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Message Board
Views: 162 | Replies: 5
: expand, build a new building, and hire associate OR start dropping insurances to reduce patient load and hopefully get more profitable. I don't like plateauing and I don't like being stagnant. What experiences have you all had when encountering this issue? I feel like its inevitable. Is expanding
April 23, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 392 | Replies: 8
I have been practicing for 15 years and really haven't seen inflation in fees yet I have seen inflation in overhead... ie staff, insurance, etc. Considering the staggering debt students take on ... at what point in time can we expect to see inflation in dental service remuneration I increase my
March 02, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 122 | Replies: 18
financing?? Wake up, you are dreaming. When interest rates are low, zero rate financing is common. The money costs less. Auto loans are where this is seen often. The manufacturer has captured the entire deal, All the big car companies have a finance division. Hell Tesla is selling Tesla insurance now
April 22, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 103 | Replies: 4
Hi,I had Gendex 8500 2D panoramic.It had calibration issue and than stopped working due to problem in rotation motor.I called the equipment repair mentioned not able to repair, parts are not available.Called the insurance for coverage.After visual inspection speaking to equipment repair guy
June 15, 2024
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 38 | Replies: 0
I'm shopping for a good premium to insuremy2 practices and 2 commercial buildings. I currently pay about $8k a year in premiums between those 4 policiesand I think I can get a better deal and a fair shake if I looked elsewhere. All current policies are with Westfield Insurance. Any good tips or referral would be highly appreciated. Cheers!!
May 14, 2018
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 864 | Replies: 40
to rise faster than inflation. In contrast, service and physical labor remain constrained by time, location, and human limits, while facing rising costs for housing, healthcare, insurance, and compliance. This imbalance is not driven by effort or social value, but by economic structure. Jobs
January 28, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 185 | Replies: 3
What company do you use? And how is it set up? I'm embarrassed to admit that I haven't gone over my policy closely till now. Commercial liability - 1 mil damage to rented premises - 300k medical exp - 5k (does it need to be higher?) personal and adv injury - 1 mil Aggregate - 2 mill workers comp...
December 12, 2022
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 552 | Replies: 14
a quick email along the lines of yeah we pulled your credit and you are fine, when you find a practice we will be happy to process your application if that helps. I've only seen denials for financing based on very serious credit issues with the borrower (1% of the time) or problems with the financials
September 05, 2019
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 23 | Replies: 2
Hi, Have a couple digital sensors paying $32 per month and a Cerec unit paying $18 per month to insure. Wonder if there is a cheaper alternative? Thank you I would read the fine print on any policy. If you go with a policy outside of the manufacture you are probably wasting your money. Who knows...
November 17, 2020
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 207 | Replies: 6
......but your friend is taking crazy pills to change things up I say. Depends on the state. Medicaid is different in different states. I think Iin Delaware if pays better than most ppo insurance oh hell no. Guy is looking for a heart attack and a divorce. I do that much out of 9 operatories and I feel burned out (I only work three days a week too, shit). Ain't worth the money, will never be worth the money. Death is near. Tell him to come and take my spot
January 29, 2026
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 419 | Replies: 9
So, I'm in the process of securing a 1 million loan. Little did I know that this requires a few things for SBA. I thought it was just apply, no house/car debt/student loans, 8-10% and sign on the dotted line and done..... One being Life Insurance, some require disability insurance, and some
January 03, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 1103 | Replies: 40
the lines of, The price of doing business has gone up and insurance reimbursements have stayed the same or gone down. Any other pearls?Chances are that the plans you are dropping are already sharing panels with the plans you are keeping. You might find that it is a no brainier and should have done
December 16, 2015
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 195 | Replies: 5
If any insurance plan covers a panoramic film every 5 years then should my hygienist be taking then? Only if you feel they are indicated.........just because insurance will cover them is not a good reason to. However, if you're wanting to screen wisdom teeth, periapical pathology, cysts, tumors
May 15, 2014
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 420 | Replies: 26
chairs are $$$. The weight limit is the weight limit, I can't change it. Very iffy situation sometimes. I was just wondering if your insurance would pay for the repair or replacement of the patient chair that broke as a result of a robust bodied patient? Jim No joke. As America continues to grow
February 20, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 631 | Replies: 62
. If not removed, principle will quadruple in 20 years. What am I missing??? a HUGE commission for your financial planner. about 1.5-2.5% upfront charge for the insurance contract. Additionally, why would you take an already tax-deferred vehicle--the Simple plan and replace it with an already tax-deferred
August 16, 2010
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 362 | Replies: 7
that. Their official diagnosis was that it was just a temporary exacerbation of the normal tremor everyone has. Well I wish I hadn't done that because I applied to Principal for disability insurance and wascompletelyrejected because of this. Despite reading the chart notes they were sent, which
July 23, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 193 | Replies: 9
father), anddon't do anything without a permit! If the lease requires the landlord's consent and you don't have that in writing - or, if you build without a permit, either or both of those will be used against you if you ever file an insurance claim. Insurance companies look for every possible reason
July 29, 2023
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 343 | Replies: 3
When applying for a loan to so a start up, application states to get life insurance paid to bank in the amount of the loan and disability insurance ($5700 a month at year 4) is that pretty standard or do you negotiate , also approximately how much will disability insurance cost to cover $5700
September 10, 2016
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 631 | Replies: 62
is 387kyes the past few years have been crazy but realize that 2009 was up 35%. 8% is the historical average.annuity income taxed as earned incomeOk, so it looks like I'm not that bad off. I have additional insurance and I have something to borrow against in 20 years. Remember, this is the conservative
December 09, 2014
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 413 | Replies: 6
insurance? It's a requirement for practice loans and for almost every landlord. Why would you need a new loan?I have ins. for personal property (my equipment) & my income(business interruption). I didn't own the building & now I'm out, looking for a new space to lease. Since there is no dental
May 13, 2016
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 396 | Replies: 8
issues: 1) They asked for the same documentation again and again. It would get lost, someone else would need it, now we needed it again because too much time had elapsed since we last submitted it. That was annoying 2) I was asked for various proof of insurance about 20x for the building. I've sent
December 30, 2020
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 383 | Replies: 4
approximately 100k in savings and 100k in working capitol. So about 200k in laons/personal money. Considering I won't get insurance payments til month 2-3. Is it just live frugal and dip into working capitol to pay for overhead costs? When can I anticipate insurance checks coming in? How did you survive
April 12, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 399 | Replies: 16
. Great question. The conditions spell this out. Does the bank require a primary banking relationship? Does the bank require life insurance? Does the bank require disability insurance? All of these add to the true dollar figure of the loan. What are you smokin' Wood? I already have life/disability
March 17, 2023
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 1323 | Replies: 37
, so 92% sounds insane. At the end of the day you collected a ton if its truly 2.2 mill. High staff cost? Expensivelab? Enormous insurance write offs?What the heck forced you into 8% take home? I had cheap staff, in house lab (that might have been more expensive, but really convenient) Enormous
May 31, 2018
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 637 | Replies: 26
stephen.curtis@bofa.com (310) 926-3320 Start Ups Ali Karjoo ali.karjoo@bofa.com (949) 324-1604 Provide Matthew Christie matthew.christie@getprovide.com (916) 837-6288 USBank jeramie.eimers@usbank.com (605) 681-7371 I agree with jason about the insurance. I didnt know. I accepted a loan from a bank
March 05, 2022
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 541 | Replies: 11
the note or the partner borrows against other.assets they own or gets funding from some other source like the bank if Mom and Dad... You may have to rethink the buyin structure...Each partner would pay his/her own debts and personal expenses. Example: Partner One Malpractice Insurance Life Insurance
September 13, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 199 | Replies: 1
are contracted with an insurance company as a participating provider you are NOT required to honor the PPO fee if it is a non-covered benefit under the patient's policy. In other words, if the insurance company isn't going to be paying for the benefit they can't hold you to the fee schedule. As of January 2012
September 12, 2016
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 293 | Replies: 14
for us I did it 6 months ago. I did a chart audit to approximate active patient count, which insurances, etc.,, worked very well. Already saw around 250 of these patients. I put a per chart price for every patient that completes an initial appointment. How much did you pay per chart? $50. The key
October 16, 2023
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 346 | Replies: 6
want to deal with banks/fees/collaterals/insurances etc. What would yousuggest? I don't want to deal with banks/fees/collaterals/insurances etc. You just answered your question... Just pay for it yourself 😀 With bank rates so low, in my opinion it would be much wiser to invest those
September 22, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 119 | Replies: 0
. The office is 3 ops with room to expand 2 plummed rooms that are currently being used for other rooms. Part of me likes the idea and can see myself in a small practice charging good fees and not taking every insurance under the sun. Making a good name for myself in the community and not having
October 05, 2018
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 358 | Replies: 2
in full every month). Additionally, we will need a Landlord Waiver Signed prior to closing - my documentation group will draft the LLW and can assist with it's execution o An assignment of life insurance in the amount of $875,000 naming PNC as payee will be requested - my documentation group
December 30, 2015
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 861 | Replies: 16
and ready to move on. I think its best I start shopping around regardless of the existing relationship. Who is giving out loans fast and easy these days? Which bank is being aggressive?? I DO NOT want to deal with B of A because of the stipulations like life insurance being tied in etc etc. Thanks
March 03, 2019
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 667 | Replies: 15
comes in really for the first 30 days you own, and you have the bills and payroll. There is only so much you can borrow.Some costs prior to closing,Definitely:CPAAttorneySecurity deposits and first months on leaseCash for your living expensesVarious insurance premiumsPossibly:Demographics reportsTravel
December 29, 2020
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 649 | Replies: 8
as above )? Rate % and whether Fixed ? Any revolving line of credit and for how long ? Documentation fee? Collateral ( specify, like life insurance, your other offices etc ) ? Personal Guarantee ( yes
May 17, 2018
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 947 | Replies: 51
not succeed in any type of practice. Denver, Laz has successful business and both takes Medicaid. Tommy is successful while takes no insurance of any type. One common thread is that ALL have skill, willingness to produce.
July 22, 2024
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 1936 | Replies: 72
. This figure keeps me up at night. I am wondering if the value of our NP being in a lower demo is lower than average. Since we have very low barriers of entry (we get them in that day or the next, 20$ exam if no insurance) I would imagine our NP figure is inflated due to some of them never going
May 16, 2019
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 148 | Replies: 0
Does anyone know if insurance companies are reimbursing the below codes from 2013/2014??
January 13, 2015
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 3372 | Replies: 57
overhead is 75% , be careful with BK Consult attorney yesterday I bought a practice/RE at peak price. Then ran into economy downturn, cheating OM wife (she even put her bf on my practice medical insurance policy!), father got cancer - all within a few years of starting. Bank didn't want to help. So
December 11, 2017
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 1716 | Replies: 60
and office has been on decline for years. Not pushing production, not updating fees, not negotiating with insurance, not learning new procedures, not evaluating any metrics, AR can be lax, supplies are ordered from rep with no consideration to overhead, and everything is run through the office. Often
July 03, 2025
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 88 | Replies: 0
Curious if there are unique business models in dentistry. My mind is spinning with crazy ideas. We get paid (in the US) by procedure. Has anyone tried a different self pay model? Maybe something like a DMO but without insurance? Just curious who's stretched the envelope of ideas and if any unique business models has been successful ?
May 27, 2019
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 693 | Replies: 8
incorrectly, however these are great questions that are usually handled prior to the acquisition of a practice by your advisors, not afterwards. Did you acquire the practice in an LLC or individually? How are you handling insurance contracts with the previous owner and yourself? I should have
August 31, 2015
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 268 | Replies: 7
with patients. This number isn't a definite number. Alot depends how you look at the numbers. For example, if the UCR is put in the ledger and then insurance write-offs are taken, if you simply take collections divided by production, 84% might be a good number. Depends how the numbers are analyzed
July 01, 2020
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 597 | Replies: 14
because of owner ortho included. Also included is hygiene 1 day per week (estimate 20000 net), hygienist is paid on production. The sale includes the office space which is debt free. There is a special difference between our country and the US/Canada. Not anyone can just accept insurance (PPO
July 09, 2015
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 392 | Replies: 5
)More bookkeeping and accounting hassle with three different entities each having separate payroll, reporting and taxes 3)Need to change everything in the office to the new general partnership entity New NPI Contact and billing with all vendors and suppliers Change of business insurance
January 20, 2014
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 501 | Replies: 7
it out until you find a buyer....god willing you still have the energy and the health to keep working until then...Tough sale. Most likely bank was covered with a life insurance plan. They probably give zero Fs what happens to it now. Thats insane. He wasted 10 years of retirement to find a buyer
July 20, 2024
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 1032 | Replies: 28
the path of doing that research I stumbled upon a few Liquor stores for sale. They are pretty compelling business' to own/operate. Consider this: 195K for a long exhisting liquor store with owner profit at 75K, with the owner working 40 hours during daytime in the store. No insurance accepted Compare
January 21, 2019
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 147 | Replies: 1
4 ops with 2 other ops up fitted in the future. Thanks. You need to get bids in your area. Could range from 90 to 120 per foot plus the dental equipment.Read the start up threads if its a start up regarding how much working capital for once you are running.For my acquisition, I took 1 month of working capital to hold me over while insurance was coming in. But I had 6+ months of personal living expenses saved too. Different animal.
February 25, 2021
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 126 | Replies: 2
. Employee advertising a. Dentalpost b. Craigslist c. Indeed 22. Nitrous 23. 401K 24. Insurance a. Malpractice b. Property c. Umbrella d. Business e. Workmans comp 25. Professional licensing a. Dental b. CPR 26. Loan a. Dental 1). Equipment 2). Supply 3). Back upmost b. Student c. Building 27
June 07, 2024
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 53 | Replies: 0
to medical cross coding to optimize practice revenue. I believe this may have been a well kept secret prior to the ACA, but with insurance carriers coordinating benefits so closely now, and with the complete overhaul of plan benefits and limitations, I do not think this service would be beneficial
February 01, 2016
Equipment, Acquisition & Practice Expansion Financing
Message Board
Views: 63 | Replies: 0
seminar with regard to medical cross coding to optimize practice revenue. I believe this may have been a well kept secret prior to the ACA, but with insurance carriers coordinating benefits so closely now, and with the complete overhaul of plan benefits and limitations, I do not think this service
February 04, 2016
Equipment, Acquisition & Practice Expansion Financing
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