NAICS 621210 · California overview

Dental Practices in Sacramento County

Sacramento County had 764 Dental establishments in 2023, ranking 8 of 54 California counties and accounting for 3.4% of the statewide total.

Establishments (2023)
764
Rank 8 of 54 counties
Employees
5,775
Mid-March employment
Annual payroll
$351M
All establishments
Per 10k residents
4.7
1,618,460 residents

More recent reading

BLS QCEW, 2026Q1

The figures above are County Business Patterns, which carries the size distribution but runs about two years behind. The Bureau of Labor Statistics publishes quarterly, so this is the same industry roughly 3 years later. The two count different universes, Census counts establishments with paid employees in the March pay period and BLS counts worksites covered by unemployment insurance during the quarter, so the numbers are not directly comparable and either can be the larger.

Establishments
791
2026Q1
Employment
5,502
Quarter-end level
Average weekly wage
$1,296
Per covered worker
Quarterly trend
+4.6%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

1.11 location quotient. Dental is about as concentrated in Sacramento County as it is nationally.

Computed by the Bureau of Labor Statistics, not derived here. Above 1.0 means the industry is a larger share of local employment than of national employment.

Establishments by size

Employee-count distribution for Dental in Sacramento County. 175 of 764 establishments (23%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-428737.6%
5-930039.3%
10-1914919.5%
20-49263.4%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net decline of 0.3% since 2020.

YearEstablishmentsChange
2020766n/a
2021778+12
2022780+2
2023764-16

How this market compares

Sacramento County against every other county in California on the same measure. The median excludes places under 2,000 residents, where per-capita figures are arithmetically true but analytically useless.

Above average4.7 per 10,000 residents, against a state median of 4.0

More provision than the typical California market of this size. Usually a sign of genuine local demand rather than oversupply.

Vs state median
+19%
Businesses per resident
Rank by count
#8
of 54 counties
Rank by density
#20
of 54 ranked
Since 2020
-0%
Change in establishments

Density compares dental practices provision per resident. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

Sacramento is more consolidated than California as a whole: fewer micro-operators and a larger share of businesses with real headcount. Fewer targets, but the ones that exist are more likely to be financeable.

Share of establishmentsSacramentoCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer37.6%45.7%-8.1%
5 to 49 employeesThe range most individual buyers target62.2%53.9%+8.3%
10 or more employeesPractical floor for acquisition financing22.9%19.1%+3.8%

What acquirers look at

Requires a licensed practitioner or a compliant DSO structure. California restricts corporate practice of dentistry. Recurring hygiene revenue is the valuation anchor.

Cities in Sacramento

The figures above cover the county as a whole. These are the places within it.

Other industries in Sacramento

Sources

  1. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  2. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.