Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Borehamwood: Specialist Tax and Accounting Support
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Accounting Support for Dentists and Dental Practices in Borehamwood
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 and Dental Practices
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 Dentists and Dental Practices
Dental accounting can involve more moving parts than many other professions, because employment status, income streams and business structure often vary from one dentist to the next. The areas below are ones dentists frequently ask about, though not every dentist or practice will face all of them.
- Reconciling NHS and private income so that records clearly support the figures reported on tax returns
- Understanding how associate dentist arrangements and payments are treated, and whether income is reported through Self Assessment or another structure
- Recording professional costs such as indemnity insurance, GDC registration, professional body subscriptions and continuing professional development, and identifying which are allowable
- Dealing with dental equipment, practice premises and capital expenditure, including how larger purchases may be treated for tax purposes
- Managing payroll, pensions and employment costs for practice staff, hygienists, therapists and reception teams
- Handling VAT where it applies to mixed NHS and private income, private treatment charges and other practice supplies
- Keeping bookkeeping and cash flow under control when payments arrive on different cycles from different sources
- Deciding whether a partnership or limited company structure suits the practice, and understanding the reporting and tax consequences of each
Why Dentists in Borehamwood Choose CruseBurke
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 Accounting
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
In most cases, yes. If you receive self-employed income as an associate or locum, or you have untaxed income from other sources, you will usually need to report it through Self Assessment, even where tax has already been deducted at source on part of your earnings. The picture can be more complicated where you also receive salary through PAYE, hold a directorship, or have rental or investment income alongside your dental work. We review your income streams together, confirm what needs to be reported and prepare the return so that the figures are consistent with your records.
NHS and private income are generally recorded and reported separately, because they can arise from different contracts and payment cycles and may be treated differently for VAT purposes in certain circumstances. We help you keep your practice records organised so that NHS statements, private treatment fees and any associate payments can be reconciled and traced back to source. That makes the figures in your accounts and tax returns easier to support if they are ever queried.
Commonly claimed costs include indemnity insurance, GDC registration, professional body subscriptions, continuing professional development and the equipment or materials used in your work. Whether a particular cost is allowable depends on the circumstances, including whether it is incurred wholly and exclusively for the purposes of your profession and, for practice owners, whether it is capital or revenue in nature. We review your expenditure and explain the treatment of anything that is unclear.
There is no single answer that suits every dentist. A self-employed associate may find sole trader status straightforward, while practice owners with employees, equipment and reinvested profits sometimes consider a limited company or partnership structure for other reasons. The right choice depends on your income levels, how profits are used, your plans for the practice and your personal circumstances, and it can change over time. We talk through the practical implications of each option before you decide.
Yes. We can handle payroll for practice owners who employ dentists, hygienists, therapists, nurses, reception and administrative staff, including payslips, PAYE reporting and the pension duties that apply to employers. If you also pay associates or locums, we help clarify how those payments should be recorded and reported, since the treatment can differ from ordinary employment.
It depends on the level and nature of your taxable turnover. Some dental services may be exempt from VAT, while others, such as certain cosmetic or purely private treatments and retail sales, may be standard-rated, and mixed NHS and private income can make the position less obvious. If registration is required, or if you want to understand how VAT affects your pricing, we can review your income streams and explain the options available to you.
Switching is usually a straightforward process. We ask for your authorisation to contact your current accountant, request professional clearance and obtain your records, then review what has been done previously before picking up the work. To get started we typically need details of your income sources, bank and card statements, expense records, NHS payment statements, payroll information and copies of recent accounts or tax returns, and we will confirm exactly what applies to you.
Fees reflect the scope and complexity of the work rather than a fixed amount for every client. A self-employed associate with one income source and straightforward expenses will usually have simpler requirements than a practice owner with employees, VAT, equipment purchases and multiple contracts. We discuss the likely scope before any work begins so that you know what is included and can decide how much support you want.