Real Standards · 2026

Medical & Dental Build-Out Cost in DFW

Published per-SF and per-room standards for clinic work, including the after-hours phasing that keeps a practice seeing patients while it is built.

Cosmetic

$30 to $55/SF

clinic refresh

Basic clinic

$95 to $130/SF

exam + admin TI

Standard

$130 to $180/SF

clinic remodel

Per exam room

$7,500 per room

basic conversion

Rated 5.0 on Google$1M GL + $1M Umbrella1-year workmanship warranty

Finished medical office check-in millwork by i30 Builders: a slat-clad counter with a light quartz transaction top and open service windows into the staff work area.

What does a medical and dental renovation cost in Dallas-Fort Worth?

Medical and dental renovations have no published starting price: each one is scoped and priced per project after a site walk, lump sum from a written scope before any deposit, and the ranges on this page are for budgeting. The price includes labor, materials listed in the written scope, permits and standard city inspections, project management, mobilization, protection of adjacent areas, cleanup and one-year workmanship warranty. Scope, the condition of the space and the schedule move the number more than square footage does.

Pricing
Per project after a site walk, lump sum. No published starting price
Permits
Permits and standard city inspections included
Warranty
One-year workmanship warranty, in writing
Where
Dallas-Fort Worth and East Texas

Updated

Whole-Suite Standards

Cosmetic refresh to heavy medical.

Cosmetic clinic refresh

$30 to $55/SF

A clinic updated without touching the casework, plumbing or medical gas.

Basic clinic TI

$95 to $130/SF

Exam rooms and admin space built out where the plumbing intensity is low.

Standard clinic remodel

$130 to $180/SF

A working clinic remodelled, usually in phases, with sinks in most rooms.

Heavy medical and dental

$180 to $250/SF

Operatories, imaging and procedure rooms, where the equipment drives the construction.

Room-by-Room

Priced per exam room, because that is how practices grow.

Most clinic work we run is not a gut. It is two rooms this quarter and three the next, scheduled around a full book. These are the standards for that.

Exam room refresh

$4,500 per room

One room repainted, re-floored and made ready, with nothing moved.

Exam room conversion

$7,500 per room

A room converted to an exam or consult room without adding a sink.

Exam room with cabinets and sink

$14,500 per room

A full exam room including the casework and the plumbing to it.

All i30 Builders full-project prices include normal mobilization, ordinary protection of adjacent areas, labor, standard materials listed in the scope, permits and standard city inspections, project coordination, normal cleanup, and a one-year workmanship warranty on the listed scope. Health-department and city inspection cycles, medical gas and dental compressed air, lead-lined assemblies, fire / life-safety modifications, and landlord-imposed fees are typically separate line items called out explicitly in the scope.

What Drives the Final Number

Up and down, the honest answer.

Pushes price up

  • Working after hours around a full patient schedule (occupied-clinic multiplier)
  • Infection-control containment and nightly reset for next-day patient care
  • Specialty MEP: medical gas, dental compressed air and vacuum, lab fume hoods
  • Lead-lined walls and door frames for imaging rooms
  • Health-department and city inspection cycles stacked on the build schedule
  • Sterile-area finishes and medical-grade vinyl base
  • Fire / life-safety rework when the layout changes egress

Keeps price down

  • Cosmetic refresh where the layout and systems are sound
  • Vacant suite with no patient-care protection or nightly reset
  • Keeping plumbing and casework where they already are
  • Second-generation medical space with exam rooms already in place
  • Phasing by block so one wing stays open while another is built
  • Standard finish package rather than specified premium millwork

Common Cost Questions

Medical and dental renovation cost questions

How much does a medical office build-out cost in DFW?

Cosmetic clinic refresh $30 to $55/SF. Basic clinic TI $95 to $130/SF. Standard clinic remodel $130 to $180/SF. Heavy medical and dental $180 to $250/SF. Labor, materials, permits and standard city inspections, project management and the one-year workmanship warranty are inside the ranges. Design and engineering, landlord fees and FF&E are separate line items.

What is the medical or dental office build-out cost per square foot in DFW?

Cosmetic clinic refresh $30 to $55/SF. Basic clinic TI $95 to $130/SF. Standard clinic remodel $130 to $180/SF. Heavy medical and dental $180 to $250/SF. Dental suites usually sit in the upper bands, because operatory plumbing and equipment rough-ins add trade scope a general clinic layout does not carry. Design and engineering, landlord fees and FF&E are separate line items.

Can you price a single exam room instead of the whole suite?

Yes. Exam-room refresh: $4,500 per room. Exam-room conversion: $7,500 per room. Exam room with cabinets and sink: $14,500 per room. Per-room pricing is how most of our clinic work actually gets scoped, because practices expand a few rooms at a time rather than gutting a floor.

Can you work while the practice stays open?

Yes, and it is most of what we do in clinics. We phase the work after hours, clean up and reset every night, and hand the space back ready for the next business day. On a recent Mansfield medical office we rebuilt the front desk and check-in area entirely on that schedule, and the suite never closed a business day. Occupied work carries a multiplier because of the nightly protection, containment, and reset, and it is called out in the scope rather than buried in the rate.

Why is medical more expensive than a standard office TI?

Specialty MEP and inspection cycles. Medical needs medical-grade vinyl base, infection-control containment during an occupied build, sometimes med-gas or dental compressed air, and health-department approval rounds. A standard office build carries none of that, so pricing clinic work at office rates would understate the project significantly.

Is the price you quote the final price?

Yes, written scope, locked at signing. Change orders only happen if you request a scope change, and they are priced and approved in writing before work proceeds. Hidden conditions (failed MEP behind walls, mold, code corrections unrelated to your scope) are excluded by default and surfaced as change orders if discovered.

What's included in the per-SF price?

All i30 Builders full-project prices include normal mobilization, ordinary protection of adjacent areas, labor, standard materials listed in the scope, permits and standard city inspections, project coordination, normal cleanup, and a one-year workmanship warranty on the listed scope.

Recent Work

A look at what we build.

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