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 businesses rarely fit a single template, so the accounting and tax work involved usually reflects how each dentist is engaged and how the practice is structured. The points below are common considerations rather than a checklist that applies to every dentist or practice.
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.
You are free to appoint any accountant, but dental work does involve areas that generalists may not encounter often. Income can arrive through NHS contract payments, private treatment fees or a mixture of both, and expense claims can include indemnity cover, GDC registration, professional subscriptions, CPD and clinical equipment. An accountant familiar with these areas is more likely to ask the right questions, spot costs that may be allowable and understand how your working arrangement affects what is reported and when. It is not a legal requirement, but it can make the process smoother and reduce the risk of details being overlooked.
Many associate dentists work under a self-employed contract, which means their income is usually reported through Self Assessment rather than taxed through PAYE. In practice, that involves recording income from one or more practices, claiming allowable expenses and understanding how payments on account may affect the amounts due during the year. Some associates are engaged as employees instead, in which case PAYE applies and the reporting position is different. The contract terms, the way you are paid and the number of practices you work for all shape the correct treatment, so it is worth reviewing your arrangements rather than assuming a standard answer applies.
Yes. Mixed income is common in dental practices, and it can create bookkeeping and reporting questions because NHS contract payments and private treatment fees often follow different patterns and arrive on different schedules. Keeping those streams clearly separated in your records makes it easier to understand profitability, monitor contract performance and prepare accurate accounts. There can also be VAT implications depending on the services provided and the level of turnover, which is why it helps to review the position rather than treat all dental income in the same way.
A partnership generally involves a partnership tax return together with individual Self Assessment returns for each partner, with profits allocated according to the partnership agreement. A limited company is a separate legal entity, so it typically files annual accounts and a Corporation Tax return, and directors are usually paid through payroll alongside any dividends. The right structure depends on your circumstances, including how many principals are involved, how profits are shared, exposure to risk and plans for growth or eventual sale. There is no single answer that suits every practice, so the decision is usually made after looking at the numbers in detail.
Payroll for a dental practice often covers a mix of people, which can include nurses, receptionists, hygienists, practice managers, associate dentists paid a salary and directors taking a salary. Each arrangement has its own reporting requirements, and pay, deductions and workplace pension duties where applicable need to be handled accurately and on time. We can run payroll on your behalf, keep records of payments and deductions, and make sure the information feeding into your annual accounts and returns is consistent with what has been reported.
As a general guide, it helps to retain treatment income records, NHS payment schedules, associate or self-employed contracts, laboratory invoices, supplier receipts, bank and card statements, and evidence of professional costs such as indemnity cover, registration and training. Equipment purchases and any finance agreements relating to them are also worth keeping, since the tax treatment of capital items can differ from everyday running costs. Keeping these records organised through the year, rather than gathering them at the end, usually makes the accounts and tax return process quicker and reduces the chance of items being missed.
VAT treatment in dentistry is not identical across all services. Some dental care may be exempt, while other treatments, such as certain cosmetic or purely private procedures, can be standard-rated, and registration depends on taxable turnover against the relevant threshold. Because the rules vary with the mix of services provided, the position should be reviewed rather than assumed. If registration applies, we can help with returns, record keeping and making sure your fee structure and invoicing reflect the correct treatment.
