Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Alcester: Specialist Tax and Accounting Support for Dental Professionals

Dentistry rarely produces a straightforward set of accounts. An associate may be self-employed with several income streams, a principal may combine NHS contract income with private fees, and a practice owner is usually also an employer with payroll, equipment and premises costs to account for. Accountants for Dentists in Alcester need to be comfortable with all of those variations, because the tax and reporting treatment can differ depending on how you work and how your practice is structured. This page explains how CruseBurke supports dentists and dental practices with Self Assessment, bookkeeping, annual accounts, payroll, VAT where it applies, and forward-looking tax planning. Whether you are a newly qualified dentist filing a first return, a partner in a dental partnership, or a director of a limited company running a growing practice, you will find practical information here about what specialist accounting support involves and how to decide what you actually need.

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⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Jamie Fletcher profile picture
Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman profile picture
Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Who We Help: Associates, Principals, Practice Owners and Dental Teams

The dentists we work with are a varied group: self-employed associate dentists, principal dentists holding an NHS contract, fully private practitioners, and owners of single or multi-surgery practices. Some work entirely on a self-employed basis, others hold an employed role alongside private work, and many have income from more than one source in the same tax year. Accounting requirements therefore differ from one dentist to the next, and they depend on your working arrangement, your income streams and whether you trade as a sole trader, a partnership or a limited company.

Associate & Private Dentists

Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.

Dental Practice Owners & Principals

Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.

Orthodontists & Specialists

Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.

Squat Practices & Dental Start-Ups

Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat dental practices.

Accounting and Tax Services for Dentists and Dental Practices

Our work with dental clients typically covers Self Assessment and tax returns, day-to-day bookkeeping, annual accounts, Corporation Tax where a limited company is involved, and payroll for practice teams. Dentists with a registered VAT position can also receive support with VAT returns and record-keeping, along with guidance on which treatments and services may be treated differently for VAT purposes. Alongside the compliance work, there is usually room for planning — reviewing your structure, timing equipment purchases, and making sure profits, drawings and pension contributions are handled sensibly in light of your own circumstances rather than a one-size-fits-all template.

Bookkeeping for 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.

VAT for Dental Practices

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.

Self-Assessment for Associate Dentists

We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.

Dental Payroll, Auto-Enrolment & NHS Pension

Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.

Practice Accounts & Profitability Reporting

Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.

Financial and Accounting Considerations for Dental Practices

Dental accounting is not simply a case of adding up fees and subtracting costs. The way income arrives, the way expenses are incurred and the way the business is structured all influence what needs to be recorded, reported and planned for — and those factors vary considerably between an associate dentist and a practice owner.

  • Recording a mix of NHS contract income and private fees, which may need to be tracked and reported differently within the same practice
  • Associate dentist arrangements, where contracts, self-employed status and expense claims can raise questions that are worth reviewing
  • Professional costs such as indemnity cover, registration fees and professional body subscriptions, which may be allowable depending on the circumstances
  • Equipment, surgery fit-outs and other capital purchases, where the tax treatment and timing can affect the overall position
  • Payroll and employment costs for practice teams, including hygienists, nurses, receptionists and any assistants employed by the practice
  • Bookkeeping and record-keeping across several income streams, together with VAT considerations and a review of whether the current trading structure still fits the practice

Why Dentists in Alcester Work With CruseBurke

Dentists tend to want straightforward answers, organised records and someone who understands why a month of NHS contract income and private fees does not look like a normal payslip. We take the time to understand how you actually work — employed, self-employed, or a combination of both — before agreeing what needs to be done and when. The aim is financial information you can rely on, deadlines that are diarised rather than discovered, and advice written in plain English rather than accounting jargon.

Genuine Dental Expertise

We know UDAs, superannuation, associate agreements and GDC costs without being told.

Built Around Your Practice

Associates, principals and multi-site groups each get a different service, not a template.

Fixed, Transparent Fees

One agreed monthly fee with no hourly billing and no surprises at year end.

Proactive Dental Tax Planning

Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.

Named Accountant, Real Answers

You deal with the same qualified person every time, by phone or email, not a call centre.

A Track Record Since Before WWII

Our roots go back further than the Second World War and we act for dental clients across London.

Our Simple Three-Step Process

We start with a conversation about how you work, what you earn and where your records currently sit, so the scope of the work is clear from the outset. From there, we organise the accounting and tax work that applies to you — bookkeeping, returns, accounts or payroll — and set out what information is needed and by when. Once everything is running, we provide ongoing support as your practice, income or structure changes, with reviews at sensible points in the year rather than a scramble at the end.

1. Initial Consultation (It’s Free):

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.

2. Customised Plan:

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.

3. Ongoing Support & Updates:

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.

Professional Support Built Around Dental Practice Realities

CruseBurke takes a professional, methodical approach to dental clients, working to recognised accounting standards and keeping clear records of the basis on which figures have been prepared. Just as importantly, we explain things properly — why a particular expense has been treated a certain way, how a structure decision affects your reporting, or what information your accountant needs if your working arrangement changes. You should always understand the position you are in, not simply receive a set of figures once a year.

Technology Driven

Cloud accounting linked to your practice software so your figures are current, not six months old.

Named Dental Accountant

A dedicated accountant for dentists who knows your practice, your contract and your plans.

Ongoing Support

Unlimited support by phone and email, including quick answers on UDA and superannuation queries.

Experienced Team

Our team has over 100 years of combined accountancy experience.

Free - Email Reminders

Never Miss any deadline with our automated email reminders.

Yes, We Are Chartered!

We’re an ICAEW, ACCA & AAT accredited Firm.

How to Switch to Our Dental Accountants

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:

Get in touch

Reach out to us and we will discuss your practice, your contract and how we can help.

Letter of Engagement

We’ll send over a simple letter to formalise our partnership and get everything in motion.

Previous Accountants

If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.

We Do the Rest

From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.

FAQs

Not every associate dentist needs an accountant, but many find it useful once their affairs become more involved. If you are self-employed, you will need to report your income and expenses through Self Assessment, and if you also hold an employed position, the two need to be brought together correctly on the return. Associates often have several income sources, fluctuating earnings and a set of professional costs to account for, so having the figures prepared accurately and consistently can remove a good deal of uncertainty. It also helps to have someone review whether your current working arrangement still matches how you are taxed.

NHS contract income and private fees are usually recorded separately because they behave quite differently — one is contract-based and the other varies with patient activity and treatment mix. In practice, we set up bookkeeping in a way that keeps the streams distinguishable, so both your accounts and any tax return show a clear picture rather than one blended total. How each element is treated for tax purposes depends on your business structure and the terms of your arrangements, so we review that rather than assuming a single approach applies.

Yes. This is a common situation for dentists who split their week between an employed role and self-employed sessions, or who have recently changed arrangements. The self-employment income is reported through Self Assessment, while the employed income is usually taxed under PAYE, and the return brings the two together to arrive at the overall position. Careful record-keeping throughout the year makes that process far simpler than reconstructing everything the week before a filing deadline.

Expenses that may be allowable include items such as indemnity or professional indemnity cover, registration and professional body subscriptions, continuing professional development that is relevant to your existing work, and certain costs associated with running your practice. Whether a particular cost can be claimed depends on the circumstances — your employment status, whether the expense is wholly and exclusively for the purposes of the work, and whether it has been reimbursed elsewhere. We review your costs individually rather than working from a generic checklist.

Many practices do, because a dental practice is usually an employer as well as a clinical business. Payroll can cover hygienists, nurses, receptionists, practice managers and, in some cases, associate dentists engaged on an employed basis. That brings obligations around PAYE, National Insurance, payslips, pension auto-enrolment where it applies, and reporting to HMRC on or before payment. We can run payroll on your behalf or work alongside whoever handles it in-house, depending on what suits the practice.

There is no single answer that suits every dentist. Sole trader status is common for associates because of its simplicity, partnerships are frequently used where dentists share premises or a practice, and a limited company can make sense for some practice owners depending on profits, reinvestment plans and how income is drawn. The right structure depends on your level of profit, your plans for the practice, and your personal circumstances, which is why we review it against your own figures rather than offering a general recommendation.

VAT in dentistry is not straightforward, because some treatments and services can fall outside the scope of VAT while others are standard-rated, and the position depends on what is supplied and by whom. Where a practice is VAT registered, we can support with VAT returns, the underlying records and the way income is coded so that different supplies are captured correctly. If you are not registered and are unsure whether you should be, that is a conversation worth having before the question becomes urgent.

It helps to have details of how you work — employed, self-employed or both — along with your income records, details of professional costs, any practice accounts or payroll information, and your previous tax returns or accounts if you have them. If you are switching from another accountant, we can usually take care of the handover directly. We will confirm exactly what is needed once we understand your circumstances, so nothing is requested that does not actually apply to you.

Speak to an Expert

Ready to Stop Wrestling With Receipts and Deadline Dates? Let CruseBurke Bring Some Order to Your Dental Finances

If your income arrives from a mix of NHS contract work and private fees, your expenses are piling up in a folder, and the Self Assessment deadline has a habit of appearing out of nowhere, it may be time for a different approach. CruseBurke can take on the bookkeeping that keeps your records usable, prepare your accounts and tax return so the figures reflect how you actually work, and stay on hand as your practice or working arrangements change. You deserve to know where you stand financially without having to become an accountant in the process.