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.
The financial side of dentistry can involve a mix of income streams, professional costs and business structures that do not always fit neatly into standard templates. The points below are common considerations rather than issues every dentist will face — what applies to you depends on whether you are employed, self-employed or running a practice, and on how your income is arranged.
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 broadly the same as any accountant's — bookkeeping, annual accounts, tax returns, VAT and payroll — but the detail is shaped by how dentistry is paid for and structured. In practice that often means tracking NHS contract income separately from private fees, dealing with self-employed associate income from one or more practices, and understanding how practice costs such as indemnity cover, equipment and staff wages should be treated. An accountant who works with dentists regularly will ask about your contract type, your share of fees and your business structure before deciding how anything should be reported.
If you work as an associate and are treated as self-employed, you will usually need to report that income through Self Assessment, keeping records of the fees you receive from each practice as well as the costs you incur in carrying out the work. If you are engaged under an employment contract instead, your tax may be handled through PAYE and your position can be different. Because the answer depends on the terms of your engagement rather than the job title alone, it is worth reviewing your contract before assuming which route applies.
A practice owner typically has additional responsibilities, including payroll for employed team members, employer-related reporting, VAT where registration applies, and the treatment of equipment purchases, premises costs and finance agreements. There may also be questions about how profits are extracted, particularly where the practice trades through a limited company, or how drawings and profit shares are handled in a partnership. An associate's affairs are often simpler, but income from several practices and a mix of NHS and private fees can still make accurate record keeping important.
Yes. Mixed income is one of the most common areas where dental accounting needs care, because NHS payments, private treatment fees and other income may need to be tracked separately for VAT and management purposes, even where they are ultimately reported together. We can help you set up records that keep those streams distinct, reconcile contract payments against the work carried out, and make sure the figures in your accounts and tax returns reflect the full picture.
Costs incurred wholly and exclusively for your dental work may be allowable, and typical examples include indemnity insurance, professional body and GDC registration fees, professional subscriptions, continuing professional development, and the cost of equipment or materials used in the practice. Whether a particular item can be claimed, and how much of it, depends on the circumstances — capital purchases, items with mixed personal and professional use, and costs already met by an employer all need separate consideration. We review expenses as part of preparing your accounts so the treatment is consistent with your situation.
Not automatically. VAT registration depends on your taxable turnover and on the nature of the services you supply. Many dental treatment services are exempt from VAT, but some cosmetic treatments, laboratory work and sales of goods may be standard-rated, so the position is not always obvious from the turnover figure alone. If you are approaching a registration threshold, or you are already registered and unsure how to treat a particular service, it is worth reviewing the mix of what you supply before making a decision.
Each structure has different implications for tax, national insurance, reporting and the way profits are taken, and there is no single answer that suits every dental business. A sole trader arrangement is often the starting point for a newly self-employed dentist, a partnership may fit two or more principals sharing a practice, and a limited company can be appropriate in certain circumstances. The right choice depends on your income levels, your plans for the practice, how you want to take money out and how much administration you are comfortable with.
To get started we normally need details of your income sources — NHS contract statements and private fee records, for example — along with bank and credit card statements, purchase invoices, payroll information and details of any equipment, premises or finance costs. If you are moving from another accountant, we can also work from your previous accounts and tax returns. The simplest approach is a short initial conversation about how you work, after which we can confirm exactly what is required and how the work will be handled.
