Specialist Accountants for Dentists & Dental Practices

Accountants for Dentists in Bexley: Specialist Tax and Accounting Support for Dental Professionals

Dental income rarely fits a standard accounting template. Whether you are an associate dentist working a mix of NHS and private sessions, a principal dentist running a practice, or a practice owner operating through a limited company or partnership, the way your income is recorded and taxed can vary considerably. As Accountants for Dentists in Bexley, CruseBurke provides specialist accounting and tax support built around the realities of clinical work — bookkeeping, Self Assessment, annual accounts, payroll, VAT and forward-looking tax planning. We work with self-employed dentists, associate and principal dentists, private practitioners and dental practice owners, helping to keep financial records organised, deadlines managed and business decisions supported by accurate figures. Because dental arrangements differ so much from one person to the next, the starting point is always understanding your working pattern, your income streams and your business structure before recommending how your accounting should be handled. This page explains the support available and the dental-specific considerations that may affect your tax position.

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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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Victor Adade - GeoNet Telecom
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Good work!
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MAHSA T
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I’m very happy with the support I’ve received from Umer & Raza. RAZA always replies to my emails promptly and is very helpful. I’ve also had a few meetings with UMER, who patiently explained everything and gave me helpful advice. I’m very pleased with the team and grateful for their support.
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Michaela Jesson
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Excellent service from start to finish. Professional, knowledgeable, and always helpful. They made the whole process straightforward and stress-free, and I really appreciate their support. Highly recommended!
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Ayotunde Rufai
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Best accountants we've ever had. Umer is ace, and makes everything easy and transparent.
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Sofia
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I had a really positive experience with Muhammad. He was incredibly quick to action everything and made the whole process straightforward and stress-free. He took care of everything promptly and kept me informed throughout, which was greatly appreciated. Muhammad was professional, responsive and genuinely helpful from start to finish. It was clear that he cared about providing a great service and making sure everything was handled properly. I would definitely recommend him to anyone looking for someone reliable, efficient and professional.
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Zest For Life
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I worked with Accotx on a HMRC reclaim and overall, they did ultimately deliver on their promise, which I appreciate. The process did take longer than any of us expected, partly due to external delays with the tax authorities, and partly because there were some hiccups in communication and follow-up. However, despite those challenges, they stayed professional and stuck to the original agreed terms. If you’re considering using them, be prepared to stay in regular contact to keep things moving along. They are absolutely capable, have the expertise and willing to work with you, and overall improving their services over time. I would certainly return for any future needs.
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Pete Wrist
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Sterling work. Many thanks to Muhammad and the team for all their help and expertise
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Hansen Personal Training
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We have been a client for years - very quick responsive and personalised service
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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
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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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Accounting Support for Self-Employed Dentists, Associates and Practice Owners

The dentistry profession covers a wide range of working arrangements, and each one can bring different accounting and tax obligations. A self-employed associate dentist invoicing a practice, a principal dentist responsible for the whole business, a private practitioner building a fee-based list, and a practice owner running a limited company or partnership may all need a different combination of bookkeeping, payroll, accounts and tax support. Because requirements can vary depending on your contract, income sources and business structure, we look at your individual circumstances rather than applying a one-size-fits-all approach.

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.

Specialist Accounting and Tax Services for Dentists and Dental Practices

Our work with dentists can cover Self Assessment tax returns, bookkeeping, annual accounts, Corporation Tax, partnership returns, payroll for practice teams and VAT support where it applies to your activities. We also help with practice accounting matters such as equipment purchases, premises costs and the financial information needed when buying into or selling a practice. Tax planning forms part of the picture too, particularly where income is split between NHS and private work or where the choice of business structure has an effect on how profits are taxed.

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.

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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.

Where Dental Accounting Gets More Involved

Dental finances often involve several moving parts at once — clinical income from more than one source, practice overheads, team costs and a business structure that may change over time. Depending on how you work and how the practice is set up, some of the following considerations may be relevant to your accounting and tax position.

  • Separating NHS dental income from private fee income so that each stream is recorded and reported accurately
  • Associate dentist arrangements, including how self-employed status, materials and laboratory costs are treated
  • Professional expenses such as indemnity cover, professional body subscriptions and continuing professional development
  • Dental equipment, surgery refurbishment and other capital expenditure, and how these are reflected in accounts and tax claims
  • Practice payroll covering associates, hygienists, therapists, nurses and reception staff, together with the associated employment costs
  • Bookkeeping and record keeping across multiple income sources, payment methods and payment schedules
  • VAT considerations, where the nature of the treatment or additional services provided affects the position
  • Choosing between partnership and limited company structures as a practice grows or takes on new partners
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Why Dentists Work With CruseBurke

Dental professionals often want an accountant who understands the difference between an associate contract, a principal’s practice profits and a limited company’s accounts without needing lengthy explanations. We aim to provide clear, practical support, keep the accounting process organised, and explain tax and business matters in plain language so decisions can be made with confidence. Whether you are newly self-employed or running an established practice, the approach is tailored to your arrangements rather than built around a standard template.

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.

A Straightforward Three-Step Process

Getting started begins with an initial conversation about how you work — your contracts, income sources, business structure and any practice arrangements already in place. From there, we agree the accounting and tax work that needs to be carried out, whether that is bookkeeping, payroll, returns, accounts or a combination of these, and set out what information we need from you. Once things are running, we provide ongoing support as your circumstances change, such as taking on more NHS sessions, becoming a practice principal or restructuring the business.

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.

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Professional Standards and a Practical Understanding of Dental Practice

Good dental accounting depends on more than completing a tax return correctly; it relies on understanding how dental income is generated and how practice costs behave. Our approach combines professional accounting practice with a working knowledge of the issues dentists face, from associate invoicing to practice overheads and team payroll. Just as importantly, we keep communication clear and straightforward, so you know what is being filed, when it is due and what it means for your finances.

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

If you are a self-employed associate dentist, a principal dentist in a partnership or a sole practitioner, you will usually need to report your income through Self Assessment. The return needs to reflect all taxable income, which for many dentists includes fees from more than one practice alongside any other earnings. Keeping accurate records throughout the year makes the return far easier to prepare and reduces the risk of errors or omissions. If you work entirely as an employee, your position may be different, and it is worth confirming how your particular contract is treated.

An associate dentist is generally treated as self-employed and pays tax and National Insurance through Self Assessment on the profits of that work. A practice owner trading through a limited company is subject to a different framework, with annual accounts, Corporation Tax returns and company payroll obligations, and directors typically take a combination of salary and dividends. The two arrangements also differ in how expenses, equipment and profits are treated, so the right approach depends on your structure rather than the profession alone.

Yes. Mixed NHS and private income is common in dental practice, and it needs to be recorded in a way that distinguishes the different streams clearly. We can help set up bookkeeping that captures each source separately, reconcile payments received from NHS bodies and private patients, and make sure the figures feeding into your accounts or tax return are accurate. Where a practice provides both NHS and private treatments, the record keeping behind the practice accounts should reflect that split.

A range of costs may be allowable depending on your working arrangements, such as professional indemnity cover, registration and professional body subscriptions, continuing professional development, laboratory fees and certain equipment. Whether a specific cost can be claimed, and how it should be treated, depends on the nature of the expense and whether it is incurred wholly and exclusively for your work. Capital items such as surgery equipment may be handled differently from day-to-day running costs, and we can review your spending to clarify the position.

We can support dental practices with payroll for their teams, which may include associates paid through the practice, hygienists, therapists, dental nurses, receptionists and practice managers. This typically covers calculating pay, handling deductions, producing payslips and dealing with the reporting obligations that come with employing staff. Because employment costs form a significant part of practice overheads, keeping payroll accurate and up to date also helps with budgeting and management information.

VAT treatment in dentistry is not identical across every service. Some treatments fall within an exemption while others, including certain cosmetic or non-clinical items, may be treated differently. The position can also be affected by other income the practice receives, such as sales of goods or room hire. Because the rules depend on the nature of what is supplied, it is worth reviewing your activities carefully rather than assuming a single approach applies to everything.

Switching accountants is usually a straightforward process. Once you decide to move, we can liaise with your existing accountant to obtain the records and information needed, including prior accounts, tax returns and bookkeeping data. The main thing is to have your financial records reasonably organised and to let us know about any upcoming deadlines so nothing is missed during the transition. If your year end is approaching, it helps to plan the move around that date.

It helps to see your contracts or associate agreements, details of the practices you work with, your income records, business bank statements, details of expenses such as indemnity and subscriptions, and any previous accounts or tax returns. If you employ staff, payroll information and employment details will also be needed. Providing a clear picture of how you work — NHS, private or a mix — allows us to recommend the most suitable approach for your accounting, bookkeeping and tax affairs.

Speak to an Expert

Trying to Keep Track of Associate Fees, NHS Income and Practice Costs? Let Us Take the Financial Admin Off Your Hands.

Dental finances can quickly become difficult to manage when fees arrive from several practices, expenses build up and tax deadlines sit alongside a full clinical diary. CruseBurke works with self-employed dentists, associates and practice owners, providing bookkeeping and Self Assessment support that keeps your records organised and your returns prepared on time, along with tax planning that reflects how you actually work. With clear communication and a proper understanding of dental income and practice costs, your accounting becomes far less of a distraction from the work you do best.