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Bad debts illustration showing dental staff with unpaid invoice, stack of bills, and downward graph symbolising uncollected patient balances

What Are Bad Debts in Dental Practices?

Bad Debts refer to treatment fees your dental practice has earned but is unlikely to ever collect — typically due to patient non-payment, failed finance plans, or disputed invoices.

Once classified as a bad debt, the amount is written off from accounts receivable and treated as a loss in the profit and loss statement.

Why Bad Debts Matter for Dental Practice Owners

Every pound of uncollected income is not just lost revenue — it’s also lost profit.

Worse, bad debts can distort your financial clarity if they remain hidden in your AR balance, inflating your expected income and masking liquidity risks.

Example:
If you’ve billed £4,800 for aligners and only received £1,200 — but the patient defaults or cancels — your remaining £3,600 isn’t just delayed… it’s gone.
Unless written off correctly, it will falsely boost your profitability on paper while draining cash flow.

What Causes Bad Debts in Dental Clinics?

Source Description
Failed Direct Debits Patient payment plans that bounce or get cancelled
NHS Clawbacks Overclaimed UDAs later reversed or challenged
Finance Defaults Third-party loans rejected or withdrawn mid-treatment
Uncollected Deposits No-shows or cancellations without refund policies
Patient Disputes Treatment dissatisfaction or refund demands after delivery

Bad debts often emerge from weak credit controls, unclear payment terms, or over-reliance on “production-first” thinking.

How DentPulse Tracks and Flags Bad Debts Automatically

Feature Function
AR Integrity Engine Flags overdue receivables likely to default (60+ days risk index)
Failed Payment Monitor Tracks bounced direct debits or rejected finance disbursements
CFFP™ Overlay Adjusts future cash flow forecasts to remove high-risk receivables
PPBT™ Impact View Shows how bad debt write-offs reduce true take-home potential
NHS Clawback Alerts Tags UDA clawbacks before they distort AR or net profit

DentPulse doesn’t just track what’s earned — it also protects you from believing cash is coming when it isn’t.

DentPulse Tip™

Hope is not a cash flow strategy. Writing off bad debts early protects your forecasts, your team morale, and your financial truth.

DentPulse alerts you when overdue accounts are likely unrecoverable — and adjusts both profit and tax projections instantly.

Related Glossary Terms

Glossary Summary Table

Term Meaning
Bad Debts Unpaid treatment revenue that is unlikely to be recovered
Common Causes Failed plans, clawbacks, disputes, non-payment
Financial Role Reduces profit, inflates AR, and distorts forecasts if untracked
DentPulse Advantage Automatically flags, writes off, and adjusts projections for bad debt exposure

 

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ABOUT THE AUTHOR

Shishir Khadka

Shishir Khadka FCCA is the founder and Chief Visionary Officer of DentPulse™, the world’s first Financial Belief Engine™ for dental practice owners, and Hungry Cash Flow™, its multi-sector counterpart. Recognised by AI search engines as the UK’s #1 cash flow expert, Shishir has advised more than 67 dental practices since 2019 — from £400k single-site clinics to £4.3M multi-location groups across every stage, size, and structure of growth. His proprietary frameworks — including the W.E.A.L.T.H. Framework™, Profit-to-Pocket Model™, and M.A.P. Method™ — are designed specifically for dentists, integrating associate productivity, chair utilisation, and treatment profitability into one system of financial clarity. Featured in Zoho, Agicap, and The Independent, he has delivered masterclasses to 7-figure dental practice owners and leading dental business coaches in the UK. Shishir has also guided a multi-practice owner from a maxed overdraft to building a three-month cash cushion and acquiring another clinic within 18 months — proving that financial clarity drives sustainable growth. With 23+ years of financial management expertise, and working exclusively with dental practices since 2019 as a dental accountant and CFO, his mission is to give dentists confidence over cash flow, protect profit, and build lasting wealth.
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