Dental CFO

Fractional CFO for Dental Practices

A dentist can produce like crazy and still wonder where the money went, because production isn't profit and a busy chair isn't a plan. A fractional CFO works the gap between the two — overhead, associate economics, and the numbers that decide whether a second location is a growth move or a very expensive hobby.

Overhead is the number that runs the practice

Overhead as a percent of collections is the single figure that tells you whether the practice is healthy, and most owners can't produce it cleanly. Staff, supplies, lab, occupancy, and associate pay all move independently, and when overhead creeps two points a year nobody notices until the take-home shrinks.

A CFO watches that number and its parts, so you catch the drift while it's fixable and know exactly which line — not just 'costs' — is the one squeezing you.

The math behind associates, chairs, and a second location

Associate compensation only works if the production, collections, and cost behind it actually pencil. Chair and operatory utilization decides whether you need more space or just a better schedule. And a second location is a real financial model, not a feeling that the first one is doing well.

We build those models — provider economics, utilization, and a genuine expansion case — so the big moves come with a number and a break-even, not a leap of faith and a construction loan.

How Kaizen runs it

You get a senior CFO a few days a month on top of books where production ties to collections. We track overhead by category, model associate and provider economics, run a rolling cash forecast, and build the case for expansion, equipment, or a partner buy-in.

It's the difference between owning a busy chair and owning a business. One of those builds equity you can eventually sell; the other builds a very demanding job with great production numbers.

What's included

Overhead-as-a-percent-of-collections tracking by category
Associate and provider economic models
Chair and operatory utilization analysis
13-week rolling cash forecast

Second-location and equipment-investment models with break-even
Production-to-collections reporting you can trust
Partner buy-in / buy-out financial support
Monthly board-ready KPI and margin pack

Most practices start with the 1-2-3 CFO™ Reset: Month 1 clean the books and tie production to collections, Month 2 stand up overhead tracking and cash forecasting, Month 3 the first real board pack.

Pricing

$4,000–8,000/mosenior CFO, fractional · scoped to size and providers · no contract

~$200K+/yrwhat a full-time dental CFO costs fully loaded, benefits and bonus included

Days, not a hiresenior CFO judgment a few days a month, on top of a real finance team

Decisions with mathassociate and expansion calls backed by real economics, not a gut feeling

Straight answers

We have a bookkeeper and a CPA. Why a CFO?

Your bookkeeper records and your CPA files; neither runs the forward-looking strategy. A CFO manages overhead, models associates and expansion, and plans cash. Many clients keep both and add us on top.

Can you report overhead as a percent of collections?

Yes — it's central to how we run a dental engagement, broken out by category so you can see exactly where the drift is, not just that it happened.

We're considering a second location. Can you model it?

That's a common reason clients call. We build a real expansion case — capital, ramp, break-even, and cash impact — so the decision has a number behind it.

What size practice is this for?

Usually multi-provider practices or owners planning to expand. A solo practice with clean books and a good CPA may not need a CFO yet — we'll be honest about that.

Free 20-minute books assessment

We'll show you the five things we'd fix first in your books — useful whether you hire us, hire someone, or do neither.

Talk to Sales

Or call us directly: +1 786 789 0969