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 finances often involve more than one stream of income, and the way those streams are treated can vary considerably. The points below highlight areas that commonly need attention, although which ones apply will depend on how you work, who pays you 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 depends on how your payments are structured. Many associates are treated as self-employed, which means filing a Self Assessment tax return, recording income from one or more practices and claiming allowable expenses against that income. If you also hold a role where tax is deducted through PAYE, or you receive income from locum sessions, teaching or private work, the picture becomes more involved. A specialist accountant can help you keep the records together, work out what is allowable and prepare the return accurately, rather than treating each income source in isolation.
NHS contract income is generally treated as trading or professional income for the practice or practitioner receiving it, but how it is reported depends on whether you operate as a sole trader, a partnership or a limited company. The VAT position can also differ from private treatment fees, and NHS and private income often need to be recorded separately to keep accounts accurate. Because the treatment varies with your structure and contract arrangements, it is worth reviewing your specific position rather than applying a general rule.
Commonly claimed items include indemnity insurance, GDC registration, CPD, professional body subscriptions, clinical equipment, and travel between practice locations where it is genuinely business-related. Costs must normally be incurred wholly and exclusively for the purposes of your trade or profession, and some items — such as equipment or surgery improvements — may be treated as capital rather than day-to-day expenses. What you can claim depends on your working arrangements, so it is worth checking before assuming an item is allowable.
Yes, payroll support is available for practices employing nurses, receptionists, hygienists, practice managers and any employed dentists. This typically covers calculating pay and deductions, issuing payslips, reporting to HMRC and dealing with pension obligations where automatic enrolment applies. Payroll for dental practices can also interact with the treatment of associate payments, so it helps when the person handling payroll understands how dental practices are structured.
There is no single answer that suits every practice. The right structure depends on the number of principals involved, profit levels, how profits are shared, your wider personal tax position and your plans for the future. Some practices operate most efficiently as a limited company, others as a partnership or through a sole trader arrangement. The sensible approach is to review the options against your circumstances and revisit the decision as the practice grows or its ownership changes.
Switching is usually more straightforward than people expect. You would normally provide details of your current accountant so they can be contacted for handover information, along with copies of recent accounts, tax returns, bookkeeping records and any HMRC correspondence. Authorisation needs to be updated with HMRC so the new accountant can act on your behalf, and any outstanding filings can be reviewed at the same time. Timing the move between filing periods often makes the transition smoother.
Look for a firm that understands dental income in its various forms — NHS contract payments, private fees, associate arrangements and practice profits — rather than one that treats you as a standard small business. Ask how they will handle Self Assessment or company accounts, payroll, VAT and professional expenses, and how they will communicate if your circumstances change. Clear explanations, straightforward fee structures and a willingness to answer questions are just as important as technical knowledge.
