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 Rey’s expertise and experience was crucial in the successful transition into my retirement. She was there for me in every possible conceivable way throughout the entire process. I am thankful and grateful.

Illustrated tooth graphic used in Otten-Rey Dental Sales branding
Dr. Michael Kutten Clayton, MO Practice

I have worked with Otten-Rey Sales as a “buyer” for two separate practice purchases in recent years. From the buyer’s perspective- I have found Kim very easy to communicate with and very accommodating to any requests I may have had while doing my due diligence. Kim has been a great resource and when the time comes to consider selling, I would absolutely feel comfortable asking her to represent me as a seller as well.

review from happy client Dr Jen Wheeler
Dr. Jennifer Wheeler Chesterfield, MO practice

My transition experience was truly smooth and easy from start to finish. Kim made what could have been a stressful process feel very manageable. She was always quick to respond, proactive in communication, and genuinely cared about making sure everything went right. I felt supported and informed every step of the way, which gave me a lot of peace of mind during such a big change. It was a wonderful experience overall, and I’m very happy with how everything turned out. I would absolutely recommend Kim to any dentist going through a practice sale or transition — she really goes above and beyond.

Dr. Hetal Patel Clayton, MO Practice

We consider ourselves lucky to have known and worked with Kim Rey for so many years. She was involved in our purchase 19 years ago and has been a supportive, positive presence in our office management since that time, up until the successful sale of our practice. We feel like our timeline was truly understood when meeting with Kim about our needs and our goals for our practice and our family. She helped to guide us each step of the way with those goals in mind. We feel like the communication was clear and consistent with her management and care of our sale. We always felt like a priority to her and it truly made the sale of our practice an exciting and enjoyable process. I would highly recommend Kim Rey to anyone looking to buy or sell a dental practice.

Dr. Patrick Murphy Arnold, MO Practice

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.

review from happy client on homepage
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.

Dr. Daugherty - happy client
Dr. Victoria Daugherty

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