Dentists’ fees in Loire-Atlantique
837 general dentists in private practice, 52 orthodontists: their 2025 average fees, and yours alongside.
General dentists in Loire-Atlantique (Pays de la Loire) billed €275,465 in fees on average in 2025 per full-time active practitioner, 9 % below the national average (€302,480), which ranks the département 87 out of 101. Of that amount, €115,533 is extra fees (dépassements), the part charged above the national health insurance tariffs, mostly on crowns and other prosthetics: 42 % of fees, against 46 % across France. There are 55 general dentists per 100,000 residents (France: 55), and 13 % of them are aged 60 or over. The 52 orthodontists qualified in dentofacial orthopaedics (ODF) billed €711,990 on average, against €742,190 nationally. Between 2019 and 2025, general dentists’ average fees moved by +24.6 %. These are health insurance averages, not take-home pay: practice costs, roughly half of receipts, still come off, and non-reimbursable work such as implants is not included.
Your fees against the average · general dentists in Loire-Atlantique
+9 %
above the average · €300,000 (comparable fees, excluding non-reimbursable work)
Your figure is above the general dentists average of 34 départements out of 101.
Profit before income tax (BNC) (estimated)
€99,300
per month €8,275
This profit would sit near the 53rd percentile of 2021 private dentists’ income (DREES, interpolated between published deciles and quartiles).
| Fees per chair | €150,000 |
| Fees per day worked | €1,481 |
| Fees per staff member (FTE) | €150,000 |
| Cost ratioestimated · reference 66.9 % | 66.9 % |
How this is calculated
2025 Assurance Maladie averages per full-time active practitioner (data.ameli.fr open data). These are averages, not percentiles: the distribution is not published. Non-reimbursable fees are removed before comparing. Reference cost ratio: UNASA 2024, 1,969 practices, practices in receipts quarter 3. Method and sources
Checked by Radif Partners · Editorial policy · Method and sources
Key figures, 2025
| Loire-Atlantique | Pays de la Loire | France | |
|---|---|---|---|
| General dentists | |||
| Practitioners in private practice | 837 | 1,809 | 38,065 |
| Per 100,000 residents | 55.0 | 46.0 | 55.0 |
| Average fees | €275,465 | €316,422 | €302,480 |
| Share of extra fees | 42 % | 45 % | 46 % |
| Different patients per practitioner | 975 | 1,039 | 837 |
| Aged 60 and over | 13 % | 15 % | 19 % |
| Orthodontists (ODF) | |||
| Practitioners in private practice | 52 | 106 | 2,084 |
| Per 100,000 residents | 3.4 | 2.7 | 3.0 |
| Average fees | €711,990 | €777,490 | €742,190 |
| Share of extra fees | 63 % | 65 % | 67 % |
| Different patients per practitioner | 1,310 | 1,363 | 1,166 |
| Aged 60 and over | 35 % | 33 % | 24 % |
| Stomatologists | |||
| Practitioners in private practice | 27 | 48 | 686 |
| Per 100,000 residents | 1.8 | 1.2 | 1.0 |
| Average fees | €420,978 | €492,798 | €528,366 |
| Share of extra fees | 32 % | 30 % | 44 % |
| Different patients per practitioner | 1,354 | 1,591 | 1,144 |
| Aged 60 and over | 11 % | 19 % | 36 % |
Loire-Atlantique: plenty of patients, modest fees per patient
The Nantes paradox fits in two figures. A general dentist in Loire-Atlantique sees 975 different patients a year, well above the French 837. Yet average fees per full-time active practitioner come to €275,465, −9 % on the national mark, for a rank of 87th of 101. Per patient, then, billing is noticeably lower than elsewhere, which may reflect a case mix weighted towards routine care rather than prosthetics.
The split bears this out: €159,932 at the agreed tariff and just €115,533 in dépassements, the fees dentists set above that tariff, a smaller free-fee share than in most of western France. For a practice in Nantes, Saint-Nazaire or on the Guérande peninsula, comparing total fees with the national average misses the point: the patients are there, and the gap lies in the value of each treatment plan. The turnover per chair tool works on exactly that ratio.
The only Pays de la Loire département below the French average
All four other départements in the region post higher averages, from Maine-et-Loire to Mayenne, and the gap with the regional mean is −13 %. Density accounts for part of it: 55 general dentists per 100,000 residents, exactly the French 55, while the Sarthe and Mayenne have far fewer. Mixed practice is also rare, at 2 % against 6 % in France, so the gap does not come from dentists splitting their week with a salaried job.
For a département with a dental school in Nantes, headcount has barely moved: 814 at the end of 2020, 837 at the end of 2025. Young dentists are not missing (28 % under 35, 13 % aged 60 or more), and the average rose by +33 % from 2015 to 2025. Women make up 56 % of the profession, more than in Maine-et-Loire, Vendée or the Sarthe.
Specialists: ageing orthodontists, plenty of stomatologists
Orthodontics has the oldest profile in the département. Of 52 private orthodontists, 35 % are 60 or over and 4 % under 35, and there were 58 five years ago. Their €711,990 average stands −4 % against French orthodontists and −8 % against the regional figure, with 1,310 patients each. Practice sales in the specialty are likely to pick up in the coming years. Stomatology, the medical specialty of the mouth and jaw, is well established: 27 practitioners, one of the highest densities in France, 30 % in mixed private and salaried work, and an average of €420,978.
Ten years of average fees
| Year | General dentists | Orthodontists (ODF) | Stomatologists |
|---|---|---|---|
| 2015 | €206,547 | €515,580 | €246,819 |
| 2019 | €221,036 | €566,451 | €344,603 |
| 2021 | €255,481 | €609,632 | €385,208 |
| 2023 | €266,055 | €642,941 | €392,857 |
| 2024 | €271,810 | €666,780 | €407,031 |
| 2025 | €275,465 | €711,990 | €420,978 |
Other départements in the region
| Département | Practitioners | Per 100,000 | Average fees |
|---|---|---|---|
| Maine-et-Loire | 370 | 44 | €344,992 |
| Mayenne | 84 | 28 | €430,519 |
| Sarthe | 179 | 32 | €380,615 |
| Vendée | 339 | 46 | €330,708 |
Source: Assurance Maladie (Cnam), data.ameli.fr, private health professionals open data (SNDS), ODbL licence. 2025 data published on 12 October 2026, retrieved on 15 October 2026. A missing amount is covered by statistical confidentiality.