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 practice accounting with a different label. The way income arrives, the costs involved in staying registered and insured, and the structure you trade through all influence how records should be kept and how tax is reported. The points below are common considerations rather than rules that apply to everyone, and their relevance depends on your contract, your working arrangements and how your practice is set up.
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.
Associate dentists are often responsible for their own tax affairs, particularly where tax is not deducted at source and liability is settled through Self Assessment. That can mean reporting income from one or more practices, tracking allowable expenses such as indemnity cover, professional subscriptions and travel between sites, and understanding how payments on account work. Whether you engage an accountant is your decision, but professional support can help reduce the risk of errors, missed claims and late filing penalties.
Both generally form part of your taxable income, but they tend to arrive and behave differently. NHS income usually follows a contract or schedule with agreed activity levels, while private income comes through patient fees, dental plans or treatment packages. Keeping these streams separately recorded makes it easier to reconcile payments, monitor performance against contract expectations, and complete tax returns accurately. VAT treatment can also differ between types of income, so it is worth reviewing how each stream is categorised.
It depends on your circumstances, but costs commonly reviewed include GDC retention fees, professional body subscriptions, indemnity insurance, relevant training and CPD, clinical equipment, laboratory fees, practice premises costs and travel between practice locations. Whether a cost is allowable generally turns on whether it was incurred wholly and exclusively for the purposes of your business, and the position can differ between employed and self-employed dentists. Keeping itemised receipts and clear records throughout the year makes the position easier to establish.
Yes. Payroll support can cover clinical and administrative staff such as nurses, hygienists, receptionists and practice managers, along with the routine reporting that accompanies employing people. That typically includes calculating pay and deductions, issuing payslips, meeting real time information obligations and handling year-end reporting, as well as pension duties where automatic enrolment applies. If you also engage associates or locums, it is worth discussing how those arrangements should be treated.
There is no single answer, because the right structure depends on how many principals are involved, profit levels, your plans for growth or expansion, how you feel about risk, and your personal financial position. A limited company can suit some practice owners, while sole trader or partnership structures may remain appropriate for others. We can explain the tax and administrative implications of each route so you can make an informed decision rather than following a general recommendation.
Not automatically. Dental treatment provided by a suitably qualified professional is generally exempt from VAT, but certain goods and services, such as some cosmetic treatments or product sales, may be standard-rated. Registration becomes compulsory once taxable turnover passes the relevant threshold, and voluntary registration can sometimes be worth considering depending on your mix of income and costs. Because the treatment of mixed NHS and private income can be nuanced, it is worth reviewing your position rather than assuming a single rule applies.
The process usually starts with a conversation about your current arrangements, your structure and what you need going forward. From there we would typically request professional clearance from your existing accountant where required, review your previous accounts and tax returns, and identify anything outstanding or requiring attention. The time it takes depends on how complete your records are and how quickly information can be passed across, so it is best to plan a switch around your filing dates.
Most dentists begin with details of how they are engaged, whether that is self-employment, partnership or a limited company, along with income records from NHS contracts, private fees or plan payments. Useful documents include bank and card statements, expense receipts, previous accounts and tax returns, payroll information for employed staff, and any correspondence from HMRC. If your records are not yet tidy, that is not a barrier; part of the work can involve bringing bookkeeping up to date.
