Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Beaconsfield: Specialist Tax and Accounting Support
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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 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.
Common Accounting and Tax Considerations for Dental Practices
Dental accounting often involves more moving parts than other professional practices, and the right treatment depends on how your work is structured and where your income comes from. These are the areas that most frequently need careful handling.
- Separating and reconciling NHS contract income from private treatment income, so that accounts and tax returns reflect the true position rather than a blended figure.
- Associate dentist arrangements, including the distinction between self-employed status and employment, and how materials, lab fees and practice charges are treated.
- Professional expenses such as indemnity cover, GDC registration and professional subscriptions, where the tax treatment matters and records need to be complete.
- Dental equipment, surgery refurbishment and other capital expenditure, where the timing and method of claiming relief can affect your tax position.
- Staff payroll and employment costs, including nurses, reception and hygienists, with pension obligations and employment taxes handled correctly.
- VAT considerations, which can be more involved where a practice supplies a mix of NHS, private and exempt services.
- Practice finances and cash flow, particularly where NHS payments, private fees and supplier costs do not arrive on the same timetable.
- Choosing between a partnership, limited company or sole trader structure, and understanding how that choice affects tax, drawings and reporting.
- Tax administration and Self Assessment, including deadlines, payments on account and keeping multiple income sources properly declared.
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 Standards, Practical Support and a Dentist-Focused Approach
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 work generally covers preparing and filing your Self Assessment tax return or company accounts, maintaining bookkeeping records, calculating and reporting tax due, and helping you plan ahead on matters such as profit extraction, equipment purchases or a change in structure. For practice owners, it usually extends to payroll for staff, VAT support where applicable, and accounting that separates NHS income from private fees so the figures are meaningful. The exact scope depends on whether you are self-employed, a partner or running a limited company.
It can, mainly because you may be receiving self-employment income from several sources, each with its own expenses such as lab fees, materials, indemnity cover and associate percentages. Those need to be recorded accurately and reported correctly, and where you also hold an employed role, the interaction between PAYE and Self Assessment needs care. Keeping clean records through the year makes the return far more straightforward.
Both are business income where you are carrying on a trade, but they often behave very differently in practice. NHS contract payments may arrive on a schedule that does not match the treatment period, and there may be clawback or reconciliation adjustments, whereas private fees tend to be received directly from patients. Recording these streams separately helps you understand profitability and makes the accounts and tax return more accurate.
It depends on your turnover and the nature of the services you provide, because some dental and medical services can be exempt while others are standard rated. Where a practice supplies a mix of NHS work, private treatment and items such as cosmetic procedures or retail products, the VAT position can become more involved. If your turnover approaches or exceeds the registration threshold, it is worth reviewing the position before you have to act.
There is no single answer, because the right structure depends on your profits, how many principals or partners are involved, whether you want to retain money in the business, and your personal circumstances. A limited company can suit some practice owners while a partnership or sole trader arrangement works better for others. It is worth reviewing periodically, particularly when profits change or when partners join or leave.
Yes. Practice payroll typically involves running weekly or monthly payroll, calculating PAYE and National Insurance, handling pension obligations where they apply, and issuing payslips and year-end submissions. Getting this right matters both for your staff and for your own records, and it is usually simpler to have it handled alongside the rest of your practice accounting.
For most dentists, we would ask for details of your income sources, your business structure, any existing accounts or tax returns, and access to your bookkeeping or bank records. Practice owners may also need to provide payroll information, details of equipment purchases and lease or premises costs. If your records are incomplete, that is not a barrier, as part of the initial work can involve getting them into order.
Switching is usually more straightforward than people expect. We would normally ask for your authorisation to contact your existing accountant, obtain the relevant records and filing history, and confirm the position with HMRC. Once that is in place, we can pick up the ongoing work and make sure nothing is missed in the transition.