Dental Practice Bookkeeping & Accounting
Fairlight CPA does the bookkeeping, tax, and financial reporting for dental practices — reconciling PPO adjustments and patient payments to actual deposits, tracking lab fees and supplies against production, and closing the books by the 15th so you can see real profitability per chair.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems dental practices actually have
PPO write-offs blur real production
Gross production says one thing, the bank says another. Between contracted PPO adjustments, patient portions, and slow insurance checks, most dental P&Ls overstate what the practice actually keeps.
Lab fees and supplies eat margin quietly
Crowns, aligners, and implant parts hit the card statement weeks after the case. Without job-level tracking, your best-looking months can be your least profitable.
Associate comp is a moving formula
Percentage-of-collections or percentage-of-production, before or after lab — associate pay disputes almost always start with books that can't show the base number cleanly.
EOBs never quite match deposits
Bulk insurance payments cover many patients across many dates of service. Reconciling EOBs to bank deposits is exactly the work generic bookkeepers skip.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how dental practices actually make and spend money.
- EOB-to-deposit reconciliation across PPO plans, patient portions, and financing payouts (CareCredit and similar)
- Lab-fee and supply tracking against production so case-level margin is visible
- Monthly close by the 15th with P&L by provider and location
- Payroll including associate and hygienist compensation formulas
- Business and personal tax prep, quarterly estimates, and CFO-level reporting when you want it
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
Collections ratio
collections against net production, so write-offs stop hiding in gross numbers
Overhead percentage
total operating cost against collections — the number dental consultants live by
Production per provider
dentist and hygiene production tracked separately, month over month
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile what insurers actually paid — EOB by EOB — to what hit the bank, and keep patient-responsibility balances visible instead of buried in gross AR.
Tax & entity
Most practices we see run as S-corps; equipment-heavy years (chairs, CBCT, CAD/CAM) raise real Section 179 versus bonus depreciation decisions we plan with you before December, not at filing.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Dental accounting FAQs
Do you work with our practice management software?
Yes — we work from whatever your PMS produces (Dentrix, Eaglesoft, Open Dental, and others), reconciling its production and collections reports to the bank rather than replacing it.
Can you split the books by provider or location?
Yes. Provider- and location-level P&Ls are standard for multi-chair and multi-site practices — that's how associate comp and expansion decisions stay grounded in real numbers.
What does dental bookkeeping cost?
Published starting prices: bookkeeping from $310/month, or the All-In-One plan (books + tax + advisory) from $800/month. Your exact fee is fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for dental practices.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.