Dental practice books by someone who actually ran a dental office for almost a decade.
Owner Melody Gerlitz spent nearly ten years running a dental office before opening Avenue. Front desk, back office, the books — she did all of it. Insurance claims when they came back denied. Payroll for hygienists, assistants, and the front desk. Supply orders that came in weekly and equipment purchases that hit the books as depreciable assets. Dental practice operations aren't theoretical at Avenue — they're the work she did every day for years.
Today that experience is what Avenue brings to dental practice bookkeeping across the Spokane and Coeur d'Alene area. Insurance billing reconciliation, provider payroll, multi-provider revenue tracking, supply category management — work informed by someone who knows the practice from the inside.
Dental practice books aren't standard small-business books.
A generalist bookkeeper can handle the basics, but the parts that actually run a dental practice — insurance billing reconciliation, the way provider compensation splits work, supply categorization, equipment depreciation — those need someone familiar with the practice side of dentistry, not just bookkeeping.
Insurance billing reconciliation
Delta Dental, Cigna, Aetna, Premera — each insurer settles claims on its own schedule, with its own write-offs, its own denial codes, and its own appeals process. Your books need to track the difference between what was billed, what was paid, what was written off, and what's still in receivables. We handle that reconciliation against your practice management software output.
Provider and associate compensation
Associate dentists, hygienists, and front-office staff each compensate differently. Hygienists are usually hourly with commission. Associates might be on a percentage of production or collections. Front office is hourly. Each setup needs proper payroll classification, accurate tracking, and clean reporting at year-end.
Supply costs and inventory categorization
Dental supplies aren't a single COGS line. There's clinical supplies, lab fees, sterilization consumables, lab cases sent out, and equipment maintenance. Categorizing each correctly gives you supply cost per procedure and per provider — numbers that actually let you manage the practice.
Equipment depreciation and asset tracking
Dental chairs, X-ray sensors, autoclaves, CAD/CAM equipment — these are capital purchases with depreciation schedules that need to be set up correctly in QuickBooks® Online and handed clean to your CPA at tax time. Section 179 elections, bonus depreciation, equipment leases — we set up the schedule once and track it from there.
Almost a decade running a dental office. Now running the books for them.
Before Avenue, Melody ran a dental office for nearly a decade. Front desk one moment, back office the next, and the books at the end of the day. She handled insurance claims when they got denied, ran payroll for the clinical team and the admin team, approved vendor invoices for supplies, and answered the phone when a patient called about a billing question.
That history shows up in how she handles dental clients. Insurance write-offs aren't a confusing concept she had to learn — she lived them. Provider compensation splits aren't textbook formulas — she ran the actual payroll. Supply cost surprises and equipment failures are things she planned around, not numbers on a report.
Avenue's team knows the difference between a slow week and a billing problem — usually before the practice manager notices. If a number looks off, you get a quick message. Not a month-end surprise.
The Spokane and Coeur d'Alene area has dozens of independent dental practices — general dentistry, specialty practices, group practices, and the occasional multi-location operation. Most of them are running their books on a generalist setup that gets the basics right but misses the dental-specific patterns that matter.
Avenue's dental bookkeeping is set up to handle the practice-specific work that generalist bookkeepers often miss: cleaning up insurance receivables in the books to match what your practice management system actually shows, classifying lab fees correctly so your COGS reflects reality, tracking equipment as fixed assets with proper depreciation schedules, and running provider payroll without classification errors that come back to bite you at year-end.
Tax season prep gets handed clean to your CPA. Practice finances become readable.
The bookkeeping structure your practice needs.
All a la carte. Pick what fits your practice right now.
QuickBooks® Online Setup
Chart of accounts, bank connections, reporting — set up to match how your business runs.
Monthly Bookkeeping
Every month: accounts reconciled, transactions categorized, financials delivered. No chasing.
Financial Statements
P&L and balance sheet, monthly or quarterly — built for CPA handoff at tax time.
Accounts Payable
Bills paid on schedule. Nothing slips through.
Accounts Receivable
Invoicing handled. Outstanding payments followed up.
Payroll Services
QuickBooks® Online Payroll — direct deposit, tax payments, quarterly filings.
Bookkeeping Cleanup
Behind on your books? Whether it's a few months or a few years, we catch you up.
QuickBooks® App Integration
Connect your other tools to QuickBooks® Online — stop typing the same data twice.
Dental-experienced. Locally based. Personally accountable.
Avenue Bookkeeping serves small businesses across Spokane, Spokane Valley, and Coeur d'Alene. Dental practices are one of the few verticals where our owner has direct operational experience from inside the industry.
Books run in QuickBooks® Online. A la carte pricing — pick what you need. Free phone call to start.
“Clean books. Clear numbers. No surprises.”