DentPulse

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Visual representation of cash flow gap in dentistry with inflow and outflow mismatch causing liquidity risks

What Is a Cash Flow Gap in Dental Practices?

A Cash Flow Gap is the time-based mismatch between when your cash inflows arrive and when your cash outflows are due — creating temporary shortfalls even in otherwise healthy, profitable dental practices.

It’s not about how much you earn — it’s about when money lands vs when bills hit.

Why Cash Flow Gaps Matter for Dental Practice Owners

Most dental practices don’t fail because they’re unprofitable.
They fail because cash leaves faster than it arrives.

Common culprits:

  • Treatment paid in installments, but lab fees due upfront
  • Associate payroll before patient payments clear
  • NHS payments arriving quarterly, but monthly fixed costs don’t wait
  • Finance or plan income delays vs. weekly supplier debits

Example:
You earn £34,000 in Invisalign starts this month.
But £19,000 is paid in installments, £6,000 of lab costs are due now, and you’ve already paid the associate £15,000.

Without timing logic, your bank feels squeezed — even when revenue looks fine.

What Causes Cash Flow Gaps in Dentistry?

Cause Example
Delayed Income Payment plans, NHS clawbacks, insurance or finance delays
Upfront Outgoings Lab bills, staff wages, loan repayments
Unearned Income Deposits taken but not yet earned (deferred)
Drawing Schedules Owner drawings that ignore future obligations
Unforecasted Costs Equipment purchases, repair bills, associate overpayment

This mismatch is what DentPulse solves using CFFP™ – Cash Flow Future Pairing.

How DentPulse Detects and Closes Cash Flow Gaps

Feature Function
CFFP™ Engine Pairs future cash in vs. future cash out — by week or day
MCBTP™ Alerts Flags when your cash reserves will fall below minimum safe levels
Timing Variance Tracker Highlights earned income vs. received cash gaps
Pressure Forecast Predicts upcoming shortfalls before they hit your bank
Income Lag Analysis Shows how long it takes each treatment type to clear to bank

DentPulse doesn’t just report gaps — it shows you where, when, and why they happen.

DentPulse Tip™

You don’t go broke because of profit.
You go broke because of timing.

DentPulse helps you control that timing with predictive clarity — not gut feel or spreadsheet guesswork.

Related Glossary Terms

Glossary Summary Table

Term Meaning
Cash Flow Gap A mismatch in timing between income received and expenses due
Risk Causes shortfalls even when profitable on paper
Common Triggers Upfront costs, delayed income, poor forecast discipline
DentPulse Advantage Predicts and neutralises timing gaps using CFFP™, buffer tracking, and liquidity alerts

 

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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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