SERVICES
build a practice that will perform as well as it produces
From focused assessments to full-scale operational transformation, every engagement is designed to solve the right problem and leave your practice stronger than we found it.
START HERE
Practice Pulse™
one-time investment · credited toward Revenue Rx™ when you continue
A clear diagnosis before a bigger commitment
Practice Pulse™ is a focused review for owners who know something is off but need clarity on what deserves attention first. We evaluate revenue performance, core workflows, reporting visibility, and team accountability, then translate what we find into an actionable priority plan.
WHAT’S INVOLVED?
Pre-review practice questionnaire and data request
Revenue and operational health review
Key findings, risks, and opportunity areas
Prioritized recommendations and leadership debrief
FLAGSHIP PARTNERSHIP
Revenue Rx™
Six months · custom scope after diagnostic
Prescribe the right changes and implement them with your team
Revenue Rx™ is our signature six-month consulting and implementation partnership for practices ready to improve financial performance and rebuild the systems behind it.
Production Optimization
Capacity, scheduling, and provider performance.
Front Office Operations
Workflows, handoffs, SOPs, and accountability.
Financial Performance
KPIs, reporting, targets, and decision visibility.
Treatment Acceptance
Presentation, follow-up, and patient conversion.
Revenue Cycle Management
Claims, A/R, collections, and insurance processes.
Leadership & Accountability
Roles, rhythms, ownership, and follow-through.
ONGOING SUPPORT
LedgerFlow™
Billing and revenue-cycle support · custom monthly scope based on practice size
Keep claims moving, A/R controlled, and collections visible
LedgerFlow™ provides focused revenue-cycle support for practices that need consistent follow-up and better financial visibility. We work as an extension of your team while building accountability into the process.
WHAT’S INCLUDED?
Insurance claims and denial follow-up
Aging A/R review and recovery strategy
Payment posting and reconciliation workflows
Revenue reporting and issue escalation
COMBINED SUPPORT
Practice360™
Advisory + billing · custom scope based on practice size
When the revenue problem and the operations problem are connected
Practice360™ combines strategic advisory, operational improvement, and revenue-cycle support in one partnership. It is best suited for practices that need both hands-on execution and leadership-level guidance.
TEAM DEVELOPMENT
Training & Intensives
Give your team the skill and the system to perform
Focused training for front-office teams, treatment coordinators, and office managers. Topics include insurance and billing workflows, treatment presentation, financial conversations, reporting, leadership, and operational accountability.
Custom practice intensives and Tooth & Ledger professional certificate programs are available as they open.
FAQs*
Do you replace an office manager or billing team?
No. We can support existing leadership and teams, strengthen how work is managed, or fill defined revenue-cycle gaps. The right structure depends on your practice.
Do you only work with struggling practices?
Not at all. Some partners need stabilization; others are healthy practices preparing to grow. What matters is the owner’s readiness to see the business clearly and make meaningful changes.
Will you work with a DSO?
Yes. While we work closely with independent practices, Tooth & Ledger also partners with emerging DSOs and multi-location dental groups that need stronger operational consistency, revenue-cycle visibility, and performance systems across locations. Engagements are customized based on the organization’s size, structure, and goals.
Why don’t you list one flat monthly price?
A diagnostic should determine the scope—not the other way around. Practice size, needs, data quality, team capacity, and implementation intensity all affect the investment.
YOUR PRACTICE DESERVES BETTER INFRASTRUCTURE
ready to find out what’s costing you?
Start with a complimentary Practice Review. We’ll look at where your revenue, systems, or team may need the most attention.