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 tends to involve a few recurring themes, but how much each one matters depends on whether you are employed, self-employed, a partner or a company director, and on the balance of NHS and private work you carry out.
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.
You are not obliged to use a dental specialist, and a competent general accountant can prepare a tax return. The practical difference is familiarity with the way dental income and costs behave. NHS contract payments, private fee income, associate percentage splits, laboratory charges, indemnity cover and equipment purchases all raise questions that come up regularly in dental work, and an accountant who deals with them often tends to spend less time working out the fundamentals and more time on your actual position. That said, the right fit depends on your circumstances, your structure and the level of support you want.
Most associate dentists are treated as self-employed for tax purposes, which means reporting income and allowable expenses through Self Assessment rather than PAYE on that work. The practical side involves keeping a clear record of sessions worked, gross fees, laboratory or materials deductions, indemnity costs, registration and professional subscriptions, and any other genuine business expenses. Where you also hold an employed role, the two income sources sit in different parts of the tax system and need to be reported together correctly. Because arrangements vary between practices, it is worth checking how your specific contract is worded.
Both are generally taxable, but they can behave quite differently in your records. NHS contract payments often follow a monthly schedule tied to agreed activity, while private fees may be received directly from patients or through a plan administrator, and each stream can bring its own deductions and timing issues. Keeping the streams separate in your bookkeeping makes it far easier to reconcile income, spot missing payments and report accurately. The exact treatment depends on whether you receive the income personally, through a partnership or through a limited company.
There is no single answer that suits every dentist. Sole trader and partnership structures are common among associates and smaller practices and involve simpler administration, while a limited company can suit practice owners with higher profits or those planning to reinvest in equipment and premises. The right choice depends on profit levels, how many people are involved, pension plans, plans to buy or sell a practice and how you want to take money out of the business. It is worth reviewing the structure periodically, because what fitted two years ago may not fit now.
Common examples include indemnity insurance, professional body and registration fees, continuing professional development, specialist clothing such as scrubs, laboratory charges where you bear them, and the business proportion of equipment, materials and travel between sites. Whether an expense is allowable depends on the rules that apply to it and on your own circumstances — for example, costs that are partly private or that relate to an employed role are treated differently. Good records with clear receipts make the position easier to support.
Yes. Payroll for dental nurses, receptionists, hygienists, managers and any associates paid through the practice can be run alongside bookkeeping and the year-end accounts, so the information flows into one coherent set of records. Many practice owners find this useful because it means payslips, pension duties, records and tax reporting are all based on the same figures. VAT returns can also be managed where the practice is registered, though whether registration is required or beneficial depends on the services provided and the level of taxable turnover.
Usually far less than people expect. We would typically ask for your last set of accounts or tax return, details of your current structure and income sources, recent bank statements, bookkeeping records if you keep them, and payroll or VAT information where relevant. We can also contact your existing accountant to request professional clearance and the handover records, so you do not have to chase paperwork yourself. Once everything is in place, we confirm what is outstanding and what deadlines are approaching.
CruseBurke supports dentists and dental practices with the accounting, tax and compliance work that sits around clinical practice, from Self Assessment and annual accounts to payroll, VAT and practice accounting. The approach is to understand how you work, keep your records organised and explain your position clearly so you can make decisions with confidence. If you are unsure whether you need a specialist dental accountant or simply want a second opinion on your current arrangements, a conversation about your circumstances is the sensible first step.
