What is the realistic hourly production for a dental big-case practice doing complex reconstructive work? $1,000 to $1,500 per hour or higher during big-case days, with overhead dropping to 50 to 65 percent as facility wear, staff requirements, and procedural overhead all reduce. The math works because the per-case revenue is substantial, the team is smaller and more skilled, and the chair time per dollar earned is far more efficient than volume-driven models. Counterintuitively, the work pace slows on big-case days because complex cases require longer appointments and periods of uninterrupted concentration. Concentrating on one patient for three or four hours [...]