Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Berkhamsted: Specialist Tax and Accounting Support
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Supporting Dentists and Dental Practices Across Berkhamsted
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 Built for Dental Professionals
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 in Dentistry
Dental accounting involves a few areas that rarely come up in other trades. Because income can arrive from several directions at once and the rules around expenses and structures are not always obvious, the right treatment often depends on how you work and what your practice looks like.
- NHS and private income: keeping contract payments, private fees, laboratory recharges and any other income recorded separately enough to produce clear, accurate figures for your returns.
- Associate arrangements: understanding how pay statements, self-employed status, expense claims and multiple practice commitments interact when you are not an employee.
- Professional expenses and indemnity: identifying which costs, such as professional subscriptions, indemnity cover, GDC-related fees and continuing professional development, may be allowable and how they should be evidenced.
- Equipment and capital expenditure: deciding how dental chairs, imaging equipment, IT systems and practice fit-outs are treated, and whether capital allowances may be available.
- Payroll and employment costs: running PAYE and Real Time Information submissions for practice staff, and handling the position correctly where associates or family members are involved.
- VAT and cash flow: monitoring whether registration is required, whether voluntary registration may be worth considering, and how the timing of supplies affects working capital.
- Business structure: weighing up sole trader, partnership and limited company arrangements as your income grows or your role within the practice changes.
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.
Practical Expertise, Clear Communication and a Personal 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 most useful starting point is whether the firm genuinely understands dental income. That means being comfortable with NHS contract payments, private fees, associate pay statements, UDA-related earnings and the way practice profits are taxed. It also helps if they can handle the related work that comes with a practice, such as payroll for staff, VAT, annual accounts and Corporation Tax. Beyond technical ability, look for clear communication, a willingness to explain your position rather than just file paperwork, and a process for handling the records you provide.
In many cases, yes. If you are an associate dentist or self-employed dentist receiving income that has not been taxed at source, you will usually need to report it through Self Assessment. Even where tax has been deducted, other income such as practice profits, rental income, dividend income or savings interest can bring you within the filing requirement. The position depends on your total income and circumstances, so it is worth confirming your obligations rather than assuming they do not apply.
The practical work is about separation and evidence. NHS contract payments, private patient fees, laboratory recharges and any other streams are recorded so their sources are clear, which makes your returns easier to prepare and easier to support if questions arise. Where you work across more than one practice, we also look at how each arrangement is documented, whether you are treated as self-employed or employed, and whether any expenses are already covered by the practice.
Practice owners often need a combination of annual accounts, Corporation Tax or partnership returns, bookkeeping, payroll for practice staff, VAT where applicable, and tax planning around equipment purchases, drawings or expansion. If the practice holds premises, there may also be questions about property costs, lease arrangements and capital expenditure. The exact mix depends on whether you trade as a sole trader, a partnership or a limited company, and on how many people you employ.
There is no single answer, because the right structure depends on your profits, how many principals are involved, how you want to take money out of the business, and your longer-term plans for the practice. Incorporation can change how tax and National Insurance apply, and it brings additional reporting and filing duties. Partnerships have their own rules on profit sharing and liability. We can talk through the accounting and tax consequences of each option so you can decide with proper information in front of you.
Yes, and it does not need to be disruptive. The usual first step is to confirm your current position, gather what has already been filed, and obtain the information we need from your existing accountant. We then take over the remaining work for the period, whether that means completing an outstanding tax return, preparing accounts, or picking up bookkeeping and payroll. We will tell you what is required from you so the handover stays straightforward.
It helps to have details of your income sources, your business structure, your accounting period, and any outstanding returns or filings. For associates, that might mean pay statements and a summary of expenses. For practice owners, it usually includes bank statements, invoices, payroll records, VAT returns and details of any equipment or premises costs. If your records are not in perfect order, that is not a barrier, as part of the work often involves getting everything into a usable shape.
We can support both where they apply to you. Payroll work typically covers practice employees, and may involve pension duties and Real Time Information submissions. VAT support can include assessing whether registration is required, preparing and submitting returns, and considering whether the flat rate scheme or another approach might suit your practice. Whether these services are needed depends on your turnover, your staffing and how your practice is structured.