Clients want prefinancing
More and more practices ask for factoring. At 59, you do not want to build up a BaFin license and balance sheet capital.
Does this sound familiar?
Two situations we know
Dental chains bring billing in-house
Investor-owned dental MVZ are internalizing. Your long tail of single practices stays, but you need processes to stay profitable.
Your day-to-day, as we know it
This is what happens in your business before anyone talks about succession
Services not documented
The treatment took place, but the patient record is thin. Without documentation, you can bill neither BEMA nor GOZ properly.
Treatment plan and fixed subsidy
Findings, standard care and the bonus booklet must match. A mistake costs the practice its subsidy or the patient's trust.
GOZ multiplier and analog billing
Above the 2.3x rate, a justification is needed, and analog services need an equivalent code. This is exactly where payers check.
Quarter-end at the KZV
At quarter-end, all conservative treatment cases must be correct. The KZV's error lists then land on your desk.
How we measure your company
The metrics we look at in the first call
We look at the numbers you use to run your business yourself. The right column shows our acquisition criterion.
| Metric | What it tells us | Our benchmark |
|---|---|---|
| Number of practices served | How broadly your business is spread. | Good from 150 practices. |
| Billing staff | Whether holidays and sickness are covered without losses. | Good from 20 employees. |
| Billing volume per practice | How much you move relative to practice size. | We look at the spread across all practices. |
| Fee model | Whether you bill flat fees, by the hour or by volume. | We look for predictable term contracts. |
| Factoring on offer | Whether claims against patients sit with you or with a partner. | No factoring on the own balance sheet. |
What actually changes after the acquisition
Step by step
We automate the desk work. Professional decisions and customer contact stay with your people.
TodayCheck patient records for forgotten services
With GTPThe system compares documentation and codes and flags gaps. The billing specialist clarifies with the practice what was actually done.
TodayPrepare treatment plans and assign fixed subsidies
With GTPThe system suggests findings and matching fixed subsidies. The specialist checks standard care and additional costs.
TodayWrite GOZ justifications
With GTPA draft based on findings and course of treatment is ready. The specialist adjusts and approves it.
TodayLog in remotely to the practice software and work through cases
With GTPRoutine cases arrive prepared in a check list. Your employee looks after more practices without losing quality.
Your systems stay in use:Dampsoft DS-WinCGM Z1Evidentsolutio charly
AI potential in the segment
How much desk work can really be automated here
This is GTP's assessment. We show it upfront so you can see what we will work with after the acquisition.
Separate BEMA and GOZ automatically
A rule model sorts services by statutory and private share and flags implausible combinations.
Prepare treatment and cost plans
A model creates draft treatment plans from findings data, and the billing expert checks codes and prices.
Answer insurer queries
Text generation drafts replies to objections and approval queries about the treatment and cost plan.
What limits the technology here
BEMA rules, GOZ commentary and insurers' approval procedures change constantly, so every model needs ongoing maintenance and professional sign-off.
What this means for you
Your experts remain the reason we buy. We invest in tools that take their routine work off their hands.
Sources Bitkom Research, AI use in practices and hospitals (2025)
What we want to see
The documents we need
After the first call and the non-disclosure agreement, these five documents are enough for a solid offer.
- Practice list with revenue per practice, contract start and term
- Template contracts, including liability for billing errors
- Staff list with qualifications, such as dental administration specialist (ZMV), and assignment to practices
- Evidence of data protection and remote access to practice systems
- Overview of partnerships with factoring providers and commissions
What we buy
Our acquisition profile for this segment
Criteria
- 150 or more practices, client relationships longer than 3 years
- 20 or more employees with their own process infrastructure
- EBITDA €0.5m to €5m
- No factoring on the own balance sheet
Value drivers
- Partner bank model for prefinancing
- Training and QM services for practices
- Treatment plan management as an add-on service
Value reducers
- A large share of revenue with a few practices
- Dependence on a few dental billing experts
- Most clients are investor-owned dental chains
How you can tell we know your business
Three facts you can quote
- 01There are 37,423 dental practices in Germany, 29,850 of them single practices (KZBV 2024).
- 02Investor-owned dental MVZ make up almost one in three dental MVZ, about 507 of 1,554 (KZBV Q4/2023).
- 03The number of BaFin-licensed factoring institutions fell by 7% to 157 in 2024 (medizinio 2025).
Market range, third-party source
What comparable companies trade at in the market
| Size class | EBITDA multiple |
|---|---|
| Micro-cap, revenue below €5m The relevant class for most succession cases in this segment | 4.0x to 6.0x |
| Small-cap, revenue €5m to €50m | 5.5x to 7.2x |
Category healthcare: care and service providers. Source: DUB KMU-Multiples Q2/2026. The DUB figures show asking prices and price expectations on a business marketplace. They do not include completed transactions. The range comes from an independent third party and is not an offer from GTP.
From multiple to cash
The multiple gives the enterprise value. What reaches your account depends on four items:
- Net financial debt
- Loans, leases and shareholder accounts are deducted, cash is added.
- Working capital
- We assume a normal level. An account emptied before the sale reduces the price.
- Investment backlog
- Vehicles, measuring equipment and software due in the next two years are deducted from the price.
- Payment structure
- Part of the price is paid only after signing, through a rollover or a performance-based component.
What lowers the value
If one of these points applies, the value drops:
- The owner personally holds the key customers
- Short remaining terms or contracts that can be terminated at any time
- If a large share of revenue depends on one customer, the price goes down.
- No second management level that runs the business without the owner
We calculate your value in the first call using your numbers. We go through the four items openly with you, even if the result is below your expectations.
All market data and the regulatory timeline for non-medical healthcare services
Frequently asked questions
What owners in this segment ask
Why no factoring on the own balance sheet?
License requirement under Section 1(1a) KWG and refinancing risk. We buy service, and prefinancing runs through partner banks.
Is a billing office with 12 people enough?
As an add-on to a platform, yes. On its own from 20 employees with documented processes.
What about investor-owned MVZ as clients?
Welcome, as long as they are not the majority. Chains bring billing in-house. Single practices and group practices are the more stable base.
Do my billing experts stay?
They are the reason we buy. We invest in tools that take over routine work.
Non-medical healthcare services
More segments in this area
Sell a medical billing office
GOÄ billing for practices and hospitals, with or without a platform.
Sell a therapy billing companyBilling with statutory health insurers under Section 302 SGB V for therapists, medical supply stores and nursing services.
Sell a medical controlling companyCoding, MD management and revenue assurance for hospitals.
Sell an ambulance billing companyBilling of transports and missions with insurers and operators.
Sell a practice back office companyHR administration, accounting and contract management for practice groups, without billing.
Sell a hygiene and QM documentation companyDocumentation and audits for practices and MVZ, as an addition to a billing core.
Why we buy this segment
In billing, the know-how sits in the heads of your specialists. AI takes over the data capture, the decision stays with your team. Whoever checks today will do so after the acquisition too.
I have automated back-office processes in large organizations. Where companies cut jobs first, they later lacked the know-how for billing.
For M&A advisors, tax advisors and succession advisors
Response on your client usually within 72 hours
Acquisition profile, teaser metrics and our commitments for all 24 segments are on a separate page. We only approach your client through you.
First step
Talk to a buyer who knows your segment
A 30-minute call is enough to know whether we fit. Afterwards you get a written assessment with reasons.
Request a confidential first call
Or call us: +49 40 89741812
ConfidentialOnly the three partners see your enquiry. An NDA is possible in advance on request. We share nothing with third parties.