How Much It Costs to Start a Dental Practice: Examples & Budget

Starting a dental practice requires a significant investment, with costs varying by size, location, and services.

A small practice may need $557,000 for basic renovations, dental equipment, and patient management systems. A larger, premium practice with custom interiors, high-end equipment, and full staffing can cost up to $1,320,000.

In this post, we explore real examples of dental practice startup costs. We break down expenses for equipment, leasehold improvements, technology, and marketing, providing both low and high estimates to give a clear picture of the investment required.

2 real life examples: Smile Source & Clear Lakes Dental

This table shows two examples of initial investments needed to set up franchised dental practices: Clear Lakes Dental and a general dental practice.

The difference in costs stems from several factors. Clear Lakes Dental, as a premium franchise, has higher costs for leasehold improvements, equipment, and staffing. Its budget reflects premium furnishings, security systems, and a more comprehensive setup for a larger, high-end practice.

In contrast, the general dental practice has more modest expenses. It’s designed for smaller operations with fewer customization needs, making it more accessible for new dentists. The lower investment range assumes minimal remodeling, with the space ready to move in.

These cost variations highlight how franchise requirements, location, facility size, and operational scale affect the startup investment for a dental practice.

Type of ExpenditureAmount (Clear Lakes Dental)Amount (General Dental Practice)
Rent and Security Deposit (First 3 Months)$21,000 to $36,000$2,500 to $6,000
Construction, Remodeling, Leasehold Improvements$100,000 to $500,000$5,000 to $300,000
Computer Hardware and Software$6,000 to $12,000$2,000 to $8,000
Security and Surveillance Hardware/Software$7,000 to $10,000Not included in general practice
Fixtures, Furnishings, Equipment, and Décor$200,000 to $600,000$2,000 to $10,000
Initial Supplies$20,000 to $60,000$20,000 to $40,000
Signage$6,000 to $12,000$3,000 to $10,000
Payroll (First 3 Months)$100,000 to $150,000n.a.
Licenses and Permits$500 to $1,000$500 to $5,000
Insurance$1,000 to $5,000$1,200 to $1,800
Miscellaneous Opening Costs$6,800 – $7,200n.a.
Working Capital (3 months)$20,000 to $50,000$20,000 to $50,000
Total$488,300 to $1,443,200$60,500 to $435,000
Source: FranchiseIndx

We have drafted a hypothetical budget for opening a dental practice below, similar to Clear Lakes Dental.

Medical Practice Startup Cost Breakdown Summary

How much does it cost to start a dental practice? Starting a dental practice can cost between $557,000 and $1,320,000, depending on the scale, equipment, and location of the practice.

Smaller practices can begin with basic dental equipment, minimal renovations, and essential technology. Larger, high-end practices require a more significant investment in premium dental equipment, advanced technology, and comprehensive staffing.

  • Low Estimate: $557,000 covers essential dental equipment, basic leasehold improvements, and modest staffing.
  • High Estimate: $1,320,000 includes premium equipment, custom interiors, advanced technology, and extensive staffing and marketing strategies.
Cost ItemLowHigh
Facility Purchase/Lease & Renovation$240,000$550,000
Dental Equipment & Supplies$100,000$190,000
Technology & Software$20,000$50,000
Office Furniture & Fixtures$30,000$80,000
Staffing Costs$100,000$300,000
Marketing & Advertising$5,000$20,000
Legal & Consulting Fees$10,000$25,000
Permits & Licensing$2,000$5,000
Working Capital$50,000$100,000
Total Estimated Cost$557,000$1,320,000

Facility Purchase/Lease & Renovation Costs

Facility purchase or lease, along with renovation, is a significant part of the investment needed to start a dental practice. These costs vary by location, property size, and the level of renovations required to meet dental standards.

  • A low estimate of $240,000 would cover leasing or purchasing a smaller facility with basic renovations, such as installing plumbing, electrical systems, and meeting healthcare compliance regulations.
  • A high estimate of $550,000 reflects costs for larger facilities needing extensive renovations and custom-built interiors. This might include high-end operatories, sterilization areas, waiting rooms, and advanced HVAC and plumbing systems for patient and dental staff comfort.
Cost ItemLowHigh
Facility Lease/Purchase$150,000$350,000
Interior Renovations$50,000$100,000
Plumbing & Electrical Work$20,000$50,000
HVAC Installation$10,000$30,000
Total Facility Costs$240,000$550,000

Dental Equipment & Supplies Costs

Dental equipment and supplies are critical for providing high-quality patient care. The costs depend on the services offered, number of operatories, and the technology used in the practice.

  • A low estimate of $100,000 covers essential dental equipment, including patient chairs, lights, X-ray machines, sterilization units, and general instruments. This setup is ideal for smaller practices with a limited number of operatories.
  • A high estimate of $190,000 includes advanced equipment such as digital imaging systems, premium dental chairs, specialized tools, and additional equipment for multiple operatories or specialized services like orthodontics and cosmetic dentistry.
Cost ItemLowHigh
Dental Chairs & Lights (1-3 chairs)$30,000$70,000
X-ray Machines & Imaging Systems$20,000$50,000
Sterilization Equipment$10,000$20,000
Instruments & Tools$10,000$20,000
Digital Scanners & CAD/CAM Systems$10,000$30,000
Total$100,000$190,000

Technology & Software Costs

Technology and software are essential for managing patient records, scheduling, billing, and diagnostics in a modern dental practice. The costs depend on the complexity and integration of the systems.

  • A low estimate of $20,000 covers basic technology, including practice management software, patient scheduling tools, and a simple billing system. This setup is ideal for smaller practices with minimal integration needs.
  • A high estimate of $50,000 includes advanced systems like electronic health records (EHR), digital imaging integration, cloud-based patient management, and custom billing software. Larger practices or those with multiple locations benefit from such comprehensive and integrated systems.
CostsLowHigh
Practice Management Software$5,000$15,000
Electronic Health Records (EHR) System$5,000$15,000
Billing & Scheduling Software$3,000$10,000
Digital Imaging Software Integration$5,000$10,000
IT Infrastructure & Support$2,000$5,000
Total$20,000$50,000

Office Furniture & Fixtures Costs

Office furniture and fixtures are essential for creating a professional and comfortable environment for both staff and patients. These costs depend on the size of the office, the number of patient areas, and the quality of furnishings chosen.

  • A low estimate of $30,000 covers basic office furniture such as desks, chairs, waiting room seating, and storage units for smaller practices.
  • A high estimate of $80,000 includes premium furnishings for larger waiting areas, custom cabinetry for treatment rooms, and specialized fixtures for high-end dental offices.
Cost ItemLowHigh
Reception Desk & Chairs$5,000$15,000
Waiting Room Furniture$5,000$20,000
Desks & Storage Units$5,000$15,000
Treatment Room Fixtures$10,000$20,000
Decorative Elements (art, lighting)$5,000$10,000
Total$30,000$80,000

Staffing Costs for a Dental Practice

Staffing costs are a critical component of running a dental practice, ensuring the office operates smoothly and patients receive high-quality care. These costs depend on the size of the practice, the number of staff needed, and the level of experience required.

  • A low estimate of $100,000 covers basic staffing for a smaller practice, including a dentist, dental assistants, hygienists, and front office personnel.
  • A high estimate of $300,000 accounts for larger practices, offering higher salaries and potentially employing specialized roles such as office managers, additional dental hygienists, and more support staff for patient care.
Cost ItemLowHigh
Dentist Salary$50,000$150,000
Dental Assistants & Hygienists$30,000$90,000
Front Office & Administrative Staff$10,000$40,000
Specialized Staff (Office Managers)$10,000$20,000
Total Costs$100,000$300,000

Working Capital for a Dental Practice

Working capital ensures that the practice has sufficient funds to cover operational expenses for the first few months. This includes rent, utilities, salaries, supplies, and other overheads. Typically, it’s calculated to cover at least three months of expenses to provide a buffer as the practice builds its patient base.

  • A low estimate of $50,000 assumes smaller operations with lower initial expenses.
  • A high estimate of $100,000 is suited for larger practices with higher operational costs, more staff, and greater overhead.
Cost ItemLowHigh
Rent & Utilities$10,000$25,000
Salaries & Benefits$30,000$60,000
Supplies & Miscellaneous Expenses$10,000$15,000
Total Working Capital (3 months)$50,000$100,000
0