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 tends to involve more moving parts than many other professions, and the pressure points can differ significantly between an associate, a principal and a limited company practice owner. The issues below are commonly encountered, although which of them apply will depend on your contracts, income mix 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.
The core work is familiar: bookkeeping, accounts, tax returns and advice. What differs is the context. A dentist-focused accountant is used to seeing income arrive from several directions at once, such as NHS activity payments, private treatment fees and, for associates, pay statements from one or more practices. That means records and returns need to be structured so that each income stream is captured properly, expenses are allocated sensibly, and the tax position reflects the reality of your working pattern rather than a simplified version of it. CruseBurke applies that understanding to the way your accounts and returns are prepared and explained.
In many cases, yes. Associate dentists are often treated as self-employed for tax purposes even though they work within someone else's practice, which generally means registering with HMRC and filing a Self Assessment tax return covering their share of income and allowable costs. Whether that applies to you depends on the terms of your engagement rather than the job title alone, and some arrangements can involve employment instead. It is worth checking your contract and pay documentation so the correct treatment is used from the start.
Both are generally part of your taxable income, but the way each is recorded and evidenced can differ. NHS payments often arrive through scheduled activity payments, while private income may come from treatment fees, plans or memberships, sometimes on different cycles. Keeping those streams separately identifiable in your bookkeeping helps you reconcile what has been received, spot any shortfalls, and support the figures used in your accounts and tax return. The exact treatment can depend on your contract and business structure.
There is no universally correct answer. Sole trader and partnership structures tend to be simpler to administer, while a limited company can offer different tax and drawing arrangements, plus additional filing and compliance responsibilities. The right choice depends on your profits, how many principals or partners are involved, whether you plan to invest in equipment or premises, and how you want to take money out of the practice. It is a decision worth reviewing periodically, because circumstances change.
Yes. Dental practices frequently employ hygienists, therapists, dental nurses, receptionists and practice managers, and each of those roles brings payroll obligations such as PAYE, National Insurance, pension enrolment where applicable and payslip production. Payroll can be handled alongside your practice accounts so that wage costs feed directly into your bookkeeping and year-end figures, rather than being reconciled separately after the fact.
Costs that are incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include items such as GDC registration, professional indemnity cover, professional body subscriptions, continuing professional development and certain equipment costs. Capital items such as major equipment or surgery improvements are usually treated differently from day-to-day running costs. Some costs are restricted or apportioned, so what you can claim depends on your circumstances, and it is worth keeping clear records and receipts to support every entry.
VAT registration depends on your taxable turnover and the nature of the services you provide, and some dental treatments can be exempt while others are standard-rated. That means a practice offering a mix of NHS, private and cosmetic work may need to look at its income carefully rather than assuming a single rule applies. Where registration is required, VAT returns and record-keeping become part of the regular accounting cycle. Whether you need to register, and how your income should be treated, depends on your specific circumstances.
It helps to have a clear picture of how you work and what you already have in place. Useful starting points include your contracts or associate agreements, details of income sources, previous accounts or tax returns, bank and card statements, expense records, payroll information if you employ staff, and any HMRC correspondence you have received. If your records are incomplete, the first step is usually to establish what exists and work from there, so gaps can be identified and addressed rather than left unresolved.
Yes, and it is usually a straightforward process. Your current accountant can be asked to hand over the records and information needed for the change, and professional bodies provide standard procedures for that. The main thing is timing, so that any outstanding accounts, returns or filings are completed and responsibility is transferred cleanly. Once the handover is done, we can review your position and set out what needs to happen next.
