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The Biggest Mistake a Dental Entrepreneur Can Make When Measuring KPIs

Picture of Josh Gwinn

Josh Gwinn

Table of Contents

  • Everything Including the Kitchen Sink
  • What Are Vanity Metrics? 
  • Common Vanity Metrics in Dental Practices 
  • The Right KPIs to Focus On 
  • How to Avoid the Vanity Metric Trap 
  • Learning to Measure What Matters 
  • Sustaining Growth Starts with Mindset
  • Join Our Mastermind and Grow your Dental Practice

As the CEO for Hero Dental Practice Services for several years, one of my many areas of interest were the metrics of success for our pediatric dental, vision and orthodontic providers. We knew where we were succeeding and where we needed to focus and redouble our efforts. And the same goes for my work as the CEO of Optimize Practice Alliance. I’m a self-proclaimed KPI dork and I  give no apologies. I love digging into numbers. I love to use the process of measuring the success of our partner practices to gauge where we’ve come from and where we want to steer our practices for greater success and profitability.

Everything, Including the Kitchen Sink

But sometimes you can get caught up in the data and start measuring everything that isn’t bolted to the floor, even if it doesn’t have much to do with outcomes or achievement. Knowing what to measure is just as important as the measuring itself. We’ve covered what you do measure this month…but what don’t you measure? Good question.

KPIs offer invaluable insights into your practice’s health and guide your strategic decisions. However, there’s one significant mistake you can make when measuring KPIs: focusing too much on vanity metrics.

What Are Vanity Metrics? 

Vanity metrics are numbers that look good on paper but don’t necessarily translate to meaningful business outcomes. They can be appealing because they often show impressive growth or high performance in certain areas, but they don’t provide actionable insights or reflect the true health of your practice.

Common Vanity Metrics in Dental Practices

  • Total Patient Count: While having many patients might seem like a positive sign, it doesn’t necessarily indicate patient satisfaction, loyalty, or profitability of your practice.
  • Social Media Followers: A high follower count on social media platforms can look impressive, but it doesn’t necessarily equate to increased patient acquisition or retention.
  • Website Visits: High traffic to your website is great, but if those visits don’t convert into bookings, they aren’t contributing to your bottom line.

The Right KPIs to Focus On

To truly gauge the health and success of your dental practice, it’s more effective to focus on KPIs that provide insights you can act on and that align with your strategic goals. Here are some productive counterpart metrics to prioritize:

1. Patient Retention Rate:

  • Why It Matters: Patient Retention Rate (PR) measures how many patients return to your practice for ongoing care. A high retention rate indicates patient satisfaction and loyalty, which are crucial for long-term success.
  • How to Measure: Track the percentage of patients who return for follow-up appointments or routine check-ups within a specific period.

2. Patient Satisfaction Scores:

  • Why It Matters: Gathering feedback through surveys or reviews helps gauge how happy your patients are with your services. High satisfaction scores often lead to more referrals and positive word-of-mouth.
  • How to Measure: Use post-appointment surveys, online reviews, and feedback forms to collect patient satisfaction data.

3. Average Revenue per Patient:

  •  Why It Matters: This metric helps you understand the financial value each patient brings to your practice, allowing you to optimize services and pricing strategies.
  •  How to Measure: Divide your total revenue by the number of patients within a given time frame.

4. Treatment Acceptance Rate:

  • Why It Matters: Measuring the percentage of recommended treatments that patients accept can indicate effective communication and trust between dentists and patients.
  • How to Measure: Track the number of accepted treatment plans against the total number of treatment plans proposed.

5. Appointment No-Show Rate:

  • Why It Matters: Identifying how often patients miss their appointments allows you to implement strategies to reduce no-shows and improve scheduling efficiency.
  • How to Measure: Calculate the percentage of scheduled appointments that patients do not attend without prior cancellation.

6. Case Acceptance Rate:

  • Why It Matters: This KPI measures the percentage of presented treatment plans that patients agree to proceed with. It reflects the effectiveness of your consultation and the perceived value of your services.
  • How to Measure: Track the number of accepted cases against the number of cases presented.

7. New Patient Acquisition Cost:

  • Why It Matters: Understanding how much it costs to acquire a new patient can help you optimize marketing efforts and budget allocation.
  • How to Measure: Divide the total marketing expenses by the number of new patients acquired during a specific period.
What KPIs to focus on in your Dental Practice


Taken from Positioning Systems‘ Strategic Discipline blog

How to Avoid the Vanity Metric Trap

  1. Set Clear Goals: Define what success looks like for your practice. Are you aiming to increase patient loyalty, boost revenue, or improve patient satisfaction? Clear goals will help you identify the most relevant KPIs.
  2. Regularly Review Metrics: Consistently review your KPIs to track progress and identify areas for improvement. Use this data to make informed decisions and adjust strategies as needed.
  3. Focus on Actionable Insights: Choose KPIs that provide clear insights and actionable steps. For instance, if patient satisfaction scores are low, identify the areas of dissatisfaction and develop a plan to address them.
  4. Educate Your Team: Ensure your team understands the importance of the chosen KPIs and how they impact the practice. This alignment can drive collective efforts towards achieving your business goals.

Learning to Measure What Matters 

Avoiding the pitfall of vanity metrics is crucial for any dental entrepreneur striving for sustainable growth and success. By focusing on KPIs that truly reflect your practice’s performance and aligning them with your strategic objectives, you can make data-driven decisions that enhance patient care, boost profitability, and secure the long-term health of your practice.

Remember, it’s not just about looking good on paper—it’s about building a thriving practice that delivers exceptional value to your patients and stands the test of time.

Sustaining Growth Starts with Mindset… and Measurement

Growth isn’t just about ambition, it’s about measuring what matters and learning from your numbers. The biggest mistake you can make as a dental entrepreneur is tracking the wrong KPIs, or not tracking them consistently at all. Sustainable growth happens when you have real data guiding your decisions, helping you spot opportunities, avoid pitfalls, and lead your team with clarity.

That’s why we created the OPA KPI Tracker, a free, easy-to-use tool designed specifically for dental practice owners. With this tracker, you can monitor the metrics that matter most for your growth, including patient retention, new patient flow, case acceptance, production, collections, and more. It’s your companion for building accountability, boosting team performance, and keeping your finger on the pulse of your business.

Ready to measure what truly drives your practice forward?
Download our free OPA KPI Tracker now and take the first step toward data-driven, sustainable growth.

Download Your KPI Tracker
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About The Author

Picture of Josh Gwinn

Josh Gwinn

As the Co-Founder and CEO of Optimize Practice Services Joshua Gwinn leads dentistry and orthodontics healthcare operations at our locations across the country. Gaining extensive logistical and leadership expertise as an operations specialist for the United States Navy allowed Josh to hone a leadership style based on teams of scale driven by accountability, compassion, mission-focus, and the promotion of courageous and creative “outside-the-box” problem-solving. After leaving the Navy, Josh worked for several years with national vision-affiliated brands applying his expertise from large team-management to multi-state organizational operations. Transitioning to the dental field, Josh was recruited to become the regional director of over 50 practices for the Great Expressions Dental Centers throughout Michigan and Ohio. Josh then pivoted to lead education and training, as well as operations for over 200 Gentle Dental practices in the Pacific Northwest and California. And most recently, Josh served as the Chief Executive Officer for Hero Practice Services a pediatric-focused Dental, Vision, and Orthodontic organization serving providers and patients in seven states and over 70 locations nationwide. Josh’s team-focused, mission-driven leadership style ensures that his teams lead with their core values of accountability, honesty and fearless drive toward objectives.

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