Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Abercynon: Tax, Accounting and Bookkeeping Support for Dental Professionals
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Accounting Support Built Around How Dentists Actually Work
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 and Dental Practices
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 Considerations That Tend to Arise in Dental Practice
Dental finances often involve more movement than people expect, and the way income and costs are recorded can affect both your tax position and your understanding of how the practice is performing. The points below are common considerations rather than universal rules, and how they apply will depend on your contract, your structure and your individual circumstances.
- Separating and reconciling NHS contract income from private treatment fees so that each stream is recorded clearly
- Accounting for associate dentist arrangements, including fee splits, laboratory charges and the treatment of payments between practice and clinician
- Tracking professional expenses such as indemnity cover, GDC and professional body subscriptions, and continuing professional development
- Dealing with dental equipment, chairs, imaging systems and other capital expenditure, including how such costs may be treated for tax purposes
- Managing practice payroll, pension contributions and employment costs for nurses, receptionists, hygienists and associates
- Considering VAT where applicable, particularly around mixed NHS and private income and the treatment of certain dental services
- Maintaining bookkeeping that supports accurate annual accounts, partnership profit shares or company distributions
- Planning for practice purchase, sale or restructuring and the tax consequences that can follow
Why Dentists Approach CruseBurke for Their Accounting
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
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 Standards, Practical Support and Clear Advice
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
In most cases yes. If you receive fees as a self-employed associate rather than as an employee, that income generally needs to be reported through Self Assessment, alongside any other income you have. The practical work involves keeping accurate records of fees received from each practice, the associated costs you bear personally, and any tax already deducted, so that the return reflects your actual position. Where you also have employment income or income from other sources, those need to be brought together in the same return.
Both are generally treated as trading or professional income for tax purposes, but the practical bookkeeping differs. NHS contract income tends to arrive on a predictable schedule based on agreed units of dental activity, while private income fluctuates with treatment volumes and patient mix. Recording them separately makes it easier to monitor performance, understand where your profit is coming from and answer queries from NHS bodies or your accountant. The tax treatment of each stream can also be affected by whether you operate as a sole trader, partner or limited company.
A limited company typically needs annual accounts prepared in the statutory format, a Corporation Tax computation and return, and payroll for any directors and employees. You also need to consider how you take money out of the business, whether through salary, dividends or a combination, since the tax consequences differ. Bookkeeping needs to be maintained throughout the year so that these filings rest on accurate records rather than year-end estimates, and VAT may also apply depending on turnover and the services provided.
Yes. Practice payroll commonly covers receptionists, dental nurses, hygienists, therapists, practice managers and associate dentists who are engaged as employees. We can handle payslips, PAYE and National Insurance calculations and reporting obligations, and account for pension contributions where automatic enrolment applies. Where associates are engaged on a self-employed basis rather than employed, it is worth reviewing the arrangement so that the treatment is consistent and properly documented.
Costs that are genuinely incurred wholly and exclusively for the purposes of your dental work may be allowable, which can include professional indemnity insurance, GDC and professional body subscriptions, continuing professional development, clinical clothing and certain equipment costs. Some items, particularly larger equipment purchases, may be treated differently from day-to-day running costs. Because the rules can vary depending on your structure and the nature of the expense, it is worth reviewing your specific costs rather than assuming a standard list applies.
It can, but it is manageable with the right records. Multiple income sources mean more transactions to reconcile, and if you work across several practices you may receive separate statements, different fee arrangements and varying deductions. Bringing all of this together in one set of bookkeeping makes it far easier to see your true income, claim the costs you are entitled to and complete your return accurately. It also helps when planning drawings or assessing whether a different structure might suit you better.
VAT treatment in dentistry is not straightforward. Many dental care services are exempt, while certain cosmetic or cosmetic-adjacent treatments and the sale of goods may fall outside that exemption. Registration thresholds, the mix of NHS and private work, and the nature of the treatments provided can all affect the position. Because the rules depend on the specifics of what you provide, VAT should be reviewed against your actual service mix rather than assumed.
As a starting point, it helps to have your most recent tax return, accounts or company filings, up-to-date bank statements, details of your NHS contract or associate agreements, and records of income and expenses for the current period. If the records are incomplete, that is not a barrier — part of the initial work can involve tidying them up. Understanding your structure, your income sources and any major plans such as buying into or out of a practice allows the accounting work to be set up sensibly from the outset.