Discover the best small business accounting firms in the United States that combine expert bookkeeping, tax planning, and financial advisory services with industry-specific insight and hands-on support to help entrepreneurs streamline operations, optimize profitability, and achieve steady growth.

Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.

United States × Small Business Accounting × Dental ×Clear Filters
  • Precision Billing, Maximum Revenue, Minimal Risk.

    Our USA-based Medical Billing Company streamlines billing operations for healthcare providers, ensuring increased revenue, reduced costs, and minimized risk. From small practices to large hospitals, we handle denials management, credentialing, coding, and payer verification with expert precision...

    Top Services:

    • BPO
    • HR Outsourcing
    • Call Centers
    • Accounting
    • Show more
    Location
    Evesham, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $20/hr
    Portfolios Count
    3 Projects Listed
  • Your Trusted Financial Partner

    FACT ADVISORS is a highly respected and experienced financial services firm located in the heart of Las Vegas. With over 15 years of international experience in the financial industry, we bring a wealth of knowledge and expertise to help you navigate your financial journey successfully...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    $1,000 - $10,000
  • Small Business Accounting, Technology, & Growth Consulting.

    Fred Lundin CPA LLC is a Chicago-based CPA accounting and technology consulting firm specializing in serving e-commerce, solopreneurs, and small business owners. With a dedicated focus on these sectors, we provide tailored financial and technological solutions to help our clients thrive in their respective...

    Top Services:

    • Business Consulting
    • Market Research
    • Accounting
    • BPO
    • CRM Consulting
    • Show more
    Location
    Chicago, Illinois
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    3 Projects Listed
  • That is why we take a holistic approach to assisting clients with growing, managing, and protecting their hard work. With more than 180 professionals across 9 locations, we partner with many of the regions most trailblazing and passionate leaders and organizations...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Winchester, Virginia
    Number of Employees
    100 - 249
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • Dedicated virtual assistants, fully vetted and fully managed.

    Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...

    Top Services:

    • BPO
    • Customer Support
    • HR Outsourcing
    • Call Centers
    • Accounting
    • Show more
    Location
    Newport Beach, California
    Number of Employees
    250 - 499
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • Billing You Can Trust

    The Ashez Group helps healthcare practices simplify medical billing, credentialing, and revenue cycle management while reducing denials and improving collections...

    Top Services:

    • BPO
    • Business Consulting
    • Customer Support
    • Accounting
    • Show more
    Location
    Fairfax, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $36/hr
    Minimal Budget
    $1,000 - $10,000
    Portfolios Count
    1 Project Listed
  • Tailored Financial Solutions For Every Industry

    Saluja & Associates CPA PLLC is a Houston-based CPA accounting and advisory firm delivering reliable, high-quality financial services for individuals, startups, and growing businesses. Our team specializes in tax planning, tax preparation, bookkeeping, payroll, CFO advisory, and compliance support designed to...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Trusted Partner for Tax, Accounting, & Financial Clarity

    Michael Verderosa CPA, P.C. is a trusted certified public accounting firm based in New York City since 2011.We provide comprehensive services including tax preparation, bookkeeping, payroll, financial statement preparation, and advisory solutions for individuals and businesses. Led by Michael Verderosa, with...

    Top Services:

    • Accounting
    Location
    Patchogue, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $125/hr
    Minimal Budget
    $1,000 - $10,000
  • Most Trustworthy Consulting

    For many years Precision Accounting International has been helping individuals, families and small businesses in the community prepare their taxes. Our friendly service makes the process less stressful and more efficient and our experience and knowledge ensure that we're always up to date on the latest...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Clifton, New Jersey
    Number of Employees
    50 - 99
    Average Hourly Rate
    $150/hr
  • HR Thats Work For You

    SBCHR provides HR consulting, compliance, recruiting, and benefits support to help businesses manage employees, reduce risk, and grow...

    Top Services:

    • HR Outsourcing
    • Accounting
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
    Average Hourly Rate
    $250/hr
    Minimal Budget
    $1,000 - $10,000
  • Reliable Outsourced Bookkeeping Services helping accounting firms and businesses grow capacity.

    We provide outsourced bookkeeping, accounting, payroll, tax preparation, and property management accounting solutions for CPAs, accounting firms, and small to mid-size businesses across the US and Canada...

    Top Services:

    • Accounting
    Location
    Miramar, Florida
    Number of Employees
    50 - 99
    Average Hourly Rate
    $30/hr
    Minimal Budget
    Under $1,000
  • Every Specialty. Billed Right.

    CareRCM is a U.S.-based medical billing and revenue cycle management company founded in 2016, helping healthcare providers across the United States reduce claim denials, accelerate reimbursements, and maximize revenue...

    Top Services:

    • Accounting
    • Digital Services
    • Digital Marketing
    • Business Consulting
    • Market Research
    • Show more
    Location
    Manassas, Virginia
    Number of Employees
    250 - 499
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $50,000 & Up
    Portfolios Count
    1 Project Listed
  • Maximum Results With A Positive Approach

    Fair Capital, your premier debt collection agency. Effective and affordable with a 'no recovery, no fee' policy. Maximum results with a positive approach...

    Top Services:

    • Customer Support
    • Business Consulting
    • Accounting
    • Call Centers
    • Show more
    Location
    Spring Valley, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $50/hr
    Minimal Budget
    $10,000 - $25,000
    Portfolios Count
    1 Project Listed
  • There is a brighter way, the Rea way.

    Rea & Associates, Inc. is a well-established Ohio-based CPA firm with over 350 professionals across 16 locations. Recognized as one of the Top 100 firms in the nation, Rea & Associates specializes in various industries and offers tailored financial and HR consulting services...

    Top Services:

    • Accounting
    • IT Services
    • Managed Services
    Location
    New Philadelphia, Ohio
    Number of Employees
    250 - 499
    Minimal Budget
    Under $1,000
  • Grow Your Business With The Top-Rated Houston Accounting Firm

    Virjee Consulting is a Houston based CPA firm that provide accounting and tax consulting small businesses and to medical and dental practices across the country. More importantly, we consult with small business clients on strategies to reduce their tax burden and increase their bottom line...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
  • Get Accounting & Payroll Off Your Plate.

    CSI is a small business in the Minneapolis/St. Paul metro that has served small U.S. businesses for over 50 years. Our clients love us for our responsiveness and customer service...

    Top Services:

    • Accounting
    Location
    Minneapolis, Minnesota
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
  • Denver CPA Accounting

    Gheen & Co., CPA, LLC is the fastest growing CPA firm in Colorado. We've built our reputation on designing innovative accounting solutions and money-saving tax strategies for medical professionals, dentists, veterinarians, and high net worth business owners...

    Top Services:

    • Accounting
    Location
    Denver, Colorado
    Number of Employees
    Under 49
    Average Hourly Rate
    $30/hr
    Minimal Budget
    $1,000 - $10,000
  • At Appletree Business Services, our specialty is providing New Hampshire small business owners Business Financial Confidence with accounting, bookkeeping, payroll and tax services they need, packaged in a combined 'Business Owners Package'...

    Top Services:

    • Accounting
    Location
    Londonderry, New Hampshire
    Number of Employees
    Under 49
  • Honesty, Intergrity, Accountability

    Financial Planning & Analysis in Cash Management for Small Businesses "Your ready to go Fractional CFO/Advisory Service"...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
  • Provides excellent accounting services to individual and small business.

    Shotkoski & Associates, PC provides accounting services to individual and small business clients and assists with navigating the complex and ever-changing financial and tax environments allowing our clients to maximize their success...

    Top Services:

    • Accounting
    Location
    Lincoln, Nebraska
    Number of Employees
    50 - 99
  • Our Mission: Your Success

    RKKM is a Certified Public Accounting company that provides consulting, auditing, tax, and accounting services. We provide clients in a variety of industries with corporate, not-for-profit, trust, estate, partnership, limited liability entity, and individual services...

    Top Services:

    • Accounting
    Location
    Canton, Ohio
    Number of Employees
    Under 49
  • Tailored Financial Insights, Exceptional Outcomes

    Compass CPA, PC, we provide top-notch Virtual Controller, Accountant, and CFO services for a fraction of the cost of in-house hires. Our dedicated team of virtual accountants, CPAs, and tax professionals helps you achieve business goals with comprehensive financial reporting, forecasting, and tax...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    San Rafael, California
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Reliable Bookkeeping and Financial Advisory Services

    KSFG Wealth make business growth easier by taking the stress out of managing finances. Whether you are just starting out or leading a growing company, our team is here to give you reliable financial support so you can stay focused on what matters most building your business...

    Top Services:

    • Accounting
    Location
    Frisco, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $10,000 - $25,000
  • Expertise | Care | Discretion

    Professional accounting, payroll, and business solutions for sustainable growth...

    Top Services:

    • Accounting
    Location
    North Palm Springs, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $35/hr
    Minimal Budget
    Under $1,000
  • Outsourced Accounting & Bookkeeping Services | eCommerce, CFO & CPA Experts

    Datastub offers outsourced accounting and bookkeeping services for CPA firms, small and medium-sized businesses, and eCommerce companies across the U.S. and Canada. From sales tax prep and reconciliations to AP/AR and outsourced CFO solutions, we deliver accurate, cost-effective support. CPA firms trust us as...

    Top Services:

    • Accounting
    Location
    Herndon, Virginia
    Number of Employees
    Under 49
  • Your Trusted Accounting Firm

    Accountrix offers outsourced bookkeeping and accounting services in Ontario and Canada. Let us be your trusted partner in managing your business's complexities...

    Top Services:

    • Accounting
    Location
    Ontario, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Business Made Better

    ProfitWerx helps small businesses in Klamath Falls and surrounding communities get more from their technology and online presence. We provide professional IT services, technical support, web design, and SEO solutions designed to help businesses run better and grow...

    Top Services:

    • IT Services
    • Managed Services
    • Cybersecurity
    • Web Design
    • SEO
    • Show more
    Location
    Klamath Falls, Oregon
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Bookkeeping And Tax Solutions For Houston Businesses

    Seasoned accounting professional with over 20 years of experience in bookkeeping, tax compliance, financial operations, and process optimization. Skilled in maintaining accurate financial records, ensuring regulatory adherence, and developing tax strategies that reduce liabilities and improve efficiency...

    Top Services:

    • Accounting
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $1/hr
    Minimal Budget
    Under $1,000
  • Dental Billing Service

    The Dental Services is a US-based dental business solutions provider specializing in billing, credentialing, and practice support services, helping dental clinics streamline operations and improve financial performance through efficient and compliant processes...

    Top Services:

    • Business Consulting
    • Accounting
    Location
    Philadelphia, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    $1,000 - $10,000
  • Plan Your Tax Strategy With Confidence

    Tax Expert Today LLC helps individuals and business owners reduce tax liability through proactive planning, not just year-end filing. We focus on identifying opportunities most firms miss, including structuring income, optimizing deductions, and planning ahead so clients are not overpaying. Whether you are...

    Top Services:

    • Accounting
    • Business Consulting
    Location
    Naples, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Zero-fee nearshore staffing. Vetted LATAM talent in US time zones.

    Virtustant places pre-vetted Latin American professionals with US companies and never charges recruitment fees: clients pay only the hire's salary, payroll and compliance included. Shortlists arrive in 48 hours, average time-to-hire is 3 days, and every placement carries a lifetime replacement guarantee...

    Top Services:

    • HR Outsourcing
    • BPO
    • Customer Support
    • Phone Answering Services
    • Accounting
    • Show more
    Location
    St. Petersburg, Florida
    Number of Employees
    100 - 249
    Average Hourly Rate
    $12/hr
    Minimal Budget
    $1,000 - $10,000
  • A Virtual Assistant Agency For Growing Businesses

    The Peak Hire helps busy founders and growing teams reclaim their time with dependable virtual assistants matched to their actual workflows. Our remote professionals support administration, customer service, sales, recruiting, operations, bookkeeping, CRM management, scheduling, inbox management and lead...

    Top Services:

    • BPO
    • HR Outsourcing
    • Phone Answering Services
    • Customer Support
    • Call Centers
    • Show more
    Location
    Miami, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Enterprise-grade ERP, accounting, data analytics, and AI for growing businesses.

    Global team of 100+ delivering ERP implementation, outsourced accounting, data analytics, and agentic AI workflows. Certified partners of Odoo, Sage, QuickBooks, and Claude giving growing businesses enterprise-grade expertise...

    Top Services:

    • Web Design
    • eCommerce Development
    • WordPress Website Design
    • Web Development
    • AI Development
    • Show more
    Location
    Dover, New Jersey
    Number of Employees
    Under 49
    Average Hourly Rate
    $20/hr
    Minimal Budget
    Under $1,000
  • Lighting The Way for Stronger BusinessDecisions

    Fresnel Partners is a Yardley, PA-based financial services firm delivering tax preparation, accounting, and strategic advisory solutions...

    Top Services:

    • Accounting
    • Market Research
    • Business Consulting
    • Call Centers
    • BPO
    • Show more
    Location
    Delaware City, Delaware
    Number of Employees
    250 - 499
    Average Hourly Rate
    $400/hr
    Minimal Budget
    $1,000 - $10,000
  • Specialty-Focused Medical Billing That Boosts Revenue Fast and Easily

    At Billing Care Solutions, we help healthcare organizations strengthen their revenue cycle, improve billing efficiency, and gain greater control over financial performance...

    Top Services:

    • VR/AR
    • CRM Consulting
    • ERP Consulting
    • Business Consulting
    • Investment
    • Show more
    Location
    Sheridan, Wyoming
    Number of Employees
    Under 49
    Average Hourly Rate
    $100/hr
    Minimal Budget
    Under $1,000

Related Accounting Specializations in the US

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Small Business Accounting Firms in the United States FAQs

What services do small business accounting firms in the United States provide?

Small business accounting firms in the United States provide the following services:

How much do small business accounting services cost in the United States?

Small business accounting services in the United States cost from $100 to $5,000, depending on the services and hired accountant. Accountants in major cities may charge up to $500 per hour.

The cost of accounting services for a small business will depend on the business size, industry, location, number of transactions, type and frequency of service, and the accountant’s experience level.

Can I get a free consultation from US small business accounting firms?

Yes, many US small business accounting firms offer a free initial consultation to discuss your business needs, review financial challenges, and explain their services. During this meeting you could assess whether the firm’s expertise, pricing, and approach align with your goals before committing to a paid engagement.

How do I choose the right small business accounting firm in the United States?

Choose the right small business accounting firm in the United States by following these steps:

  1. Define whether you need bookkeeping, tax preparation, payroll, or advisory support services to make sure the accounting firm offers a matching scope
  2. Look for firms with relevant client history in your sector and verify credentials like CPA licenses or other certifications
  3. Ensure accounting firms you assess use modern accounting tools, can grow with your business, and offer clear, responsive interaction
  4. Review reputation and pricing transparency by reading client reviews, asking for case studies, understanding their fee structure, and confirming they prioritize data security and customization

What certifications should US small business accounting firms have?

US small business accounting firms should have licensed Certified Public Accountants (CPAs), the most recognized credential for tax, audit, and financial reporting. Additional certifications like Certified Management Accountant (CMA) for financial analysis and Enrolled Agent (EA) for tax representation add further credibility. 

Firms should also follow the ethical and continuing education standards set by the American Institute of Certified Public Accountants (AICPA).