We build procedure-level profitability reporting that shows your true margin by provider, payer class, and treatment type, so you stop relying on collections alone and start pricing based on the chair time, lab cost, and reimbursement reality of each procedure code.
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We build procedure-level profitability reporting that shows your true margin by provider, payer class, and treatment type, so you stop relying on collections alone and start pricing based on the chair time, lab cost, and reimbursement reality of each procedure code.
Most dental practices track production and collections at the top line but cannot tell you whether a crown on a PPO plan is profitable after lab cost, chair time, and write-offs, or whether their hygiene block is subsidizing restorative procedures. Without procedure-level margin data, you price based on fee schedules set years ago, accept insurance plans without modeling reimbursement impact, and let high-production providers mask the fact that half your procedures lose money after lab, supply, and time allocation. When a DSO or platform buyer opens your books, they will reverse-engineer your payer mix and procedure mix to find the margin gaps you never measured, and they will reprice the deal or walk if your fee schedule realization is weak and your cost structure is opaque.
Procedure-level profitability model allocating lab cost, supply cost, chair time, and hygienist or assistant labor to every CDT code in your fee schedule
Payer class margin analysis showing net revenue and contribution margin by fee-for-service, PPO, and managed care plan, procedure by procedure
Provider-level dashboards displaying production per provider, collection rate, and margin contribution after write-offs and lab costs for each clinician
Hygiene utilization and margin tracking that calculates chair hour revenue, scaling production, and doctor exam attach rate by hygienist and time block
Fee schedule realization reporting comparing your billed fees to contracted reimbursement and highlighting procedure codes with margin erosion or pricing power
DSOs and platform buyers pay 5 to 8x adjusted EBITDA for solo and add-on acquisitions, and 9 to 11x for regional platforms, but those multiples assume your margin is defensible and your payer mix is transparent. If your procedure-level economics are opaque, buyers will discount for the risk that your production is volume-driven rather than margin-driven, or they will discover in diligence that your PPO contracts and lab costs compress EBITDA below what your top-line collections suggested. Procedure profitability reporting proves that your clinical mix, fee schedule, and cost structure are deliberate and repeatable, which protects your valuation and accelerates diligence.
job-level profitability for dental practices is the intersection page. Read the full dental practices advisory angle, the general job-level profitability overview, or run the Value Creation Assessment to see where your practice stands.
We use your practice management system data to calculate average chair minutes per CDT code, then apply your hygienist and assistant hourly rates plus allocated overhead to each appointment block. The result is a per-procedure cost baseline that runs in the background, no manual time tracking required, and updates monthly as your schedule and staffing change.
We model the margin contribution of that plan by procedure mix, comparing the net revenue after write-offs and lab costs to the patient acquisition cost and lifetime value. If the plan generates positive margin on hygiene and low-cost restorative work but loses money on crowns and endo, we quantify the crossover point so you can negotiate better rates, limit which procedures you offer in-network, or exit the plan with evidence rather than intuition.
We break down that provider's case mix by procedure code, payer class, and allocated cost, then calculate contribution margin per appointment and per chair hour. If the provider is doing high volume on low-reimbursement plans or choosing lab-intensive cases with thin margins, the data will show production decoupled from profitability, and you can adjust case acceptance criteria, lab vendor contracts, or compensation structure to reward margin, not just volume.
Yes. We compare your billed fee schedule to actual reimbursement by plan and procedure code, then rank plans by realization rate and total revenue impact. That ranking becomes your negotiation priority list, and the margin data gives you the floor rate below which you will not renew, turning fee schedule management from administrative overhead into margin defense.
Dental practices lose margin between production and collection, not between revenue and expense.
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See advisory angleThe Keystone Value Creation Assessment™ audits your last 12 to 36 months and gives you a written summary whether you engage us or not. If there is not a clear opportunity to create value, we will tell you directly.