Ask a practice manager what a missed call costs and the honest answer is usually: nobody knows. The phone rang, nobody answered, and the story ends there. What happens next is not recorded anywhere.
Suppliers love to fill that gap with big round numbers. We will not, because we hold no evidenced figure for how many of your callers hang up rather than leave a message, and we know of no published one. What we can give you is a method that runs on your own numbers, which is more useful anyway.
The arithmetic of an unanswered phone
You need four figures. You already have three of them, and the fourth is your judgement. They are the same four the missed-call calculator asks for.
Calls on a typical weekday. Your phone system logs this. If it does not, that is a finding in itself, and a good reason to look at your telephony before anything else.
The share you miss. Count engaged tones, rings that gave up, and everything that landed on voicemail outside opening hours. Do not leave out the out-of-hours share: it is easy to overlook, and it can be the largest part.
The share of those calls that wanted a new appointment. Some unanswered callers wanted to book; the rest were existing patients with questions, wrong numbers and suppliers. We know of no published figure for this, so if you are not sure, choose a low share.
What a new patient appointment is worth. Your own fee for a new patient exam or first visit, from your practice management system. The first visit only, not the course of treatment.
Multiply them: calls on a typical weekday × 5 working days × 52 weeks ÷ 12 × share missed × share wanting a new appointment × value of a first visit.Note 1: where the figures come from The result is not lost revenue, and we are careful about that distinction. It is revenue exposed to the queue each month: the value of first appointments that depended on somebody answering.
If the calls were for NHS urgent care
NHS England’s figure for an urgent course of NHS dental treatment is £75 from 1 April 2026.Note 1: where the figures come from If the unanswered calls you are counting were patients needing urgent NHS care, use £75 as the value instead of your own fee, as the calculator lets you. Our guide to handling urgent dental calls explains what changed and what reception should capture.
Run your own numbers
The missed-call calculator does the multiplication for you and shows its working. Every input is yours, and the method note is printed next to the result. If the number surprises you, the fix is simple to test: book a 30-minute demo and hear Prime Assist answer a live call. See how Prime Assist books new patients into Dentally, or read more about Prime Assist for dental practices.