Who We Serve · Medical · Dental Practices
Dental runs on fee-for-service and insurance, high equipment cost, and increasingly membership plans and DSO structures — a finance model all its own. We keep books built for how a dental practice actually earns, with the CPA and legal perspective that dental tax and entity questions demand.
Dental practice accounting means keeping books that handle fee-for-service and dental-insurance collections, in-house membership plans as deferred revenue, significant equipment and overhead, and provider compensation — then turning that into production-to-collections visibility and true profitability. It sits between healthcare and small business, and the tax and entity questions (S-corp, equipment deductions, real-estate leaseback, DSOs) benefit from combined CPA and legal insight.
We handle the books and the tax, and give you a practice you can actually read.
The segments within this space we work with — each with its own financial texture.
The core practice — production, collections, hygiene as a profit center, and overhead discipline.
Higher equipment and case values, distinct production patterns, and their own margin profile.
Multi-dentist practices where associate compensation and partner economics have to be tracked cleanly.
Practices in or building toward a dental service organization, with management fees and multi-entity consolidation.
The attributes a generalist bookkeeper misses — and that shape how a dental practice should be accounted for.
A different revenue model from medicine — out-of-pocket plus dental insurance that caps quickly, with collections spanning both.
Annual membership fees are deferred revenue recognized over the plan year, not income on receipt.
Operatories, imaging, and CAD/CAM are major capital investments with depreciation and financing.
Associate production/collections comp and hygiene as a profit center shape the P&L directly.
Management fees, intercompany balances, and consolidated financials for group structures.
S-corp, equipment deductions, and real-estate leaseback — a connected tax picture, best handled with CPA + legal insight.
The measures that tell a practice whether produced dentistry is turning into profit.
Want the deeper how-to, not the service?
Part of
A 20-minute call, no obligation. We’ll tell you honestly whether we can help — and what production-to-collections clarity would change for your practice.
Talk to an expertDental runs largely on fee-for-service and out-of-pocket payment plus dental insurance, rather than the medical payer mix. It’s more equipment-intensive, and many practices sell in-house membership plans that create deferred revenue. The finance picture is built around production, collections, and overhead — closer to a high-fixed-cost service business than a hospital-adjacent medical group.
Yes. Dental service organizations bring multi-entity accounting — management fees between the DSO and professional entities, intercompany balances, and consolidated financials. Whether you’re joining, building, or competing with a DSO, we keep the books and consolidation clean.
Yes. We integrate your practice management system with the accounting so production, collections, membership-plan deferred revenue, and equipment record correctly, and the PMS and books actually agree.
Yes — and this is where our combined CPA and legal perspective matters. Entity choice, equipment deductions, provider compensation, and real-estate leaseback are one connected tax picture for a dental practice, and we handle them together rather than in isolation.