12 Best Dental Accounting Firms & CPAs in 2026

Ranking Methodology & Disclaimer: This article is prepared using the AceRank Framework, Ace Cloud Hosting’s editorial methodology based on publicly available information. The rankings are for informational purposes only and do not represent an official certification, endorsement, partnership, or definitive measure of quality.

Running a dental practice involves far more than managing patient care. Owners also need to watch payroll, overhead, taxes, collections, equipment costs, associate compensation, and practice profitability.

The financial decisions become more complex when a dentist plans to open another location, add an associate, purchase a practice, join a DSO, or prepare for retirement.

A general accountant can handle many standard accounting tasks. A dental CPA or accounting firm with significant dental experience can bring another layer of context. They may understand practice-level benchmarks, provider compensation, hygiene performance, dental practice valuations, acquisitions, and DSO structures.

This guide compares 12 accounting and advisory firms with documented experience serving dentists and dental organizations.

Dental Accounting Firm	Best For	Notable Dental Focus
Eide Bailly	Large practices, dental groups, and DSOs	700+ dental clients nationwide, including large groups and DSOs
Baker Tilly	Growing practices and groups needing operational advisory	350+ dental clients and a founding ADCPA member
Rosen & Associates, LLP	Practices seeking a deeply dental-focused accounting firm	Long-standing dental specialization and client-based benchmarking
Cain Watters & Associates	Dentists combining practice finances with personal financial planning	Dental-focused financial planning since 1984
Engage Advisors	Owner-operated practices wanting ongoing accounting and CFO support	Monthly accounting plans, dental CFO services, dashboards, and transition support
Aprio	Dentists moving through startup, acquisition, expansion, or DSO growth	Dedicated dental tax, forecasting, valuation, wealth, and advisory practice
PKF O’Connor Davies	Practices focused on benchmarking and KPI-led decisions	50+ years serving dentists and annual Dental Practices by the Numbers research
Doeren Mayhew	Practices requiring broad operational and financial consulting	Works with 300+ dental practices nationwide
James Moore & Co.	Independent practices and growing groups, especially in the Southeast	Dental accounting plus HR, technology, valuations, and M&A support
Schiff & Associates, CPA	Private dental practices and practice transitions	Dental-focused accounting, valuation, profitability, and transition services
Dental Accounting Group	Practices wanting bookkeeping, tax, startup, and acquisition support	Dental-focused accounting with QuickBooks setup and training
CBIZ	Larger dental organizations and DSOs needing multidisciplinary support	Dental valuation, DSO accounting, transition, tax, benefits, and advisory expertise

1. Eide Bailly

Eide Bailly reports serving 700+ dental clients nationwide, including large dental groups and DSOs. That scale makes it one of the stronger choices on this list for organizations whose financial requirements have moved beyond a single dental office.

Its dental practice is also positioned around the business issues that emerge as an organization grows. This can make Eide Bailly worth comparing for groups dealing with multiple entities, expansion plans, more complex reporting, or DSO-level decision-making.

Firm Snapshot

Official website: https://www.eidebailly.com/
Founded: 1917
Headquarters: United States
Number of employees: 3,500+ partners and professionals
Relevant Expert: Scott Haberman, Partner and member of the Dental Practices Leadership team
Key services: Client accounting, contract CFO and controller advisory, tax strategy, data analytics, cybersecurity, fraud and forensic advisory, practice purchase and sale advisory, and wealth transition services
Awards and Recognition: Ranked #10 on Vault’s 2027 Top Accounting Firms list

Simplify Your Dental Practice Accounting

Host QuickBooks and accounting apps securely in the cloud for anytime, anywhere access.

2. Baker Tilly

Baker Tilly reports working with 350+ dental clients nationwide and has more than 250 healthcare professionals. It is also a founding member of the Academy of Dental CPAs.

Its dental practice pays particular attention to the financial decisions surrounding growth. That includes understanding whether a practice can support another location, associate, ownership change, or transaction.

This makes Baker Tilly a strong option for dental owners who want their financial information to play a larger role in planning how the practice develops.

Firm Snapshot

Official website: https://www.bakertilly.com/
Founded: 1931
Headquarters: Chicago, Illinois. Baker Tilly announced in June 2026 that New York City will become its headquarters following the Anchin transaction.
Number of employees: 10,000+
Relevant Expert: Rob Grannum, Principal
Key services: Dental accounting, tax planning, benchmarking, financial projections, practice optimization, valuations, compensation consulting, ownership transitions, and DSO and private equity transaction support
Awards and Recognition: Baker Tilly currently identifies itself as the sixth-largest U.S. accounting firm and reports 300+ workplace and culture awards

3. Rosen & Associates, LLP

Dental specialization sits at the center of Rosen & Associates’ positioning rather than being one part of a broader healthcare practice.

One area that separates Rosen from many general accounting providers is its emphasis on comparing the financial performance of dental practices. Its website specifically directs dentists toward its “How Do You Compare” resources and uses practice-level financial analysis to help owners understand how their numbers compare with dental benchmarks.

The current website uses both “over 800 dental practices” and “over 750 dental professionals” in different sections. Because those definitions differ, this guide does not use either number as a definitive current client count.

Firm Snapshot

Official website: https://www.rosendentalcpa.com/
Industry Experience: The company says it has worked within the dental community for more than 75 years
Headquarters: Westborough, Massachusetts
Number of employees: 51–200 employees
Relevant Expert: Mark Rosen, CPA, CFP
Key services: Dental accounting and tax, financial reporting, dental consulting, practice transitions, tax planning, and personal and retirement financial planning

4. Cain Watters & Associates

Cain Watters & Associates was created around the financial challenges dentists encounter as both practice owners and individuals.

That distinction matters because the financial success of a dental office does not automatically translate into the dentist meeting personal goals around debt, retirement, investing, or an eventual practice exit.

CWA also produces dental benchmarking material for general and specialty practices. This gives practice owners another reference point for evaluating production, overhead, compensation, and other financial measures against industry data.

Firm Snapshot

Official website: https://www.cainwatters.com/
Founded: 1984
Headquarters: Frisco, Texas
Number of employees: 201–500
Relevant Expert: Dan Wicker, CPA, Managing Partner
Key services: Dental accounting, tax planning, business planning, practice valuations and transitions, debt management, retirement planning, wealth management, and estate planning coordination
Awards and Recognition: Named an Accounting Today Top 100 Firm in 2026 and a USA Today Best Financial Advisory Firm in 2026

5. Engage Advisors

Engage currently reports serving 500+ dental clients across the United States.

Its model is geared toward ongoing involvement in the practice’s finances. The company offers recurring service levels rather than limiting the relationship to annual tax work.

That approach may appeal to dentists who want regular visibility into the financial side of their practice and a team that stays involved as business decisions arise.

Firm Snapshot

Official website: https://engageadvisors.com/
Founded: 2011
Headquarters: Overland Park, Kansas
Number of employees: 11–50
Relevant Expert: Drew Hinrichs, CPA, Chief Executive Officer
Key services: Tax and accounting, financial planning, dental practice consulting, cash-flow guidance, outsourced dental CFO support, buyer advisory, and ownership transition support

6. Aprio

Aprio says its dedicated dental accounting experience dates to 1961, giving the dental practice a much longer history than its more recent expansion activity might suggest.

Transactions are a particularly notable part of its dental positioning. Aprio’s current dental page reports $175 million advised in dental transition engagements and publishes resources for dentists at different stages of ownership.

That makes Aprio worth considering when the accounting relationship needs to support a major ownership decision, rather than only ongoing compliance work.

Firm Snapshot

Official website: https://www.aprio.com/
Founded: 1952
Headquarters: Atlanta, Georgia
Number of employees: 3,400+
Relevant Expert: Ecton Green, CPA, Director, Dental Services
Key services: Dental tax strategy, financial analysis, forecasting, practice valuation, acquisition guidance, ownership planning, wealth management, and transition advisory
Awards and Recognition: Named a 2026 Best Firm for Technology by Accounting Today and a 2026 USA Today Top Workplace

7. PKF O’Connor Davies

PKF O’Connor Davies says its dental specialists have worked with dentists for more than 50 years. Its strongest differentiator is the amount of attention given to practice data rather than simply preparing financial statements.

The company publishes Dental Practices by the Numbers, an annual study that uses financial information supplied by its dental clients. The 2025 edition lets practices compare metrics with businesses in similar revenue ranges.

For owners who want to understand why profitability, overhead, or other practice metrics are moving, this benchmarking approach can be particularly useful.

Firm Snapshot

Official website: https://www.pkfod.com/
Founded: 1891
Headquarters: Harrison, New York
Number of employees: 1,500+ professionals and 200+ partners
Relevant Expert: David J. Goodman, CPA, MST, Partner and Dental Practice Solutions Team Leader
Key services: Benchmarking, bookkeeping, KPI analysis, compensation planning, outsourced CFO support, practice valuation, acquisition and sale support, M&A due diligence, and tax planning
Awards and Recognition: Ranked #8 on Vault’s 2027 Best Accounting Firms list and recognized among America’s Most Recommended Tax and Accounting Firms in 2026.

8. Doeren Mayhew

Doeren Mayhew reports working with 300+ dental practices nationwide. What makes its dental practice notable is the range of business situations it addresses. The relationship can extend into questions about where to open a practice, whether an acquisition makes financial sense, how to investigate suspected fraud, or how to prepare for an eventual ownership change.

That can make Doeren Mayhew particularly relevant when the problem facing a dentist is broader than routine accounting.

Firm Snapshot

Official website: https://www.doeren.com/
Founded: 1932
Headquarters: Troy, Michigan
Number of employees: 1,500+
Relevant Expert: Stephen Skok, CPA, MST, Principal
Key services: Dental accounting, tax planning, benchmarking, CEO and CFO advisory, practice valuation, startup planning, acquisition and sale support, fraud examinations, and DSO/MSO consulting
Awards and Recognition: Ranked #36 on Inside Public Accounting’s 2026 Top 100 Firms list and #37 on Accounting Today’s 2026 list

9. James Moore & Co.

James Moore works with dental practices ranging from smaller owner-operated businesses to established multi-location groups.

Its main distinction is the ability to look at a dental practice from several business angles rather than treating financial statements as an isolated function. That can be useful when decisions about people, systems, profitability, and ownership begin affecting one another.

The company says its dental practice reaches clients across Florida, the Southeast, and beyond.

Firm Snapshot

Official website: https://www.jmco.com/
Founded: 1964
Headquarters: Gainesville, Florida
Number of employees: 201–500
Relevant Expert: Jay Hutto, CPA, ABV, CFF, CVA, Partner and Dental CPAs Leader
Key services: Dental accounting, tax, practice profitability analysis, business valuation, HR consulting, technology guidance, M&A support, and practice transition planning
Awards and Recognition: James Moore reports longstanding recognition in Inside Public Accounting’s Top 200 and received Gallagher Best-in-Class Employer recognition in 2024

10. Schiff & Associates, LLC

Unlike larger accounting organizations with dental teams inside broader healthcare divisions, Schiff & Associates positions its work specifically around dental practices.

Allen Schiff has also been closely involved with the dental accounting profession through the Academy of Dental CPAs. The firm’s website identifies him as a founding ADCPA member.

That concentrated dental focus may appeal to private-practice owners who want an advisor familiar with the financial decisions encountered throughout the life of a dental practice.

Firm Snapshot

Official website: https://schiffcpa.com/
Founded: 2006
Headquarters: Towson, Maryland
Number of employees: 11–50
Relevant Expert: Allen M. Schiff, CPA, CFE, Managing Member
Key services: Dental accounting, tax planning, profitability and overhead analysis, practice valuations, buyer and seller representation, buy-ins and buy-outs, transition planning, and QuickBooks training
Awards and Recognition: Allen Schiff was named Best Dental Accountant in the U.S. by The New Dentist magazine in 2021.

11. Dental Accounting Group

Dental Accounting Group takes a specialist approach aimed specifically at dentists rather than serving a long list of unrelated industries.

Its recurring accounting model can be useful for practice owners who want more regular financial visibility from a dental-focused team. The company also has roots in predecessor accounting practices that predate Dental Accounting Group itself.

Firm Snapshot

Official website: https://dentalaccountingpros.com/
Founded: 2016
Headquarters: Bellevue, Washington
Number of employees: 11–50
Relevant Expert: Brian F. Bray, CPA, Co-Managing Partner
Key services: Dental bookkeeping, tax planning, financial analysis, budgeting, startup guidance, practice acquisition advisory, and QuickBooks support
Awards and Recognition: The official website displays WSDA Preferred, ADCPA, and WAGD Preferred credentials. These are industry affiliations or preferred-provider designations rather than conventional awards.

12. CBIZ

CBIZ is different from most companies on this list because it does not position itself as a dental-only accounting provider.

Its inclusion is based instead on documented dental work across areas such as practice valuation, goodwill, succession, practice sales, and accounting policies for dental service organizations. Its healthcare resource center includes material specifically addressing these issues.

That wider business structure can make CBIZ more relevant for a larger dental organization whose financial requirements increasingly overlap with transactions, workforce management, benefits, risk, and corporate operations.

Firm Snapshot

Official website: https://www.cbiz.com/
Founded: 1996
Headquarters: Cleveland, Ohio
Number of employees: 9,500+
Relevant Expert: Brian Schwerdtfeger, CVA, MAFF, Director, whose official profile includes valuation of work involving medical and dental practices
Key services: Accounting, tax, valuation, transaction advisory, employee benefits, HR, insurance, risk advisory, and technology services
Awards and Recognition: CBIZ was named a USA Today Top Workplace in 2026 for the sixth consecutive year

How to Choose the Right Dental Accounting Firm

The largest firm is not automatically the best dental accountant for every practice. A solo dentist buying a first practice may need very different support from a 20-location DSO. Start by looking at the problems you want the firm to solve.

1. Check How Much Dental Work the Firm Actually Does

Ask how many dental practices the team serves and which types. A firm working mainly with solo dentists may not have the same experience as one regularly handling multi-location groups or DSOs.

2. Look Beyond Tax Preparation

Tax work matters, but a dental accountant may also help interpret:

Production and collections
Practice overhead
Associate compensation
Hygiene performance
Staffing costs
Cash flow
Practice value
Location-level profitability

Ask what financial reviews are included during the year rather than assuming those services are part of the engagement.

3. Understand the Benchmarking Method

Several firms on this list publish dental benchmarks. The underlying data can differ.

Ask where the comparison data comes from, how recently it was collected, and whether the benchmark reflects similar practice sizes, specialties, and locations.

4. Match the Advisor to Your Practice Stage

A new dentist may prioritize startup modeling and financing.

An established owner may care more about tax planning and profitability.

A growing group may need consolidated reporting, CFO support, compensation modeling, and location analysis.

A dentist approaching retirement may put valuations, succession planning, and tax implications at the top of the list.

5. Ask About Dental Practice Transitions

If buying or selling a practice is part of your plan, confirm whether the accounting firm handles valuation, due diligence, deal structure, tax considerations, and post-transaction planning.

6. Evaluate Support for Multi-Location Practices and DSOs

Multi-site accounting introduces questions around entity structure, consolidated reporting, standardized charts of accounts, location-level KPIs, provider compensation, acquisitions, and internal controls.

Make sure the firm has experience with the level of complexity your organization has reached.

7. Review the Service Model

Some firms work through monthly packages. Others use annual engagements, hourly consulting, or broader advisory relationships.

Before signing, clarify:

What is included in the fee?
How often will financials be reviewed?
Who will be your main point of contact?
Are bookkeeping and tax preparation included?
Is advisory billed separately?
How quickly can you reach the team during major decisions?

Take Your Dental Accounting to the Cloud

Securely host QuickBooks and business applications with reliable cloud access for your team.

Find the Dental Accounting Firm That Fits Your Practice

The firms on this list approach dental accounting from different directions. Eide Bailly and Baker Tilly offer broad resources for growing groups and complex practices. Rosen & Associates and Schiff bring a strongly dental-specific focus. Cain Watters connects practice finances closely with personal financial planning.

Engage Advisors emphasizes recurring accounting and CFO support. Aprio is well positioned around ownership and transactions. PKF O’Connor Davies stands out for benchmarking and KPI analysis.

Doeren Mayhew and James Moore expand accounting into wider business decisions. Dental Accounting Group provides focused support for practice owners, while CBIZ brings the wider capabilities larger dental organizations may require.

Each firm brings a different mix of dental accounting, advisory, benchmarking, and transition expertise. The right choice depends on your practice size, growth plans, ownership stage, and the level of financial guidance you need.

Whichever accounting firm you choose, the technology supporting your financial operations matters as well. Ace Cloud Hosting provides the secure cloud infrastructure foundation accounting firms and dental practices can use to host QuickBooks, tax applications, practice management tools, and other business software in a centralized environment accessible to authorized teams from anywhere.