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 income and dental costs rarely follow a single pattern, so the accounting questions that arise tend to depend on how you work, where your income comes from and how the business is structured. The areas below are common considerations, but not every dentist or practice will face all of them.
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 are treated as self-employed for tax purposes, which means they are responsible for registering with HMRC where required, filing a Self Assessment tax return and paying tax and National Insurance on their income. An accountant can help with the return itself, but also with the wider picture: keeping records of income from one or more practices, claiming allowable professional expenses such as indemnity cover and GDC fees, and understanding how payments on account work so there are no surprises. Whether you need ongoing support or just help at tax return time depends on how comfortable you are with the process.
NHS contract income and private treatment fees are generally both taxable, but they can arrive in different ways and on different timings, which makes accurate record keeping important. A practice may receive NHS payments directly or a dentist may be paid a share through the practice, while private fees may be collected by the practice and passed on, or billed directly. The tax treatment of each arrangement can vary, and it can also affect whether you are seen as employed or self-employed. We can help untangle how your income is structured and make sure it is reported correctly.
Yes. Dental practices often employ a mix of nurses, receptionists, hygienists, therapists and administrative staff, and each can bring different payroll considerations, including PAYE, National Insurance, pension duties and statutory payments. We can handle payroll processing and the related reporting, and help you understand the total employment cost of your team rather than just gross pay. Where you use associates or locums on a self-employed basis, we can also advise on the record keeping that arrangement requires.
It depends. VAT registration is generally driven by turnover against the relevant threshold, and some dental services may be exempt while others are not, which can make the position less straightforward than it first appears — particularly where NHS work and private cosmetic or laboratory-related services sit side by side. If registration applies, there are different schemes and treatment options that may suit a practice. Because the answer varies with your mix of services and turnover, it is worth reviewing your position rather than assuming either way.
As a general guide, you should keep records of all income received, whether from NHS contracts, private fees or other sources, along with evidence of expenses such as indemnity cover, professional subscriptions, continuing professional development, clinical equipment, laboratory fees and travel between practices. Bank statements, invoices and receipts all help, and keeping NHS and private income clearly separated makes both bookkeeping and tax reporting far easier. If you operate through a limited company, company records will also be needed for annual accounts and Corporation Tax.
Not necessarily — it depends on your circumstances. Sole trader, partnership and limited company structures each carry different tax, reporting and administrative obligations, and what suits one dentist may not suit another, particularly where profit levels, drawings, pension contributions and plans to buy or sell a practice are involved. We can talk through how each structure might work for you and the practical implications, so the decision is made with proper information rather than assumption.
Switching is usually more straightforward than dentists expect. We would ask for details of your current arrangements and the records you hold, then liaise with your existing accountant to obtain the information needed for a clean handover, including any professional clearance requirements where relevant. If your previous records are incomplete or your bookkeeping has fallen behind, that can be sorted as part of the process. The aim is to move you across without disruption to deadlines or continuity of advice.
It helps to have a picture of your working arrangements first — whether you are an associate, a principal, a locum or a practice owner, and whether income comes from NHS work, private work or both. From there, we would typically look at your recent tax returns, accounts, bookkeeping records, VAT returns if registered, payroll information and details of your business structure. If you are not sure what you have or what is missing, that is not a problem — identifying the gaps is part of what we do.
