Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Ashford: Specialist Tax and Accounting Support for Dental Professionals
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Accounting Support for 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 Services for Dentists: Tax, Bookkeeping and Practice Support
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 for Dentists and Dental Practices
Dental accounting is rarely a case of simply adding up what came in. The way dentists earn income and structure their work tends to create a mix of tax, payroll and record-keeping issues that need to be handled consistently through the year. The points below are common considerations rather than a fixed checklist, and which ones apply to you depends on your working arrangement, income sources and business structure.
- Separating NHS and private income: keeping NHS, private and any other dental income clearly recorded can make Self Assessment, VAT checks and practice reporting far easier to follow.
- Associate dentist arrangements: the terms of an associate agreement influence how income is taxed, which expenses may be claimed and whether PAYE or self-employment reporting is relevant.
- Professional costs and indemnity: indemnity cover, professional subscriptions and other costs connected with practising can be treated differently depending on whether you are employed, self-employed or trading through a company.
- Equipment, materials and capital expenditure: larger purchases such as dental equipment may need to be accounted for differently from routine consumables, which can affect both your accounts and the timing of any relief.
- Payroll and staff costs: practices employing receptionists, dental nurses, hygienists or associates under PAYE need accurate payroll records, payslips and reporting to HMRC.
- Structure, VAT and cash flow: partnerships and limited companies bring different reporting, profit-sharing and VAT considerations, and irregular income patterns can place pressure on practice cash flow.
Why Dentists and Practice Owners 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 for Getting Started
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 Work
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
It is not a legal requirement, but many self-employed dentists find professional support useful because their income rarely comes from a single, straightforward source. NHS work, private treatment, laboratory fees, indemnity costs and practice-related expenses all need to be recorded correctly for Self Assessment, and mistakes or omissions can lead to queries from HMRC. An accountant can help you keep records in a usable format, work out what may be deductible depending on your circumstances, and file your return on time.
Associate dentists are usually treated as self-employed for tax purposes, which means income received from the practice is reported through Self Assessment rather than taxed under PAYE. The agreement you hold with the practice, and the way payments are structured, can affect how that income should be recorded. We can help you keep the paperwork for each practice separate where you work at more than one, track expenses such as indemnity cover and professional subscriptions, and prepare your tax return so that the position is clear.
Yes. Many dentists earn from NHS contracts, private treatment, or a combination of both, and the records for each stream may need to be kept separately for reporting and VAT purposes. We help you organise that income clearly so that your accounts and tax returns reflect the full picture. Where a practice holds an NHS contract alongside private work, we can also help with the reporting and management information that sits behind it.
It depends on your employment status, business structure and what the cost was genuinely incurred for. Costs such as indemnity insurance, professional body subscriptions, continuing professional development and certain equipment or materials may be allowable in some circumstances, while other costs are treated as personal or capital in nature. Because the rules differ between employed, self-employed and company arrangements, we look at your specific position rather than applying a general list.
If your practice employs dental nurses, receptionists, hygienists, trainees or associates paid through PAYE, then payroll obligations apply, including accurate payslips, real-time reporting and the associated payments to HMRC. Payroll for dental practices often involves a mix of full-time, part-time and variable-hours arrangements, which makes consistent record-keeping important. We can manage the payroll process for you or work alongside your existing practice systems.
There is no single answer that suits every dentist, because the right structure depends on your income level, how many practices you work with, whether you own a practice, and your longer-term plans. Sole trader and partnership arrangements are common among self-employed and associate dentists, while practice owners sometimes find a limited company brings different tax and administrative considerations. We can explain the implications of each option so you can decide what fits your situation.
VAT treatment can vary depending on the type of service provided and the way it is delivered, so it is worth checking rather than assuming a position. Clinical dental care and certain cosmetic or elective treatments may be treated differently, and a practice's VAT position can also depend on its turnover and other business activities. We can review your income streams and help you understand whether registration or a particular treatment applies to you.
Switching is normally more straightforward than people expect. Once you decide to move, we can contact your existing accountant for the relevant records and professional clearance, then review what has been done previously and identify anything that still needs attention. All we usually need from you is confirmation that you are happy for us to act, along with access to your accounting records, bank information and details of your income sources so we can pick things up without disrupting your year.