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 the average small business, and which ones matter most depends on how you work and what structure sits behind the practice. The points below are common considerations rather than a checklist that applies to everyone.
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.
For an associate dentist, the core work usually involves keeping your income and expenses in order, preparing your Self Assessment tax return and making sure the figures reported match the fee statements and records you hold. Deductible costs such as indemnity cover, professional subscriptions and a proportion of travel or administrative expenses may be relevant depending on your circumstances, and these are reviewed rather than assumed. An accountant can also help you understand how payments on account work so that tax bills do not come as a surprise, although the exact treatment always depends on your individual position.
Both NHS and private dental income are generally taxable, but the way they are recorded can differ. NHS income often arrives through scheduled fee payments or statements, while private income may come through practice invoicing or direct patient payments. Keeping these streams separately identifiable in your bookkeeping makes it easier to check that everything has been captured, to answer queries from HMRC or the practice, and to see how each part of your work is performing. The precise treatment can vary depending on whether you receive the income as a self-employed dentist or through a company.
Costs such as indemnity insurance, professional registration and relevant subscriptions are commonly incurred by dentists, and in many cases they can be claimed where they are incurred wholly and exclusively for the purposes of your profession. Whether the full cost is allowable, and how it is claimed, can depend on whether you are self-employed, in a partnership, running a limited company or employed. Because there are differences between these situations, each expense is looked at in the context of your own working arrangement.
A practice owner often needs a broader package than an associate, typically covering bookkeeping, payroll for clinical and administrative staff, VAT where it applies, annual accounts and either Corporation Tax returns or partnership returns. Equipment purchases, practice premises costs and staff employment costs all need to be recorded correctly and consistently. Many owners also want sight of how the practice is performing through the year, so that cash flow and profitability can be reviewed before the year-end rather than after it.
There is no single answer that suits every practice. The right structure can depend on how many principals or partners are involved, the level of profits, plans for expansion, how you wish to take money out of the business, and personal circumstances such as pension arrangements or borrowing. Both structures bring different compliance and reporting obligations, and changing structure later can have tax consequences. It is usually worth reviewing the position before making a decision rather than afterwards.
Whether VAT registration is required depends on your taxable turnover and on the nature of the services you supply, since some dental services may be exempt while others are standard-rated. Registration can also be voluntary in certain situations, which may or may not be beneficial depending on your mix of NHS and private work and the costs you incur. Because the position varies from practice to practice, it is worth checking your own circumstances before assuming either way.
Most dentists start with their identification details, Unique Taxpayer Reference, previous accounts or tax returns, and details of the structure they trade through. From there, useful records include NHS fee statements, private income summaries, bank and card statements, expense records, payroll information if you employ staff, and details of any equipment or premises costs. If you are mid-year, the information needed is often simpler than expected and can be confirmed once your circumstances are understood.
Yes, changing accountants is usually a straightforward process. With your authority, the new accountant contacts the existing one to request the records and history needed to continue the work properly, and any outstanding filings or accounts are identified early so nothing is missed. It often helps to plan the switch around your year-end or a quiet period, and the handover can be discussed before you commit to anything.
