Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Aylesbury – Specialist Tax and Accounting Support

Dental work generates a mix of income streams, expenses and reporting obligations that do not always fit neatly into a standard accountant’s template. Whether you practise as an associate dentist, a principal, a partner in a dental practice or a limited company owner, your accounting needs can differ considerably from those of a typical sole trader. Accountants for Dentists in Aylesbury focus on the tax and financial matters that arise in dentistry, including NHS and private income, associate arrangements, indemnity cover, professional subscriptions, equipment, practice premises and staff costs. Depending on your circumstances, support may cover Self Assessment, bookkeeping, annual accounts, Corporation Tax, payroll, VAT and forward-looking tax planning. This page explains the working arrangements we support, the accounting issues that commonly arise in dental practice, and how CruseBurke approaches the work, so you can decide what level of help is genuinely useful for you.

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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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Jamie Fletcher profile picture
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 profile picture
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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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub profile picture
3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Accounting Support for Dentists, Associates and Dental Practice Owners

CruseBurke works with dentists at different stages and in different structures, from self-employed associate dentists and locums through to principal dentists, private practitioners and owners of established dental practices. Each arrangement carries its own treatment of income, expenses and reporting, so a dentist paid largely through NHS contract values will have different priorities from someone working mainly in private practice or a blend of both. Requirements also vary depending on whether you trade as a sole trader, operate through a partnership or limited company, or hold a combination of employment and self-employment.

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.

Accounting and Tax Services for Dentists in Aylesbury

Support for dentists can range from preparing and filing your Self Assessment tax return and keeping accurate bookkeeping records through to annual accounts, Corporation Tax computations, practice payroll and VAT returns where applicable. For practice owners, this may extend to budgeting, cash flow planning, equipment and capital expenditure considerations, and tax planning around drawings, dividends or profit extraction. CruseBurke tailors the engagement to your circumstances, so the work focuses on what your dental career or practice actually requires.

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.

Financial and Accounting Considerations for Dental Professionals

Dental work rarely produces a single, simple set of numbers. The split between NHS and private income, the way associates are paid, and the structure you trade through can all affect how figures are recorded, reported and taxed.

  • Separating NHS contract income from private fee income so each source is recorded and reported accurately
  • Understanding how associate dentist arrangements, UDA or UOA-based pay and self-employed status affect your tax position
  • Tracking professional expenses such as indemnity cover, GDC and professional body subscriptions, and continuing professional development
  • Accounting for dental equipment, surgery refurbishment and other capital expenditure, including how costs may be treated over time
  • Running payroll and employment costs for receptionists, nurses, hygienists and other practice staff
  • Keeping bookkeeping records and VAT treatment in order where a practice supplies both NHS and private services, which may be treated differently depending on the circumstances

Why Dentists Choose CruseBurke for Their Accounting

CruseBurke provides practical accounting support shaped around the way dentists actually work, rather than a one-size-fits-all service. We take time to understand whether you are employed, self-employed, a partner or a company director, and how your income is generated, before advising on how it should be recorded, reported and planned for. Clear communication, well-organised records and a tailored approach sit at the centre of what we do, so you have dependable information to support decisions about your practice or career.

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

The process begins with a conversation about your circumstances — how you work, where your income comes from, which structure you trade through and any concerns you have about tax or record-keeping. From there, we agree the scope of the work and put the necessary bookkeeping, payroll or reporting arrangements in place, confirming exactly what information we will need from you. Once everything is set up, we continue to support you with reviews and planning as your practice or career develops.

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 Dentists' Needs

CruseBurke works to professional accounting standards, with a focus on clarity and consistency in how your financial information is prepared and reported. Technical points are explained in plain language, decisions are flagged when they arise, and the paperwork side of running a dental practice or career is kept manageable. Our approach is built around understanding the income structures, expenses and reporting obligations that dentists regularly encounter.

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 many cases, yes. Associate dentists are usually treated as self-employed for tax purposes, which generally means registering with HMRC and reporting income and allowable expenses through Self Assessment, with income tax and National Insurance contributions settled through that system where they apply. The position can differ if you also hold an employment contract or have other income sources, so it is worth confirming your own status rather than assuming a particular treatment applies to you.

Both are generally taxable, but they can behave differently in practice. NHS contract income is often paid as a regular contract value with reconciliation adjustments, while private fees tend to arrive per treatment or course of treatment. That affects how bookkeeping records are structured and how figures are reported. VAT treatment can also differ, since NHS dental services are typically exempt while certain private treatments or products may fall outside that exemption depending on the circumstances.

Yes. We can maintain your records, reconcile practice bank accounts, track income by source and categorise expenses such as laboratory work, materials, indemnity cover, staff costs and premises overheads. Well-kept records make the year-end accounts, tax returns and VAT returns far more straightforward, and they give you a clearer picture of how the practice is performing month to month.

It depends on the nature of your services and your taxable turnover. Many NHS dental services are exempt from VAT, while certain private treatments, cosmetic procedures or retail sales may be standard-rated. A practice generally needs to monitor its taxable turnover against the VAT registration threshold and consider whether voluntary registration makes sense. We can review your mix of services and advise on the most appropriate approach for your circumstances.

Common claims include professional indemnity insurance, GDC registration, professional body subscriptions, continuing professional development and clinical consumables, provided they are incurred wholly and exclusively for the purposes of your work. Larger items such as equipment, surgery fit-outs and IT systems may qualify for capital allowances or different treatment over time. Because eligibility depends on your individual circumstances, it is worth reviewing your expenditure with an accountant rather than assuming everything is allowable.

There is no single answer that suits every practice. A sole trader structure is simpler to administer, while a partnership can suit dentists working together and a limited company may offer different tax and profit-extraction options alongside additional reporting obligations. The right choice depends on your profits, how many principals are involved, your plans for the practice and your personal financial position, so the structure is usually reviewed rather than decided once and forgotten.

Typically, we ask for details of your income sources, whether that is NHS contract payments, private fees, associate income or employment, together with records of practice and professional expenses, bank statements, payroll information if you employ staff, and any previous accounts or tax returns. If you are already working with another accountant, we can usually handle much of the handover for you so the transition is as smooth as possible.

Speak to an Expert

Wrestling with NHS and Private Income, Receipts and Self Assessment? CruseBurke Makes Dental Accounting Straightforward

Keeping track of NHS contract payments, private fees, indemnity costs and practice overheads can leave very little time for the paperwork behind them. CruseBurke supports dentists with bookkeeping, Self Assessment and practice accounts, so income from different sources is recorded clearly and the figures behind your tax return are ready when they are needed. If you would like accounting support that understands how dental practices and dental careers actually operate, our team is ready to talk through your circumstances and the next steps.