How much does bookkeeping cost for a medical or dental practice per month?

As a 2026 rule of thumb, outsourced monthly bookkeeping for a medical or dental practice runs roughly 300 to 700 dollars for a generalist doing basic books, 700 to 1,500 dollars for a healthcare specialist serving a solo practice, 1,200 to 3,500 dollars for a two-to-four-provider practice, and 2,500 to 8,000 dollars or more for a larger multi-location group or controller-level work. The number that matters is not the headline price, though. It is what sits behind it: a general bookkeeper and a healthcare specialist can quote the same figure and deliver completely different things, and the difference is the payer-revenue work a practice actually runs on.

What it costs, by size and scope

These are typical 2026 market ranges for outsourced bookkeeping, drawn from published pricing across healthcare-focused providers. Treat them as a map, not a quote, and read the scope column, because that is where the real difference lives.

The ranges overlap on purpose. A busy solo practice can cost more than a quiet two-provider one, because volume of collections and payer complexity matter more than a headcount.

What actually drives the price

Four things move a quote, and only one of them is the practice's size.

Generalist or specialist. This is the biggest single factor. A generalist prices on transaction count. A healthcare specialist prices on the payer-revenue work, reconciling insurance remittances to claims, recording write-offs, tracking patient and insurance receivables, and reporting production against collections. That work is the reason a specialist costs more, and the reason a practice needs one.

Volume of collections. More claims, more patients, and more payers mean more to reconcile every month. A high-volume practice pays more than a low-volume one of the same size.

Number of providers and locations. Provider-level and location-level reporting adds work, and multi-entity structures add more.

Scope beyond the books. Bookkeeping alone is one price. Add payroll coordination, tax, or medical-billing support and the fee rises accordingly. Decide what you actually need before comparing quotes, because a low number often just means a narrow scope.

Why the cheap option is often the expensive one

A 400-dollar generalist and a 1,200-dollar specialist are not the same service at different prices. The generalist reconciles the bank and stops. They do not break a lump-sum insurer deposit back out to the claims it paid, do not record the contractual write-off, and do not tell you your net collection rate. So the practice looks like it saved 800 dollars a month while quietly losing visibility into whether it is collecting what it is owed. On a practice collecting a few hundred thousand dollars a year, a single point of net collection rate is worth far more than the fee difference. Price the outcome, not the invoice.

Where Numetix fits

Numetix sits in the healthcare-specialist tier, the 700-to-3,500-dollar band for most practices, and prices on the payer-revenue work rather than on transaction count alone. A practice gets insurance and remittance reconciliation, contractual adjustments, patient and insurance receivables, production versus collections, and provider-level reporting every month, run on the practice-management system it already uses, such as Dentrix or Open Dental. The value is not a lower number than a generalist. It is that the number buys the medical and dental bookkeeping a practice actually needs, done by a specialist, rather than a cheap general service that leaves the hardest part undone.

For an exact figure, the honest answer is that it depends on your collections, providers, and scope, which is why a short scoping conversation beats a headline price. What a practice should insist on is transparency: a clear monthly fee, a clear list of what is included, and no surprise add-ons for the payer-revenue work that should be core.

The short version

Expect roughly 300 to 700 dollars a month for a generalist, 700 to 1,500 dollars for a healthcare specialist serving a solo practice, 1,200 to 3,500 dollars for a small group, and more for larger or controller-level work. The price turns mostly on whether you hire a generalist or a specialist, plus your volume of collections, providers, and scope. Do not choose on the headline number. Choose on whether the service does the payer-revenue work, because that is the difference between books that look fine and books that tell you the truth about your practice.

This page is general information for medical and dental practice owners, not accounting or financial advice. Price ranges reflect 2026 market guidance across healthcare-focused providers and vary by practice size, collections, payer mix, and scope; they are not a quote and are not Numetix pricing. Numetix service details reflect its current offering and may change.