Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Chislehurst: Specialist Tax and Accounting Support

CruseBurke works as accountants for dentists in Chislehurst, supporting associate dentists, principal dentists, self-employed practitioners and dental practice owners with the accounting, tax and compliance work that sits behind their clinical work. Dental income seldom comes from one place, and the way NHS contract payments, private fees and associate arrangements are structured can affect how accounts are prepared and how tax is calculated. Depending on your circumstances, that might involve Self Assessment tax returns, bookkeeping, annual accounts, Corporation Tax, practice payroll, VAT queries or tax planning as your role or practice changes. Whether you work across several practices, run a single surgery as a sole trader, trade through a limited company or operate in partnership, the aim is the same: financial records that are accurate, deadlines that are met and explanations you can actually follow. This page outlines the support available, the considerations that commonly arise in dental accounting and how to take the next step with us.

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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 for Dentists and Dental Practices in Chislehurst

Dentists rarely fit neatly into one category, and their accounting needs reflect that. A self-employed associate claiming expenses on a Self Assessment return, a principal dentist running an NHS contract alongside private treatment, a private practice owner employing a team, and partners sharing profits in a dental partnership all have different reporting and tax obligations. We work with each arrangement on its own terms, so the accounts, returns and advice you receive match how you actually earn and how your practice is structured.

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.

Specialist Accounting and Tax Services for Dentists

Our dental accounting support can cover the day-to-day and the year-end, from bookkeeping and VAT queries through to annual accounts, Self Assessment tax returns, Corporation Tax, payroll for practice staff and tax planning. For practice owners, that may also include reviewing how profits are extracted, how equipment purchases are treated and how the business is structured as it grows. Not every dentist needs every service, so the scope is shaped around your working arrangement, income sources and the level of support you want.

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.

Financial and Accounting Considerations in Dental Work

Dental accounting is not complicated for the sake of it, but the mix of NHS and private income, employed and self-employed arrangements, and practice-level costs can create areas that need careful handling. The points below highlight the considerations that most often need attention, depending on how you work and how your practice is set up.

  • Keeping NHS contract income and private fees properly separated, so both are reflected accurately in your accounts, tax returns and any VAT position
  • Understanding how associate dentist arrangements, fee splits and self-employed status feed into Self Assessment and what can be claimed against that income
  • Recording professional expenses such as indemnity cover, professional body subscriptions and continuing professional development so eligible costs are not overlooked
  • Treating dental equipment, surgery refurbishment and larger technology purchases correctly, as these can involve capital allowances rather than straightforward annual expenses
  • Managing practice payroll for nurses, receptionists, hygienists and any employed associates, along with the employment taxes and pension duties that follow
  • Reviewing VAT where private treatment, cosmetic work and mixed NHS and private income are involved, as the treatment of different services can vary
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Why Dentists in Chislehurst Work With CruseBurke

Dental finances need an accountant who understands the difference between an associate’s fee income and a practice owner’s trading position. CruseBurke takes the time to understand how you work, then builds the bookkeeping, accounts and tax work around that rather than applying a generic template. You get clear explanations, organised records and a consistent point of contact for questions about your returns, your practice figures or your plans for the year ahead.

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 Straightforward Three-Step Process

Getting started is designed to be simple. We begin by understanding your circumstances, including your working arrangement, income sources and the records you currently hold. From there we agree the accounting, bookkeeping and tax work that needs to be done and get it organised, then continue to support you as your role, practice or income changes over time.

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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Practical, Professional Support With Clear Communication

Accounting support should be professional, but it should also be understandable. We explain what is being done, why it matters and what information we need from you, so nothing arrives as a surprise at year end. Whether you are a newly self-employed associate or a practice owner with staff and premises, the approach stays the same: accurate work, sensible organisation and advice you can act on.

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

There is no separate tax system for dentists, but the way dental income and costs arise does create particular considerations. NHS contract payments and private fees may need to be tracked separately, associate arrangements affect whether income is reported through Self Assessment, and costs such as indemnity cover, registration fees and equipment purchases need correct treatment in the accounts. An accountant familiar with these areas can help you present your figures accurately and ask the right questions when something changes.

It depends on how you are engaged. Many associate dentists work on a self-employed basis, which normally means registering with HMRC and reporting fee income and allowable expenses through Self Assessment. Others are employed and taxed through PAYE, with any additional income or untaxed sources reported separately if required. If you work across more than one practice, or have a mix of employed and self-employed work, it is worth reviewing your position carefully so nothing is missed.

The starting point is usually your practice management reports, which we use to reconcile contract payments, private fees and any other income to your bank records. Keeping the two streams identifiable matters for accurate accounts, for your tax return and potentially for VAT, since the treatment of different services can vary. Where you work at multiple practices, we can also help bring those figures together into a single, coherent picture.

Commonly claimed costs include indemnity insurance, professional body subscriptions, registration fees, continuing professional development and travel between practice locations, where they relate to the work being done. Equipment and larger purchases are usually treated differently, often through capital allowances. What is allowable depends on your employment status and whether costs are incurred wholly and exclusively for the business, and private use may need to be apportioned, so it is worth checking before you claim.

There is no single answer, as it depends on your profits, how many owners there are, how you plan to reinvest in the practice and how you want to take money out of the business. Each structure affects how accounts are prepared, how tax and National Insurance are calculated and what filing obligations apply. We can explain the practical implications and review whether your current structure still suits your circumstances.

Yes. Practice payroll often includes nurses, receptionists, hygienists and employed associates, each of whom may have different pay arrangements. We can handle payslips, PAYE reporting to HMRC, starters and leavers, and the pension duties that may apply. Where associates are self-employed rather than employed, their payments are treated differently, so it helps to have that distinction clear from the outset.

It depends on the services provided and the level of taxable turnover. A significant amount of dental treatment carried out by registered dental professionals can be exempt from VAT, while other services, such as some cosmetic treatments or sales of certain products, may be standard-rated. Because mixed NHS and private income can complicate the position, it is worth reviewing your VAT status as the practice grows rather than assuming it will stay the same.

Switching is usually straightforward. We would normally contact your existing accountant for professional clearance and the relevant records, and ask you for identification documents, details of your income sources, bookkeeping or practice management records, and copies of recent accounts and tax returns. Once we understand your position, we can confirm the scope of work and take over the relevant filings at the appropriate point in the year.

Speak to an Expert

Struggling to Keep Dental Income, Expenses and Returns in Order? CruseBurke Can Take That Weight Off Your Plate

Juggling NHS contract payments, private fees, indemnity cover, equipment costs and practice payroll can leave little time to keep your books straight, and that is usually when deadlines start to feel tight. CruseBurke supports dentists with the bookkeeping, Self Assessment and practice accounting that sit behind those figures, so your records are tidy and your returns are prepared from information you can rely on. If you want an accountant who understands how dental work actually pays, we are ready to help.