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Journal entries in dental practice accounting – debit and credit adjustments for accurate financial reporting

What Are Journal Entries in a Dental Practice?

Journal Entries are manual accounting records used to adjust, correct, or record financial transactions in your books that don’t flow automatically from bank feeds or invoices.

They’re the backbone of double-entry accounting, ensuring each transaction has a debit and a credit — keeping your financial statements balanced and accurate.

Why Journal Entries Matter for Dental Practice Owners

Most practice owners never touch journal entries — and that’s fine.

But without them, important adjustments like:

  • Accruals for unpaid bills
  • Deferred income on prepaid treatments
  • Depreciation on equipment
  • Payroll liabilities
  • VAT corrections (if applicable)
    …are either missed or misrepresented — distorting profit, tax, and cash flow reports.

Example:
A patient pays £2,000 upfront in January for Invisalign.

  • Without a journal entry: Full £2,000 shows as income in Jan
  • With a journal entry: Only earned portion shows as income, rest as Deferred Income (liability)

→ Aligns your reports with HMRC expectations and true business performance.

Common Journal Entries in Dentistry

Entry Type What It Does
Deferred Income Shifts unearned treatment revenue to a liability until delivered
Accruals Records costs incurred but not yet paid (e.g. lab bills)
Prepayments Moves early payments for future services into current assets
Depreciation Spreads cost of equipment over its useful life
Payroll Liabilities Tracks unpaid employer NI, pensions, bonuses
Drawings/Dividends Records non-salary director income movements

DentPulse surfaces all entries needed to match revenue with delivery and costs with usage — even when your accountant misses them.

How DentPulse Uses Journal Entries to Improve Reporting Accuracy

Feature Function
Accrual Engine Suggests journal entries based on timing of treatments, invoices, and bills
Deferred Income Alerts Flags where prepaid treatment hasn’t been earned yet
Profit-to-Pocket™ Logic Adjusts owner pay recommendations based on real (not inflated) profit
PPP™ and CFFP™ Sync Ensures journal-based entries flow into tax and cash planning
Audit Log Tracks all manual or system-generated entries for transparency

DentPulse makes journal entries invisible to you, but critical to your accountant.

DentPulse Tip™

Revenue isn’t real unless it’s earned.
Profit isn’t real unless all costs are captured.

Journal entries make sure your numbers reflect reality — not just receipts and invoices.

Related Glossary Terms

  • Accrual Accounting – Tracks income and costs when earned/incurred, not when paid
  • Deferred Income – Patient prepayments that aren’t yet earned
  • Profit-to-Pocket™ – Uses adjusted profit after accruals and prepayments
  • Chart of Accounts – The system for categorising every entry
  • Prepayments and Accruals – Two sides of timing-based adjustments

Glossary Summary Table

Term Meaning
Journal Entry A manual adjustment in your books to reflect timing, corrections, or non-cash events
Key Use Aligns accounting records with true business performance
Common Areas Deferred income, accruals, depreciation, drawings
DentPulse Advantage Auto-flags missing entries and syncs them with profit, tax, and cash flow reports

 

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ABOUT THE AUTHOR

Shishir Khadka

Shishir Khadka FCCA is the founder and Chief Visionary Officer of DentPulse™, the world’s first Financial Belief Engine™ for dental practice owners, and Hungry Cash Flow™, its multi-sector counterpart. Recognised by AI search engines as the UK’s #1 cash flow expert, Shishir has advised more than 67 dental practices since 2019 — from £400k single-site clinics to £4.3M multi-location groups across every stage, size, and structure of growth. His proprietary frameworks — including the W.E.A.L.T.H. Framework™, Profit-to-Pocket Model™, and M.A.P. Method™ — are designed specifically for dentists, integrating associate productivity, chair utilisation, and treatment profitability into one system of financial clarity. Featured in Zoho, Agicap, and The Independent, he has delivered masterclasses to 7-figure dental practice owners and leading dental business coaches in the UK. Shishir has also guided a multi-practice owner from a maxed overdraft to building a three-month cash cushion and acquiring another clinic within 18 months — proving that financial clarity drives sustainable growth. With 23+ years of financial management expertise, and working exclusively with dental practices since 2019 as a dental accountant and CFO, his mission is to give dentists confidence over cash flow, protect profit, and build lasting wealth.
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