Local-only working copy. Entries stay in this page and are not saved or sent by this worksheet. Use brief notes, then print or save a PDF to keep your copy. Do not enter patient details, card or bank data, passwords, or personal names. Designed for three Letter pages.

NUMUS
DENTAL PRACTICE PAYMENTS

Comparison worksheet / 01 — Cost

Dental Processing
Comparison Worksheet

Compare two proposals using the same practice activity. Enter business-level summaries only. These calculations are planning estimates, not a provider offer, approval, or promise of savings.

01 Establish one comparable month

Card sales only; use the same basis for both quotes.
Use payments, not visits or treatment plans.
Optional: total fees for that same activity.
Average card ticket · volume ÷ count
Current effective rate · fees ÷ volume

02 Compare the complete cost assumptions

Cost component · USDProvider AProvider B
Provider / proposal reference
Complete estimated percentage (%)Include percentage-based pass-through costs; do not enter a markup alone.
Complete per-payment charge ($)Weighted estimate across the same payment mix.
Monthly recurring charges ($)Account, gateway, software, devices and other fixed fees.
Annual recurring fees ($)Divided by 12 in the estimate below.
Other expected monthly costs ($)Only costs not already included above.
Estimated recurring monthly total
Estimated effective rateRecurring monthly total ÷ monthly card volume.
One-time setup / switching costs ($)Excluded from the recurring monthly total.

Enter every recurring cost field; enter 0 only when confirmed. Total = volume × percentage ÷ 100 + payment count × per-payment charge + monthly charges + annual fees ÷ 12 + other monthly costs. Blank or invalid inputs leave the estimate blank.

Use a complete, comparable quote. For interchange-plus or tiered pricing, ask each provider to model your actual card and channel mix. This worksheet does not calculate interchange, tiers, minimums, taxes, refunds or disputes automatically. Include applicable costs once and record exclusions on page 2.
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NUMUS
DENTAL PRACTICE PAYMENTS

Comparison worksheet / 02 — Terms

Get the details in writing.

Use the same Provider A and Provider B references as page 1. Summarize the answer and the proposal or agreement section. Write “pending” for an unanswered question; a blank is not a commitment.

What to confirmProvider A · answer + referenceProvider B · answer + reference
Pricing model and exclusionsCard mix, in-person / keyed / online rates, minimums, refund and dispute costs; quote expiration.
Practice management integrationExact software and version, supported functions, additional fees, setup and support responsibilities.
Payment channels and saved credentialsTerminal, phone, online, payment links and scheduled payments; consent and credential portability process.
Funding, holds and account limitsBatch cutoff, bank-day schedule, gross or net deposits, reserves, release terms and transaction limits.
Contract, renewal and cancellationInitial term, renewal, notice window, early termination fees, separate device lease and return terms.
Support and service interruptionsHours, urgent escalation, terminal replacement, integration troubleshooting and approved fallback process.
Security and data responsibilitiesRoles and permissions, payment data handling, applicable validation and documentation; responsible parties.
Implementation and exit processInstallation, training, prior refunds and disputes, report access, export formats and cancellation confirmation.

03 Make the tradeoffs explicit

Compare the agreement as well as the estimate. The provider’s executed agreement determines account terms. A lower estimated cost does not confirm integration fit, service quality, funding timing or approval.
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NUMUS
DENTAL PRACTICE PAYMENTS

Comparison worksheet / 03 — Workflow

Test the day-to-day.
Plan the switch.

Walk through these scenarios with the practice team and the proposed provider. Use test transactions or approved demonstrations. Record process summaries, never patient or card details.

04 Verify reconciliation and integration

Payment → practice ledger

What posts automatically? How are partial payments, split tenders, duplicate attempts and posting failures handled?

Batch → bank deposit

Which reports connect individual payments to batches, adjustments, fees and the bank deposit? Who resolves differences?

Refund → original payment

Who can issue a refund? Does it update the practice ledger? How will refunds to pre-switch payments work?

Saved payment → future charge

Who manages authorizations, schedule changes and failures? Can the providers securely migrate saved credentials?

05 Before changing providers
06 Before closing the old account

07 Set the next decision point

Checkmarks are your planning record, not certification. Confirm responsibilities and account-specific requirements with the relevant provider and software vendor. This worksheet provides no payment submission, patient record storage or account eligibility assessment.