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General Information

Please answer the following questions.
What is the name of your practice? Smart Dentist DDS Practice offered at: $549,000.00
What is the name of the owner of the practice? Smart Dentist DDS What is your Degree? DDS
What was the year of your graduation from dental school? 1985 Are you a general practitioner? Yes
If your practice is limited to one of the accredited specialties, which one? No What is your age? 55
Describe any post graduate training you have had? I have taken over 500 hours of continuing education in my career covering all aspects of dentistry with a focus on full mouth reconstruction.
Do you practice any particular philosophy of dentistry? If so describe. No
Did you buy the practice from the previous owner or was it a start up? Start up When was the practice acquired by the present owner? 1987
How old is the practice including yourself and any previous owners? 23 Years How long has the practice been in it's present location? 13 Years
If there was a previous location, how far was it from the present location? 5 Miles Do you have a preferred exit strategy or are you flexible to the wishes of the buyer? Flexible
What is the reason you are selling? Moving out of state. Do you own your practice? Yes
Will you be selling the practice "free and clear " of all debts and encumbrances? Yes Is there any current or pending litigation against yourself or the practice? No
In what city, state and zip code is your practice located? Anytown, USA 12345
How would you describe the location of your practice within your town? In what suburb, part of town or neighborhood is it located? It is in the busy central part of downtown.

Images

Main Image of Practice
Waiting Room
Waiting Room Image 2
Conference Room
Operatory 1
Operatory 2
Operatory 3
Private Office

Facility

Do you own or lease your facility? Lease How many square feet is your facility? 2000
What best describes your facility? Is it retail, condo, professional complex or stand alone building? Professional Complex Is there a common area maintenance fee? No
What is the age of the facility? 13 Years If leased, when does the lease expire? 10/10/2010
Is the lease assumable? Yes What is your rent or mortgage payment per month? $4,500.00
If leased, are you responsible for repairs? Real estate taxes? Building insurance? Repairs, Real Estate Taxes, Building Insurance If you are responsible for the real estate taxes on your building, what are they per year? $3,500.00
What are the current terms for renewal, if any? Lease will need to be renegotiated. If you lease, does the current lease have provisions for a yearly increase? If so, please describe. Yes
Describe your office location in terms of it's visibility to the public. It is at the corner of a major intersection visible to traffic in both directions.
Describe your office's signage. Signage is present on the building and on directories for the center. Is the signage visible at night? The directory is lit, but the building signage is not.
How many operatories are in your office and of these, how many are equipped for restorative and how many for hygiene? We have 4 ops equipped. One is for hygiene, three for restorative.
Approximately how many parking spaces do you have? 12 Is your office handicapped accessible? Yes
Please describe the location of your office in terms of the neighborhood and surroundings. We are surrounded by several large residential areas with a shopping center across the street.

Operations

Marketing:
Does your practice utilize external marketing? If so, please describe. Yes. We run a monthly ad in the city magazine and have a website.
Does your practice utilize internal marketing? If so, please describe. Yes. We have a quarterly newsletter that we send out to our patients and we send thank you notes to all new patients and their source of referral.
Does your office offer patient rewards for referrals? If so, please describe. No. We do, however, send thank you notes.
Treatment Referrals:
What % of Periodontics do you refer out to specialists? 20% What % of Endodontics do you refer out to specialists? 25%
What % of Oral Surgery do you refer out to specialists? 25% What % of Orthodontics do you refer out to specialists? 100%
What % of Fixed Pros. do you refer out to specialists? 0% What % of Removable do you refer out to specialists? 10%
What % of Periodontics do you refer out to specialists? 25% Are the specialists to whom you refer in your vicinity? Describe if necessary. Yes, they are all within 10 miles of our office.
Hours:
What are your hours of operation? If your schedule varies, please describe. Monday-Wednesday: 8am-5pm
Thursday: 7am-4pm
Friday-Sunday: Closed
How many weeks of vacation do you typically take per year? 4
Scheduling:
Does your office "block schedule"? In other words, are certain procedures allotted to specific blocks of time in your work week? If yes, please describe. We typically schedule long appointments in the mornings and do smaller procedures in the afternoon.
Does hygiene pre-appoint recalls at the end of each appointment when possible? Yes
Approximately how much time does your office allot for the following procedures on average?
Routine prophy, bitewing radiographs, periodic exam? 45 Minutes Single crown prep with core buildup including provisionalization or seating if cad/cam? 1.5 Hours
1 surface posterior composite? 30 Minutes 2 surface posterior composite? 45 Minutes
3 surface posterior composite? 45 Minutes 2 quadrants of class II perio scaling and root planing with anesthesia? 1.5 Hours
Pulpotomy and chrome crown? 45 Minutes Master impressions for upper and lower complete dentures? 1 Hour
Simple extraction? 30 Minutes Anterior endodontic treatment? 1 Hour
Is the new patient exam performed by the Dr./assistant or is the time split between the Dr. and hygienist? Doctor/Assistant
Give a brief description of what is done on a new patient (non-emergency) visit. A ten minute initial consultation with the Doctor, necessary radiographs, full charting including a full perio chart and models and records if indicated.
How often does your office chart for perio or perform psr screenings? Once per year on patients who attend their recall appointments.
Insurance:
Does your office accept assignment of insurance benefits? Yes Are your patients with insurance required to pay their part in full at the time of service unless other payment arrangements have been made? Yes
Does your office file insurance claims electronically? Yes What insurance plans do you accept? Delta, Met Life PPO only.
Of the patients on these insurance plans, what % are the following?
Indemnity (can choose any dentist they please and are required to pay the remaining balance left unpaid by insurance carrier): 50% PPO (Preferred Provider Organization): 50%
HMO (Health Maintenance Organization): 0% Medicare/ Medicaid: 0%
Approximately what percentage of your patient base is fee for service? 70% Approximately what % of your collections over the last complete fiscal year were derived from insurance payments? 50%
Staff
Please fill out the following table of information regading your staff:
Position How Paid Hrs/Week Total Pay/Yr Stay After Sale Years
Staff Member Front Desk Salary 32 47,000 Yes 13
Staff Member Assistant Hourly 32 26,000 Yes 7
Staff Member Assistant 2 Hourly 32 26,000 Yes 10
Staff Member Hygienist Hourly 32 52,000 Yes 4
What holidays are paid vacation days for your staff? Memorial Day, July 4th, Thanksgiving
Is paid vacation for full-time staff only or for part-time as well? Full-time only. Do staff members have any paid sick days? If yes, how many? No.
What is your office vacation policy for the staff? Staff must give at least one month notice for vacation. The office closes for CE classes we take as a group. On weeks the doctor is out of the office, we usually are open several days for hygiene only patients who have been seen by the doctor in the past year.
Do any family members work as part of the staff? If so, which ones and how are they compensated? No.
Is the staff on any form of incentive plan? If so, please describe. No.
Do any of your employees receive health insurance benefits? If so, please describe. No.
Does your office have an employer sponsored retirement plan? If so, what kind? Yes. 401K
Is there a matching employer contribution and if so, what is the percentage? 3%
Statistics
How many active patients are in the practice with "active" defined as having been seen in the last 18 months. Note: This number is not the number of patient visits. If one patient was seen 3 times, that counts as one. 1245 How many patients does the doctor see on an average day? About 7
How many patients per day are seen by a hygienist in your office on an average day? About 9
Do you use assisted hygiene in your office in any capacity? If so, please describe. No.
During your last complete fiscal year, how many new patients did you average per month? 15 Does your office offer any incentive to new patients? No.
How far ahead is the doctor booked? 1 Month How far ahead is hygiene booked? 2 Months
Aged Accounts Receivables:
Amount Due
Current: $28,452.00
30-60 Days $13,967.00
60-90 Days $2,187.00
Over 90 Days $952.00
Totals: $45,558.00
What is your % collections of your gross production? 98.5% Does your office keep an up-to-date msds book? Yes
Is your office OSHA compliant? Yes
Technology
Does your office have a computer system? If so, please give a general description of the hardware, software, operating system, backup and whether the system is used in the operatories. We have computer terminals at the front desk, doctor's office and all operatories which run Patterson Eaglesoft on Windows 7. We back up our data at the end of every workday.
Does your office have internet access? If so, what kind of connection? Yes - DSL
Do you use paper, electronic charting, or a mix of both? Please describe. We generally utilize a mix of both electronic and paper charting.
Do you use Quickbooks or a similar bookkeeping system? Yes, Quickbooks Pro Is payroll done in-house our outsourced? In-House
Does your office utilize any of the following technologies?
Digital Panoramic? Yes Digital Radiography for Periapicals and Bitewings? Yes
3-D Imaging? No Air Abrasion? No
Hard Tissue Laser? No Soft Tissue Laser? Yes
Electrosurgery? Yes Laser Caries Detection? No
Microscopes? No CAD/CAM units? Yes
Electric Handpieces? Yes Fiber Optics? Yes
Shade Matching Devices? No Does your office have a website? Yes

Production/Collections

Please fill in the following charts which separate office production for Dr. and hygiene and then breaks both down by category. Tables are for the current year and the last 3 complete fiscal years.
Current Fiscal Year - Dates: 1/1/2012 - 5/1/2012
Current Year Doctor Production
# of Procedures $ Produced % of Total
Diagnostic 184 $14,128.00 5.10%
Preventive 37 $3,324.00 1.20%
Restorative 274 $125,771.00 45.40%
Endodontics 41 $26,595.00 9.60%
Periodontics 159 $33,521.00 12.10%
Removable 16 $19,116.00 6.90%
Max. Pros. 0 $0.00 0.00%
Implants 8 $13,297.00 4.80%
Fixed Pros. 23 $25,487.00 9.20%
Oral Surgery 95 $11,635.00 4.20%
Orthodontics 0 $0.00 0.00%
Adjunctive 7 $4,155.00 1.50%
Other 0 $0.00 0.00%
Doctor Totals: 844 $277,029.00 100%
Current Year Hygiene Production
# of procedures $ produced % of Total
Diagnostic 820 $33,613.00 31.20%
Preventive 588 $47,097.00 43.71%
Periodontics 155 $24,886.00 23.10%
Adjunctive 108 $2,154.00 1.99%
Hygiene Totals: 1,671 $107,750.00 100%
Current Year Doctor Collections
Quantity $ Total % of Total
Cash Payment 11 $1,360.00 0.50%
Check Payment 459 $68,521.00 25.20%
VISA/MC Payment 243 $79,397.00 29.20%
Discover Payment 9 $2,719.00 1.00%
AMEX Payment 142 $59,548.00 21.90%
Dental Ins. Check Payment 203 $60,364.00 22.20%
Doctor Totals: 1,067 $271,909.00 100%
Current Year Hygiene Collections
# of Procedures $ Produced % of Total
Check Payment 10 $1,079.00 1.00%
VISA/MC Payment 40 $4,314.00 4.00%
Discover Payment 10 $1,079.00 1.00%
AMEX Payment 20 $2,157.00 2.00%
Dental Ins. Check Payment 927 $99,223.00 92.00%
Hygiene Totals: 1,007 $107,852.00 100%
2011
2011 Doctor Production
# of Procedures $ Produced % of Total
Diagnostic 1,079 $30,657.00 6.10%
Preventive 87 $6,031.00 1.20%
Restorative 681 $216,607.00 43.10%
Endodontic 82 $61,816.00 12.30%
Periodontics 359 $58,800.00 11.70%
Removable 57 $29,148.00 5.80%
Implants 21 $22,113.00 4.40%
Fixed Pros. 132 $48,247.00 9.60%
Oral Surgery 142 $24,626.00 4.90%
Adjunctive 36 $4,523.00 0.90%
Doctor Totals: 2,676 $502,568.00 100%
2011 Hygiene Production
# of Procedures $ Produced % of Total
Diagnostic 1,785 $67,842.00 31.20%
Preventive 1,440 $95,023.00 43.70%
Periodontics 502 $50,229.00 23.10%
Adjunctive 35 $4,349.00 2.00%
Hygiene Totals: 3,762 $217,443.00 100%
2011 Doctor Collections
Quantity $ Total % of Total
Cash Payment 50 $5,528.00 1.10%
Check Payment 925 $138,708.00 27.60%
VISA/MC Payment 518 $141,222.00 28.10%
Discover Payment 23 $7,036.00 1.40%
AMEX Payment 205 $90,965.00 18.10%
Dental Ins. Check Payment 598 $119,109.00 23.70%
Doctor Totals: 2,319 $502,568.00 100%
2011 Hygiene Collections
Quantity $ Total % of Total
Check Payment 41 $4,349.00 2.00%
VISA/MC Payment 83 $8,698.00 4.00%
Discover Payment 21 $2,174.00 1.00%
AMEX Payment 62 $6,523.00 3.00%
Dental Ins. Check Payment 1,864 $195,699.00 90.00%
Hygiene Totals: 2,071 $217,443.00 100%
2010
2010 Doctor Production
# of Procedures $ Produced % of Total
Diagnostic 947 $26,936.00 5.73%
Preventive 99 $7,431.00 1.58%
Restorative 616 $209,876.00 44.62%
Endodontic 74 $51,085.00 10.86%
Periodontics 311 $48,763.00 10.37%
Removable 61 $28,329.00 6.02%
Implants 25 $22,292.00 4.74%
Fixed Pros. 121 $46,906.00 9.97%
Oral Surgery 136 $23,685.00 5.03%
Adjunctive 42 $5,108.00 1.08%
Doctor Totals: 2,432 $470,411.00 100%
2010 Hygiene Production
# of Procedures $ Produced % of Total
Diagnostic 1,403 $50,497.00 29.70%
Preventive 1,181 $76,170.00 44.80%
Periodontics 474 $40,806.00 24.00%
Adjunctive 21 $2,550.00 1.50%
Hygiene Totals: 3,079 $170,023.00 100%
2010 Doctor Collections
Quantity $ Total % of Total
Cash Payment 50 $4,668.00 1.00%
Check Payment 474 $95,221.00 20.40%
VISA/MC Payment 419 $117,626.00 25.20%
Discover Payment 7 $2,801.00 0.60%
AMEX Payment 266 $98,955.00 21.20%
Dental Ins. Check Payment 536 $147,499.00 31.60%
Doctor Totals: 1,752 $466,770.00 100%
2010 Hygiene Collections
Quantity $ Total % of Total
Check Payment 51 $5,101.00 3.00%
VISA/MC Payment 84 $8,501.00 5.00%
AMEX Payment 67 $6,801.00 4.00%
Dental Ins. Check Payment 1,481 $149,620.00 88.00%
Hygiene Totals: 1,683 $170,023.00 100%
2009
2009 Doctor Production
# of Procedures $ Produced % of Total
Diagnostic 960 $27,311.00 6.10%
Preventive 89 $6,716.00 1.50%
Restorative 622 $204,163.00 45.60%
Endodontic 61 $42,983.00 9.60%
Periodontics 300 $42,086.00 9.40%
Removable 66 $32,236.00 7.20%
Implants 21 $19,252.00 4.30%
Fixed Pros. 111 $40,295.00 9.00%
Oral Surgery 138 $23,282.00 5.20%
Adjunctive 70 $9,402.00 2.10%
Doctor Totals: 2,438 $447,726.00 100%
2009 Hygiene Production
# of Procedures $ Produced % of Total
Diagnostic 1,566 $56,377.00 29.10%
Preventive 1,319 $81,756.00 42.20%
Periodontics 559 $49,208.00 25.40%
Adjunctive 53 $6,393.00 3.30%
Hygiene Totals: 3,497 $193,734.00 100%
2009 Doctor Collections
Quantity $ Total % of Total
Cash Payment 37 $3,582.00 0.80%
Check Payment 321 $109,245.00 24.40%
VISA/MC Payment 557 $119,543.00 26.70%
Discover Payment 15 $4,925.00 1.10%
AMEX Payment 257 $90,441.00 20.20%
Dental Ins. Check Payment 471 $119,991.00 26.80%
Doctor Totals: 1,658 $447,727.00 100%
2009 Hygiene Collections
Quantity $ Total % of Total
Check Payment 21 $1,937.00 0.97%
VISA/MC Payment 144 $13,561.00 6.80%
Discover Payment 41 $9,687.00 4.85%
AMEX Payment 103 $9,687.00 4.85%
Dental Ins. Check Payment 1,752 $164,674.00 82.53%
Hygiene Totals: 2,061 $199,546.00 100%

Fee Schedule

Please fill in the following with the fees currently charged in your office. If you do not perform a listed procedure in your office, leave blank.
Diagnostic
D0120 Periodic Oral Evaluation $35.00 D0140 Limited Oral Evaluation $50.00
D0150 Comprehensive Oral Evaluation $70.00 D0210 Intraoral Complete Series (Including Bitewings) $88.00
D0220 Intraoral - Periapical First Film $22.00 D0230 Intraoral - Periapical Each Additional Film $18.00
D0272 Bitewings - 2 Films $32.00 D0274 Bitewings - 4 Films $48.00
D0277 Vertical Bitewings - 7 to 8 Films $60.00 D0330 Panoramic Film $85.00
D0460 Pulp Vitality Test $35.00 D0470 Diagnostic Casts $105.00
Preventive
D1110 Prophylaxis - Adult $75.00 D1120 Prophylaxis - Child $48.00
D1203 Topical Application of Fluoride - Adult $22.00 D1204 Topical Application of Fluoride - Child $20.00
D1351 Sealant $35.00 D1310 Nutritional Counseling for the Control of Dental Disease $40.00
D1330 Oral Hygiene Instructions $0.00 D1510 Space Maintainer - Fixed - Unilateral $275.00
D1515 Space Maintainer - Fixed - Bilateral $375.00 D1520 Space Maintainer - Removable - Unilateral $315.00
D1525 Space Maintainer - Removable - Bilateral $375.00
Restorative
D2140 Amalgam - One Surface (Primary or Permanent) $105.00 D2150 Amalgam - Two Surface (Primary or Permanent) $125.00
D2160 Amalgam - Three Surface (Primary or Permanent) $175.00 D2161 Amalgam - Four + Surface (Primary or Permanent) $275.00
D2330 Composite - One Surface Anterior $165.00 D2331 Composite - Two Surface Anterior $190.00
D2332 Composite - Three Surface Anterior $205.00 D2335 Composite - Four + Surface Anterior $325.00
D2391 Composite - One Surface Posterior $175.00 D2392 Composite - Two Surface Posterior $205.00
D2393 Composite - Three Surface Posterior $252.00 D2394 Composite - Four + Surface Posterior $285.00
D2520 Inlay Metallic - Two Surface $750.00 D2530 Inlay Metallic - Three + Surface $850.00
D2544 Onlay Metallic - Four + Surface $1,050.00 D2620 Inlay Porcelain/Ceramic - Two Surface $750.00
D2630 Inlay Porcelain/Ceramic - Three + Surface $825.00 D2644 Onlay Porcelain/Ceramic - Four + Surface $975.00
D2651 Inlay Composite - Two Surface $650.00 D2652 Inlay Composite - Three + Surface $750.00
D2664 Onlay Composite - Four + Surface $850.00 D2740 Crown - Porcelain/Ceramic Substrate $1,050.00
D2750 Crown - Porcelain Fused to High Noble Metal $985.00 D2751 Crown - Porcelain Fused to Base Metal $975.00
D2752 Crown - Porcelain Fused to Noble Metal $985.00 D2780 Crown - 3/4 Cast High Noble Metal $1,050.00
D2781 Crown - 3/4 Cast Base Metal $950.00 D2782 Crown - 3/4 Cast Noble Metal $850.00
D2783 Crown - 3/4 Porcelain/Ceramic $1,050.00 D2790 Crown - Full Cast High Noble Metal $1,050.00
D2791 Crown - Full Cast Base Metal $850.00 D2792 Crown - Full Cast Noble Metal $1,050.00
D2799 Crown - Provisional Crown $350.00 D2920 Recement Crown $60.00
D2930 Prefab Stainless Steel Crown - Primary Tooth $175.00 D2940 Sedative Filling $85.00
D2950 Core Buildup Including Any Pins $225.00 D2952 Cast Post and Core in Addition to Crown $500.00
D2954 Prefab Post and Core in Addition to Crown $280.00 D2960 Labial Veneer (Resin Laminate) - Chairside $650.00
D2962 Labial Veneer (Porcelain Laminate) - Lab $1,050.00
Endodontics
D3110 Pulp Cap - Direct (Excluding Final Restoration) $50.00 D3220 Therapeutic Pulptomy (Excluding Final Restoration) $125.00
D3221 Pupal Debridement (Primary and Permanent Teeth) $175.00 D3310 Root Canal Therapy Anterior (Excluding Final Restoration) $650.00
D3320 Root Canal Therapy Premolar (Excluding Final Restoration) $785.00 D3330 Root Canal Therapy Molar (Excluding Final Restoration) $975.00
D3346 Retreatment of Previous Root Canal Therapy - Anterior $750.00 D3347 Retreatment of Previous Root Canal Therapy - Premolar $885.00
D3348 Retreatment of Previous Root Canal Therapy - Molar $1,075.00
Periodontic
D4210 Gingivectomy or Gingivoplasty (Four or more Teeth in a Quadrant) $325.00 D4240 Gingival Flap Procedure, Including RP (4 or more Teeth/Quad) $600.00
D4241 Gingival Flap Procedure, Including RP (1-3/Quad) $350.00 D4249 Clinical Crown Lengthening - Hard Tissue $650.00
D4263 Bone Replacement Graft - 1st Site in Quadrant $375.00 D4264 Bone Replacement Graft - Each Additional Site in Quadrant $275.00
D4271 Free Soft Tissue Graft $690.00 D4274 Distal or Proximal Wedge Procedure $275.00
D4320 Provisional Splinting - Intracoronal $105.00 D4321 Provisional Splinting - Extracoronal $325.00
D4341 Periodontal Scaling and Root Planing per Quadrant $205.00 D4342 Periodontal Scaling and Root Planing 1-3 Teeth in Quadrant $150.00
D4355 Full Mouth Debridement $115.00 D4910 Periodontal Maintenance $90.00
Removable Prosthodontics
D5110 Complete Denture - Maxillary $1,500.00 D5120 Complete Denture - Mandibular $1,500.00
D5130 Immediate Denture - Maxillary $1,250.00 D5140 Immediate Denture - Mandibular $1,250.00
D5211 Maxillary Partial Denture - Resin Base $900.00 D5212 Mandibular Partial Denture - Resin Base $900.00
D5213 Maxillary Partial Denture - Cast Metal Framework $1,500.00 D5214 Mandibular Partial Denture - Cast Metal Framework $1,500.00
D5225 Maxillary Partial Denture - Flexible Base $900.00 D5226 Mandibular Partial Denture - Flexible Base $900.00
D5410 Adjust Complete Denture Maxillary $70.00 D5411 Adjust Complete Denture Mandibular $70.00
D5421 Adjust Partial Denture Maxillary $70.00 D5422 Adjust Partial Denture Mandibular $70.00
D5510 Repair Complete Denture Base $125.00 D5520 Replace Missing or Broken Teeth in Complete Denture $125.00
D5730 Reline Complete Maxillary Denture (Chairside) $275.00 D5731 Reline Complete Mandibular Denture (Chairside) $275.00
D5750 Reline Complete Maxillary Denture (Laboratory) $300.00 D5751 Reline Complete Mandibular Denture (Laboratory) $300.00
D5850 Tissue Conditioning, Maxillary $80.00 D5851 Tissue Conditioning, Mandibular $80.00
Maxillofacial Prosthetics
D5937 Trismus Appliance (Not for TMD Treatment) $375.00 D5982 Surgical Stent $375.00
D5986 Fluoride Gel Carrier $100.00 D5988 Surgical Splint $375.00
Implants
D6010 Surgical Placement of Implant Body, Endosteal Implant $1,575.00 D6053 Implant/Abutment Supported Removable Complete Denture $1,950.00
D6054 Implant/Abutment Supported Removable Partial Denture $1,950.00 D6055 Dental Implant Supported Connecting Bar $700.00
D6056 Prefabricated Abutment - Includes Placement $495.00 D6057 Custom Abutment - Includes Placement $620.00
D6058 Abutment Supported Porcelain/Ceramic Crown $1,050.00 D6059 Abutment Supported PFM, High Noble Metal $985.00
D6060 Abutment Supported PFM, Base Metal $985.00 D6061 Abutment Supported PFM, Noble Metal $985.00
D6062 Abutment Supported Cast Metal Crown, High Noble $1,050.00 D6063 Abutment Supported Cast Metal Crown, Base Metal $950.00
D6064 Abutment Supported Cast Metal Crown, Noble Metal $1,050.00 D6065 Implant Supported Porcelain/Ceramic Crown $1,575.00
D6067 Implant Supported Metal Crown, Cast High Noble or Titanium $1,575.00 D6068 Abutment Supported Retainer for Porcelain/ Ceramic FPD $1,050.00
D6069 Abutment Supported Retainer for PFM FPD, High Noble Metal $1,050.00 D6070 Abutment Supported Retainer for PFM FPD, Base Metal $985.00
D6071 Abutment Supported Retainer for PFM FPD, Noble Metal $1,050.00 D6072 Abutment Supported Retainer for Cast metal FPD, High Noble Metal $1,050.00
D6073 Abutment Supported Retainer for Cast Metal FPD, Base Metal $985.00 D6074 Abutment Supported Retainer for Cast Metal FPD, Noble Metal $1,050.00
D6075 Implant Supported Retainer for Ceramic FPD $1,050.00 D6076 Implant Supported Retainer for PFM, High Noble $1,050.00
D6077 Implant Supported Retainer for Cast Metal FPD, Titanium $1,050.00 D6092 Recement Implant/Abutment Supported Crown $60.00
D6093 Recement Implant/Abutment Supported FPD $90.00
Fixed Prosthodontics
D6205 Pontic - Indirect Resin Based Composite $985.00 D6210 Pontic - Cast High Noble Metal $1,050.00
D6211 Pontic - Cast Base Metal $885.00 D6212 Pontic - Cast Noble Metal $985.00
D6214 Pontic - Titanium $1,050.00 D6240 Pontic - Porcelain Fused to High Noble Metal $1,050.00
D6241 Pontic - Porcelain Fused to Base Metal $885.00 D6242 Pontic - Porcelain Fused to Noble Metal $985.00
D6245 Pontic - Porcelain/Ceramic $1,050.00 D6250 Pontic - Resin to High Noble Metal $1,050.00
D6251 Pontic - Resin to Base Metal $885.00 D6252 Pontic - Resin to Noble Metal $985.00
D6720 Crown Abutment - Resin to High Noble Metal $1,050.00 D6721 Crown Abutment - Resin to Base Metal $885.00
D6722 Crown Abutment - Resin to Noble Metal $985.00 D6740 Crown Abutment - Porcelain/Ceramic $1,050.00
D6750 Crown Abutment - Porcelain Fused to High Noble Metal $1,050.00 D6751 Crown Abutment - Porcelain Fused to Base Metal $885.00
D6752 Crown Abutment - Porcelain fused to Noble Metal $985.00 D6790 Crown Abutment - Full Cast High Noble Metal $1,050.00
D6791 Crown Abutment - Full Cast Base Metal $885.00 D6792 Crown Abutment - Full Cast Noble Metal $985.00
D6794 Crown Abutment - Titanium $1,050.00 D6920 Connector Bar $750.00
D6930 Recement Fixed Partial Denture $90.00 D6975 Metal Coping $350.00
Oral Surgery
D7111 Ext. Coronal Remnants Deciduous Tooth $75.00 D7140 Simple Extraction $125.00
D7210 Surgical Extraction of Erupted Tooth $195.00 D7220 Removal of Impacted Tooth - Soft Tissue $215.00
D7230 Removal of Impacted Tooth - Partial Bony $300.00 D7240 Removal of Impacted Tooth - Completely Bony $375.00
D7310 Alveoplasty in Conjunction with Removal of 4 or More Teeth $225.00 D7311 Alveoplasty in Conjunction with Removal of 1-3 Teeth in a Quad $175.00
D7510 Incision and Drainage of Abscess - Intraoral $150.00 D7880 Occlusal Orthotic Device $750.00
Adjunctive
D9230 Analgesia, Anxiolysis, Inhalation of Nitrous Oxide $50.00 D9910 Application of Desensitizing Medicament $40.00
D9940 Occlusal Guard by Report $350.00 D9942 Repair and/or Reline Occlusal Guard $150.00
D9950 Occlusion Analysis - Mounted Case $150.00 D9951 Occlusion Adjustment - Limited $60.00
D9952 Occlusion Adjustment - Complete $775.00 D9970 Enamel Microabrasion $40.00
D9971 Odontoplasty 1-2 Teeth $60.00 D9972 External Bleaching - Per Arch $175.00
D9973 External Bleaching - Per Tooth $150.00 D9974 Internal Bleaching - Per Tooth $125.00

Appraisals

Please list the equipment contained within each room of your practice:
Operatory #1:
1     ADEC Preference Treatment Console with Duo Delivery System
1     Adec Decade Chair
2     Adec Doctor Stools
1     Pelton and Crane Track Light
1     Prophy Jet Scaler/ Polisher
1     Dentsply Spectrum Curing Light
1     Planmeca Intraoral X-Ray with Pass Through Mount
1     Dell 17 inch Monitor with cabinet side mount
1     Dell Computer Tower 
Operatory #2:
1     Adec Rear Delivery Treatment Console with Duo Delivery System with Fiber Optics                        
1     Adec Decade Chair
1     Adec Doctor's Stool
1     Adec Assistant's Stool
1     Pelton and Crane Track Light
1     Demetron Curing Light
1     Porter Nitrous Oxide Flowmeter
1     Dell 17" Monitor with Cabinet Side Mount
1     Dell Computer Tower 
Operatory #3:
1     Adec Preference Treatment Console with Duo Delivery System with Fiber Optics
1     Adec Wall Mounted Sink Cabinet (Assistant's)
1     Adec Wall Mounted Sink Cabinet (Doctor's)
1     Adec Cascade Dental Chair
1     Doctor's Stool 
1     Adec Assistant's Stool
1     Pelton and Crane Track Light
1     Caulk Curing Light
1     Porter Nitrous Oxide Flowmeter
1     Planmeca Intraoral X-Ray with Pass Through Mount 
Operatory #4:
1     Adec Preference Treatment Console with Duo Delivery System with Fiber Optics
1     Adec Preference Wall Mount Sink (Assistant's)
1     Adec Preference Wall Mount Sink (Doctor's)
1     Adec Decade Dental Chair
1     Adec Doctor's Stool
1     Adec Assistant's Stool
1     Pelton and Crane Track Light 
1     Denmat Sapphire PAC Light
1     Porter Nitrous Oxide Flowmeter
1     Odyssey Soft Tissue Laser
1     J. Morita Root ZX Apex Locator 
Support Equipment:
1     Planmeca Panoramic X-Ray
1     Ramvac Bulldog Combo 2 Dry Vac System
1     Apollo Dual Compressor
1     Apollo Water Filter with Bypass and Solenoid
1     Belmed Nitrous Manifold
1     Rinn Film Duplicator
1     Eastman Darkroom Lamp 
Laboratory:
1     Patterson Vacuum Former
1     Handler Counter Mount Lathe
1     Handler Splash Pan
2     Blazer Microtorches
1     Patterson Model Trimmer with Solenoid
1     Triple Plaster Bin
1     Renfert Master Sand Blaster
1     Whipmix Wall Mounted Vacuum Mixer
1     Patterson Electric Handpiece 
Sterilization:
1     Midmark M11 Autoclave
1     Statim 2000 Cassette Autoclave
1     Cadco Alginator
1     Analytic Technologies System B Heat Source
1     Whaledent Biosonic Cleaner
1     Pentamix Impression Dispenser 
Based upon the age and condition of the above listed equipment, it's approximate current value is: $67,500.00 Equipment appraisal performed by: Local Dental Equipment Rep.

Income & Expense Statement

Current Year Income and Expense Report from 1/1/2012 through: 5/1/2012
Expenses by Category
Last Complete Month Current Year Totals % of Total Office Production
Doctor Production $48,741.00 $277,029.00 72.00%
Hygiene Production $17,996.00 $107,750.00 28.00%
Patient Refunds $0.00 $0.00 0.00%
Totals: $66,737.00 $384,779.00 100%
Facility Expenses
Last Complete Month Current Year Totals % of Total Office Production
Rent/Mortgage $5,456.00 $32,736.00 8.50%
Common Area Maintenance Fees $0.00 $0.00 0.00%
Water/Sewer $152.00 $767.00 0.19%
Electric $325.00 $1,936.00 0.50%
Landscaping $0.00 $0.00 0.00%
Janitorial $210.00 $1,260.00 0.33%
Repairs/Maintenance to Facility $122.00 $217.00 0.06%
Leasehold Improvements (Paid by You) $0.00 $0.00 0.00%
Property Tax (Apportioned) $375.00 $2,250.00 0.58%
Security Monitoring $25.00 $150.00 0.04%
Facility Insurance (Apportioned if paid yearly or bundled with malpractice) $42.00 $252.00 0.07%
Totals: $6,707.00 $39,568.00 10.27%
Staff Expenses
Last Complete Month Current Year Totals % of Total Office Production
Employee Net Salaries $10,318.00 $61,913.00 16.10%
Employee Payroll Taxes $1,369.00 $8,214.00 2.10%
Retirement Contributions $406.00 $2,434.00 0.63%
Bonuses $800.00 $4,400.00 1.14%
Uniform Allowance $46.00 $275.00 0.07%
Employer Paid Insurance for Employees $0.00 $0.00 0.00%
Totals: $12,939.00 $77,236.00 20.04%
Administrative Expenses
Last Complete Month Current Year Totals % of Total Office Production
Business Equipment $0.00 $0.00 0.00%
Business Supplies $188.00 $728.00 0.19%
Bank and Credit Card Charges $1,573.00 $8,117.00 2.10%
Collection Costs and Billing $84.00 $397.00 0.10%
Professional Dues $152.00 $912.00 0.24%
Internet Access $49.00 $294.00 0.08%
Legal/Accounting Services $1,174.00 $4,056.00 1.10%
Business and Professional Licenses $16.00 $96.00 0.02%
Malpractice Insurance $104.00 $624.00 0.16%
Office Insurance $64.00 $384.00 0.10%
Postage/Shipping $51.00 $299.00 0.08%
Subscriptions $12.00 $72.00 0.02%
Telephone $285.00 $1,710.00 0.44%
Totals: $3,752.00 $17,689.00 4.63%
Practice Development
Last Complete Month Current Year Totals % of Total Office Production
Furnishings/Decor $200.00 $417.00 0.11%
Any Bank Note Payments $0.00 $0.00 0.00%
Dental Equipment Purchases $408.00 $1,038.00 0.27%
Dental Equipmnet Repairs and Maintenance $177.00 $548.00 0.14%
Staff Continuing Education (Including Tuition, Meals, Travel, Hotel etc.) $517.00 $517.00 0.13%
Totals: $1,302.00 $2,520.00 .65%
Dental Supplies
Last Complete Month Current Year Totals % of Total Office Production
Dental Supplies for Both Doctor and Hygiene $3,258.00 $19,847.00 5.08%
Totals: $3,258.00 $19,847.00 5.08%
Laboratory Fees
Last Complete Month Current Year Totals % of Total Office Production
Lab Fees for Fixed and Removable $5,674.00 $36,028.00 9.40%
Implant Parts (If Not Included in Lab Fees) $0.00 $0.00 0.00%
Totals: $5,674.00 $36,028.00 9.40%
Marketing
Last Complete Month Current Year Totals % of Total Office Production
Website Expense $99.00 $594.00 0.15%
Gifts $0.00 $314.00 0.08%
Advertising $1,674.00 $10,256.00 2.67%
Cards $0.00 $51.00 0.01%
Brochures $0.00 $116.00 0.03%
Other $0.00 $0.00 0.00%
Totals: $1,773.00 $11,331.00 2.94%
Doctor's Continuing Education
Last Complete Month Current Year Totals % of Total Office Production
Tuition $2,450.00 $5,193.00 1.35%
Travel $0.00 $896.00 0.23%
Lodgings $0.00 $699.00 0.18%
Meals and Entertainment $125.00 $573.00 0.15%
Totals: $2,575.00 $7,361.00 1.91%
Totals
Last Complete Month Current Year Totals % of Total Office Production
Total Current Month/Year Expenses $37,980.00 $211,580.00 54.99%
Net Income for Current Month/Year $28,757.00 $173,199.00 45.01%
Totals: $66,737.00 $384,779.00 100%

Cash Flow

2011 Cash Flow
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Gross Collections $734,451.00 $734,451.00
Adjustments/Refunds $3,475.00 $3,475.00
Net Collections $730,976.00 $730,976.00
2011 Fixed Expenses
As Reported on Tax Return Adjustments and Explanations As Adjusted by Seller
Advertising / Marketing $20,450.00 ($12,000)/ Discretionary Magazine Ads $8,450.00
Automobile $29,478.00 ($29,478)/ Owner's Compensation $0.00
Bank/Credit Card Fees $19,491.00 $19,491.00
Continuing Education $8,242.00 ($5,000)/ CE Spending at Owner's Expense $3,242.00
Depreciation and Amortization $44,746.00 ($44,746)/ Non-Cash Expense $0.00
Professional Dues and Subscriptions $4,138.00 ($2,800)/ Discretionary Professional Memberships $1,338.00
Insurance $12,739.00 $12,739.00
Legal and Accounting $15,425.00 ($5,000)/ Legal Fees in Preparation for Practice Sale $10,425.00
Rent/ Mortgage $65,467.00 $65,467.00
Uniforms/Laundry $600.00 $600.00
Utilities $12,682.00 $12,682.00
Officer's Salary $120,000.00 ($120,000)/ Owner Salary $0.00
Payroll Tax for Officer $9,573.00 ($9,573)/ Owner Benefit $0.00
Staff Salaries $120,766.00 $120,766.00
Staff Payroll Tax $16,543.00 $16,543.00
Payroll Processing $400.00 $400.00
Worker's Comp. Insurance $961.00 $961.00
Staff Retirement Plan $5,100.00 ($5,100)/ Continuation at Discretion of New Owner $0.00
Other Staff Benefits $7,546.00 ($7,546)/ Continuation at Discretion of New Owner $0.00
Other Officer Benefits $0.00 $0.00
Totals: $514,347.00 $273,104.00
2011 Variable Expenses
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Laboratory $124,575.00 $124,575.00
Supplies $61,998.00 $61,998.00
Office Expenses $31,354.00 $31,354.00
Totals: $217,927.00 $217,927.00
2011 Total Expenses
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Total Expenses $732,274.00 $491,031.00
2011 Net Income
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Net Income ($1,298.00) $239,945.00
2010 Cash Flow
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Gross Collections $646,316.00 $646,316.00
Adjustments/ Refunds $3,092.00 $3,092.00
Net Collections $643,224.00 $643,224.00
2010 Fixed Expenses
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Advertising/ Marketing $16,360.00 ($8,000)/ Discretionary Magazine Ads $8,360.00
Automobile $25,940.00 ($25,940)/ Owner's Compensation $0.00
Bank/ Credit Card Fees $17,346.00 $17,346.00
Continuing Education $5,669.00 ($2,000)/ CE Spending at Owner's Discretion $3,669.00
Depreciation and Amortization $39,376.00 ($39,376)/ Non-Cash Expense $0.00
Professional Dues and Subscriptions $4,138.00 ($2,800)/ Discretionary Professional Memberships $1,338.00
Insurance $11,589.00 $11,589.00
Legal and Accounting $10,487.00 $10,487.00
Rent/ Mortgage $62,193.00 $62,193.00
Uniforms/ Laundry $591.00 $591.00
Utilities $11,467.00 $11,467.00
Officer's Salary $110,000.00 ($110,000)/ Owner Salary $0.00
Payroll Tax for Officer $8,998.00 ($8,998)/ Owner Benefit $0.00
Staff Salaries $115,674.00 $115,674.00
Staff Payroll Tax $14,557.00 $14,557.00
Payroll Processing $400.00 $400.00
Worker's Comp. Insurance $897.00 $897.00
Staff Retirement Plan $4,800.00 ($4,800)/ Continuation at Discretion of New Owner $0.00
Other Staff Benefits $7,419.00 ($7,419)/ Continuation at Discretion of New Owner $0.00
Other Officer Benefits $0.00 $0.00
Totals: $467,901.00 $258,568.00
2010 Variable Expenses
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Laboratory $119,472.00 $119,472.00
Supplies $58,453.00 $58,453.00
Office Expenses $27,891.00 $27,891.00
Totals: $205,816.00 $205,816.00
2010 Total Expenses
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Total Expenses $673,717.00 $464,384.00
2010 Net Income
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Net Income ($30,493.00) $178,840.00
2009 Cash Flow
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Gross Collections $661,005.00 $661,005.00
Adjustments/ Refunds $3,198.00 $3,198.00
Net Collections $657,807.00 $657,807.00
2009 Fixed Expenses
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Advertising/ Marketing $18,405.00 ($10,000)/ Discretionary Magazine Ads $8,405.00
Automobile $26,530.00 ($26,530)/ Owner's Compensation $0.00
Bank/ Credit Card Fees $17,542.00 $17,542.00
Continuing Education $7,500.00 ($5,000)/ CE Spending at Owner's Discretion $2,500.00
Depreciation and Amortization $40,271.00 ($40,271)/ Non-Cash Expense $0.00
Professional Dues and Subscriptions $4,138.00 ($2,800)/ Discretionary Professional Memberships $1,338.00
Insurance $11,822.00 $11,822.00
Legal and Accounting $7,452.00 $7,452.00
Rent/ Mortgage $60,123.00 $60,123.00
Uniforms/ Laundry $425.00 $425.00
Utilities $11,256.00 $11,256.00
Officer's Salary $110,000.00 ($110,000)/ Owner Salary $0.00
Payroll Tax for Officer $8,998.00 ($8,998)/ Owner Benefit $0.00
Staff Salaries $110,957.00 $110,957.00
Staff Payroll Tax $13,255.00 $13,255.00
Payroll Processing $400.00 $400.00
Worker's Comp. Insurance $887.00 $887.00
Staff Retirement Plan $4,298.00 ($4,298)/ Continuation at Discretion of New Owner $0.00
Other Staff Benefits $6,042.00 ($6042)/ Continuation at Discretion of New Owner $0.00
Other Officer Benefits $0.00 $0.00
Totals: $460,301.00 $246,362.00
2009 Variable Expenses
As Reported on Tax Return Adjustments/ Explanations As Adjusted by Seller
Laboratory $113,151.00 $113,151.00
Supplies $53,917.00 $53,917.00
Office Expenses $24,545.00 $24,545.00
Totals: $191,613.00 $191,613.00
2009 Total Expenses
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Total Expenses $651,914.00 $437,975.00
2009 Net Income
As Reported on Tax Return Adjustments/Explanations As Adjusted by Seller
Net Income $5,893.00 $219,776.00

Contact

If you have questions, or would like to arrange a showing, the seller may be contacted one of the following ways:

Phone:  123-123-1234

Email:  SmartDentist@*******.com