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 a straightforward single-income trade, and the relevant issues can differ significantly depending on how a dentist works and how the practice is structured. A few of the areas that commonly need attention include:
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. Self-employed dentists and associate dentists who receive fees as self-employed income normally need to report that income through Self Assessment, alongside any other taxable income they may have. The exact position depends on your contract terms and how you are engaged, which is why it is worth reviewing your arrangements rather than assuming. If you also have employment income, rental income or dividend income, all of it usually needs to be included in the same return.
For most self-employed dentists, both NHS and private dental income form part of your taxable trading or professional income, but the practical administration can differ. NHS payments may arrive through a different route and schedule, while private income often comes in as patient fees or plan payments. Good bookkeeping keeps these streams clearly separated, which makes your accounts, tax return and any VAT analysis far easier to prepare accurately.
Whether a dental practice needs to register for VAT depends on its taxable turnover and the nature of the services provided, and the rules around healthcare-related exemptions can be complex. Some treatments and services may be exempt while others are standard-rated, and mixed NHS and private income can make the position less straightforward. If your income is approaching the registration threshold, or you are unsure how your services are treated, it is worth taking advice specific to your circumstances.
Yes. Practice payroll can include hygienists, dental therapists, nurses, receptionists, practice managers and associates paid through the payroll. We can help with running payroll, calculating deductions, handling starter and leaver information, and dealing with pension obligations where they apply. Keeping payroll accurate matters not just for compliance but also for understanding your real staffing costs when reviewing practice performance.
There is no single right answer, because the most suitable structure depends on your profits, how many principals are involved, your plans for the practice and your personal tax position. Operating as a limited company can suit some practice owners, while a partnership or sole trader arrangement may work better in other situations. It is a decision worth revisiting periodically as your profits and circumstances change, rather than setting once and forgetting.
Dentists commonly claim expenses that are incurred wholly and exclusively for their professional work. Depending on your circumstances, these may include indemnity insurance, GDC and professional body subscriptions, continuing professional development, certain equipment costs, and a proportion of costs relating to practice premises. Capital items such as surgery equipment are usually treated differently from day-to-day running costs, so it is important to classify expenditure correctly.
Switching accountants is usually more straightforward than people expect. We would typically ask for authority to contact your existing accountant, obtain your records and any professional clearance information, and then review your current position before taking over the ongoing work. The aim is a smooth handover without disrupting your filing obligations, and it can be a good opportunity to check that nothing has been missed.
As a starting point, we usually ask for details of your income sources, whether that is NHS contract payments, private fees, associate income or employment, along with your business structure and any existing accounts or tax returns. Bank statements, expense records, payroll information and details of equipment purchases all help build an accurate picture. If your records are not perfectly organised, that is not a barrier, and part of the process can involve getting everything into a clearer order.
