Accounting & Bookkeeping for Medical and Dental Practices
Practice-specific bookkeeping, insurance reconciliation, provider tax preparation, and payroll for Louisiana and California medical and dental offices.
Medical and dental practices have unique accounting needs that go beyond what most small business bookkeepers understand. Insurance reimbursement tracking, patient payment reconciliation, provider compensation structures, and the tax implications of different practice ownership entities (PC, PLLC, solo practice vs. group) all require specialized knowledge that a general bookkeeper simply doesn't have.
ASU serves physicians, dentists, specialists, and group practices in Louisiana and California. We handle monthly bookkeeping with proper revenue recognition for insurance versus patient payments, payroll for clinical and administrative staff, provider tax planning, and year-end tax preparation for all practice entity types. Our goal is to handle every financial function of your practice so you can focus on patients.
“You went to medical school to treat patients — not to reconcile insurance EOBs or figure out whether your practice should be an S-Corp or a PLLC.
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Medical & Dental Practice Accounting Services
Specialized accounting for healthcare practices — from insurance reconciliation to provider compensation structuring.
Practice Bookkeeping
- ✓ Insurance reimbursement tracking
- ✓ Patient payment reconciliation
- ✓ Overhead expense analysis
- ✓ Monthly P&L by provider
- ✓ Supply & lab cost tracking
Tax Planning & Preparation
- ✓ Business & personal tax returns
- ✓ Practice entity structure review
- ✓ Provider retirement plan contributions
- ✓ Equipment depreciation (medical devices)
- ✓ S-Corp vs. PLLC tax planning
Payroll & HR Accounting
- ✓ Clinical & admin staff payroll
- ✓ Provider compensation structures
- ✓ W-2 & 1099 for contractors
- ✓ Benefits accounting
- ✓ PTO & vacation accruals
ASU Guarantee
If we ever make an error on your taxes, we pay ALL penalties and interest.
Medical & Dental Practice Accounting — Frequently Asked Questions
Why do medical and dental practices need specialized accounting services?
Medical and dental practices have unique revenue streams: insurance reimbursements, patient co-pays, self-pay balances, and sometimes fee-for-service arrangements. Each requires different revenue recognition treatment. Add provider compensation structures, healthcare-specific expense categories, and the tax implications of different practice entity types (PC, PLLC, S-Corp), and you have accounting complexity that most general bookkeepers aren't equipped for.
How does ASU handle insurance reimbursement tracking for medical practices?
We reconcile insurance EOBs (explanation of benefits) against expected reimbursements, track outstanding claims by payer, identify underpayments and denied claims, and provide monthly revenue reports broken down by insurance payer vs. patient pay. This gives you visibility into where your revenue is coming from and where it's getting stuck.
What entity structure is best for a medical practice — S-Corp, PC, or PLLC?
It depends on your state's professional corporation law, your ownership structure, and your specific tax situation. Louisiana has distinct rules for professional corporations in healthcare. ASU reviews entity structure options with you as part of our free initial consultation, with no obligation.
Does ASU handle payroll for both clinical and administrative staff?
Yes. ASU handles full payroll for physician owners, associate providers, nurses, dental hygienists, office managers, and administrative staff — including W-2 filing, direct deposit, quarterly payroll tax deposits, and annual W-2 and 1099 preparation.
Can ASU help a medical practice that is growing and adding providers?
Yes. Adding providers means new compensation structures, additional payroll complexity, and often the need for per-provider P&L reporting. ASU handles all of this as a natural extension of our practice accounting service.
How does ASU handle dental practice accounting specifically?
Dental practices have distinct accounting needs: lab costs, dental supply tracking (often a significant COGS category), coordination of benefits between insurers, and associate dentist compensation. We understand the dental practice financial model and configure QuickBooks to reflect it accurately.
Does ASU provide tax planning (not just tax preparation) for medical and dental practice owners?
Yes. Tax planning includes retirement account contribution strategies (SEP-IRA, defined benefit plans), practice expense timing, S-Corp distribution strategies, and entity structure optimization. We do this year-round as part of our ongoing service — not just at tax filing time.
Can ASU help a new medical or dental practice get properly set up financially?
Yes. New practice setup includes entity formation, QuickBooks for healthcare setup, payroll structure, provider compensation planning, and first-year tax planning. Starting with the right structure prevents expensive restructuring later.