Neurotic
Menu

News

Dental Surgeries

Every practice on one set of numbers. Chair time included.

Multi-site dental groups grow by acquisition, and each surgery arrives with its own practice management system, its own server in a cupboard and its own idea of what a recall rate is. We standardise the estate and put chair utilisation, recall performance and clinician output in one place.

Typical issues PE faces in dental

Not the surgery's problems. The four that land on the fund, and that we find in almost every group we open up.

  1. Every practice arrives with its own everything

    Its own practice management system, its own server in a cupboard, and its own idea of what a recall rate is. The paper assumed group reporting; what arrives is a reconciliation.

  2. Chair time is the economics, and it is unmeasured

    Utilisation is the number the model runs on. It is reported monthly, by each practice manager, out of their own system, their own way. An underperforming site and an under-reported one look identical.

  3. Patient records on a server nobody has patched

    Clinical records are special category data. They sit on a machine in a back room, backed up to a drive somebody takes home. It reaches you through an insurer, the regulator, or diligence.

  4. Revenue already sold and never collected

    Lapsed recalls and unconverted treatment plans vary enormously between practices. Nobody can see which or why, because each site counts them differently.

What it runs on

Six layers, and our engineers have configured systems in all of them on real lines. The names are what a plant actually has, not a wish list.

  • Practice management

    • Dentrix
    • Dentally
    • SOE Exact
    • Open Dental
  • Imaging

    • Dexis
    • Planmeca Romexis
    • Carestream
  • Patient comms and recall

    • Podium
    • Dental Focus
  • Finance and payroll

    • Xero
    • Sage
  • Reporting

    • Power BI
  • Cloud and identity

    • Microsoft 365
    • Entra ID
    • Microsoft Azure

Third-party names are listed so you can see what we work in. They are the property of their respective owners and imply no endorsement.

What we do about it

In this order, because comparing practices before they count the same way produces a league table nobody believes.

  1. One definition, every practice

    Recall, utilisation and conversion defined once across the group, so two sites can be compared at all.

  2. Get the records off the cupboard server

    Backed up, patched, access controlled and evidenced, so the answer to how patient data is held is a document rather than a shrug.

  3. Read the chair daily

    Utilisation and short-notice cancellations out of the practice system the same day, not in a return at the end of the month.

  4. Make the next practice report in weeks

    One onboarding path for an acquired surgery, written down and repeated, so the timetable in the paper holds.

Your practice managers run practices. Your IT is whoever installed the system.

Both are doing what they were engaged to do. Neither was engaged to hold a group's reporting together or to answer for how patient data is kept across six sites.

  • A practice manager's day is patients and staff

    The monthly return gets done after hours, which is why it is late, and why no two are alike.

  • The system supplier supports the system

    Not the server under it, not the backup, and not the group's reporting. Asking is a change order.

  • Nobody owns the estate between sites

    Each practice was bought with its own arrangements, and buying it did not replace them.

  • Clinical risk and data risk arrive together

    The person qualified to assess one is rarely the person qualified to assess the other.

Value creation

What we do across a dental hold, and where each one lands in the numbers a buyer checks.

  • Chair time, read daily

    The number the whole model runs on, taken from the system rather than from a return, so a bad week is a question that week.

  • Recall and conversion, comparable

    Revenue already sold, visible by practice on one definition, which is what lets the gap between two sites actually be closed.

  • Patient data that survives diligence

    Special category data, evidenced rather than assumed, before an insurer or a regulator is the one asking.

  • Practices that report on day one

    One onboarding path, so the acquisition timetable in the paper is the timetable that happens.

Neurotic AI Platform, across your practices

The same product every portfolio company gets, carrying the screens a dental group opens and nobody else does. Asked in the words used at a practice meeting.

How the platform answers
Neurotic AI Platform Dental Surgeries Example view

Ask Which practices are leaving chair time unbooked?

Two. Both lose it to short-notice cancellations, not to demand.

  • Practice, north chair utilisation on plan
  • Practice, city chair utilisation unbooked
  • Practice, west chair utilisation on plan
  • Practice, coast chair utilisation unbooked

Recall performance

  • Booked
  • Lapsed

Short-notice cancellations

The change is that chair time stops arriving in a monthly return. A bad week at one practice is visible that week, on the same definition as every other site, so the conversation is about what happened rather than about whose spreadsheet is right.

AI intelligent dashboards

We build these quickly, and to your business: dashboards that let you see chair time, recalls and clinician output across every practice, on one basis rather than five — with the alerts and notifications that go with them, so a number that moves finds you rather than waiting to be found.

  • Chair utilisation

    Booked against available, by practice and by surgery, taken from the practice system the same day.

  • Recalls due

    Who is due, who has lapsed, and which practices are letting them go.

  • Clinician output

    Activity and treatment mix by clinician, on one definition across every site.

  • Practice comparison

    Every site on the same measures, so an underperforming practice is distinguishable from an under-reported one.

  • Referrals

    What goes out, where it goes, and what could have been kept inside the group.

These are the five a dental group asks for first. The screens are built to the group, not chosen from a menu, so a dashboard you need and cannot find anywhere on this list is the ordinary case rather than a special one.

Where to start

A two week audit. One document. No obligation.

Fixed scope, fixed price. It reads your systems and tells you what is wrong, what each fix costs, and what to do first. You keep the report either way.

Readiness assessment 2 weeks

What it turns up

  • Licences paid for and not used
  • Firewall rules nobody has reviewed since install
  • Administrator accounts with no owner
  • Reports built on a source that stopped updating
  • An integration failing quietly, nobody alerted

What it reads live

  • Licences, systems and what they cost waiting
  • Network, remote access and segmentation waiting
  • Cloud tenant, identity and admin rights waiting
  • Core systems and how they connect waiting
  • Reporting, data quality and access waiting

One document: what is wrong, what it costs to fix, and what to fix first.

Other industries