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 often involves a mix of income types, professional costs and business structures that can make record-keeping and tax reporting more involved than they first appear. Depending on how you work, some of the following considerations may be relevant to your circumstances.
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.
Not everyone is legally required to appoint an accountant, but many associate dentists choose to work with one because their income and expenses can be more complex than a straightforward sole trade. Self-employed associates typically need to report income through Self Assessment, and the associated costs — indemnity cover, GDC and professional body fees, travel between practices, equipment and continuing professional development — need to be recorded and treated correctly. An accountant can help you keep those records in order, prepare and file your return, and plan for the tax that will be due.
NHS and private income are often recorded separately because they arise from different contractual arrangements and may be taxed differently depending on whether you are a sole trader, partner, or working through a limited company. The way each stream is invoiced, received and reported can affect your bookkeeping, your accounts and your tax position. Getting the treatment right from the start usually makes year-end reporting considerably easier.
Yes. Practice owners often need support with annual accounts, Corporation Tax or partnership tax returns, payroll for practice staff, bookkeeping, VAT and tax planning, depending on how the practice is structured. Owning a practice also brings considerations around equipment purchases, premises costs, associate and hygienist arrangements, and how profits are extracted. The scope of support can be shaped around the size and structure of your practice.
Dentists may be able to claim for costs that are incurred wholly and exclusively for the purposes of their profession. These can include indemnity cover, professional registration and subscription fees, certain equipment and materials, practice-related travel and some training costs. The exact treatment can vary depending on your working arrangements and whether you are employed, self-employed, in a partnership or running a limited company, so each item should be reviewed against your own circumstances rather than assumed.
If your practice employs receptionists, dental nurses, hygienists, therapists, associates or other team members, payroll obligations will usually apply. That includes operating PAYE, issuing payslips, reporting to HMRC in real time, and handling pension duties where the practice meets the relevant criteria. CruseBurke can manage payroll as part of an ongoing accounting arrangement, or as a standalone service where that suits the practice better.
There is no single answer that suits every dentist. A sole trader or partnership structure can be simpler to administer, while a limited company may offer different tax and profit-extraction options depending on your income levels, plans for the practice and personal circumstances. The right choice often depends on your total income, whether you own the practice, how many associates are involved, and what you intend to do in future. It is worth reviewing the structure periodically as your situation changes.
Typically, we would ask for details of your income sources, practice arrangements, previous accounts or tax returns, records of expenses, any payroll or VAT information, and correspondence with HMRC where relevant. If you are switching from another accountant, we can usually handle the handover directly. The exact information needed varies depending on whether you need a full accounting service, a Self Assessment return, or support with a specific area such as VAT or payroll.
Yes. Many dentists receive income from more than one place — for example, associate work at two practices, locum sessions, private treatment fees, NHS contract payments or company dividends. Keeping these streams clearly separated makes it easier to produce accurate accounts, complete Self Assessment correctly and identify where tax planning may be useful. We can help set up a bookkeeping approach that keeps multiple income sources organised throughout the year.
