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UDA Clawback Calculator showing NHS contract shortfall and repayment risk for dental practices

What Is the UDA Clawback Calculator in a Dental Practice?

The UDA Clawback Calculator estimates the financial penalty a dental practice faces if it fails to deliver the full number of UDAs (Units of Dental Activity) required by its NHS contract.

The NHS typically reclaims a proportionate amount of contract value for any UDA shortfall — and if under 96% delivery, the full amount may be clawed back.

Clawback = Contract Value × (% UDAs Undelivered)

Why UDA Clawback Matters for Dental Practice Owners

Clawback can:

  • Wipe out months of profit
  • Strain cash flow unexpectedly
  • Create associate pay disputes
  • Cause NHS contract flags or scrutiny
  • Undermine year-end financial planning

Example:

| Contract | 6,000 UDAs @ £29 = £174,000
| Delivered | 5,400 UDAs
→ 600 UDAs short = 10% shortfall
→ Clawback = £17,400 — due to NHS England in full if <96% threshold met

DentPulse calculates this risk in real time — not after the damage is done.

UDA Clawback Thresholds

Delivery Rate NHS Response
🟢 96–100% Usually no clawback
🟡 90–95.9% Clawback likely unless discretionary mitigation
🔴 <90% High clawback, may trigger contract performance review

Many dentists aren’t told how clawback is calculated until the invoice arrives — months too late.

How DentPulse Prevents and Plans for UDA Clawback

Feature Function
Live UDA Tracker Shows delivery vs target daily and monthly
Clawback Calculator Auto-estimates financial impact of underperformance
Associate Monitoring Breaks down delivery by clinician to isolate causes
PPP™ Integration Shows how clawback affects take-home profit and drawings
Cash Flow Overlay Models how upcoming payments will impact liquidity

DentPulse turns clawback from a shock into a solvable scenario.

DentPulse Tip™

You shouldn’t find out about a £14,000 clawback
after your accountant files your year-end.

With live tracking and early alerts, you can recover — or restructure — before NHS penalties hit.

Related Glossary Terms

Glossary Summary Table

Term Meaning
UDA Clawback Calculator A tool that estimates the financial penalty from NHS underperformance
Purpose Prevent unexpected losses and trigger early recovery action
Financial Impact Reduces NHS income, affects profit and personal pay
DentPulse Advantage Real-time visibility, early warnings, and actionable solutions

 

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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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