Broken Appointment Cost

Excel Formulas › Dental Practice

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A broken appointment (no-show or late cancel) is lost production against fixed overhead. Open chair time times production-per-hour sizes the daily and annual cost of breakage.


Quick formula: production lost to a broken appointment:
=hours_open * production_per_hour
The vacated chair hours times production per hour. A 1-hour no-show at $450/hr costs $450 in production.

The example

5 broken hrs/week, $450/hr.

AB
1ItemValue
25 × 450$2,250/wk
3× 48 weeks→ $108,000/yr

The formula

The formula:

=hours_open * production_per_hour // open hours × production per hour

How it works

How it works:

  1. Each broken appointment opens chair hours that were scheduled to produce.
  2. Multiply by production per hour for the lost production.
  3. Scale by weeks for the annual cost — often shockingly large.
  4. Track a breakage rate and the cost to justify reminders, deposits, and policies.

Annualizing breakage is what motivates change. A single no-show feels minor; five broken hours a week at $450 is over $100k a year against fixed overhead. Putting the annual number in front of the team — and measuring it before and after confirmation calls, a short-notice list, or a cancellation policy — turns a vague annoyance into a tracked, reducible cost.

Try it: interactive demo

Live demo

Broken hours per week, production/hr, weeks.

Weekly · Annual

Variations

Annual cost

Weekly × weeks:

=hours_open*production_per_hour * weeks

Per broken appointment

Appt length × rate:

=appt_hours * production_per_hour

Breakage rate

Broken ÷ scheduled:

=broken_appts / scheduled_appts

Pitfalls & errors

Production, not collection. Lost chair time is lost production.

Realistic refill. Some time refills from a short-notice list — net it if you track it.

Annualize. The weekly number understates the real cost.

Practice workbook

📊
Download the free Broken Appointment Cost practice workbook
A breakage sheet with the annual, per-appt, and rate variants, plus 4 challenges with answers. No sign-up required.

Frequently asked questions

How do I calculate the cost of broken appointments in Excel?
Open chair hours times production per hour: =hours_open * production_per_hour. 5 hrs/week at $450 is $2,250/week.
What's the annual cost?
=hours_open*production_per_hour * weeks — often over $100k, which is why it matters.
How do I measure the breakage rate?
=broken_appts / scheduled_appts.

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Related formulas: No-show and cancellation rate · Operatory utilization · Detention pay