DENTAL PRACTICE FINANCIAL HEALTH CHECKLIST 2026: OVERHEAD & PROFITABILITY ANALYSIS

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--- REVENUE CYCLE MANAGEMENT (RCM) AUDIT ---
[ ] Current Accounts Receivable (Over 90 Days)
[ ] Net Collection Rate (%)
[ ] Insurance Claim Denial Rate (Low (Under 5%), Moderate (5% - 15%), High (Over 15%))
[ ] Common Denial Reasons Identified (Missing/Incorrect Patient Info, Lack of Pre-Authorization, Coding Errors (CDT Codes), Timely Filing Limit Exceeded, Coordination of Benefits Issues)
[ ] Discrepancy Notes & Action Plan
[ ] Monthly AR Aging Report
[ ] Audit Verification

--- OVERHEAD & FIXED COST ANALYSIS ---
[ ] Monthly Rent & Facility Costs
[ ] Utility & Communication Expenses
[ ] Fixed Software Subscriptions (Practice Management Software (PMS), Digital Imaging/X-Ray Software, Email/Cloud Storage Services, Accounting/Payroll Software, Marketing Automation Tools)
[ ] Insurance & Malpractice Premium Review
[ ] Monthly Utility Invoice Verification
[ ] Next Fixed Cost Review Date

--- VARIABLE COST & SUPPLY CHAIN REVIEW ---
[ ] Total Monthly Dental Supply Spend
[ ] Lab Fee Percentage of Production
[ ] Primary Supply Vendor Status (All orders arriving on time, Frequent backorders/delays, Price increases detected)
[ ] Inventory Discrepancies Identified (Expired clinical materials, Overstocking of low-turnover items, Unaccounted shrinkage/loss, Inaccurate stock counts)
[ ] Monthly Supply Invoice Summary
[ ] Supply Chain Improvement Notes

--- PAYROLL & LABOR COST OPTIMIZATION ---
[ ] Total Monthly Payroll Expense
[ ] Labor Cost as a Percentage of Gross Revenue
[ ] Overtime Occurrences This Month (None, Low (Under 5 hours per staff), Moderate (5-15 hours per staff), High (Over 15 hours per staff))
[ ] Staffing Efficiency Observations
[ ] Payroll Audit Date
[ ] Practice Manager Approval

--- ACCOUNTS RECEIVABLE (AR) & COLLECTIONS TRACKING ---
[ ] Total Outstanding AR (30-60 Days)
[ ] Total Outstanding AR (61-90+ Days)
[ ] Collection Rate Percentage
[ ] AR Follow-up Status (Up to Date, Pending Insurance Response, Action Required: Patient Contact, Action Required: Insurance Appeal)
[ ] Outstanding Issues Identified (Incorrect Insurance Data, Missing Claims Documentation, Patient Dispute, Unprocessed Adjustments)
[ ] Last AR Audit Completion Date
[ ] AR Aging Report Upload

--- PRODUCTION VS. COLLECTION EFFICIENCY ---
[ ] Total Gross Production (Current Month)
[ ] Total Net Collections (Current Month)
[ ] Collection Percentage (%)
[ ] Collection Efficiency Status (Excellent (98% or higher), Target (95% - 97%), Needs Improvement (90% - 94%), Critical (Below 90%))
[ ] Discrepancy Notes & Root Cause Analysis
[ ] Practice Manager Verification

--- EQUIPMENT & CAPITAL EXPENDITURE (CAPEX) PLANNING ---
[ ] Upcoming Equipment Name
[ ] Estimated Acquisition Cost
[ ] Target Implementation Date
[ ] Priority Level (Critical - Immediate Need, High - Within 6 Months, Medium - Within 12 Months, Low - Long-term Planning)
[ ] Justification & ROI Projection
[ ] Vendor Quote/Invoice
[ ] Practice Owner Approval

--- PROFIT MARGIN & EBITDA ASSESSMENT ---
[ ] Total Monthly Gross Production
[ ] Total Monthly Operating Expenses
[ ] Net Profit Margin (%)
[ ] EBITDA Variance Analysis
[ ] Profitability Trend (Increasing, Stable, Decreasing)
[ ] Financial Officer Approval

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