Dental cabinets. Marketing plan and advertising of a dental clinic. Of these, the main

One of the most profitable businesses of our time can be considered the provision of dental services. Private dental offices have always been and will be in demand. Therefore, many entrepreneurs are interested in the question of how to open dentistry. So, what is needed in order to start your own business in this direction?

Looking for a place

Having considered how to open your dental office, you need to find a place to start. Indeed, without it, you will not even be given a permit (license) to start doing business. There are two options here: either buy or rent. There are plenty of pros and cons for both.

So, for example, when buying a premises, you will be an independent businessman who does not depend on the ups and downs of the landlord's mood. And finding a suitable area for rent is not so easy. Well, for example, electricity, heating, water and sewerage must be present in the room. Without this today, nowhere, and doing everything on your own is very expensive.

Therefore, the conclusion suggests itself: it is still better to buy a room for a private dental office. But here, too, there is a stumbling block - this requires a large amount of money, which many simply do not have. If you have the right amount of funds, then make no mistake with the choice.

The following tips will be relevant for both buying and renting a room.

• First, try to have it located on the first, maximum second floor.
• Secondly, if you want your business to bring good profits, then look for a place where people “spin”. After all, if you open a dental clinic on the most extreme street of the city, then you are unlikely to wait for visitors.

If you buy an apartment, then, accordingly, it will be a dwelling. Therefore, before opening a dental office, you will need to re-register it as non-residential. Here you can go two ways: either do it all yourself (cheap, but troublesome), or entrust it to a company that provides similar services (expensive, but a little faster).

Required area for the clinic

According to the requirements of the SES, one dental unit requires at least 14 sq. meters of the room. When planning more jobs, add another 7 square meters. meters for each. Add to this a bathroom (5 sq. M), a room for economic activities (5-10 sq. M), a reception with a waiting area for patients (20 sq. M) and, if necessary, a diagnostic room (12 sq. M). Therefore, calculate in advance what total area is needed for work. Also, keep in mind that in the future you may want to expand your business, and you will need much more space.

Room decoration

Before you open a dentistry, and after you have rented and bought a business premises, you need to think about repairs. The main thing here is not to rush and carefully calculate everything. The main thing to be done is to bring all the necessary communications (electricity, water and sewerage) to the dental chair.

It is not worth saving on finishing the premises, since many patients can evaluate the quality of the services provided by this principle. On average, repairs will cost you 4500-6000 rubles per 1 sq. meter.

How to open a dental office: we collect documents

This part of the business project is the most troublesome. Well, firstly, you will definitely need a license to practice dentistry, which can take quite a long time to obtain (up to a year). Secondly, you need to get permission to start working from a large number of different authorities (fire department, architecture department, district administration, SES, etc.).

A little more about the license. What you need to get this document:

• certificate of ownership or lease of the premises in which dental services will be provided;
• the conclusion of Rospotrebnadzor that this room meets all sanitary requirements;
• certificates of conformity and registration certificates for existing dental equipment, as well as an agreement with a company that will service it;
• various documents confirming that the medical staff of your clinic has the appropriate education and qualifications;
• many other papers.

A license for dental activities will cost you about 1500-2000 rubles. Of these, 300-700 rubles must be paid for considering an application for its receipt and from 1000-1500 for the document itself. But, as practice shows, in order to somehow speed up the process of registration, it is worth contacting a qualified lawyer. And his services, of course, are not free - about 25-40 thousand rubles! And if you are satisfied with both the credibility of the law firm and the cost of services, include these costs in your dental office business plan.

By the way, if there is a surgical, plastic or children's department in your dental office, then a license for these types of dental activities will have to be taken separately.

The right to provide services is issued for 5 years. But if you violate any of the conditions under which it is issued, the license may be taken away. Such cases include even an incorrectly completed sterilization log.

Purchase of equipment

The next point that worries all entrepreneurs who do not know how to open a dentistry is the cost of buying all the necessary tools for the job. This part of the project is the most costly. For example, according to the licensing requirements of dental clinics, the most necessary equipment includes:

• a dental chair, the cost of which can vary from 180,000 to 400,000 rubles;
• apparatus for sterilizing instruments - from 150,000 to 230,000 rubles;
• consumables and accessories for the dental office, which will need to be purchased as they are used, from 50,000 to 100,000 rubles for each dental chair;
• tools (for one workplace) - from 50,000 to 80,000 rubles.

Additional equipment and interior items include:

Staff

Before you open a dental office, you should think about the selection of doctors. The main condition under which you must hire them is a diploma of medical education and a certificate that allows you to engage in this activity.

You can regulate the number of doctors yourself. So, for example, if the work schedule of the office is daily from 8 am to 8 pm, then it would be rational to hire 3 people.

Probably, many people are interested in the question of what the salary of a dentist is. There is nothing to hide here - with work experience of at least three years, he should receive at least 25-40 thousand rubles a month.

It is necessary to “attach” one assistant to each doctor, who will help him during the reception of patients and sterilize the instruments. His average salary is about 10-15 thousand rubles.

In addition to these workers, you need to hire a nurse (one or more), whose tasks will include cleaning the installation after the patient's admission, as well as the rest of the room and disinfecting walls, floors and ceilings once a week. The fulfillment of the latter duty requires strict control, since Rospotrebnadzor employees will analyze air samples in your clinic every month.

The opening of private dental clinics and offices is becoming increasingly popular.

They are equipped with the latest technology and can offer the most modern dental services. And the presence of fierce competition forces them to constantly improve, introduce innovative methods of treatment and diagnostics, create favorable psychological conditions and a cozy interior.

Therefore, public clinics are gradually fading into the background.

If you are interested in how you can open a dental office from scratch, you need to draw up a detailed business plan. To do this, you will need to study all the nuances of this business idea, but, first of all, it will be determined what type of private dentistry you are interested in.

Types of private dentistry

Most dentists who have worked at the State Clinic for some time eventually open their own business. There are two options: a small office and a dental clinic. Which one to prefer depends on your financial capabilities and personal ambitions.

small office

This option is suitable for entrepreneurs with little start-up capital and includes one dental chair.

It is easier to open a small office, but its profitability is lower compared to a clinic, because the choice of services is much narrower than in a full-fledged dentistry with diverse rooms.

In such institutions, people turn for a certain service or to their favorite specialist, whom they trust. Most often, a doctor in a private dental office deals only with basic treatment and teeth whitening or tartar removal.

Clinic

In dental clinics, you can provide a wide range of services:

• Consulting, diagnostics.
• Various therapeutic services.
• Surgery.
• Dental cosmetology.
• Services of a periodontist.
• Orthodontics.
• Dental prosthetics.
• Implantology.
• Children's dentistry.

One doctor cannot provide all the services listed above at the same time, because each of them requires a separate diploma and license. The presence of specialists of different profiles, and, consequently, the ability to provide a huge selection of dental services, leads to the fact that private dentistry is in greater demand than small offices.

Opening planned

To open your own dental office or clinic from scratch, you need to prepare for a long organizational stage. It includes opening a bank account, ordering a print, buying a cash register, a cashier's journal, as well as books to control income and expenses. But first of all, you are in for a rather exhausting process of preparing documentation and obtaining a variety of different permits.

Registration

The required documentation depends primarily on how you plan to provide dental services.

If you open a dental office in which you personally plan to provide services, then registration of an individual entrepreneur will be required.

If you plan to hire staff and set up a full-fledged clinic, you need to register an LLC. Depending on the services offered, you need to enter all the necessary OKVEDs in the documentation. For medical practice, select 85.12 , and for dental - number 85.13 . Separate registration with the tax and pension fund is required.

Licensing

You will need to obtain a license for each individual medical direction. This requires an appropriate employee, to whom there are clearly defined and rather stringent requirements. He must have experience, certificate and diplomas.

Once you have selected the appropriate staff for each planned service, you can apply for a license.

Remember, getting it is hard enough, but you can lose it in the blink of an eye. Even an incorrectly completed sterilization log can serve as a reason for this.

Room search

The choice of premises is extremely important. It is desirable that the place be quite crowded and with a convenient entrance.

As for big cities, take care of convenient transportation, because not all customers have their own car. And the convenience of locating your dentistry for many people can be a key factor in their choice. In addition, the future dental office should be located on the ground floor in a private house or, alternatively, in an administrative building.

The ideal option is to buy it. After all, firstly, a license is issued for a specific address, and secondly, you will have to make repairs and bring in a lot of special communications. In the event of termination of the contract with the landlord, you will have to start the dental business from scratch, which will lead to significant financial losses.

In addition, the two-year cost of renting a room suitable for dentistry is equal to buying a small apartment.

If the room is located in a residential building, there are several nuances. First, it must be transferred to a non-residential fund. To do this, you need to contact the city hall, namely the department of architecture and urban planning. There you will receive a list of organizations in which you will need to obtain the relevant certificates. They are paid, and there are usually no problems with getting them.

And secondly, before buying a room or signing a lease, you need to talk with the owners of adjacent apartments. Because later you will need to provide the relevant authorities with their written and notarized permission to equip the dental office.

Repair

You need to start ordering projects of a technological and architectural nature.

They must be approved by a number of organizations:

• consumer supervision,
• traffic police,
• Giltrest,
• non-departmental expertise,
• Kompriroda,
• fire inspection,
• Protection of monuments.

After obtaining all permits, you can start repair work. It is desirable that each office has one dental unit. So your patients will be much more comfortable and calm. If the layout does not provide for this possibility, it will be necessary to change it.

Consider the cost of water supply, sewerage and wiring.

Communications must be brought under the flooring directly under each dental chair. It will not be superfluous to think in time about replacing the ventilation system, as well as installing an alarm.

High-quality modern repair is the face of your dental clinic or office, so you should not save on it. The design should not only be beautiful, but also create the most comfortable and pleasant atmosphere.

Equipment

The opening of a dental clinic involves the purchase of special modern equipment. All equipment and medicines must have a certificate of conformity and comply with sanitary rules.

Staff

In a dental clinic, qualified staff is the most important thing. This applies to both doctors and assistants. Then the work will go smoothly. Dentist and nurses work for six hours a day, so the best solution would be to recruit employees to work in two shifts. And the salary for a medical worker will be the minimum 1-2 salaries.

In choosing, focus on the relevant education, as well as work experience. For example, a dentist must complete a residency and internship. In addition, he must have at least five years of work experience.

Without meeting these requirements, you will not receive a license.

In addition to specialists, in order to open a dental clinic, it is also necessary to find medical workers who will provide hygiene services and help doctors during various dental procedures. They must have a secondary vocational education and a certificate.

You will also need an administrator. If desired, you can hire a security guard, accountant, supply manager and manager. But, as practice shows, most often these duties are performed by the owner himself in order to reduce costs, especially if the clinic is small.

Watch a video about the main mistakes of the administrator of the dental office

Getting permission

Opening a dental office or clinic from scratch is possible only after obtaining the appropriate permits. It is necessary to ensure compliance with fire safety standards, Rospotrebnadzor and SanPin.

For this, the following package of documents is submitted:

1. Statement.
2. Extract from USRN.
3. Certificate of registration of an individual or legal entity.
4. TIN certificate.
5. The passport.

Rospotrebnadzor requirements

According to the requirements of Rospotrebnadzor for one dental unit, the area should be at least 14 sq.m., and for all subsequent seven. Therefore, for a small dentistry with one chair, it will be enough 30 sq.m. with sufficiently high ceilings (from 3 meters) and one-sided daylight.

The footage is allocated to the office itself with a dental chair, approximately 10 meters provided for the hall and 5 - to the bathroom. The room should be no more than 6 sq.m.

According to the requirements of Rospotrebnadzor:

• For three or more dental chairs, you will need a sterilization room with a footage 6.q.v.
• 11 squares stands out for the x-ray room, and more 5 - for the processing room.
• For the office of the orthodontist and orthopedist, you will need about 15 sq.m..
• 15 sq.m. necessary for opening a children's room, as well as implantology.
• For the toilet, administration and other auxiliary premises, it is necessary to allocate additional 30 squares.

SanPin

To open a private dental office, you need to know the relevant SanPin standards for placement, interior decoration, medical equipment, microclimate, heating and much more. To obtain permission in this instance to open a private dentistry, it is necessary to provide a list of prepared documents in a private house or administrative building.

Required to submit:

• BTI plan.
• Proof of ownership/lease agreement.
• Agreements on disinsection, deratization, disinfection, laundry, processing of fluorescent lamps and garbage disposal.
• Expert opinion regarding air, water and flushes.
• Microclimate and lighting indicators.
• Explication.

financial question

The threshold for entry into the dental business is approximately $80,000-200,000. In addition to the start-up capital, which is detailed in the business plan, in order to open a private dental office from scratch, there are a number of fixed monthly costs to consider.

Of these, the main ones are:

• Payment to the staff of the dental clinic.
• Consumables and accessories.
• Stationery.
• Advertising.
• Payment for rent and/or utilities.

How much does it cost to open a dental office?

The cost of premises for a private dental office or clinic can be very different.

It depends primarily on whether you buy it or rent it, as well as on the location - the cost of real estate differs significantly, for example, in the capital and a small town.

The remaining points can be approximately calculated, but the final amount for each individual entrepreneur who wants to open a private dental office from scratch will be different.

Article title	Cost, c.u.
Equipment	from 15000
Repair	120-250 per 1 sq.m.
Licensing	from 1300

Benefit, payback

In the field of medicine, dentistry has always been one of the most highly profitable industries, since all people periodically have to treat their teeth, as well as undergo a scheduled examination twice a year.

As practice shows, a dental office or clinic begins to pay off in about a year and a half.

Analysts say that both hired doctors and owners of private dental clinics receive high incomes. However, do not expect a crowd of customers from the first day of opening. If you have your own base of potential customers, then things will go better. But even in this case, success is a matter of time and professionalism.

For the owner of a private dental clinic or a small office, as well as for any other business, it is important to analyze the progress of activities at the time. For example, what services are most in demand and what is the approximate cost of one average visit. It can prompt further development and competitive advantage. And also this method of work will allow you to control costs, if you properly distribute the procurement scheme.

Marketing plays an important role in business development. Social media promotions are popular these days. And if the main contingent of your office is young and middle-aged people, then why not try this method. Although you should not discount effective advertising in transport, public institutions.

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.

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 space. 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.

Private medical services are in great demand among the wealthy population. One of the most expensive procedures is dental care. How to open a dental office and how much does it cost? To answer this question, you need to draw up a business plan with calculations of investments and profitability of the project.

It is possible to organize a dental office both with a medical diploma and without a specialized education. In any case, it will not be possible to independently conduct activities - assistants, nurses, specialists in various types of manipulations are needed.

Business plan

You need to start opening a dental office by writing a business plan:

1. Concept development.
2. Finding a room.
3. Study of regulatory requirements.
4. Purchase of equipment and materials.
5. Personnel selection.
6. Company registration.
7. Business advertising.
8. Calculation of the amount of investments, expenses and income.

A detailed business plan with calculations performs several functions - it helps an entrepreneur to launch his project, and will be required in case of raising credit funds or working with partners.

Concept

All other stages of opening dentistry depend on the basic decision - what range of services will be provided. Usually in Russia they open either a small office or a clinic.

The office assumes a minimum area, one assistant and a limited set of services:

• installation of seals;
• whitening;
• removal of the stone;
• gum treatment;
• prevention.

This choice is made by specialists from public hospitals. With an established client base and established reputation, the dentist has a good personal income.

The clinic is distinguished by a large selection of equipment and specialists who see patients at different times. Due to this, a wide range of services is provided in two or three offices:

1. Treatment of teeth and gums.
2. Removal of teeth.
3. Surgical operations.
4. X-ray.
5. Hygiene and aesthetic procedures.
6. Prosthetics.
7. Children's dentistry.

Clinics are more in demand and profitable, as they allow the patient to solve several problems in one place. Opening a clinic from scratch will cost much more than an office.

In order not to promote your own brand, you can purchase a franchise. However, in the dental business, this option does not have the same benefits as in other industries, because the income of the enterprise is brought by specialists. The franchisor does not provide employees, the entrepreneur himself recruits staff. If the patient does not receive quality services in a well-known clinic, then the reputation will be damaged and the investment will not pay off.

Here you can download for free as a sample.

room

When looking for a suitable location for a dental office, it is important that visitors have easy access to both personal and public transport. Often, in case of urgent need, people turn for the first time to a hospital near their home or work, and then become regular customers.

A common option for the location of the office is the first floor of a building or residential building. If an ordinary apartment is bought for business purposes, then it must be transferred to a non-residential fund and the consent of the neighbors for the arrangement must be obtained.

The procedure for re-registration of an apartment for a dental clinic is multi-stage and lengthy:

• City Architecture makes a list of documents that must be provided.
• BTI, SES, GAI, housing department, city council issue certificates of the established form.
• Based on the collected package of documents, the architecture makes a conclusion and an architectural and planning task.
• The project is carried out by a specialized organization.
• The architectural department approves the reconstruction project, for which it is necessary to obtain permits from a number of city organizations.
• After the completion of the repair work, you need to issue a commissioning certificate. It is signed by: fire supervision, sanitary station, state traffic inspectorate, committee for nature protection and management of nature management, service for the protection of cultural heritage sites.

Acquisition of premises in the property is the most correct decision, since dental equipment is rigidly mounted, communications are connected to it.

If the entire structure is located in a rented building, and the contract is terminated, then a lot of time and money will have to be spent on dismantling, transportation and installation at a new location. In the face of a lack of start-up capital, it is better to take a loan than to expose the business to the risk of moving.

Regulations

The premises must comply with the following regulatory requirements:

1. To accommodate one chair, you need 14 sq.m.
2. For an additional chair in the same room, you need another 7 sq.m.
3. Reception - 10 sq.m.
4. Bathroom - 5 sq.m.
5. Sterilization room - 6 sq.m.
6. X-ray room - 17 sq.m.
7. Offices of other specialists - 15 sq.m.
8. The height of the room is more than 3 m.
9. The distance from the window to the opposite wall is no more than 6 m.
10. Availability of plumbing with hot and cold water, sewerage, electricity, ventilation.
11. Finishing materials must be certified, comply with sanitary and hygienic and fire safety standards.

Water supply, sewerage and power supply are connected directly to the dental chair under the floor. It is important that these works are done with high quality, because it will be problematic to fix the shortcomings.

The minimum allowable area for a dental office for 1 chair is 30 sq.m. The location of the clinic will require a large three-room apartment or a separate building.

Equipment and materials

Modern high-quality equipment attracts professionals to the clinic, who, in turn, attract patients. As in the case of the premises, it is better not to save money and purchase new equipment.

The minimum list of equipment you need to open includes:

• Dental chair with a set of sleeves connected to it, providing manipulations: water and air supply, micromotor with straight and contra-angle tips, turbine, ultrasound for removing plaque and tartar. A fully equipped installation of well-known manufacturers costs 10-20 thousand dollars.
• Replaceable spare nozzles. For each procedure, a wide variety of tips are used in shape, materials, coating.
• Tools - mirrors, clamps, tweezers, pens, diagnostic probes, spatulas, syringes, needles, trays.
• Heliocuring lamps for fixing the composition.
• Apex locators for determining the working length of the root canal of the tooth.
• Autoclave for processing and disinfection of instruments.
• Sterilizer.

In dentistry, it is often necessary to take x-rays of a problem area. Equipping a separate office is expensive, so you can purchase a radiovisiograph, which is a simplified compact version of an x-ray and is connected to a dental chair.

The clinic needs furniture:

1. Cabinets for storing tools, materials, clothes.
2. Mobile cabinets on wheels.
3. Tables.
4. Chairs and armchairs.
5. Shelving.

Consumables account for the smallest share of costs:

• filling compositions;
• personal protective equipment and hygiene (masks, hats, glasses);
• disinfectants;
• medications.

If it is intended to provide a wide range of services, then more equipment and working materials will be required.

Staff

How to open a dental office without employees? Salary costs are indispensable - even a small project founded by an entrepreneurial dentist needs to hire a nurse to assist in the reception of patients and a cleaning lady. All other functions of record keeping, procurement of materials, general business management are usually performed by the owner of the dentistry.

The clinic recruits specialists of various profiles, depending on the list of services provided. The qualifications of doctors determine the popularity and profitability of the institution, so they select employees for a long time and carefully. In addition, it must be taken into account that a license is issued separately for each type of activity, which means that cooperation must be long-term.

Licensing requirements for personnel:

1. Medical worker - secondary medical education, certificate "Preventive Dentistry" or "Nurse in Dentistry".
2. Doctor - higher professional education, residency, internship, certificate in his field of work, work experience 5 years.

According to labor protection standards, the working day of dentists and nurses should not exceed 6 hours. If it is planned to receive patients in the office from morning to evening, then the staff should have 2 doctors and 2 nurses for shift work.

Before the clinic gains fame and a constant stream of clients, highly qualified dentists will have to be paid from start-up capital. Usually doctors receive a salary plus a percentage of the revenue, nurses and other staff receive a salary and incentive payments.

Registration

Providing services in a dental office without permits is illegal. After the premises are prepared, equipped with equipment, and agreements are made with the staff, it's time to register the business and obtain licenses to provide dental services.

The sole owner of the enterprise draws up an individual entrepreneurship, several founders choose the form of a limited liability company. The most beneficial form of taxation for dentistry is a simplified system of the "income minus expenses" format. To accept cash payments, you will need to purchase and register a cash register; to work by bank transfer, a bank account is opened.

After registration with the tax office, the rest of the permits are obtained - in Rospotrebnadzor, fire supervision, SES, FSNSZ. Licenses are issued indefinitely if specialists have medical certificates, and if the equipment, premises and materials meet the standards.

The documentary stage of putting the business plan into action takes from 3 to 9 months and 70-80 thousand rubles.

To attract the attention of customers to a new dentistry, at first it is necessary to invest a lot of money in advertising:

• create a website on the Internet and promote it;
• manage groups in social networks;
• place ads in the media;
• provide services at dumping prices in the first month of operation;
• provide discounts to pensioners, schoolchildren, regular customers.

Video: mistakes when opening a dental clinic.

Economic calculations

The cost of buying a room is the most significant part of the cost and depends on the area, condition, area. If you go through the procedure for transferring from the housing stock to non-residential, then the costs will increase even more.

To calculate the profitability of the project, determine the amount of fixed costs and calculate the planned income. The annual operating costs are approximately:

The average revenue of similar establishments in the industry is 4,000,000 rubles. in year. After deducting expenses, the profit is 2,550,000 rubles. in year. The initial investment in the business will pay off in 2.5 years.

There are 3 ways to increase the profitability of a dental office:

1. Cost reduction.
2. Price increase.
3. Attracting clients.

The first two methods are not always applicable. You can expand your audience by studying the demand and offering services that competitors do not have.

The owner of dentistry, who simultaneously performs the functions of a doctor and an entrepreneur, must not only keep track of medical news, improve his professional skills, but also actively develop his business. In this case, the project will become stable, profitable and successful.

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