Your dental practice’s ISA score, letters and deadlines, every month.
FiscalPulse reads your practice’s Cassetto Fiscale monthly: ISA score, letters, F24 payments, lab costs, equipment leases.
€29 a month · no patient data · read-only, revocable
Sample company · illustrative dataDental practices and the ISA
66.1% in the reward band
Self-employed dentists earning over €30,000 with a reward-level ISA score, tax year 2024.
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Scores run from 1 to 10, and the average is 7.56.
Source: ANDI Centro Studi (2026)
46.9% do not know what the ISA is
Share of ANDI members, in its 2026 economic survey.
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ANDI is the Italian dentists’ association. Among dentists working only as associates it rises to 78.5%, among under-35s to 87.2%; among practice owners it is about a third.
Source: ANDI, Analisi Congiunturale 2026 and paper to the National Council of 18 July 2026
37,043 practices subject to the ISA
Dental practices with an ISA score in 2021.
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Together they had about €8 billion in revenue and an average score of 7.4.
Source: Infodent on Agenzia delle Entrate data (2021)
The practice read as a business
Compliance letters with amount and deadline
A compliance letter flags a figure that does not add up.
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The Agenzia delle Entrate (the Italian Revenue Agency) sends it to the practice’s Cassetto. You get an email the day it appears, with the copy, the amount and the date by which to settle. If you correct it through ravvedimento (voluntary correction), the penalties are reduced.
The ISA score, explained in two lines
Your accountant already calculates it with the tax return.
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The ISA is the Agenzia’s tax reliability rating, and the report shows it with the year it refers to, next to the threshold of 8 that gives access to the rewards. When the new year’s score arrives, you find it in that month’s report.
Dental lab and materials
Prostheses, aligners, implants and consumables come from a few suppliers.
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Their e-invoices arrive every month. The report splits spending by category, tells you the share of your main lab and compares categories with practices under the same ATECO code (the Italian activity classification), never supplier by supplier.
For the bank or leasing company
A tax score on six dimensions and tax payment regularity.
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Use it when you apply for a loan for the practice or financing for equipment.
What each associate costs
Associates with their own VAT number invoice the practice.
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The report adds up the fees of associate dentists and hygienists by professional and by month.
Equipment leases
Leased dental units, intraoral scanners and X-ray equipment, spotted in the invoices.
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They are lined up with the other outgoings.
F24 and advance tax before the 16th
Withholding tax on fees, contributions, balance and advances, with amounts known ahead.
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The advances are due in June and November, and staff contributions are included.
The archive of reports
Every monthly edition is archived as generated.
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Each one keeps that month’s score and letters.
The fiscal credit score is a complementary tool based on declared tax data. It is not a regulated credit rating within the meaning of Regulation (EC) No 1060/2009.
Giulia shows what is inside and what reaches you every month.
Without patient invoices in SDI, the ISA still comes from the tax return
Patient invoices do not enter SDI.
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SDI is the national e-invoicing exchange. The ISA indices, however, are calculated on what the practice declares: fees, expenses, staff, equipment. The score runs from 1 to 10. Under ISA 2026, which covers tax year 2025, a score of 8 lets the practice offset direct-tax and IRAP credits up to €20,000 a year without the visto di conformità (an accountant’s certification), and from 9 the limits rise. The practice can use the year’s score or the average of the last two.
Source: Agenzia delle Entrate, measure of 22 April 2026 on ISA reward thresholds, reported by ANCE (2026)
The practices we read
- Individual and associated dental practicesATECO 86.23
- Dental companies and chainsATECO 86.23
- Professional partnerships (società tra professionisti)ATECO 86.23
- Associate dentists in several practices, with their own VAT numberATECO 86.23
Getting started
Set up in about half an hour, then it runs on its own
- 01
You give us access to the Cassetto Fiscale.
The company’s Entratel or Fisconline credentials are enough: these are the logins an Italian company uses with the Agenzia delle Entrate.
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If you do not have them, we request them together through the company’s PEC, its certified email address, and they arrive in four to seven days. You can also appoint one of our partner accountants in Italy for read-only access.
- 02
We read the full history.
Invoices, F24 payments, LIPE, tax returns, letters from the Agenzia and credit registers: twenty-two document types, joined into a single reading.
- 03
You receive the report every month, in English.
A provisional version on the 3rd and the final one on the 18th, archived and ready to download.
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You also get an email every time the Agenzia writes to the company.
Your accountant in Italy keeps doing their job. If you like, they receive the report in copy.
€29 a month per Italian company, with the company’s own credentials
for companies with up to 2,000 invoices a year · cancel whenever you like
Cancel whenever you like, with no penalty. The yearly plan is paid in one instalment.
- Full monthly report, provisional on the 3rd and final on the 18th
- An email for every letter from the Agenzia, with the original attached and explained in English
- A reminder before every deadline
- Alerts on out-of-scale invoices and on customers who are buying less
- A version of the report to present to Italian banks and confidi (credit guarantee consortia)
- Archive of every past report, always available to download
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A hundred companies or more. Banks, leasing and factoring companies, credit guarantee consortia, networks and groups that follow at least a hundred Italian companies: we show you the engine in a demo on real positions from your portfolio.
An Italian company spends between €5,000 and €50,000 a year on its accountant, admin staff and software to produce the data that lands in the Cassetto Fiscale. For €29 a month, that data works for you too.
Questions
Where do I find my ISA score?
You find it in the Cassetto Fiscale, linked to the year’s tax return, and the accountant who prepared it knows it. FiscalPulse shows it in the report with the reference year, next to the reward threshold. You know where your practice stands without logging into the Agenzia’s portal.
What does an ISA score of 8 change?
With 8 or more the practice gets reward benefits. For tax year 2025, from a score of 8 no visto di conformità is needed to offset direct-tax and IRAP credits up to €20,000 a year, and from 9 the limits rise. The practice can use the year’s score or the average of the last two.
Does the report read patient invoices?
No. Healthcare services to individuals cannot be e-invoiced under D.Lgs. 81/2025, so they are not in the Cassetto. The report reads invoices from suppliers, labs and associates, invoices to funds, insurers and companies, F24 payments, returns and letters from the Agenzia.
What is a compliance letter?
It is a letter in which the Agenzia flags a figure that does not add up and invites you to correct it yourself. It states the anomaly, the year and the data compared. You can settle through ravvedimento at reduced penalties, or explain the figure with your accountant. The report alerts you the day it appears.
I am an associate in several practices: is it useful?
Yes, if you have a VAT number and a Cassetto Fiscale. The report reads the invoices you issue to each practice and shows each one’s share of your revenue. You also see letters from the Agenzia, F24 balance and advance payments with the amount ahead and, unless you are under the flat-rate regime (forfettario), your ISA score.
Does my accountant receive the report?
Yes, if you wish they get it in copy every month. The report adds to their work: you both see letters from the Agenzia on the same day, and you discuss the same ISA score with the same deadlines in front of you. They keep preparing returns and F24 payments as before.