What is a “Rule of Thumb” for Dental Practice Valuations?

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

The phrase “Rule of Thumb” has been around for centuries. It refers to a quick, rough estimate—not an exact measurement—and that’s exactly how it’s used when people talk about dental practice values.

The Common Rule of Thumb

In dentistry, the most common rule of thumb is that a practice is worth 65% to 70% of the previous year’s collections.

For example:

  • If Dr. Smith’s practice collected $750,000 last year, the “rule of thumb” suggests a value of roughly $487,500 (65% of collections).

It’s neat, simple, and often repeated. But is it accurate?

The Problem with Rules of Thumb

Rules of thumb don’t take into account the unique details that make one practice more valuable than another.

  • Overhead: A $750,000 practice with 50% overhead is far more profitable—and valuable—than one with 70% overhead.
  • Location: A high-demand area increases value, while a low-demand area can lower it.
  • Equipment & Technology: Modern, digital, well-maintained equipment supports a higher value than outdated systems.
  • Patient Base & Staff: Stability, loyalty, and experience all play into the practice’s worth.

So while 65–70% of collections is a common starting point, it’s a coincidence when the real valuation lands there—not the conclusion.

The Right Way to Value a Practice

A true valuation goes beyond a shortcut. It analyzes:

  • Tax returns & financials
  • Production & procedure reports
  • Fee schedules
  • Patient demographics & retention
  • Employee compensation and structure
  • Local market demand

Only by reviewing these factors can we arrive at a value that reflects the real strength of a practice.

Bottom Line

The rule of thumb is useful for ballpark conversations, but not for serious decisions. Every practice is unique, and so is its value.

Thinking about selling your practice or curious about what yours might be worth in today’s market?
Contact us for a confidential consultation—we’ll give you a clear, data-driven valuation specific to your practice.

– Bill Otten & Kim Rey

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

Client 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.

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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.

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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.

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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.

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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!

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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.

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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.

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Gerald Dragich DMD