Banking for dental practices

PPOs, patients, and membership plans settle into one ledger, with Lemma paying the bills from the same account.

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Screenshot of the Lemma dashboard showing available balance, balance history, issued cards, deposit interest, accounts, and latest transactions

How dental practices get paid, and how Lemma handles each one

PPO EFTs and checks

Matched line by line, so every write-off and short pay shows up per claim.

Patient card payments

Settle into the same ledger as insurance EFTs, no separate processor.

Membership plan drafts

Drafted daily and tagged apart from fee-for-service revenue.

Lab, supply, and equipment payables

Paid by free ACH or flat-rate wire, from the same account.

Four things that change the day you move

Deposits arrive reconciled

PPO EFTs match line by line, so write-offs and short pays show up per claim. Mailed checks and EOBs reach your lockbox the same day.

Deposit

Delta Dental$4,120.00
TRN7714203
Claims9
StatusMatched

An account for every entity, one login

One account per PC, each with its own routing number and lockbox. Add a second location in five minutes.

Smile Group MSO

$612,300.40

Bright Smile Dental PC•• 4821

$184,220.10

Northside Dental PC•• 3390

$142,960.55

Lakeside Dental PC•• 5567

$96,480.25

Money out, without the checkbook

Pay vendors by free ACH, send patient refunds as mailed checks from the dashboard, charge patient cards on file, and issue debit cards with per-card limits.

Bill pay

Lakeview Dental Lab$2,180.00
Crestline Dental Supply$1,340.00
Northgate Equipment Co.$860.00
Patient refund$128.40

Mailed check, no post office

Cash that earns while claims age

Up to 1.75% APY on every balance, FDIC coverage of $100M+ per entity through the sweep network, and Lemma Capital advances on claims you have already submitted.

Operating account

$212,480.00

Accrued this month$306.52

Up to 1.75% APY

Where dental cash flow actually breaks

Three places a general dentist's cash flow usually catches, each one quiet enough that it looks fine until it doesn't.

PPO write-offs and short pays look normal until matched at the line level

A PPO EFT lands as one lump sum, with the write-off and the short pay inside it invisible until someone reads the EOB line by line.

Lemma digitizes every mailed EOB and matches the write-off to its claim the same day.

EOB received

Delta Dental$4,120.00

Membership plan drafts arrive daily and need to be reported apart from fee-for-service

In-house membership drafts hit the account daily, mixed in with insurance and patient card revenue, so reporting them apart usually means a spreadsheet.

Lemma tags every membership draft apart from fee-for-service revenue as it lands.

Incoming deposit

Daily deposit$5,860.00
Membership drafts$1,240.00
Fee-for-service$3,680.00
Patient card$940.00

Lab and supply bills plus equipment wires come out of the same cash that payroll does

Lab invoices, supply orders, and equipment wires all draw on the same operating account payroll funds from.

Set a threshold once, and Lemma sweeps payables cash into its own account automatically.

Sweep rule

Payables •• 7731 → Payroll reserve •• 4821 when balance exceeds $5,000

Payables•• 7731

$8,240.00

$3,240
Payroll reserve•• 4821

$61,900.00

Works with what you already run

Open Dental
DentalXChange
Stedi
QuickBooks

Deposits match against claims from your PM and clearinghouse. Custom integrations available. See all integrations.

5 min

to open

Up to 1.75%

APY

$100M+

FDIC

94%

auto-match

Dental practice banking questions

What does Lemma cost?

Free for a single entity. Groups pay $50 per entity per month. ACH is free, wires are $15, lockbox envelopes are $2.50.

How is FDIC coverage above $250,000 handled?

Deposits are spread across our partner bank network, extending coverage to $100M+ per entity.

Does Lemma replace our PM, EHR, or billing company?

No. Lemma is the bank. We read from those systems and send the matched data back.

Can insurance EFTs and patient card payments land in one account?

Yes. Both settle into the same PC account, each tagged by source so your bookkeeping stays separable.

How do in-house membership plans reconcile?

Membership drafts are tagged apart from fee-for-service revenue daily, so you can report each separately.

We are opening a second location under a new PC. Do we need a second bank?

No. Add the new PC online in about five minutes, under the same MSO login.

Your bank doesn’t know healthcare.
Lemma does.

PPOs, patients, and labs, one ledger.

Two stacked Lemma Mastercard cards issued to a professional corporation