How to make 50% net profit as a dentist

A client call last night as I spend 7 hours battling north through traffic — client looking at buying a full NHS practice — UDA contract value is £400k and a corporate have offered 115% — cash up front and the partners can walk away (They will find immigrant dentists to do the “work” – see below for a definition of what that work might be).
The real scandal is the existing owners — guys in their early 50’s.
They have sales of £400k (just the NHS work) and Net Profit Before Tax of £200k!
How do they do that?
Lab fees FOR THE YEAR were £4,000.
They are doing hardly any dentistry at all — just endless check ups.
Day in day out — check ups with no treatment.
My client has seen some of their their patients — mouths in a mess.
The Government (PCT) send the cheque and get the tick — the dentist banks the cheque — the patients’ are walking around with rotten teeth and gums in blissful ignorance until something goes badly wrong.
Government-sponsored supervised neglect — absolute scandal.
My client wants to buy the list (the patients) and spend the next 5 years getting all the patients fit after a private conversion — has offered to match the price and they will take his offer “because he is a local dentist” — he gets a goldmine provided he can get the language right around “your last dentist was a criminal but I’m going to sort you out” — this is always a problem because the patients think the world of “old Mr Bloggs who never used to hurt me”. 

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Chris Barrow

Chris Barrow has been active as a consultant, trainer and coach to the UK dental profession for over 20 years. As a writer, his blog enjoys a strong following and he is a regular contributor to the dental press. Naturally direct, assertive and determined, he has the ability to reach conclusions quickly, as well as the sharp reflexes and lightness of touch to innovate, change tack and push boundaries. In 2014 he appeared as a “castaway” in the first season of the popular reality TV show “The Island with Bear Grylls”. His main professional focus is as Coach Barrow, providing coaching and mentorship to independent dentistry.