The Bread & Butter — Hygiene-Anchored Recurring Revenue
Calculation. Production per visit × visits per year × retention years. Per-visit production runs $225–$275 in PPO-heavy practices and $325–$400+ in FFS practices, with national mid-point near $2598. Visits/year sit at 1.7–2.0 (twice-yearly hygiene plus restorative).
Retention. ADA average is 8–10 years; Henry Schein and Dental Intelligence cite 17% annual attrition (~6-year effective life) for average practices and 3% (30+ years) for the top decile10.
Key Drivers of Variance
- Payer mix — PPO write-offs average 30–45%9
- Hygiene recall discipline — top practices hit 85–90% vs. 55–65% average
- In-office membership plans lift production/patient 15–30%21
- High-ticket adds: implants, clear aligners