Specialist Accountants for Dentists & Dental Practices

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

Running a dental career or practice in Birmingham brings together several different strands of income and cost, from NHS contract payments and private treatment fees through to associate dentist sessions, laboratory charges, indemnity cover and equipment finance. Accountants for Dentists in Birmingham work with that mix every day, helping self-employed associates, principal dentists, practice owners and dental partnerships make sense of the numbers and meet their filing obligations. Depending on your circumstances, support may cover Self Assessment and tax returns, bookkeeping and financial records, annual accounts, Corporation Tax, payroll for practice staff, VAT where it applies, and forward-looking tax planning around practice profits, equipment purchases or a future practice sale. Because a locum dentist working a few sessions a week has very different requirements to a limited company running a multi-surgery practice, the right approach starts with understanding how you actually earn your income and what structure you work through. This page explains what specialist dental accounting involves, the areas dentists most often need help with, and how to tell whether your current arrangements are giving you the clarity and support you need.

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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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Jamie Fletcher profile picture
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 profile picture
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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Muna Mohamoud profile picture
Muna Mohamoud
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I highly recommend Imran to anyone looking for a reliable and knowledgeable accountant. He helped me sort out a very complicated backlog of accounts and prepared my overdue tax returns with professionalism and attention to detail. Throughout the process, he was incredibly patient, took the time to answer all of my questions, and explained everything clearly. He guided me through each step and helped rectify issues that had built up over time, making what felt like an overwhelming situation much more manageable. I'm very pleased with the service I've received and truly appreciate his support. If you need help with your accounts or taxes, I would highly recommend Imran.
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Sergey M profile picture
Sergey M
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I had a positive experience with Accotax. The work was completed promptly, my tax return was successfully filed, and I received a refund of overpaid tax. I found the cooperation efficient and helpful. Special thanks to Muhammad Saifullah for his assistance.
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Ebba Qureshi profile picture
Ebba Qureshi
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Fabulous team at ACCOTAX - very efficient and good response time . Honest and professional with their work. I would highly recommend them even if you’re a young start up - or a large business they have it covered .
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Mael Leboucher profile picture
Mael Leboucher
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We worked with a few different accountants before finally settling with Accotax, and we’re really glad we did. Their team is great. Abdul is responsive and easy to reach whenever I have a question, which makes a big difference. They take the time to understand how our business works and what our needs are. They are very knowledgeable, and when they don’t have the answer straight away, they take the time to look into it and get back to us quickly. Anum, who looks after our account on a day-to-day basis, including reconciling invoices and preparing the annual accounts, is amazing. She is professional, efficient, and follows the processes we have put in place together. She's also very quickin getting back to us whenever needed. We’re very happy to work with her and hope to continue doing so for as long as possible. Overall, Accotax has made our accounting experience much smoother and easier. We see them as a long-term partner as our business continues to grow. I would 100% recommend them.
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3rd Hub
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Imran provides a very dependable and straightforward accounting service. He is always responsive and professional when managing our accounts. Excellent support.
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Martin Tyrrell profile picture
Martin Tyrrell
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I have really impressed to date with all dealings with Accotax highly enough. From day one, they've made what can often be a complicated and stressful part of running a business feel straightforward and hassle-free. A special mention has to go to Anum, who has been friendly, incredibly responsive, and genuinely cares about providing the best possible service. No question is ever too much trouble, and she consistently goes above and beyond to make sure everything is dealt with efficiently. I wouldn't hesitate to recommend you to anyone looking for an accountant they can genuinely trust.
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Matthew Lyon profile picture
Matthew Lyon
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Great speedy service and very personable. Anum dealt with my income certificate and did everything quickly and helped me out massively. Very happy with the service provided.
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Accountancy Support Built Around Dentists and Dental Practices

Dentists do not fit neatly into one accounting mould. A self-employed associate claiming expenses against session income, a principal dentist drawing a mix of NHS and private fees, a limited company practice owner running payroll for a clinical and reception team, and partners sharing profits in a dental partnership all face different reporting and tax positions. Accounting requirements can also shift during a career, so the support that suits you now may need revisiting if you take on an NHS contract, buy into a practice, or move from self-employment into a company structure.

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 in Birmingham

Our work with dental clients typically spans Self Assessment tax returns, bookkeeping and record keeping, annual accounts, Corporation Tax computations, payroll for practice teams, and VAT registration and returns where relevant. We can also help with practice accounting matters such as equipment and capital expenditure, associate pay arrangements, partnership profit allocation, and tax planning ahead of a practice purchase or sale. Not every dentist needs every service, so we scope the work around your structure, income sources and the level of hands-on support you want.

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 Professionals

Dental finances rarely run along a single, tidy line. Income can arrive from several sources, costs are often technical and specific to the profession, and the way those figures are recorded and reported depends heavily on whether you are self-employed, employed, in a partnership, or trading through a limited company. A few areas tend to come up repeatedly.

  • Separating NHS contract income from private treatment fees so each is recorded and reported correctly
  • Associate dentist arrangements, including UDA or percentage-based pay, lab fees deducted at source, and self-employed expense claims
  • Professional expenses such as indemnity and insurance cover, GDC and professional body subscriptions, and continuing professional development costs
  • Dental equipment, surgery fit-outs and capital expenditure, including how purchases are treated and whether capital allowances may apply
  • Practice payroll for hygienists, therapists, nurses, reception staff and associates, including pension duties where they apply
  • Bookkeeping, VAT treatment of different dental services, partnership or limited company profit allocation, and cash flow planning for practice overheads

Practical Accounting Support for Birmingham Dentists

CruseBurke works with dentists across a range of working arrangements, from newly qualified associates building their first tax return to established principals and practice owners managing payroll, VAT and company accounts. We aim to keep financial information clear and well organised, explain what is due and when in plain English, and adapt our support to how you actually work rather than forcing your circumstances into a standard template. If something in your figures needs attention, we would rather raise it early than let it become a filing problem.

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.

How We Work With You: A Straightforward Three-Step Process

We begin by talking through your working arrangements, income sources and current structure, so we understand where you are now and what needs attention. From there we agree the accounting and tax work required, whether that is a Self Assessment return, practice accounts, payroll or ongoing bookkeeping, and set out what we need from you. Once everything is in place, we keep the records and deadlines under review and stay available for questions as your practice or career develops.

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, Clear Communication and Dental-Specific Knowledge

Good accounting support depends on more than producing a set of figures. It means understanding the terminology, income patterns and cost structures that sit behind a dental practice or an associate’s tax return, and being able to explain the position clearly so you can make informed decisions. Our approach is built on professional standards, accurate record keeping and open communication, with advice framed around your circumstances rather than a one-size-fits-all checklist.

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

Self-employed associates have a fairly distinctive tax position. You are typically responsible for your own Self Assessment return, your session or UDA income needs to be tracked across possibly more than one practice, and you may be able to claim expenses such as indemnity cover, GDC registration and professional subscriptions, travel between sites, and clinical equipment. Specialist support helps ensure income is reported correctly, allowable expenses are captured, and payments on account are set at a sensible level rather than catching you out later in the year.

Both NHS and private income are generally taxable, but they can behave differently in practice. NHS contract payments may arrive under an agreed contract value with reconciliation adjustments, while private fees may be inconsistent month to month and involve laboratory costs or material charges. Keeping the two streams clearly separated in your records makes it easier to prepare accurate accounts, monitor profit, and answer queries if your figures are ever reviewed. The right treatment depends on whether you receive the income personally, through a partnership, or via a limited company.

Yes. Practice-level accounting typically covers annual accounts, Corporation Tax where the practice trades through a limited company, payroll for clinical and administrative staff, VAT returns if the practice is registered, and management information that helps you monitor profitability by surgery, clinician or service line. We can also help with partnership profit allocation, equipment purchases and capital allowances, and planning around a practice purchase, expansion or eventual sale.

Common claims include professional indemnity and insurance, GDC and professional body subscriptions, continuing professional development, clinical clothing and laundry, and a proportion of running costs if you work from home for admin. Equipment and surgery fit-outs are generally treated as capital rather than day-to-day expenses. What is allowable depends on your employment status and the specifics of each cost, so it is worth checking before assuming something can be claimed.

VAT registration depends on your taxable turnover and the mix of services you provide, and certain healthcare services may be exempt while others, such as cosmetic treatments or some laboratory work, may not be. Because dental practices often provide a combination of services, the VAT position can be more nuanced than it first appears. We can review your turnover and service mix to establish whether registration is required and how returns should be prepared.

As a starting point, we would usually ask for details of your working arrangements, your income sources, and any existing accounting records, bank statements, invoices and expense receipts for the relevant period. If you are already working with an accountant, we can liaise with them to obtain your previous accounts, tax returns and HMRC correspondence. Where you are setting up a new practice or company structure, we would also look at registration details and any contracts or agreements in place.

In most cases the transition is straightforward. We would contact your existing accountant to request your records, confirm your position with HMRC, and check that any outstanding filings are up to date before taking over. There is usually no need to wait for a particular date in the year, although timing the move after a completed return can make the handover simpler. The main thing is making sure nothing is left outstanding in the changeover.

Fees are based on the work your circumstances actually require rather than a flat figure applied to everyone. Factors include whether you need a straightforward Self Assessment return or full practice accounts, how many income streams are involved, whether payroll and VAT are part of the scope, and how frequently you want support during the year. Once we understand your position, we will set out the scope and the basis for our fees clearly before any work begins.

Speak to an Expert

Juggling NHS fees, private income and practice payroll? Let us bring the numbers under control.

Dental income rarely arrives in a neat, predictable pattern, and that is where many dentists find their records slipping behind, their expense claims incomplete, or their tax position unclear until a deadline is close. CruseBurke can help by taking on the bookkeeping, preparing and filing your Self Assessment return or practice accounts, and reviewing how your income and allowable expenses are recorded across NHS and private work. Whether you are an associate dentist, a principal, or a practice owner weighing up a change of structure, we will explain where you stand in straightforward terms and keep your accounting on a steady footing, so you can focus on patients rather than paperwork.