REVENUE & OPERATIONS FOR DENTAL PRACTICES
more collections
better systems
We help growth-minded dental practices turn operational friction, missed revenue, and inconsistent processes into stronger performance and a healthier business.
STRATEGY BUILT FROM INSIDE THE PRACTICE
THE REAL PROBLEM
your practice may be producing– but is the business behind it actually performing?
Full schedules can hide weak collections, aging A/R, inconsistent follow-up, underused systems, and a team operating without clear accountability.
Tooth & Ledger helps you see what’s happening, fix what isn’t working, and build the infrastructure to grow with control.
01 / REVENUE
Money is being left behind
Collections lag production, claims sit unresolved, A/R keeps aging, or you lack a clear picture of where revenue is leaking.
02 / OPERATIONS
The practice depends on workarounds
Processes live in people’s heads, handoffs vary by day, and inefficiency has quietly become the normal way of working.
03 / TEAM
Everyone is busy, but accountability is unclear
Your team needs practical systems, better training, and clear ownership, not another unproductive meeting.
WHAT CHANGES
from constantly reacting to operating with control
We do not hand you another binder of recommendations that nobody will use. We help your team turn the right recommendations into the way the practice actually works.
BEFORE TOOTH AND LEDGER
A/R keeps aging
Follow-up is inconsistent and no one owns the full picture.
Processes depend on memory
Critical workflows change based on who is working that day.
Numbers arrive without answers
Reports exist, but leadership cannot easily act on them.
AFTER THE RIGHT SYSTEMS
Collections are actively managed
Clear work queues, ownership, escalation, and visibility.
Workflows are repeatable
The team has practical standards, tools, and handoffs.
Performance guides decisions
Useful KPIs connect daily behavior to practice goals.
HOW WE HELP
strategy that will actually reach the front desk
We combine financial insight, operational strategy, and hands-on implementation so your recommendations become real working systems.
DIAGNOSE
Practice Pulse™
A focused assessment of the practice’s revenue, workflows, reporting, and operational health—with prioritized next steps.
TRANSFORM
Revenue Rx™
Our six-month flagship partnership to strengthen collections, systems, performance visibility, and accountability.
SUSTAIN
Practice360™
Ongoing strategic guidance and billing support that keep the practice moving after the initial transformation.
INSIDE THE WORK
Every recommendation is translated into practical tools: clear priorities, defined owners, usable reporting, documented workflows, and a roadmap your leadership team can actually follow.
We don’t just tell you what’s wrong. We help your team fix it and build the systems to keep it fixed.
a working system your team can use
ABOUT OUR FOUNDER
DENTAL OPS EXPERTISE, WITHOUT THE CORPORATE PLAYBOOK.
Mykayla Best founded Tooth & Ledger after building her career across the front desk, dental billing, revenue-cycle leadership, and practice management.
Since entering dentistry in 2019, she has seen the full practice from multiple seats—and the same pattern repeatedly: practices producing without the systems, reporting, and revenue accountability needed to turn that work into sustainable profitability. Tooth & Ledger was built to close that gap with clear strategy, practical implementation, and genuine partnership.