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Gross collections illustration showing payments from patients and NHS entering clinic before adjustments, discounts, or write-offs

What Are Gross Collections in a Dental Practice?

Gross Collections represent the total payments received by a dental practice from all sources — including patients, NHS, plan providers (e.g. Denplan), and third-party finance — before any deductions like refunds, discounts, lab fees, or associate pay.

This is cash actually collected, not just treatment completed.

Why Gross Collections Matter for Dental Practice Owners

Gross collections show how much money entered your bank — not just what was invoiced or planned.

They’re essential for:

  • Paying associates on a % of collections basis
  • Understanding real inflow vs. production promises
  • Tracking financial momentum — especially in cash-based private dentistry
  • Ensuring enough cash is collected to cover fixed costs, tax, and drawings

Example:
A practice produces £100K in January, but collects only £72K due to:

  • Payment plans
  • Patient finance delays
  • NHS claims pending
  • A few no-pays

→ Gross collections = £72K, not £100K.
→ Payroll, tax, and dividends must be based on the £72K.

Gross Collections vs. Production

Term Definition Use
Production Value of treatment completed (earned revenue) For profit calculation, accrual accounting
Gross Collections Actual payments received For cash flow planning, payroll, associate pay
Net Collections Gross collections minus refunds, bad debt, discounts Closer to true usable inflow

DentPulse separates production from collections — and links them to buffer logic, PPP™, and associate reconciliation.

How DentPulse Tracks and Uses Gross Collections

Feature Function
Associate Pay Module Pays based on gross collections or production, per contract
PPP™ Planner Limits drawings based on cash collected, not just earned
CFFP™ Engine Pairs incoming collections with future fixed/tax obligations
Gross-to-Net Diagnostic Flags % lost to discounts, finance charges, bad debt
Cash Flow Forecast Models expected collections based on treatment plans and payment terms

DentPulse makes sure you never make decisions based on money promised — only on money collected.

DentPulse Tip™

Production looks good on paper.
Collections keep the lights on.

Always reconcile gross collections monthly.
Use them to fund drawings, tax, and buffer first — then think reinvestment.

Related Glossary Terms

  • Net Collections – What’s left after refunds, discounts, bad debt
  • Production – Total value of treatment delivered (not necessarily paid)
  • CFFP™ – Ensures inflow aligns with future cash commitments
  • PTP™ – Links profit, tax, and drawings to real cash flow
  • Associate Pay Structure – Often based on % of gross collections

Glossary Summary Table

Term Meaning
Gross Collections Total payments received by the practice from all sources before any deductions
Key Use Tracks real inflow; used for pay, drawings, tax, and buffer planning
Common Mistake Confusing collections with production — risking overdraw or overpay
DentPulse Advantage Tracks collections vs. production, forecasts timing, links to all profit and pay modules

 

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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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