--- title: "Payroll processing support for dental practices" description: "Payroll processing support for dental practices: payroll processing under your authority in Gusto, ADP, Paychex, QuickBooks Payroll, Xero Payroll, KeyPay." url: https://ledgerbpo.com/industries/dental-practices/payroll-support/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Payroll processing support for dental practices Payroll processing for dental practices involves hourly front-desk and assistant staff, hygienists on hourly or daily rates with production bonuses, and associate dentists paid a percentage of collections or adjusted production with a daily minimum. We support your Gusto, ADP, Paychex or QuickBooks Payroll run: assembling hours from the time clock, calculating hygiene bonuses and associate pay from reconciled practice-management data, checking overtime, and sending a reviewed register for approval. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for dental practices After the run we book the journal by department, reconcile the clearing account, and track retirement-plan contributions and benefit deductions until they are remitted. Quarterly filings are reconciled to the ledger. ## What is payroll processing outsourcing? Payroll processing outsourcing means a remote team prepares each pay run inside your payroll software: reconciling hours, entering changes, checking deductions and producing the run for the employer to approve. The employer keeps the payroll account, the bank authority and the legal responsibility. The provider posts the payroll journal and reconciles it, so payroll and the books agree. ## What we handle for dental practices - Assemble hours and daily rates for front desk, assistants and hygienists each pay period - Calculate associate pay from reconciled collections or adjusted production with daily minimums - Compute hygiene production bonuses from practice-management reports - Book payroll journals by department and reconcile the clearing account - Track retirement-plan and benefit deductions and reconcile quarterly filings ## The KPI that matters here Associate and hygiene pay calculated from reconciled data and approved before every run, with the journal posted within two business days. ## Dental compliance notes ### HIPAA Dental claims, EOBs and patient ledgers are protected health information. We sign a BAA, staff are HIPAA-trained, access to your practice-management system is role-limited with MFA, and the accounting file carries batch totals and claim numbers rather than patient names. ### PPO and payer contracts Each PPO agreement sets the fee schedule, what can be billed to the patient, coordination-of-benefits rules and how overpayments are returned. We record adjustments according to the contract and keep the fee schedules current so underpayments can be identified and refunds are handled the way the contract requires. ### Patient credits and unclaimed property Prepaid treatment that is not completed and insurance payments that arrive after the patient paid create credit balances. We age them monthly and prepare refunds for your approval, because unrefunded credits may become reportable unclaimed property under state law after a dormancy period. ### Card data and patient financing Our agents never take or store card numbers; patients pay through your terminal, portal or financing partner. Financing payouts from CareCredit, Sunbit or similar programs are reconciled net of the merchant discount, and promotional-plan terms are recorded so the cost of financing is visible. ## Dental software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Gusto](https://ledgerbpo.com/software/gusto/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - [Square](https://ledgerbpo.com/software/square/) - Dentrix - Open Dental - Eaglesoft - Dentrix Ascend - [All 50 platforms](https://ledgerbpo.com/software/) ## More for dental practices Other services for dental - [Bookkeeping](https://ledgerbpo.com/industries/dental-practices/bookkeeping/) - [Invoicing and billing](https://ledgerbpo.com/industries/dental-practices/invoicing-and-billing/) - [Accounts receivable](https://ledgerbpo.com/industries/dental-practices/accounts-receivable/) - [Accounts payable](https://ledgerbpo.com/industries/dental-practices/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/dental-practices/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/dental-practices/month-end-close/) - [All dental services](https://ledgerbpo.com/industries/dental-practices/) Payroll support in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/payroll-support/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/payroll-support/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/payroll-support/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/payroll-support/) - [The full payroll support page](https://ledgerbpo.com/services/payroll-support/) ## Frequently asked questions ### How do you calculate associate dentist pay? From the formula in the associate agreement, typically a percentage of collections or adjusted production attributed to that provider in the practice-management system, compared with any daily minimum, and less agreed lab-cost sharing where the contract includes it. The figures are reconciled to the bank first, the calculation is documented, and a second accountant reviews before it is loaded for approval. ### Do you handle hygiene bonuses? Yes. If your plan pays hygienists a bonus above a production threshold, we compute it from the hygiene production report for the period, apply the threshold and percentage, and enter it for approval. The calculation is saved with the payroll so any question later can be answered from the record rather than from memory. ### Do you run payroll or support it? We prepare and review the run inside your payroll provider; you approve it, and the provider pays staff and remits taxes. We never move money. Our contribution is the hours and compensation assembly, the checks, the journal by department, the clearing-account reconciliation and the quarterly tie-out of tax filings to the ledger. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/dental-practices/payroll-support/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt