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 can involve a different set of considerations compared with many other professions, particularly when income comes from a mix of NHS and private sources or when you work across several practices. The points below highlight some of the areas that may need attention, although not every dentist or dental practice will face all of them.
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.
When choosing an accountant as a dentist, it helps to look for someone who understands dental income streams, such as NHS and private work, as well as the different ways dentists can be engaged. You may want an accountant who can deal with Self Assessment, bookkeeping, payroll, and VAT where relevant, and who is comfortable working with associate contracts, practice accounts, or limited company structures. Clear communication and a willingness to explain things in plain English are also important, because accounting and tax rules can be complex and depend on your individual circumstances.
Many associate dentists do choose to have their own accountant, particularly if they are self-employed and need to file a Self Assessment tax return. Even where tax is deducted at source, an accountant can help you understand which expenses may be allowable, keep records organised, and make sure your return reflects your actual circumstances. If you are unsure whether you are employed or self-employed for tax purposes, professional advice can help clarify your position based on your contract and working arrangements.
NHS and private dental income can be treated differently depending on how you receive it and your business structure. For example, income from an NHS contract may be paid to a practice, while private fees might be received directly or through a company. There is no single rule that applies to every dentist, so the tax treatment will depend on the terms of your arrangements, whether you are a sole trader, partner, or limited company, and how the income is recorded. An accountant can help you report your income correctly for Self Assessment, Corporation Tax, or partnership returns.
A dental practice should generally keep accurate records of all income and expenditure, including NHS payments, private treatment fees, laboratory costs, equipment purchases, staff wages, and professional expenses such as indemnity cover. Good bookkeeping supports your annual accounts, VAT returns where applicable, and tax returns. Digital record-keeping can make this easier, but the exact records you need will depend on your business structure, whether you are VAT registered, and how you run your practice.
Yes, CruseBurke can support dental practices with payroll, including PAYE, pensions, and the administration that comes with employing staff such as dental nurses, receptionists, and associates. Payroll for dental practices can involve a mix of salaried employees and self-employed associates, and each may have different tax and reporting requirements. We can help you stay on top of those obligations so that your team is paid correctly and your records are maintained.
The right structure depends on your circumstances, including how many people are involved in the practice, your income levels, and your plans for the future. Sole trader and partnership structures are common for some dentists, while others operate through a limited company. Each structure has different implications for tax, National Insurance, accounting, and administrative responsibilities. An accountant can talk you through the potential advantages and disadvantages so you can make an informed decision based on your own situation rather than a general rule.
Whether you need to register for VAT depends on your taxable turnover and the services you provide. Some dental services may be exempt, while others, such as certain cosmetic treatments, may be standard-rated. If your turnover exceeds the VAT registration threshold, or if you expect it to, registration may be required. VAT treatment can be complex in dentistry, so it is worth taking advice on your specific circumstances before making a decision.
When switching accountants, it helps to have your latest set of accounts, tax returns, VAT returns if applicable, and access to your bookkeeping records. Your new accountant may also need to contact your previous accountant to obtain professional clearance and any relevant information. Having your records organised can make the transition smoother, and your accountant can guide you through what is needed depending on whether you are a sole trader, partner, or limited company.
