Industries · Dental Practices
Dental Practice Accounting & Tax Services
Production is a promise; collections are the truth, we keep your practice focused on the difference.
Dentistry across South Florida is competitive and capital-intensive. Practices in Coral Gables, Kendall, and Pembroke Pines invest six figures in operatories, imaging, and CAD/CAM technology, then compete for patients in a market thick with corporate dental groups and PPO fee pressure. The clinical side rewards precision, but the business side of many practices runs on gut feel, production numbers celebrated while collections, write-offs, and overhead tell a harder story nobody is reading.
The financial anatomy of a dental office is distinctive. PPO adjustments carve a gap between gross production and what you can actually deposit, so reporting must run on adjusted production and true collections. Hygiene is a profit center that deserves its own scorecard. Associates get paid on formulas that require clean per-provider data. Equipment purchases interact powerfully with Section 179 timing. And with practice values tied to cash flow, every year of tidy books compounds into a better sale or smoother partner buy-in later.
Integris Accounting works with dentists the way a specialist works a complex case: methodically and with the right instruments. We reconcile your practice management software to the bank, report overhead against dental-specific benchmarks, plan major equipment purchases into the optimal tax year, and guide acquisitions and transitions with real diligence. Year-round attention, bilingual service, and a technology-forward workflow that respects your schedule.
The landscape
10,000+
dentists licensed to practice in Florida
60%
typical overhead ratio in a general dentistry practice
$100K+
in equipment investment a modern operatory can require
Core services for dental practices
The challenges
What makes dental practices accounting hard
Production celebrated, collections ignored
Gross production makes for good morning huddles, but PPO write-offs and slow patient balances decide what hits the bank. Practices tracking the wrong number consistently overestimate their own health.
Overhead quietly climbing past 60 percent
Staff wages, supplies, and lab fees creep upward while insurance reimbursements stagnate. Without benchmark-based overhead tracking, doctors take home less each year and cannot pinpoint why.
Equipment purchases mistimed for tax
A CBCT unit or CAD/CAM system bought in the wrong year wastes deduction power. Dealers push year-end deals, but the right timing depends on your income curve, not their quota.
Transitions priced on messy books
Whether buying a practice, adding a partner, or selling, valuation rides on documented cash flow. Books tangled with personal expenses and unreconciled adjustments cost real money at the negotiating table.
Our approach
How we help
Collections-first financial reporting
We reconcile your practice management system to actual deposits and report adjusted production, collections ratio, and write-offs by payer, so the numbers you manage are the ones that matter.
Dental-benchmark overhead management
Every expense category tracked against dentistry-specific norms, with staff cost ratios, supply percentages, and lab fees flagged the month they drift, not the year after.
Equipment and buildout tax engineering
Section 179, bonus depreciation, and financing structures modeled against your projected income before you ever sign, so six-figure technology investments deliver their full tax value.
Associate and hygiene profitability
Per-provider and per-department reporting that shows what associates and the hygiene schedule truly contribute, keeping compensation formulas fair and expansion decisions grounded in real numbers.
Acquisition and transition support
Quality-of-earnings-style diligence when you buy, clean documented cash flow when you sell, and purchase-price allocation guidance that protects your tax position on either side of the table.
FAQ
Dental Practices accounting, common questions
What collections ratio should my dental practice target?
Well-managed practices generally collect 98 percent or more of adjusted production, that is, production after contractual PPO write-offs. If you are measuring collections against gross production, the ratio will look artificially poor; if you are not measuring it monthly at all, balances are almost certainly aging past collectability. We build the report from your practice management data and reconcile it to actual bank deposits.
Is buying a dental practice better than starting cold in South Florida?
An acquisition buys immediate cash flow, staff, and an active patient base, at a price, while a startup costs less up front but may run twelve to twenty-four months before matching an established practice's income. In a saturated market like this one, acquisitions often win, but only at a defensible price. We analyze the seller's true recurring cash flow, test the assumptions, and model your post-debt income before you commit.
How should I structure an associate dentist's compensation?
Most arrangements pay a percentage of the associate's collections or adjusted production, commonly around thirty percent, adjusted for lab fee treatment, sometimes with a daily guarantee early on. The formula is only as good as the data behind it, and disputes almost always trace back to messy adjustment tracking. We set up per-provider reporting so the calculation is transparent, and we advise on the employment-versus-contractor question that trips up many offices.
Can I write off a new CBCT or CEREC machine this year?
Very likely yes, Section 179 and bonus depreciation allow most dental equipment to be deducted in the year it is placed in service, subject to limits and your income picture. But full expensing is not always optimal: in a lower-income year, spreading deductions forward can save more overall. We model the purchase both ways against your multi-year outlook before you sign the financing.
Where we serve dental practices
Talk to a CPA who knows dental practices
Give your practice the same diagnostic rigor you give your patients, call (305) 497-0552.