Dentist examining finances

5 Financial Questions Every Dentist Should Ask Before the End of the Year

Key Takeaways

  • August is an ideal time to begin year-end planning while you still have time to make meaningful financial decisions.
  • Looking beyond tax planning to evaluate staffing, growth opportunities, and cash flow can position your practice for a stronger year ahead.
  • Major purchases and investments should support your long-term business strategy, not just provide a tax deduction.
  • Reviewing your financial position now can improve your readiness for expansion, financing, or retirement planning.
  • The best year-end planning focuses on building long-term practice and personal financial success, not just reducing this year’s tax bill.

It may seem early to think about year-end planning, but August is often the perfect time to start. By now, most dental practices have a good idea of how the year is shaping up. Production trends are becoming clear, staffing decisions have started to settle in, and there is still plenty of time to make meaningful changes before December 31.

Waiting until the last few weeks of the year often limits your options. Asking the right questions now gives you time to make informed decisions rather than rushed ones.

Here are five questions every dental practice owner should be asking before the year ends.

1. Am I on Track for a Larger Tax Bill Than Expected?

If your practice has had a stronger year than anticipated, congratulations. But higher profits can also mean higher taxes if you aren’t planning ahead.

Now is a good time to project your taxable income and discuss potential planning opportunities with us. Depending on your situation, that may include retirement plan contributions, equipment purchases, owner compensation, estimated tax payments, or other strategies that need to be implemented before year-end.

The earlier you begin the conversation, the more flexibility you’ll usually have. Waiting until December often means some opportunities are no longer available.

2. Is My Team Still the Right Size for My Practice?

Payroll is one of the largest expenses in most dental practices, but the goal isn’t simply to keep payroll low. The goal is to have the right people in the right roles to support patient care and practice growth.

Ask yourself:

  • Are we consistently booked out weeks in advance?
  • Is overtime becoming routine?
  • Is the front office struggling to keep up with patient calls or insurance follow-up?
  • Could another hygienist or associate increase production and improve patient access?
  • Are there positions that have evolved beyond their original responsibilities?

At the same time, if your schedule isn’t consistently full, adding staff may not solve the underlying issue. Reviewing productivity alongside payroll can help determine whether your current team is positioned for where the practice is today and where you want it to be next year.

3. Are We Planning Any Major Business Decisions?

Many dentists make significant financial decisions during the last few months of the year, whether it’s purchasing equipment, renovating the office, signing a new lease, or bringing on another provider.

While tax considerations are important, they shouldn’t be the primary reason for making a major investment. Instead, ask whether the decision supports your long-term goals, improves patient care, increases efficiency, or positions the practice for future growth. If the answer is yes, then it’s worth evaluating the financial and tax implications. If not, it may be better to wait. The best business decisions are driven by strategy first and taxes second.

4. Are We Financially Prepared for Next Year’s Goals?

Whether you’re planning to expand, hire an associate, reduce your clinical schedule, purchase another practice, or prepare for retirement, next year’s success often depends on decisions made this year.

Review your cash flow, debt obligations, profitability, and financing needs now. If you anticipate seeking financing, lenders will want to see current financial information and a history of sound financial performance.

Planning ahead also gives you time to strengthen areas that may need improvement before new opportunities arise.

5. Am I Looking Beyond This Year’s Numbers?

It’s easy to focus on getting through the current year. The most successful practice owners, however, think beyond December 31.

Today’s decisions can affect next year’s taxes, retirement savings, cash flow, practice value, and even your long-term personal financial security. Instead of asking, “How can I reduce my taxes this year?” consider asking, “What decisions will put my practice and my family in the strongest financial position over the next five or ten years?”

That shift in perspective often leads to better decisions than focusing on short-term tax savings alone.

Don’t Wait Until Year-End

The final months of the year tend to pass quickly. Schedules become busier, holidays interrupt planning, and opportunities to make meaningful changes begin to disappear.

Starting the conversation now gives you time to evaluate your options, make thoughtful decisions, and enter the new year with confidence.

At Edwards & Associates, we work with dental practice owners throughout the year to help them understand where their practice stands today while planning for what’s next. Whether you’re evaluating tax strategies, preparing for growth, or reviewing your long-term financial goals, planning ahead almost always provides more opportunities than waiting until year-end.