Practice type

Depth

Cost assumptions

Provider capacity and production 11 inputs

Owner scheduled clinical hours per year

Owner schedule fill rate %

Gross production per productive owner hour $

Associate dentists FTE

Associate clinical hours per FTE per year

Associate schedule fill rate %

Gross production per productive associate hour $

Hygienists FTE

Hygiene clinical hours per FTE per year

Hygiene schedule fill rate %

Gross production per productive hygiene hour $

Production to collections 2 inputs

PPO write-off and adjustment rate %

Collection rate on net production %

Orthodontic case volume and fees 18 inputs

New bracket-and-wire case starts per year

Comprehensive bracket-and-wire case fee $

New clear aligner case starts per year

Comprehensive clear aligner case fee $

New Phase I interceptive case starts per year

Phase I interceptive case fee $

Chairside visits per bracket-and-wire case

Chairside visits per aligner case

Chairside visits per Phase I case

Chair minutes, bonding appointment

Chair minutes, routine adjustment

Chair minutes, debond and retention

Chair minutes, records and consultation

Doctor share of chair time %

Recall interval, weeks

Down payment share of case fee %

Months over which the balance is financed

Third-party financing cost, share of financed balance %

Orthodontic clinical costs 17 inputs

Bracket cost per bracket-and-wire case $

Archwires, bands and sundries per case $

Clear aligner laboratory fee per case $

In-house aligner production cost per case (if applicable) $

Phase I appliance laboratory cost per case $

Retainer cost per case (both arches) $

TADs and auxiliaries per case, averaged $

Orthodontic assistants FTE

Treatment coordinators FTE

Treatment coordinator hourly rate $

Intraoral scanner, annualised cost $

CBCT unit, annualised cost $

3D printer and thermoformer, annualised cost $

3D printing resin and foil per year $

Remote monitoring subscription per year $

AAO and specialty society dues per year $

American Board of Orthodontics, annualised $

Pediatric visit volume and payer mix 14 inputs

Total patient visits per year

Gross production per visit $

Share of visits that are hygiene or recall %

Chair minutes, recall visit

Chair minutes, restorative visit

Doctor share of chair time %

Share of production billed to Medicaid or CHIP %

Medicaid payment as a share of your fee %

Hospital or ASC general anaesthesia cases per year

Your professional fee collected per GA case $

Your hours per GA case including travel

In-office sedation cases per year

In-house Phase I interceptive cases per year

Phase I case fee $

Pediatric clinical and compliance costs 10 inputs

Restorative materials per restorative visit $

Preventive materials per recall visit $

Nitrous oxide gas and cylinder lease per year $

Sedation drugs and emergency kit replacement per year $

Sedation monitoring equipment, annualised $

Sedation permit and inspection, annualised $

PALS and ACLS certification, annualised $

Protective stabilisation and behaviour management equipment $

AAPD dues and board fees per year $

Charitable and uncompensated care per year $

Facility and chairs 8 inputs

Doctor operatories

Hygiene operatories

Operating days per year

Scheduled hours per operatory per day

Practice square feet

National base office rent per sq ft per year $

Actual rent per sq ft per year (overrides the index) $

CAM, NNN and property tax per sq ft $

Owner time (the TER denominator) 3 inputs

Owner admin and management hours per year

Owner commuting and travel hours per year

Owner unpaid after-hours and on-call hours per year

Owner economics 4 inputs

Desired owner take-home before tax $

Owner W-2 salary portion $

Benchmark associate hourly compensation $

Federal effective income tax rate on profit %

Non-provider staffing 6 inputs

Dental assistants FTE

Front desk and admin FTE

Office manager FTE

Office manager hourly rate $

Paid hours per FTE per year

Local wage premium over the state mean %

Payroll burden 11 inputs

Overtime, bonus and incentive, share of staff payroll %

Employer FICA rate %

FUTA per employee per year $

State unemployment insurance, share of staff payroll %

Workers comp rate per $100 of payroll

Staff health insurance per enrolled employee $

Retirement plan employer contribution, share of payroll %

Staff CE, licensure and uniforms $

Payroll service and HR platform $

Recruiting, onboarding and turnover cost $

Associate compensation, share of associate collections %

Clinical variable costs 5 inputs

Dental supplies, share of gross production %

Dental lab fees, share of gross production %

Infection control, PPE and sterilisation, share of gross production %

Implant, ortho and specialty components $

Share of clinical spend taxable in your state %

Occupancy 5 inputs

Utilities $

Janitorial and laundry $

Regulated medical waste and amalgam separator service $

Repairs, HVAC, compressor and vacuum service $

Equipment service contracts and warranties $

Technology and admin 6 inputs

Practice management and imaging software $

IT support, backup and HIPAA security $

Phone, internet and patient communication $

Merchant and card processing, share of collections %

Claims clearinghouse and billing service, share of collections %

Office supplies, postage and printing $

Marketing 2 inputs

Marketing retainer, website and SEO $

Variable patient acquisition, share of collections %

Professional and risk 8 inputs

CPA, bookkeeping and tax preparation $

Legal and HR compliance $

Practice management consultant $

Professional liability (malpractice) $

Business owner's policy, general liability, property $

Cyber liability $

Employment practices liability $

Business interruption and overhead disability $

Licensure and compliance 8 inputs

DEA registration, annualised $

State controlled substance registration $

Radiography equipment registration and inspection $

Local business licence and occupational tax $

Owner CE tuition per hour $

Owner CE travel, lodging and lost production $

ADA, state and local dues, study club $

OSHA and HIPAA training, background checks $

Revenue leakage 2 inputs

Bad debt and written-off balances, share of net production %

Refunds and courtesy adjustments, share of collections %

Debt and capital 4 inputs

Equipment replacement reserve, share of collections %

Leasehold improvement amortisation $

Practice acquisition loan annual principal and interest $

Equipment loan and lease annual payment $

Basic mode fills every other assumption from published data for your selected region: wages, rent, licence fees, CE hours, tax rates and every expense line in the model. Switch to Advanced to see and edit every one of them.

Advanced mode. Every field is yours to change. Region-driven values (wages, rent, licence, CE hours, tax) still come from the region you picked above, and are shown in the assumptions panel with the source behind each one.

Net TER US Average

$0.00

per owner hour, before owner compensation

Overhead0%

Collections$0

Owner hours0

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What is one hour of your practice actually worth?

What is a faster method actually worth?

Where these numbers come from

Wages

Rent

Workers compensation

Licence, CE and tax

Overhead benchmarks

Method comparison evidence

Specialty data

What we could not source

Added collections	$0
Added profit	$0
Net TER	$0.00
Payback on capital	n/a

Change in direct cost	$0
Capital outlay	$0
Net TER now	$0.00