
MEDICAL & DENTAL PRACTICES
The amount a patient owes and the amount insurance actually pays are rarely the same number, and that gap is where a lot of practice bookkeeping falls apart. PFGTAX does bookkeeping built for medical and dental practices, so insurance receivables, write-offs, and provider revenue are tracked accurately instead of guessed at. Call 888.871.9071 to talk with someone who understands how practices actually get paid.
A medical or dental practice doesn’t get paid the way most businesses do. You bill one amount, insurance approves a different amount, the patient owes whatever is left, and some of what you billed will never be collected at all. If your books don’t account for that whole process, your revenue numbers look wrong, and it’s hard to tell whether the practice is actually doing better or worse than last year.
Insurance receivables and write-offs, tracked honestly
Between the amount billed, the insurance adjustment, and the patient responsibility, there are several numbers in play for every single visit. We track receivables so you can see what’s actually outstanding from insurance versus patients, and we track contractual write-offs separately so your revenue reflects what the practice can realistically expect to collect, not just what was billed.


Multi-provider revenue, tracked by provider
In practices with more than one provider, whether that’s dentists, hygienists, physicians, or associates, revenue needs to be tracked by provider to know who’s actually generating what, especially if compensation is tied to production. We set your books up to track revenue at the provider level, so those numbers are available whenever you need them for compensation, planning, or evaluating a new hire.
Equipment, supplies, and the cost side of the practice
Medical and dental practices carry real equipment and supply costs, from imaging equipment to disposables, and a lot of that spend has specific depreciation or expense treatment. We track these costs accurately so your practice’s real margin is visible, not buried under a general “supplies” category that hides where the money is actually going.
What we handle for medical and dental practices
- Insurance receivables and contractual write-off tracking
- Patient responsibility and collections tracking
- Provider-level revenue tracking for compensation and planning
- Equipment and supply cost tracking, including depreciation
- Multi-location practice bookkeeping
- Monthly bookkeeping, reconciliation, and financial statements
- Catch-up and cleanup bookkeeping to get current
- Books ready for tax prep, lenders, and practice valuation
Built for practices that need to know their real numbers
Whether you run a solo practice or a group with several providers, you need books that reflect what insurance actually pays, not just what gets billed. We keep that distinction clear, so you always know where the practice really stands.

FAQ
Why is medical and dental bookkeeping different from general small business bookkeeping?
Because revenue doesn’t arrive as one clean number. Between what’s billed, what insurance approves, contractual write-offs, and what the patient owes, there are multiple figures to track for every visit. General bookkeeping that just looks at deposits misses most of that detail.
How do you track insurance write-offs?
We track the difference between what was billed and what insurance actually allows as a contractual write-off, separate from patient responsibility, so your revenue reflects realistic collections rather than gross billed amounts.
Can you track revenue by individual provider?
Yes. For practices with multiple providers, we track revenue at the provider level, which is especially useful when compensation is tied to production or when you’re evaluating how each provider contributes to the practice.Yes. For practices with multiple providers, we track revenue at the provider level, which is especially useful when compensation is tied to production or when you’re evaluating how each provider contributes to the practice.
Do you handle equipment and depreciation for practices?
Yes. We track equipment and supply costs, including depreciation on larger equipment purchases, so your expense picture is accurate and detailed rather than lumped into a single category.
Do you work with solo practices or only larger groups?
Both. We work with solo practitioners and group practices with multiple providers, structuring the books around the size and complexity of the practice.

See what your practice is actually collecting. Call to set up a consultation.
OR email us info@pfgtax.com












