Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Bletchley
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Dentists and Dental Practices We Support in Bletchley
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 Bletchley
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.
Accounting and Tax Considerations for Dental Practices in Bletchley
Dental accounting often involves more moving parts than a typical small business, and the correct treatment can depend on whether you are employed, self-employed, a practice owner or a mix of these. The points below are common considerations rather than universal rules, and how they apply to you will depend on your arrangements.
- Separating NHS contract income from private treatment fees so each income stream is recorded and reported accurately
- Associate dentist arrangements, including self-employment status, expense claims and how associate shares are treated
- Professional expenses such as indemnity cover, professional registration fees and subscriptions, and whether they can be claimed
- Equipment, practice premises and capital expenditure, where the available relief can depend on the nature of the spend
- Payroll and employment costs for practice owners who employ dental nurses, hygienists, technicians or reception staff
- Bookkeeping, VAT and structure decisions, including whether a partnership or limited company remains the right fit
Why Dentists Choose CruseBurke for Their Accounting
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.
Professional Support Built Around Dental Practices
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 work usually covers both the annual compliance tasks and the day-to-day record keeping behind them. For dentists that can mean preparing Self Assessment tax returns, maintaining bookkeeping for treatment income and practice costs, preparing annual accounts, handling Corporation Tax or partnership returns, running payroll for practice staff, and advising on VAT where a practice is registered or approaching registration. It can also include tax planning around profit, drawings, equipment purchases or a practice purchase or sale. Which of these you need depends on whether you are employed, self-employed, in a partnership or running a limited company.
Yes. Associate dentists are often self-employed for tax purposes, which means registering with HMRC, filing a Self Assessment return each year and keeping evidence of the expenses they claim against their income. Practice owners and principals have a different set of responsibilities, including staff payroll, practice overheads and, in many cases, company accounts. We work across these arrangements, and the support is tailored to whichever one applies to you rather than assuming a single model fits all dentists.
The two income streams usually need to be tracked separately in your records so that your accounts and tax returns reflect what was actually earned and when. NHS contract payments often arrive on a scheduled basis, while private fees fluctuate with treatment activity, so mixing them can make your figures harder to interpret and your cash flow harder to predict. We help you record each stream clearly and report them correctly for your chosen business structure. The precise treatment will depend on whether you receive the income personally, through a practice or through a company.
Indemnity insurance, professional registration fees and relevant professional subscriptions are common costs for dentists, and in many cases they can be claimed against your income where they are incurred wholly and exclusively for your work. The position can differ depending on whether you are employed, self-employed or operating through a limited company, and on whether the cost is met personally or by the practice. We review what you are paying and advise on what can reasonably be claimed, based on your circumstances rather than a blanket assumption.
For practices with employed staff, payroll is often one of the largest recurring costs, covering dental nurses, hygienists, technicians, reception and administrative teams. We can handle payroll processing, payslips, statutory deductions and the related reporting obligations, alongside bookkeeping that keeps treatment income, supplier invoices, equipment costs and practice overheads in order. Good records throughout the year tend to make the annual accounts and tax returns quicker and less stressful, and they give you a clearer view of how the practice is performing.
VAT treatment for dental services can be more nuanced than people expect, and it is not simply a case of all dental work being treated the same way. Certain dental services may be exempt, while others, including some cosmetic or laboratory-related work, may fall outside that exemption. Whether you need to register also depends on your turnover and the nature of what you supply. We can review your services and income levels and advise on the position that applies to your practice, including registration and record keeping where required.
As a starting point, it helps to have details of your working arrangements, your income sources and any existing accounting records. That might include NHS contract information, private income summaries, practice accounts, previous tax returns, payroll records and details of significant purchases such as equipment. If your records are incomplete or you are switching accountant partway through a year, that is not a barrier, and we can talk through what is available and what needs to be pulled together. Once we understand your position, we can confirm which services are relevant and how the ongoing work will run.