Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Cheshunt: Specialist Tax and Accounting Support for Dental Professionals
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Dentists and Dental Practices We Support
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 often involves more moving parts than a straightforward trading business. Income streams, employment status and business structure all influence how records should be kept and how tax is calculated, and the right approach can differ significantly from one dentist to the next.
- Managing income from both NHS contracts and private treatment, and keeping clear records of each
- Associate dentist arrangements, including UDA or UDA-equivalent payments, lab fees and self-employed status
- Professional expenses such as GDC and BDA subscriptions, indemnity cover, CPD and clinical clothing
- Dental equipment, surgery fit-outs and capital expenditure, including how purchases may be treated for tax
- Practice payroll and employment costs for nurses, receptionists, hygienists and associate staff
- Partnership or limited company structures and how these may affect accounts, tax and profit sharing
- VAT considerations where registration applies, including the treatment of different dental services
- Bookkeeping, record keeping and cash flow management across busy clinical and administrative weeks
Why Dentists Choose 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 3-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 Accounting Support Built Around Dental Practitioners
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
Self-employed dentists, including many associates and locums, usually need help with Self Assessment, which means recording income and allowable expenses accurately and filing a tax return each year. Bookkeeping is often the foundation of this, since figures need to be reliable before a return is prepared. Depending on your circumstances, support may also cover payment on account queries, expenses such as indemnity cover and professional subscriptions, and planning around irregular income across the tax year.
An associate dentist is often treated as self-employed for tax purposes, meaning profits are reported through Self Assessment and tax is calculated on the taxable profit after allowable expenses. A principal dentist may be self-employed, in partnership or trading through a limited company, and profits and tax treatment will follow that structure. Where the structure is a limited company, Corporation Tax and director responsibilities may apply instead. Because treatment depends on contracts and working arrangements, the position should always be reviewed individually.
Yes. Many dental professionals receive income from more than one source, such as NHS contract payments alongside private treatment fees, and sometimes from teaching, locum work or a separate practice interest. Keeping these streams clearly recorded helps ensure income is reported correctly and that the associated costs are matched appropriately. Where NHS and private activity sit within the same practice, the accounting approach may need to reflect both.
Where a practice employs nurses, receptionists, hygienists, practice managers or other staff, payroll obligations generally apply, including deductions through PAYE and reporting to HMRC. Payroll support can cover payslips, starter and leaver processing, statutory payments and year-end reporting. Associate dentists are commonly treated differently from employees, so it is worth confirming the correct treatment for each individual rather than assuming a single approach.
VAT treatment in dentistry can be nuanced, since some services may be exempt while others may be standard-rated, and the position can depend on the nature of the treatment and how it is provided. Whether a practice needs to register also depends on taxable turnover and other circumstances. Because the rules are not uniform across every service, VAT should be considered carefully rather than assumed, particularly where a practice mixes NHS work, private treatment and cosmetic procedures.
There is no single answer that suits every practice. Sole trader and partnership structures are common and relatively simple to administer, while a limited company can offer a different approach to profit extraction and may suit some principals. Each structure carries different accounting, tax and compliance implications, and the right choice depends on your profits, plans and personal circumstances. It is worth reviewing the options before making a change.
Usually, the more complete the records, the smoother the process. Helpful information includes details of your income sources, contracts and business structure, together with bank statements, expense records, previous accounts or tax returns, and payroll or VAT information where applicable. If records are incomplete, the first step is often to establish a clean starting point and build a sensible bookkeeping routine from there.
Yes, switching accountants is a routine process. It typically involves a professional clearance request to your current accountant, transfer of your records and a review of the previous accounts or returns to confirm the opening position. Once that is complete, ongoing work can continue with your filing deadlines in mind. It is generally best to start the process outside the busiest part of the tax year where possible.