Buying a dental practice in South Florida

• A full hygiene schedule and patients who come back on time, not just a long list of names in the software.
• New patients every month from sources you can see: referrals, a visible location, online search, insurance directories.
• A clear picture of who pays. A practice that leans on one or two low-paying plans is at their mercy.
• Revenue that doesn't all come from the owner's own hands. An associate dentist or a strong hygiene team carries real weight.
• Long-serving hygienists and front desk staff, who can be hard to replace.
• Equipment and software that are reasonably current, and a lease with enough years and renewal options to stay put. Building out a dental office is expensive, so moving is a real cost.

Ask for production (what the practice billed) next to collections (what it actually received after insurance adjustments), by provider and by month. The gap tells you how much the insurance contracts really pay. Count only recently seen patients as active, not every chart ever opened, and look at treatment plans never scheduled: they can be real upside or a sign of weak follow-through.

Get each insurance contract and find out how long credentialing under your name will take, because claims can stall in the meantime. Check how much of the work the seller does personally and how long they'll stay. Look up the seller's license and any public discipline on the Department of Health's license verification site, and ask about malpractice claims. Finally, have the equipment inspected, confirm which software licenses transfer, and check whether the lease needs the landlord's consent to pass to you.

• How many patients have you seen in the past year, and how many new ones in a typical month?
• Which insurance plans are you in network with, and have you joined or dropped any recently?
• How far out is the hygiene schedule booked right now?
• Which procedures do you send to specialists, and which do you do yourself?
• How long have your hygienists and front desk team been with you?
• How long would you be comfortable staying on to introduce patients to a new dentist?
• When did you last replace the main equipment, imaging and software?

South Florida covers Miami-Dade, Broward, Palm Beach and Monroe counties: Miami, Hialeah, Doral, Fort Lauderdale, Hollywood, Pompano Beach, West Palm Beach, Boca Raton, Jupiter, and the Florida Keys down to Key West. It's the state's largest metro area and its most international. PortMiami, Port Everglades and Miami International Airport tie the region to Latin America and the Caribbean, which supports a deep base of wholesalers, freight forwarders and logistics firms, many of them near the airport. Tourism and cruises, finance and wealth management, health care, real estate and construction carry much of the rest. Palm Beach County adds wealthy seasonal residents and, out west near Lake Okeechobee, sugarcane and vegetable farms. In the Keys, nearly everything turns on visitors, fishing and boating.

Companies that serve homes, condo buildings and other businesses do well here: the building trades, property services, insurance agencies, medical and dental practices, and professional firms.

Costs run high: commercial rent, wages and, above all, property and windstorm insurance. Price the insurance before you make an offer, not after. Miami-Dade and Broward make up the Florida Building Code's High-Velocity Hurricane Zone, with stricter rules for roofs, windows and structures. That raises building costs, and it also gives steady work to the contractors who know those rules well.

Much of the workforce and many customers speak Spanish as well as English, and a company that works well in both languages has an edge. The winter season matters more in Palm Beach County and the Keys than in Miami. In the Keys, the cost of housing makes hiring and keeping staff one of the hardest parts of running a company. Ask any seller there how they find workers and where those workers live.