What About Accounts Receivable in the Sale of a Practice?

Mid-America’s most trusted dental practice valuation and sales

When buying or selling a dental practice, there are many details to finalize. One of the trickier items is how to handle the amounts still owed by patients for work already completed by the Seller.

These balances, known as Accounts Receivable (A/R), are not included in the appraised value of the dental practice but can represent a significant amount at closing. Since these balances relate to services performed by the Seller, the question becomes: who collects them, and how?

Option 1: A/R Sold to the Buyer

The cleanest solution is often for the Seller to sell the A/R to the Buyer at closing. Because not all accounts will be collected—especially those 60–90+ days old—the total A/R balance is usually discounted to reflect expected collections.

An experienced broker can help determine a fair value using proven formulas. For the Buyer, this option provides immediate cash flow from patients’ payments, while the Seller receives taxable income as though they had collected the accounts directly.

Option 2: A/R Billed & Collected by the Buyer

If the Buyer doesn’t purchase the A/R outright, another common approach is for the Buyer to handle billing and collections for a set period (typically 3–6 months). Payments collected are then remitted to the Seller, minus a small fee for administrative costs.

This method requires extra bookkeeping but helps maintain goodwill between both parties while strengthening the new doctor-patient relationship.

Option 3: A/R Billed & Collected by the Seller

A less common—and more complicated—approach is for the Seller to continue billing and collecting the A/R. While it may seem straightforward, payments often arrive at the practice after the transition, requiring coordination with the Buyer’s staff. This can create confusion and is generally best avoided.

Key Takeaway

Most A/R is collected within the first 3–4 months after closing. If not purchased outright, having the Buyer handle collection is usually the most efficient and patient-friendly solution.

Thinking about buying or selling a dental practice in the St. Louis region?
We can guide you through A/R, valuations, and every other step of the transition process. Contact us today for a free consultation.

– Bill Otten & Kim Rey

Confident female dentist in white coat and blue gloves representing dental professionals supported by Otten-Rey Dental Sales.
What Clients Say

Dentist Testimonials

Kim with Otten-Rey Dental Sales truly made what I thought would be a stressful process extremely easy and painless. From our first meeting all the way until closing, Kim was always reliably there for me through out the process. I trusted her system and it was simple and seamless. I would definitely choose Kim again for my transition if l had to do it all over again.

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Glenn R. Edwards DMD

When I decided to buy a dental practice, I quickly learned that practice brokers represent the seller. As a buyer, that posed some challenges. Of all the brokers I worked with in St. Louis, Kim was the only one who managed to make me feel that she was actively trying to find a practice for me to buy. Not only did she help me find a practice I loved, but she still represented her seller well and was fair throughout the entire process. Because of her, I am now the owner of a great dental practice that I love and I truly believe she made that happen for me. Thanks Kim.

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Dr. Victoria Daugherty

Thank you both, Kim & Bill. This has been a great adventure. All is going great with the merger of Dr. Berger’s practice. Overall, I would say it is a great success. And I couldn’t have done it without both of you.

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Dr. Christy Hager

I felt my practice purchase went smoothly and efficiently with the help of Otten-Rey Dental Sales. As a buyer, I felt comfortable with the fair appraisal that Otten-Rey put on the practice and both Kim and Bill were very accommodating getting any requested info to help me do my due diligence…Otten-Rey is known in the St. Louis Dental community for being easy to work with and I strongly recommend either buyers or sellers use them in the process of your dental transition. Having their expertise, experience and organization really made things a lot less stressful.

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Dr. Jennifer Wheeler Chesterfield, MO practice

Kim’s understanding of all aspects of a transition was invaluable. She has comprehensive knowledge of both the financial and clinical aspects of a dental office. She also provided the guidance and understanding of the legal aspects necessary to close the transaction. Thanks Kim!

review from happy client Dan Twillman
Dan Twillman DMD

Kim Rey was my broker in representing me when I sold my pediatric dentistry practice. From my standpoint, Kim brought a great amount of stability to the whole process. I appreciate her insight and her levelheaded guidance on what my expectations should be, what the normal accepted practice and standards are when dealing with a buyer. The process was longer than I anticipated, but Kim kept me focused and on the right track until the transaction was completed. Throughout the process, she always made me feel like I could rely on her and that in turn gave me a great deal of comfort. I would highly recommend Kim Rey to anyone looking to buy or sell a dental practice.

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Andrew M. Kim DMD

Several of my friends used Kim and Bill to sell their practices and had highly recommended them. I was pleased with the thorough process of valuation and the explanation of the report. They provided frequent updates and the guide for printing the necessary reports for the valuation. They found a buyer that fit our needs. I would recommend them to the other dental offices needing the same services.

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Gerald Dragich DMD