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 often involves more moving parts than a straightforward salary or a single trading income. The considerations below are common, but which of them apply to you depends on your working arrangement, your income sources and the structure you trade through.
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.
It is not compulsory, but it can be helpful. Associates are usually treated as self-employed for tax purposes, which means registering with HMRC, reporting income and expenses through Self Assessment, and potentially making payments on account. Associate income often comes from more than one practice, with fees deducted at source, so working out your true taxable profit needs careful record-keeping. An accountant familiar with associate arrangements can help you record income correctly, identify allowable expenses and plan for the tax that will fall due.
Both NHS and private income are generally taxable, but they can behave quite differently in practice. NHS contract payments may follow a timetable set by the contract, while private fees and membership plan receipts arrive from a range of sources and can include amounts held on behalf of others. The way income is recognised, and how any deductions or expenses are matched against it, depends on your business structure and arrangements. We look at each stream separately so your accounts and returns reflect what you have actually earned.
Common claims include indemnity cover, GDC and professional body subscriptions, continuing professional development, specialist clothing, and a proportion of costs such as practice fees, equipment and running expenses where they relate to your work. What is allowable depends on whether the cost was incurred wholly and exclusively for your profession, and whether you are employed or self-employed. Capital items such as surgery equipment are treated differently from day-to-day costs, so it is worth reviewing these before you file.
There is no single answer that suits every dentist. Sole trader and partnership structures are straightforward and common among associates and smaller practices, while a limited company may suit principal dentists and practice owners with higher profits or plans to reinvest in the business. The right choice depends on your profit levels, how you take money out of the business, your plans for growth, and your attitude to administration. Because company profits are taxed differently from sole trader profits, the decision is worth revisiting as your circumstances change.
Yes. Where a practice employs clinicians, nurses, hygienists, receptionists or administrative staff, payroll support can cover payslips, PAYE and National Insurance reporting, pension administration and year-end submissions. Associate payments are usually handled differently from employment, since most associates are self-employed, and we can help you keep the two clearly separated. If your team includes a mix of employed and self-employed people, getting the treatment right matters for both compliance and staff relations.
VAT registration depends on your taxable turnover and the nature of the services you provide, and some healthcare-related services may be exempt or outside the scope. Practices with a mix of NHS work, private treatment, laboratory charges and retail sales can find the position less than straightforward, particularly where exempt and standard-rated supplies sit side by side. We can review your income streams and advise on whether registration applies, how partial exemption may work, and what records you need to keep.
As a starting point, we would usually ask for details of your working arrangements, your income sources, any NHS contracts or practice agreements, and how your business is structured. Prior accounts, tax returns, bookkeeping records, payroll information and details of significant purchases such as equipment are also helpful. If you are switching accountants, we can explain what is needed to take over from your existing adviser. Once we understand your position, we will tell you exactly what is required.
In most cases, yes. Switching accountants is usually a straightforward process, and we can write to your existing adviser to request the handover of records and professional clearance. Timings can matter if a filing deadline is approaching, so it is sensible to raise the change early rather than part-way through a return. We will confirm what information we need from you and from your previous accountant, then set out the steps to bring your affairs up to date.
