Dental practices blend clinical artistry with sophisticated business operations requiring specialized financial management. From patient billing and insurance claims to equipment financing and associate compensation structures, dental offices face distinct challenges that generic bookkeeping simply cannot address effectively. Successful practices need more than basic financial statements—they require insight into production by provider, treatment acceptance rates, hygiene department profitability, and overhead optimization.
Our experienced dental tax accountant team specializes exclusively in dental practice accounting, delivering precise bookkeeping, strategic tax planning, and operational guidance for general dentists, specialists, group practices, and DSO-affiliated offices. With dedicated accountants for dentists, you gain clear visibility into collections, overhead control, associate productivity, and growth opportunities—helping you make confident decisions about expansion, technology investments, and practice transitions while maximizing profitability and minimizing tax liability.
$30,000+
yearly savings in average client accounting cost
20+
hours saved in a month for bookkeeping tasks
15+
states served across USA
Are You Dealing With Any of These?
Common Financial & Tax Challenges Faced by Dental Practices
Insurance Payment Delays
Waiting weeks for insurance reimbursements while managing immediate payroll, lab fees, and vendor payment obligations.
Cost Tracking Inaccuracies
Procedure codes not reconciling between practice software and accounting records—distorting provider performance insights.
Overhead Allocation Errors
Lab, supply, and technology costs not properly attributed—reducing visibility into true procedure and case profitability.
Associate Compensation Confusion
Difficulty designing fair, sustainable compensation models aligning associate pay with practice profitability.
Equipment Investment Concerns
Uncertainty whether technology investments like scanners or CBCT machines will deliver long-term financial returns.
Tax Planning Gaps
Missing opportunities for deductions, entity optimization, retirement plans, and tax strategies available to dental practice owners.
See What We Can Do For You
Struggling with messy books or
delayed reports?
What We Offer
Our dental CPA services combine deep dental practice expertise with comprehensive financial management—delivering solutions tailored to production, collections, overhead control, and long-term practice growth.
We record patient collections, insurance payments, contractual write-offs, and operating expenses—delivering detailed Profit & Loss statements with dental metrics including production, collections, and overhead percentages.
We reconcile bank accounts, merchant services, and insurance deposits against practice management software—ensuring all payments are captured and discrepancies are identified immediately.
We organize payments to dental labs, suppliers, landlords, and equipment vendors—preventing duplicate payments and maintaining healthy vendor relationships with dental accounting expertise.
We coordinate with payroll providers to ensure dentist compensation, associate pay, and staff wages are recorded correctly—supporting accurate W-2 and 1099 preparation.
We design dental-specific charts of accounts separating general dentistry, specialty procedures, hygiene revenue, lab expenses, and overhead—enabling clear provider-level profitability analysis.
We finalize monthly accounts, post necessary adjustments, and deliver timely financial statements with key dental performance indicators for informed decision-making.
We build budgets and forecasts based on patient volume, case acceptance, new patient flow, and capacity—supporting confident associate hiring and equipment investment decisions.
We track KPIs including production per provider, collection percentage, overhead ratios, hygiene profitability, and new patient acquisition costs—revealing actionable improvement opportunities.
We analyze lab costs, supply expenses, staffing levels, and facility costs—identifying savings opportunities that protect clinical quality while improving practice margins.
We maximize tax savings through entity structuring, equipment depreciation, Section 179 deductions, retirement planning, and dental-specific tax strategies—minimizing liability with expert CPA guidance.
We prepare clean, lender- and buyer-ready financials for practice sales, associate buy-ins, and partnership formations—supporting smooth negotiations and transitions.
We provide fractional CFO support for dental practices including cash flow forecasting, associate compensation modeling, expansion planning, and KPI-driven decisions—without full-time CFO costs.
We implement practice management integrations, automated workflows, and custom dashboards—providing real-time visibility into production, collections, profitability, and cash position.
Why Dental Practices Benefit From Us
Our dental-focused accounting services are designed to improve collections, control overhead, and deliver clear provider-level financial insight—without adding administrative burden.
Understanding production metrics, insurance dynamics, associate compensation models, and overhead benchmarks unique to dental practices—delivered by dedicated accountants for dentists.
Better tracking of insurance claims, adjustments, and patient balances accelerates payments, reduces aging receivables, and stabilizes cash flow.
Clear reporting on production, collections, and profitability by dentist or hygienist—supporting smarter scheduling, compensation, and staffing decisions.
Detailed tracking of lab costs, supplies, staffing, and facility expenses helps maintain healthy overhead percentages below industry benchmarks.
Data-driven analysis supports equipment purchases, location expansion, and associate hiring with realistic ROI projections and risk awareness.
Capturing dental-specific deductions, entity structuring benefits, and retirement planning strategies that significantly reduce tax burden—with expert dental tax accountant guidance.
Why Choose Us
We specialize in accounting for dental practices—combining clinical understanding, production-based insights, and regulatory discipline to help dentists operate profitably and grow with confidence.
Dental Practice Specialists
Exclusive focus on dental accounting—understanding production metrics, case acceptance, associate models, and practice economics with dedicated dental CPA professionals.
Practice Management Integration
Seamless integration with Eaglesoft, Dentrix, Open Dental, and other systems—extracting production and collection data for accurate, reliable financial reporting.
Transparent, Fixed Pricing
Clear monthly fees based on practice size, provider count, and complexity—with no hidden costs or surprise charges.
Complete Financial Management
Integrated bookkeeping, reconciliations, tax planning, and reporting—eliminating the need for multiple financial service providers.
Strategic Practice Guidance
Advisory support for associate agreements, equipment leasing, practice expansion, and transition planning—strengthening long-term practice value.
Proven Track Record
Trusted by general dentists, specialists, and group practices for consistent, accurate financial management that adapts as practices grow.
Time Savings & Efficiency
Eliminating administrative burdens so dentists can focus on patient care, leadership, and clinical excellence.
Enhanced Profitability
Identifying underperforming procedures, optimizing fee schedules, and reducing costs to directly improve practice margins.
Real-Time Practice Visibility
Instant access to production, collections, overhead metrics, and provider performance through customized dashboards.
Compliance & Audit Protection
Systematic record-keeping, proper documentation, and audit-ready financials protecting against tax and regulatory issues.
Scalable Growth Support
Our accounting for dental practices scales seamlessly as you add associates, locations, or specialties—without changing providers.
See What We Can Do For You
Supercharge Your Finances: Book Now for Expert Accounting Services & Personalized Consultation!
Locations We Serve
Here's what customers are saying
NSKT Global has been with me since the very beginning of my startup journey. They helped me map out a realistic budget, set up my accounting system, and made sure all my tax obligations were handled without stress. Their guidance gave me the confidence to focus on growing my business, knowing the financial side was in expert hands.
Ciara Ashley
Founder
Skyeluxx Inc
I have been extremely happy with my support from NSKT Global. It initially started as basic accounting, but has evolved into a role where NSKT Global acts as one of my trusted partners from a Business Consulting standpoint. They have been instrumental in positioning my company for growth and have provided me with the insights into my business necessary to aid me in making the best strategy decisions.
Bernie Bartick
CFO & Treasurer
PPEC of Palm Beach , Florida
I am Kingsuk Mukherjee, an Indian expat working in the US for the last 15 years. NSKT Global, led by Mr. Nikhil Mahajan, has been instrumental in managing my taxation liabilities in both India and the US seamlessly. Their knowledge, professionalism, and prompt guidance make complex taxation matters simple and hassle-free. With back offices in both countries, they are uniquely positioned to handle cross-border taxation efficiently. I am highly satisfied with their services and strongly recommend them.
Kingsuk Mukherjee
Associate Director, IT
Mr Nikhil Mahajan and his firm NSKT Global helps me in managing taxation liabilities in both countries efficiently and seamlessly for my Indian and US investment portfolios. They are knowledgeable, meticulous, thorough and very prompt in addressing the real need of the taxation in each use case and provide their crisp analysis and professional guidance. I am very much satisfied with their service and impressed the way they provide collaborative partnership in handling my needs...
Kingsuk Mukherjee
Nikhil is diligent, proactive, and consistently ahead of deadlines—qualities that make a real difference when dealing with complex financial matters. His strong understanding of IRS laws and regulations gives me complete confidence in every filing and strategy we discuss. What sets him apart is his technical skill and adaptability. Whether it's navigating new tax rules, managing documentation, or working with modern tools and platforms, he makes the entire process seamless...
Vikram Singh
Nikhil is prompt and professional. I'm a recent graduate on Optional Practical Training (OPT). Nikhil and his team helped me figure out my taxes. They were very thorough in their research and I'm delighted with their service. I recommend him and will definitely continue to use his services.
Harshith Kothapalli
MSM'24 Graduate
University of Notre Dame
Nikhil is of the upmost respect when dealing with corporate and personal auditing. He responds quickly and efficiently, and performs quality service. I would recommend him for anything and greatly appreciate his due diligence and compassion towards everything he can assist with....
Heather Bywaters
Director of Business Development
Decca Energy- Midstream US
I highly recommend Nikhil for Federal Tax Reporting. Nikhil is honest, fair, professional, thorough and extremely knowledgeable in Federal taxes. We will definitely continue to use him.
Anita Schayot
Federal Tax Reporting Specialist
I have been working with Nikhil for ~a year now, and he has been immensely helpful. I came to him after another CPA firm made multiple errors in my tax submissions. After sorting that out he has further helped me to transition from a W-2 to a K-1, and helped me to discover additional areas of savings that I didn't realize I should have been receiving. He's also always prompt and professional.
Jolene Schaefer
Partner, Modern Executive Solutions
I own a health care start-up business and have worked with Nikhil over the past year. Our relationship started with basic accounting and has evolved to tax strategy, accrual accounting, and budget management. Beyond the accounting, we are working with Nikhil to develop comprehensive SOPs for each of my corporation's functional areas while uncovering new efficiencies..
Bernie Bartick
Co-founder and CFO, PPEC Palm Beach Florida
Nikhil is extremely hard working, committed and passionate about his work. He has definitely added a lot of value in my company in terms of SOPs, audits, and BI. I wish him all the best in all his endeavors.
Rachit Chawla
Founder & CEO, Multyfi
Nikhil is thorough in his work. Whatever work is given to him, he has always given a quality output. His skills in internal audit, taxation, etc. are commendable.
Sumit Dhingra
CA- Ex EY, Hughes
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Frequently Asked Questions
We establish provider-specific tracking within your accounting system so every procedure is attributed correctly. This enables individual provider P&L analysis, production reports, and collection percentages—supporting fair compensation structures and performance evaluations.
Yes. We work with Eaglesoft, Dentrix, Open Dental, Curve, and other major systems. We extract production, collection, and adjustment data, reconcile it against bank deposits, and integrate the financial outputs for accurate reporting.
We capture continuing education costs, professional memberships, lab expenses, equipment depreciation using Section 179, office supplies, malpractice insurance, retirement plan contributions, and professional fees—while optimizing entity structure to maximize tax savings with CPA-for-dentists expertise.
We model compensation structures based on percentage of production, percentage of collections, or hybrid approaches—showing their impact on practice profitability. We then track actual associate performance to ensure compensation aligns with agreed terms and financial capacity.
Absolutely. We provide location-specific and consolidated reporting to compare performance across offices. We also handle complex DSO management agreements, allocation methodologies, and compliance requirements for both independent groups and affiliated practices.
Yes. We organize historical financials, normalize earnings for valuation, prepare comprehensive documentation packages, and support due diligence. Our clean, professional records help facilitate smoother negotiations and stronger transaction outcomes.