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 is not simply general accountancy with a different job title on the file. Income can arrive from several directions at once, costs are often specific to clinical practice, and the correct tax treatment frequently depends on your employment status, contract terms 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 many cases, yes. If you receive self-employed income — for example as an associate dentist paid a share of practice receipts, or as a sole trader running your own practice — you will usually need to report that income to HMRC through Self Assessment. The position can be different if you are employed and taxed through PAYE, or if you have a mixture of employed and self-employed income, which is common for dentists working across more than one practice. The tax return needs to reflect all your taxable income sources, and payments on account may also apply depending on your overall tax position.
Each arrangement can be treated slightly differently depending on the contract and whether you are engaged as self-employed rather than employed. In practice, this usually means keeping a clear record of income received from each source, tracking the costs connected to that work, and making sure your tax return reflects the correct totals. Where an expense relates to more than one practice, it helps to agree a sensible approach to apportionment and apply it consistently year on year, so the figures stand up if HMRC asks questions.
Expenses incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include professional indemnity insurance, professional body subscriptions and registration fees, along with certain costs relating to uniforms, clinical equipment and continuing professional development. The rules are not automatic and depend on the nature of the expense and your working arrangements, so claims are best reviewed each year rather than assuming a particular cost is or is not allowable. It also matters whether you are employed or self-employed, as the treatment can differ.
VAT registration depends on taxable turnover and on the nature of the services provided. Some dental treatment may be exempt from VAT, while other services — such as certain cosmetic or purely elective treatments, or the sale of products — may be standard-rated. Because the balance of NHS, private and cosmetic work varies considerably between practices, your VAT position should be reviewed against your own circumstances rather than applied as a general rule, and it is worth revisiting if your service mix changes.
There is no single structure that suits every practice. Operating as a sole trader or partnership is common and relatively straightforward, while a limited company can offer different options for tax and profit extraction, alongside additional reporting obligations. The right choice often depends on profitability, how many principals or partners are involved, plans for expansion or eventual sale, and how you want to take money out of the business. It is usually sensible to review the structure periodically rather than setting it once and leaving it untouched.
At a minimum, practices generally need to keep records of income from all sources, including NHS contract payments, private treatment fees and any laboratory or product income, together with invoices, bank statements and receipts for expenses. Payroll records for employed staff, documentation for equipment purchases and details of any finance or lease agreements are also relevant. Keeping these records organised through the year makes annual accounts and tax returns considerably easier to prepare and reduces the risk of a last-minute scramble.
Yes. Practices that employ dental nurses, receptionists, hygienists or associate dentists on an employed basis will typically need to operate PAYE, account for National Insurance and pension contributions where applicable, and issue payslips on time. The picture can become more complicated when some clinicians are self-employed and others are employed, or where pay includes elements linked to practice performance. Because employment status affects tax and National Insurance for both the practice and the individual, it is worth keeping under review.
Switching is usually more straightforward than people expect. In most cases it involves confirming the change in writing, asking your current accountant for professional clearance, and passing across records such as previous accounts, tax returns, bookkeeping data and details of any ongoing HMRC matters. A short period of overlap while records are reviewed is normal. Once everything is in place, the focus shifts to keeping future filings, bookkeeping and payroll on track, with a clearer picture of your tax position as the year progresses.
