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 people expect, particularly where several income streams or business structures are involved. The points below highlight the areas that most commonly need attention, although the exact relevance varies from one dentist to another.
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.
In most cases, yes. If you work as a self-employed dentist or an associate dentist, you are generally treated as self-employed for tax purposes, which means you are responsible for declaring your income and expenses through Self Assessment. Where you also hold an employed role, or receive income from other sources such as property or investments, those may need to be included on the same return. We can review your arrangements and explain which income streams need to be reported and how to record them correctly.
NHS contract payments and private treatment fees are broadly both trading income for a self-employed dentist, but the way they are earned, invoiced and recorded can differ, and practice owners may receive income through a contract rather than on a per-patient basis. The tax treatment can also be affected by whether income is received personally, through a partnership or through a limited company. Because the detail matters, we look at your specific contracts and payment arrangements before advising on how each stream should be reported.
Dentists may be able to claim for costs that are incurred wholly and exclusively for the purposes of their work, which can include indemnity insurance, professional registration and subscriptions, continuing professional development, laboratory charges, materials, and a proportion of certain running costs where applicable. What qualifies depends on your working arrangement, so expenses that are allowable for a practice owner may not be treated the same way for an associate, and vice versa. We review claims carefully so that the position taken is defensible.
Some dental services are exempt from VAT, which means many practices do not need to register on the basis of their clinical income alone. However, the position can change where a practice also supplies goods or services that fall outside the exemption, such as certain cosmetic treatments, dental products or laboratory work. Whether registration is required depends on the nature and value of what the practice supplies, so it is worth reviewing your specific activities rather than assuming the exemption covers everything.
There is no single answer that suits every dentist. Associates often work as sole traders, principals frequently operate through partnerships or limited companies, and practice ownership can involve a mixture of structures. Each option affects how profits are taxed, how much administrative work is involved and how income can be extracted. We can talk through the practical implications of the structures available to you so you can make a decision that fits your circumstances.
A practice payroll typically covers calculating pay for dentists and team members such as hygienists, nurses, receptionists and practice managers, applying the correct tax codes, processing pension contributions where applicable, and reporting through Real Time Information. If the practice employs staff, payroll also needs to account for employment costs and any benefits provided. We can handle payroll on an ongoing basis or work alongside an existing arrangement, depending on what suits the practice.
As a starting point, it helps to have details of your working arrangements, your income sources and how your business is structured, along with any existing accounts, tax returns or bookkeeping records. If you are already trading, recent bank statements, invoices, expense records and payroll information allow us to build an accurate picture. If you are new to self-employment or have just taken on a practice, we can guide you through what is needed as you go.
Fees depend on the scope of work involved, which varies considerably between a self-employed associate with straightforward affairs and a practice owner with staff, VAT and company reporting obligations. After an initial discussion we set out the work to be carried out and how it will be charged, so there are no surprises later. If your circumstances change, whether through taking on a new contract or restructuring the practice, we review the arrangement with you.
