DenQAI decision lab

Treatment-mix transfer

Estimate buyer-retainable production and flag clinical-philosophy questions that require independent record review.

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The governing test

The governing testWhich source or constraint could change this result?

Clear the non-negotiable gates.
Normalize capacity, cash, and clinical transfer.
Price workforce and payer friction as operating facts.

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Fictional example

Results use the entered assumptions. Evidence and safety checks still require review.

Model v3.2.0

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No input edits yet. Unchanged example values remain fictional assumptions. No changes since the last download or opening state.

Assumptions, evidence still needed, and local saving

Review note

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Planning case — assumptions and evidence require review. Includes fictional example assumptions. Formula v3.2.0.

Blank means unknown. Enter 0 only for a known zero or an item that does not apply and has no cost or use. Example values and modeled estimates are assumptions until supported by your records.

Calculator 05

Treatment-mix and philosophy transfer

Dollar mix, unit mix, and patient-normalized counts answer different questions. A crown percentage by itself is not a clinical verdict.

Adjusted production by category

Direct restorations$Indirect restorative$Hygiene & prevention$Implant / prosthetic$Other doctor production$

Volume and transfer assumptions

Crowns / onlays completedDirect fillings completedActive patientsSeller doctor daysProduction buyer can retain%Based on buyer skills, referrals, hours, and philosophy.Buyer sustainable indirect mix%An assumption to stress, not an industry benchmark.

Total adjusted production$1,200,000

Doctor production / day$4,684Excludes hygiene

Crowns per 100 active patients12

Fillings per 100 active patients28.2

Crown-to-filling unit ratio0.4×Compare by year, provider, and cohort

Production exposed in transition$216,000Higher of procedure-fit or indirect-mix gap

Production mix

Direct restorations22%

Indirect restorative28%

Hygiene & prevention26%

Implant / prosthetic10%

Other14%

The values-alignment question

Public Pankey materials emphasize comprehensive diagnosis and treatment planning, but a credential or philosophy label proves neither necessity nor overtreatment. Test whether crown-heavy production is supported tooth by tooth by findings, radiographs, alternatives, consent, patient cohorts, remakes, and independent review—or whether comprehensive-care language is being used to rationalize a revenue pattern the buyer cannot ethically support.

This quick screen is not the acquisition bridge. Do not carry either percentage into price as a blanket retention haircut. Build code- and provider-level buyer-repeatable dollar exclusions, then enter that total once in the acquisition workbench.

Review the public Pankey treatment-planning description →

Records to gather: User-entered records, source dates, verification states, actual contract and schedule data, provider activity, procedure history, staffing, and cash timing.

Decision, method, limitations, and required review

Use this if: You need to test an assumption before spending money, signing a contract, or treating a composite score as an answer.

Decision: Identify the viable path, the downside case, the assumption that breaks it, and the next diligence request.

Output: A transparent calculation with exposed formulas, limitations, stop-and-verify conditions, and a printable decision record.

Method: Use ranges and scenario stress; keep illustrative defaults separate from user data; never let a composite score override a non-negotiable gate.

Stop and verify: Do not treat results as an appraisal, diagnosis, legal conclusion, coding source, lender approval, or substitute for primary records.

Human review: Buyer, dental CPA, lender, counsel, clinical reviewer, benefits specialist, and operator according to the calculator.

Last reviewed: July 24, 2026

Next action

Use the result to request the missing evidence.

Ask an authorized independent clinician to resolve the treatment-transfer questions. Bring only reviewed aggregate findings into this public model.

Plan clinical-transfer review

Record the source, period, responsible reviewer, and assumption that would change your decision in the case review note.