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 more moving parts than a standard self-employed trade, because income, expenses and business structures vary widely between professionals. Some of the considerations that commonly arise are set out below.
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.
Not every associate dentist has complicated affairs, but the way associate work is structured often creates a few quirks that generic accounting support can overlook. If you are engaged as a self-employed associate, you will usually need to report your income through Self Assessment and keep records of the fees you receive from each practice you work with. It also helps to know which costs are genuinely allowable, such as indemnity cover, professional subscriptions and certain travel, and which need closer consideration. Working with accountants who deal with dentists regularly means the questions you ask tend to have been asked before.
NHS contract income and private treatment fees often arrive in different ways and at different times, so keeping the two streams clearly separated makes both bookkeeping and tax reporting far easier. In practice, that usually means reconciling statements or payment schedules to your records rather than relying on bank deposits alone. How the income is reported then depends on your structure: a sole trader or partnership reports it through Self Assessment, while a limited company reports it through its annual accounts and Corporation Tax return. Where contract targets, clawbacks or adjustments apply, we look at how those should be reflected so the figures remain accurate.
Yes. Many dentists have more than one source of income, whether that is associate fees from multiple practices, locum work, private treatment income, rental from a surgery, or dividends from a company. Each source can be treated differently and some come with their own reporting requirements, so it matters that returns are prepared with a full picture rather than a single figure. We gather the relevant records, check that income and expenses are reported in the right places, and make sure the return is submitted on time where we are handling it on your behalf.
There is no single answer, because the right structure depends on how the practice is owned, how profits are shared, how much risk you want to carry personally and how you intend to take money out of the business. A sole principal trading alone, two or more dentists in partnership, and a practice operating through a limited company each face different tax and administrative obligations. We can talk through the practical differences so you can make an informed decision, and revisit the position if your circumstances change.
Costs that are incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include items such as indemnity cover, GDC registration, professional body subscriptions, clinical equipment, and certain travel between practice locations. Other costs, such as surgery improvements or larger equipment purchases, may be treated as capital rather than a routine expense, and the tax treatment differs accordingly. There are also areas where the position is less clear-cut, for example mixed personal and professional use. Because each case depends on the facts, we review your expenditure rather than apply a blanket rule.
VAT in dentistry is not always straightforward, because the treatment of a service can depend on what is being provided. Many dental care services fall within an exemption, while certain treatments that are considered cosmetic rather than clinical may be standard-rated. Registration also depends on the value of your taxable supplies, so a practice offering a mix of services may need to monitor this carefully even if its main income is exempt. If VAT applies to your practice, we can help with registration questions, record keeping and returns.
Yes. Practices typically employ a mix of clinical and administrative staff, including hygienists, therapists, dental nurses, receptionists and practice managers, and each may be paid on different terms. We can handle routine payroll processing, payslips and the reporting obligations that go with employing staff, as well as the pension duties that may apply depending on your arrangements. Where an associate or another clinician is genuinely self-employed rather than employed, that distinction is worth reviewing, since getting it wrong can create problems later.
It helps to begin with a clear picture of how you work: your business structure, where your income comes from, whether you employ anyone, and whether you are VAT registered. From there we would usually ask for recent accounts or tax returns, your bookkeeping records or access to your accounting software, details of any HMRC correspondence, and information about significant costs such as equipment purchases or practice finance. If you are moving from another accountant, we can talk you through what is involved in the handover. The aim is to make the transition as smooth as possible without disrupting your day-to-day work.
