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 carries considerations that do not always appear in other sectors, and they can differ significantly depending on how you are engaged, how many income sources you have and the structure your practice trades through. A few of the areas that commonly need attention include the following.
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.
The scope depends on how you work. For an associate dentist, that may mean Self Assessment, recording income from more than one source and claiming allowable professional expenses. For a principal or practice owner, it can extend to annual accounts, Corporation Tax or partnership tax returns, bookkeeping, payroll for practice staff, VAT where it applies, and tax planning around profits. CruseBurke tailors the work to your circumstances rather than applying a fixed package to every dentist.
Many associate dentists are treated as self-employed for tax purposes because they are paid under a contract for services rather than as an employee, and that usually means registering with HMRC and filing a Self Assessment tax return. The position can vary, however, particularly if you also have employment income, work through a limited company or hold more than one associate role. It is worth confirming how your own arrangements are structured before assuming a particular treatment applies.
Both need to be recorded accurately, but they do not necessarily arrive or behave in the same way. NHS contract income may be paid in regular instalments against agreed activity, while private fees can fluctuate from month to month, which affects how you plan cash flow and estimate tax. On VAT, many dental services are exempt, but certain treatments and product sales can fall outside that exemption, so the correct treatment depends on what you provide. Clear records make it far easier to report everything correctly.
Yes. Bookkeeping for a practice typically involves tracking treatment income, laboratory fees, materials, premises costs, equipment and staff wages. Payroll can cover nurses, receptionists, hygienists, practice managers and associate payments, including PAYE and workplace pension duties where they apply. HMRC filings can be handled as part of that service, which helps keep the records consistent with the accounts and tax returns prepared at year end.
Not automatically. Incorporation can suit some practice owners, particularly where profits are retained in the business or where several principals are involved, but it brings additional compliance such as company accounts, Corporation Tax returns and PAYE duties for director salaries. For others, a partnership or sole trader structure may remain more straightforward. The right answer depends on your profits, plans, the number of principals involved and your personal circumstances, so it is usually worth reviewing before making a change.
Costs commonly claimed can include indemnity insurance, professional body subscriptions and registration fees, continuing professional development, specialist clothing, laboratory charges, equipment and a proportion of costs such as home office use where genuinely business-related. Whether a specific cost is allowable depends on the rules and on your working arrangement, since an employed dentist and a practice owner are not treated in the same way. Individual items are best reviewed rather than assumed.
Yes. Buying or selling a practice usually raises questions about how goodwill, equipment and premises are valued and treated for tax, and the structure of the deal can affect the outcome for both sides. Taking on a partnership, or bringing an associate in as a partner, also changes how profits are reported and split. Bringing accounting input into those discussions early tends to make the process smoother than reviewing the tax position afterwards.
Switching is usually straightforward. You will normally need to provide your latest accounts, tax returns, bookkeeping records and details of any VAT or PAYE registrations, and your previous accountant can be asked to hand over the relevant information. CruseBurke can liaise on authorisation with HMRC as part of that process. Pricing reflects the scope of work, including the number of income sources, whether payroll or VAT is involved and the complexity of the practice, and it is agreed before work begins rather than based on a generic rate.
