Specialist Accountants for Dentists & Dental Practices
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Self-assessment, allowable expense claims, lab fees and superannuation reconciliation for self-employed associates and private dentists.
Practice accounts, payroll for nurses and receptionists, UDA income monitoring, cash flow and profit extraction planning.
Accounting for referral-based and specialist practices, including capital allowances on equipment and VAT on cosmetic treatment.
Cash flow forecasts for lenders, company formation, cloud software set-up and registration for new and squat 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.
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.
We prepare associate tax returns, claim every allowable expense from GDC fees and indemnity to CPD and lab costs, and reconcile superannuation deductions.
Payroll for nurses, hygienists and reception staff, plus auto-enrolment, statutory pay and NHS Pension submissions handled on time every month.
Management accounts that show profit per surgery, per associate and per income stream, so you can see exactly where the practice makes money.
Dental accounting is not identical for every practice or practitioner. The points that matter most depend on your working arrangement, your income mix and whether you operate as a sole trader, partner or limited company. The following are among the areas that frequently require attention.
We know UDAs, superannuation, associate agreements and GDC costs without being told.
Associates, principals and multi-site groups each get a different service, not a template.
One agreed monthly fee with no hourly billing and no surprises at year end.
Incorporation reviews, capital allowances on equipment and profit extraction planned in advance.
You deal with the same qualified person every time, by phone or email, not a call centre.
Our roots go back further than the Second World War and we act for dental clients across London.
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.
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.
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.
Cloud accounting linked to your practice software so your figures are current, not six months old.
A dedicated accountant for dentists who knows your practice, your contract and your plans.
Unlimited support by phone and email, including quick answers on UDA and superannuation queries.
Our team has over 100 years of combined accountancy experience.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
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:
Reach out to us and we will discuss your practice, your contract and how we can help.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
A general accountant can prepare accounts and tax returns, but dental work involves arrangements that benefit from familiarity: self-employed associate income from multiple practices, a mix of NHS and private fee income, indemnity and registration costs, practice premises, dental equipment and staff payroll. Working with accountants who regularly deal with dentists can mean fewer basic explanations, more relevant questions about your income and expenses, and advice that takes account of how dental practices actually operate. It also helps that we understand how your position can change as you move between associate roles, partnership and incorporation.
Associates are commonly treated as self-employed for tax purposes, although this depends on the terms of each arrangement, so the starting point is knowing exactly what you are paid and by whom. We would typically need your income statements or schedules from each practice, records of any tax already deducted, details of expenses you have paid personally such as indemnity cover, professional subscriptions and CPD, plus any other income you receive. From there we can prepare your Self Assessment return, check that the right expenses are being claimed and help you set up a simple bookkeeping routine so nothing is missed at year end.
Both are business income for a self-employed dentist or a practice, but they arrive in different ways and need to be recorded separately so your accounts and returns are accurate. NHS income may come through a contract or schedule of payments, while private income can include treatment fees, plan payments or other charges, and each may raise different record-keeping and VAT questions. The way income is reported also depends on whether you trade as a sole trader, partnership or limited company, so we review your structure before confirming the treatment that applies to you.
There is no single answer that suits every dentist. Sole trader and partnership structures are common and straightforward to administer, while a limited company can sometimes offer different tax and profit-extraction options, though it brings additional compliance and reporting duties. The right choice depends on your profits, how many people are involved, your plans for the practice and your personal circumstances. We can review the options with you and explain the practical implications so you can make an informed decision rather than being pushed towards one structure.
Expenses that are incurred wholly and exclusively for your dental work are generally allowable, and for dentists these commonly include indemnity insurance, GDC and professional body subscriptions, CPD and training, specialist equipment, clinical clothing, and a proportion of costs such as practice admin or home office use where relevant. Some items, such as equipment, may be treated as capital expenditure rather than routine costs, and costs with a personal element need to be apportioned. We review your spending and confirm what can be claimed in your particular circumstances before anything goes into your return.
Yes. Practice payroll can include receptionists, dental nurses, hygienists, therapists, associates and practice managers, and each may be engaged on a different basis, which affects how they are paid and reported. We can run payroll on your behalf, calculate the deductions due, handle the reporting requirements and provide payslips, and we can also assist with the pension duties that apply to employers. If you are unsure whether someone should be treated as an employee or as self-employed, we can help you look at the working arrangements involved.
For a first conversation, it helps to have a clear picture of how you work: whether you are employed, self-employed or a practice owner, where your income comes from, and how you currently keep your records. Useful documents include previous accounts and tax returns, details of any practice contracts or associate agreements, payroll information, VAT records if you are registered, and bank or accounting records for the practice. If anything is missing or disorganised, that is not a barrier — part of the work is often helping to pull the information together.
Dental treatment provided by a registered professional is generally treated as exempt from VAT, but practices also supply other goods and services that may fall outside that exemption, and exemptions do not usually count towards the registration threshold. That means the answer depends on your turnover, the mix of what you supply and your business structure. We can review what your practice provides, explain whether registration is likely to be required and help you manage VAT returns if you are registered.
