Specialist Accountants for Dentists & Dental Practices
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Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.
Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.
Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.
Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat dental practices.
We reconcile NHS schedules, private takings, plan income such as Denplan and card receipts so you always know what the practice is really earning.
Most dental treatment is VAT exempt, but cosmetic work, teeth whitening and product sales are not. We handle partial exemption and get your returns right.
We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.
Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.
Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.
Dental accounting often involves more moving parts than a straightforward self-employment tax return. The mix of income sources, clinical costs, staff expenses and business structures means the right approach can depend on how you work and how your practice is set up.
We know UDAs, superannuation, associate agreements and GDC costs without being told.
Associates, principals and multi-site groups each get a different service, not a template.
One agreed monthly fee with no hourly billing and no surprises at year end.
Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.
You deal with the same qualified person every time, by phone or email, not a call centre.
Our roots go back further than the Second World War and we act for dental clients across London.
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Cloud accounting linked to your practice software so your figures are current, not six months old.
A dedicated accountant for dentists who knows your practice, your contract and your plans.
Unlimited support by phone and email, including quick answers on UDA and superannuation queries.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Take a back seat and let our London dental accountants handle everything. Switching mid-year is straightforward and you do not need to speak to your old accountant:
Reach out to us and we will discuss your practice, your contract and how we can help.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
Accounting support for dentists covers much of the same ground as any other accountancy service, but with an understanding of how dental income and costs work. That can include preparing Self Assessment tax returns, keeping bookkeeping up to date, preparing annual accounts, handling payroll for practice staff, dealing with VAT where it applies, and planning around profits, drawings and investment in the practice. The exact scope depends on whether you are an associate, a principal, a partner or a limited company director.
It depends on your circumstances. Many associate dentists are treated as self-employed for tax purposes and need to file a Self Assessment tax return, even where some tax is already deducted through PAYE on other income. Working across several practices can mean multiple income streams, and keeping track of allowable expenses such as indemnity cover, professional registration and equipment can be time-consuming. An accountant can help make sure the return reflects your position properly rather than relying on estimates.
NHS income and private fee income are generally both taxable, but the way they are recorded and reported can differ depending on whether you are an associate, a principal, or operating through a partnership or limited company. Practice arrangements can also affect how expenses, practice costs and any pension deductions are treated. Because this varies from one dentist to another, it is worth having the treatment of your own income confirmed for your specific situation.
Yes. Practices that employ nurses, receptionists, hygienists or other staff need payroll handled accurately, including deductions, payslips and reporting to HMRC in real time. Where a workplace pension scheme applies, contributions may also need to be dealt with as part of running payroll. CruseBurke can handle payroll alongside the wider practice accounts so staff costs are recorded consistently throughout the year.
There is no single answer that suits every dentist. Sole trader and partnership structures are common for associate and principal dentists, while some practice owners prefer a limited company for reasons that can include how profits are extracted, the tax treatment that follows and how the practice is managed. The better option depends on your income level, number of partners, plans for the practice and personal circumstances, so it is worth reviewing before making any change.
Costs incurred wholly and exclusively for your dental work may be allowable, which can include indemnity insurance, professional body and registration fees, some professional subscriptions, protective clothing, and equipment or materials used in your work. Capital items such as larger equipment purchases are typically treated differently from routine running costs. Because the rules depend on the nature of the expense and your working arrangement, each item is best reviewed individually.
Switching is usually a matter of giving your new accountant authority to act and letting your previous accountant know. Once professional clearance has been handled, records and information can be transferred and the work picked up from where it left off. It helps to have your most recent accounts, tax returns and up-to-date bookkeeping available, but a change can often be arranged partway through the year.
Typically, a dentist getting started will need details of income from NHS and private work, bank and card statements, records of expenses and receipts, details of any staff and payroll, and copies of previous accounts or tax returns if you have them. If you operate through a limited company or partnership, additional information about the structure and ownership will be needed. Providing as much as possible early on helps the first set of accounts or returns be prepared without unnecessary delays.
