Dental & medical practices

Run the practice.
We'll run the numbers.

Buy-ins, owner compensation, equipment and payroll for 60+ dental and medical practices across New York and New Jersey.

Talk to Eleanor →See the fees
A dental practice owner with a modelled buy-in and reviewed owner pay
Practices we work withWalsh DentistryMontclair PediatricsChelsea SmilesGarden State Ortho

The questions every practice owner asks.

Eleanor has worked with practices for twenty years.

Book a consultation
  • Purchases and buy-insValuation, financing and the new entity.
  • Owner paySalary, distributions and retirement plans.
  • EquipmentFinancing and Section 179, timed to your tax year.
  • PayrollClinical and front-desk staff, bonuses included.
Dr. Megan Walsh in her practice
★★★★★
“We used to find out what we owed in April. Now we see it every month.”

Dr. Megan Walsh

Walsh Family Dentistry · client since 2019

What changes when your accountant knows dentistry

A generalist

  • Learns the buy-in on your dime
  • Sees equipment as one line
  • Owner pay set once and forgotten

A practice specialist

  • Has priced forty buy-ins
  • Plans equipment around your tax year
  • Reviews owner pay every November

What our clients say

Owner-run businesses from Manhattan to Montclair, in their own words.

4.9 212 reviews on Google Read all reviews

  • We used to find out what we owed in April. Now Daniel walks us through it every quarter and the number never surprises us.

    Dr. Paul Kessler

    Kessler Family Dental, Montclair

  • Job costing finally matches what happens on site. Our bonding company asked who does our books, which has never happened before.

    Marcus Hayes

    Hayes Building Co., Queens

  • Tips, payroll and sales tax used to eat my Sundays. Now the books close by the tenth and I spend Sundays in the kitchen.

    Tony Russo

    Russo's Trattoria, Hoboken

  • Denise's team made our first audit calm. Our board got a clean opinion and our grantors got their reports early.

    Laura Bennett

    Executive director, Riverside Pantry

  • They set up our inventory accounting before the holidays and caught a sales tax problem that would have cost us thousands.

    Jessica Hollis

    Owner, Hollis Street Boutique

  • Six rentals, two LLCs and a 1031 exchange. Robert keeps it all straight and I know my estimated payments before I ask.

    Michael Grant

    Real-estate investor, Brooklyn

Questions clients ask

Do you work with medical practices too?

Yes: dental, medical, physical therapy and veterinary practices.

Can you help with a practice purchase?

Yes. We review the books, model the deal and set up the new entity.

Do you handle payroll?

Yes, for clinical and front-desk staff, including bonuses and retirement contributions.

Free consultation

Bring last year’s return. We’ll take it from there.

An hour with a partner, at our office in New York or Montclair or by video. You leave with a written scope and a fixed fee.

What to bring

  • Last year’s federal and state returns
  • Recent bank and card statements
  • Any IRS or state notices you have received
Eleanor Ashcombe Eleanor AshcombeManaging partner · takes most first consultations

Tell us about your business

A partner replies within one business day.