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Dental Office Fixed Expense Guidelines: The Art of Not Bleeding Cash

December 21, 2024
Written by: Jordon Comstock

Running a dental practice without a grip on your fixed expenses is like running a marathon with untied shoelaces—you’re going down, and it’s gonna hurt. But fear not! We’re about to dive into the nitty-gritty of dental office fixed expense guidelines and how you can tighten the purse strings while maximizing revenue. Oh, and spoiler alert: membership plans will make you look like a financial genius.


What Are Fixed Expenses: Dental Office Fixed Expense Guidelines

Before we jump into benchmarks, let’s clear up what fixed expenses are. These are the costs that don’t care if you’re killing it or chilling it. They stay the same no matter what. Think:

  • Rent or mortgage payments
  • Utilities (those lights aren’t gonna pay for themselves)
  • Salaries for your core team (front desk, hygienists, etc.)
  • Insurance
  • Equipment leases

These costs are non-negotiable—like flossing should be for your patients—but that doesn’t mean you can’t optimize them.


Fixed Expense Benchmarks for Dental Practices

To keep your practice from becoming a financial dumpster fire, fixed expenses should hover around 20-25% of your total revenue. Here’s the breakdown:

  • Rent/Mortgage: 5-7% of revenue
  • Staff Salaries (Non-Provider): 10-15%
  • Utilities and Office Supplies: 1-3%
  • Equipment Leases: 2-4%

If you’re sitting above these benchmarks, don’t freak out just yet. We’ve got strategies to whip your numbers into shape.


How to Optimize Fixed Expenses Like a Boss

Here’s where the magic happens. By leveraging the right tools and strategies, you can transform those non-negotiable costs into a profit-boosting machine.

1. ARPP: Average Revenue Per Patient

The easiest way to cover fixed expenses? Make more money per patient. This is where ARPP (Average Revenue Per Patient) comes in. High ARPP means your patients are spending more on treatments, which helps offset those pesky fixed costs.

How do you increase ARPP?

  • Offer premium services like teeth whitening, cosmetic procedures, and same-day crowns.
  • Use patient membership plans (more on that in a sec).
  • Focus on case acceptance rates (more “yeses” = more revenue).

2. Membership Plans: Your Fixed Cost Superpower

If PPOs are draining your profitability faster than your morning coffee, membership plans are the ultimate game-changer. They create a steady stream of predictable income while encouraging patients to stay loyal and spend more.

Here’s the tea:

  • Membership patients spend 2X to 5X more than PPO patients.
  • They say yes to treatment 40% of the time, compared to 30% for PPO patients and 24% for cash patients.
  • They’re recurring revenue machines, paying a monthly or annual fee that pads your bottom line.

Case Study: How BoomCloud™ Helped a Practice Crush It

Let’s talk about a practice that took their membership program from meh to magnificent with BoomCloud™.

  • Active Members: 3,500 members in 28 months
  • Monthly Fee: $45 per patient
  • MRR (Monthly Recurring Revenue): $157,500
  • ARR (Annual Recurring Revenue): $1,890,000
  • ARPP Boost: Membership patients doubled their average spend compared to PPO patients.
  • Case Acceptance Rate: A whopping 42%

By ditching low-paying PPOs and implementing a rock-solid membership plan, this practice turned their fixed expenses into a no-big-deal situation.


3. Renegotiate or Drop PPO Plans

Let’s face it—PPOs are like bad exes. They promise the world but leave you broke and frustrated. If you’re not ready to drop them cold turkey, start by renegotiating reimbursement rates. But if your membership plan is crushing it, don’t be afraid to say goodbye and watch your profitability soar.


4. Make Marketing Your Secret Weapon

Patient acquisition is the lifeblood of your practice. Here’s how to ensure your marketing function isn’t just working—it’s working overtime:

  • SEO: Show up on Google when patients search “dentist near me.”
  • PPC: Run targeted ads that attract your Ideal Customer Profile (ICP).
  • Social Media: Build trust and showcase your membership plan with posts, stories, and patient testimonials.

The Metrics That Matter: Dental Office Fixed Expense Guidelines

Let’s tie it all together with the numbers you should obsess over:

  1. MRR (Monthly Recurring Revenue): Predictable income that covers fixed expenses.
  2. ARR (Annual Recurring Revenue): Your long-term revenue outlook, powered by memberships.
  3. ARPP (Average Revenue Per Patient): The ultimate measure of profitability per patient.
  4. Case Acceptance Rate: The higher, the better—more treatment = more revenue.

Final Thoughts: Stop Stressing About Fixed Expenses

Here’s the deal: Fixed expenses aren’t the enemy. They’re just part of the game. But with the right strategies—like boosting ARPP, launching a membership plan, and optimizing your marketing—you can turn those costs into a foundation for serious growth.

Ready to level up? Start by scheduling a demo with BoomCloud™ and learn how to make membership plans work for you. It’s time to stop stressing and start scaling.

My Top Podcasts

Download "The Million Dollar Dental Membership Plan" E-book!

Learn tactics and strategies from practices that have built a million dollars in recurring revenue from their membership subscriptions alone! Creating a patient membership plan is the smartest strategy to implment in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & improve your case acceptence by 3X with members. Download the book Now!

Membership Plans For Optometrists

vision-membership-plan-ebook Learn tactics and strategies from practices that have built a million dollars in recurring revenue from their membership subscriptions alone! Creating a patient membership plan is the smartest strategy to implement in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & improve your case acceptence by 3X with members. Download the book Now!

What is BoomCloud™?

BoomCloud is a software platform that allows you to create, manage & grow your own membership program. Build unlimited plans, track recurring revenue, active members metrics. Integrate your online membership enrollment with your website & start growing recurring revenue. Schedule a demo!

Fire The PPOs With These Proven Strategies!

Discover how to break free from the grip of PPOs and transform your practice into a thriving, profitable business. Imagine better cash flow, higher profits, and stronger patient relationships. It’s not a dream – it’s a reality waiting for you.

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

Watch a BoomCloud™ Demo

Power your patient membership program, Create recurring revenue, improve patient loyalty & maximize patient spend. 

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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Recurring Revenue Growth Calculator

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Calculate the hidden costs of relying on traditional PPO plans. Our PPO Loss Calculator reveals the revenue you could be missing out on and helps you strategize for greater profitability with a membership-based model.

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