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 other professional trades, largely because income can arrive from several directions at once and expenses are not always straightforward. The points below are common considerations rather than universal rules, and how they apply will depend on whether you are employed or self-employed, how your practice is structured and where your income comes from.
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.
Many associate dentists work on a self-employed basis, which means they need to report their income through Self Assessment and keep records of allowable expenses. The practical question is usually not whether you need an accountant, but how much support is useful. Some associates simply want their tax return prepared accurately, while others want help with bookkeeping, cash flow planning or deciding whether a different structure would suit them better. If you are employed rather than self-employed, your tax position will be different, so it is worth confirming your status before assuming anything.
Income from NHS work, private fees and dental plan schemes is generally taxable, and the way it is recorded matters because it can arrive through different payment routes and at different times. Keeping those streams clearly separated in your bookkeeping makes your accounts easier to prepare and reduces the risk of omissions or double counting. Where a practice receives income from several sources, the accounting treatment can also affect how performance is measured, so it is worth setting up your records sensibly from the outset.
Dentists commonly incur costs such as GDC registration, indemnity insurance, professional subscriptions, continuing professional development and specialist equipment, and these may be allowable in certain circumstances. Whether a cost can be claimed depends on your employment status, whether it was incurred wholly and exclusively for your work, and whether it has already been reimbursed. Capital items such as equipment are usually treated differently from day-to-day running costs, which is one reason a quick review of your outgoings can be worthwhile.
Yes. Practice payroll often covers a mix of nurses, receptionists, hygienists, therapists, practice managers and sometimes associates, and each arrangement needs to be treated correctly. Payroll support can include calculating pay, handling PAYE and Real Time Information submissions, dealing with starters and leavers, and managing pension obligations where they apply. It is also important to get the employment status of associates and other team members right, because treating someone as self-employed when they are not can create problems later.
There is no single answer that suits every dentist. A sole trader or partnership structure can be simpler to run, while a limited company may offer different tax and profit extraction options as a practice grows. The right choice can depend on profit levels, the number of principals involved, plans to expand or sell, pension arrangements and personal circumstances. Because company and partnership rules differ, it is sensible to review your structure periodically rather than assuming the arrangement you started with remains the best one.
Whether VAT registration is required depends on your turnover and on the nature of the services you provide. Some dental services are exempt from VAT, while others may be treated differently, and mixed practices can be more complicated than they first appear. If you are approaching a registration threshold, or you provide a combination of treatments, it is worth getting advice before you register or change how you invoice, as the decision can affect your pricing and administration.
Switching is usually more straightforward than dentists expect. We would normally contact your existing accountant for professional clearance, obtain the relevant records and prior accounts, and agree a handover point so nothing falls between the two firms. You will typically need to provide details of your income sources, bank and card statements, expense records, payroll information and any existing tax returns or accounts. Once the information is in place, the work for the current period can be picked up without disruption to your practice.
As a starting point, it helps to see your income records, which may include NHS statements, private fee summaries and plan scheme reports, along with bank statements, invoices, expense receipts and details of any equipment purchases. If you operate through a limited company or partnership, previous accounts, tax returns and VAT records are useful too. If some records are incomplete, that is not usually a barrier, as part of the initial work can involve getting your bookkeeping into a workable shape before returns or accounts are prepared.
