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 rarely a matter of simply adding up fees. The blend of NHS and private work, the way associates are paid, the treatment of equipment and indemnity costs, and the structure of the practice itself can all affect what needs to be recorded, reported and planned for. The points below highlight areas that often need careful 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.
If you work as a self-employed dentist — for example as an associate receiving a share of fees, or as a sole trader running your own practice — you will usually need to report your income and expenses through Self Assessment. That means keeping accurate records of the fees you receive, the costs you pay out and any other income you have, then filing a return and settling any tax due by the relevant date. Dentists who also receive employment income, rental income or dividends may need to include those as well. We can prepare and submit the return for you and explain how the final figure has been calculated.
An associate dentist is generally responsible for their own tax and National Insurance on the fees they earn, along with costs such as indemnity cover, professional registration and subscriptions. A practice owner may also need to consider practice accounts, staff payroll, premises costs, equipment purchases and, where relevant, VAT and Corporation Tax if the practice trades through a limited company. The two roles often overlap, since some dentists combine associate sessions with an ownership share in a surgery. We establish your actual arrangement first and then identify what your accounting and tax work needs to cover.
Most dentists receive income from more than one source, and those streams can behave quite differently. NHS income may arrive through a contract or a share of fees, while private income can come from individual patients, payment plans or treatment-specific charges. Good bookkeeping keeps these streams separate so it is clear what has been earned, what is outstanding and which expenses relate to which part of the work. Keeping them distinct also makes tax reporting, VAT questions and any review of practice performance considerably easier.
There is no single structure that suits every practice. The appropriate choice can depend on how many owners are involved, how profits are shared, how you want to take money out of the business and what you plan for the years ahead. A limited company can work well for some practice owners, while a sole trader or partnership arrangement can be more suitable in other situations. We can talk through the practical tax and administrative implications of each option, including how income is taxed and what records need to be kept, so you can make an informed decision.
Many costs connected with practising as a dentist may be allowable as business expenses, provided they are incurred wholly and exclusively for the purposes of your work. These can include professional indemnity cover, registration and professional body subscriptions, continuing professional development and certain equipment or uniform costs. Some items, such as equipment, may need to be treated differently depending on whether they relate to repairs, replacements or a capital purchase. Because the position varies with the nature of each cost, it is worth reviewing your expenses carefully rather than assuming a standard treatment applies.
VAT treatment in dentistry is not always straightforward. Some dental care provided by registered professionals may fall within an exempt category, while other treatments, products or cosmetic services can be standard-rated. A practice also needs to keep an eye on its total taxable turnover and whether it has reached the point at which registration becomes necessary. Because the answer depends on exactly which services are provided and how the practice is structured, VAT questions are best reviewed on a case-by-case basis, with records that support the position taken.
Yes. Practices that employ receptionists, dental nurses, hygienists, therapists, managers or clinicians on a payroll basis may need to operate PAYE, calculate deductions, provide payslips and report to HMRC. Payroll in a dental practice often involves a mix of arrangements, including salaried team members, hourly staff and clinicians paid on different terms, so consistency matters. We can manage the payroll process and the associated reporting, which helps keep the figures aligned throughout the year.
To begin, it helps to have your basic business details, your most recent accounts or tax return, records of income and expenses, and information about any staff, VAT registration or accounting software already in use. If you work with another accountant, we can usually liaise with them to obtain what is needed for the handover, which keeps the transition manageable. Once we understand your circumstances, we can explain the work involved and how the ongoing service would operate for your practice.
