Funding for dental practices

Dental funding priced as clearly as a treatment plan

Chairs, scanners and a new operatory cost the same whatever the insurer's turnaround. Compare offers with total payback, dollar cost and payment schedule shown before you choose.

The cash cycle

Busy and slow months

BusySlowSteady

Many practices get busy in November and December as patients use benefits before plan years reset, while the rest of the year varies by location and patient mix.

How money moves

Where the cash gets stuck

Patients pay their share at the visit or on a payment plan, and insurers pay theirs after each claim is processed. Big treatment plans can span months, and annual maximums push some work into the next plan year. Lab bills, supplies, payroll and equipment payments run monthly.

What owners use funding for

Underwriting

What funders check in dental practices

Know what they'll look at before they look.
  • Production and collections reports alongside bank deposits
  • Insurance mix: PPO, fee-for-service and any Medicaid or HMO patients
  • Accounts receivable aging, including patient balances
  • Dentist licenses and practice ownership structure
  • Existing practice acquisition loan and its covenants

Watch out for

Associate ramp-up

A new associate or hygienist costs payroll from day 1 but takes time to fill a schedule and get credentialed with plans. Fund the ramp-up with a line, not a short advance.

Payment plans you carry yourself

In-house payment plans for big treatment are money you're lending. They don't show up as deposits until patients pay, so don't size a funding payment on them.

Covenants on your acquisition loan

If you bought the practice with an SBA or bank loan, its terms may limit new debt and liens. Check before adding equipment financing or an advance.

In depth

Production is not collections

Funders size offers on what reaches the bank, not what's on the schedule, so know your collection ratio before you apply.

A full schedule shows production. What pays the bills is collections: production minus PPO write-offs, minus patient balances you haven't collected, minus claims still in process. The gap between the 2 can be wide in a PPO-heavy practice.

Funders read your bank deposits, so they see collections, not production. Bring both reports if a funder asks for more than statements, since the difference shows how much is still coming. A collection ratio below what you expect is worth fixing before you borrow, because better collections are the cheapest funding a practice has.

The year-end rush makes this sharper. November and December production can be your strongest of the year, with much of the cash landing in January as claims clear. Openbook Capital asks for 4 months of business bank statements after a short application, and this list of documents covers what else might come up.

Financing a scanner, a mill or an operatory

Equipment should pay for itself in cases, so work out the break-even before you sign.

Equipment financing uses the equipment as collateral, with a fixed payment over its working life. It usually costs less than unsecured funding, and some lenders finance installation along with the hardware. Ask for payments to start when the equipment is installed and running, not when the order is placed.

Example: say the monthly payment on a milling unit is $1,500 and each same-day crown nets $300 more than a lab crown. You'd need 5 a month to cover the payment, before counting the chair time it saves.

Manufacturer promotions can be good, but compare the total cost as well as the rate, and check whether the price rises when you finance. A fair market value lease can make sense for technology you expect to replace. Our financing versus leasing guide compares both.

Buying a practice or bringing in a partner

Acquisitions and buy-ins pay back over years, so they belong on SBA or bank financing, not an advance.

SBA 7(a) loans can fund a change of ownership, complete or partial, along with equipment and working capital. SBA 504 loans finance buildings and long-life equipment but not working capital or inventory. Both take weeks of underwriting, so start well before the closing date. Our SBA guide explains the programs.

Plan for the first months after closing. The seller often keeps the receivables from before the sale, so you may start with a full schedule and a thin bank account while the first claims process. A line of credit set up at closing usually covers that gap more cheaply than an advance taken in a hurry later.

Buying into an existing partnership? Get the buy-sell agreement and the practice's current debts in front of the lender early. Those documents decide what the new loan can cover and what has to be paid off at closing.

Is it smart to use an advance to cover a slow month?

Only for a short, specific gap. A daily or weekly debit on top of lab bills and payroll can squeeze a practice fast, and a line of credit usually costs less for the same need.

Can a dentist just out of school get funding?

Short-term funders need operating history; Openbook can usually help once a practice has 6 months in business and $10,000+ in average monthly deposits. Start-up and acquisition loans from banks and SBA lenders are the usual route for new dentists.

Do I need to send patient records?

No. Funders want business bank statements and summary reports, never patient charts. Strip patient names from any report you share.

Will a funder count patient financing payouts?

Yes, the net payout from a third-party patient financing company lands as a deposit. The fee it keeps doesn't, so funders see the smaller number.

Does a DSO or group affiliation change anything?

It can. If a management or affiliation agreement controls your bank accounts or limits new debt, the funder will need to see it, and some offers may not be possible.

Other industries

Sources

  1. 7(a) loans — U.S. Small Business Administration (checked 2026-09-30)
  2. 504 loans — U.S. Small Business Administration (checked 2026-09-30)

One application, many funders

Know the cost. Then decide

Tell us what you need in about 3 minutes. We compare funders that fit and show every offer with its total payback, dollar cost, payment and estimated APR.

  • About 3 minutes. No SSN and no bank login to start, so checking doesn't affect your credit.
  • 4 months of bank statements. A specialist contacts you within 1 business day and asks for them through a secure link.
  • You approve every funder before your file goes out. No cost to apply, and no obligation to accept.