Definition of the “Office” format among other forms of running 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’s not for nothing that faculties of this type in medical universities are considered the most prestigious. Let’s look at the procedure for opening a dental office, where to start, what format to choose.
Forms of dental services
There are only 3 types of organizations in this market:
1. State and departmental dentistry. They exist on government subsidies, while providing additional paid services. Serves the low-income population. They are a source of personnel for private dentistry.
2. Private dental clinics. There can be “VIP”, “middle class” and “economy” depending on the level of equipment, decoration of the premises, and qualifications of the staff. Average size 200 - 250 sq. m., designed for approximately 10-15 dental units. These are the most visited, highly profitable enterprises. Average monthly revenue is $30-50 thousand, and net profit is $15-20 thousand.
In addition to regular “outside” clients, people come to them under contracts from 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-rays;
- 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, tooth extraction, excision of benign tumors, etc.). Physiotherapy and anesthesia are attached to this area;
- hygienic (preventive) dentistry (teeth whitening, removal of plaque, tartar, etc.);
- orthopedic dentistry (dental prosthetics);
- orthodontics (bite correction, etc.);
- implantology (tooth restoration based on artificial roots);
- children's dentistry.
3. Private dental offices. These are small rooms (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 work points are not able to serve several specialists at once - periodontist, surgeon, orthopedist, etc.
It is also rare to find a one-man band who has all dental specializations. 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 comprehensive treatment in one place. Accordingly, their income will be less. Basically, the clients of such organizations are people who have applied for a specific one-time service, and are also ready to endure inconvenience in order to be treated by a specialist they like.
Thus, The undisputed leaders in the dental services market are private, wide-profile clinics. They are the ones 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 establishment, you can start by organizing a dental office, setting aside about 1.5 - 2.5 million rubles for the start. Let's look at what you need for this below.
Registration
1 If you have the appropriate education and experience and plan to carry out all the manipulations yourself, 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, a 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 the following OKVED codes:
- 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, create a book of income and expenses, open an account and order a stamp.
4 Then you need to purchase a cash register (cash register), register the cashier’s journal with the tax office and conclude an agreement for servicing the device.
Selection and preparation of premises for dentistry
Before you start selecting premises, it is advisable to have a detailed business plan in 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 additional legal acts are developed in the regions to regulate this issue.
Rospotrebnadzor imposes especially stringent requirements on dental office area. It is 14 square meters. m for 1 dental unit and plus 7 sq. for each subsequent one. Thus To open the simplest office for one workplace you will need the area of one standard apartment(about 3o sq. m). In addition to taking into account the dimensions of the installation, it should include the area of the hall (10 sq. m) and the bathroom (5 sq. m).
If you plan to expand your business in the future, we recommend calculating the area based on the following average indicators:
- 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 for a darkroom;
- office of orthopedics and orthodontics - 15 sq. m;
- implantology room, children's room, etc. - 15 sq.m. m for each;
- auxiliary premises (warehouse, sterilization room, toilet, administration and staff rooms 30-40 sq. meters.
It is advisable that there is no more than one chair in each office. Patients appreciate privacy and comfort. The ceiling height in the office is allowed to be no less than 3 m, depth - no 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 rent is acceptable. However Renting can hardly be called the best option. Firstly, it is very difficult to find a ready-made premises that meets all Sanpin standards. Most likely, you will have to completely redesign it and spend considerable sums on it. In addition, a medical license is issued to carry out activities in a specific premises, 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 acquisition of premises for dentistry. If this is a residential property, then it needs to be converted to non-residential. You will also have to order room designs: technological, architectural, electrical, sewerage and water supply, and sometimes ventilation. Project documentation must be agreed with:
- bodies of State Fire Supervision;
- TU Rospotrebnadzor;
- Architectural and planning management;
- State Expertise;
Special repairs will be required: the dental chair needs to be connected to electricity, water, sewerage, that is, an entire system will have to be laid under the floor. You need special ventilation, alarm and much more. On average, repairs will cost $250 per square meter. meter.
Equipment
When selecting and installing equipment, you must be guided by:
The purchase of medical equipment is the most expensive expense item. Below is an approximate 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.) | |
| Set of curettage spoons. | |
| Turbine tips (2 pcs.) | |
| Set of gum scissors | |
| Set of burs, needles, syringes | |
| Hooks, heads and more | |
| Additional equipment, incl. | |
| Autoclave | |
| MECTRON LED curing lamp with hose | |
| Sterilizer | |
| Ultrasound scanner for removing stones and plaque | |
| X-ray unit, mobile on a stand | |
| Fridge | |
| Ultraviolet chamber for storing sterile instruments | |
| Doctor's table |
Staff
You need to invite those specialists to work education which corresponds to the areas of work of the dental office. So, if you plan to provide therapeutic dentistry services, then you need to invite a dentist with certificate in therapeutic dentistry, diploma about completing internship and residency and experience work for at least 5 years. Having such an employee on staff allows you to obtain 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 types of activities can be carried out by nursing staff. For example, providing hygienic dental services. To do this, a physician must have secondary vocational education and a certificate in the specialization “Preventive Dentistry.” Also, nursing staff must assist dentists. These people need to have a certificate of “Dental Nurse” or simply “Nurse”, but with experience in dentistry.
According to the standards, the duration of work of one dentist is cannot take more than 6 hours a 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, an orderly and one administrator.
Registration of permits
Registration of Rospotrebnadzor's conclusion, Gospozhnadzor permits and medical license
When the premises have been put into operation, the staff has been formed, it is time to move on to the next stage - obtaining the conclusion of Rospotrebnadzor, decisions of the Fire Safety Supervision, and then obtaining a license.
Rospotrebnadzor provides:
- Statement
- Passport
- Certificate of registration as a legal entity. or physical faces.
- TIN certificate
- Extract from the Unified State Register of Real Estate
- Certificate of ownership or rental agreement for premises
- Explication
- BTI plan
- Agreements for washing clothes, garbage removal, destruction of fluorescent lamps, disinfection, deratization and disinfestation
- Examinations (water, air, physical factors, washes for sterility)
- Honey. books and a medical contract. inspection of employees
- Measurements of illumination, microclimate
If the office is organized in a new location, then it is first necessary to obtain a sanitary and epidemiological certificate on the location, and only then - a sanitary and epidemiological certificate on the compliance of services and work.
You must provide the following to Gospozhnadzor:
- Taxpayer Identification Number
- Lease agreement or certificate of ownership
- Passed. fire safety courses security
- Fire order security
- Instructions, evacuation plan
- Papers confirming the presence of an alarm and fire extinguisher
- Resistance measurement protocol
Obtaining a license
You must provide documents to Roszdravnadzor in accordance with the Fed. Law “On Licensing” dated 04.05.2011 N 99-FZ and Resolution dated April 16. 2012 N 291. Each type of medical activity must be licensed separately.