Dentists Default at 0.3%

JUL 15 24

The best credit risk in America isn't tech workers making $200K. It's dentists making $180K. The difference is that professional licensing creates natural credit discipline that traditional underwriting misses entirely.

After analyzing credit performance across 777 dental practices for CLIN, I found 0.3% delinquency rates on practice-related financing. Industry data confirms it: dental practice loans have default rates reported at less than 1%, making them among the safest investments banks can make.

Federal Reserve data (2024) validates this (FRED series DRBLACBS). Overall business loan delinquency sits at 1.13% at commercial banks. Small business delinquencies run at 1.69% (31-90 days past due). Healthcare sector delinquencies actually declined 3 basis points, one of the few improving sectors. SBA loans to dentists from 2006-2015 showed a 5.2% default rate versus 17.4% for the general SBA average. Healthcare professionals don't just pay their bills. They pay them first.

The reason is structural, not cultural. A dentist's income depends on maintaining their professional license. Late payments, liens, or defaults can trigger state board investigations that threaten their ability to practice. State dental boards monitor financial responsibility, and a pattern of defaults can result in license suspension or revocation. That's career death for an independent practitioner. Geographic stability reinforces this. Unlike tech workers who relocate for better opportunities, healthcare professionals invest in local patient relationships and referral networks. Walking away from financial obligations means walking away from a practice they spent years building.

Revenue stability compounds the credit advantage. Dental emergencies, routine cleanings, and preventive care continue through recessions. The practices in our survey averaged 73% insurance-backed revenue, providing baseline stability even when patients delay elective procedures. An aging population increases demand consistently. Local market dynamics limit competition. These aren't the characteristics of a risky borrower.

Traditional bank underwriting misses all of this. Banks focus on credit scores and debt-to-income ratios without understanding that a dental practice's $50K monthly equipment financing represents normal practice investment, not excessive risk. They can't evaluate state licensing, HIPAA compliance, or insurance regulations. They lack APIs and integrations with practice management systems. A practice with 30-45 days of outstanding insurance receivables looks like risky cash flow to a traditional underwriter. A healthcare-focused lender recognizes it as predictable working capital.

The market opportunity is substantial. The U.S. dental industry generates over $150B annually, with approximately $40B from independent practices. Average practice financing needs range from $150K for equipment to $1.2M for acquisitions. Practice consolidation creates acquisition financing opportunities. Independent practices competing with corporate chains need capital for technology upgrades, facility improvements, and service expansion.

Building Dentplicity and CLIN taught us that credit quality correlates directly with professional licensing requirements. The 777 practices we surveyed showed consistent patterns: practice owners paid business obligations before personal expenses, maintained higher cash reserves than comparable small businesses, and adopted financial tools at rates exceeding 80% when they integrated with practice workflows. That experience led us to pivot from neobank infrastructure to decision intelligence. Practices didn't need better banking first. They needed better financial decision-making tools.

The 0.3% delinquency rate isn't an anomaly. It's the natural result of regulatory structures that align financial responsibility with professional survival.

The data behind the claims: The 0.3% comes from analyzing 777 verified dental practices during CLIN development, focusing on practice-related financing (equipment, working capital, acquisitions). For context: consumer credit cards run at 3.2% delinquency (2024). FHA mortgages sit at 11.03% (Q4 2024). Transportation sector business loan defaults are up 247% YoY. Retail business loan defaults are up 102% YoY. Healthcare professionals, particularly dentists, significantly outperform both consumer and general business lending segments. See ADA Health Policy Institute for broader practice economics context.


Data sources: CLIN Customer Discovery Whitepaper (777 verified practice responses, March 2025); Federal Reserve Bank of St. Louis delinquency statistics (2024); Federal Reserve Bank of New York household debt reports; Small Business Administration default rate data; Equifax small business lending trends (2024); American Dental Association practice economics data; state dental board professional licensing requirements