Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Chalfont: Specialist Tax and Accounting Support for Dental Professionals
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Accounting 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.
Our 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 and Tax Considerations for Dental Practices
Dental accounting involves a few areas that rarely come up in other professions, and how they apply depends on your contract arrangements, income sources and business structure.
- Separating and reconciling NHS contract income, private treatment fees and any associateship percentages so each stream is recorded clearly
- Associate dentist arrangements, including how self-employed status, agreed splits and any practice-paid costs are documented and reported
- Professional expenses such as indemnity cover, GDC and professional body subscriptions, CPD, specialist clothing and clinical equipment
- Capital expenditure on dental equipment, surgeries and fittings, and how such purchases are treated for tax purposes
- Payroll and employment costs for practice staff, including receptionists, dental nurses, hygienists and associate or employed dentists
- VAT considerations where a practice supplies a mix of exempt and standard-rated goods or services, which can affect registration and reporting
- Bookkeeping, practice cash flow and financial records that need to stand up to scrutiny from lenders, buyers or HMRC
- Choice of trading structure, including sole trader, partnership and limited company, and the tax questions that come with changing it
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.
Our 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.
Built Around Dental Professionals, Focused on Clarity
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
Yes. Self-employed associate dentists often need support with bookkeeping, Self Assessment and understanding which costs can be claimed against their income. We can look at your associateship agreement, how your percentage is calculated and whether the practice deducts anything on your behalf, so the figures reported to HMRC reflect what you actually earned. Where you also receive income from other sources, such as locum work or teaching, that can be brought into the same picture.
NHS contract income and private treatment fees are usually recorded separately, because the way each is earned, invoiced and reported can differ. We can help set up bookkeeping that keeps the streams distinct, reconcile payments received against work completed, and make sure the figures feeding into your annual accounts and tax return are consistent. The right approach depends on how your practice is structured and how you invoice patients and any third parties.
It depends on your circumstances. Dentists who are self-employed, who receive untaxed income, who are partners in a practice or who have income from property, investments or dividends may need to file a return, while those taxed entirely through PAYE may not. If you are unsure whether a return is required, it is worth checking rather than assuming, because the rules vary with your income sources and employment status.
Costs that are incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include indemnity and professional insurance, registration and professional body subscriptions, mandatory CPD, specialist clothing and certain equipment. Some costs are treated differently depending on whether you are employed or self-employed, and capital items may attract relief through a different route. We can review your outgoings and explain what is likely to be claimable in your situation.
Yes. Payroll support can cover dental nurses, receptionists, hygienists, practice managers and any employed dentists, including payslips, PAYE reporting and the associated employment costs. This is often useful for practice owners who want staff paid accurately and on time without handling the administration themselves. We can also help with the questions that arise when you take on your first employee or change how someone is engaged.
It depends on the services you provide and the value of your taxable supplies. Many healthcare services are exempt from VAT, while others, including certain cosmetic treatments and the sale of goods such as oral care products, may be standard-rated. Because a mixed practice can involve both, VAT registration can be a genuine consideration rather than a formality. We can help assess your position and, where registration applies, support with returns and record-keeping.
There is no single answer that suits every dentist. Sole trader and partnership structures are common, particularly for associates and smaller practices, while a limited company can be appropriate for some practice owners depending on profit levels, plans for reinvestment and how profits are to be extracted. Tax treatment, administrative obligations and flexibility all differ between structures, so the decision is best made after looking at your own numbers and intentions.
As a general starting point, useful information includes details of your income sources, your business or employment structure, recent accounts and tax returns, bookkeeping records, bank statements and a list of significant costs such as indemnity cover, equipment and premises. If you are switching accountants, we can also help arrange the handover of records from your current adviser. What is required in practice depends on the services you need and how your income is arranged.