Revenue Is Vanity. Profit Is Sanity.

Improve Dental Profitability.

Revenue gets the headline. Profit pays the doctor. Most dental practices growing revenue 15% a year are growing profitability less than half that — because their overhead grew with them, their write-offs got worse, and their team turnover quietly cost $200K. Profitability coaching is the math the rest of the industry doesn't want to talk about.

Improve Dental Profitability. — Practice Management Systems

The four profit levers.

  • Fee schedule discipline — most practices leave 8–15% on the table with stale fees and write-offs
  • Case acceptance — every percentage point of case acceptance is high-margin production with no overhead increase
  • Hygiene production — most hygiene programs leave 20–30% on the table; the recovery is high-margin
  • Team retention — one bad front-office hire costs $35K; reducing turnover from 40% to 10% is six figures a year

What we don't cut.

We don't cut team pay to improve profitability. We don't cut continuing education. We don't cut quality. Cutting is what consultants do to make a quarterly P&L look better. Coaching grows the practice past the cut.

Want this audited against your practice?

45 minutes with Tammy. She'll walk through one of your typical weeks and show you what would lift production first. No commitment.

Free Assessment

What a good profit margin looks like.

A well-run general dental practice produces 35–45% owner profit margin (after market-rate doctor compensation). Most practices we engage with are at 18–28%. The gap is recoverable in 12 months without cutting anything that matters.

Tammy Duncan — Practice Management Systems coach
Our Body of Work

Improving dental profitability, by the math.

Our body of work clearly demonstrates we are one of the best dental profitability consultants in the United States. By helping our customers recover write-offs, tighten margin discipline, and scale hygiene production without added overhead, the results are consistently 35–45% profit margins after market-rate doctor comp, recovered six-figure annual leaks, and owner-take-home growth. See how this work compounds across our broader coaching cluster: increase dental revenue, dental fee schedule analysis, and dental practice coaching.

Frequently asked.

What's the average dental practice profit margin?

Industry-wide it ranges 20–40%. Most uncoached practices land 20–28%. Well-coached practices land 35–45% after market-rate owner compensation.

Should I cut payroll to improve profitability?

Almost never. Payroll cuts trigger turnover, which costs more than the savings. The faster path is increasing the production per existing team member through coaching.

How long until profitability improves?

Fee schedule audits and write-off cleanups land immediately. Case acceptance work shows in 60 days. Hygiene optimization in 90 days. Team retention savings compound over 12+ months.

How is this different from accounting?

Accounting tells you what already happened. Coaching changes what happens next month. Both matter.

What if my practice is already profitable?

There's usually still 10–15 points of recoverable margin in profitable practices. The work is whether the recovery is worth the effort. Tammy will tell you that on the assessment call.

Do you guarantee profit improvement?

We guarantee the work. Profit guarantees are how consultants get sued.

How to improve dental practice profitability without cutting team pay?

Four levers. Fee discipline. Case acceptance. Hygiene optimization. Team retention. Dental practice overhead is rarely the actual problem — even though it gets the most consultant attention. Dental practice efficiency improvements show up as overhead reduction but the lever is production-per-team-member, not cost cutting. Dental margin improvement that hurts the team always reverses within 12 months.

What's the average dental practice profit margin and what's a good dental profit margin?

Industry average is 20–28% owner profit after market-rate doctor compensation. A good dental profit margin for a coached general practice is 35–45%. Specialty practices reach 45–55%. Dental practice profit isn't just about revenue — dental practice financials matter more than dental practice production once you cross $2M.

How to reduce dental overhead without reducing quality?

Audit lab bills against actual lab work delivered. Renegotiate the top three vendor contracts (supplies, lab, IT). Move from per-procedure scheduling to block scheduling — same revenue, less wasted chair time. Dental profit margins improve faster from production-per-hour increases than from cost-side cuts. Practices that lead with overhead cuts almost always lose revenue at the same rate they cut cost.

Revenue is vanity. Profit pays you.

Free 45-minute assessment. Tammy will give you the four highest-leverage profit moves for your practice. No commitment.

Free Assessment