7 Critical Practice Red Flags in Due Diligence

Buying a dental practice is one of the most significant decisions you’ll make as a dentist. Thorough due diligence is essential to avoid costly surprises after the purchase. Here are seven critical red flags to watch out for during your practice evaluation:

1. Inconsistent Financial Records

Discrepancies in financial statements or missing documents can indicate deeper issues. Verify consistency across tax returns, profit and loss statements, and collections reports. Irregularities often suggest poor management or intentional misrepresentation.

2. Declining Patient Numbers

A practice with steadily declining patient volume could signal issues with patient satisfaction, outdated treatment methods, or strong competition nearby. Ensure you review patient retention rates, new patient influx, and active patient counts.

3. Excessive Staff Turnover

High turnover rates may indicate underlying issues like poor leadership, workplace dissatisfaction, or management conflicts. Employee stability is crucial to patient loyalty and smooth operations.

4. High Accounts Receivable

If a significant percentage of accounts receivable is overdue by more than 90 days, this could indicate poor billing practices or inadequate financial management. It may also signal a patient base accustomed to delaying payments.

5. Outdated or Poorly Maintained Equipment

Practices with outdated or poorly maintained dental equipment often require immediate and costly investments post-purchase. Thoroughly inspect all technology, tools, and software to anticipate potential expenditures.

6. Unfavorable Lease Terms or Real Estate Issues

Leases with restrictive terms or impending expirations can severely limit your practice’s future growth. Carefully analyze lease agreements, renewal options, and real estate conditions to ensure they align with your business goals.

7. Unethical Practices or Compliance Issues

Be vigilant for any signs of non-compliance with OSHA, HIPAA, or state dental board regulations. Compliance issues can result in fines, litigation, or damage to your professional reputation.


Due diligence is a detailed and sometimes daunting task, but uncovering these red flags early can save you significant headaches and financial losses. For an easier, streamlined approach, our member-exclusive app and website provide organized listings and valuable resources crafted by experienced dentists. Explore comprehensive tools designed specifically to support transparent and successful dental practice transitions.


Founder of Dental Practice Matchmaker

Dr. Jorgensen has worked in dentistry since 1984, and has been a dentist since 1992. She has worked as a dentist, dental hygienist, dental assistant, and dental receptionist in private practices, public health, and corporate offices.

She started  a practice from scratch in 1994, moved that practice twice, and started a second office.

During her career she has hired eight associates, and has been through the selling and buying process several times. If you have a problem in dentistry, she has seen it and solved it.