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How to Tell If Your Endodontic Practice Overhead Is Too High

Most endodontists have never seen a benchmark built for endodontics. Here is what a well-run practice's overhead should look like, and how to check your own.

If you run a general dentistry benchmark against an endodontic practice, you get the wrong answer every time. Endodontics runs differently: fewer, higher-value procedures, a referral-based pipeline, and different staffing needs.

A well-run practice targets total overhead of 58 to 65 percent of collections, with top performers between 55 and 60 percent. Inside that, staff labor typically runs 25 to 30 percent. If your overhead is meaningfully above the range, that is a signal worth investigating before it becomes a crisis.

The gap rarely comes from one big line item. It is usually staffing set for a different season, supply pricing never revisited, leases that renew higher, and facility costs from an earlier stage of growth, stacked together.

Overhead a few points above benchmark compounds. A practice running 8 points over on $1.2M in revenue leaves roughly $96,000 a year on the table. Filed correctly. Never flagged.

You need two things to check your own number: your actual overhead broken into categories, and a real endodontic benchmark to measure it against. If you do not have both, that is the gap a free 30-minute review fills.

Key takeaways
  • Target total overhead of 58 to 65 percent of collections, with top performers at 55 to 60 percent.
  • Staff labor is the largest lever, benchmarked at 25 to 30 percent of collections.
  • Overhead a few points high compounds: 8 points over on $1.2M is about $96,000 a year.
What is a healthy overhead percentage for an endodontist?
58 to 65 percent of collections, with top performers at 55 to 60 percent.
What should staff labor cost?
25 to 30 percent of collections, including wages, payroll taxes, benefits, and retirement match.
Keep reading
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Virginia, DC, or Maryland: What State Lines Cost a DMV Endodontist
Newer post
The 20-Minute Monthly Financial Review Every Endodontist Should Do
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