Bookkeeping for
Dental
Practices.
Your practice management software shows one number, your bank shows another, and one insurance deposit can cover many patients. We match insurance and patient payments, lab and supply costs, financing deposits and associate pay every month, so your books show what you actually collected.
Flat monthly pricing · Cancel anytime · Dedicated bookkeeper
Built for Every Type
of Dental Practice
General, specialty or multi-location, the money moves the same way: insurance pays late and in lumps, patients pay their portion at the chair, and production rarely equals collections. We set your books up around that.
Solo General Dentists
You own the practice and still see patients most of the day. You need books that tie your day sheet to the bank and show what the practice really earns after lab, supplies and staff.
- Daily collections tied to bank deposits
- Insurance EFTs split from patient payments
- Lab and supply costs by vendor
- Hygienist and front desk payroll reconciled
- Owner pay kept separate from expenses
- Year-end package for your CPA
Group & Multi-Location
More chairs and more providers mean more ways for the numbers to blur. We keep each office in its own books or tracked by location in QuickBooks, so you can compare offices side by side.
- Separate books or location tracking
- Associate pay on production or collections
- Shared costs split the way you choose
- A P&L for each office every month
- Transfers between entities recorded both sides
- A combined view for the owners
Specialty Practices
Orthodontists, oral surgeons, endodontists and pediatric dentists each get paid differently, from long treatment contracts to high-cost equipment. We build the books around how your specialty collects.
- Ortho contracts and monthly payment plans
- Implant and specialty supply costs
- Patient financing deposits net of fees
- Imaging and surgical equipment recorded
- Loan payments split into principal and interest
The Financial Headaches
We Fix
Dental books go wrong in the same few places. Most of them start with the gap between what your software says you produced and what actually hit the bank.
Insurance Deposits Nobody Can Match
One EFT from a carrier can cover many patients, and the EOB that explains it arrives separately or sits in a portal. Without matching the two, deposits get lumped into one income line and you can't tell insurance income from patient payments.
Production That Never Shows Up as Cash
Your practice software reports gross production, but PPO write-offs, adjustments and unpaid patient balances cut it down before any money arrives. If the books start from production, the practice looks more profitable than it is.
Financing and Card Fees Hiding in Deposits
CareCredit, Sunbit and card processors often deposit what you're owed minus their fees. If only the net amount is recorded, revenue is understated, the fees disappear, and nothing ties back to the treatment you actually sold.
Equipment Loans Booked as One Big Expense
A new chair, imaging unit or office buildout usually comes with a loan or lease. When each payment is booked as an expense, the loan balance, the interest and the equipment itself never reach the balance sheet your CPA needs.
Every Month
Everything You Need,
Nothing You Don't
Every service is built around how a dental practice gets paid: insurance in lumps, patients at checkout and financing companies net of fees. We work in QuickBooks Online from your practice software reports and bank feeds.
Monthly Bookkeeping
Every account reconciled, every transaction categorized, every month. You get a clean P&L and balance sheet you can read and use to make decisions.
See Full Details →Financial Reporting
A monthly P&L, balance sheet and cash flow with collections split by insurance and patient pay, and lab, supply and payroll costs in their own lines. By office if you have more than one.
See Full Details →Bank Reconciliation
Every business account and credit card matched and verified each month. No mystery charges. No unresolved transactions. No surprises.
See Full Details →Accounts Payable & Receivable
Lab, supply and equipment bills tracked so nothing is paid twice or late. Patient and insurance balances stay in your practice software; we match what it reports as collected to the bank.
See Full Details →Catch-Up Bookkeeping
Months or years behind? We clean it all up before monthly service starts, at a flat price per month behind that we quote up front.
See Full Details →Payroll Support
Payroll runs through Gusto, which files the payroll taxes and W-2s. We reconcile every run to the books, with associates, hygienists, assistants and front desk in their own lines.
See Full Details →"He is very personable, and if I have a question, he promptly gets back with me!"
Dentists
FAQ
Questions we hear from dentists before they sign on with Tides.
Based in Greenville, SC —
Serving Clients Nationwide
100% remote bookkeeping for small businesses across South Carolina and throughout the United States.
Beyond Dentists,
We Serve All These Businesses
Tides Bookkeeping specializes in bookkeeping across 12 distinct industries. Industry-specific expertise means fewer errors, better categorization, and a bookkeeper who already understands how your business makes money.
More for dentists
Related guides and pages.
Finance terms worth knowing
Plain-English explainers, no jargon.
Focus on Patients.
We'll Keep
The Books Clean.
Schedule a free 15-minute call. We'll review your current setup, answer your questions, and give you a flat monthly quote — no pressure.
No credit card required · No long-term contracts · Cancel anytime
Simple, Flat-Rate Pricing
Flat monthly plans scaled to your business — no hourly billing and no surprise invoices. You always know the price up front.
★★★★★ 5.0 · 8 client reviews on Intuit's ProAdvisor directory
✔ Reviewed by Daniel Cope, Advanced QuickBooks ProAdvisor · Updated August 2026