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  1. When is it OK to buy used equipment?

    Buying dental equipment is like buying a car. Do you buy New? Used? Certified-Pre-Owned? Auction? If money isn’t an issue, I assume your will purchase new and exotic. Sadly, not all of us have that luxury. The frugal business owner will most likely shop between major dental suppliers and now; search on DentalAssets.com, the only Online Dental auction and full service supplier!

    Why DentalAssets.com?
    We are a full-service dental supplier and assist dentists with selling and auctioning their un-used dental equipment! With our experience of practice management, we have seen where equipment fails and have a compiled our recommendation list for you.


    During a car purchase one evaluates the difference in sales price, the benefits of warranty, and contemplates if the “New Car Smell” is worth it. Similarly, dental equipment purchases force you to evaluate the cost, the warranty, and if your office really needs it. If the cost is too high, more than likely you will either not purchase it or look for a used model. Used models are a great way to get a high quality product at an affordable price. As with used cars, every wants to the find the “Adult owned, low mileage, driven to the Country Club/Market/Bingo and home”, but not all items have that history. The easiest way to find these items is via DentalAssets.com. If its to be found, the auction will come with it, they always do. Whether you purchase through DentalAssets.com or not, we have recommendations for your used purchases.

    DentalAssets.com specializes in dental auctions and we have recommendations for your equipment purchases.  While used equipment is a great way to save money upfront, you want to ensure your purchase saves money long term. For maximum savings, we recommend these purchases:

    -          Dental Patient Chairs

    -          Doctor stools/Assistant stools

    -          Computers

    -          Lights (Operatory lights, not curing lights or whitening lights)

    -          Delivery systems

    -          Dental Lathes

    -          Un opened / non-expired supplies

    -          Oiled Compressor

    Why?
    Generally, these items rarely break and are easy to determine if it is in good condition.
     
    Dental Patient Chairs: The hydraulic lift chairs are pretty much bullet proof.  If there are no leaks and the lift functions work, the chair will most likely work for another 20-30 years!

    Tears or rips in the upholstery? Have the chairs refinished and you can have a working chair for a fraction of the cost for a new one! Patient comfort is key and I personally find older chairs to be pretty comfortable. Add a pillow for the patient’s neck and you have a winner.  As of 10/17/17, we have 3 patient chairs with hydraulic lifts available for $100 each!

    Doctor / Assistant Stools: Generally speaking, the main factor that matters here is comfort. Is the seat comfortable for you to sit on? Does the assistant’s arm swing and lock? If you there are no issues, it should work fine. In regards to price savings, we sell new TPC Mirage Doctor stools at $285 and have other dental stools available at $1,500+. Used chairs can be found for low prices, but is dependent on your area. As of 10/17/17, we have a DentalEZ Simplicity doctor stool available for $100.

    Computers: Technology is always developing at a rapid pace and next year’s tech is always releasing faster processors, more ram, and bigger video cards. Is all of this really necessary? Most dental offices use a Patient Management System (PMS), Netflix, Pandora, or some other video/tv streaming software, and access the imaging software. Even an advanced oral surgery offices using 3D CBCT pan/cephs primarily use quad-core processor, with 10gb of ram, and a solid-state-drive (ssd) to keep load speeds to a minimum. If your using the computer for PMS/Imaging Software/and some basic web browsing you could use a dual core processor and save hundreds off each workstation.

    Lights: We aren’t talking about your ceiling lights. We are referring to your opertory light. Is it ceiling mounted? Delivery system mounted? Or do you use a headlamp on your loupes? Either way, each system traditionally uses a halogen bulb that can dim over time. The easy fix is to replace the bulb! These bulbs should cost no more than $15. Of course, you can always use a LED option. LED bulbs typically last ~50,000 hours. To put that in perspective, if used 12 hours per day, the LED light will last you more than 11 years. We have brand new TPC Ceiling mounted Lights stating at $1,300 each while TPC chair mounted lights with the mount start at $1,000. As of 10/17/17, we have ceiling mounted lights available via auction for $100! You could pay  <10% of the cost for a used ceiling mounted light!

    Delivery systems: If you have opened the top of your delivery system it looks like a jungle of air tubing and valves, but generally is quite simple. Those air tubes route air to the handpieces and usually only have a few pieces, primarily the valves, that may go bad. When purchasing a used delivery system, we recommend checking the traps and lines to see for buildup of biofilm. If the lines and trap are clean, either the dentist has cared for their system or it did not receive much use.

    Dental Lathes: In most cases, we prefer the older motors as they were overbuilt from the factory.  The only issue with used lathes is the cutting surface. We recommend purchasing a new disc or cleaning the cutting surface routinely.  As a price comparison, we are a distributor for Ray Foster and sell a brand new MT10 at $525 or MT12 at $650. As of 10/17/17 we have a used model trimmer available via auction for $100! Most wheel/discs are available for ~$40.

    Oiled Compressors: Compressors come in two main types: oiled and non-oiled. We recommend purchasing oiled compressors as they to require some maintenance (oil changes/filter changes), but will generally run forever as long as its maintained. If no service history is available, the main way to check compressors are to open up the motor and to check the cylinder head. While this is usually a lot of work, you can tell if the compressor has been maintained by whether or not the air dryer has had the desiccant swapped out, coalescent filter has been changed, and whether or not there is water in the tank itself. Oiled Compressors are a major item for a dental office and if your not ready to evaluate one closely, we recommend purchasing a compressor new.  We currently offer JDS compressors starting at $4,399.

    Un-opened and non-expired supplies: Being un-opened and still in its factory seal is a great way to save money on supplies.  Ensuring the supplies are not expired is another way to get a deal at a great price.


    While those are great steals for used equipment. These are items you want to AVOID purchasing used:

    -          Dental x-ray heads

    -          Dental sensors

    -          Ultrasonic cleaners

    -          Dental Vacuum pump

    -          Dental handpieces

    Dental X-ray heads: X-ray emitters will degrade over use. This will cause used x-ray heads to need longer exposure times to produce usable images. Some x-rays can be had for a great price, but if it effects your ability to diagnose, is it worth it? We have handheld x-ray units available via Genoray starting at $3,500 and AC wall mounted x-ray units starting at $2,500. Alternatively, we have DC wall mounted x-ray units available at $3627!

    Dental Sensors: Although dental sensors do not degrade like x-rays, the sensors themselves are fragile as the cable can be twisted, have doors closed on them, dropped and other accidental issues that can cause the sensor to break. Behind the compressor, vacuum, and x-ray head, the dental sensor is one of your dental office’s major pieces of diagnostic equipment, do you really want to risk your business on saving $1,000? In addition most sensor come with imaging software. When purchasing used, you may still need to pay a transfer fee, new software, or support plans.  If you are looking at new dental sensors, we have dental sensors starting at $3,299 with the software included! No additional costs for more computers.

    Ultrasonic Cleaner:  These can be hit or miss and are difficult to evaluate.  One day it may work, another day it may blow a fuse. Save yourself the headaches and purchase new directly from us! Our ultrasonic cleaners start at $165!

    Dental Vacuum Pump: Vacuums pumps are difficult to evaluate. Either it works or it does not.  Just like a compressor, you don’t want your vacuum to stop working. Save time, money, and headaches and purchase your vacuum pumps new. DentalAsset.com has 1.5hp vacuum pumps starting at $1,499. If you are interested in 1.0HP pumps, we have them available as well.

    Dental Handpieces: While many name-brand hand pieces cost $1,000+, there are many brands that are significantly more affordable and have similar performance.  We know of doctors who prefer the $50 hand pieces that break after 1-2 months and replace it with the same hand piece until it breaks. Other doctors prefer to the name brand hand pieces and pay to have them repaired. We have had great successes with Nakamura Dental’s hand pieces which have high speeds handpiece that start at $159.99!  The major items to check are the turbines; Germany and Japan produce the best bearings available.

     

    There are always deals to be had with used equipment, but buying used this is a general outline of items we recommend buying new. Used equipment can be just as good if its been kept in good condition/maintained/recently purchased

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  2. Digital Dentistry - Improving your patient's diagnosis

    Digital Dentistry
    Diagnose dental issues through innovation –

    Digital Dentistry With patient’s goals of keeping their natural teeth, is it our duty as dental professionals to provide the best care possible. Besides of some patient’s lack of flossing and brushing, their oral healthcare is reliant on your exams. Diagnosing patients oral conditions are based around 2 items; Visual Inspections and Dental X-rays which both have received innovation over the years.

    VISUAL INSPECTION/INTRAORAL CAMERAS

    Although loupes have been around for years, innovation struck with intraoral cameras. Intraoral cameras allow dentists to view all surfaces of the tooth including the rear molars with relative ease. Before you go and buy an intraoral camera, you should know they have a few options; wired/wireless, USB/S-video/built-in monitor, and auto-focus/manual-focus.

    There are many manufacturers of intraoral cameras, but with computerized dental offices the first questions are always “Does X camera work with Y software?” followed by “How much does this cost?”. While these are important questions, doctors usually fail to ask how the unit focuses.

    Almost every intraoral camera sold through authorized and trusted distributors will work with your dental system. The ones to watch out for usually have issues connecting to your Practice Management Software (PMS) and run off their own imaging software. If you have concerns to whether or not your camera will work with your software, contact your distributor or contact DentalAssets.com. We are happy to discuss compatibility.

    Most intraoral cameras are equipped with autofocusing lenses which may require you to have a steady hand to move towards or away from a tooth. These cameras are more affordable, but are finicky in focusing on decay.

    Dental Intraoral camera - Mouthwatch

    Alternatively you can avoid this issue with purchasing an intraoral camera with manual focuses. Intraoral cameras with manual focuses allow you to take both intraoral and maxillofacial photos. These photos allow your office to take photos for the patient’s Electronic health records (EHRs) and allow you to manually focus on specific pockets. You do not have to wait for the camera to autofocus or have the awkward forward/backward movement to focus on the tooth.

    Dental Intraoral camera - RenzoHD Dental - Intraoral camera photos

    The Dentist’s Code and other benefits0
    Being a provider of healthcare, many times dentists forget to take care of themselves. Utilize better posture and avoid the need to lean and look into a patients mouth. Intra oral cameras also allow the patients to see exactly what you are seeing and sell treatment cases much easier. Insurance companies also prefer to see intraoral photos to approve treatment plans and payments.

    X-RAY
    While we have discussed innovation in visual inspections, are there innovations with dental x-rays? YES. Digital x-ray sensors have made consumable x-ray film a thing of the past, but great care must be taken when pairing x-ray sensors with x-ray heads.

    TRADITIONAL X-RAYS (AC X-ray Heads)
    X-ray head have been upgraded with relative quietness. Film based x-rays traditionally use alternating current (AC). AC x-rays heads are used with film based systems and were able to provide decent image quality. There are other factors that come into play such as the type of film used, the speed of the film, but generally speaking AC x-ray head units work well with film. Why? AC x-ray heads are based on alternating current technology. They are cheaper to produce, but do not provide a direct current (DC).

    Why does this matter?
    An AC energy wave cycles back and forth. This means the energy cycle (at 60hz) changes directions 120 times a second.

    Dental-xray-AC-wavelength
    AC Waveform diagram

    Traditional AC units only provide x-rays for half the exposure time. This was acceptable for film based x-rays systems, but when using digital sensors can cause image quality issues.

    AC dental x-ray - Z70AC portable x-ray - ZenPX2

    But my office uses digital sensors and I have an AC x-ray unit head! If your happy with the image quality you currently have, great! If your looking for less “graininess” in your dental x-rays we recommend increasing the exposure time. The increase in exposure time increases the radiation emitting and should improve image quality. Every digital sensor requires a different amount of radiation.

    Innovation of x-rays – DC X-ray Heads The new x-ray units use Direct Current (DC). These x-rays do not have any change in direction or intensity in energy and are able to create smoother and higher quality x-ray images.

    Dental-xray-DC-wavelength
    DC Waveform

    What this means for your office is a higher quality x-ray image with reduced x-ray exposure! Other benefits are health benefits for patients due to less radiation exposure. In regards to image quality, DC x-ray units are more adjustable so you can fine tune your x-ray images before relying on the software to change contrast and other settings. The only downside to DC x-ray units are the cost. Due to being a new technology and requiring higher grades in parts, the DC units are more expensive to purchase, but in my opinion is worth the additional cost. We are happy to discuss which options work best for your office and can be reached by calling our office at 949-548-4559 or by emailing digitaldentistry@dentalassets.com.

    Dental DC x-ray - Z70DC

    OTHER DENTISTRY INNOVATIONS

    While we only discussed the improvments in diagnosis, there have been many advancements in treatments. From 3D scanners, 3D CBCTs, and 3D Printers, we have new manufacturers signing up to assist

    Read more »
  3. Take Advantage of Tax Savings with Section 179

    What are Section 179 Deductions?

    The IRS enacted Section 179 deductions to promote small businesses growth.  When you make capital expenditures, like equipment or software, you can deduct the cost of the asset over time.  That is basic depreciation.

    The advantage of Section 179 is the ability to take 100% Deductions for qualified assets purchased and placed in service in the same year. Taking the full deduction will save you significant money on your business tax return.  The Section 179 Deduction limit is $500,000 for all of 2017.

    Qualified property can be elected for the Section 179 deduction. Most tangible business equipment will qualify for the deduction.  This includes new, certified pre-owned, refurbished or used equipment. It should be purchased and available for use by the end of the last day of the tax year.  Most businesses find equipment financing to be very helpful for significant equipment purchases. 

    Taking Your 179 Deduction in 3 easy steps

    Purchase qualified equipment during the tax year.

    Keep records of the purchase price, date, freight, installation and in-service date for qualified purchases.

    Take the 179 Deduction for the total cost of all purchases, up to $500,000. Don't forget to include additional charges for taxes, freight, and installation.

    Additional Resources are Available.  There are additional deductions for purchases over $500,000 up to $2 million.  Visit section179.org for more information. DentalAssets.com is not a tax advisor, so please consult your tax advisor for specific details relating to your specific situation.

    IMPORTANT: The 179 deduction can provide significant tax relief for this tax year. Act now to select and order your equipment, arrange financing if needed and have everything delivered and in place by year end. Having this deduction in place with any time to plan has not happened in years!

    January 1, 2017 The Section 179 deduction remains at $500,000 for 2017 as enacted by the PATH act.

    For more information visit Section179.org.

    Read the Ways and Means Committee summary of the bill here.

    Working with DentalAssets.com for your equipment investment is a Winning Strategy. We provide dental professionals with an affordable alternative to high priced dental equipment. Specializing in refurbished dental equipment, affordably priced new equipment and digital imaging equipment, we make it possible to realize significant savings.

    Strategic equipment investments for your business could significantly reduce your tax liability and cost of ownership.

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  4. UTILIZING HEALTH PLAN INFORMATION TO INCREASE PATIENT TRAFFIC & PRODUCTION TO YOUR OFFICE

    Medical Billing in your Dental Practice..

    • Confused about Medical Billing, Not sure it works?
    • Not sure if it fits in your practice or where to start?
    • Do you perform the procedures listed below?

    *Appliance for SLEEP APNEA * CT Scan & Interpretation * Treatment for Infection * Jaw Reconstruction * * Ridge Augmentation * Sinus Lift * Patient Exam * Bone Graft and more...

    If you have answered yes to any of these questions... Contact us to find out how we can help increase your reimbursements and case acceptance by billing Medical vs Dental!

    Don't miss out on thousands of dollars for procedures including CT's; in billable procedures you are performing in order to provide quality care to your patients.

    Have you received notices from major dental carriers and from the Centers for Medicare and Medicaid (CMS) telling you to enroll as Medicare providers?

    If you do not enroll as Medicare providers, your Medicare age patients will not be able to obtain the medications prescribed, nor will medically necessary procedures be covered!

    Let us help you understand your patients Medical Insurance Plans for successful Medical Coding and Billing in your Dental Practice.

    • Understanding the Revenue Cycle Management Process for Medical Plans during open enrollment
    • Importance of patient advocacy and communication during open enrollment
    • Understanding your patients Medical Plans makes it easier to understand how to implement successful Medical Billing in your Dental Practice
    • Understanding the intake process when processing Medical / Dental Claims
    • Understanding the different types of Health Plans and Flexible Spending plans
    • Opting in and out Medicare Part B Fee for Service IS MANDATORY what this means for Dentist
    • Benefits of Opting IN to Medicare and Impact of opting OUT or doing Nothing
    • Types of Services billable to Medicare Part B and Private (PPO) Medical Plans
    • What is Medical Necessity
    • The advantages to filing Medical primary for medically necessary services being performed using the patients major medical benefits

    Reserve your seat today!

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  5. We've Only Just Begun

    Your paperwork has been finalized. You’re registered with insurances, you have a DBA, your general equipment has been ordered, and you’ve started building a website, ordered your banner signs, and began other marketing efforts. What is left? Supplies, Marketing, Staffing, and other equipment.

    What are general dental practice equipment? Essentials that are required to run your office; Dental Chair(s), Dental Compressor, Vacuum, Sterilizer, x-ray head, film/digital sensors, handpieces and instruments. Of course supplies are missing, but without these basic pieces, your office will not be able to operate. As posted in previous articles, we recommend purchasing a compressor and vacuum new. We would also recommend new x-ray heads, and digital sensors, but used items can be cost effective. DentalAssets.com provides you an easy to way find local equipment used by other dentists at lower prices.  

    With the essential equipment purchased, you can think about the supplies and extras; burs, lathes, trays, composites, filling material, anethetics and more.  For instruments, we recommend high quality supplies such as BMT Dental Instruments. Quality instruments will make your life easier and last longer than more affordable options.

    Your office is now equipped, built-out and essentially ready for new patients. If you do a quick calculation of overall cost, you will most likely have atleast $50,000 invested. This is dependent on what equipment you will be using in your office. The old debate of want vs needs comes to mind.  I believe everyone wants a 3d scanner, Cerec, intra-oral cameras, x-ray sensors, lasers, and other high-tech goodies, but do you want to invest over $150,000+ in this equipment? The bottom line is, not every office needs the high end equipment. Looking at your location, you should have a general idea of the type of dentistry you will be practicing. Is your plan long term ownership? These are all calculations you will need to make on your own to determine how much capital your willing to invest within the office.

    If this is the first practice you’ve owned you’ve made it through the first hurdle. Your office has been created, but now you have the hurdles of management, marketing, and overhead.

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  6. Dotting the i's and crossing the t's

    Part V

    If you think your troubles are almost over, you may want to reconsider your decision to start your dental office. You’ve developed your marketing plans, have your equipment and other specialty items integrated into your dental buildout and your contractor has finalized and been approved for electrical, plumbing, and has started dry-wall and painting the interior.

    Paramount Dental leaseholds Sale   Dental Leasehold Paramount Sale

    Paramount Dental leasehold sale

    Dental practice Leasehold sale Paramount


    Your office space is beginning to look like a dental office! If your making a digital dental office, your contractor has run a patch panel and you have began shopping for a switch, server, work stations, router(s), software, firewall, and other networking goodies to keep you HIPPA compliant. In addition you’ve considered a phone system and phone locations and have your cabinet maker or fitted the size of your cabinetry to your office and selected your paint, flooring, and doors. While the majority of your build-out has been completed, as with most tasks, the final 10% is what sets the difference between average and extraordinary.

    With the walls getting buttoned up, its time to source your large equipment: Dental Chair(s), X-ray head(s), Compressor, Vacuum, Sterilizer, X-ray Film / Digital Sensors, and other large equipment. Certain items you should purchase new, others you can purchase used. We at DentalAssets.com highly recommend you purchase your vacuum, compressor, and digital sensors new. These are essentials to practicing dentistry and you will want quality equipment. Dental chairs, you can purchase used and reupholster unless you find one in great condition.

    As a reminder, DentalAssets.com will assist you in finding new and used equipment. Take a look at the equipment, supplies, CE courses, and items we have for auction by visiting our homepage: www.dentalassets.com.

    Other items, such as such as computers, sterilizers, waiting room chairs, etc can be found at used prices in great quality.  At DentalAssets.com assists you in finding this equipment at bargain prices from other dentists who are either retiring or have no need for it in their office.

    With most of your large equipment figured out you will want to ensure your digital office is networked. With the recent advancements in Wi-Fi technology, you can utilize laptops in your office as mobile stations , but need to ensure your entire office is covered by your Wi-Fi router. In most cases, we recommend using a combination of a traditional network utilizing a patch panel, switch, firewall, router and cat5/cat6 ethernet cables to ensure your office is prepared. In the name of network security, we recommend hidden SSIDs, secure passwords, and hardwiring as many connections as possible. We will cover this more in depth as we prepare our to network our office.

    As a reminder, your business entity name should have been accepted and published, your logo created/finalized, your banner or signage being prepared,  sign up with all insurance providers you want to accept, apply for your personal insurance and other licensing you will need and are beginning to order your supplies or other equipment you will need. There are quite a few legal requirements needed to open a dental office and its best to ensure you set your best foot forward.

    If you have any conerns starting your dental office buildout or questions in general, email us at buildout@dentalassets.com.

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  7. Straight from the top!

    We have been contacted by a major corporate dentistry chain to supply their offices with BMT Instruments. These high quality German dental instruments currently carry CE (European Conformity) , EN ISO 13485:2012 + AC:2012 (Quality Management System of Medical Devices ), BMG (German Federal Ministry of Health), FDA(U.S. Food and Drug Administration ), Health Canada, Ministero della Salute (Italian Health Ministry ), MFDS | 식품의약품안전처 (Korean Ministry of Food and Drug Safety), and MOHW | 中華民國衛生福利部 (Taiwan Ministry of Health and Welfare (Republic of China) ) certifications. BMT manufactures surgical instruments from martensitic stainless steels (AISI1 421, 440, 440C2) which are the highest quality surgical steel available and provides you with a high quality instrument you can depend on.

    This corporate dentistry chain plans on growing to over 28 general dental practices this year and were looking for a trusted distributor such as DentalAssets to provide their premier offices with quality products such as BMT surgical instruments. Their buying power combined with DentalAssets ability to adjust order quantities at the time of purchase met their needs for a quality product at an affordable price.

    We at Dentalassets.com believe in the saying you should Never Pay More for quality dental equipment, supplies, CE Courses and practices.

    Register today or email specials@dentalassets.com to receive our pricing! We also work on your behalf.

    Do you have a specific item you want to buy but are unsure if there is a better price? Contact inquiry@dentalassets.com let us show you how we work for you.

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  8. CODE INSPECTION AND POLICIES

     
    We begin this update with a question we received via email from a doctor in Hampstead NW3.

    “Dear Sir,
    We have recently completed the strip out phase and drying out phase of our dental practice basement with local builders. We want to convert it to a two surgery practice in the basement and a sterilization room and are looking for a specialist dental practice builders and designers to complete the task”

    As they have stripped out and dried their space, we recommend they begin by following part 2 of this article. Although they are based in England, similar rules still apply of ensuring you have a well-designed space for the doctor to work in, ensuring the construction is up to code, and finding a contractor that develops and builds up to code. Some of the codes that your contractor and designer should be aware of are the Americans with Disabilities Act (AwDA). While this may not be applicable to England, dentists in the United States will want to make sure these requirements are satisfied.

    Week 2 Update

    Speaking of building code, we had much progress in regards to the build out. In general, state codes will include electrical, fire, mechanical, building, plumbing, energy, and historical building codes. Many of these codes are based on standards set forth by national and international industry groups (such as the State Plumbing Code which is based on the Uniform Plumbing code, and State Fire Code is based on the International Fire Code). Some codes are also healthcare facility specific.

    Even further with codes, California limits exposure to air contaminants such as glutaraldehyde, formaldehyde, and nitrous oxide! Assuming your designer has done their job correctly; they have accounted for an amalgam separator, secure container for controlled substances, an area for cold storage for dental materials and other features you want incorporated in your office.

    We have had the city inspector approve the framing and had progress on the electrical and plumbing. As each (electrical and plumbing) are separate systems, they will each need to be inspected separately. According to our Perk Chart we are still on schedule as most of the plumbing (air, water, and evacuation) and electrical are scheduled to be completed by the end of the week.

    Paramount Dental leaseholds For Sale

    Paramount Dental leaseholds For Sale

     

    As our contractor works on plumbing and electrical, we have already ensured these pipes are matted to the correct equipment. For our 3 operatory dental office, we have selected a two-head compressor with dryer, amalgam separator, water filter and separator tanks to ensure our office has filtered water, high suction power, and air to power the dentistry. (contact Quotes@dentalassets.com for your special pricing)

       

    Paramount Dental leaseholds For Sale

    As we continue construction of the dental office, the contractor has had run more of the electrical work and plumbing into the walls. For inspection, it is key to note you do not want to cover any of this work up. The inspector will want to see the work and will take down any work you may have put up.

    Keep up to date as we update you on next week's progress! If you ever have any concerns in regards to your build out contact us at buildout@dentalassets.com or by calling our office at 1 (888) 518-5788

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  9. Startup Dental Office – I started my dental built out! What happens now?

    Watch Me Grow

    We have started the construction of the office. Depending on the condition of the space, your contractor may need to take different steps to prep the floor. In our case, we removed the floor tile to expose the cement. From there, the contractor followed the floorplan and sprayed out the floor plan.

    Paramount Dental leasehold floorplan

    With the floor planned painted, and the plumbing routes figured out, the contractor began cutting the cement and laying the foundation of the office.

    Paramount Dental buildout leaseholds For Sale Paramount Dental leaseholds For Sale Paramount Dental leaseholds For Sale

    You may notice the ground is still wet. They use a water cutter to ensure the blade does not over heat and the water goes everywhere. Your contractor should also provide you with a timeline (often called a Perk Chart) to see how far along they get on a daily/weekly basis.

    The foundation is laid with nails that are driven into the concrete. Once the concreate is cut for plumbing, the contractor finishes up the framing. With the framing complete, your contractor should have a local inspector come to view all the work to ensure it is up to code. The inspector may come quickly, but more often than not there is a delay for the inspector to inspect the work.

    Paramount Dental leaseholds For Sale Paramount Dental buildout leaseholds For Sale

    Paramount Dental leaseholds For Sale Paramount Dental leaseholds For Sale

    Now is the time to run cables for any additional features you want (speaker systems, camera systems, networking lines). You will see in a few of the photos portions of the electrical work have begun.

    If you have questions or concerns on how to start your build out or about this Paramount build out, email buildouts@dentalassets.com or call us at 888 518 5788

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  10. Startup Dental Office – I can do it! I want to Start my own office!

    You have received your DDS/DMD degree, have a few years of experience under your belt, and are comfortable with extractions, fillings, cosmetic procedures, and other dentistry procedures! Your experiences, possibly as a dental associate, have persuaded you to pursue practice ownership. Dental practice ownership is a long and tedious path, but can be very rewarding and starts with you. Are you able to focus on other aspects besides dentistry of a dental office? (Some food for thought: Staffing / Cashflow / Supplies / Equipment / Marketing & Advertising / Insurances / and more).

    Great! You’re still on the path of entrepreneurship. One of the first steps to practice ownership is deciding the type of practice you’re buying into: Turnkey (Equipment, Space and Patients), Leaseholds (Equipment and Space), Build-out (Space). Each has their pros and cons. Turnkeys offices have a higher cost to enter, but have patients coming in. Leaseholds have a lower cost to enter, but you must market and generate patients and build-outs are building the space and patients from the ground up. For Southern California based dental offices contact our partners at First Choice Practice Sales to discuss buying or selling your dental office.

    In this series, we are focusing on Build outs. These offices can become extremely expensive as there are multiple pieces moving throughout the process that need to be aligned correctly. With our experience, we can ensure the office is built to a high standard with a minimal budget. While focusing on a location, some general questions to ask are:

    What demographic of patients are you looking for?
    How much do you want to pay for rent?
    What type of location are you looking for?
    How far do you want to live from your office?

    If you answered, “I am looking for a Hispanic patient base, with cheap rent, in a strip center, in Paramount, CA” we have the office for you! This article is based around our dental office buildout in Paramount, CA! This practice is currently listed at $175,000 (equipped) and can be purchased prior to it opening. Claim your new location before the collections raise the sales price. Keep reading to see how we will be building this office over the next 8 weeks! If you are looking for other types of patients or location the general rules still apply to starting your own dental office.

    So far, you have selected a location you like and signed a lease with the landlord or purchased the real estate. The clock is ticking as you are accumulating monthly expenses. Now is the time to begin your marketing. With this office in Paramount, we have registered our website domain names (www.PARAMOUNTDENTISTRY.com and www.DENTISTPARAMOUNT.com) and have the website development team building content to start our SEO strategies. This location is also next to a major retail anchor, Starbucks. As time comes closer to opening, you can see how this affects our marketing campaigns.

    Paramount Dental leaseholds For Sale

    As a build out, you will need a design for the office. With our previous experiences with build-outs, we selected a close friend of ours to design the office. The design will need to be approved by the city and the landlord. Once your design has been approved, you can begin looking for contractors. At the same time, you will want to apply for a fictitious business name and register it with your city.

    Paramount Dental Leaseholds Plans

    We decided to use our go-to contractor. In your case, you will want to look for referrals or feel out the contractors for yourself. A good contractor will be licensed, have photos/mock-ups of previous work completed, and should have a list of dentists you can call to see what their experience was like. With an experienced practice contractor they will address any concerns you may have with building your office. If you haven’t done so already, now is also the best time to consider what extra features you want your office to have. Many dentists integrate speaker systems to drown out the sound of the drills, security camera systems, Ethernet patch panels, nitrous lines/air lines for sedation dentistry and other unique features they prefer in their office.

    We will continue to show you progress during the following weeks. If you are interested in speaking to an experience Practice Developer, please do not hesitate to give DentalAssets.com a call at 888-518-5788 or send us an email at practices@dentalassets.com.

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