Financial Operations for Dental and Orthodontic Practices
Clean collections, insurance reconciliation, and provider-level profitability for practices that want to focus on patients instead of their chart of accounts.

The problem
Stop guessing what your practice actually collects.
Between insurance adjustments, copay collection, write-offs, and provider production numbers, most dental practices cannot answer a basic question: what did we actually keep after all the discounts? Decimal handles the reconciliation, provider reporting, and clean monthly close so you know exactly how the practice is performing, chair by chair.
How we solve it
Insurance and Adjustment Reconciliation
Production, collections, adjustments, and write-offs reconciled every month so the numbers in your practice management system actually tie out to what landed in the bank. No more gap between what the schedule looked like and what the P&L says.
Practice Management Integration
Whatever practice management system you run, we integrate it with QuickBooks Online so revenue and adjustment data flow into your books without double entry. Your front office keeps doing what they already do.
A Close You Can Count On
A monthly close delivered on a predictable schedule every month, with every account reconciled and clean financials you can trust to run the practice on.
Built for Dental
Services tailored for Dental businesses.
What you get with Decimal
Fixed monthly pricing
One flat fee that scales with the size of your practice, not your production numbers. No surprise bills during a busy quarter, no hourly meter running in the background.
Clean production vs collections
A monthly close that ties your practice management system to your accounting system so you can trust the margin numbers you are making decisions on.
Multi-location ready
Running two or five locations? We consolidate clean books across every location so each one shows up clearly in the monthly financials.
Tax-ready year round
Clean categorized books mean tax season is a handoff, not a fire drill. We work with your CPA or handle tax filing end to end so you keep every deduction you earned.
Advisory when you need it
Thinking about a second location, a new chair, or buying out a partner? You get a finance team that can model the decision with you, not just record it after the fact.
Dental FAQs
01Which practice management systems do you integrate with?
Whatever practice management system you already run, we integrate it with QuickBooks Online on the accounting side.
02Do you handle insurance reconciliation?
Yes. Reconciling production, collections, insurance adjustments, and write-offs is one of the most common things we do for dental practices. It is also the most common place we find gaps when we onboard a new client.
03How long does onboarding take?
Most dental practices are fully onboarded within two to four weeks. We connect your practice management and banking systems and align on a provider reporting structure that matches how you run the practice.
04What does pricing look like?
Fixed monthly pricing based on your transaction volume, number of providers and locations, and which services you need. You will get a clear quote before you ever sign anything, and the price does not change unless your practice does.
05Can you help us get tax ready?
Yes. Clean categorized books are the foundation of a painless tax season. We can hand off a tidy package to your existing CPA, or handle tax preparation and filing end to end through our tax service.