to Collections: Buyers scrutinize your accounts receivable on an aging basis. You need to show them you're collecting at least 95% of production within 60 days. Any outstanding balances over 90 days indicate issues that can reduce the value of your practice.
  5. Clean Up Your Chart of Accounts: Inconsistent expense categorization makes buyers suspicious. Organize your financials so anyone can understand where, how, and when money flows.

Modern dental clinic interior featuring a dental chair, workstation with a computer, and minimalist decor. Bright and inviting atmosphere.

Sample Dental Practice Valuation

Let's understand the outcomes of dental practice valuation using income-based valuation methods to understand the subject.

Suppose your dental practice brings in $500,000 for the last year in net income (EBITDA) at a profit of 30%.

The net profit made by your practice is $150,000, and at a cap rate of 30% (using the capitalized earning method), the valuation of your dental practice is $150,000 divided by 30%, which comes out to $450,000.

Dental Practice Valuation Calculator

The valuation of a dental practice will depend upon the revenue numbers and goodwill.

Use our free dental practice valuation calculator before you hire a dedicated dental practice merger and acquisition expert. It gives you a free report on how much your dental practice is worth. You can also opt for a paid custom report, which includes a one-hour consultation with a valuation expert.

How to Value Dental Practice Goodwill

70%-80% of the value of a dental practice is intangible, and its most essential and significant component is goodwill. The success of a private medical practitioner largely relies upon their goodwill with the patients. Since patients like visiting the doctor, they can trust them. A dental practice with high goodwill will fetch a significantly larger valuation.

These are a few aspects that can help evaluate the goodwill of your business:

  • Consider how long you have been a dental practitioner in the exact location. The longer, the better.
  • A significant number of repeat patients indicates goodwill in dental practice. Plus, do your patients recommend others to visit your clinic?
  • Do you have reliable, experienced staff willing to stay after you sell your dental practice?

How to Use Dental Practice Valuation in Sale Negotiations

Your valuation serves as the foundation for your asking price and negotiations. As a smart seller, you must use it strategically to control the conversation and secure the best possible sale price.

Let's see how you can leverage your valuation:

  1. Anchor the Discussion with Data: Present your professional business valuation service report to make the baseline before buyers make lowball offers.
  2. Use Multiple Valuation Methods as Proof Points: Present asset-based, income-based, and market-based valuations. When different business valuation models land in the same range, buyers will struggle to argue that your practice is overvalued.
  3. Justify Premium Pricing with Comparables: Arm yourself with recent sales data from similar practices. Show buyers why your patient demographics and growth trajectory warrant a higher multiple.
  4. Separate Enterprise Value from Deal Structure: Your enterprise value is what the buyer will ultimately pay you. Net proceeds are what you take home after debt, fees, and taxes on the sale of the business. You must understand M&A valuation components like these to negotiate better pricing and sale terms.
  5. Highlight Growth Potential Without Overpromising: Show your potential buyers untapped opportunities such as expanding hygiene capacity, growing customer base, and increasing revenue. Don't oversell because they will want to discount promises they can't verify.
  6. Know Your Walk-Away Number: Decide your minimum acceptable price. Once you know that number, you can negotiate confidently without accepting a bad deal.

You don't have to do everything alone.

At Exitwise, we connect you with the best M&A experts who can guide you through every step of your dental practice sale. Consult with us today to build your dream team and maximize your exit value.

A person in a lab coat is talking to another person in a dental office.

4 Factors to Consider When Selling Your Practice

Keep these considerations in mind when selling your dental practice.

Revenue and Profitability Metrics

It is usually an excellent time to sell if your dental practice is already doing great and you have incredible profitability numbers. If your revenue numbers are uptrend, the projected value will be high, resulting in a better deal for you.

On the contrary, if your finances are not looking great, it is a good idea to wait and make improvements if you are not looking to cash out instantly for other reasons.

Patient Base and Demographics

Dental practitioners with an extensive and loyal patient base command a higher valuation than their competitors. Additionally, the patient's demographics, such as their age group and income levels, play a significant role in valuation.

Again, evaluating your current patient base and looking for improvements is best if you can spare some time before negotiating a deal.

Equipment and Technology

Use the latest technology in your dental practice that makes you stand out from your competitors. Having state-of-the-art equipment improves productivity as well as credibility among your patients. Additionally, a potential buyer will look for equipment in good working condition with low depreciation in the current state.

Deal Negotiations

Getting help from a certified mergers and acquisitions expert in dental valuation is crucial to negotiate the right deal and get the most out of it. Factors such as the transfer of intellectual property rights (patents, websites, social media following) can be overlooked, resulting in you leaving money on the table.

Three people sitting in a dental chair.

Frequently Asked Questions (FAQs)

Check out this FAQ section for answers to some common queries about how to sell a dental practice.

What Is the Rule of Thumb for Valuing a Dental Practice?

A general dental practice valuation rule of thumb is that the final valuation is 1x to 2.5x of the net income or 0.6x to 0.8x of the total revenue. Plus, 70%-80% of the value of your dental practice comes from goodwill.

Who Pays for the Dental Practice Valuation?

The seller of the dental practice pays for a valuation because the seller needs to get a hands-on report to present to the potential buyers.

How Much Does a Dental Practice Valuation Cost?

A dental practice valuation costs between $2,500 to $30,000 or sometimes even more, depending upon the complexity of the valuation and scale of the dental practice.

Conclusion

Selling a dental practice requires due diligence to ensure that the buyer gets the right value and the seller doesn't leave money on the table.

The best route to 100% M&A success in such deals is to hire dedicated dental practice merger and acquisition experts. The right team helps you gather all relevant financial data and future projections, ensuring you do not miss any detail.

Book a consultation with Exitwise, and we will help you assemble the dream team of dental practice valuation experts to seal the deal.

Get a Free & Instant Business Valuation →

Find Your M&A Expert Today

Let Exitwise introduce, hire and manage the best, industry specialized, investment bankers, M&A attorneys, tax accountants and other M&A advisors to help you maximize the sale of your business.

Project photo
Project photo