Bookkeeping for dermatology practices
A dermatology practice is two businesses in one office: insurance-driven medical work and cash-pay cosmetic services, plus product sales on top. Each has different margins, different collection timing and different costs, and blending them makes both look average. Mispar keeps the medical, cosmetic and retail lines separated so each one can be managed on its own numbers. Plans start at $229/mo.
Best for: Independent dermatologists, small group practices and owners adding cosmetic services who need clean separation between insurance and cash-pay revenue.
Matched
Payer remittances
Separated
Cosmetic revenue
Visible
Product margin
Compared
Providers
Where dermatology practice books usually go wrong
- Cosmetic and insurance income combined.
- Insurance payments not matched to visits.
- Product sales mixed with visit income.
How Mispar keeps your practice's books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Insurance remittances
Match each payer's payment to the claims it covers, keeping underpayments and aging balances visible while they can still be worked.
Cosmetic and cash-pay services
Record cosmetic procedures and treatment packages on their own lines, with prepaid packages held as unearned until services are delivered.
Product sales
Track skincare product revenue and cost of goods separately, so retail margin is measured instead of assumed.
Procedure and supply costs
Keep injectables, devices and clinical supplies on their own cost lines, so the cost side of cosmetic revenue is as visible as the revenue.
Provider compensation
Reconcile provider production, salary and any percentage-based compensation against the agreed structure, with the supporting detail attached.
Facility and equipment costs
Track rent, lasers and device leases, insurance and licensing by category, so fixed costs are visible against the revenue lines they support.
Reports a dermatology practice can use
- Revenue by medical and cosmetic.
- Receivables by payer.
- Product margin.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
Review your current records
We start from your practice management system, payer remittances, payroll reports and bank feeds.
Map the chart of accounts
Medical, cosmetic and retail revenue and their direct costs are mapped to an agreed chart of accounts.
Reconcile every line monthly
Each month's remittances, cosmetic receipts and product sales are matched to deposits and costs.
Close the month
Monthly statements with an exceptions list and the per-line or per-provider reporting agreed for your practice.
Illustrative example
A practice adds cosmetic services and watches deposits grow. Once medical and cosmetic revenue are separated with their costs, the cosmetic line shows strong margin but heavy device lease costs, while the medical line quietly subsidizes nothing. Both lines get managed on their real numbers. This is an illustration of the method, not a customer case or a guarantee.
Dermatology Practices bookkeeping — your questions
Why separate medical and cosmetic revenue?
They carry different margins, timing and costs. Kept together, each line hides the other's performance; kept apart, both can be priced and staffed on evidence.
Can you track prepaid treatment packages?
Yes. Prepayments are held as unearned and recognized as sessions are delivered, so a big package sales month does not inflate that month's real revenue.
How are product sales handled?
Retail revenue and cost of goods are tracked on their own lines, giving you a real product margin instead of a blended guess.
Can I compare providers?
Yes, when production and compensation are recorded per provider. We set up the agreed per-provider reporting; complete schedule data is what makes it reliable.
Can you separate cosmetic from medical?
Yes. Each has its own income and cost view.
Does the $229 starting plan cover my dermatology practice?
The final plan and scope depend on volume, service lines and locations. We agree that scope before starting; catch-up work is discussed separately.
Explore other industries
Restaurants
Prime cost, tip pools, POS reconciliation, and food/beverage COGS — booked the way a restaurant actually runs.
Learn more →E-commerce
Multi-channel reconciliation, FIFO/weighted-average inventory, COGS at ship date, and sales-tax nexus done right.
Learn more →Retail
POS reconciliation, COGS, shrinkage, vendor payables, and sales-tax remittance — clean end to end.
Learn more →Customers slow to pay?
Our in-house collections team calls and emails customers who owe your company money, so you can stay focused on the work.