Specialist Accountants for Dentists & Dental Practices
Accountants for Dentists in Brackley: Specialist Tax and Accounting Support
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Accounting Support Built Around the Way Dentists Actually Work
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 Issues Dentists Commonly Face
Dental accounting tends to involve more moving parts than many other service businesses, and the way those parts are treated depends on how you work, what you earn and how your business is structured. Some of the most frequent considerations we see include:
- Blending NHS contract income with private fee income, where the timing and treatment of payments can affect how profits are reported and when tax falls due.
- Associate dentist arrangements, including understanding whether you are engaged as self-employed, how your percentage split is calculated and what expenses you can properly claim.
- Professional expenses and indemnity cover, such as medical defence subscriptions, GDC registration, professional body fees, specialist clothing and continuing professional development costs.
- Dental equipment and capital expenditure, including how practice equipment, instruments, surgeries and IT systems are recorded and whether relief is available in the year of purchase or spread over time.
- Staff payroll and employment costs, covering practice managers, nurses, receptionists, hygienists and associates, along with pension obligations and the reporting that goes with them.
- Day-to-day bookkeeping and financial records, keeping income and expenditure accurate enough to support your tax return, VAT position and any lender or contract discussions.
- VAT considerations on mixed income streams, where the treatment of NHS and private supplies can differ and registration may or may not be appropriate depending on turnover and circumstances.
- Practice cash flow and profitability, where payments from NHS contracts, private treatment plans and laboratories do not always line up neatly with outgoing costs.
- Business structure decisions, including whether trading as a sole trader, partnership or limited company suits your circumstances and how a change of structure would affect your tax position.
- Partnership and limited company administration, such as profit share agreements, company accounts, confirmation statements and director responsibilities where applicable.
Why Dentists Work With 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.
A Straightforward 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 Standards and a Specialist Approach
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
It is not a legal requirement, but it can make a practical difference. As a self-employed associate you are responsible for declaring your income and paying the right tax through Self Assessment, and the way your percentage split, lab fees, indemnity cover and other costs are treated can affect the final figure. An accountant who regularly deals with associate arrangements can help make sure your records are complete, expenses are claimed appropriately and your return reflects your actual position.
Both NHS contract payments and private fees are generally treated as taxable trading or professional income, but the practical difference lies in how they arrive. NHS payments tend to follow a contract schedule while private income can be more irregular and may involve treatment plans, deposits and staged payments. Keeping these streams clearly separated in your bookkeeping makes it easier to report income accurately, monitor cash flow and answer queries from lenders or the NHS if needed. The exact treatment can vary, so it is worth confirming your position.
Yes. Many dentists prefer to have their bookkeeping handled throughout the year rather than assembling a year's worth of records at the last minute. Ongoing bookkeeping also makes it easier to spot issues early, keep an eye on profitability and prepare for VAT or payroll obligations. If you already keep your own records, we can work with what you have and tidy up any gaps.
There is no single answer that suits every practice. A limited company can offer different tax and liability outcomes, while a partnership or sole trader structure may be simpler to run and more suitable for certain arrangements. The right choice depends on your profits, how many principals are involved, your plans for the practice and your personal circumstances. We can talk through how each option is likely to work for you and what changing structure would involve.
Commonly claimed items include GDC registration, medical defence and indemnity subscriptions, professional body fees, specialist clothing such as scrubs that are not suitable for ordinary use, continuing professional development, and the costs of running your practice where you are self-employed. Equipment and larger purchases are usually treated differently and may qualify for capital allowances rather than being deducted in full. What you can claim depends on your circumstances and how the expense relates to your work, so it is worth checking before assuming an item is allowable.
Yes, payroll support is available for practices employing nurses, receptionists, practice managers, hygienists or other staff. That can include calculating pay and deductions, handling starter and leaver information, dealing with pension auto-enrolment obligations where they apply and providing the reporting required by HMRC. If you currently run payroll yourself, we can take it over or review how it is being done.
Switching is usually more straightforward than people expect. We would normally ask for your authorisation to contact your existing accountant, request the handover of records and confirm your position with HMRC. The aim is to make the transition as smooth as possible while ensuring nothing is missed. If you are partway through a tax year or have outstanding filings, we can review where things stand before taking over.
It helps to have details of how you are engaged — employed, self-employed, in partnership or through a company — along with your income records, bank statements, details of professional expenses, any NHS contract information and previous accounts or tax returns. If your records are not fully up to date, that is not a barrier. We can identify what is missing and work through it with you.