Dental Practice Accounting & Advisory

Most dental practices aren’t short on effort.

✅ You’re focused on patient care.
✅ The schedule is full.
✅ The team is working.

And still, the business side doesn’t always feel as clear as it should.

Where this starts to matter.

It shows up in questions you’ve probably asked:

• Production looks strong, so why don’t collections match it?
• Some days are packed, so why don't we feel productive?
• Hygiene is booked out, so why can't I see the financial impact?

Nothing is broken.

It’s just not fully lining up.

What it looks like day to day.

You can have:

✅ A full schedule
✅ Strong production
✅ A steady flow of patients

And still deal with:

❌ Collections that lag behind production
❌ Case acceptance that varies more than expected
❌ Overhead that feels heavier than it should

That gap between production and collections is where most practices lose more than they realize. 

What's actually going on.

Dental practices don’t run on production alone.

They run on what gets diagnosed, accepted, completed, and collected.

Everything moves through:

Exam → Diagnosis → Case Acceptance → Treatment → Collection → Cash

And small gaps anywhere along that path matter:

• Treatment plans that don’t convert at the rate you expect
• Insurance adjustments that reduce what’s ultimately collected
• Timing differences between production and payment
• Provider mix (doctor vs. hygiene) that shifts profitability

Most practices track this.

But not always in a way that connects clearly.

Why accounting for you gets complex.

As the practice grows, a few things start to matter more:

• Production vs. collections gaps that don’t close cleanly
• Case acceptance rates that directly impact revenue
• Hygiene vs. doctor production mix and how it affects profitability
• Insurance write-offs and adjustments that reduce realized revenue
• Provider compensation models tied to production, collections, or both
• Overhead ratios that shift as staffing, space, and equipment grow

None of this is unusual.

It’s just not always easy to see all at once.

And when it’s not clear, it shows up as:

• Revenue that doesn’t match the work being done
• Profit that feels inconsistent
• A sense that the practice should be performing better than it is

What your current accounting firm may be missing. 

Most accounting systems track production, collections, and expenses.

That’s necessary.

But dental practices don’t run on totals alone.

They run on what happens between those numbers.

So, while you have reports, they don’t always show:

• Where revenue is being lost between diagnosis and collection
• How provider mix is affecting profitability
• Whether overhead is aligned with how the practice operates

 Most accountants' reports don’t make this visible.

That’s the problem. 

What we see when we step in.

We work with practices that are doing a lot right.

✅ Strong production.
✅ Good patient flow.
✅ Established team.

What’s missing is alignment.

We tend to find:

• Production that doesn’t fully convert to collections
• Case acceptance that hasn’t been clearly measured or managed
• Financials that are accurate—but not especially helpful for decisions

Not mistakes.

Just areas that haven’t been fully connected.

HOW WE WORK

We start with what you’re already noticing.

“Where does the practice feel like it’s underperforming?”

That usually leads to the right place quickly.

And what we provide is not more reports, but a clearer picture 

That means:

✅ Understanding how production turns into collections
✅ Seeing how case acceptance impacts revenue
✅ Evaluating overhead with more confidence
✅ Making decisions with a clearer view of profitability

Not after the fact.

While it still matters.

Why BGW?

We understand the balance you’re managing.

Patient care on one side. Business performance on the other.

Our role is to make sure the numbers support the work you’re already doing, not distract from it.

If patient care is strong but the numbers don’t always reflect it, there’s usually a reason.

Let's find it.