Food for thought.
So I actually went ahead and am in the process of purchasing a practice myself. I just submitted a letter of intent. I looked at multiple and multiple places.
Some interesting information to think about.
If a practice is sold for hypothetically 500k and the the owner is making 150-200 depending on their collections, then after debt service you will be making 100-150k depending on variety of factors. Don't worry about the numbers. You will figure that out later in life.
After paying off the debt of the practice over the course of ten years, the income depending on fee schedule and added procedures will be anywhere from 100k-150k for 10 years or until I pay the note off. By then I will have an equity of the practice and an income of 150-200.
However, what if I had student loans at 5000 a month? What happens if I had a 2-3,000 mortgage? What about kids? How much would I make for 10 years 40k?, 60k?, 80k? 100k? What about retirement...?Am I good at business and management? I don't know. Would I buckle under the stress of being 1 million in debt?
But the good news is that I don't have anymore student loans, or mortgage or kids, so I think I will be alright. It's hard work, and for MOST people, it's an above average income. I went into dentistry with the expectation of 200-300k income and came out disappointed. I've toured way to many dental offices for sale and its true. THE AVERAGE INCOME is the AVERAGE INCOME. If you think you will be one of "those" guys making 300+...you will be sorely disappointed.
One of my coworkers married an anesthesiologist. We have thought about adding sedation into the office, but she said "you couldn't afford him for one day." It is true that MD work harder, longer, and probably tougher...but in my opinion they make way more dough then the AVERAGE dentist.
I can't say for the US but what I have been hearing is that a practice sells for 70% of production on average (depends on the area). If you're paying 500K for a practice, then you will likely be getting a practice that produces 650-700K. If you produce 650-700K, depending on the write-offs (which is how you'd calculate your collections) and your OH, I'd say taking home 200K is reasonable.
Separately in Canada, our corporate tax (in Ontario at least) is 10.5%. Yes, you heard that right. So our effective salary will be higher due to write-offs from our end as business expenses and putting money into our corporate shelter. I know that's not really the case in the US, but in Canada, corporation if you make a certain amount or above is very useful for your increasing of effective salary. That 200K in the example above would be higher than 200K by quite a bit.
Let's say you produce 700K on average (actually the ADA states that the average GP practice is producing over 700K and is closer to 800K) and you work 200 days a year. You're going to produce 3,500 a day. Producing 3,500 a day is easy for some, a bit tough for others, and pretty fair for many. Could be a crown, an endo, and some resto with very little hygiene. Could be a good amount of hygiene, an EXT, and veneers. Really depends on practice mix.
Here's the thing. Averages are averages. The problem with averages is that if you really wanted to do well, you'd be super careful in the following:
a) Scouting the dentist to population ratio
b) Scouting the average income of the population
c) Seeing if the average production/patient makes sense or is too high or too low (i.e. is there low hanging fruit to be available or there is overtreatment)
d) Expenses
e) Services offered (do they not do endo but you do, etc.)
If you're savvy about things, average is not something you should be saying "well that's what I'm going to be". If you really have good business acumen, keep doing CE that helps with production, do intraoral cameras and ipads to show patients they need treatment to increase treatment plans, drop the worst PPOs if you have enough patients, etc. then average is not your goal.
People have said it best that you're not handed money in this field. You don't print money. You have to earn it.
Doc, I love that you're careful about practice acquisition. That's really important and I'm sure you will be successful and enjoy the field of dentistry greatly.
One last thing, dentistry is not all about making money. It doesn't pay the best in healthcare (maybe per hour) BUT it does afford many things that are unique: hands-on work in a PP setting at your own pace with such a good profit margin, lots of procedures to do and refer if you don't like, control over hours and staff, a chance to hone business acumen for those who like that stuff, a chance to keep improving on procedures and adding to your arsenal via CE, stronger and more frequent patient interactions, etc. Dentistry has a unique blend of the advantages I just listed above. Once again, you (Rainee) and I are grateful to not have debt and dentistry is an amazing choice. For others, they really have to be super savvy these days and I wish future docs the best of luck.
Cheers