Dental Office Feasibility Study in the Sacramento-Roseville-Folsom, CA Metro Area
What SBA's own loan files show about dental office lending in the Sacramento-Roseville-Folsom, CA Metro Area, and what a feasibility study for a project there has to test.
Two counties, Live Oak and no franchises
Sacramento County, CA holds 57 of the 96 dental office loans around Sacramento-Roseville-Folsom, and Placer County, CA holds 30. The cell is worth $92.7 million for FY2017 to FY2026. Sacramento ranks 21 of 562 nationally, dentistry takes 8 of 39 in Sacramento, and 1.33x on the location quotient says dental offices weigh clearly more in local lending than in the national mix. The franchise share prints as 0.00%, so none of the 96 loans carries a flag.
The median is $636,000, 1.25x the national class median, and $217,250 and $1.2 million mark the quartile edges. Of the 96 loans, 76 used SBA 7(a) and 20 used SBA 504. Cancellation is 13.4% at the floor and 13.4% at the ceiling for FY2017 to FY2024 approvals. Loan Analytics withholds the charge-off rate and the FY2020 and FY2023 yearly counts, so those stay blank, never nil. The floor and the ceiling for cancellation are the same 13.4%, so very few approvals remain undisbursed.
Lenders
Live Oak Banking Company holds 17 SBA 7(a) loans and $38.2 million, a very large average. Its 17 loans carry far more dollars than the 10 of U.S. Bank, National Association, so two holders of similar size hold very different books. U.S. Bank, National Association keeps 10 loans but only $2.6 million, Wells Fargo Bank National Association 9 and $11.3 million, First-Citizens Bank & Trust Company 5 and $3.7 million, and Banner Bank 5 and $450,000. CDC Small Business Finance Corp. alone appears on SBA 504 (6 loans, $2.9 million). SBA's holder data stands behind these rows and says nothing about practice.
Approvals went from 16 loans and $12.8 million in FY2017 to 19 loans and $20.0 million in FY2018, 8 in FY2019 and FY2022, 13 loans and $17.4 million in FY2021, and then 6 loans and $2.3 million in FY2026. Sacramento's totals are limited to loans whose county the delineation of 2023 can place. The study must describe the payer mix in Sacramento and Placer Counties, because the file cannot.
What a Sacramento dental study has to settle
The analysis should size patient demand near the site, count practices already open in Sacramento and Placer Counties, and cost operatories, imaging and build-out against $636,000. Chair time, collections and hygiene income must repay the loan, and the real estate is appraised separately. The 96 approvals say nothing about any single project.
SBA dental office loans in the Sacramento-Roseville-Folsom, CA Metro Area
| Loans approved, FY2017 to FY2026 | 96 |
|---|---|
| Gross dollars approved | $92.7 million |
| Median loan | $636,000 |
| Middle half of loans, from | $217,250 |
| Middle half of loans, to | $1.2 million |
| SBA 7(a) loans | 76 |
| SBA 504 loans | 20 |
| Franchise share of loans | 0.00% |
| Rank among metro and micro areas for dental office loans | 21 of 562 |
| Rank of dental office among the classes in this area | 8 of 39 |
| Location quotient (share of loans against the national share) | 1.33x |
| Median loan against the national median for the class | 1.25x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | 13.4% |
|---|---|
| The same, counting loans still undisbursed as cancelled (a ceiling) | 13.4% |
| Charged off to date, FY2017 to FY2021 disbursed loans (a floor) | withheld |
Both rates are floors. SBA withholds the status of open loans, so a loan counts as charged off only once SBA reports it; a rate needs at least 30 loans in its cohort and is otherwise not reported.
SBA dental office loans approved in the Sacramento-Roseville-Folsom, CA Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 16 | $12.8 million |
| FY2018 | 19 | $20.0 million |
| FY2019 | 8 | $4.8 million |
| FY2020 | withheld | withheld |
| FY2021 | 13 | $17.4 million |
| FY2022 | 8 | $13.5 million |
| FY2023 | withheld | withheld |
| FY2024 | 9 | $9.0 million |
| FY2025 | 8 | $4.3 million |
| FY2026 | 6 | $2.3 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| CDC Small Business Finance Corp. | 6 | $2.9 million |
| Lender | Loans | Dollars |
|---|---|---|
| Live Oak Banking Company | 17 | $38.2 million |
| U.S. Bank, National Association | 10 | $2.6 million |
| Wells Fargo Bank National Association | 9 | $11.3 million |
| First-Citizens Bank & Trust Company | 5 | $3.7 million |
| Banner Bank | 5 | $450,000 |
Lenders with 5 or more loans here; a lender with fewer is not listed, and loans SBA or a receiver holds are counted but never listed as a lender.
Where the loans are, by county
| County | Loans |
|---|---|
| Sacramento County, CA | 57 |
| Placer County, CA | 30 |
Counties with 5 or more loans; smaller ones are not listed.
Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.
A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.
Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-40900-C20.
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