Software
Production vs collection reconciliation, insurance aging, PPO vs UCR variance, multi-location DSO accounting, doctor productivity. For single-location practices, multi-location groups, and DSOs on Dentrix, Eaglesoft, Open Dental, or Dentrix Ascend.
Scope
Software
Dental accounting shares revenue cycle complexity with medical accounting but has specific features that don't appear in general medical: fee-for-service cash collection alongside insurance, PPO contractual write-offs at scale, and an operating model where the doctor is simultaneously owner, producer, and primary strategic decision-maker. Dental practices running with generic bookkeepers typically end up with books that look right but can't answer the questions that actually matter: net collection rate, production per day, overhead %, doctor productivity vs peers.
Dental practice performance benchmarking is unusually well-developed because the industry has strong KPI consensus. Dentists typically track: net collection rate (target 92–97%), overhead % (target 55–65%), production per operator per day, hygiene production as % of total (target 25–35%), new patient flow. Dental-trained offshore accountants track these in monthly reporting alongside standard P&L. Generic bookkeepers rarely do.
A dental practice that shows $1M in production and $650k in collections hasn't lost 35% to bad debt – it's written off 35% to PPO contractual adjustments. Tracking contractual write-offs by payer reveals which PPOs are actually profitable to participate in. This analysis drives payer mix decisions (drop the worst-paying PPOs, focus on fee-for-service and better PPOs). Offshore dental accountants build this into monthly close.
Dental practices are HIPAA covered entities. Patient-level data in AR reports qualifies as PHI. We sign BAAs with dental practices where engagement touches patient detail. See our BAA template and security page.
Related: medical/healthcare accounting for broader medical practice work.
FAQ
Yes. BAAs signed for dental practices where engagement touches patient-level data. HIPAA Security Rule controls maintained.
Yes to all three plus Curve Dental and Practice-Web. Daily production/collection reconciliation from practice management to accounting platform.
Yes. Management company + individual PC structures, intercompany management fees, consolidated financials for PE-backed DSOs or multi-location dental groups.
Yes. Provider-level production, collection, write-off reporting. Compensation schedule execution (typically % of production or collection). Bonus and profit-sharing calculations.
Yes. Associate doctors can be 1099 contractors or W-2 employees depending on practice structure and state law. We track the data supporting whatever classification your practice uses.
Monthly revenue breakdown by payer type (PPO, HMO, Medicaid, FFS, cash). PPO-specific contractual write-off % by payer. Net collection rate by payer. Recommendations for payer mix optimization.
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