Buying a Dental Practice – What is Due Diligence?

Mid-America’s most trusted dental practice valuation and sales

When you’re considering the purchase of a dental practice, one of the most important steps you’ll encounter is due diligence—the process of reviewing, verifying, and understanding the details of the practice before you officially buy it.

The First Step: Initial Information Packet

After signing a Non-Disclosure Agreement (NDA), you’ll usually be provided with an initial packet of information.

  • With a broker: This packet is often complete and well-organized.

  • Without a broker: You may receive limited details, and it will be up to you to request missing information.

Typical documents include:

  • Profit & Loss Statements (last 3 years + Year-to-Date)

  • Production Reports (charges & collections by ADA code)

  • Accounts Receivable Aging Report

  • Employee details

  • Fee Schedule

  • Patient demographics

  • Seller questionnaire with background information

  • Tax returns (often requested later during financing)

This review, combined with an office visit and meeting with the Seller, often gives you enough information to decide whether to submit an offer. Having preliminary financing approval will increase your chances of having your offer accepted.

After the Offer: Entering Due Diligence

If your offer is accepted, an Asset Purchase Agreement (APA) (or other sale contract) is drafted, and a closing date is set.

Within that agreement, you’ll be granted a due diligence period—a window of time to verify that the practice is everything you expect it to be.

What Due Diligence Includes

1. Patient Charts

  • Review how treatment plans and records are maintained

  • Understand charting systems (paper or digital)

  • Verify record-keeping quality and completeness

2. Equipment & Technology

  • Does everything function properly?

  • Has it been well maintained?

  • What equipment upgrades will be needed?
    Tip: Bring in an equipment rep for an expert evaluation.

3. Financial Review

  • Confirm accuracy of financials with your accountant

  • Reconcile production and collections

  • Understand true overhead and profitability

Why It Matters

Due diligence ensures you have a clear, accurate picture of what you’re buying—financially, operationally, and clinically. It reduces surprises, minimizes risk, and helps you move into ownership with confidence.

Download Our Free Buyer’s Guide

The steps above are only the beginning. A full due diligence process includes dozens of checkpoints. To help, we’ve created the Otten-Rey Dental Practice Buyer’s Guide, complete with detailed checklists for you and your advisors.

👉 [Click here to download your free copy.]

Confident female dentist in white coat and blue gloves representing dental professionals supported by Otten-Rey Dental Sales.
What Clients Say

Dentist Testimonials

Kim with Otten-Rey Dental Sales truly made what I thought would be a stressful process extremely easy and painless. From our first meeting all the way until closing, Kim was always reliably there for me through out the process. I trusted her system and it was simple and seamless. I would definitely choose Kim again for my transition if l had to do it all over again.

review from happy client on homepage
Glenn R. Edwards DMD

When I decided to buy a dental practice, I quickly learned that practice brokers represent the seller. As a buyer, that posed some challenges. Of all the brokers I worked with in St. Louis, Kim was the only one who managed to make me feel that she was actively trying to find a practice for me to buy. Not only did she help me find a practice I loved, but she still represented her seller well and was fair throughout the entire process. Because of her, I am now the owner of a great dental practice that I love and I truly believe she made that happen for me. Thanks Kim.

Dr. Daugherty - happy client
Dr. Victoria Daugherty

Thank you both, Kim & Bill. This has been a great adventure. All is going great with the merger of Dr. Berger’s practice. Overall, I would say it is a great success. And I couldn’t have done it without both of you.

review from happy client
Dr. Christy Hager

I felt my practice purchase went smoothly and efficiently with the help of Otten-Rey Dental Sales. As a buyer, I felt comfortable with the fair appraisal that Otten-Rey put on the practice and both Kim and Bill were very accommodating getting any requested info to help me do my due diligence…Otten-Rey is known in the St. Louis Dental community for being easy to work with and I strongly recommend either buyers or sellers use them in the process of your dental transition. Having their expertise, experience and organization really made things a lot less stressful.

review from happy client Dr Jen Wheeler
Dr. Jennifer Wheeler Chesterfield, MO practice

Kim’s understanding of all aspects of a transition was invaluable. She has comprehensive knowledge of both the financial and clinical aspects of a dental office. She also provided the guidance and understanding of the legal aspects necessary to close the transaction. Thanks Kim!

review from happy client Dan Twillman
Dan Twillman DMD

Kim Rey was my broker in representing me when I sold my pediatric dentistry practice. From my standpoint, Kim brought a great amount of stability to the whole process. I appreciate her insight and her levelheaded guidance on what my expectations should be, what the normal accepted practice and standards are when dealing with a buyer. The process was longer than I anticipated, but Kim kept me focused and on the right track until the transaction was completed. Throughout the process, she always made me feel like I could rely on her and that in turn gave me a great deal of comfort. I would highly recommend Kim Rey to anyone looking to buy or sell a dental practice.

review from happy client Andrew Kim DMD, MS
Andrew M. Kim DMD

Several of my friends used Kim and Bill to sell their practices and had highly recommended them. I was pleased with the thorough process of valuation and the explanation of the report. They provided frequent updates and the guide for printing the necessary reports for the valuation. They found a buyer that fit our needs. I would recommend them to the other dental offices needing the same services.

Illustrated tooth graphic used in Otten-Rey Dental Sales branding
Gerald Dragich DMD