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 often involves a level of detail that general accounting work does not, largely because income, expenses and business structures vary so much between practitioners. The considerations below are common, but which ones are relevant to you will depend on how you work 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.
There is no legal requirement for a self-employed dentist or associate dentist to appoint an accountant, but many choose to work with one because of the reporting and record-keeping responsibilities that come with self-employment. That typically includes registering with HMRC where required, filing a Self Assessment tax return each year, keeping sufficient records to support the figures reported, and paying the right amount of tax and National Insurance on time. Where a dentist works across several practices, receives payments on varying schedules, or has income from more than one source, having an accountant review the position can reduce the risk of errors and make the annual filing less burdensome.
Both NHS and private income are generally taxable, but the way each is paid and evidenced can differ, which is why keeping them separately recorded is usually helpful. NHS payments may arrive through a contract or schedule of payments, while private fees may be collected directly or through a practice arrangement, and the timing of those receipts can affect the period in which income is recognised. An accountant can help you keep records that clearly distinguish the two streams and ensure the figures reported on your tax return or practice accounts reflect the underlying arrangements accurately.
Dentists may be able to claim for costs that are incurred wholly and exclusively for the purposes of their professional work, although what qualifies depends on individual circumstances. Common examples include indemnity or professional liability cover, professional body subscriptions, GDC retention fees, continuing professional development that maintains existing skills, clinical clothing, and travel between practice locations. Items used partly for personal purposes, or costs of a capital nature, are treated differently, and capital spending may attract capital allowances rather than a straightforward deduction. It is worth reviewing your own expenditure with an accountant rather than assuming a general rule applies.
Yes. Practice payroll can involve salaried dentists, hygienists, therapists, nurses, receptionists and administrative staff, each of whom may be treated differently for tax purposes. Payroll work typically covers PAYE, real-time reporting obligations, payslips, statutory payments and workplace pension duties where they apply. Employment status is a separate but related question, because associate dentists are often engaged on a self-employed basis while other team members may be employees, and getting that classification right matters for both the practice and the individual.
VAT registration depends on the taxable turnover of the business and the nature of the services provided, so it is not something that can be assumed either way. Some dental treatment may fall outside the scope of VAT depending on who provides it and the type of service, while other income such as certain cosmetic or laboratory-related work may be treated differently. Where NHS and private income are mixed, or turnover is approaching a registration threshold, it is sensible to review the position rather than rely on a general assumption, as the treatment can change as the practice develops.
There is no single answer that suits every dentist, because the right structure depends on your profit levels, how many principals or partners are involved, your plans for the practice, and how you wish to extract income. Sole trader and partnership arrangements tend to be simpler to administer, while a limited company can bring different tax and National Insurance considerations alongside additional filing and compliance obligations. Comparing the options properly usually involves looking at your own figures and longer-term plans rather than applying a general rule of thumb.
The starting point is usually a summary of how you work, including your practice arrangements, whether you are self-employed, employed or both, and how your income is received. From there, useful records include practice or associate payment statements, bank and card statements, receipts for professional and practice expenses, payroll information, VAT records if registered, and copies of previous accounts or tax returns. If you already work with an accountant, a handover process is normally followed, which may involve professional clearance and a request for your records to be transferred.
Switching accountants is generally a straightforward process, although the timescale can depend on the responsiveness of your current adviser, the availability of your records and the time of year relative to filing deadlines. As for fees, these are typically agreed in advance and based on the scope of work involved, such as whether you need a Self Assessment return only, or bookkeeping, payroll, VAT and annual accounts for a practice. Once your circumstances are understood, you should have a clear idea of what is included before any work begins.
