Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Bude

If you work as a dentist in Bude or run a dental practice locally, the way your income, expenses and business structure interact can make your tax and accounting position more involved than it first appears. Associates working under an NHS contract, principals running their own practice, private dentists building a fee-per-treatment income stream, and practice owners with staff and premises all face different reporting and planning considerations. As accountants for dentists, CruseBurke supports clients across the full range of dental working arrangements, from straightforward Self Assessment tax returns to full practice accounting, bookkeeping, payroll, VAT and year-end accounts. This page explains the areas where specialist dentist accountants can add real value, what the work typically involves, and how to decide whether your current accounting arrangements are giving you the clarity and structure your income deserves.

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⭐ What Clients Say About Us

See what doctors, dentists, and care providers say about working with us.

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Victor Adade - GeoNet Telecom
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Good work!
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MAHSA T
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I’m very happy with the support I’ve received from Umer & Raza. RAZA always replies to my emails promptly and is very helpful. I’ve also had a few meetings with UMER, who patiently explained everything and gave me helpful advice. I’m very pleased with the team and grateful for their support.
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Michaela Jesson
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Excellent service from start to finish. Professional, knowledgeable, and always helpful. They made the whole process straightforward and stress-free, and I really appreciate their support. Highly recommended!
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Ayotunde Rufai
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Best accountants we've ever had. Umer is ace, and makes everything easy and transparent.
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Sofia
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I had a really positive experience with Muhammad. He was incredibly quick to action everything and made the whole process straightforward and stress-free. He took care of everything promptly and kept me informed throughout, which was greatly appreciated. Muhammad was professional, responsive and genuinely helpful from start to finish. It was clear that he cared about providing a great service and making sure everything was handled properly. I would definitely recommend him to anyone looking for someone reliable, efficient and professional.
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Zest For Life
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I worked with Accotx on a HMRC reclaim and overall, they did ultimately deliver on their promise, which I appreciate. The process did take longer than any of us expected, partly due to external delays with the tax authorities, and partly because there were some hiccups in communication and follow-up. However, despite those challenges, they stayed professional and stuck to the original agreed terms. If you’re considering using them, be prepared to stay in regular contact to keep things moving along. They are absolutely capable, have the expertise and willing to work with you, and overall improving their services over time. I would certainly return for any future needs.
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Pete Wrist
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Sterling work. Many thanks to Muhammad and the team for all their help and expertise
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Hansen Personal Training
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We have been a client for years - very quick responsive and personalised service
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Jamie Fletcher
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It was a pleasure working with Anum on our accounts. The whole process was swift and effortless, and it was one less thing to worry about. I'd highly recommend them.
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Mansur Liman
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Accotax have been our accountants for many years now. We maintained them, because of their professionalism. In the last coiple of years, i have working with Imran, who has been very professional and helpful in guiding us through the whole process explaining and clarifying every aspect of it. Very prompt in responding to questions and patient with us even when we seem to be slow. I really enjoy working with him. Thank you
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Accounting Support Built Around Dentistry, Not Generic Business Templates

Dentistry covers a wide range of working arrangements, and no two dentists necessarily need the same accounting approach. A self-employed associate claiming clinical expenses, a principal dentist running a practice with employed staff, a private dentist with a mixed fee structure, and partners operating a dental partnership may each require different reporting, tax and record-keeping support. Accounting requirements can also shift when income comes from more than one source, when a practice is purchased or sold, or when the business structure changes.

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.

What Our Accounting Services for Dentists Cover

Our work with dental clients typically spans the core areas of dental accounting: preparing annual accounts, completing Self Assessment tax returns for self-employed and associate dentists, maintaining bookkeeping records, and handling payroll for practice staff. Where relevant, we also assist with Corporation Tax for limited company practices, VAT registration and returns, partnership accounts, and tax planning that takes account of how and when dental income is earned. The mix of services is shaped by your circumstances rather than a fixed package, so a sole practitioner may need something quite different from a multi-dentist practice.

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.

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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.

Where Dental Accounting Can Get Complicated

Dental income and dental costs rarely follow a simple pattern, and the accounting treatment can vary depending on whether you are employed, self-employed, in partnership, or trading through a limited company. Some of the areas that most often need careful handling include:

  • Keeping NHS contract income and private treatment fees separately recorded, since they can be reported differently and may affect how practice performance is understood
  • Associate dentist arrangements, where the split between practice fees, lab costs, materials and your own drawings needs to be tracked accurately
  • Professional expenses such as indemnity insurance, GDC registration and professional subscriptions, which may be allowable depending on how you are engaged
  • Equipment purchases, including clinical instruments, chairs, scanners and practice fit-out costs, where capital allowances or other treatment may apply
  • Practice payroll for receptionists, nurses, hygienists and associates, including auto-enrolment pension duties where applicable
  • Bookkeeping and financial records, particularly where income arrives through multiple payment streams and needs reconciling regularly
  • VAT considerations for practices providing mixed NHS and private services, where the position can depend on the nature of the supplies made
  • Cash flow and practice finances, including timing of NHS payments, equipment finance commitments and drawings
  • Partnership or limited company structures, where profit allocation, salaries and dividend planning interact
  • Self Assessment and tax administration, including payments on account and keeping HMRC information consistent across the year
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Why Dentists Work With CruseBurke

Dentists tend to value accountants who understand the shape of clinical income rather than treating dentistry like any other service business. We take time to understand how you are engaged, where your income comes from, and what you need from your records, then organise the accounting and tax work around that. Communication stays practical and plain, so you know what information is needed, when it is needed, and what the numbers actually mean for your practice or your personal tax position.

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.

Our Simple Three-Step Process

Getting started is deliberately straightforward. First, we take the time to understand your working arrangement, income sources and business structure, so the accounting is set up correctly from the outset. Next, we organise and complete the required work, whether that is bookkeeping, payroll, VAT, annual accounts or a Self Assessment tax return. From there, we provide ongoing support where you need it, keeping your records in order and helping you plan ahead rather than reacting at the last minute.

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.

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Professional Standards and a Practical Approach

Dental accounting works best when professional standards are matched with clear, unhurried explanation. We keep our work organised and properly documented, explain tax and accounting positions in language that makes sense, and take account of how dental practices actually operate day to day. Whether you are an associate dentist with a relatively simple tax return or a practice owner with staff, equipment and multiple income streams, the aim is accounting support that is accurate, timely and genuinely useful.

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

You are not legally required to use an accountant, but many associate dentists find it helpful because the income and expense picture can be more detailed than it first appears. Practice fee splits, lab costs, materials, indemnity cover, GDC registration and professional subscriptions all feed into the figures reported on your Self Assessment tax return, and getting the treatment right matters. An accountant can also help you keep records in a form that makes the year-end straightforward rather than a scramble.

The tax treatment generally depends on your business structure and the nature of the arrangement rather than simply on the label NHS or private. What often matters more in practice is keeping the two streams separately recorded so the figures can be reported accurately and so you can see how each part of the practice is performing. Where the position is unclear, we look at the specific contractual arrangements before advising.

Yes. Many practice owners need both, and the two are closely connected, particularly where profits, salaries or dividends flow through to personal tax. We can prepare practice annual accounts, deal with Corporation Tax or partnership returns where applicable, run payroll, and complete your personal Self Assessment, so the whole picture is handled consistently rather than in separate pieces.

Broadly, you should keep records of all income received and all business expenses incurred, plus supporting documents such as invoices, bank statements and receipts. Digital record-keeping makes this far easier to manage, especially where income arrives through several payment streams. We can advise on a workable system for your circumstances, including what is worth recording and how often to reconcile it.

VAT depends on your turnover and on the nature of the services you provide, so it is not automatic. Some dental supplies may be exempt while others are standard-rated, and mixed NHS and private income can make the position less than straightforward. If you are approaching or have crossed the registration threshold, it is worth reviewing your position before making a decision, as the treatment can vary depending on the circumstances.

There is no single right answer. Sole trader and partnership structures are common among associate dentists and smaller practices, while limited companies are sometimes used by practice owners for other reasons. The appropriate structure depends on your profit levels, how many people are involved, how you want to take money out of the business, and your longer-term plans. We can talk through the practical implications before you decide.

Useful starting points include details of your working arrangement, your income sources, any existing accounts or tax returns, and access to your bookkeeping or bank records. If you are moving from another accountant, we can usually work from the records they hold. Once we understand your position, we will confirm exactly what is needed and how the work will be handled.

Fees reflect the work involved, so they depend on factors such as your business structure, the number of income streams, whether payroll or VAT is required, and how much bookkeeping support you need. We set out what is included before work begins so there are no surprises, and the scope can be adjusted as your practice or circumstances change.

Speak to an Expert

Tired of Chasing Dental Income Records at Year End? Let CruseBurke Bring Order to the Numbers.

Juggling NHS contract payments, private fees, lab costs and indemnity cover while trying to keep on top of Self Assessment is a lot to manage alongside clinical work. CruseBurke helps dentists in Bude with dental bookkeeping, Self Assessment tax returns and practice accounting, so your records stay organised and your tax position is properly understood. If you would like accounting support that fits around the way you actually work, we are ready to help.