Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Bootle: Specialist Tax and Accounting Support for Dental Professionals
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Support for Dentists and Dental Practices in Bootle
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
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 Professionals
Dental accounting rarely follows a single template. The way income is earned, the structure you trade through and the costs you carry can all change what needs to be reported and how it should be treated, which is why it helps to look at each dentist's position individually rather than applying a standard approach.
- NHS and private income: receipts often arrive through different routes and on different cycles, and keeping each stream clearly recorded makes reconciliation, reporting and tax planning far more straightforward.
- Associate dentist arrangements: the terms of your associate contract, fee splits and self-employment status can affect what may be claimed and how your tax return is prepared.
- Professional expenses and indemnity costs: subscriptions, indemnity cover, relevant training and clinical costs may be allowable, but the treatment can depend on how and why they were incurred.
- Equipment, premises and capital expenditure: dental chairs, surgery equipment, IT systems and refurbishment may attract particular tax treatment, so classification and timing can matter.
- Payroll and employment costs: practices that employ dental nurses, hygienists or reception staff bring PAYE, National Insurance and workplace pension considerations into the picture.
- Business structure and VAT: partnerships, limited companies and mixed NHS and private arrangements each carry different reporting obligations, and VAT can apply differently depending on the services provided.
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 for Dental Clients
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 Your Dental Business
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
Not every dentist is legally required to appoint an accountant, but many associate dentists find it genuinely useful. As a self-employed associate, you will usually need to report your income and allowable expenses through Self Assessment, and the way your contract is structured, along with the number of practices you work for, can affect what you are able to claim. An accountant can help you keep records that stand up to scrutiny, work out what is reasonably claimable and prepare your return accurately and on time. If your affairs are straightforward, the support may be relatively light-touch, while a mix of employed and self-employed work or several income streams tends to make professional help more valuable.
Both are generally taxable, but they can behave quite differently in practice. NHS income often arrives through contract or activity-based payments, while private income may come from patient fees, dental plans or cosmetic treatments, and each stream has its own pattern of receipts and adjustments. Keeping these streams separately recorded in your bookkeeping makes it easier to reconcile payments, identify discrepancies and prepare accurate accounts or tax returns. Where a practice operates both, we can help set up records that keep reporting clear without making your day-to-day admin unnecessarily complicated.
Yes. Dental practices commonly employ receptionists, dental nurses, hygienists, therapists and practice managers, and each role brings PAYE, National Insurance and workplace pension considerations. We can handle payroll processing, payslips, real time reporting and the associated filings, and help you understand the employment costs involved in taking on or changing staff. Where you also pay yourself a salary or dividends from a limited company practice, we can look at how those elements fit together.
There is no single list that applies to every dentist, because what is allowable depends on your working arrangement and the reason a cost was incurred. Professional subscriptions, indemnity cover, continuing professional development relevant to your work, and certain equipment or uniform costs may be claimable in the right circumstances, while travel between home and a permanent workplace often is not. Capital items such as dental chairs, surgery equipment and IT systems are usually treated differently from day-to-day running costs. We can review your spending and advise on what is likely to be allowable in your case, so your return reflects your real position.
There is no single answer that suits every dentist. Sole trader status can be simpler administratively, partnerships are common where two or more dentists share a practice, and a limited company may offer different tax and profit extraction options, though it also brings additional filing and compliance obligations. The most suitable structure depends on your income levels, how profits are shared, your plans for the practice and your personal circumstances, and it can change over time as those factors shift. We can talk through the practical implications before you commit to a decision.
VAT depends on your turnover and the nature of the services you provide, and some dental services are treated differently from others. Registration is generally driven by whether your taxable turnover exceeds the relevant threshold, although there can be situations where voluntary registration makes sense and others where it does not. Because the rules and thresholds change, and because a mix of NHS and private income can complicate the picture, it is worth reviewing your position rather than assuming the answer. We can look at your figures and explain what applies to you.
We usually ask for details of your working arrangements, your income sources, your business structure and any existing accounting records you hold. That may include previous tax returns, accounts, bookkeeping records, bank statements, expense details, payroll information and correspondence from HMRC. If you are unsure what is relevant, we can talk it through and put together a straightforward checklist so nothing important is overlooked.
Yes. Moving from one accountant to another is usually more straightforward than people expect. Once you decide to switch, we can liaise with your existing accountant for the information required and manage the professional clearance process so the transition is handled properly. You should not need to chase paperwork or explain everything from scratch, although it does help to have your recent records available.