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  • Equipment & Technology: Modern, digital, well-maintained equipment supports a higher value than outdated systems.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 Clients Say

Dentist Testimonials

Kim Rey’s expertise and experience was crucial in the successful transition into my retirement. She was there for me in every possible conceivable way throughout the entire process. I am thankful and grateful.

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Dr. Michael Kutten Clayton, MO Practice

I have worked with Otten-Rey Sales as a “buyer” for two separate practice purchases in recent years. From the buyer’s perspective- I have found Kim very easy to communicate with and very accommodating to any requests I may have had while doing my due diligence. Kim has been a great resource and when the time comes to consider selling, I would absolutely feel comfortable asking her to represent me as a seller as well.

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Dr. Jennifer Wheeler Chesterfield, MO practice

My transition experience was truly smooth and easy from start to finish. Kim made what could have been a stressful process feel very manageable. She was always quick to respond, proactive in communication, and genuinely cared about making sure everything went right. I felt supported and informed every step of the way, which gave me a lot of peace of mind during such a big change. It was a wonderful experience overall, and I’m very happy with how everything turned out. I would absolutely recommend Kim to any dentist going through a practice sale or transition — she really goes above and beyond.

Dr. Hetal Patel Clayton, MO Practice

We consider ourselves lucky to have known and worked with Kim Rey for so many years. She was involved in our purchase 19 years ago and has been a supportive, positive presence in our office management since that time, up until the successful sale of our practice. We feel like our timeline was truly understood when meeting with Kim about our needs and our goals for our practice and our family. She helped to guide us each step of the way with those goals in mind. We feel like the communication was clear and consistent with her management and care of our sale. We always felt like a priority to her and it truly made the sale of our practice an exciting and enjoyable process. I would highly recommend Kim Rey to anyone looking to buy or sell a dental practice.

Dr. Patrick Murphy Arnold, MO Practice

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

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