Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Ashbourne: Specialist Tax and Accounting Support for Dental Professionals
4.9/5.0
Google Reviews
⭐ What Clients Say About Us
See what doctors, dentists, and care providers say about working with us.
Accounting Support Built Around 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 Considerations That Come With Dental Work
Dental accounting often involves more moving parts than a straightforward employed or single-income business, and the right approach depends on how you are engaged, where your income comes from, and how your business is structured.
- Managing a mix of NHS contract income and private patient fees, which can affect how records are kept and how income is reported
- Associate dentist arrangements, including percentage-based pay, self-employed status, and the expenses that may be claimed against that income
- Professional expenses such as GDC registration, indemnity cover, CPD costs, and professional subscriptions, where the tax treatment can depend on your working arrangement
- Equipment, materials, and capital expenditure, including how purchases and any associated finance arrangements are treated in the accounts
- Practice payroll and employment costs, covering associates, hygienists, therapists, reception, and administrative staff where you employ them
- VAT considerations, which can vary depending on whether a practice is registered and how mixed NHS and private income is treated
- Practice finances and cash flow, including how NHS payment schedules and private fee income affect the timing of money in and out
- Partnership or limited company structures, each with different accounts, tax returns, and profit extraction considerations
- Self Assessment and tax administration, particularly where a dentist has more than one income source or more than one role
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.
Professional Support With a Dental Focus
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
The core accounting work — bookkeeping, accounts, tax returns, payroll — is similar, but the detail differs. Dentists often have more than one income source, such as NHS contract payments alongside private fees, or self-employed associate earnings alongside other work. There may be percentage-based pay arrangements, substantial professional expenses such as indemnity cover and GDC registration, and equipment costs spread across the accounts. An accountant familiar with dental work will know to ask about these and will treat them appropriately in your records and returns rather than overlooking them.
In most cases, yes. Associate dentists are commonly treated as self-employed for tax purposes, which means you would normally need to register with HMRC and file a Self Assessment tax return reporting your income and allowable expenses. The exact position depends on the terms of your engagement, so it is worth reviewing your contract rather than assuming. If you also receive income from other sources, such as locum work or a rental property, those would normally be included on the same return.
Both NHS and private income are generally taxable, but the way each is recorded and reported can differ, particularly around how contract payments are scheduled and how private fees are collected. Good bookkeeping that separates the two streams makes your accounts clearer and your tax position easier to explain. If your practice is VAT registered, the treatment of mixed NHS and private income is worth reviewing carefully, as not all elements are treated the same way.
There is no single answer that suits every practice. A partnership can be straightforward to set up and administer, while a limited company may offer different tax and profit-extraction possibilities depending on how profits are shared and reinvested. The right choice depends on your level of profit, how many principals are involved, your plans for the practice, and your personal circumstances. It is worth reviewing the numbers before deciding, and revisiting the structure if things change.
Yes. Payroll support can cover associates, hygienists, dental therapists, nurses, receptionists, and administrative staff, including the associated PAYE and National Insurance administration where you employ people. Dental practices often have a mix of employed and self-employed team members, so it is important that each arrangement is set up correctly from the outset. We can also deal with the payroll reporting obligations that go alongside running a team.
Commonly claimed items include GDC registration, professional indemnity cover, professional subscriptions, CPD training, and certain costs connected to running a practice such as equipment, materials, and premises expenses where they relate to your business. What is allowable can depend on whether you are self-employed, employed, or operating through a company, and on whether a cost is wholly and exclusively for business purposes. It is best to look at your particular situation rather than relying on a general list.
For a Self Assessment case, that usually means details of your income sources, any expense records, and information about your other financial affairs. For a practice, it will typically include bookkeeping records or accounting software access, payroll details, bank statements, VAT records where relevant, and information on the practice structure. If you are switching accountants, you will also need to authorise the transfer of records, and we can guide you through what is required.
In most cases, yes. Switching accountants is usually a fairly smooth process, and we can handle the professional clearance request to your existing adviser and pick up the records from there. It helps if your bookkeeping is reasonably up to date, but where it is not, part of the initial work can involve bringing things into order. The timing of the switch often matters if a tax return or accounts deadline is approaching, so it is worth discussing that early.