The Silent Profit Killer
Why Risk is a Financial Metric
Lisa Landry
4/16/20262 min read


Most Practice Owners view malpractice risk and compliance as check-the-box administrative chores. They belong in a folder, tucked away until an inspection or a rainy day.
But as a Strategic Advisor, I look at risk differently. I look at it as Value At Risk (VAR). If your practice is a high-performing engine, then a lack of documentation, outdated infection control protocols, or a missing social media policy aren't just clerical gaps. They’re cracks in the engine block.
The Math of a Closed Claim
According to a 14-year study of dental malpractice claims conducted by The Doctors Company (TDC Group), the average indemnity payment for a dental claim is $116,0001. Their research highlights that many of these adverse events are preventable through proactive risk mitigation and structured safety measures. Often, a dentist does not lose a case because of clinical skill; they lose because the chart fails to tell the full story. Even when a doctor wins, the defense costs and premium hikes are a direct hit to the bottom line. Thorough documentation isn’t just a legal requirement. It’s a financial asset that protects your net profit.
Why Risk Impacts Staff Retention
Hiring is one of the most difficult parts of running a dental office today. While many people focus on pay or culture, operational safety is a major factor in keeping good employees. High-performing assistants and hygienists want to work in a professional environment with clear standards. When an office lacks strict protocols for infection control or social media usage, the best employees feel the liability. Replacing a high-level dental assistant or hygienist can cost a practice $10k–$25k in recruiting, training, and lost production.
Moving Toward Active Protection
When developing your Strategic Roadmap, my focus extends beyond just examining the profit and loss statement. I identify the operational leaks that threaten your margins. My goal is to move your office away from reactive management toward a culture of intentionality. Protecting your profit requires making sure that the work you’ve already done is safe and defensible.
1 Dental Closed Claims Study: Enhance Clinical Judgment and Patient Safety. The Doctors Company, 2024. https://www.thedoctors.com/articles/dental-closed-claims-patient-safety-clinical-judgment
Strategic Planning for Your Practice
A Strategic Roadmap identifies the operational leaks that threaten your margins and your peace of mind. Let’s spend 30 minutes together and see where we can strengthen your foundation.
Lisa Landry, Strategic Advisor
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