Buying a dental practice in Southwest 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?

This region covers Lee, Collier, Charlotte, Sarasota and Manatee counties on the Gulf coast and Hendry, Glades and DeSoto inland: Fort Myers, Cape Coral, Naples, Bonita Springs, Punta Gorda, Port Charlotte, Sarasota, Venice, Bradenton, LaBelle, Clewiston, Moore Haven and Arcadia. The coastal economy runs on people who choose to live or spend the winter here: retirees, seasonal residents, and the construction, real estate, health care, financial and home services that follow them. Tourism, golf and boating add to it.

Inland, the economy is agricultural: sugarcane around Clewiston, citrus, cattle and vegetables, with Immokalee in Collier County a center for farm work. The building trades, pool, landscaping and pest control companies, property managers, medical and dental practices, and marine businesses tend to do well along the coast.

This is one of Florida's most seasonal markets. From roughly January through April, restaurants, shops and service companies run at full speed. Summers are slower, so look at monthly revenue, not only the yearly total. The coast has taken two major hurricanes in recent years: Ian came ashore at Cayo Costa in Lee County in September 2022, and Milton at Siesta Key in Sarasota County in October 2024. Rebuilding brought a wave of work for contractors that won't last forever, so ask how much recent revenue came from storm repairs. Insurance costs and flood zones weigh on every property.

Housing costs near the coast make hiring hard, especially around Naples. New communities east of Interstate 75 in Lee, Collier, Charlotte and Manatee keep service companies busy.