Ledger Health Group

Who We Serve

Physicians and dentists. Only.

A firm that serves everyone knows a little about everything. We chose the opposite: physicians and dentists, deeply — then the same system, brought to the next specialty when the moment's right.

The Client Ledger

Physician and dental practices share the same core economics — an owner-operator, a clinical team on the payroll, an overhead problem, and a tax calendar that never sleeps. Seeing many of them is precisely what makes the advice sharp for yours.

Account ledgers, reading glasses, and a keyboard laid out on a dark desk
The working ledger — kept nightly, closed monthly.

Solo & small-office physicians

Serving now ✓

Owner-physicians running independent practices: family medicine, internal medicine, and the specialties that stayed private. Books, payroll, and tax kept in one place so patient hours don't turn into admin hours.

General & family dentistry

Serving now ✓

Owner-operator practices where overhead discipline and owner take-home are the whole game.

Dental specialists — ortho, perio, endo, oral surgery

Serving now ✓

Different production math, same need: books that tie to the case flow and comp structures modeled the way specialty pay actually works.

Startups, acquisitions & ownership transitions

Serving now ✓

The highest-stakes year of a practice's life — for physicians and dentists alike. Entity setup, lender-ready books, cash-flow modeling before the ink dries. Operations & reporting earns its fee here first.

Chiropractic & dermatology

Next entries —

Opening as the physician and dental books mature — same system, benchmarked to each specialty before we take the first client in it.

Why It Matters

When your accountant already knows what supplies should cost, what clinical staff comp should run, and what the overhead target is for a practice your size — every conversation starts at the answer instead of the explanation.

That's the entire argument for a specialist, and it's why the four services are built as one system instead of a menu of hourly work.

The Next Entry

One conversation about your numbers.

Book the diagnostic: thirty minutes, your last P&L, and a straight read on where the money's going, with a practice-sized quote if you want one.