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 can involve a mix of clinical, employment and business issues, so the right approach often depends on how you work and how your practice is set up. The points below highlight areas that may need attention, whether you are an associate, a practice owner or part of a dental partnership or company.
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.
If you are a self-employed dentist, an associate dentist paid through self-employment, or you receive income that is not fully taxed at source, you may need to complete a Self Assessment tax return. The exact requirement depends on your working arrangement, your income sources and whether you already have tax deducted through PAYE. An accountant can review your circumstances, help gather the relevant income and expense records, and prepare the return where one is required.
Associate dentists often receive income from a practice or principal dentist, which may include NHS contract work, private treatment fees or a combination of both. The accounting treatment can depend on whether you are engaged as self-employed, employed or through another arrangement. Good record keeping is important so that income, expenses such as indemnity cover and professional subscriptions, and any tax liabilities can be reported accurately.
Dentists may be able to claim expenses that are wholly and exclusively incurred for their work, although the rules depend on the specific cost and how the dentist is structured. Common areas to review can include professional subscriptions, indemnity insurance, some equipment costs, practice-related travel in certain situations, and other costs connected with running a dental practice. An accountant can help identify what may be allowable and keep the supporting records organised.
If a dental practice employs staff, payroll support may be needed to manage salaries, PAYE, National Insurance and pension duties where applicable. VAT may also be relevant if the practice is registered or approaching registration, and the treatment of NHS and private income can require careful attention. The level of support depends on the practice structure, turnover and the services provided.
The right structure depends on factors such as how many dentists are involved, how profits are shared, the level of risk, and future plans for the practice. A sole trader or partnership may suit some dentists, while a limited company structure may be appropriate in other situations. Each structure has different accounting, tax and compliance requirements, so it is worth reviewing the options before making a change.
Yes. CruseBurke can support dental practices with bookkeeping, annual accounts and related accounting work, helping to keep financial records organised throughout the year. This can include separating different income streams, recording expenses, preparing information for tax returns and working with the practice's existing systems where appropriate. The exact service depends on the needs of the dentist or practice.
Switching accountants usually involves providing authorisation for the new accountant to communicate with HMRC and your previous accountant, then arranging the handover of records and outstanding returns. It can be helpful to have recent accounts, tax returns, bookkeeping records and payroll or VAT information available. A clear handover can help reduce disruption and ensure the new accountant understands your dental income and practice structure.
To get started, it may help to have details of your income sources, business structure, expenses, payroll, VAT records where applicable, and any outstanding tax returns or accounts. If you are an associate dentist, information about your practice arrangements and payment statements can also be useful. The exact information required depends on whether you are self-employed, employed, a partner or a limited company practice owner.
