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Dental practices

Dental practice bookkeeping.

Production is not collections, and neither one is profit. Monthly bookkeeping for dental practices. Deposits reconciled to the practice software, the overhead ratios every dentist is judged on in front of you each month, and year-end ready for your preparer.

Empty dental chair in a bright treatment room
What makes these books different

A practice has four numbers that decide the year.

Dentistry has a well-known set of overhead ratios. Most practices know them from a consultant's slide. The books should put them in front of you every month.

01

Collections reconciled to the practice software

Insurance payments, patient payments and financing all land differently. I reconcile what hit the bank to what Dentrix, Eaglesoft or Open Dental says you collected.

02

Supplies and lab as a percentage

Clinical supplies and lab fees tracked on their own lines and reported as a percentage of collections, the way the practice benchmarks read.

03

Staff and associate compensation

Payroll as an add-on with the practice's real ratio in the report, and associate pay calculated on the basis in the agreement.

04

Equipment and the buildout

A chair, a scanner or a CBCT unit depreciated right, with the loan behind it split into principal and interest.

The rhythm

A close that matches the practice's month.

The practice runs on the schedule. The books need one clean line per month, with the overhead ratios attached.

  1. Every month

    Bank and card accounts reconciled to the practice software. Profit and loss within 20 days with supplies, lab, staff and occupancy as percentages of collections.

  2. Quarterly

    Estimated tax check-in, a look at the overhead ratios against benchmark, and aged insurance receivables so claims do not sit.

  3. January

    Year-end books closed for your preparer, equipment and buildout documented for depreciation, 1099s to any contractors.

  4. Before a hire or a second operatory

    The numbers on whether collections support it. That is a monthly review conversation.

Which tier

Usually one of these two.

Payroll, equipment and the entity structure make tax-ready books the sensible floor. The monthly review is where the overhead ratios get discussed instead of just printed.

The Foundation

From $600/ month

For an owner who wants more of the accounting handled. Most people land here.

  • Everything in The Basics
  • Statements within 15 days, plus a cash-flow statement and a monthly management report
  • Tax-ready books, and I work directly with your tax preparer
  • Accounts receivable and payable managed and reported
  • A monthly check-in on where you stand, and an annual budget
  • 1099s handled, up to 20
The Partner

From $1,800/ month

For an owner who wants a second set of eyes on the numbers and an ongoing financial partner.

  • Everything in The Basics and The Foundation
  • Statements within 10 days, transactions reconciled weekly
  • A financial review call twice a month
  • Quarterly budget-to-actual review, KPI and trend analysis
  • Working-capital oversight and planning for what is next
  • Workflow and automation support

Payroll is an add-on on The Foundation and The Partner, quoted by headcount and filings. All three tiers

Questions

What dental practices owners ask.

If yours is not here, the 15-minute call is where it gets answered.

  • Yes. The day sheets and deposit reports from Dentrix, Eaglesoft, Open Dental or Curve are what the bank deposits get matched against.

  • Yes. Supplies, lab, staff and occupancy as percentages of collections, every month, on the same report.

  • Payroll is an add-on on The Foundation and The Partner, quoted by headcount, and associate compensation is part of it.

  • No. I get the books to where your preparer can file from them without a cleanup project.

Next step

Fifteen minutes, between patients.

Tell me how the practice is set up and where the books are today. I will tell you which tier fits and what it costs.