Buying a dental practice in Treasure Coast

• 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 Martin, St. Lucie and Indian River counties on the Atlantic coast and Okeechobee and Highlands counties inland: Stuart, Palm City, Port St. Lucie, Fort Pierce, Vero Beach, Sebastian, Okeechobee, Sebring and Avon Park. Port St. Lucie is the largest city and has grown quickly as a suburb within reach of Palm Beach County to the south.

The coast draws retirees and winter residents, and health care, construction, real estate, boating and sport fishing are big parts of the economy. The coast lies in the Indian River citrus district, named for the lagoon. Inland, Okeechobee and Highlands are cattle, dairy and citrus country around Lake Okeechobee and along the ridge near Sebring, with many retirees of their own. Home service companies, the building trades, marine businesses and medical practices find steady customers here.

The coast is seasonal, with winter residents filling restaurants, golf courses and service schedules, and summer is quieter. Hurricane Nicole came ashore near Vero Beach in November 2022, and the region has a long history of storms, so check insurance, flood zones and how a business came through recent ones.

Water quality in the St. Lucie River and the Indian River Lagoon is a recurring problem, and in a bad year it can hurt fishing, boating and tourism businesses. Inland, distances are longer and the labor pool thinner. A company in Sebring or Okeechobee may be one of very few of its kind nearby, which can mean loyal customers and little competition, but also few people to hire. Most new homes on the coast are going up in and around Port St. Lucie.