Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Brinkworth
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Support for Dentists and Dental Practices
Associate & Private Dentists
Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.
Dental Practice Owners & Principals
Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.
Orthodontists & Specialists
Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.
Squat Practices & Dental Start-Ups
Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat dental practices.
Accounting and Tax Services for Dentists
Bookkeeping for 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.
VAT for Dental Practices
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.
Self-Assessment for Associate Dentists
We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.
Dental Payroll, Auto-Enrolment & NHS Pension
Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.
Practice Accounts & Profitability Reporting
Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.
Accounting Considerations for Dental Practices
Dental income and dental costs do not always behave like those of a typical small business, and the accounting treatment can vary depending on your contract, your business structure and how your income is received. Some of the areas that frequently need attention include:
- Managing a mix of NHS and private dental income, which may be taxed differently depending on how it is received and through which structure
- Associate dentist arrangements, including the distinction between self-employed status and employment, and how this affects tax and National Insurance
- Professional expenses such as indemnity cover, GDC registration, professional subscriptions and continuing professional development, where the treatment can depend on the circumstances
- Dental equipment, fit-out costs and capital expenditure, including how and when costs may be relieved
- Staff payroll and employment costs for practice teams, including pensions and Real Time Information reporting obligations
- Bookkeeping and financial records, particularly where income arrives from several sources and needs to be reconciled accurately
- VAT considerations, including whether registration is required and how mixed NHS and private income may be treated
- Practice finances and cash flow, including drawing policies, reinvestment and planning for larger purchases
- Choosing between sole trader, partnership and limited company structures, and understanding the tax implications of each
- Tax administration and Self Assessment, including payment on account and keeping on top of filing obligations
Why Dentists Work With CruseBurke
Genuine Dental Expertise
We know UDAs, superannuation, associate agreements and GDC costs without being told.
Built Around Your Practice
Associates, principals and multi-site groups each get a different service, not a template.
Fixed, Transparent Fees
One agreed monthly fee with no hourly billing and no surprises at year end.
Proactive Dental Tax Planning
Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.
Named Accountant, Real Answers
You deal with the same qualified person every time, by phone or email, not a call centre.
A Track Record Since Before WWII
Our roots go back further than the Second World War and we act for dental clients across London.
A Simple Three-Step Process
1. Initial Consultation (It’s Free):
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.
2. Customised Plan:
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.
3. Ongoing Support & Updates:
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.
Professional Support Built Around Dental Clients
Technology Driven
Cloud accounting linked to your practice software so your figures are current, not six months old.
Named Dental Accountant
A dedicated accountant for dentists who knows your practice, your contract and your plans.
Ongoing Support
Unlimited support by phone and email, including quick answers on UDA and superannuation queries.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to Our Dental Accountants
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:
Get in touch
Reach out to us and we will discuss your practice, your contract and how we can help.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs
Not everyone does, but many associate dentists find it useful. As a self-employed associate you are responsible for your own tax return, and you may have expenses to claim, payments on account to manage and income from more than one practice to reconcile. An accountant can prepare your Self Assessment return, check that allowable expenses are being claimed appropriately, and help you understand your payment obligations so there are no surprises during the year.
The way income is taxed generally depends less on whether it is NHS or private and more on the structure through which you receive it and your employment status. NHS income received by a practice or a self-employed dentist is typically treated as trading income, whereas income received as an employee is taxed through PAYE. In mixed practices, separating and recording the different streams accurately matters, and the treatment can vary depending on your contract and circumstances.
Yes. If your practice operates through a limited company, the compliance requirements typically include annual accounts, a Corporation Tax return, and payroll for any employees or directors. There may also be VAT considerations and questions around how you take money out of the company. We can prepare the accounts and returns, and discuss the structure and remuneration questions that tend to arise for incorporated practices.
Commonly claimed items can include indemnity or professional indemnity insurance, GDC registration and professional body subscriptions, continuing professional development, specialist equipment, and certain costs associated with running a practice. Whether a particular cost is allowable depends on the specific circumstances, including whether it is wholly and exclusively for the purposes of your work or business, so it is worth checking anything unusual rather than assuming.
VAT registration depends on your taxable turnover and the nature of your supplies, and there are rules that can treat certain dental services differently. Some services may be exempt while others are standard-rated, which means mixed practices can face more complex VAT questions. Whether registration is required, and how it applies to your income, depends on your circumstances and should be reviewed individually.
If your practice employs receptionists, dental nurses, hygienists, therapists or associates on an employed basis, you will usually need to operate payroll and report through Real Time Information. That involves calculating pay, deducting tax and National Insurance, handling pension duties where they apply, and issuing payslips. We can run payroll on your behalf or support you in keeping it compliant and organised.
It helps to have a clear picture of how you work: whether you are employed, self-employed, a partner or a company director, and where your income comes from. Alongside that, we would typically look at your previous accounts or tax returns, records of income and expenses, details of any practice or business interests, and information about staff if you employ any. If you are switching accountants, we can also liaise with your existing adviser where needed.
Yes, switching is usually more straightforward than people expect. Once you decide to move, your new accountant can contact your existing one to request the relevant professional clearance information and records. Timing can matter, particularly if a filing deadline is approaching, so it is worth planning the move at a sensible point in the year rather than leaving it until just before a return is due.