Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Crewe: Specialist Tax and Accounting Support
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Who We Support: Dentists, Associates and Dental Practice Owners
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 in Crewe
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.
Common Accounting and Tax Considerations for Dentists
Dental accounting is rarely identical from one practitioner to the next. The records you keep, the returns you file and the way tax is calculated can all be affected by your employment status, your income sources and the structure your practice uses, which is why it helps to review circumstances individually rather than applying a standard approach.
- Separating NHS contract income, private fees and any hygienist or therapy income so each is recorded and reported correctly
- Associate dentist arrangements, including self-employed status and the distinction between associate earnings and employed income
- Professional expenses such as indemnity insurance, GDC registration and professional body subscriptions, and whether each is allowable
- Capital expenditure on dental equipment, surgery fit-outs and specialist kit, and how it is treated for tax purposes
- Practice payroll for nurses, receptionists and associates, including employment costs and the associated reporting
- Practice structures and tax administration, including partnerships, limited companies, VAT considerations and Self Assessment obligations
Why Dentists in Crewe 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 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 Accounting
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
Many self-employed associate dentists choose to use an accountant, though it is not compulsory. As an associate you are generally responsible for registering with HMRC, filing a Self Assessment tax return and paying tax and National Insurance on your profit, and you may also have several income sources to keep track of. An accountant can help you keep records in a usable format, identify expenses you may be able to claim, and check that your return is complete before it is submitted.
The treatment can vary depending on how the income is earned and who receives it. Payments under an NHS contract may be treated differently from private treatment fees, and arrangements for associates, principals and practice owners are not the same. If you work across both NHS and private dentistry, it helps to keep the two streams separately identifiable in your records so your accounts and tax return reflect the correct position.
Yes. Dentists often combine employed work, self-employed associate sessions, practice profits or rental income, and each source has its own reporting requirements. We can help bring that information together, confirm which pages or schedules are needed on your tax return, and review how the overall position may be affected by your business structure and the timing of payments.
Payroll for a dental practice typically covers salaried team members such as nurses, receptionists and practice managers, and may also include arrangements for dentists depending on how they are engaged. It involves calculating pay and deductions, operating PAYE, and reporting to HMRC on the required schedule. Where associates are genuinely self-employed, they are usually handled outside payroll, and it is worth checking the position carefully because the distinction affects both tax and employment obligations.
There is no single answer, as it depends on your circumstances, how many people are involved, how profits are shared and your plans for the future. Operating as a partnership or through a limited company can each have different implications for tax, administration and how income is taken from the business. It is worth reviewing the options with an accountant before deciding, and revisiting that decision as the practice grows or the partners change.
VAT treatment in dentistry can depend on the nature of the treatment and the circumstances in which it is provided. Some dental care may fall outside the scope of VAT or be exempt, while other treatments may be treated differently. Where a practice also sells products or provides services that are not dental care, those supplies may need separate consideration. Because the rules are detailed, it is usually best to review your specific service list before assuming a particular treatment applies.
Most dental practices will need clear records of income from NHS contracts and private fees, invoices and receipts for practice expenses, payroll information, bank statements and details of equipment purchases. Records relating to professional costs such as indemnity cover and registration fees are also worth keeping. Maintaining these consistently through the year makes accounts and returns quicker to prepare and reduces the risk of missing something important.
Switching accountants is usually a straightforward process, and it can happen at different points in the year. We would typically ask for details of your current position, including recent accounts, returns and records, and then contact your existing accountant for the relevant professional clearance where needed. Once we have that information, we can pick up the work and set out what is required from you going forward.