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 involves a number of areas where the treatment of income, costs or structure can vary from one dentist to another. The points below are common considerations rather than universal rules, and how they apply depends on your working arrangement, income sources and business structure.
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, associate dentists are engaged on a self-employed basis, which means their income is reported through Self Assessment rather than taxed under PAYE. That usually involves registering with HMRC, keeping records of income and allowable expenses, and filing a tax return each year. However, not every associate arrangement works this way, and in some situations an associate may be treated as employed instead. If you are unsure how your arrangement is classified, it is worth reviewing your contract and the way you are paid before deciding what needs to be reported.
Both NHS and private dental income are generally taxable, but they can be tracked and reported differently depending on how you receive them and whether you operate as a sole trader, partner or limited company. NHS income often arrives through scheduled contract payments, while private income can be more variable and may include laboratory costs or treatment-specific deductions. Keeping the two streams clearly separated in your bookkeeping makes it easier to prepare accurate accounts and to see how each area of your work is performing.
Yes. Dental practices with employees typically need payroll, pension administration where applicable, and accounts that reflect staff costs, practice overheads and any VAT position. Payroll for dental nurses, receptionists, hygienists and associates can vary depending on the contract and pay structure, so the setup is usually tailored to the practice. We can also help with the reporting that accompanies employing staff, so the practice stays on top of its obligations.
Commonly claimed items include GDC registration and retention fees, professional indemnity insurance, professional body subscriptions, continuing professional development, specialist clothing such as scrubs, and a proportion of costs relating to equipment or practice use where they are incurred wholly and exclusively for the dental work. Capital items such as dental chairs, imaging equipment or surgery fit-outs are generally treated differently from everyday running costs. Whether a particular expense is allowable depends on the circumstances, so it is worth checking before assuming a cost can be deducted.
Some dental services are exempt from VAT, while others are standard-rated, and the position can depend on the specific treatment being provided and who is providing it. A practice selling standard-rated goods or services may need to consider registration once its turnover reaches the relevant threshold, whereas a practice offering only exempt services may not. Because VAT treatment in dentistry can be nuanced, it is sensible to review your activities and income mix rather than assume a single rule applies to the whole practice.
There is no single structure that suits every dentist. Sole trader status is straightforward and common among associate dentists, partnerships are often used where two or more dentists share a practice, and a limited company may suit some practice owners depending on profits, reinvestment plans and how income is extracted. Each structure has different reporting requirements, tax implications and administrative obligations. The right choice usually comes down to your individual circumstances and future plans.
It helps to have details of your income sources, including NHS contract payments, private fees, associate pay statements or employed income, along with records of expenses such as indemnity cover, professional fees and equipment costs. If you operate through a company, we would also need access to the company's records, bank information and any existing accounts. If your bookkeeping is behind, that is not a barrier, as catching up on records is often part of the initial work.
Changing accountants is usually a simpler process than people expect. It generally involves confirming the change in writing, letting your current accountant know, and arranging for records and any professional clearance to be transferred. We would then review your existing accounts, tax returns and bookkeeping to understand your position before taking over the ongoing work. Where a deadline is approaching, it helps to start the process early so nothing is rushed.
