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 mix of income types and cost categories that standard bookkeeping simply is not set up to handle neatly. The considerations below are common across the profession, although which ones apply will depend on your contract type, working arrangement 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.
There is no legal requirement to appoint an accountant, but associate income often involves more than a single figure to report. Fee splits, laboratory costs, indemnity cover, professional subscriptions, CPD and any other practice-related expenses all need to be captured accurately for your Self Assessment to reflect your actual position. An accountant can help you keep those records in a usable format, work out which costs may be allowable and prepare and submit your return, which is particularly useful where you also have income from other sources or have recently changed practices.
Both are generally taxable, but the way they are reported depends on your role and business structure. A principal dentist working under an NHS contract and treating private patients will usually be recording trading or professional income, whereas an associate is typically taxed on their share of fees. Where a practice trades through a limited company, the tax position shifts again. The practical challenge is usually record-keeping rather than the principle, so keeping NHS and private income clearly separated throughout the year makes the year-end process considerably smoother.
Commonly claimed costs include professional body subscriptions, GDC registration, indemnity insurance, CPD, clinical equipment and materials, and a proportion of costs relating to premises or working from home where relevant. Whether a particular cost is allowable depends on what it was for, whether it was incurred wholly and exclusively for the purposes of your work, and whether you are trading as a sole trader, in partnership or through a company. Capital items are treated differently from day-to-day running costs, so it is worth checking the position before assuming an expense can be deducted.
There is no single answer that suits every practice. Sole trader and partnership structures are simpler to administer, while a limited company can offer different tax and profit-extraction possibilities, particularly where profits are retained in the business or reinvested in equipment. Factors that usually shape the decision include the number of principals, expected profit levels, pension planning, how profits are drawn, and plans to expand, bring in an associate or sell the practice later. A comparison based on your own figures is usually more useful than a general rule of thumb.
Yes. Practice payroll can cover nurses, hygienists, receptionists, practice managers and any associates engaged as employees, along with the associated PAYE, National Insurance and pension duties. On the VAT side, dental care is generally exempt in certain circumstances, but that does not automatically mean a practice should ignore VAT, since some treatments, products and mixed supplies, along with certain business activities, can fall outside the exemption. Where VAT applies, registration and returns can be managed as part of your ongoing accounting support.
It helps to have your most recent set of accounts and tax return, your HMRC references, details of your NHS contract or associate agreement, and access to bank and practice management records. Records showing how income splits between NHS and private work, a summary of expenses, payroll information if you employ staff, and VAT records if you are registered are also useful. If you are moving from another accountant, we can liaise with them to obtain the relevant history so you are not chasing paperwork yourself.
Accounting support can be valuable at both ends of a practice transaction. On a purchase, that may involve reviewing the figures, understanding what the practice's profits really consist of and considering how the acquisition should be structured. On a sale, the focus tends to be on preparing the financial information a buyer will expect, understanding how goodwill and other assets are treated for tax, and considering the timing of the transaction. The tax position can differ depending on whether you trade personally or through a company, so early advice is usually worthwhile.
Fees are normally based on the work your circumstances actually require rather than a flat rate applied to every dentist. A self-employed associate with one income source and straightforward expenses will usually need less support than a practice owner with employees, VAT, equipment purchases and a company structure. Most accountants will discuss the scope of work up front and agree a fee basis in advance, so you know what is included for accounts, returns, payroll or VAT work before anything begins.
