Focus on Patients, Not the Books — Medical & Dental Bookkeeping in San Diego, CA
Vitals do the books for medical and dental practices — and only practices. Insurance and copay reconciliation, provider payroll, and clean monthly reporting, so you can spend your time on patients instead of paperwork.
Bookkeeping for Every Kind of Practice
🩺 Medical & Dental 🛡️ Insurance Reconciliation 📊 Profit by Provider
Bookkeepers Who Understand a Practice
Vitals Practice Books was founded in 2014 for one world: healthcare. Insurance reimbursements, copays, write-offs, provider comp, equipment leases — a practice's finances look nothing like a normal business, and generalist bookkeepers routinely get them wrong.
Twelve years and 160+ San Diego practices later, we're the specialists physicians and dentists trust. We reconcile the insurance side every month, keep provider payroll and comp clean, and deliver reports that show real profitability by provider and service — so you can run a healthier practice, not just a busier one.
- ✓Medical & dental practices only
- ✓Insurance and copay reconciliation
- ✓Provider payroll and comp handled
- ✓Profitability by provider and service
Practice Finances Aren't Normal Books
Healthcare accounting has its own rules and its own traps. Here's what we get right.
Insurance Reconciled
We match reimbursements, copays, and adjustments to what you billed, so you finally know true collections.
Provider-Level Profit
Reporting that shows profitability by provider and service — the insight that drives smarter scheduling and staffing.
Clean Provider Comp
Production-based compensation and payroll calculated and recorded correctly, every pay period.
Overhead You Can See
Equipment, supplies, and staffing tracked so your overhead ratio is always clear and controllable.
See What You Actually Collect, Not Just Bill
In a practice, billed revenue and collected revenue are worlds apart — insurance adjustments, denials, and write-offs eat the difference, and most owners never see it clearly. We reconcile the entire insurance and copay side every month, so you know your true collection rate, catch underpayments, and finally understand where the money really goes.
- ✓True collection rate, not just billings
- ✓Catch insurance underpayments and denials
- ✓Clarity on adjustments and write-offs
Ready to Stop Worrying About the Business Side?
Book a consultation and see how much clearer your practice finances can be with a healthcare specialist keeping your books.
Frequently Asked Questions
Do you really specialize in medical and dental practices?
Exclusively. Healthcare practices are all we work with. That means we understand insurance reimbursements, copays, adjustments, write-offs, provider compensation, and the overhead structure of a practice — the things generalist bookkeepers routinely get wrong.
Can you reconcile our insurance and copays?
Yes — it's core to what we do. We reconcile reimbursements, copays, and adjustments against what you billed every month, so you know your true collection rate and can catch underpayments and denials before they add up.
Do you handle provider payroll and compensation?
We do, including production-based and associate compensation, which is one of the trickiest parts of practice accounting. We calculate and record it accurately so your providers are paid right and your books are clean.
Will you show profitability by provider?
Yes. Our monthly reports break down profitability by provider and service line, plus your overhead ratios — the insight that helps you schedule, staff, and grow a healthier practice.
How much does it cost?
One flat monthly fee based on your practice size, provider count, and services — quoted up front with no hourly surprises. Cleanup is scoped separately. Your consultation is free.
What types of practices do you work with?
All kinds — family medicine, dental, orthodontics, specialty clinics, and multi-provider groups. If you run a medical or dental practice, we can keep your books.
A Healthier Practice Starts With Clean Books
Book a consultation and get the specialist bookkeeping your medical or dental practice deserves.
Book Your Free Consultation
Tell us about your practice and we'll be in touch within one business day.