Dental Practice P&L Template

Once the categories look right, enter your net collections by procedure type for the current month — use your practice management software (Dentrix, Eaglesoft, Open Dental, etc.) to pull production and collection totals by procedure category. Enter your adjustments in the Production vs Collections sheet using the aging or adjustment reports your software generates. Then enter expenses from your accounting system or bank statement. The Monthly P&L calculates gross margin, overhead ratio, and net income automatically. Fill in Provider Productivity from your PM software's provider production reports.

On the expense side, dental practices have cost categories that don't appear in other businesses. Lab fees — paid to outside dental labs for crowns, dentures, implant components, and orthodontic appliances — typically run 8–12% of collections and are entirely variable based on how many restorative cases you complete. Dental supplies (chairside materials, anesthetics, gloves, barriers) add another 5–8%. Together, these two line items can represent 15–20% of collections, and they move based on your procedure mix, not just your patient volume. The template tracks both as percentages of collections so you can spot when your lab costs are drifting up — often a sign that your fee schedule hasn't kept pace with what labs are charging.