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 a few quirks that do not always appear in other professions, and the right treatment often depends on how a dentist works and how the practice is structured. Some of the areas that commonly need careful handling 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.
The underlying tax rules are the same, but the practical detail differs. Dentists often receive income from more than one source, for example NHS contract payments alongside private fees, or associate income from several practices, and each stream needs to be recorded and reported correctly. Dental work also brings specific costs into play, such as indemnity cover, professional registration and clinical equipment, along with practice-specific issues like staff payroll and the way a surgery is structured. An accountant who regularly deals with dental clients tends to recognise those patterns more quickly, which can reduce the back-and-forth needed to get things right.
Associates are usually responsible for their own Self Assessment, so the accountant needs a complete picture of the income you received during the tax year. That typically means payslips, statements or summaries from each practice you worked with, along with a record of expenses such as indemnity insurance, professional registration and any costs you incurred personally. If you also have other income, such as locum work, teaching or property income, that should be included too. Keeping these records as you go, rather than reconstructing them months later, usually makes the process faster and more accurate.
Both are generally treated as taxable income, but the way they are recorded and reported can differ depending on whether you receive them as an individual, through a partnership or through a limited company. NHS contract payments may arrive on a different schedule from private fees, which can affect how profits and cash flow are viewed across an accounting period. The correct treatment depends on your structure and the terms of the arrangements you hold, so this is an area where tailored advice is usually more useful than a general rule.
There is no single answer that suits every dentist. A sole trader or partnership structure is common among associates and some practice owners, while a limited company can suit principals and practice owners for a range of commercial and tax reasons. The right choice depends on your level of profit, whether you have business partners, how you want to take money out of the practice, and your longer-term plans, such as buying or selling a practice. It is worth reviewing the structure periodically, because circumstances change and what worked a few years ago may not be the most sensible option now.
Yes. Practice payroll typically covers clinicians, dental nurses, receptionists and administrative staff, and it brings the usual employment obligations, including payslips, PAYE reporting and workplace pension duties where they apply. Payroll for dental practices often involves a mix of salaried employees and other arrangements, so it helps to have each person's status and pay basis clearly documented. Handling this consistently through the year also makes it easier to reconcile staff costs when the annual accounts are prepared.
It depends on the practice's circumstances and the level and nature of its taxable turnover. Some dental services are exempt from VAT, while others, such as certain cosmetic or laboratory-related work, may be treated differently, so the position is not always straightforward. Where VAT registration does apply, bookkeeping and invoicing need to be set up to capture the right information from the start. Because treatment can vary depending on the mix of services provided, it is worth reviewing the position rather than assuming one answer applies to all practices.
Expenses that are incurred wholly and exclusively for the purposes of your dental work are generally allowable, which may include indemnity insurance, professional registration fees, professional subscriptions and relevant training. Equipment and other capital items are treated differently from everyday running costs and may attract capital allowances depending on the circumstances. Records matter here: keeping receipts and a clear note of what each cost relates to makes it far easier to support a claim if it is ever queried. An accountant can help you identify what applies to your particular situation.
Switching is usually more straightforward than dentists expect. Once you decide to move, your new accountant can contact your existing one to request professional clearance and the relevant records, and you should let HMRC know about the change where you are the one engaging the new firm. To get started, it helps to have your most recent accounts or tax return, details of your income sources, and an outline of your business structure and any staff you employ. For many dentists, the first conversation is simply about how you work and what you want the accounting support to cover.
