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Overhead Ratio illustration for dental practices highlighting percentage of revenue spent on fixed expenses

What Is the Overhead Ratio in a Dental Practice?

The Overhead Ratio is the percentage of a dental practice’s revenue that is spent on overhead costs (fixed expenses such as rent, staff, utilities, insurance, and compliance).

It shows how efficiently the practice is managing its operating base compared to income.

Why Does the Overhead Ratio Matter for Dental Practice Owners?

Revenue growth means nothing if overheads grow faster. The overhead ratio reveals whether your practice is scaling efficiently or leaking profit.

  • Low ratio = lean, efficient operations
  • ⚠️ High ratio = overheads eating into net profit

Example:

  • Annual Revenue: £1,000,000
  • Overheads: £400,000
  • Overhead Ratio = 40%
    If revenue grows to £1,200,000 but overheads rise to £600,000, the ratio jumps to 50% → profit margin shrinks.

How Is the Overhead Ratio Calculated?

Overhead Ratio (%)=OverheadsRevenue×100\text{Overhead Ratio (\%)} = \frac{\text{Overheads}}{\text{Revenue}} \times 100Overhead Ratio (%)=RevenueOverheads​×100

  • Overheads = rent, rates, non-clinical staff, utilities, compliance, technology
  • Revenue = total NHS, private, and plan income

What Is a Healthy Overhead Ratio for Dental Practices?

At DentPulse, we see top-performing practices maintain overheads between 35%–45% of revenue, depending on size, stage, and location.

  • 🟢 < 40% = efficient
  • 🟡 40%–45% = acceptable but worth review
  • 🔴 > 45% = profit at risk, investigate leaks

How Does DentPulse Track and Optimise Overhead Ratio?

Feature Function
PulseBenchmark™ Compares your overhead ratio to similar practices
ProfitLeaks Radar™ Identifies rising costs (subscriptions, utilities, compliance creep)
Scenario Planning Tests impact of reducing or renegotiating overheads
Profit-to-Pocket™ Link Shows how overhead ratio affects safe drawings

DentPulse makes the overhead ratio a live efficiency measure, not just an annual calculation.

DentPulse Tip™

“A £10,000 overhead leak costs you more than a £10,000 marketing fail — because it’s permanent until fixed.”

Related Glossary Terms

Glossary Summary Table

Term Meaning
Overhead Ratio % of revenue spent on overheads
Purpose Measures efficiency of practice operations
DentPulse Advantage Live tracking, benchmarking, and leak detection

 

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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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