Practice by practice performance
Income, staff cost, lab cost and overhead by site show which practices are carrying the group and which need attention, without waiting for year end.
A practical look at what an ERP does for a dental group, where the value sits, and how to choose a platform that handles multi-site finance, associate pay and consumables without extra admin.
One practice can be run on a good accounting package. Three or more, with associates on different arrangements and a mix of NHS and private income, quickly becomes a reporting problem nobody has time for.
An ERP (enterprise resource planning system) brings multi-site finance, purchasing, consumables, payroll inputs and reporting into one place, so each practice's performance is visible without a monthly consolidation exercise.
It doesn't replace your practice management or clinical software. Appointments, charting and patient records stay where they are. The ERP handles the business behind them.
For most dental groups, an ERP is where the following live:
The value isn't in the accounting. It's in seeing each practice clearly and paying clinicians correctly without a week of manual work every month.
Income, staff cost, lab cost and overhead by site show which practices are carrying the group and which need attention, without waiting for year end.
Percentage arrangements, lab deductions and material charges calculated consistently mean fewer disputes and far less month end work.
Lab invoices matched to cases and clinicians reveal where costs are drifting, which is often invisible when everything lands in one overhead line.
Consolidated purchasing across sites gives real negotiating leverage with suppliers, and usage data shows whether savings landed.
Approval limits and purchase orders per practice keep spend authorised without head office having to check every invoice.
A new practice is added as another entity or dimension rather than another set of books, so it appears in group reporting from the first month.
Data taken from a survey we commissioned in December 2024. Click here to view
of businesses are utilising an ERP
businesses are dissatisfied with their current ERP
of businesses say using an ERP has contributed to achieving business outcomes
Six everyday situations where one connected system changes the outcome.
Income by clinician, lab deductions and material charges calculate to each associate's agreement, so statements go out on time and queries are answered from the record.
Multi-site healthcare businesses have needs a single-practice accounts package won't meet. These are the questions worth asking before you shortlist.
Finance, purchasing, stock, projects and reporting should sit in one system. Anything left in a spreadsheet quickly becomes the version everybody argues about at month end.
A system designed for a different sector rarely suits dental groups. The platform should reflect your real processes, approvals and cost structures rather than forcing a rewrite of how you operate.
Consolidation, reconciliation and management reporting should be routine rather than a fortnight of manual work. Ask to see a month end demonstrated, not described.
Role-based permissions, approval workflows and a complete audit trail should be built in, so compliance is a by-product of daily work rather than a separate exercise.
Cloud platforms with standard processes go live in weeks rather than years. A long implementation is usually a sign the system is being bent into shape.
New sites, entities, currencies or product lines shouldn't need a replacement system. Check licensing and functionality for where you expect to be in five years.
Once you know what an ERP should do, the question becomes which platform fits how your teams already work. Microsoft Dynamics 365 Business Central brings finance, purchasing, stock and reporting into one cloud system connected to the Microsoft tools you already use.
For dental groups that means dimension-based reporting by practice and clinician, multi-entity consolidation, purchase order control across sites, and Power BI dashboards showing site performance without a monthly rebuild.
It's modular, so you can start with finance and purchasing and add stock, assets or Dynamics 365 CRM later - without another migration as the group acquires.
It isn't just an accounting package. These are the capabilities teams tell us make the biggest difference day to day.
Ledgers, budgets, cash flow and management reporting run from the same data, with Power BI dashboards leadership can open themselves rather than waiting for a pack.
AI drafts descriptions, reconciles bank entries, chases anomalies and answers questions about your data, taking a chunk of routine admin off the finance team.
Approvals, quotes and reports work inside Outlook, Teams and Excel, so people use the tools they already know instead of learning another interface.
Approvals, alerts and handovers can be automated with Power Automate using low-code tools your own team can maintain.
Role-based access, approval limits and full traceability protect the financial and operational data dental groups are accountable for.
Start with finance and operations, then add supply chain, projects, service or Dynamics 365 CRM as you grow - without another migration.
No. Appointments, charting and patient records stay where they are. The ERP handles finance, purchasing, stock and group reporting, taking income data from the practice system.
Yes. Percentage splits, lab deductions and material charges can be modelled and calculated consistently, which removes most of the monthly spreadsheet work.
No. Income streams are reported separately using dimensions, so you can see contract and private performance by site and clinician.
It shouldn't need to. Keep clinical records in your practice system and pass financial summaries to the ERP - that keeps your data footprint and your compliance obligations smaller.
Yes. It's licensed per user per month and designed for small and mid-sized organisations, so a group of three or four practices isn't paying enterprise pricing.
Tell us how practice reporting, associate pay and purchasing work today and we'll talk through what an ERP would change, which capabilities matter most and where to start. No obligation, just a straight conversation.