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DentPulse Profit Triangle framework graphics showing how associate performance (APEX), chair utilisation (PCPT), and treatment profitability index (TPI) combine to drive dental practice net profit and cash flow

What Is the Profit Triangle™ in a Dental Practice?

The Profit Triangle™ is a proprietary DentPulse framework, created by founder Shishir Khadka, that measures and optimises practice profitability across three core levers:

  1. Associates – who delivers the dentistry (APEX™)
  2. Chairs – where dentistry is delivered (PCPT™)
  3. Treatments – what type of dentistry is performed (Treatment Profitability Index™)

Together, these three dimensions give practice owners a 360° view of profit performance — turning vague “revenue growth” into precise, actionable improvement areas.

Why Does the Profit Triangle™ Matter for Dental Practice Owners?

Most dental practices measure revenue but not profitability at the right level. This creates blind spots:

  • Associates who look busy but contribute little profit
  • Chairs that sit underutilised despite high fixed costs
  • Treatments that erode margins due to lab creep or poor pricing

The Profit Triangle™ solves this by breaking profit down into its three drivers, showing owners exactly where to optimise.

What Are the Components of the Profit Triangle™?

ComponentDentPulse ToolPurpose
AssociatesAPEX™ (Associate Performance Excellence Index)Measures profit contribution per associate, adjusting for pay splits and lab costs
ChairsPCPT™ (Profit Centre Performance Tracker)Tracks profit per chair hour, factoring in occupancy and utilisation
TreatmentsTreatment Profitability Index™Analyses margin by treatment type, highlighting high vs low-profit procedures

How Does DentPulse Track the Profit Triangle™?

FeatureFunction
Integrated DashboardsShows associate, chair, and treatment profit in one view
Red–Amber–Green AlertsFlags underperformance at any level
BenchmarkingCompares profit drivers to top practices by size, stage, and structure
Scenario ModellingTests changes in pay splits, pricing, or utilisation
Profit-to-Pocket™ SyncConnects Triangle outputs directly to owner take-home

The Profit Triangle™ turns profitability into a repeatable system, not a guessing game.

DentPulse Tip™

“Revenue doesn’t build wealth —
Associates, Chairs, and Treatments do.
That’s the Profit Triangle™.”

Related Glossary Terms

  • APEX™ – Associate profitability benchmarking tool
  • PCPT™ – Chair-level profit tracker
  • Treatment Profitability Index™ – Profit margin by treatment type
  • Net Profit Margin – Bottom-line profitability
  • Profit-to-Pocket™ – Connects the Profit Triangle™ to owner drawings 

Glossary Summary Table

TermMeaning
Profit Triangle™Proprietary DentPulse framework linking associates, chairs, and treatments to profitability
PurposeDiagnose and optimise the 3 core drivers of practice profit
Created byDentPulse founder, Shishir Khadka
DentPulse AdvantageAutomated dashboards + benchmarks + real-time owner-level insight

 

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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