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Fixed expenses graphic showing rent, staff salaries, insurance, and monthly recurring costs with dentist and patient

What Are Fixed Expenses in a Dental Practice?

Fixed Expenses are the recurring bills that a dental practice must pay to “open the doors” each month, regardless of patient flow or income earned.

They represent the baseline overhead — costs that stay the same whether you see zero patients or one hundred.

Why Do Fixed Expenses Matter for Dental Practice Owners?

Fixed expenses are unavoidable. They must be paid each month, even if income dips due to cancellations, associate illness, or seasonal slowdowns.

If fixed expenses are too high relative to revenue, practices quickly run into cash flow pressure and reduced drawings.

Example:

  • Monthly fixed expenses: £48,000
  • February revenue: £41,000 (due to associate illness)
  • Result: £7,000 deficit, covered via overdraft, tax delay, or reduced drawings.

What are the Common Fixed Expenses in Dental Practices

Category Examples
Premises Rent, business rates, utilities
Staffing Salaried reception/admin staff, employer NI
Technology PMS software, CRM, imaging systems
Equipment Lease or hire-purchase agreements
Overheads Insurance, CQC fees, GDC registration, CPD
Marketing Retainers, fixed ad spend contracts

How Does DentPulse Track Fixed Expenses?

Feature Function
12-Week Buffer Uses fixed expenses to calculate survival window
MCBTP™ Integration Minimum buffer needed before timing pressure builds
Cash Flow Forecasting Predicts months when fixed expenses strain liquidity
PPP™ Alignment Ensures drawings don’t breach fixed expense cover

DentPulse makes fixed expenses transparent and survivable, not just a line on your P&L.

DentPulse Tip™

“Your fixed expenses are the bills you pay whether the chairs are full or empty.
They’re the weight your business carries every month — control them tightly.”

Related Glossary Terms

Glossary Summary Table

Term Meaning
Fixed Expenses Recurring bills owed each month regardless of patient flow
Purpose Baseline overhead for survival analysis
DentPulse Advantage Tracks, forecasts, and protects liquidity against expense pressure

Picture of ABOUT THE AUTHOR

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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